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Shareholders' Equity - Changes in Certain Components of Shareholders' Equity (Detail) - USD ($)
$ in Millions
12 Months Ended
Sep. 30, 2022
Sep. 30, 2021
Sep. 30, 2020
Increase (Decrease) in Stockholders' Equity [Roll Forward]      
Beginning balance $ 23,677    
Beginning balance (shares) (80,163,949)    
Net Income $ 1,779 $ 2,092 $ 874
Spin-off of Embecta (See Note 2) 251    
Ending balance $ 25,282 $ 23,677  
Ending balance (shares) (81,283,191) (80,163,949)  
Common Stock  Issued at Par Value      
Increase (Decrease) in Stockholders' Equity [Roll Forward]      
Beginning balance $ 365 $ 365 347
Stock Issued During Period, Value, Conversion of Convertible Securities, Net of Adjustments     12
Stock Issued During Period, Value, New Issues     6
Ending balance 365 365 365
Capital in Excess of Par Value      
Increase (Decrease) in Stockholders' Equity [Roll Forward]      
Beginning balance 19,272 19,270 16,270
Stock Issued During Period, Value, Conversion of Convertible Securities, Net of Adjustments     (9)
Stock Issued During Period, Value, New Issues     2,909
Share-based compensation and other plans, net (108) (85) (143)
Share-based compensation 239 237 244
Treasury Stock, Value, Acquired, Cost Method 150 (150)  
Ending balance 19,553 19,272 19,270
Retained Earnings      
Increase (Decrease) in Stockholders' Equity [Roll Forward]      
Beginning balance 13,826 12,791 12,913
Net Income 1,779 2,092 874
Cash dividends, common (992) (958) (888)
Dividends, Preferred Stock (90) (90) (107)
Share-based compensation and other plans, net (1)    
Spin-off of Embecta (See Note 2) 634    
Ending balance 15,157 13,826 12,791
Retained Earnings | Cumulative Effect, Period of Adoption, Adjustment      
Increase (Decrease) in Stockholders' Equity [Roll Forward]      
Stockholders' Equity, Other   (9)  
Deferred Compensation      
Increase (Decrease) in Stockholders' Equity [Roll Forward]      
Beginning balance 23 23 23
Ending balance 23 23 23
Treasury Stock      
Increase (Decrease) in Stockholders' Equity [Roll Forward]      
Beginning balance $ (7,723) $ (6,138) $ (6,190)
Beginning balance (shares) (80,164,000) (74,623,000) (76,260,000)
Share-based compensation and other plans, net $ 44 $ 15 $ 52
Share-based compensation plans, net (shares) 1,271,000 1,068,000 1,597,000
Common stock held in trusts, net (shares) 25,000 33,000 41,000
Treasury Stock, Value, Acquired, Cost Method $ (650) $ (1,600)  
Treasury Stock, Shares, Acquired (2,415,000) (6,643,000)  
Ending balance $ (8,330) $ (7,723) $ (6,138)
Ending balance (shares) (81,283,000) (80,164,000) (74,623,000)