XML 42 R23.htm IDEA: XBRL DOCUMENT
v3.25.0.1

Segment Financial Information (Notes) | 12 Months Ended
--- | ---
Dec. 31, 2024
Segment Reporting [Abstract] |
Segment Financial Information [Text Block] | Segment Financial Information Factors used to determine the Company’s reportable segments include the nature of operating activities, economic characteristics, existence of separate senior management teams and the type of information used by the Company’s chief operating decision maker (CODM), which is the Chief Executive Officer, to evaluate its results of operations. Reportable segments with similar economic characteristics, products and services, customers, distribution methods and operational processes which operate in a similar regulatory environment are combined. The CODM uses consolidated expense information and segment earnings from operations to assess performance and determine allocation of resources. The following is a description of the types of products and services from which each of the Company’s four reportable segments derives its revenues: •UnitedHealthcare includes the combined results of operations of UnitedHealthcare Employer & Individual, UnitedHealthcare Medicare & Retirement and UnitedHealthcare Community & State. The businesses share significant common assets, including a contracted network of physicians, health care professionals, hospitals and other facilities, information technology and consumer engagement infrastructure and other resources. UnitedHealthcare Employer & Individual offers an array of consumer-oriented health benefit plans and services for employers and individuals. UnitedHealthcare Medicare & Retirement provides health care coverage and health and well-being services to individuals age 50 and older, addressing their unique needs. UnitedHealthcare Community & State provides diversified health care benefits products and services to state programs caring for the economically disadvantaged, the medically underserved and those without the benefit of employer-funded health care coverage. •Optum Health focuses on care delivery, including value-based care; care management; wellness and consumer engagement and health financial services. Optum Health is building a comprehensive, connected health care delivery and engagement platform by directly providing high-quality care, helping people manage chronic and complex health needs, and proactively engaging consumers in managing their health through in-person, in-home, virtual and digital clinical platforms. •Optum Insight brings together advanced analytics, technology and health care expertise to deliver integrated services and solutions. Hospital systems, physicians, health plans, governments, life sciences companies and other organizations depend on Optum Insight to help them improve performance, achieve efficiency, reduce costs, meet compliance mandates and modernize their core operating systems to meet the changing needs of the health system. •Optum Rx offers pharmacy care services and programs, including retail network contracting, home delivery, specialty and community health pharmacy services, infusion, purchasing and clinical capabilities, and develops programs in areas such as step therapy, formulary management, drug adherence and disease and drug therapy management. Optum Rx integrates pharmacy and medical care and is positioned to serve patients with complex clinical needs and consumers looking for a better digital pharmacy experience with transparent pricing. The Company’s accounting policies for reportable segment operations are consistent with those described in the Summary of Significant Accounting Policies (see Note 2). Transactions between reportable segments principally consist of sales of pharmacy care products and services to UnitedHealthcare customers by Optum Rx; care delivery, care management services and certain product offerings sold to UnitedHealthcare by Optum Health; and health information and technology solutions, consulting and other services sold to UnitedHealthcare by Optum Insight. These transactions are recorded at management’s estimate of fair value. Transactions with affiliated customers are eliminated in consolidation. Assets and liabilities jointly used are assigned to each reportable segment using estimates of pro-rata usage. Cash and investments are assigned so each reportable segment has working capital and/or at least minimum specified levels of regulatory capital. As a percentage of the Company’s total consolidated revenues, premium revenues from CMS were 40%, 40% and 38% for the years ended December 31, 2024, 2023 and 2022, respectively, most of which were generated by UnitedHealthcare Medicare & Retirement and included in the UnitedHealthcare segment. U.S. customer revenue represented approximately 99%, 97% and 97% of consolidated total revenues for 2024, 2023 and 2022, respectively. Long-lived fixed assets located in the United States represented approximately 92% and 82% of the total long-lived fixed assets as of December 31, 2024 and 2023, respectively. The non-U.S. revenues and fixed assets are primarily related to UnitedHealthcare Employer & Individual’s international businesses. The following table presents the reportable segment financial information:
