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Segment Financial Information (Tables)
12 Months Ended
Dec. 31, 2023
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
2023
Revenues - unaffiliated customers:
Premiums$269,052 $21,775 $— $— $— $21,775 $— $290,827 
Products— 207 162 42,214 — 42,583 — 42,583 
Services10,057 14,109 7,760 2,197 — 24,066 — 34,123 
Total revenues - unaffiliated customers279,109 36,091 7,922 44,411 — 88,424 — 367,533 
Total revenues - affiliated customers— 57,696 10,896 71,484 (3,703)136,373 (136,373)— 
Investment and other income2,251 1,532 114 192 — 1,838 — 4,089 
Total revenues$281,360 $95,319 $18,932 $116,087 $(3,703)$226,635 $(136,373)$371,622 
Earnings from operations$16,415 $6,560 $4,268 $5,115 $— $15,943 $— $32,358 
Interest expense— — — — — — (3,246)(3,246)
Earnings before income taxes$16,415 $6,560 $4,268 $5,115 $— $15,943 $(3,246)$29,112 
Total assets$110,943 $89,432 $34,173 $51,266 $— $174,871 $(12,094)$273,720 
Purchases of property, equipment and capitalized software866 1,199 974 347 — 2,520 — 3,386 
Depreciation and amortization989 1,058 1,229 696 — 2,983 — 3,972 
2022
Revenues - unaffiliated customers:
Premiums$238,783 $18,374 $— $— $— $18,374 $— $257,157 
Products— 72 180 37,172 — 37,424 — 37,424 
Services10,035 10,917 4,996 1,603 — 17,516 — 27,551 
Total revenues - unaffiliated customers248,818 29,363 5,176 38,775 — 73,314 — 322,132 
Total revenues - affiliated customers— 40,883 9,288 60,936 (2,760)108,347 (108,347)— 
Investment and other income923 928 117 62 — 1,107 — 2,030 
Total revenues$249,741 $71,174 $14,581 $99,773 $(2,760)$182,768 $(108,347)$324,162 
Earnings from operations$14,379 $6,032 $3,588 $4,436 $— $14,056 $— $28,435 
Interest expense— — — — — — (2,092)(2,092)
Earnings before income taxes$14,379 $6,032 $3,588 $4,436 $— $14,056 $(2,092)$26,343 
Total assets$107,094 $68,950 $31,090 $47,476 $— $147,516 $(8,905)$245,705 
Purchases of property, equipment and capitalized software799 997 698 308 — 2,003 — 2,802 
Depreciation and amortization973 943 841 643 — 2,427 — 3,400 
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