Document and Entity Information
Document and Entity Information Document - shares | 3 Months Ended | |
Mar. 31, 2023 | Apr. 28, 2023 | |
Cover [Abstract] | ||
Document Type | 10-Q | |
Document Quarterly Report | true | |
Document Period End Date | Mar. 31, 2023 | |
Document Transition Report | false | |
Entity File Number | 1-10864 | |
Entitiy Registrant Name | UnitedHealth Group Incorporated | |
Entity Incorporation, State or Country Code | DE | |
Entity Tax Identification Number | 41-1321939 | |
Entity Address, Address Line One | UnitedHealth Group Center | |
Entity Address, Address Line Two | 9900 Bren Road East | |
Entity Address, City or Town | Minnetonka, | |
Entity Address, State or Province | MN | |
Entity Address, Postal Zip Code | 55343 | |
City Area Code | 952 | |
Local Phone Number | 936-1300 | |
Title of 12(b) Security | Common Stock, $.01 par value | |
Trading Symbol | UNH | |
Security Exchange Name | NYSE | |
Entity Current Reporting Status | Yes | |
Entity Interactive Data Current | Yes | |
Entity Filer Category | Large Accelerated Filer | |
Entity Small Business | false | |
Entity Emerging Growth Company | false | |
Entity Shell Company | false | |
Entitiy Central Index Key | 0000731766 | |
Current Fiscal Year End Date | --12-31 | |
Document Fiscal Year Focus | 2023 | |
Document Fiscal Period Focus | Q1 | |
Amendment Flag | false | |
Entity Common Stock, Shares Outstanding | 931,032,030 |
Condensed Consolidated Balance
Condensed Consolidated Balance Sheets - USD ($) shares in Millions, $ in Millions | Mar. 31, 2023 | Dec. 31, 2022 |
Current assets: | ||
Cash and cash equivalents | $ 41,913 | $ 23,365 |
Short-term investments | 4,584 | 4,546 |
Accounts receivable, net | 22,414 | 17,681 |
Other current receivables, net | 14,696 | 12,769 |
Assets under management | 3,837 | 4,087 |
Prepaid expenses and other current assets | 6,451 | 6,621 |
Total current assets | 93,895 | 69,069 |
Long-term investments | 46,884 | 43,728 |
Property, equipment and capitalized software, net | 10,637 | 10,128 |
Goodwill | 100,406 | 93,352 |
Other intangible assets, net | 16,165 | 14,401 |
Other assets | 15,692 | 15,027 |
Total assets | 283,679 | 245,705 |
Current liabilities: | ||
Medical costs payable | 31,809 | 29,056 |
Accounts payable and accrued liabilities | 29,856 | 27,715 |
Short-term borrowings and current maturities of long-term debt | 9,931 | 3,110 |
Unearned revenues | 14,487 | 3,075 |
Other current liabilities | 30,399 | 26,281 |
Total current liabilities | 116,482 | 89,237 |
Long-term debt, less current maturities | 60,657 | 54,513 |
Deferred income taxes | 2,834 | 2,769 |
Other liabilities | 13,084 | 12,839 |
Total liabilities | 193,057 | 159,358 |
Commitments and contingencies (Note 6) | ||
Redeemable noncontrolling interests | 4,801 | 4,897 |
Equity: | ||
Preferred stock, $0.001 par value - 10 shares authorized; no shares issued or outstanding | 0 | 0 |
Common stock, $0.01 par value - 3,000 shares authorized; 932 and 934 issued and outstanding | 9 | 9 |
Retained earnings | 88,852 | 86,156 |
Accumulated other comprehensive loss | (7,549) | (8,393) |
Nonredeemable noncontrolling interests | 4,509 | 3,678 |
Total equity | 85,821 | 81,450 |
Total liabilities, redeemable noncontrolling interests and equity | $ 283,679 | $ 245,705 |
Preferred stock, par value | $ 0.001 | $ 0.001 |
Preferred stock, shares authorized | 10 | 10 |
Preferred stock, shares issued | 0 | 0 |
Preferred stock, shares outstanding | 0 | 0 |
Common stock, par value | $ 0.01 | $ 0.01 |
Common stock, shares authorized | 3,000 | 3,000 |
Common stock, shares issued | 932 | 934 |
Common stock, shares outstanding | 932 | 934 |
Condensed Consolidated Statemen
Condensed Consolidated Statements of Operations - USD ($) shares in Millions, $ in Millions | 3 Months Ended | |
Mar. 31, 2023 | Mar. 31, 2022 | |
Revenues: | ||
Premiums | $ 72,786 | $ 64,070 |
Investment and other income | 798 | 367 |
Total revenues | 91,931 | 80,149 |
Operating costs: | ||
Medical costs | 59,845 | 52,523 |
Operating costs | 13,625 | 11,401 |
Cost of products sold | 9,405 | 8,487 |
Depreciation and amortization | 970 | 788 |
Total operating costs | 83,845 | 73,199 |
Earnings from operations | 8,086 | 6,950 |
Interest expense | (754) | (433) |
Earnings before income taxes | 7,332 | 6,517 |
Provision for income taxes | (1,558) | (1,369) |
Net earnings | 5,774 | 5,148 |
Earnings attributable to noncontrolling interests | (163) | (121) |
Net earnings attributable to UnitedHealth Group common shareholders | $ 5,611 | $ 5,027 |
Earnings per share attributable to UnitedHealth Group common shareholders: | ||
Basic | $ 6.01 | $ 5.34 |
Diluted | $ 5.95 | $ 5.27 |
Basic weighted-average number of common shares outstanding | 933 | 941 |
Dilutive effect of common share equivalents | 10 | 13 |
Diluted weighted-average number of common shares outstanding | 943 | 954 |
Anti-dilutive shares excluded from the calculation of dilutive effect of common share equivalents | 5 | 2 |
Products | ||
Revenue from Products and Services | $ 10,267 | $ 9,340 |
Services | ||
Revenue from Products and Services | $ 8,080 | $ 6,372 |
Condensed Consolidated Statem_2
Condensed Consolidated Statements of Comprehensive Income - USD ($) $ in Millions | 3 Months Ended | |
Mar. 31, 2023 | Mar. 31, 2022 | |
Net earnings | $ 5,774 | $ 5,148 |
Other comprehensive income (loss): | ||
Gross unrealized gains (losses) on investment securities during the period | 640 | (2,023) |
Income tax effect | (147) | 465 |
Total unrealized gains (losses), net of tax | 493 | (1,558) |
Gross reclassification adjustment for net realized losses (gains) included in net earnings | 13 | (3) |
Income tax effect | (3) | 1 |
Total reclassification adjustment, net of tax | 10 | (2) |
Total foreign currency translation gains | 341 | 918 |
Other comprehensive income (loss) | 844 | (642) |
Comprehensive income | 6,618 | 4,506 |
Comprehensive income attributable to noncontrolling interests | (163) | (121) |
Comprehensive income attributable to UnitedHealth Group common shareholders | $ 6,455 | $ 4,385 |
Condensed Consolidated Statem_3
Condensed Consolidated Statements of Changes in Equity - USD ($) shares in Millions, $ in Millions | Total | Common Stock [Member] | Additional Paid-In Capital [Member] | Retained Earnings [Member] | Net Unrealized Gains (Losses) on Investments [Member] | Foreign Currency Translation Losses [Member] | Nonredeemable Noncontrolling Interests [Member] |
