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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
6 Months Ended
Mar. 31, 2020
Mar. 31, 2019
OPERATING ACTIVITIES    
Net income $ 1,157,679 $ 419,826
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation, including amounts charged to cost of goods sold 143,604 171,789
Amortization, including amounts charged to interest expense 66,564 100,040
Provision for doubtful accounts 22,144 10,892
(Benefit) provision for deferred income taxes (21,568) 24,949
Share-based compensation 45,763 37,869
LIFO expense (credit) 37,134 (69,834)
Impairment of PharMEDium assets 361,652 570,000
Gain on sale of an equity investment   (13,692)
Other (11,312) (11,610)
Changes in operating assets and liabilities, excluding the effects of acquisitions:    
Accounts receivable (2,052,216) (880,805)
Inventories (152,359) (420,190)
Income tax receivable 693,635 (522)
Prepaid expenses and other assets 1,580 (17,436)
Accounts payable 2,395,847 1,350,728
Accrued expenses, accrued income taxes, and other liabilities (305,170) (169,716)
NET CASH PROVIDED BY OPERATING ACTIVITIES 995,707 1,103,332
INVESTING ACTIVITIES    
Capital expenditures (144,382) (161,488)
Cost of acquired companies, net of cash acquired 0 (52,398)
Cost of equity investments (30,580) 0
Other 7,162 2,659
NET CASH USED IN INVESTING ACTIVITIES (167,800) (211,227)
FINANCING ACTIVITIES    
Senior notes and other loan borrowings 46,396 439,181
Senior notes and other loan repayments (46,146) (456,591)
Borrowings under revolving and securitization credit facilities 87,954 541,066
Repayments under revolving and securitization credit facilities (87,257) (539,673)
Purchases of common stock (407,152) (347,959)
Exercises of stock options 76,757 37,590
Cash dividends on common stock (170,541) (170,428)
Tax withholdings related to restricted share vesting (9,585) (5,667)
Other (589) (6,390)
NET CASH USED IN FINANCING ACTIVITIES (510,163) (508,871)
INCREASE IN CASH AND CASH EQUIVALENTS 317,744 383,234
Cash and cash equivalents at beginning of period 3,374,194 2,492,516
CASH AND CASH EQUIVALENTS AT END OF PERIOD $ 3,691,938 $ 2,875,750