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Revenue from Contracts with Customers
9 Months Ended
Sep. 30, 2021
Revenue from Contract with Customer [Abstract]  
Revenue from Contracts with Customers Revenue from Contracts with Customers
Disaggregation of Revenue
The following table summarizes revenue from contracts with customers by principal service line (in millions). Prior year amounts from the Condensed Consolidated Financial Statements have been reclassified to conform to the current year’s presentation. Refer to Note 1 “Basis of Presentation” for further information regarding the changes to the Company’s principal service lines.
Three Months Ended September 30,Nine Months Ended September 30,
2021202020212020
Commercial Risk Solutions$1,505 $1,320 $4,788 $4,197 
Reinsurance Solutions353 321 1,775 1,617 
Health Solutions497 423 1,503 1,316 
Wealth Solutions351 327 1,062 984 
Eliminations(4)(6)(15)(13)
Total revenue$2,702 $2,385 $9,113 $8,101 
Consolidated revenue from contracts with customers by geographic area, which is attributed on the basis of where the services are performed, is as follows (in millions):
Three Months Ended September 30,Nine Months Ended September 30,
2021202020212020
United States$1,329 $1,169 $3,900 $3,503 
Americas other than United States230 200 748 647 
United Kingdom340 332 1,368 1,276 
Ireland22 19 94 63 
Europe, Middle East, & Africa other than United Kingdom and Ireland438 372 2,028 1,731 
Asia Pacific343 293 975 881 
Total revenue$2,702 $2,385 $9,113 $8,101 

Contract Costs
An analysis of the changes in the net carrying amount of costs to fulfill contracts with customers are as follows (in millions):
Three Months Ended September 30,Nine Months Ended September 30,
2021202020212020
Balance at beginning of period$222 $193 $339 $335 
Additions340 291 1,022 883 
Amortization(310)(266)(1,110)(995)
Impairment— — — — 
Foreign currency translation and other(3)(2)(3)
Balance at end of period$249 $220 $249 $220 
An analysis of the changes in the net carrying amount of costs to obtain contracts with customers are as follows (in millions):
Three Months Ended September 30,Nine Months Ended September 30,
2021202020212020
Balance at beginning of period$175 $172 $184 $171 
Additions12 15 40 43 
Amortization(11)(12)(36)(35)
Impairment— — — — 
Foreign currency translation and other(2)(14)(3)
Balance at end of period$174 $176 $174 $176