Balance at Dec. 31, 2021 | $ 75,045 | $ 10 | $ 0 | $ 77,134 | $ 423 | $ (5,807) | $ 3,285 |
Balance (in shares) at Dec. 31, 2021 | 941 | ||||||
Net earnings attributable to UnitedHealth Group common shareholders | 5,027 | 5,027 | |||||
Net earnings attributable to nonredeemable noncontrolling interest | 88 | ||||||
Net Earnings, Including Portion Attributable to Nonredeemable Noncontrolling Interest | 5,115 | ||||||
Other comprehensive income (loss) | (642) | (1,560) | 918 | ||||
Issuances of common stock, and related tax effects (in shares) | 3 | ||||||
Issuances of common stock, and related tax effects | 333 | $ 0 | 333 | ||||
Share-based compensation | 282 | 282 | |||||
Common share repurchases (in shares) | (5) | ||||||
Common share repurchases | (2,500) | $ 0 | (484) | (2,016) | |||
Cash dividends paid on common shares | (1,363) | (1,363) | |||||
Redeemable noncontrolling interests fair value and other adjustments | (131) | (131) | |||||
Acquisition and other adjustments of nonredeemable noncontrolling interests | 91 | 91 | |||||
Distribution to nonredeemable noncontrolling interests | (102) | (102) | |||||
Balance at Mar. 31, 2022 | 76,128 | $ 10 | 0 | 78,782 | (1,137) | (4,889) | 3,362 |
Balance (in shares) at Mar. 31, 2022 | 939 | ||||||
Balance at Dec. 31, 2022 | $ 81,450 | $ 9 | 0 | 86,156 | (2,778) | (5,615) | 3,678 |
Balance (in shares) at Dec. 31, 2022 | 934 | 934 | |||||
Net earnings attributable to UnitedHealth Group common shareholders | $ 5,611 | 5,611 | |||||
Net earnings attributable to nonredeemable noncontrolling interest | 113 | ||||||
Net Earnings, Including Portion Attributable to Nonredeemable Noncontrolling Interest | 5,724 | ||||||
Other comprehensive income (loss) | 844 | 503 | 341 | ||||
Issuances of common stock, and related tax effects (in shares) | 2 | ||||||
Issuances of common stock, and related tax effects | 350 | $ 0 | 350 | ||||
Share-based compensation | 366 | 366 | |||||
Common share repurchases (in shares) | (4) | ||||||
Common share repurchases | (2,011) | $ 0 | (633) | (1,378) | |||
Cash dividends paid on common shares | (1,537) | (1,537) | |||||
Redeemable noncontrolling interests fair value and other adjustments | (83) | (83) | |||||
Acquisition and other adjustments of nonredeemable noncontrolling interests | 819 | 819 | |||||
Distribution to nonredeemable noncontrolling interests | (101) | (101) | |||||
Balance at Mar. 31, 2023 | $ 85,821 | $ 9 | $ 0 | $ 88,852 | $ (2,275) | $ (5,274) | $ 4,509 |
Balance (in shares) at Mar. 31, 2023 | 932 | 932 |
Condensed Consolidated Statem_4
Condensed Consolidated Statement of Changes in Equity (Parenthetical) - $ / shares | 3 Months Ended | |
Mar. 31, 2023 | Mar. 31, 2022 | |
Statement of Stockholders' Equity [Abstract] | ||
Common Stock, Dividends, Per Share, Cash Paid | $ 1.65 | $ 1.45 |
Condensed Consolidated Statem_5
Condensed Consolidated Statements of Cash Flows - USD ($) $ in Millions | 3 Months Ended | |
Mar. 31, 2023 | Mar. 31, 2022 | |
Operating activities | ||
Net earnings | $ 5,774 | $ 5,148 |
Noncash items: | ||
Depreciation and amortization | 970 | 788 |
Deferred income taxes | (332) | 161 |
Share-based compensation | 362 | 299 |
Other, net | 69 | 17 |
Net change in other operating items, net of effects from acquisitions and changes in AARP balances: | ||
Accounts receivable | (4,306) | (4,521) |
Other assets | (1,875) | (1,089) |
Medical costs payable | 2,467 | 3,849 |
Accounts payable and other liabilities | 1,796 | 589 |
Unearned revenues | 11,402 | 78 |
Cash flows from operating activities | 16,327 | 5,319 |
Investing activities | ||
Purchases of investments | (4,894) | (4,982) |
Sales of investments | 456 | 1,591 |
Maturities of investments | 2,119 | 1,759 |
Cash paid for acquisitions, net of cash assumed | (7,826) | (1,231) |
Purchases of property, equipment and capitalized software | (760) | (555) |
Other, net | (115) | (255) |
Cash flows used for investing activities | (11,020) | (3,673) |
Financing activities | ||
Common share repurchases | (2,000) | (2,500) |
Cash dividends paid | (1,537) | (1,363) |
Proceeds from common stock issuances | 344 | 551 |
Repayments of long-term debt | (1,375) | (1,100) |
Proceeds from short-term borrowings, net | 7,349 | 3,148 |
Proceeds from issuance of long-term debt | 6,401 | 0 |
Customer funds administered | 5,012 | 5,120 |
Other, net | (1,004) | (1,552) |
Cash flows from financing activities | 13,190 | 2,304 |
Effect of exchange rate changes on cash and cash equivalents | 51 | 157 |
Increase in cash and cash equivalents | 18,548 | 4,107 |
Cash and cash equivalents, beginning of period | 23,365 | 21,375 |
Cash and cash equivalents, end of period | $ 41,913 | $ 25,482 |
Basis of Presentation (Notes)
Basis of Presentation (Notes) | 3 Months Ended |
Mar. 31, 2023 | |
Basis of Presentation and Significant Accounting Policies [Text Block] | Basis of Presentation UnitedHealth Group Incorporated (individually and together with its subsidiaries, “UnitedHealth Group” and the “Company”) is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone. Our two distinct, yet complementary business platforms — Optum and UnitedHealthcare — are working to help build a modern, high-performing health system through improved access, affordability, outcomes and experiences for the individuals and organizations the Company is privileged to serve. The Company has prepared the Condensed Consolidated Financial Statements according to U.S. Generally Accepted Accounting Principles (GAAP) and has included the accounts of UnitedHealth Group and its subsidiaries. The year-end condensed consolidated balance sheet was derived from audited financial statements, but does not include all disclosures required by GAAP. In accordance with the rules and regulations of the U.S. Securities and Exchange Commission (SEC), the Company has omitted certain footnote disclosures that would substantially duplicate the disclosures contained in its annual audited Consolidated Financial Statements. Therefore, these Condensed Consolidated Financial Statements should be read together with the Consolidated Financial Statements and the Notes included in Part II, Item 8, “Financial Statements and Supplementary Data” in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022 as filed with the SEC (2022 10-K). The accompanying Condensed Consolidated Financial Statements include all normal recurring adjustments necessary to present the interim financial statements fairly. Use of Estimates These Condensed Consolidated Financial Statements include certain amounts based on the Company’s best estimates and judgments. The Company’s most significant estimates relate to estimates and judgments for medical costs payable and goodwill. Certain of these estimates require the application of complex assumptions and judgments, often because they involve matters that are inherently uncertain and will likely change in subsequent periods. The impact of any change in estimates is included in earnings in the period in which the estimate is adjusted. Revenues - Products and Services |
