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Income Taxes (Tables)
12 Months Ended
Sep. 30, 2020
Income Tax Disclosure [Abstract]  
Domestic and foreign income from continuing operations before income taxes
The following table summarizes the Company's (loss) income before income taxes for the periods indicated:
 Fiscal Year Ended September 30,
(in thousands)202020192018
Domestic$(5,961,269)$336,150 $704,935 
Foreign667,438 630,956 472,488 
Total$(5,293,831)$967,106 $1,177,423 
Income tax provision
The components of the Company's consolidated income tax (benefit) expense are summarized in the following table for the periods indicated:
 Fiscal Year Ended September 30,
(in thousands)202020192018
Current (benefit) provision:   
Federal$(473,751)$(12,801)$247,755 
State and local30,236 15,246 39,328 
Foreign94,213 81,989 69,972 
Total current (benefit) provision(349,302)84,434 357,055 
Deferred (benefit) provision:   
Federal(914,613)61,819 (828,023)
State and local(264,409)(31,086)33,887 
Foreign(365,949)(2,196)(1,388)
Total deferred (benefit) provision(1,544,971)28,537 (795,524)
(Benefit) provision for income taxes$(1,894,273)$112,971 $(438,469)
Reconciliation of the effective income tax rate
A reconciliation of the statutory U.S. federal income tax rate to the Company's consolidated effective income tax rate is as follows for the periods indicated:
 Fiscal Year Ended September 30,
 202020192018
Statutory U.S. federal income tax rate21.0%21.0%24.5%
State and local income tax rate, net of federal tax benefit(0.5)2.4(0.1)
Foreign tax rate differential1.0(6.7)(6.2)
Litigation settlements and accruals (see Note 14)
(6.2)0.1(6.3)
U.S. Tax reform(3.6)(52.0)
PharMEDium worthless stock deduction12.4
Swiss Tax reform6.8
CARES Act1.2
Goodwill impairment (see Note 1)1.7
Capital gain on distribution3.6
Other0.1(1.5)(2.4)
Effective income tax rate35.8%11.7%(37.2)%
Significant components of deferred tax liabilities (assets) Significant components of the Company's deferred tax liabilities (assets) are as follows:
 September 30,
(in thousands)20202019
Inventories$1,309,815 $1,293,075 
Property and equipment94,521 143,851 
Goodwill and other intangible assets613,123 709,015 
Right-of-use assets (Note 12)113,220 — 
Other1,888 1,892 
Gross deferred tax liabilities2,132,567 2,147,833 
Net operating loss and tax credit carryforwards(263,171)(318,868)
Allowance for doubtful accounts(20,051)(22,544)
Accrued expenses(21,284)(33,312)
Accrued litigation liability(1,078,555)— 
Employee and retiree benefits(13,891)(12,420)
Goodwill and other intangible assets(582,406)— 
Lease liabilities (Note 12)(121,182)— 
Share-based compensation(38,914)(39,961)
Other(79,916)(60,215)
Gross deferred tax assets(2,219,370)(487,320)
Valuation allowance for deferred tax assets411,648 199,682 
Deferred tax assets, net of valuation allowance(1,807,722)(287,638)
Net deferred tax liabilities$324,845 $1,860,195 
Reconciliation of the beginning and ending amount of unrecognized tax benefits, excluding interest and penalties
A reconciliation of the beginning and ending amount of unrecognized tax benefits, excluding interest and penalties, for the periods indicated is as follows:
Fiscal Year Ended September 30,
(in thousands)202020192018
Unrecognized tax benefits at beginning of period$105,657 $98,124 $323,869 
Additions of tax positions of the current year385,797 18,819 2,804 
Additions to tax positions of the prior years5,599 751 558 
Reductions of tax positions of the prior years(6,480)(10,317)(224,878)
Settlements with taxing authorities— — (1,847)
Expiration of statutes of limitations(12,222)(1,720)(2,382)
Unrecognized tax benefits at end of period$478,351 $105,657 $98,124