2 unchanged sentences
Condensed Consolidated Balance Sheets
−Removed: (in millions, except per share data) June 30,
+Added: (in millions, except per share data) September 30,
2021 December 31,
40 unchanged sentences
Condensed Consolidated Statements of Operations
−Removed: Three Months Ended
−Removed: June 30, Six Months Ended
+Added: Three Months Ended September 30, Nine Months Ended September 30,
(in millions, except per share data) 2021 2020 2021 2020
27 unchanged sentences
Condensed Consolidated Statements of Comprehensive Income
−Removed: Three Months Ended June 30, Six Months Ended June 30,
+Added: Three Months Ended September 30, Nine Months Ended September 30,
(in millions) 2021 2020 2021 2020
Net earnings $ 4,191 $ 3,256 $ 13,541 $ 13,417
−Removed: Other comprehensive income (loss):
−Removed: Gross unrealized gains (losses) on investment securities during the period 251 1,120 ( 513 ) 771
+Added: Other comprehensive (loss) income:
+Added: Gross unrealized (losses) gains on investment securities during the period ( 192 ) 148 ( 705 ) 919
Income tax effect 59 ( 37 ) 175 ( 214 )
−Removed: Total unrealized gains (losses), net of tax 193 863 ( 397 ) 594
+Added: Total unrealized (losses) gains, net of tax ( 133 ) 111 ( 530 ) 705
Gross reclassification adjustment for net realized gains included in net earnings ( 20 ) ( 21 ) ( 36 ) ( 50 )
2 unchanged sentences
( 16 ) ( 16 ) ( 28 ) ( 38 )
−Removed: Total foreign currency translation gains (losses) 554 ( 45 ) 137 ( 1,544 )
−Removed: Other comprehensive income (loss) 740 810 ( 272 ) ( 972 )
+Added: Total foreign currency translation losses ( 621 ) ( 39 ) ( 484 ) ( 1,583 )
+Added: Other comprehensive (loss) income ( 770 ) 56 ( 1,042 ) ( 916 )
Comprehensive income 3,421 3,312 12,499 12,501
7 unchanged sentences
Income (Loss) Nonredeemable Noncontrolling Interests Total
−Removed: Three months ended June 30,
−Removed: (in millions) Shares Amount Net Unrealized Gains on Investments Foreign Currency Translation (Losses) Gains
−Removed: Balance at March 31, 2021 944 $ 10 $ — $ 71,220 $ 741 $ ( 5,567 ) $ 2,909 $ 69,313
+Added: Three months ended September 30,
+Added: (in millions) Shares Amount Net Unrealized Gains (Losses) on Investments Foreign Currency Translation Losses
+Added: Balance at June 30, 2021 943 $ 10 $ — $ 73,090 $ 927 $ ( 5,013 ) $ 3,008 $ 72,022
4,086 86 4,172
−Removed: Other comprehensive income 186 554 740
+Added: Other comprehensive loss ( 149 ) ( 621 ) ( 770 )
Issuances of common stock, and related tax effects
6 unchanged sentences
Acquisition and other adjustments of nonredeemable noncontrolling interests
+Added: ( 26 ) ( 26 )
Distribution to nonredeemable noncontrolling interests
( 87 ) ( 87 )
+Added: Balance at September 30, 2021 942 $ 10 $ — $ 75,124 $ 778 $ ( 5,634 ) $ 2,981 $ 73,259
Balance at June 30, 2020 950 $ 10 $ 388 $ 67,776 $ 1,161 $ ( 5,711 ) $ 2,891 $ 66,515
−Removed: Balance at March 31, 2020 947 $ 10 $ — $ 62,327 $ 306 $ ( 5,666 ) $ 2,886 $ 59,863
3,172 62 3,234
7 unchanged sentences
( 35 ) ( 35 )
+Added: Acquisition and other adjustments of nonredeemable noncontrolling interests ( 8 ) ( 8 )
Distribution to nonredeemable noncontrolling interests
( 72 ) ( 72 )
−Removed: Balance at June 30, 2020 950 $ 10 $ 388 $ 67,776 $ 1,161 $ ( 5,711 ) $ 2,891 $ 66,515
+Added: Balance at September 30, 2020 949 $ 10 $ — $ 69,715 $ 1,256 $ ( 5,750 ) $ 2,873 $ 68,104
See Notes to the Condensed Consolidated Financial Statements
3 unchanged sentences
Income (Loss) Nonredeemable Noncontrolling Interests Total
−Removed: Six months ended June 30,
−Removed: (in millions) Shares Amount Net Unrealized Gains (Losses) on Investments Foreign Currency Translation (Losses) Gains
+Added: Nine months ended September 30,
+Added: (in millions) Shares Amount Net Unrealized Gains (Losses) on Investments Foreign Currency Translation Losses
Balance at January 1, 2021 946 $ 10 $ — $ 69,295 $ 1,336 $ ( 5,150 ) $ 2,837 $ 68,328
13,214 254 13,468
−Removed: Other comprehensive (loss) income ( 409 ) 137 ( 272 )
+Added: Other comprehensive loss ( 558 ) ( 484 ) ( 1,042 )
Issuances of common stock, and related tax effects
8 unchanged sentences
( 235 ) ( 235 )
−Removed: Balance at June 30, 2021 943 $ 10 $ — $ 73,090 $ 927 $ ( 5,013 ) $ 3,008 $ 72,022
+Added: Balance at September 30, 2021 942 $ 10 $ — $ 75,124 $ 778 $ ( 5,634 ) $ 2,981 $ 73,259