Investments (Notes)
Investments (Notes) | 3 Months Ended |
Mar. 31, 2023 | |
Investments [Abstract] | |
Investments [Text Block] | Investments A summary of debt securities by major security type is as follows: (in millions) Amortized Gross Gross Fair March 31, 2023 Debt securities - available-for-sale: U.S. government and agency obligations $ 4,760 $ 5 $ (236) $ 4,529 State and municipal obligations 8,055 65 (365) 7,755 Corporate obligations 24,149 59 (1,525) 22,683 U.S. agency mortgage-backed securities 8,213 35 (708) 7,540 Non-U.S. agency mortgage-backed securities 3,156 1 (283) 2,874 Total debt securities - available-for-sale 48,333 165 (3,117) 45,381 Debt securities - held-to-maturity: U.S. government and agency obligations 594 — (10) 584 State and municipal obligations 28 — (3) 25 Corporate obligations 60 — — 60 Total debt securities - held-to-maturity 682 — (13) 669 Total debt securities $ 49,015 $ 165 $ (3,130) $ 46,050 December 31, 2022 Debt securities - available-for-sale: U.S. government and agency obligations $ 4,093 $ 1 $ (285) $ 3,809 State and municipal obligations 7,702 25 (479) 7,248 Corporate obligations 23,675 17 (1,798) 21,894 U.S. agency mortgage-backed securities 7,379 15 (808) 6,586 Non-U.S. agency mortgage-backed securities 3,077 1 (294) 2,784 Total debt securities - available-for-sale 45,926 59 (3,664) 42,321 Debt securities - held-to-maturity: U.S. government and agency obligations 578 — (14) 564 State and municipal obligations 29 — (3) 26 Corporate obligations 89 — — 89 Total debt securities - held-to-maturity 696 — (17) 679 Total debt securities $ 46,622 $ 59 $ (3,681) $ 43,000 The Company held $3.9 billion and $3.7 billion of equity securities as of March 31, 2023 and December 31, 2022, respectively. The Company’s investments in equity securities primarily consist of employee savings plan related investments, venture investments and shares of Brazilian real denominated fixed-income funds with readily determinable fair values. Additionally, the Company’s investments included $1.5 billion of equity method investments in operating businesses in the health care sector as of March 31, 2023 and December 31, 2022. The allowance for credit losses on held-to-maturity securities at March 31, 2023 and December 31, 2022 was not material. The amortized cost and fair value of debt securities as of March 31, 2023, by contractual maturity, were as follows: Available-for-Sale Held-to-Maturity (in millions) Amortized Fair Amortized Fair Due in one year or less $ 4,722 $ 4,691 $ 377 $ 376 Due after one year through five years 14,356 13,708 261 254 Due after five years through ten years 12,240 11,217 24 22 Due after ten years 5,646 5,351 20 17 U.S. agency mortgage-backed securities 8,213 7,540 — — Non-U.S. agency mortgage-backed securities 3,156 2,874 — — Total debt securities $ 48,333 $ 45,381 $ 682 $ 669 The fair value of available-for-sale debt securities with gross unrealized losses by major security type and length of time that individual securities have been in a continuous unrealized loss position were as follows: Less Than 12 Months 12 Months or Greater Total (in millions) Fair Gross Fair Gross Fair Gross March 31, 2023 Debt securities - available-for-sale: U.S. government and agency obligations $ 1,279 $ (12) $ 1,825 $ (224) $ 3,104 $ (236) State and municipal obligations 1,898 (30) 3,110 (335) 5,008 (365) Corporate obligations 6,337 (178) 12,443 (1,347) 18,780 (1,525) U.S. agency mortgage-backed securities 1,589 (55) 4,274 (653) 5,863 (708) Non-U.S. agency mortgage-backed securities 783 (26) 1,989 (257) 2,772 (283) Total debt securities - available-for-sale $ 11,886 $ (301) $ 23,641 $ (2,816) $ 35,527 $ (3,117) December 31, 2022 Debt securities - available-for-sale: U.S. government and agency obligations $ 2,007 $ (96) $ 1,290 $ (189) $ 3,297 $ (285) State and municipal obligations 4,630 (288) 1,178 (191) 5,808 (479) Corporate obligations 13,003 (893) 6,637 (905) 19,640 (1,798) U.S. agency mortgage-backed securities 3,561 (345) 2,239 (463) 5,800 (808) Non-U.S. agency mortgage-backed securities 1,698 (128) 976 (166) 2,674 (294) Total debt securities - available-for-sale $ 24,899 $ (1,750) $ 12,320 $ (1,914) $ 37,219 $ (3,664) The Company’s unrealized losses from debt securities as of March 31, 2023 were generated from approximately 32,000 positions out of a total of 42,000 positions. The Company believes that it will collect the timely principal and interest due on its debt securities that have an amortized cost in excess of fair value. The unrealized losses were primarily caused by interest rate increases and not by unfavorable changes in the credit quality associated with these securities which impacted the Company’s assessment on collectability of principal and interest. At each reporting period, the Company evaluates available-for-sale debt securities for any credit-related impairment when the fair value of the investment is less than its amortized cost. The Company evaluated the expected cash flows, the underlying credit quality and credit ratings of the issuers noting no significant credit deterioration since purchase. As of March 31, 2023, the Company did not have the intent to sell any of the available-for-sale debt securities in an unrealized loss position. Therefore, the Company believes these losses to be temporary. The allowance for credit losses on available-for-sale debt securities at March 31, 2023 and December 31, 2022 was not material. |
Fair Value (Notes)
Fair Value (Notes) | 3 Months Ended |
Mar. 31, 2023 | |
