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Long-Term Debt
6 Months Ended
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.