|  |  |  | Optum |  |  |  |
(in millions) |  | UnitedHealthcare |  | Optum Health |  | Optum Insight |  | Optum Rx |  | Optum Eliminations |  | Optum |  | Corporate and Eliminations |  | Consolidated
2024 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenues - unaffiliated customers: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Premiums |  | $ | 286,004 |  |  | $ | 22,806 |  |  | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | 22,806 |  |  | $ | — |  |  | $ | 308,810 |
Products |  | — |  |  | 277 |  |  | 174 |  |  | 49,775 |  |  | — |  |  | 50,226 |  |  | — |  |  | 50,226 |
Services |  | 9,791 |  |  | 16,153 |  |  | 6,466 |  |  | 3,630 |  |  | — |  |  | 26,249 |  |  | — |  |  | 36,040 |
Total revenues - unaffiliated customers |  | 295,795 |  |  | 39,236 |  |  | 6,640 |  |  | 53,405 |  |  | — |  |  | 99,281 |  |  | — |  |  | 395,076 |
Total revenues - affiliated customers |  | — |  |  | 63,883 |  |  | 11,881 |  |  | 79,512 |  |  | (4,389) |  |  | 150,887 |  |  | (150,887) |  |  | — |
Investment and other income |  | 2,413 |  |  | 2,239 |  |  | 236 |  |  | 314 |  |  | — |  |  | 2,789 |  |  | — |  |  | 5,202 |
Total revenues |  | $ | 298,208 |  |  | $ | 105,358 |  |  | $ | 18,757 |  |  | $ | 133,231 |  |  | $ | (4,389) |  |  | $ | 252,957 |  |  | $ | (150,887) |  |  | $ | 400,278 |
Total operating costs (a) |  | $ | 282,624 |  |  | $ | 97,588 |  |  | $ | 15,660 |  |  | $ | 127,395 |  |  | $ | (4,389) |  |  | $ | 236,254 |  |  | $ | (150,887) |  |  | $ | 367,991 |
Earnings from operations |  | $ | 15,584 |  |  | $ | 7,770 |  |  | $ | 3,097 |  |  | $ | 5,836 |  |  | $ | — |  |  | $ | 16,703 |  |  | $ | — |  |  | $ | 32,287 |
Interest expense |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | (3,906) |  |  | (3,906) |
Loss on sale of subsidiary and subsidiaries held for sale |  | (8,310) |  |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | (8,310) |
Earnings before income taxes |  | $ | 7,274 |  |  | $ | 7,770 |  |  | $ | 3,097 |  |  | $ | 5,836 |  |  | $ | — |  |  | $ | 16,703 |  |  | $ | (3,906) |  |  | $ | 20,071 |
Total assets |  | $ | 119,009 |  |  | $ | 96,472 |  |  | $ | 34,452 |  |  | $ | 59,086 |  |  | $ | — |  |  | $ | 190,010 |  |  | $ | (10,741) |  |  | $ | 298,278 |
Purchases of property, equipment and capitalized software |  | 781 |  |  | 1,008 |  |  | 1,291 |  |  | 419 |  |  | — |  |  | 2,718 |  |  | — |  |  | 3,499 |
Depreciation and amortization |  | 889 |  |  | 1,123 |  |  | 1,294 |  |  | 793 |  |  | — |  |  | 3,210 |  |  | — |  |  | 4,099 |
2023 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenues - unaffiliated customers: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Premiums |  | $ | 269,052 |  |  | $ | 21,775 |  |  | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | 21,775 |  |  | $ | — |  |  | $ | 290,827 |
Products |  | — |  |  | 207 |  |  | 162 |  |  | 42,214 |  |  | — |  |  | 42,583 |  |  | — |  |  | 42,583 |
Services |  | 10,057 |  |  | 14,109 |  |  | 7,760 |  |  | 2,197 |  |  | — |  |  | 24,066 |  |  | — |  |  | 34,123 |
Total revenues - unaffiliated customers |  | 279,109 |  |  | 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 income |  | 2,251 |  |  | 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 |
Total operating costs (a) |  | $ | 264,945 |  |  | $ | 88,759 |  |  | $ | 14,664 |  |  | $ | 110,972 |  |  | $ | (3,703) |  |  | $ | 210,692 |  |  | $ | (136,373) |  |  | $ | 339,264 |
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 software |  | 866 |  |  | 1,199 |  |  | 974 |  |  | 347 |  |  | — |  |  | 2,520 |  |  | — |  |  | 3,386 |
Depreciation and amortization |  | 989 |  |  | 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 |
Services |  | 10,035 |  |  | 10,917 |  |  | 4,996 |  |  | 1,603 |  |  | — |  |  | 17,516 |  |  | — |  |  | 27,551 |
Total revenues - unaffiliated customers |  | 248,818 |  |  | 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 income |  | 923 |  |  | 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 |
Total operating costs (a) |  | $ | 235,362 |  |  | $ | 65,142 |  |  | $ | 10,993 |  |  | $ | 95,337 |  |  | $ | (2,760) |  |  | $ | 168,712 |  |  | $ | (108,347) |  |  | $ | 295,727 |