Fair Value Disclosures [Abstract] | |
Fair Value [Text Block] | Fair Value Certain assets and liabilities are measured at fair value in the Condensed Consolidated Financial Statements or have fair values disclosed in the Notes to the Condensed Consolidated Financial Statements. These assets and liabilities are classified into one of three levels of a hierarchy defined by GAAP. For a description of the methods and assumptions that are used to estimate the fair value and determine the fair value hierarchy classification of each class of financial instrument, see Note 4 of Notes to the Consolidated Financial Statements included in Part II, Item 8, “Financial Statements and Supplementary Data” in the 2022 10-K. The following table presents a summary of fair value measurements by level and carrying values for items measured at fair value on a recurring basis in the Condensed Consolidated Balance Sheets: (in millions) Quoted Prices Other Unobservable Total March 31, 2023 Cash and cash equivalents $ 41,851 $ 62 $ — $ 41,913 Debt securities - available-for-sale: U.S. government and agency obligations 4,122 407 — 4,529 State and municipal obligations — 7,755 — 7,755 Corporate obligations 16 22,486 181 22,683 U.S. agency mortgage-backed securities — 7,540 — 7,540 Non-U.S. agency mortgage-backed securities — 2,874 — 2,874 Total debt securities - available-for-sale 4,138 41,062 181 45,381 Equity securities 2,128 35 70 2,233 Assets under management 1,491 2,245 101 3,837 Total assets at fair value $ 49,608 $ 43,404 $ 352 $ 93,364 Percentage of total assets at fair value 53 % 46 % 1 % 100 % December 31, 2022 Cash and cash equivalents $ 23,202 $ 163 $ — $ 23,365 Debt securities - available-for-sale: U.S. government and agency obligations 3,505 304 — 3,809 State and municipal obligations — 7,248 — 7,248 Corporate obligations 7 21,695 192 21,894 U.S. agency mortgage-backed securities — 6,586 — 6,586 Non-U.S. agency mortgage-backed securities — 2,784 — 2,784 Total debt securities - available-for-sale 3,512 38,617 192 42,321 Equity securities 2,043 35 70 2,148 Assets under management 1,788 2,203 96 4,087 Total assets at fair value $ 30,545 $ 41,018 $ 358 $ 71,921 Percentage of total assets at fair value 42 % 57 % 1 % 100 % There were no transfers in or out of Level 3 financial assets or liabilities during the three months ended March 31, 2023 or 2022. The following table presents a summary of fair value measurements by level and carrying values for certain financial instruments not measured at fair value on a recurring basis in the Condensed Consolidated Balance Sheets: (in millions) Quoted Prices Other Unobservable Total Total Carrying Value March 31, 2023 Debt securities - held-to-maturity $ 595 $ 74 $ — $ 669 $ 682 Long-term debt and other financing obligations $ — $ 60,307 $ — $ 60,307 $ 62,360 December 31, 2022 Debt securities - held-to-maturity $ 577 $ 102 $ — $ 679 $ 696 Long-term debt and other financing obligations $ — $ 53,626 $ — $ 53,626 $ 56,823 Nonfinancial assets and liabilities or financial assets and liabilities that are measured at fair value on a nonrecurring basis are subject to fair value adjustments only in certain circumstances, such as when the Company records an impairment. There were no significant fair value adjustments for these assets and liabilities recorded during the three months ended March 31, 2023 or 2022. |
Medical Costs Payable (Notes)
Medical Costs Payable (Notes) | 3 Months Ended |
Mar. 31, 2023 | |
Insurance [Abstract] | |
Short-Duration Insurance and Deposit Contracts | Medical Costs Payable The following table shows the components of the change in medical costs payable for the three months ended March 31: (in millions) 2023 2022 Medical costs payable, beginning of period $ 29,056 $ 24,483 Acquisitions 1 8 Reported medical costs: Current year 60,315 52,813 Prior years (470) (290) Total reported medical costs 59,845 52,523 Medical payments: Payments for current year (35,087) (29,589) Payments for prior years (22,006) (18,749) Total medical payments (57,093) (48,338) Medical costs payable, end of period $ 31,809 $ 28,676 |
Short-Term Borrowings and Long-
Short-Term Borrowings and Long-Term Debt (Notes) | 3 Months Ended |
Mar. 31, 2023 | |
Debt Disclosure [Abstract] | |
Debt Disclosure | Short-Term Borrowings and Long-Term Debt In March 2023, the Company issued $6.5 billion of senior unsecured notes consisting of the following: (in millions, except percentages) Par Value 4.250% notes due January 2029 $ 1,250 4.500% notes due April 2033 1,500 5.050% notes due April 2053 2,000 5.200% notes due April 2063 1,750 As of March 31, 2023, the Company had $8.2 billion of commercial paper outstanding, with a weighted-average annual interest rate of 5.2%. For more information on the Company’s short-term borrowings, debt covenants and long-term debt, see Note 8 of Notes to the Consolidated Financial Statements included in Part II, Item 8, “Financial Statements and Supplementary Data” in the 2022 10-K. |
Commitments and Contingencies (
Commitments and Contingencies (Notes) | 3 Months Ended |
Mar. 31, 2023 | |
Commitments and Contingencies Disclosure [Abstract] | |
Commitments and Contingencies Disclosure [Text Block] | Commitments and Contingencies Legal Matters The Company is frequently made party to a variety of legal actions and regulatory inquiries, including class actions and suits brought by members, care providers, consumer advocacy organizations, customers and regulators, relating to the Company’s businesses, including management and administration of health benefit plans and other services. These matters include medical malpractice, employment, intellectual property, antitrust, privacy and contract claims and claims related to health care benefits coverage and other business practices. The Company records liabilities for its estimates of probable costs resulting from these matters where appropriate. Estimates of costs resulting from legal and regulatory matters involving the Company are inherently difficult to predict, particularly where the matters: involve indeterminate claims for monetary damages or may involve fines, penalties or punitive damages; present novel legal theories or represent a shift in regulatory policy; involve a large number of claimants or regulatory bodies; are in the early stages of the proceedings; or could