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Long-Term Debt
9 Months Ended
Sep. 30, 2019
Debt Disclosure [Abstract]  
Long-Term Debt
NOTE 8 — LONG-TERM DEBT
A summary of long-term debt at September 30, 2019 and December 31, 2018, including related interest rates at September 30, 2019, follows (dollars in millions):
 
September 30,
2019
 
 
December 31,
2018
 
Senior secured asset-based revolving credit facility (effective interest rate of 3.3%)
 
$
3,010
 
  $
3,040
 
Senior secured revolving credit facility
 
 
 
   
 
Senior secured term loan facilities (effective interest rate of 3.5%)
 
 
3,739
 
   
3,801
 
Senior secured notes (effective interest rate of 5.1%)
 
 
13,850
 
   
13,800
 
Other senior secured debt (effective interest rate of 5.5%)
 
 
638
 
   
585
 
                 
Senior secured debt
 
 
21,237
 
   
21,226
 
Senior unsecured notes (effective interest rate of 6.3%)
 
 
13,252
 
   
11,752
 
Debt issuance costs and discounts
 
 
(244
)
   
(157
)
                 
Total debt (average life of 8.7 years, rates averaging 5.2%)
 
 
34,245
 
   
32,821
 
Less amounts due within one year
 
 
148
 
   
788
 
                 
 
$
34,097
 
  $
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 July 2019, we redeemed all $600 million outstanding aggregate principal amount of 4.250​​​​​​​% senior secured notes due 2019, all $3.000 billion outstanding aggregate principal amount of 6.500​​​​​​​% senior secured notes due 2020 and all $1.350 billion outstanding aggregate principal amount of 5.875% senior secured notes due 2022. The pretax loss on retirement of debt for these redemptions was $211 million.