Goodwill And Other Intangible Assets

12 Months Ended

Dec. 31, 2020

Goodwill and Intangible Assets Disclosure [Abstract]

Goodwill and Other Intangible Assets

A summary of the change in the carrying amount of goodwill for our segments (see Note 20, “Segment Information”) for 2020 and 2019 is as follows:


	Commercial and Specialty Business		Government Business		IngenioRx		Other		Total
Balance as of January 1, 2019	$	11,551	$	8,953	$	—	$	—	$	20,504

Adjustments	—		(674)		—		670		(4)
Balance as of December 31, 2019	11,551		8,279		—		670		20,500
Acquisitions and adjustments	42		52		48		1,049		1,191
Balance as of December 31, 2020	$	11,593	$	8,331	$	48	$	1,719	$	21,691
Accumulated impairment as of December 31, 2020	$	(41)	$	—	$	—	$	—	$	(41)

Goodwill adjustments in 2019 include certain reclassifications made for changes in segment reporting. For additional information, see Note 20, “Segment Information”.

As required by FASB guidance, we completed annual impairment tests of existing goodwill and other intangible assets with indefinite lives during 2020, 2019 and 2018. We perform these annual impairment tests during the fourth quarter. FASB guidance also requires interim impairment testing to be performed when potential impairment indicators exist. These tests involve the use of estimates related to the fair value of goodwill and intangible assets with indefinite lives and require a significant degree of management judgment and the use of subjective assumptions. Qualitative testing procedures include assessing our financial performance, macroeconomic conditions, industry and market considerations, various asset specific factors and entity specific events. For quantitative testing, the fair values are estimated using the projected income and market valuation approaches, incorporating Level III internal estimates for inputs, including, but not limited to, revenue projections, income projections, cash flows and discount rates. We did not incur any impairment losses in 2020, 2019 or 2018, as the estimated fair values of our reporting units were substantially in excess of their carrying values.

The components of other intangible assets as of December 31, 2020 and 2019 are as follows:


	2020						2019
	Gross Carrying Amount		Accumulated Amortization		Net Carrying Amount		Gross Carrying Amount		Accumulated Amortization		Net Carrying Amount
Intangible assets with finite lives:
Customer relationships	$	5,180	$	(3,766)	$	1,414	$	4,500	$	(3,469)	$	1,031
Provider and hospital relationships	323		(114)		209		228		(98)		130
Other	444		(177)		267		352		(129)		223
Total	5,947		(4,057)		1,890		5,080		(3,696)		1,384
Intangible assets with indefinite lives:
Blue Cross and Blue Shield and other trademarks	6,299		—		6,299		6,299		—		6,299
State Medicaid licenses	1,216		—		1,216		991		—		991
Total	7,515		—		7,515		7,290		—		7,290
Other intangible assets	$	13,462	$	(4,057)	$	9,405	$	12,370	$	(3,696)	$	8,674

As of December 31, 2020, the estimated amortization expense for each of the five succeeding years is as follows: 2021, $324; 2022, $271; 2023, $233; 2024, $196; and 2025, $159.