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Segment Financial Information (Notes) | 3 Months Ended
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Mar. 31, 2026
Segment Reporting [Abstract] |
Segment Reporting | 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 1, “Business” and Note 14 of Notes to the Consolidated Financial Statements included in Part II, Item 8, “Financial Statements and Supplementary Data” in the 2025 10-K. 2026 Business Realignment On January 1, 2026, the Company realigned certain businesses to respond to changes in the markets it serves and the opportunities that are emerging as the health system evolves. Optum Financial, including Optum Bank, which was historically included in Optum Health is now included in Optum Insight. The Company’s reportable segments remain unchanged, with prior period segment financial information recast to conform to the 2026 presentation. The following tables present reportable segment financial information:
|  |  |  | Optum |  |  |  |
(in millions) |  | UnitedHealthcare |  | Optum Health (b) |  | Optum Insight (b) |  | Optum Rx |  | Optum Eliminations (b) |  | Optum |  | Corporate and Eliminations |  | Consolidated
Three Months Ended March 31, 2026 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenues - unaffiliated customers: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Premiums |  | $ | 82,986 |  |  | $ | 4,575 |  |  | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | 4,575 |  |  | $ | — |  |  | $ | 87,561 |
Products |  | — |  |  | 57 |  |  | 45 |  |  | 13,148 |  |  | — |  |  | 13,250 |  |  | — |  |  | 13,250 |
Services |  | 2,775 |  |  | 4,235 |  |  | 1,620 |  |  | 1,149 |  |  | — |  |  | 7,004 |  |  | — |  |  | 9,779 |
Total revenues - unaffiliated customers |  | 85,761 |  |  | 8,867 |  |  | 1,665 |  |  | 14,297 |  |  | — |  |  | 24,829 |  |  | — |  |  | 110,590 |
Total revenues - affiliated customers |  | — |  |  | 14,998 |  |  | 3,118 |  |  | 21,398 |  |  | (1,221) |  |  | 38,293 |  |  | (38,293) |  |  | — |
Investment and other income |  | 504 |  |  | 244 |  |  | 342 |  |  | 41 |  |  | — |  |  | 627 |  |  | — |  |  | 1,131 |
Total revenues |  | $ | 86,265 |  |  | $ | 24,109 |  |  | $ | 5,125 |  |  | $ | 35,736 |  |  | $ | (1,221) |  |  | $ | 63,749 |  |  | $ | (38,293) |  |  | $ | 111,721 |
Total operating costs (a) |  | $ | 80,571 |  |  | $ | 22,968 |  |  | $ | 4,162 |  |  | $ | 34,544 |  |  | $ | (1,221) |  |  | $ | 60,453 |  |  | $ | (38,293) |  |  | $ | 102,731 |
Earnings from operations |  | $ | 5,694 |  |  | $ | 1,141 |  |  | $ | 963 |  |  | $ | 1,192 |  |  | $ | — |  |  | $ | 3,296 |  |  | $ | — |  |  | $ | 8,990 |
Interest expense |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | (955) |  |  | (955) |
Loss on sale of subsidiary and subsidiaries held for sale |  | (72) |  |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | (72) |
Earnings before income taxes |  | $ | 5,622 |  |  | $ | 1,141 |  |  | $ | 963 |  |  | $ | 1,192 |  |  | $ | — |  |  | $ | 3,296 |  |  | $ | (955) |  |  | $ | 7,963 |
Total assets |  | $ | 129,027 |  |  | $ | 73,620 |  |  | $ | 63,099 |  |  | $ | 58,495 |  |  | $ | — |  |  | $ | 195,214 |  |  | $ | (11,597) |  |  | $ | 312,644 |
Purchases of property, equipment and capitalized software |  | 204 |  |  | 184 |  |  | 306 |  |  | 69 |  |  | — |  |  | 559 |  |  | — |  |  | 763 |
Depreciation and Amortization |  | 218 |  |  | 246 |  |  | 392 |  |  | 173 |  |  | — |  |  | 811 |  |  | — |  |  | 1,029 |
Three Months Ended March 31, 2025 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenues - unaffiliated customers: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Premiums |  | $ | 81,513 |  |  | $ | 5,021 |  |  | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | 5,021 |  |  | $ | — |  |  | $ | 86,534 |
Products |  | — |  |  | 65 |  |  | 44 |  |  | 12,927 |  |  | — |  |  | 13,036 |  |  | — |  |  | 13,036 |
Services |  | 2,576 |  |  | 3,716 |  |  | 1,659 |  |  | 1,021 |  |  | — |  |  | 6,396 |  |  | — |  |  | 8,972 |
Total revenues - unaffiliated customers |  | 84,089 |  |  | 8,802 |  |  | 1,703 |  |  | 13,948 |  |  | — |  |  | 24,453 |  |  | — |  |  | 108,542 |
Total revenues - affiliated customers |  | — |  |  | 15,810 |  |  | 3,091 |  |  | 21,137 |  |  | (1,111) |  |  | 38,927 |  |  | (38,927) |  |  | — |
Investment and other income |  | 528 |  |  | 225 |  |  | 233 |  |  | 47 |  |  | — |  |  | 505 |  |  | — |  |  | 1,033 |
Total revenues |  | $ | 84,617 |  |  | $ | 24,837 |  |  | $ | 5,027 |  |  | $ | 35,132 |  |  | $ | (1,111) |  |  | $ | 63,885 |  |  | $ | (38,927) |  |  | $ | 109,575 |
Total operating costs (a) |  | $ | 79,391 |  |  | $ | 23,426 |  |  | $ | 3,863 |  |  | $ | 33,814 |  |  | $ | (1,111) |  |  | $ | 59,992 |  |  | $ | (38,927) |  |  | $ | 100,456 |
Earnings from operations |  | $ | 5,226 |  |  | $ | 1,411 |  |  | $ | 1,164 |  |  | $ | 1,318 |  |  | $ | — |  |  | $ | 3,893 |  |  | $ | — |  |  | $ | 9,119 |
Interest expense |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | (998) |  |  | (998) |
Loss on sale of subsidiary and subsidiaries held for sale |  | (15) |  |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | (15) |
Earnings before income taxes |  | $ | 5,211 |  |  | $ | 1,411 |  |  | $ | 1,164 |  |  | $ | 1,318 |  |  | $ | — |  |  | $ | 3,893 |  |  | $ | (998) |  |  | $ | 8,106 |
Total assets |  | $ | 131,902 |  |  | $ | 72,000 |  |  | $ | 60,192 |  |  | $ | 60,379 |  |  | $ | — |  |  | $ | 192,571 |  |  | $ | (14,683) |  |  | $ | 309,790 |
Purchases of property, equipment and capitalized software |  | 196 |  |  | 264 |  |  | 353 |  |  | 85 |  |  | — |  |  | 702 |  |  | — |  |  | 898 |
Depreciation and Amortization |  | 219 |  |  | 255 |  |  | 376 |  |  | 211 |  |  | — |  |  | 842 |  |  | — |  |  | 1,061 |
(a)Total operating costs include medical costs, operating costs, cost of products sold and depreciation and amortization, as applicable for each reportable segment. (b)Prior period amounts have been recast to reflect the realignment of Optum Financial.

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