result in a change in business practices. Accordingly, the Company is often unable to estimate the losses or ranges of losses for those matters where there is a reasonable possibility or it is probable a loss may be incurred. Government Investigations, Audits and Reviews The Company has been involved or is currently involved in various governmental investigations, audits and reviews. These include routine, regular and special investigations, audits and reviews by the Centers for Medicare and Medicaid Services (CMS), state insurance and health and welfare departments, state attorneys general, the Office of the Inspector General, the Office of Personnel Management, the Office of Civil Rights, the Government Accountability Office, the Federal Trade Commission, U.S. Congressional committees, the U.S. Department of Justice (DOJ), the SEC, the Internal Revenue Service, the U.S. Drug Enforcement Administration, the U.S. Department of Labor, the Federal Deposit Insurance Corporation, the Consumer Financial Protection Bureau (CFPB), the Defense Contract Audit Agency and other governmental authorities. Similarly, our international businesses are also subject to investigations, audits and reviews by applicable foreign governments, including South American and other non-U.S. governmental authorities. Certain of the Company’s businesses have been reviewed or are currently under review, including for, among other matters, compliance with coding and other requirements under the Medicare risk-adjustment model. CMS has selected certain of the Company’s local plans for risk adjustment data validation (RADV) audits to validate the coding practices of and supporting documentation maintained by health care providers and such audits may result in retrospective adjustments to payments made to the Company’s health plans. On February 14, 2017, the DOJ announced its decision to pursue certain claims within a lawsuit initially asserted against the Company and filed under seal by a whistleblower in 2011. The whistleblower’s complaint, which was unsealed on February 15, 2017, alleges the Company made improper risk adjustment submissions and violated the False Claims Act. On February 12, 2018, the court granted in part and denied in part the Company’s motion to dismiss. In May 2018, the DOJ moved to dismiss the Company’s counterclaims, which were filed in March 2018, and moved for partial summary judgment. In March 2019, the court denied the government’s motion for partial summary judgment and dismissed the Company’s counterclaims without prejudice. The Company cannot reasonably estimate the outcome which may result from this matter given its procedural status. |
Business Combinations (Notes)
Business Combinations (Notes) | 3 Months Ended |
Mar. 31, 2023 | |
Business Combination and Asset Acquisition [Abstract] | |
Business Combination Disclosure | Business Combinations During the three months ended March 31, 2023, the Company completed several business combinations for total consideration of $8.0 billion. Acquired assets (liabilities) at acquisition date were: (in millions) Cash and cash equivalents $ 142 Accounts receivable and other current assets 530 Property, equipment and other long-term assets 659 Other intangible assets 2,141 Total identifiable assets acquired 3,472 Medical costs payable (1) Accounts payable and other current liabilities (467) Other long-term liabilities (698) Total identifiable liabilities acquired (1,166) Total net identifiable assets 2,306 Goodwill 6,646 Redeemable noncontrolling interests (130) Nonredeemable noncontrolling interests (819) Net assets acquired $ 8,003 The majority of goodwill is not deductible for income tax purposes. The preliminary purchase price allocations for the various business combinations are subject to adjustment as valuation analyses, primarily related to intangible assets and contingent liabilities, are finalized. The acquisition date fair values and weighted-average useful lives assigned to intangible assets were: (in millions, except years) Fair Value Weighted-Average Useful Life Acquired finite-lived intangible assets: Customer-related $ 234 13 years Trademarks and technology 220 5 years Other 10 11 years Total acquired finite-lived intangible assets 464 9 years Total acquired indefinite-lived intangible assets - operating licenses and certificates 1,677 Total acquired intangible assets $ 2,141 The results of operations and financial condition of acquired entities have been included in the Company’s consolidated results and the results of the corresponding operating segment as of the date of acquisition. Through March 31, 2023, acquired entities impact on revenues and net earnings was not material. Unaudited pro forma revenues and net earnings for the three months ended March 31, 2023 and 2022, as if the business combinations had occurred on January 1, 2022, were immaterial for both periods. |
Segment Financial Information (
Segment Financial Information (Notes) | 3 Months Ended |
Mar. 31, 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 $80.4 billion as of March 31, 2023 compared to $69.0 billion as of December 31, 2022, primarily due to goodwill from business combinations of $5.9 billion. The following tables present reportable segment financial information: Optum (in millions) UnitedHealthcare Optum Health Optum Insight Optum Rx Optum Eliminations Optum Corporate and Consolidated Three Months Ended March 31, 2023 Revenues - unaffiliated customers: Premiums $ 67,458 $ 5,328 $ — $ — $ — $ 5,328 $ — $ 72,786 Products — 44 40 10,183 — 10,267 — 10,267 Services 2,555 3,089 1,926 510 — 5,525 — 8,080 Total revenues - unaffiliated customers 70,013 8,461 1,966 10,693 — 21,120 — 91,133 Total revenues - affiliated customers — 14,266 2,510 16,679 (859) 32,596 (32,596) — Investment and other income 455 277 20 46 — 343 — 798 Total revenues $ 70,468 $ 23,004 $ 4,496 $ 27,418 $ (859) $ 54,059 $ (32,596) $ 91,931 Earnings from operations $ 4,343 $ 1,776 $ 907 $ 1,060 $ — $ 3,743 $ — $ 8,086 Interest expense — — — — — — (754) (754) Earnings before income taxes $ 4,343 $ 1,776 $ 907 $ 1,060 $ — $ 3,743 $ (754) $ 7,332 Three Months Ended March 31, 2022 Revenues - unaffiliated customers: Premiums $ 59,937 $ 4,133 $ — $ — $ — $ 4,133 $ — $ 64,070 Products — 6 40 9,294 — 9,340 — 9,340 Services 2,515 2,558 974 325 — 3,857 — 6,372 Total revenues - unaffiliated customers 62,452 6,697 1,014 9,619 — 17,330 — 79,782 Total revenues - affiliated customers — 9,829 2,138 14,291 (553) 25,705 (25,705) — Investment and other income 143 156 67 1 — 224 — 367 Total revenues $ 62,595 $ 16,682 $ 3,219 $ 23,911 $ (553) $ 43,259 $ (25,705) $ 80,149 Earnings from operations $ 3,798 $ 1,366 $ 847 $ 939 $ — $ 3,152 $ — $ 6,950 Interest expense — — — — — — (433) (433) Earnings before income taxes $ 3,798 $ 1,366 $ 847 $ 939 $ — $ 3,152 $ (433) $ 6,517 |
