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Long-Term Debt | 6 Months Ended
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Jun. 30, 2019
Debt Disclosure [Abstract] |
Long-Term Debt | NOTE 8 — LONG-TERM DEBT A summary of long-term debt at June 30, 2019 and December 31, 2018, including related interest rates at June 30, 2019, follows (dollars in millions):
|  | June 30, 2019 |  |  | December 31, 2018 |
Senior secured asset-based revolving credit facility |  | $ | — |  |  | $ | 3,040 |
Senior secured revolving credit facility |  |  | — |  |  |  | — |
Senior secured term loan facilities (effective interest rate of 3.6%) |  |  | 3,752 |  |  |  | 3,801 |
Senior secured notes (effective interest rate of 5.4%) |  |  | 18,800 |  |  |  | 13,800 |
Other senior secured debt (effective interest rate of 5.5%) |  |  | 641 |  |  |  | 585 |
Senior secured debt |  |  | 23,193 |  |  |  | 21,226 |
Senior unsecured notes (effective interest rate of 6.3%) |  |  | 13,252 |  |  |  | 11,752 |
Debt issuance costs and discounts |  |  | (252 | ) |  |  | (157 | )
Total debt (average life of 8.2 years, rates averaging 5.5%) |  |  | 36,193 |  |  |  | 32,821 |
Less amounts due within one year |  |  | 2,073 |  |  |  | 788 |
|  | $ | 34,120 |  |  | $ | 32,033 |
During January 2019, we issued $1.500 billion aggregate principal amount of senior unsecured notes comprised of $1.000 billion aggregate principal amount of 5.875% notes due 2029 and $500 million aggregate principal amount of 5.625% notes due 2028. We used the net proceeds to fund the purchase of a seven-hospital health system located in western North Carolina. During June 2019, we issued $5.000 billion aggregate principal amount of senior secured notes comprised of $2.000 billion aggregate principal amount of 4 1/8% notes due 2029, $1.000 billion aggregate principal amount of 5 1/8% notes due 2039 and $2.000 billion aggregate principal amount of 5 1/4 % notes due 2049. During June 2019, we used the proceeds to temporarily reduce the balance under the asset-based revolving credit facility. During July 2019, we redeemed all $600 million outstanding aggregate principal amount of 4.25% senior secured notes due 2019, all $3.000 billion outstanding aggregate principal amount of 6.50% senior secured notes due 2020 and all $1.350 billion outstanding aggregate principal amount of 5.875% senior secured notes due 2022. Pretax losses on retirement of debt totaling $211 million for these redemptions will be recognized during the quarter ending September 30, 2019.

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