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Summary of Significant Accounting Policies (Tables)
12 Months Ended
Sep. 26, 2020
Accounting Policies [Abstract]  
Supplemental Cash Flow Statement Information
Supplemental Cash Flow Statement Information
 
 Years ended
September 26, 2020September 28, 2019September 29, 2018
Cash paid during the period for income taxes$265.9 $180.6 $178.2 
Cash paid during the period for interest$109.5 $132.5 $122.1 
Non-Cash Financing Activities:
Fair value of contingent consideration at acquisition$82.7 $— $7.8 
Schedule of Inventories
Inventories consisted of the following:
 
September 26, 2020September 28, 2019
Raw materials$152.3 $166.1 
Work-in-process46.5 54.5 
Finished goods196.3 224.3 
$395.1 $444.9 
Schedule of Property, Plant and Equipment
Property, plant and equipment consisted of the following:
Estimated Useful LifeSeptember 26, 2020September 28, 2019
Equipment
3–10 years

$460.7 $379.2 
Equipment under customer usage agreements
3–8 years

456.8 427.5 
Buildings and improvements
20–35 years

167.3 196.7 
Leasehold improvements
Shorter of the Original Term of Lease
or Estimated Useful Life

44.3 61.7 
Land40.7 46.3 
Furniture and fixtures
5–7 years

16.1 17.5 
1,185.9 1,128.9 
Less - accumulated depreciation and amortization(694.4)(658.0)
$491.5 $470.9 
Schedule of Intangible Assets
Intangible assets consisted of the following:
 
  
September 26, 2020September 28, 2019
DescriptionGross
Carrying
Value
Accumulated
Amortization
Gross
Carrying
Value
Accumulated
Amortization
Acquired intangible assets:
Developed technology$4,054.0 $2,907.2 $3,927.7 $2,654.8 
Customer relationships549.1 477.8 525.5 447.5 
Trade names245.5 181.2 245.4 171.1 
Distribution agreement— — 2.5 — 
Non-competition agreements1.5 1.3 1.4 0.9 
Business licenses2.4 2.3 2.3 2.2 
Total acquired intangible assets$4,852.5 $3,569.8 $4,704.8 $3,276.5 
Internal-use software51.8 43.2 53.9 43.4 
Capitalized software embedded in products26.8 10.6 27.9 6.9 
Total intangible assets$4,931.1 $3,623.6 $4,786.6 $3,326.8 
Schedule of Estimated Amortization Expense
The estimated amortization expense at September 26, 2020 for each of the five succeeding fiscal years was as follows:
 
Fiscal 2021$283.5 
Fiscal 2022$273.1 
Fiscal 2023$176.0 
Fiscal 2024$164.6 
Fiscal 2025$151.1 
Rollforward of Goodwill Activity by Reportable Segment
A rollforward of goodwill activity by reportable segment from September 28, 2019 to September 26, 2020 is as follows: 
DiagnosticsBreast HealthGYN SurgicalSkeletal HealthTotal
Balance at September 28, 2019$819.2 $722.2 $1,014.2 $8.1 $2,563.7 
SuperSonic Imagine acquisition— 34.3 — — 34.3 
Health Beacons acquisition— 6.2 — — 6.2 
Acessa Health acquisition— — 48.4 — 48.4 
Foreign currency and other adjustments2.4 2.1 0.8 — 5.3 
Balance at September 26, 2020$821.6 $764.8 $1,063.4 $8.1 $2,657.9 
Schedule of Other Assets
Other assets consisted of the following:
 
