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Segment Financial Information (Notes) | 6 Months Ended
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Jun. 30, 2023
Segment Reporting [Abstract] |
Segment Reporting Disclosure | Segment Financial Information The 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 14 of Notes to the Consolidated Financial Statements included in Part II, Item 8, “Financial Statements and Supplementary Data” in the 2022 10-K. Total assets at Optum Health increased to $80.8 billion as of June 30, 2023 compared to $69.0 billion as of December 31, 2022, primarily due to goodwill from business combinations of $7.0 billion. 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, 2023 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenues - unaffiliated customers: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Premiums |  | $ | 67,047 |  |  | $ | 5,427 |  |  | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | 5,427 |  |  | $ | — |  |  | $ | 72,474 |
Products |  | — |  |  | 51 |  |  | 39 |  |  | 10,561 |  |  | — |  |  | 10,651 |  |  | — |  |  | 10,651 |
Services |  | 2,584 |  |  | 3,541 |  |  | 1,995 |  |  | 543 |  |  | — |  |  | 6,079 |  |  | — |  |  | 8,663 |
Total revenues - unaffiliated customers |  | 69,631 |  |  | 9,019 |  |  | 2,034 |  |  | 11,104 |  |  | — |  |  | 22,157 |  |  | — |  |  | 91,788 |
Total revenues - affiliated customers |  | — |  |  | 14,454 |  |  | 2,615 |  |  | 17,496 |  |  | (893) |  |  | 33,672 |  |  | (33,672) |  |  | — |
Investment and other income |  | 600 |  |  | 444 |  |  | 25 |  |  | 46 |  |  | — |  |  | 515 |  |  | — |  |  | 1,115 |
Total revenues |  | $ | 70,231 |  |  | $ | 23,917 |  |  | $ | 4,674 |  |  | $ | 28,646 |  |  | $ | (893) |  |  | $ | 56,344 |  |  | $ | (33,672) |  |  | $ | 92,903 |
Earnings from operations |  | $ | 4,358 |  |  | $ | 1,525 |  |  | $ | 968 |  |  | $ | 1,206 |  |  | $ | — |  |  | $ | 3,699 |  |  | $ | — |  |  | $ | 8,057 |
Interest expense |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | (828) |  |  | (828) |
Earnings before income taxes |  | $ | 4,358 |  |  | $ | 1,525 |  |  | $ | 968 |  |  | $ | 1,206 |  |  | $ | — |  |  | $ | 3,699 |  |  | $ | (828) |  |  | $ | 7,229 |
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 |
|  |  |  | Optum |  |  |  |
(in millions) |  | UnitedHealthcare |  | Optum Health |  | Optum Insight |  | Optum Rx |  | Optum Eliminations |  | Optum |  | Corporate and Eliminations |  | Consolidated
Six Months Ended June 30, 2023 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenues - unaffiliated customers: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Premiums |  | $ | 134,505 |  |  | $ | 10,755 |  |  | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | 10,755 |  |  | $ | — |  |  | $ | 145,260 |
Products |  | — |  |  | 95 |  |  | 79 |  |  | 20,744 |  |  | — |  |  | 20,918 |  |  | — |  |  | 20,918 |
Services |  | 5,139 |  |  | 6,630 |  |  | 3,921 |  |  | 1,053 |  |  | — |  |  | 11,604 |  |  | — |  |  | 16,743 |
Total revenues - unaffiliated customers |  | 139,644 |  |  | 17,480 |  |  | 4,000 |  |  | 21,797 |  |  | — |  |  | 43,277 |  |  | — |  |  | 182,921 |
Total revenues - affiliated customers |  | — |  |  | 28,720 |  |  | 5,125 |  |  | 34,175 |  |  | (1,752) |  |  | 66,268 |  |  | (66,268) |  |  | — |
Investment and other income |  | 1,055 |  |  | 721 |  |  | 45 |  |  | 92 |  |  | — |  |  | 858 |  |  | — |  |  | 1,913 |
Total revenues |  | $ | 140,699 |  |  | $ | 46,921 |  |  | $ | 9,170 |  |  | $ | 56,064 |  |  | $ | (1,752) |  |  | $ | 110,403 |  |  | $ | (66,268) |  |  | $ | 184,834 |
Earnings from operations |  | $ | 8,701 |  |  | $ | 3,301 |  |  | $ | 1,875 |  |  | $ | 2,266 |  |  | $ | — |  |  | $ | 7,442 |  |  | $ | — |  |  | $ | 16,143 |
Interest expense |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | (1,582) |  |  | (1,582) |
Earnings before income taxes |  | $ | 8,701 |  |  | $ | 3,301 |  |  | $ | 1,875 |  |  | $ | 2,266 |  |  | $ | — |  |  | $ | 7,442 |  |  | $ | (1,582) |  |  | $ | 14,561 |
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 |

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