Balance at January 1, 2020 948 $ 9 $ 7 $ 61,178 $ 589 $ ( 4,167 ) $ 2,820 $ 60,436
12 unchanged sentences
( 148 ) ( 148 )
−Removed: Balance at June 30, 2020 950 $ 10 $ 388 $ 67,776 $ 1,161 $ ( 5,711 ) $ 2,891 $ 66,515
+Added: Balance at September 30, 2020 949 $ 10 $ — $ 69,715 $ 1,256 $ ( 5,750 ) $ 2,873 $ 68,104
See Notes to the Condensed Consolidated Financial Statements
1 unchanged sentence
Condensed Consolidated Statements of Cash Flows
−Removed: Six Months Ended
+Added: Nine Months Ended September 30,
(in millions) 2021 2020
26 unchanged sentences
Repayments of long-term debt ( 1,900 ) ( 1,500 )
−Removed: (Repayments of) proceeds from short-term borrowings, net ( 176 ) 351
+Added: Repayments of short-term borrowings, net ( 1,301 ) ( 423 )
Proceeds from issuance of long-term debt 6,934 4,864
2 unchanged sentences
Other, net ( 837 ) ( 449 )
−Removed: Cash flows from financing activities 569 3,024
+Added: Cash flows used for financing activities ( 3,828 ) ( 1,994 )
Effect of exchange rate changes on cash and cash equivalents ( 45 ) ( 160 )
22 unchanged sentences
(in millions) Amortized
−Removed: June 30, 2021
+Added: September 30, 2021
Debt securities - available-for-sale:
25 unchanged sentences
Total debt securities $ 38,717 $ 1,780 $ ( 22 ) $ 40,475
−Removed: The Company held $ 2.8 billion and $ 2.3 billion of equity securities as of June 30, 2021 and December 31, 2020, respectively.
+Added: The Company held $ 2.9 billion and $ 2.3 billion of equity securities as of September 30, 2021 and December 31, 2020, respectively.
The Company’s investments in equity securities primarily consist of employee savings plan related investments, shares of Brazilian real denominated fixed-income funds with readily determinable fair values and other venture investments.
−Removed: Additionally, the Company’s investments included $ 1.3 billion of equity method investments in operating businesses in the health care sector as of June 30, 2021 and December 31, 2020.
−Removed: The allowance for credit losses on held-to-maturity securities at June 30, 2021 and December 31, 2020 was not material.
−Removed: The amortized cost and fair value of debt securities as of June 30, 2021, by contractual maturity, were as follows:
+Added: Additionally, the Company’s investments included $ 1.3 billion of equity method investments in operating businesses in the health care sector as of September 30, 2021 and December 31, 2020.
+Added: The allowance for credit losses on held-to-maturity securities at September 30, 2021 and December 31, 2020 was not material.
+Added: The amortized cost and fair value of debt securities as of September 30, 2021, by contractual maturity, were as follows:
Available-for-Sale Held-to-Maturity
11 unchanged sentences
(in millions) Fair
−Removed: June 30, 2021
+Added: September 30, 2021
Debt securities - available-for-sale:
16 unchanged sentences
Total debt securities - available-for-sale $ 2,415 $ ( 16 ) $ 549 $ ( 6 ) $ 2,964 $ ( 22 )
−Removed: The Company’s unrealized losses from debt securities as of June 30, 2021 were generated from approximately 6,500 positions out of a total of 38,000 positions.
+Added: The Company’s unrealized losses from debt securities as of September 30, 2021 were generated from approximately 9,000 positions out of a total of 40,000 positions.
The Company believes that it will collect the timely principal and interest due on its debt securities that have an amortized cost in excess of fair value.
2 unchanged sentences
The Company evaluated the expected cash flows, the underlying credit quality and credit ratings of the issuers noting no significant credit deterioration since purchase.
−Removed: As of June 30, 2021, the Company did not have the intent to sell any of the available-for-sale debt securities in an unrealized loss position.
+Added: As of September 30, 2021, the Company did not have the intent to sell any of the available-for-sale debt securities in an unrealized loss position.
Therefore, the Company believes these losses to be temporary.
−Removed: The allowance for credit losses on available-for-sale debt securities at June 30, 2021 and December 31, 2020 was not material.
+Added: The allowance for credit losses on available-for-sale debt securities at September 30, 2021 and December 31, 2020 was not material.