Basis of Presentation (Policies
Basis of Presentation (Policies) | 3 Months Ended |
Mar. 31, 2023 | |
Basis of presentation [Abstract] | |
Basis of Accounting, Policy [Policy Text Block] | The Company has prepared the Condensed Consolidated Financial Statements according to U.S. Generally Accepted Accounting Principles (GAAP) and has included the accounts of UnitedHealth Group and its subsidiaries. The year-end condensed consolidated balance sheet was derived from audited financial statements, but does not include all disclosures required by GAAP. In accordance with the rules and regulations of the U.S. Securities and Exchange Commission (SEC), the Company has omitted certain footnote disclosures that would substantially duplicate the disclosures contained in its annual audited Consolidated Financial Statements. Therefore, these Condensed Consolidated Financial Statements should be read together with the Consolidated Financial Statements and the Notes included in Part II, Item 8, “Financial Statements and Supplementary Data” in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022 as filed with the SEC (2022 10-K). The accompanying Condensed Consolidated Financial Statements include all normal recurring adjustments necessary to present the interim financial statements fairly. |
Use of Estimates, Policy [Policy Text Block] | These Condensed Consolidated Financial Statements include certain amounts based on the Company’s best estimates and judgments. The Company’s most significant estimates relate to estimates and judgments for medical costs payable and goodwill. Certain of these estimates require the application of complex assumptions and judgments, often because they involve matters that are inherently uncertain and will likely change in subsequent periods. The impact of any change in estimates is included in earnings in the period in which the estimate is adjusted. |
Revenue [Policy Text Block] | As of March 31, 2023 and December 31, 2022, accounts receivable related to products and services were $8.1 billion and $7.1 billion, respectively. Revenue expected to be recognized in any future year related to remaining performance obligations, excluding revenue pertaining to contracting having an original expected duration of one year or less, contracts where revenue recognized as invoiced and contracts with variable consideration related undelivered performance obligations, was $12.3 billion, of which approximately half is expected to be recognized in the next three years. |
Investments (Policies)
Investments (Policies) | 3 Months Ended |
Mar. 31, 2023 | |
Investments [Abstract] | |
Investment, Policy [Policy Text Block] | At each reporting period, the Company evaluates available-for-sale debt securities for any credit-related impairment when the fair value of the investment is less than its amortized cost. The Company evaluated the expected cash flows, the underlying credit quality and credit ratings of the issuers noting no significant credit deterioration since purchase. As of March 31, 2023, the Company did not have the intent to sell any of the available-for-sale debt securities in an unrealized loss position. Therefore, the Company believes these losses to be temporary. |
Investments (Tables)
Investments (Tables) | 3 Months Ended |
Mar. 31, 2023 | |
Short-Term and Long-Term Investments [Table Text Block] | A summary of debt securities by major security type is as follows: (in millions) Amortized Gross Gross Fair March 31, 2023 Debt securities - available-for-sale: U.S. government and agency obligations $ 4,760 $ 5 $ (236) $ 4,529 State and municipal obligations 8,055 65 (365) 7,755 Corporate obligations 24,149 59 (1,525) 22,683 U.S. agency mortgage-backed securities 8,213 35 (708) 7,540 Non-U.S. agency mortgage-backed securities 3,156 1 (283) 2,874 Total debt securities - available-for-sale 48,333 165 (3,117) 45,381 Debt securities - held-to-maturity: U.S. government and agency obligations 594 — (10) 584 State and municipal obligations 28 — (3) 25 Corporate obligations 60 — — 60 Total debt securities - held-to-maturity 682 — (13) 669 Total debt securities $ 49,015 $ 165 $ (3,130) $ 46,050 December 31, 2022 Debt securities - available-for-sale: U.S. government and agency obligations $ 4,093 $ 1 $ (285) $ 3,809 State and municipal obligations 7,702 25 (479) 7,248 Corporate obligations 23,675 17 (1,798) 21,894 U.S. agency mortgage-backed securities 7,379 15 (808) 6,586 Non-U.S. agency mortgage-backed securities 3,077 1 (294) 2,784 Total debt securities - available-for-sale 45,926 59 (3,664) 42,321 Debt securities - held-to-maturity: U.S. government and agency obligations 578 — (14) 564 State and municipal obligations 29 — (3) 26 Corporate obligations 89 — — 89 Total debt securities - held-to-maturity 696 — (17) 679 Total debt securities $ 46,622 $ 59 $ (3,681) $ 43,000 |
Investments by Contractual Maturity [Table Text Block] | The amortized cost and fair value of debt securities as of March 31, 2023, by contractual maturity, were as follows: Available-for-Sale Held-to-Maturity (in millions) Amortized Fair Amortized Fair Due in one year or less $ 4,722 $ 4,691 $ 377 $ 376 Due after one year through five years 14,356 13,708 261 254 Due after five years through ten years 12,240 11,217 24 22 Due after ten years 5,646 5,351 20 17 U.S. agency mortgage-backed securities 8,213 7,540 — — Non-U.S. agency mortgage-backed securities 3,156 2,874 — — Total debt securities $ 48,333 $ 45,381 $ 682 $ 669 |
