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Segment Financial Information (Notes)
6 Months Ended
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)UnitedHealthcareOptum HealthOptum InsightOptum RxOptum EliminationsOptumCorporate and
Eliminations
Consolidated
Three Months Ended June 30, 2022
Revenues - unaffiliated customers:
Premiums$59,368 $4,528 $— $— $— $4,528 $— $63,896 
Products— 58 9,432 — 9,496 — 9,496 
Services2,542 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 — 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— 33 8,391 — 8,433 — 8,433 
Services2,440 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)UnitedHealthcareOptum HealthOptum InsightOptum RxOptum EliminationsOptumCorporate 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 
Services5,057 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 — 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 
Services4,790 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