Certain assets and liabilities are measured at fair value in the Condensed Consolidated Financial Statements or have fair values disclosed in the Notes to the Condensed Consolidated Financial Statements.
7 unchanged sentences
Fair and Carrying
−Removed: June 30, 2021
+Added: September 30, 2021
Cash and cash equivalents $ 20,944 $ 141 $ — $ 21,085
23 unchanged sentences
Percentage of total assets at fair value 38 % 61 % 1 % 100 %
−Removed: There were no transfers in or out of Level 3 financial assets or liabilities during the six months ended June 30, 2021 or 2020.
+Added: There were no transfers in or out of Level 3 financial assets or liabilities during the nine months ended September 30, 2021 or 2020.
The following table presents a summary of fair value measurements by level and carrying values for certain financial instruments not measured at fair value on a recurring basis in the Condensed Consolidated Balance Sheets:
4 unchanged sentences
Value Total Carrying Value
−Removed: June 30, 2021
+Added: September 30, 2021
Debt securities - held-to-maturity $ 525 $ 88 $ 7 $ 620 $ 616
4 unchanged sentences
Nonfinancial assets and liabilities or financial assets and liabilities that are measured at fair value on a nonrecurring basis are subject to fair value adjustments only in certain circumstances, such as when the Company records an impairment.
−Removed: There were no significant fair value adjustments for these assets and liabilities recorded during either the six months ended June 30, 2021 or 2020.
+Added: There were no significant fair value adjustments for these assets and liabilities recorded during either the nine months ended September 30, 2021 or 2020.
Medical Costs Payable
−Removed: The following table shows the components of the change in medical costs payable for the six months ended June 30:
+Added: The following table shows the components of the change in medical costs payable for the nine months ended September 30:
(in millions) 2021 2020
11 unchanged sentences
Medical costs payable, end of period $ 25,918 $ 21,167
−Removed: For the six months ended June 30, 2021 and June 30, 2020, prior years medical cost reserve development was primarily driven by lower than expected health system utilization.
−Removed: Medical costs payable included reserves for claims incurred by insured customers but not yet reported to the Company of $ 16.9 billion and $ 14.8 billion at June 30, 2021 and December 31, 2020, respectively.
+Added: For the nine months ended September 30, 2021 and September 30, 2020, prior years medical cost reserve development was primarily driven by lower than expected health system utilization.
+Added: Medical costs payable included reserves for claims incurred by insured customers but not yet reported to the Company of $ 17.6 billion and $ 14.8 billion at September 30, 2021 and December 31, 2020, respectively.
Short-Term Borrowings and Long-Term Debt
14 unchanged sentences
June 29 1.45 1,367
+Added: September 21 1.45 1,367
Commitments and Contingencies
18 unchanged sentences
Congressional committees, the U.S.
−Removed: Department of Justice, the SEC, the Internal Revenue Service, the U.S.
+Added: Department of Justice (DOJ), the SEC, the Internal Revenue Service, the U.S.
Drug Enforcement Administration, the U.S.
4 unchanged sentences
CMS has selected certain of the Company’s local plans for risk adjustment data validation (RADV) audits to validate the coding practices of and supporting documentation maintained by health care providers and such audits may result in retrospective adjustments to payments made to the Company’s health plans.
−Removed: On February 14, 2017, the Department of Justice (DOJ) announced its decision to pursue certain claims within a lawsuit initially asserted against the Company and filed under seal by a whistleblower in 2011.
+Added: On February 14, 2017, the DOJ announced its decision to pursue certain claims within a lawsuit initially asserted against the Company and filed under seal by a whistleblower in 2011.
The whistleblower’s complaint, which was unsealed on February 15, 2017, alleges that the Company made improper risk adjustment submissions and violated the False Claims Act.
9 unchanged sentences
Eliminations Consolidated
−Removed: Three Months Ended June 30, 2021
+Added: Three Months Ended September 30, 2021
Revenues - unaffiliated customers:
13 unchanged sentences
$ 2,651 $ 1,143 $ 906 $ 1,012 $ — $ 3,061 $ ( 422 ) $ 5,290
−Removed: Three Months Ended June 30, 2020
+Added: Three Months Ended September 30, 2020
Revenues - unaffiliated customers:
15 unchanged sentences
Eliminations Consolidated
−Removed: Six Months Ended June 30, 2021
+Added: Nine Months Ended September 30, 2021
Revenues - unaffiliated customers:
13 unchanged sentences
$ 9,854 $ 3,233 $ 2,447 $ 2,895 $ — $ 8,575 $ ( 1,229 ) $ 17,200
−Removed: Six Months Ended June 30, 2020
+Added: Nine Months Ended September 30, 2020
Revenues - unaffiliated customers:
14 unchanged sentences
Compared sentence by sentence after normalising whitespace, quotation marks, case and digits, so re-formatting and restated figures do not read as changed language. Wording changes appear as one removal and one addition. The current filing and the prior one are authoritative.