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 software |  | 799 |  |  | 997 |  |  | 698 |  |  | 308 |  |  | — |  |  | 2,003 |  |  | — |  |  | 2,802 |
Depreciation and amortization |  | 973 |  |  | 943 |  |  | 841 |  |  | 643 |  |  | — |  |  | 2,427 |  |  | — |  |  | 3,400 |
(a) Total operating costs include medical costs, operating costs, cost of products sold and depreciation and amortization, as applicable for each reportable segment.

X
- References No definition available. + Details
Name: | us-gaap_SegmentReportingAbstract
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- 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/exampleRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 55 -Paragraph 48 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482785/280-10-55-48 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 32 -Subparagraph (f) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-32 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Topic 270 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 1 -Subparagraph (i) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482964/270-10-50-1 Reference 4: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 32 -Subparagraph (ee) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-32 Reference 5: http://fasb.org/us-gaap/role/ref/otherTransitionRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 32 -Subparagraph (d) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-32 Reference 6: http://www.xbrl.org/2003/role/exampleRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 55 -Paragraph 54 -Subparagraph (d) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482785/280-10-55-54 Reference 7: http://www.xbrl.org/2003/role/exampleRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 55 -Paragraph 47 -Subparagraph (c) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482785/280-10-55-47 Reference 8: http://www.xbrl.org/2003/role/exampleRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 55 -Paragraph 54 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482785/280-10-55-54 Reference 9: http://www.xbrl.org/2003/role/exampleRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 55 -Paragraph 47 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482785/280-10-55-47 Reference 10: http://www.xbrl.org/2003/role/exampleRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 55 -Paragraph 54 -Subparagraph (e) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482785/280-10-55-54 Reference 11: http://www.xbrl.org/2003/role/exampleRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 55 -Paragraph 47 -Subparagraph (d) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482785/280-10-55-47 Reference 12: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 22 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-22 Reference 13: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 31 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-31 Reference 14: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 34 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-34 Reference 15: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 26C -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-26C Reference 16: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 26B -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-26B Reference 17: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 15 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-15 Reference 18: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 42 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-42 Reference 19: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 40 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-40 Reference 20: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -Name Accounting Standards Codification -Publisher FASB -URI https://asc.fasb.org/280/tableOfContent Reference 21: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 26 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-26 Reference 22: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 41 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-41 Reference 23: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 21 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-21 Reference 24: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 21 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-21 Reference 25: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 32 -Subparagraph (e) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-32 + Details
Name: | us-gaap_SegmentReportingDisclosureTextBlock
Namespace Prefix: | us-gaap_
Data Type: | dtr-types:textBlockItemType
Balance Type: | na
Period Type: | duration