Debt Securities, Available-for-sale, Unrealized Loss Position, Fair Value | The fair value of available-for-sale debt securities with gross unrealized losses by major security type and length of time that individual securities have been in a continuous unrealized loss position were as follows: Less Than 12 Months 12 Months or Greater Total (in millions) Fair Gross Fair Gross Fair Gross March 31, 2023 Debt securities - available-for-sale: U.S. government and agency obligations $ 1,279 $ (12) $ 1,825 $ (224) $ 3,104 $ (236) State and municipal obligations 1,898 (30) 3,110 (335) 5,008 (365) Corporate obligations 6,337 (178) 12,443 (1,347) 18,780 (1,525) U.S. agency mortgage-backed securities 1,589 (55) 4,274 (653) 5,863 (708) Non-U.S. agency mortgage-backed securities 783 (26) 1,989 (257) 2,772 (283) Total debt securities - available-for-sale $ 11,886 $ (301) $ 23,641 $ (2,816) $ 35,527 $ (3,117) December 31, 2022 Debt securities - available-for-sale: U.S. government and agency obligations $ 2,007 $ (96) $ 1,290 $ (189) $ 3,297 $ (285) State and municipal obligations 4,630 (288) 1,178 (191) 5,808 (479) Corporate obligations 13,003 (893) 6,637 (905) 19,640 (1,798) U.S. agency mortgage-backed securities 3,561 (345) 2,239 (463) 5,800 (808) Non-U.S. agency mortgage-backed securities 1,698 (128) 976 (166) 2,674 (294) Total debt securities - available-for-sale $ 24,899 $ (1,750) $ 12,320 $ (1,914) $ 37,219 $ (3,664) |
Fair Value (Tables)
Fair Value (Tables) | 3 Months Ended |
Mar. 31, 2023 | |
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | |
Financial Assets and Liabilities, Measured at Fair Value Recurring Basis [Table Text Block] | The following table presents a summary of fair value measurements by level and carrying values for items measured at fair value on a recurring basis in the Condensed Consolidated Balance Sheets: (in millions) Quoted Prices Other Unobservable Total March 31, 2023 Cash and cash equivalents $ 41,851 $ 62 $ — $ 41,913 Debt securities - available-for-sale: U.S. government and agency obligations 4,122 407 — 4,529 State and municipal obligations — 7,755 — 7,755 Corporate obligations 16 22,486 181 22,683 U.S. agency mortgage-backed securities — 7,540 — 7,540 Non-U.S. agency mortgage-backed securities — 2,874 — 2,874 Total debt securities - available-for-sale 4,138 41,062 181 45,381 Equity securities 2,128 35 70 2,233 Assets under management 1,491 2,245 101 3,837 Total assets at fair value $ 49,608 $ 43,404 $ 352 $ 93,364 Percentage of total assets at fair value 53 % 46 % 1 % 100 % December 31, 2022 Cash and cash equivalents $ 23,202 $ 163 $ — $ 23,365 Debt securities - available-for-sale: U.S. government and agency obligations 3,505 304 — 3,809 State and municipal obligations — 7,248 — 7,248 Corporate obligations 7 21,695 192 21,894 U.S. agency mortgage-backed securities — 6,586 — 6,586 Non-U.S. agency mortgage-backed securities — 2,784 — 2,784 Total debt securities - available-for-sale 3,512 38,617 192 42,321 Equity securities 2,043 35 70 2,148 Assets under management 1,788 2,203 96 4,087 Total assets at fair value $ 30,545 $ 41,018 $ 358 $ 71,921 Percentage of total assets at fair value 42 % 57 % 1 % 100 % |
Fair Value Measurements, Nonrecurring [Table Text Block] | The following table presents a summary of fair value measurements by level and carrying values for certain financial instruments not measured at fair value on a recurring basis in the Condensed Consolidated Balance Sheets: (in millions) Quoted Prices Other Unobservable Total Total Carrying Value March 31, 2023 Debt securities - held-to-maturity $ 595 $ 74 $ — $ 669 $ 682 Long-term debt and other financing obligations $ — $ 60,307 $ — $ 60,307 $ 62,360 December 31, 2022 Debt securities - held-to-maturity $ 577 $ 102 $ — $ 679 $ 696 Long-term debt and other financing obligations $ — $ 53,626 $ — $ 53,626 $ 56,823 |
Medical Costs Payable (Tables)
Medical Costs Payable (Tables) | 3 Months Ended |
Mar. 31, 2023 | |
Insurance [Abstract] | |
Schedule of Liability for Unpaid Claims and Claims Adjustment Expense | The following table shows the components of the change in medical costs payable for the three months ended March 31: (in millions) 2023 2022 Medical costs payable, beginning of period $ 29,056 $ 24,483 Acquisitions 1 8 Reported medical costs: Current year 60,315 52,813 Prior years (470) (290) Total reported medical costs 59,845 52,523 Medical payments: Payments for current year (35,087) (29,589) Payments for prior years (22,006) (18,749) Total medical payments (57,093) (48,338) Medical costs payable, end of period $ 31,809 $ 28,676 |
Short-Term Borrowings and Lon_2
Short-Term Borrowings and Long-Term Debt (Tables) | 3 Months Ended |
Mar. 31, 2023 | |
Debt Instrument [Line Items] | |
Long-Term Debt [Table Text Block] | In March 2023, the Company issued $6.5 billion of senior unsecured notes consisting of the following: (in millions, except percentages) Par Value 4.250% notes due January 2029 $ 1,250 4.500% notes due April 2033 1,500 5.050% notes due April 2053 2,000 5.200% notes due April 2063 1,750 |
Business Combinations (Tables)
Business Combinations (Tables) | 3 Months Ended |
Mar. 31, 2023 | |
Business Combination and Asset Acquisition [Abstract] | |
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block] | Acquired assets (liabilities) at acquisition date were: (in millions) Cash and cash equivalents $ 142 Accounts receivable and other current assets 530 Property, equipment and other long-term assets 659 Other intangible assets 2,141 Total identifiable assets acquired 3,472 Medical costs payable (1) Accounts payable and other current liabilities (467) Other long-term liabilities (698) Total identifiable liabilities acquired (1,166) Total net identifiable assets 2,306 Goodwill 6,646 Redeemable noncontrolling interests (130) Nonredeemable noncontrolling interests (819) Net assets acquired $ 8,003 |
Finite-Lived and Indefinite-Lived Intangible Assets Acquired as Part of Business Combination [Table Text Block] | The acquisition date fair values and weighted-average useful lives assigned to intangible assets were: (in millions, except years) Fair Value Weighted-Average Useful Life Acquired finite-lived intangible assets: Customer-related $ 234 13 years Trademarks and technology 220 5 years Other 10 11 years Total acquired finite-lived intangible assets 464 9 years Total acquired indefinite-lived intangible assets - operating licenses and certificates 1,677 Total acquired intangible assets $ 2,141 |
Segment Financial Information_2
Segment Financial Information (Tables) | 3 Months Ended |
Mar. 31, 2023 | |
Segment Reporting [Abstract] | |
