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Income Taxes (Tables)
12 Months Ended
Dec. 31, 2019
Income Tax Disclosure [Abstract]  
Schedule of components of income tax expense (benefit)

The income tax provision (benefit) for continuing operations consisted of the following for the years ended December 31, 2019, 2018 and 2017:
In millions
2019
    
2018
    
2017
Current:
 
 
 
 
 
Federal
$
2,450

 
$
1,480

 
$
2,594

State
565

 
499

 
464

 
3,015

 
1,979

 
3,058

Deferred:
 
 
 
 
 
Federal
(535
)
 
22

 
(1,435
)
State
(114
)
 
1

 
14

 
(649
)
 
23

 
(1,421
)
Total
$
2,366

 
$
2,002

 
$
1,637


Schedule of effective income tax rate reconciliation
The following table is a reconciliation of the statutory income tax rate to the Company’s effective income tax rate for continuing operations for the years ended December 31, 2019, 2018 and 2017:
 
2019
    
2018
    
2017
Statutory income tax rate
21.0
%
 
21.0
 %
 
35.0
 %
State income taxes, net of federal tax benefit
4.0

 
27.7

 
4.1

Effect of the Tax Cuts and Jobs Act

 
(7.1
)
 
(18.3
)
Health insurer fee

 
2.2

 

Goodwill impairments

 
89.5

 
0.8

Sale of subsidiary

 
5.0

 

Other
1.3

 
4.1

 
(1.8
)
Effective income tax rate
26.3
%
 
142.4
 %
 
19.8
 %

Schedule of deferred tax assets and liabilities
The following table is a summary of the components of the Company’s deferred income tax assets and liabilities as of December 31, 2019 and 2018:
In millions
2019
    
2018
Deferred income tax assets:
 
 
 
Lease and rents
$
267

 
$
277

Inventory
23

 
28

Employee benefits
191

 
243

Bad debts and other allowances
294

 
243

Retirement benefits
47

 
130

Net operating loss and capital loss carryforwards
480

 
529

Deferred income
36

 
104

Insurance reserves
430

 
467

Investments

 
11

Other
451

 
242

Valuation allowance
(374
)
 
(520
)
Total deferred income tax assets
1,845

 
1,754

Deferred income tax liabilities:
 
 
 
Investments
(289
)
 

Depreciation and amortization
(8,850
)
 
(9,431
)
Total deferred income tax liabilities
(9,139
)
 
(9,431
)
Net deferred income tax liabilities
$
(7,294
)
 
$
(7,677
)

Schedule of unrecognized tax benefits roll forward
A reconciliation of the beginning and ending amount of unrecognized tax benefits as of December 31, 2019, 2018 and 2017 is as follows:
In millions
2019
    
2018
    
2017
Beginning balance
$
661

 
$
344

 
$
307

Additions based on tax positions related to the current year
4

 
1

 
62

Additions based on tax positions related to prior years
115

 
324

 
32

Reductions for tax positions of prior years
(111
)
 
(5
)
 
(28
)
Expiration of statutes of limitation
(7
)
 
(2
)
 
(10
)
Settlements
(7
)
 
(1
)
 
(19
)
Ending balance
$
655

 
$
661

 
$
344