September 26, 2020September 28, 2019
Other Assets
Tax receivable$325.7 $— 
Right of use assets80.7 — 
Life insurance contracts49.3 44.6 
Deferred tax assets15.5 17.2 
Cost-method equity investments11.4 11.4 
Equity-method investment and loans to SSI (Note 5)— 42.7 
Other34.0 38.7 
$516.6 $154.6 
Changes in accumulated balances of other comprehensive income The following tables summarize the components and changes in accumulated balances of other comprehensive loss for the periods presented:
Year Ended September 26, 2020Year Ended September 28, 2019
Foreign Currency TranslationPension PlansHedged Interest Rate CapsHedged Interest Rate SwapsTotalForeign Currency Translation Pension PlansHedged Interest Rate CapsHedged Interest Rate SwapsTotal
Beginning Balance$(41.4)$(1.7)$(2.7)$3.5 $(42.3)$(26.6)$(1.1)$2.2 $— $(25.5)
Other comprehensive loss before reclassifications18.5 (0.1)(0.5)(27.6)(9.7)(14.8)(0.6)(8.0)3.5 (19.9)
Charges (gains) reclassified to statement of operations— — 2.3 — 2.3 — — 3.1 — 3.1 
Ending Balance$(22.9)$(1.8)$(0.9)$(24.1)$(49.7)$(41.4)$(1.7)$(2.7)$3.5 $(42.3)
Schedule of Accumulated Other Comprehensive Income (Loss) Related to Derivatives
Years Ended
September 26, 2020September 28. 2019September 29. 2018
Amount of realized (loss) gain recognized in income
Forward foreign currency contracts$0.7 $11.0 $(1.3)
Foreign currency option contracts(1.9)— — 
Total$(1.2)$11.0 $(1.3)
Amount of unrealized gain (loss) recognized in income
Forward foreign currency contracts$(0.2)$(2.2)$6.6 
Foreign currency option contracts4.0 0.1 — 
Total$3.8 $(2.1)$6.6 
Schedule of Derivative Instruments on the Consolidated Balance Sheets
The table below presents the fair value of the Company's derivative financial instruments as well as their classification on the balance sheet as of September 26, 2020:
Balance Sheet LocationSeptember 26, 2020September 28, 2019
Assets:
Derivative instruments designated as a cash flow hedge:
Interest rate cap agreementsPrepaid expenses and other current assets$— $0.1 
Interest rate swap contractOther assets$— $4.7 
$— $4.8 
Derivatives not designated as hedging instruments:
Forward foreign currency contractsPrepaid expenses and other current assets$1.1 $0.9 
Foreign currency option contractsPrepaid expenses and other current assets10.1 2.0 
$11.2 $2.9 
Liabilities:
Derivative instruments designated as a cash flow hedge:
Interest rate swap contractAccrued expenses$8.2 $— 
Interest rate swap contractOther long-term liabilities23.0 — 
Total$31.2 $— 
Derivatives not designated as hedging instruments:
Forward foreign currency contractsAccrued expenses$— $0.1 
Schedule of Unrealized Loss Recognized in AOCI
The following table presents the unrealized gain (loss) recognized in AOCI related to the interest rate caps and interest rate swap for the following reporting periods:
Years Ended
September 26, 2020September 28, 2019September 29, 2018
Amount of gain (loss) recognized in other comprehensive income (loss), net of taxes:
Interest rate swap$(27.6)$3.5 $— 
Interest rate cap agreements(0.5)(8.0)(5.7)
Total$(28.1)$(4.5)$(5.7)
Gain (Loss) on Fair Value Hedges Recognized in Earnings
The following table presents the adjustment to fair value (realized and unrealized) recorded within the Consolidated Statements of Operations for derivative instruments for which the Company did not elect hedge accounting:
Derivatives not classified as hedging instrumentsYears EndedLocation of Gain Recognized in Income
September 26, 2020September 28, 2019September 29, 2018
Forward foreign currency contracts$0.5 $8.8 $5.3 Other income, net
Foreign currency option contracts2.1 0.1 — Other income, net
$2.6 $8.9 $5.3 
Accounts Receivable Reserve Activity
Accounts receivable reserve activity for fiscal 2020, 2019 and 2018 was as follows:
 
Balance at
Beginning
of Period
Charged to
Costs and
Expenses
DivestedWrite-
offs and
Payments
Balance at
End of
Period
Period Ended:
September 26, 2020$17.8 $26.8 $(5.8)$(7.2)$31.6 
September 28, 2019$16.2 $4.4 $— $(2.8)$17.8 
September 29, 2018$9.8 $7.0 $— $(0.6)$16.2 
Schedule of Reconciliation of Basic and Diluted Share Amounts
A reconciliation of basic and diluted share amounts for fiscal 2020, 2019, and 2018 was as follows:
September 26, 2020September 28, 2019September 29, 2018
Basic weighted average common shares outstanding262,727 269,413 275,105 
Weighted average common stock equivalents from assumed exercise of stock options and restricted stock units1,886 — — 
Diluted weighted average common shares outstanding264,613 269,413 275,105 
Weighted-average anti-dilutive shares related to:
Outstanding stock options and stock units1,158 4,098 5,073 
Convertible notes— — 703 
Schedule of Product Warranty Activity
Product warranty activity for fiscal 2020 and 2019 was as follows:
 
Balance at
Beginning of
Period
ProvisionsAcquiredDivestedSettlements/
Adjustments
Balance at End
of Period
Period ended:
September 26, 2020$13.9 $11.7 $0.5 $(6.1)$(10.1)$9.9 
September 28, 2019$15.9 $14.1 $— $— $(16.1)$13.9