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Long-Term Debt | 9 Months Ended
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Sep. 30, 2017
Debt Disclosure [Abstract] |
Long-Term Debt | NOTE 8 — LONG-TERM DEBT A summary of long-term debt at September 30, 2017 and December 31, 2016, including related interest rates at September 30, 2017, follows (dollars in millions):
|  | September 30, 2017 |  |  | December 31, 2016 |
Senior secured asset-based revolving credit facility (effective interest rate of 2.7%) |  | $ | 3,570 |  |  | $ | 2,920 |
Senior secured revolving credit facility |  |  | — |  |  |  | — |
Senior secured term loan facilities (effective interest rate of 3.6%) |  |  | 3,915 |  |  |  | 3,981 |
Senior secured notes (effective interest rate of 5.4%) |  |  | 15,300 |  |  |  | 13,800 |
Other senior secured debt (effective interest rate of 5.8%) |  |  | 587 |  |  |  | 593 |
Senior secured debt |  |  | 23,372 |  |  |  | 21,294 |
Senior unsecured notes (effective interest rate of 6.4%) |  |  | 9,752 |  |  |  | 10,252 |
Net debt issuance costs |  |  | (171 | ) |  |  | (170 | )
Total debt (average life of 7.1 years, rates averaging 5.2%) |  |  | 32,953 |  |  |  | 31,376 |
Less amounts due within one year |  |  | 202 |  |  |  | 216 |
|  | $ | 32,751 |  |  | $ | 31,160 |
2017 Activity During June 2017, we issued $1.500 billion aggregate principal amount of 5.500% senior secured notes due 2047. We used the net proceeds for general corporate purposes, including funding the purchase of certain hospital acquisitions, and the redemption, during July 2017, of all $500 million aggregate principal amount of our existing 8.000% senior notes maturing in October 2018. The pretax loss on retirement of debt was $39 million. During June 2017, we amended our senior secured revolving credit facilities by (i) increasing the commitments under the senior secured asset-based revolving credit facility to $3.750 billion, (ii) extending the maturity date of the revolving credit commitments to June 28, 2022, (iii) amending the incremental facility provisions to permit the incurrence of additional incremental credit facilities in an aggregate principal amount of $1.5 billion and (iv) providing that the commitment fee for unutilized commitments under the senior secured asset-based revolving credit facility shall be 0.250% per annum.

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- Definition The entire disclosure for long-term debt. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 470 -URI http://asc.fasb.org/topic&trid=2208564 + Details
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