Financial summary

Blue Shield of California reported a net income of $237 million in 2021, against revenues from premiums and other sources of more than $22.9 billion. Of the company's total revenue, $20 billion, or 87.7 percent, was spent on medical care in claims paid to healthcare facilities and providers.

Our 2% Pledge: We are the only major health plan to voluntarily cap our income at two percent of revenue, returning the difference back to our customers and the communities we serve. Since establishing this pledge in 2011, Blue Shield has returned $817 million to our members and California communities, with approval from our Board of Directors.

In 2021, Blue Shield of California made a $40-million contribution to Blue Shield of California Foundation, whose mission is to build lasting and equitable solutions that make California the healthiest state and to end domestic violence.

Find information about Blue Shield’s 2021 executive compensation (PDF, 7.2 MB).




Blue Shield of California Consolidated Financials

($ in millions) 2021 2020 2019
Premiums, net and other revenue $22,909 $21,806 $21,086
Investment Income $399 $366 $426
Total Revenue $23,308 $22,171 $21,512
Health Benefits $20,102 $17,985 $18,006
Marketing & Selling $698 $651 $649
General & Administrative $2,180 $2,447 $2,156
Total Operating Expenses $22,980 $21,084 $20,810
Net Operating Income/(Loss) before Tax $328 $1,088 $702
Income Tax Expense $91 $408 $129
Net Income/(Loss)
(Net income as a % of premiums
2% Pledge amount
Social Impact Giving Contribution
to Hospitals $0.40
to Physicians $0.27
to Pharmaceuticals $0.14
to Other Medical Services $0.07
Cost of health care total $0.88
to Blue Shield administrative expenses $0.11
to Government-mandated taxes and fees $0.01
Other total rounded $0.12
Note: Health Plans only (excludes Altais and investment Income)

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