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Segment Financial Information (Notes) | 9 Months Ended
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Sep. 30, 2021
Segment Reporting [Abstract] |
Segment Reporting Disclosure | Segment Financial Information The Company’s four reportable segments are UnitedHealthcare, OptumHealth, OptumInsight and OptumRx. For more information on the Company’s segments see Part I, Item I, “Business” and Note 14 of Notes to the Consolidated Financial Statements in Part II, Item 8, “Financial Statements” in the 2020 10-K. The following tables present reportable segment financial information:
|  |  |  | Optum |  |  |  |
(in millions) |  | UnitedHealthcare |  | OptumHealth |  | OptumInsight |  | OptumRx |  | Optum Eliminations |  | Optum |  | Corporate and Eliminations |  | Consolidated
Three Months Ended September 30, 2021 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenues - unaffiliated customers: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Premiums |  | $ | 53,345 |  |  | $ | 3,622 |  |  | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | 3,622 |  |  | $ | — |  |  | $ | 56,967 |
Products |  | — |  |  | 8 |  |  | 37 |  |  | 8,658 |  |  | — |  |  | 8,703 |  |  | — |  |  | 8,703 |
Services |  | 2,407 |  |  | 2,515 |  |  | 970 |  |  | 272 |  |  | — |  |  | 3,757 |  |  | — |  |  | 6,164 |
Total revenues - unaffiliated customers |  | 55,752 |  |  | 6,145 |  |  | 1,007 |  |  | 8,930 |  |  | — |  |  | 16,082 |  |  | — |  |  | 71,834 |
Total revenues - affiliated customers |  | — |  |  | 7,441 |  |  | 2,037 |  |  | 14,400 |  |  | (503) |  |  | 23,375 |  |  | (23,375) |  |  | — |
Investment and other income |  | 175 |  |  | 226 |  |  | 95 |  |  | 7 |  |  | — |  |  | 328 |  |  | — |  |  | 503 |
Total revenues |  | $ | 55,927 |  |  | $ | 13,812 |  |  | $ | 3,139 |  |  | $ | 23,337 |  |  | $ | (503) |  |  | $ | 39,785 |  |  | $ | (23,375) |  |  | $ | 72,337 |
Earnings from operations |  | $ | 2,651 |  |  | $ | 1,143 |  |  | $ | 906 |  |  | $ | 1,012 |  |  | $ | — |  |  | $ | 3,061 |  |  | $ | — |  |  | $ | 5,712 |
Interest expense |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | (422) |  |  | (422) |
Earnings before income taxes |  | $ | 2,651 |  |  | $ | 1,143 |  |  | $ | 906 |  |  | $ | 1,012 |  |  | $ | — |  |  | $ | 3,061 |  |  | $ | (422) |  |  | $ | 5,290 |
Three Months Ended September 30, 2020 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenues - unaffiliated customers: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Premiums |  | $ | 48,121 |  |  | $ | 2,742 |  |  | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | 2,742 |  |  | $ | — |  |  | $ | 50,863 |
Products |  | — |  |  | 10 |  |  | 34 |  |  | 8,733 |  |  | — |  |  | 8,777 |  |  | — |  |  | 8,777 |
Services |  | 2,075 |  |  | 1,834 |  |  | 974 |  |  | 241 |  |  | — |  |  | 3,049 |  |  | — |  |  | 5,124 |
Total revenues - unaffiliated customers |  | 50,196 |  |  | 4,586 |  |  | 1,008 |  |  | 8,974 |  |  | — |  |  | 14,568 |  |  | — |  |  | 64,764 |
Total revenues - affiliated customers |  | — |  |  | 5,748 |  |  | 1,755 |  |  | 13,102 |  |  | (424) |  |  | 20,181 |  |  | (20,181) |  |  | — |
Investment and other income |  | 177 |  |  | 165 |  |  | 4 |  |  | 5 |  |  | — |  |  | 174 |  |  | — |  |  | 351 |
Total revenues |  | $ | 50,373 |  |  | $ | 10,499 |  |  | $ | 2,767 |  |  | $ | 22,081 |  |  | $ | (424) |  |  | $ | 34,923 |  |  | $ | (20,181) |  |  | $ | 65,115 |
Earnings from operations |  | $ | 2,068 |  |  | $ | 835 |  |  | $ | 785 |  |  | $ | 963 |  |  | $ | — |  |  | $ | 2,583 |  |  | $ | — |  |  | $ | 4,651 |
