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Segment Financial Information (Tables)
12 Months Ended
Dec. 31, 2021
Segment Reporting [Abstract]  
Segment Financial Information [Table Text Block]
The following table presents the reportable segment financial information:
  Optum  
(in millions)UnitedHealthcareOptum HealthOptum InsightOptum RxOptum EliminationsOptumCorporate and
Eliminations
Consolidated
2021
Revenues - unaffiliated customers:
Premiums$212,381 $13,852 $— $— $— $13,852 $— $226,233 
Products— 32 159 34,246 — 34,437 — 34,437 
Services9,661 9,894 3,936 1,112 — 14,942 — 24,603 
Total revenues - unaffiliated customers222,042 23,778 4,095 35,358 — 63,231 — 285,273 
Total revenues - affiliated customers— 29,234 7,867 55,779 (2,013)90,867 (90,867)— 
Investment and other income857 1,053 237 177 — 1,467 — 2,324 
Total revenues$222,899 $54,065 $12,199 $91,314 $(2,013)$155,565 $(90,867)$287,597 
Earnings from operations$11,975 $4,462 $3,398 $4,135 $— $11,995 $— $23,970 
Interest expense— — — — — — (1,660)(1,660)
Earnings before income taxes$11,975 $4,462 $3,398 $4,135 $— $11,995 $(1,660)$22,310 
Total assets$102,967 $60,474 $16,868 $40,181 $— $117,523 $(8,284)$212,206 
Purchases of property, equipment and capitalized software795 791 567 301 — 1,659 — 2,454 
Depreciation and amortization1,004 818 684 597 — 2,099 — 3,103 
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