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.


Blue Shield of California consolidated financials

($ in millions) 2022 2021 2020
Premiums, net and other revenue $24,054 $22,909 $21,086
Investment income ($189) $399 $366
Total revenue $23,864 $23,308 $21,171
Health benefits $22,122 $20,102 $17,985
Marketing and selling $701 $698 $651
General and administrative $2,411 $2,180 $2,447
Total operating expenses $25,234 $22,980 $21,084
Net operating income/(loss) before tax ($1,369) $328 $1,088
Income tax expense ($459) $91 $408
Net income/(loss)
(Net income as a % of premiums
2% Pledge amount
Social impact giving contribution
Breakdown of premium dollar spent: 2022
To hospitals $0.43
To physicians $0.29
To pharmaceuticals $0.14
To other medical services $0.06
Total cost of health care $0.92
Administrative expenses and fees $0.08
Premium dollar $1.00
(Note: Health plans excludes Altais)

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© California Physicians’ Service DBA Blue Shield of California 1999-2023. Mọi quyền được bảo lưu. California Physicians’ Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Các sản phẩm bảo hiểm sức khoẻ do Blue Shield of California Life & Health Insurance Company cung cấp. Các chương trình chăm sóc sức khoẻ do Blue Shield of California cung cấp.