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Segment Financial Information (Notes) | 6 Months Ended
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Jun. 30, 2022
Segment Reporting [Abstract] |
Segment Reporting Disclosure | Segment Financial InformationThe Company’s four reportable segments are UnitedHealthcare, Optum Health, Optum Insight and Optum Rx. For more information on the Company’s segments, see Part I, Item I, “Business” and Note 13 of Notes to the Consolidated Financial Statements included in Part II, Item 8, “Financial Statements and Supplementary Data” in the 2021 10-K. Total assets at Optum Health and Optum Rx increased to $67.9 billion and $46.2 billion as of June 30, 2022 compared to $60.5 billion and $40.2 billion as of December 31, 2021, respectively. The increase in total assets at Optum Health and Optum Rx was primarily due to goodwill from business combinations of $4.5 billion and $3.8 billion, respectively. On January 1, 2022, the Company realigned its operating segments to combine UnitedHealthcare Global and UnitedHealthcare Employer & Individual. The realignment had no impact on the Company’s reportable segments. The following tables present reportable segment financial information:
|  |  |  | Optum |  |  |  |
(in millions) |  | UnitedHealthcare |  | Optum Health |  | Optum Insight |  | Optum Rx |  | Optum Eliminations |  | Optum |  | Corporate and Eliminations |  | Consolidated
Three Months Ended June 30, 2022 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenues - unaffiliated customers: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Premiums |  | $ | 59,368 |  |  | $ | 4,528 |  |  | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | 4,528 |  |  | $ | — |  |  | $ | 63,896 |
Products |  | — |  |  | 6 |  |  | 58 |  |  | 9,432 |  |  | — |  |  | 9,496 |  |  | — |  |  | 9,496 |
Services |  | 2,542 |  |  | 2,740 |  |  | 1,034 |  |  | 329 |  |  | — |  |  | 4,103 |  |  | — |  |  | 6,645 |
Total revenues - unaffiliated customers |  | 61,910 |  |  | 7,274 |  |  | 1,092 |  |  | 9,761 |  |  | — |  |  | 18,127 |  |  | — |  |  | 80,037 |
Total revenues - affiliated customers |  | — |  |  | 10,224 |  |  | 2,181 |  |  | 15,038 |  |  | (588) |  |  | 26,855 |  |  | (26,855) |  |  | — |
Investment and other income |  | 195 |  |  | 85 |  |  | 9 |  |  | 6 |  |  | — |  |  | 100 |  |  | — |  |  | 295 |
Total revenues |  | $ | 62,105 |  |  | $ | 17,583 |  |  | $ | 3,282 |  |  | $ | 24,805 |  |  | $ | (588) |  |  | $ | 45,082 |  |  | $ | (26,855) |  |  | $ | 80,332 |
Earnings from operations |  | $ | 3,850 |  |  | $ | 1,399 |  |  | $ | 839 |  |  | $ | 1,044 |  |  | $ | — |  |  | $ | 3,282 |  |  | $ | — |  |  | $ | 7,132 |
Interest expense |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | (467) |  |  | (467) |
Earnings before income taxes |  | $ | 3,850 |  |  | $ | 1,399 |  |  | $ | 839 |  |  | $ | 1,044 |  |  | $ | — |  |  | $ | 3,282 |  |  | $ | (467) |  |  | $ | 6,665 |
Three Months Ended June 30, 2021 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenues - unaffiliated customers: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Premiums |  | $ | 52,858 |  |  | $ | 3,375 |  |  | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | 3,375 |  |  | $ | — |  |  | $ | 56,233 |
Products |  | — |  |  | 9 |  |  | 33 |  |  | 8,391 |  |  | — |  |  | 8,433 |  |  | — |  |  | 8,433 |
Services |  | 2,440 |  |  | 2,461 |  |  | 930 |  |  | 268 |  |  | — |  |  | 3,659 |  |  | — |  |  | 6,099 |
Total revenues - unaffiliated customers |  | 55,298 |  |  | 5,845 |  |  | 963 |  |  | 8,659 |  |  | — |  |  | 15,467 |  |  | — |  |  | 70,765 |
Total revenues - affiliated customers |  | — |  |  | 7,221 |  |  | 1,921 |  |  | 13,792 |  |  | (478) |  |  | 22,456 |  |  | (22,456) |  |  | — |
Investment and other income |  | 176 |  |  | 234 |  |  | 73 |  |  | 73 |  |  | — |  |  | 380 |  |  | — |  |  | 556 |
Total revenues |  | $ | 55,474 |  |  | $ | 13,300 |  |  | $ | 2,957 |  |  | $ | 22,524 |  |  | $ | (478) |  |  | $ | 38,303 |  |  | $ | (22,456) |  |  | $ | 71,321 |
Earnings from operations |  | $ | 3,095 |  |  | $ | 1,128 |  |  | $ | 762 |  |  | $ | 993 |  |  | $ | — |  |  | $ | 2,883 |  |  | $ | — |  |  | $ | 5,978 |
Interest expense |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | (410) |  |  | (410) |
Earnings before income taxes |  | $ | 3,095 |  |  | $ | 1,128 |  |  | $ | 762 |  |  | $ | 993 |  |  | $ | — |  |  | $ | 2,883 |  |  | $ | (410) |  |  | $ | 5,568 |
|  |  |  | Optum |  |  |  |
(in millions) |  | UnitedHealthcare |  | Optum Health |  | Optum Insight |  | Optum Rx |  | Optum Eliminations |  | Optum |  | Corporate and Eliminations |  | Consolidated
Six Months Ended June 30, 2022 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenues - unaffiliated customers: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Premiums |  | $ | 119,305 |  |  | $ | 8,661 |  |  | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | 8,661 |  |  | $ | — |  |  | $ | 127,966 |
Products |  | — |  |  | 12 |  |  | 98 |  |  | 18,726 |  |  | — |  |  | 18,836 |  |  | — |  |  | 18,836 |
Services |  | 5,057 |  |  | 5,298 |  |  | 2,008 |  |  | 654 |  |  | — |  |  | 7,960 |  |  | — |  |  | 13,017 |