Interest expense |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | (395) |  |  | (395) |
Earnings before income taxes |  | $ | 2,068 |  |  | $ | 835 |  |  | $ | 785 |  |  | $ | 963 |  |  | $ | — |  |  | $ | 2,583 |  |  | $ | (395) |  |  | $ | 4,256 |
|  |  |  | Optum |  |  |  |
(in millions) |  | UnitedHealthcare |  | OptumHealth |  | OptumInsight |  | OptumRx |  | Optum Eliminations |  | Optum |  | Corporate and Eliminations |  | Consolidated
Nine Months Ended September 30, 2021 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenues - unaffiliated customers: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Premiums |  | $ | 158,761 |  |  | $ | 9,925 |  |  | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | 9,925 |  |  | $ | — |  |  | $ | 168,686 |
Products |  | — |  |  | 25 |  |  | 107 |  |  | 25,344 |  |  | — |  |  | 25,476 |  |  | — |  |  | 25,476 |
Services |  | 7,197 |  |  | 7,312 |  |  | 2,861 |  |  | 811 |  |  | — |  |  | 10,984 |  |  | — |  |  | 18,181 |
Total revenues - unaffiliated customers |  | 165,958 |  |  | 17,262 |  |  | 2,968 |  |  | 26,155 |  |  | — |  |  | 46,385 |  |  | — |  |  | 212,343 |
Total revenues - affiliated customers |  | — |  |  | 21,614 |  |  | 5,779 |  |  | 41,196 |  |  | (1,456) |  |  | 67,133 |  |  | (67,133) |  |  | — |
Investment and other income |  | 557 |  |  | 639 |  |  | 201 |  |  | 114 |  |  | — |  |  | 954 |  |  | — |  |  | 1,511 |
Total revenues |  | $ | 166,515 |  |  | $ | 39,515 |  |  | $ | 8,948 |  |  | $ | 67,465 |  |  | $ | (1,456) |  |  | $ | 114,472 |  |  | $ | (67,133) |  |  | $ | 213,854 |
Earnings from operations |  | $ | 9,854 |  |  | $ | 3,233 |  |  | $ | 2,447 |  |  | $ | 2,895 |  |  | $ | — |  |  | $ | 8,575 |  |  | $ | — |  |  | $ | 18,429 |
Interest expense |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | (1,229) |  |  | (1,229) |
Earnings before income taxes |  | $ | 9,854 |  |  | $ | 3,233 |  |  | $ | 2,447 |  |  | $ | 2,895 |  |  | $ | — |  |  | $ | 8,575 |  |  | $ | (1,229) |  |  | $ | 17,200 |
Nine Months Ended September 30, 2020 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenues - unaffiliated customers: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Premiums |  | $ | 143,753 |  |  | $ | 7,144 |  |  | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | 7,144 |  |  | $ | — |  |  | $ | 150,897 |
Products |  | — |  |  | 26 |  |  | 90 |  |  | 25,339 |  |  | — |  |  | 25,455 |  |  | — |  |  | 25,455 |
Services |  | 6,248 |  |  | 4,607 |  |  | 2,629 |  |  | 781 |  |  | — |  |  | 8,017 |  |  | — |  |  | 14,265 |
Total revenues - unaffiliated customers |  | 150,001 |  |  | 11,777 |  |  | 2,719 |  |  | 26,120 |  |  | — |  |  | 40,616 |  |  | — |  |  | 190,617 |
Total revenues - affiliated customers |  | — |  |  | 16,623 |  |  | 5,140 |  |  | 38,843 |  |  | (1,275) |  |  | 59,331 |  |  | (59,331) |  |  | — |
Investment and other income |  | 547 |  |  | 430 |  |  | 34 |  |  | 46 |  |  | — |  |  | 510 |  |  | — |  |  | 1,057 |
Total revenues |  | $ | 150,548 |  |  | $ | 28,830 |  |  | $ | 7,893 |  |  | $ | 65,009 |  |  | $ | (1,275) |  |  | $ | 100,457 |  |  | $ | (59,331) |  |  | $ | 191,674 |
Earnings from operations |  | $ | 11,963 |  |  | $ | 2,388 |  |  | $ | 1,882 |  |  | $ | 2,655 |  |  | $ | — |  |  | $ | 6,925 |  |  | $ | — |  |  | $ | 18,888 |
Interest expense |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | (1,262) |  |  | (1,262) |
Earnings before income taxes |  | $ | 11,963 |  |  | $ | 2,388 |  |  | $ | 1,882 |  |  | $ | 2,655 |  |  | $ | — |  |  | $ | 6,925 |  |  | $ | (1,262) |  |  | $ | 17,626 |

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