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Segment Financial Information (Tables)
12 Months Ended
Dec. 31, 2020
Segment Reporting [Abstract]  
Segment Financial Information [Table Text Block]
The following table presents the reportable segment financial information:
  Optum  
(in millions)UnitedHealthcareOptumHealthOptumInsightOptumRxOptum EliminationsOptumCorporate and
Eliminations
Consolidated
2020
Revenues - unaffiliated customers:
Premiums$191,679 $9,799 $— $— $— $9,799 $— $201,478 
Products— 33 135 33,977 — 34,145 — 34,145 
Services8,464 6,815 3,687 1,050 — 11,552 — 20,016 
Total revenues - unaffiliated customers200,143 16,647 3,822 35,027 — 55,496 — 255,639 
Total revenues - affiliated customers— 22,481 6,941 52,420 (1,800)80,042 (80,042)— 
Investment and other income732 680 39 51 — 770 — 1,502 
Total revenues$200,875 $39,808 $10,802 $87,498 $(1,800)$136,308 $(80,042)$257,141 
Earnings from operations$12,359 $3,434 $2,725 $3,887 $— $10,046 $— $22,405 
Interest expense— — — — — — (1,663)(1,663)
Earnings before income taxes$12,359 $3,434 $2,725 $3,887 $— $10,046 $(1,663)$20,742 
Total assets$98,229 $52,073 $15,425 $39,280 $— $106,778 $(7,718)$197,289 
Purchases of property, equipment and capitalized software687 715 461 188 — 1,364 — 2,051 
Depreciation and amortization920 703 670 598 — 1,971 — 2,891 
2019
Revenues - unaffiliated customers:
Premiums$183,783 $5,916 $— $— $— $5,916 $— $189,699 
Products— 31 116 31,450 — 31,597 — 31,597 
Services8,922 5,732 3,630 689 — 10,051 — 18,973 
Total revenues - unaffiliated customers192,705 11,679 3,746 32,139 — 47,564 — 240,269 
Total revenues - affiliated customers— 17,966 6,239 42,093 (1,661)64,637 (64,637)— 
Investment and other income1,137 672 21 56 — 749 — 1,886 
Total revenues$193,842 $30,317 $10,006 $74,288 $(1,661)$112,950 $(64,637)$242,155 
Earnings from operations$10,326 $2,963 $2,494 $3,902 $— $9,359 $— $19,685 
Interest expense— — — — — — (1,704)(1,704)
Earnings before income taxes$10,326 $2,963 $2,494 $3,902 $— $9,359 $(1,704)$17,981 
Total assets$88,250 $40,444 $15,181 $36,346 $— $91,971 $(6,332)$173,889 
Purchases of property, equipment and capitalized software841 573 495 162 — 1,230 — 2,071 
Depreciation and amortization926 565 672 557 — 1,794 — 2,720 
2018
Revenues - unaffiliated customers:
Premiums$174,282 $3,805 $— $— $— $3,805 $— $178,087 
Products— 52 111 29,438 — 29,601 — 29,601 
Services8,366 4,925 3,280 612 — 8,817 — 17,183 
Total revenues - unaffiliated customers182,648 8,782 3,391 30,050 — 42,223 — 224,871 
Total revenues - affiliated customers— 14,882 5,596 39,440 (1,409)58,509 (58,509)— 
Investment and other income828 481 21 46 — 548 — 1,376 
Total revenues$183,476 $24,145 $9,008 $69,536 $(1,409)$101,280 $(58,509)$226,247 
Earnings from operations$9,113 $2,430 $2,243 $3,558 $— $8,231 $— $17,344 
Interest expense— — — — — — (1,400)(1,400)
Earnings before income taxes$9,113 $2,430 $2,243 $3,558 $— $8,231 $(1,400)$15,944 
Total assets$82,938 $29,837 $11,039 $33,912 $— $74,788 $(5,505)$152,221 
Purchases of property, equipment and capitalized software761 593 517 192 — 1,302 — 2,063 
Depreciation and amortization845 439 654 490 — 1,583 — 2,428