Total revenues - unaffiliated customers |  | 124,362 |  |  | 13,971 |  |  | 2,106 |  |  | 19,380 |  |  | — |  |  | 35,457 |  |  | — |  |  | 159,819 |
Total revenues - affiliated customers |  | — |  |  | 20,053 |  |  | 4,319 |  |  | 29,329 |  |  | (1,141) |  |  | 52,560 |  |  | (52,560) |  |  | — |
Investment and other income |  | 338 |  |  | 241 |  |  | 76 |  |  | 7 |  |  | — |  |  | 324 |  |  | — |  |  | 662 |
Total revenues |  | $ | 124,700 |  |  | $ | 34,265 |  |  | $ | 6,501 |  |  | $ | 48,716 |  |  | $ | (1,141) |  |  | $ | 88,341 |  |  | $ | (52,560) |  |  | $ | 160,481 |
Earnings from operations |  | $ | 7,648 |  |  | $ | 2,765 |  |  | $ | 1,686 |  |  | $ | 1,983 |  |  | $ | — |  |  | $ | 6,434 |  |  | $ | — |  |  | $ | 14,082 |
Interest expense |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | (900) |  |  | (900) |
Earnings before income taxes |  | $ | 7,648 |  |  | $ | 2,765 |  |  | $ | 1,686 |  |  | $ | 1,983 |  |  | $ | — |  |  | $ | 6,434 |  |  | $ | (900) |  |  | $ | 13,182 |
Six Months Ended June 30, 2021 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenues - unaffiliated customers: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Premiums |  | $ | 105,416 |  |  | $ | 6,303 |  |  | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | 6,303 |  |  | $ | — |  |  | $ | 111,719 |
Products |  | — |  |  | 17 |  |  | 70 |  |  | 16,686 |  |  | — |  |  | 16,773 |  |  | — |  |  | 16,773 |
Services |  | 4,790 |  |  | 4,797 |  |  | 1,891 |  |  | 539 |  |  | — |  |  | 7,227 |  |  | — |  |  | 12,017 |
Total revenues - unaffiliated customers |  | 110,206 |  |  | 11,117 |  |  | 1,961 |  |  | 17,225 |  |  | — |  |  | 30,303 |  |  | — |  |  | 140,509 |
Total revenues - affiliated customers |  | — |  |  | 14,173 |  |  | 3,742 |  |  | 26,796 |  |  | (953) |  |  | 43,758 |  |  | (43,758) |  |  | — |
Investment and other income |  | 382 |  |  | 413 |  |  | 106 |  |  | 107 |  |  | — |  |  | 626 |  |  | — |  |  | 1,008 |
Total revenues |  | $ | 110,588 |  |  | $ | 25,703 |  |  | $ | 5,809 |  |  | $ | 44,128 |  |  | $ | (953) |  |  | $ | 74,687 |  |  | $ | (43,758) |  |  | $ | 141,517 |
Earnings from operations |  | $ | 7,203 |  |  | $ | 2,090 |  |  | $ | 1,541 |  |  | $ | 1,883 |  |  | $ | — |  |  | $ | 5,514 |  |  | $ | — |  |  | $ | 12,717 |
Interest expense |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | (807) |  |  | (807) |
Earnings before income taxes |  | $ | 7,203 |  |  | $ | 2,090 |  |  | $ | 1,541 |  |  | $ | 1,883 |  |  | $ | — |  |  | $ | 5,514 |  |  | $ | (807) |  |  | $ | 11,910 |

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- Definition The entire disclosure for reporting segments including data and tables. Reportable segments include those that meet any of the following quantitative thresholds a) it's reported revenue, including sales to external customers and intersegment sales or transfers is 10 percent or more of the combined revenue, internal and external, of all operating segments b) the absolute amount of its reported profit or loss is 10 percent or more of the greater, in absolute amount of 1) the combined reported profit of all operating segments that did not report a loss or 2) the combined reported loss of all operating segments that did report a loss c) its assets are 10 percent or more of the combined assets of all operating segments. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 31 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8924-108599 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 34 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8981-108599 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 21 -Subparagraph (a) -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8721-108599 Reference 4: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 40 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e9031-108599 Reference 5: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 32 -Subparagraph (f) -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8933-108599 Reference 6: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 32 -Subparagraph (e) -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8933-108599 Reference 7: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 26 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8844-108599 Reference 8: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 41 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e9038-108599 Reference 9: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 32 -Subparagraph (d) -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8933-108599 Reference 10: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 22 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8736-108599 Reference 11: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 42 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e9054-108599 Reference 12: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 15 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8657-108599 Reference 13: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 21 -Subparagraph (b) -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8721-108599 Reference 14: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -URI https://asc.fasb.org/topic&trid=2134510 + Details
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