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Consolidated Statements of Cash Flows - USD ($)
$ in Millions
12 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2016
Operating Activities      
Net Income $ 311 $ 1,100 $ 976
Adjustments to net income to derive net cash provided by operating activities:      
Depreciation and amortization 1,978 1,088 1,114
Share-based compensation 322 174 196
Deferred income taxes (240) (236) (426)
Change in operating assets and liabilities:      
Trade receivables, net (170) (93) (128)
Inventories 246 (46) 69
Prepaid expenses and other (46) (366) 90
Accounts payable, income taxes and other liabilities 867 134 368
Pension obligation (263) 84 (32)
Excess tax benefits from payments under share-based compensation plans 78 77 0
Lease contract modification-related charge 0 748 0
Gain on sale of Vyaire interest (303) 0 0
Other, net 85 (114) 332
Net Cash Provided by Operating Activities 2,865 2,550 2,559
Investing Activities      
Capital expenditures (895) (727) (693)
Proceeds from (purchases of) investments, net 11 13 (1)
Acquisitions of businesses, net of cash acquired (15,281) (174) 0
Proceeds from divestitures, net 534 165 158
Other, net (198) (161) (133)
Net Cash Used for Investing Activities (15,829) (883) (669)
Financing Activities      
Change in credit facility borrowings 0 (200) (500)
Proceeds from long-term debt and term loans 5,086 11,462 0
Payments of debt and term loans (3,996) (3,980) (752)
Proceeds from issuance of equity securities 0 4,827 0
Repurchase of common stock 0 (220) 0
Excess tax benefit from payments under share-based compensation plans 0 0 86
Dividends paid (927) (677) (562)
Other, net (220) (234) (32)
Net Cash (Used for) Provided by Financing Activities (58) 10,977 (1,761)
Effect of exchange rate changes on cash and equivalents (17) (6) (12)
Net (Decrease) Increase in Cash and Equivalents (13,039) 12,638 117
Opening Cash and Equivalents 14,179 1,541 1,424
Closing Cash and Equivalents 1,140 14,179 1,541
Noncash Investing and Financing Items [Abstract]      
Noncash consideration-fair value of shares issued 8,004 0 0
Noncash consideration-fair value of stock options and other equity awards $ 613 $ 0 $ 0