Schedule of Segment Reporting Information, by Segment | The following tables present reportable segment financial information: Optum (in millions) UnitedHealthcare Optum Health Optum Insight Optum Rx Optum Eliminations Optum Corporate and Consolidated Three Months Ended March 31, 2023 Revenues - unaffiliated customers: Premiums $ 67,458 $ 5,328 $ — $ — $ — $ 5,328 $ — $ 72,786 Products — 44 40 10,183 — 10,267 — 10,267 Services 2,555 3,089 1,926 510 — 5,525 — 8,080 Total revenues - unaffiliated customers 70,013 8,461 1,966 10,693 — 21,120 — 91,133 Total revenues - affiliated customers — 14,266 2,510 16,679 (859) 32,596 (32,596) — Investment and other income 455 277 20 46 — 343 — 798 Total revenues $ 70,468 $ 23,004 $ 4,496 $ 27,418 $ (859) $ 54,059 $ (32,596) $ 91,931 Earnings from operations $ 4,343 $ 1,776 $ 907 $ 1,060 $ — $ 3,743 $ — $ 8,086 Interest expense — — — — — — (754) (754) Earnings before income taxes $ 4,343 $ 1,776 $ 907 $ 1,060 $ — $ 3,743 $ (754) $ 7,332 Three Months Ended March 31, 2022 Revenues - unaffiliated customers: Premiums $ 59,937 $ 4,133 $ — $ — $ — $ 4,133 $ — $ 64,070 Products — 6 40 9,294 — 9,340 — 9,340 Services 2,515 2,558 974 325 — 3,857 — 6,372 Total revenues - unaffiliated customers 62,452 6,697 1,014 9,619 — 17,330 — 79,782 Total revenues - affiliated customers — 9,829 2,138 14,291 (553) 25,705 (25,705) — Investment and other income 143 156 67 1 — 224 — 367 Total revenues $ 62,595 $ 16,682 $ 3,219 $ 23,911 $ (553) $ 43,259 $ (25,705) $ 80,149 Earnings from operations $ 3,798 $ 1,366 $ 847 $ 939 $ — $ 3,152 $ — $ 6,950 Interest expense — — — — — — (433) (433) Earnings before income taxes $ 3,798 $ 1,366 $ 847 $ 939 $ — $ 3,152 $ (433) $ 6,517 |
Basis of Presentation (Details)
Basis of Presentation (Details) - USD ($) $ in Millions | 3 Months Ended | |
Mar. 31, 2023 | Dec. 31, 2022 | |
Nature of Operations | UnitedHealth Group Incorporated (individually and together with its subsidiaries, “UnitedHealth Group” and the “Company”) is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone. Our two distinct, yet complementary business platforms — Optum and UnitedHealthcare — are working to help build a modern, high-performing health system through improved access, affordability, outcomes and experiences for the individuals and organizations the Company is privileged to serve. | |
Accounts Receivable, after Allowance for Credit Loss, Current | $ 22,414 | $ 17,681 |
Revenue, Remaining Performance Obligation, Amount | $ 12,300 | |
Revenue, Remaining Performance Obligation, Percentage | 50% | |
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2023-04-01 | ||
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Period | 3 years | |
unh:ProductsandservicesMember | ||
Accounts Receivable, after Allowance for Credit Loss, Current | $ 8,100 | $ 7,100 |
Investments (Narrative) (Detail
Investments (Narrative) (Details) $ in Millions | Mar. 31, 2023 USD ($) | Dec. 31, 2022 USD ($) |
Investments [Abstract] | ||
Equity Securities, FV-NI and without Readily Determinable Fair Value | $ 3,900 | $ 3,700 |
Equity Method Investments | $ 1,500 | |
Debt Securities, Available-for-sale, Unrealized Loss Position, Number of Positions | 32,000 | |
Total number of security positions | 42,000 |
Investments (Short-Term and Lon
Investments (Short-Term and Long-Term Investments) (Details) - USD ($) $ in Millions | Mar. 31, 2023 | Dec. 31, 2022 |
Schedule of Investments [Line Items] | ||
Debt Securities, Available-for-sale, Amortized Cost | $ 48,333 | $ 45,926 |
Securities, Available for sale Debt Securities, Gross Unrealized Gains | 165 | 59 |
Debt Securities, Available-for-sale, Accumulated Gross Unrealized Loss, before Tax | (3,117) | (3,664) |
Debt Securities, Available-for-sale | 45,381 | 42,321 |
Held-to-maturity securities, Amortized Cost | 682 | 696 |
Securities, Held to maturity, Unrecognized Holding Gain | 0 | 0 |
Debt Securities, Held-to-maturity, Accumulated Unrecognized Loss | (13) | (17) |
Debt Securities, Held-to-maturity, Fair Value | 669 | 679 |
Total debt securities, Amortized Cost | 49,015 | 46,622 |
Total debt securities, Gross Unrealized Gains | 165 | 59 |
Total debt securities, Gross Unrealized Losses | (3,130) | (3,681) |
Debt securities, Fair Value Disclosure | 46,050 | 43,000 |
Debt Securities [Member] | ||
Schedule of Investments [Line Items] | ||
Debt Securities, Available-for-sale | 45,381 | 42,321 |
U.S. Government and Agency Obligations [Member] | ||
Schedule of Investments [Line Items] | ||
Debt Securities, Available-for-sale, Amortized Cost | 4,760 | 4,093 |
Securities, Available for sale Debt Securities, Gross Unrealized Gains | 5 | 1 |
Debt Securities, Available-for-sale, Accumulated Gross Unrealized Loss, before Tax | (236) | (285) |
Debt Securities, Available-for-sale | 4,529 | 3,809 |
Held-to-maturity securities, Amortized Cost | 594 | 578 |
Securities, Held to maturity, Unrecognized Holding Gain | 0 | 0 |
Debt Securities, Held-to-maturity, Accumulated Unrecognized Loss | (10) | (14) |
Debt Securities, Held-to-maturity, Fair Value | 584 | 564 |
State and Municipal Obligations [Member] | ||
Schedule of Investments [Line Items] | ||
Debt Securities, Available-for-sale, Amortized Cost | 8,055 | 7,702 |
Securities, Available for sale Debt Securities, Gross Unrealized Gains | 65 | 25 |
Debt Securities, Available-for-sale, Accumulated Gross Unrealized Loss, before Tax | (365) | (479) |
Debt Securities, Available-for-sale | 7,755 | 7,248 |
Held-to-maturity securities, Amortized Cost | 28 | 29 |
Securities, Held to maturity, Unrecognized Holding Gain | 0 | 0 |
Debt Securities, Held-to-maturity, Accumulated Unrecognized Loss | (3) | (3) |
Debt Securities, Held-to-maturity, Fair Value | 25 | 26 |
Corporate Obligations [Member] | ||
Schedule of Investments [Line Items] | ||
Debt Securities, Available-for-sale, Amortized Cost | 24,149 | 23,675 |
Securities, Available for sale Debt Securities, Gross Unrealized Gains | 59 | 17 |
Debt Securities, Available-for-sale, Accumulated Gross Unrealized Loss, before Tax | (1,525) | (1,798) |
Debt Securities, Available-for-sale | 22,683 | 21,894 |
Held-to-maturity securities, Amortized Cost | 60 | 89 |
Securities, Held to maturity, Unrecognized Holding Gain | 0 | 0 |
Debt Securities, Held-to-maturity, Accumulated Unrecognized Loss | 0 | 0 |
Debt Securities, Held-to-maturity, Fair Value | 60 | 89 |
U.S. Agency Mortgage-Backed Securities [Member] | ||
Schedule of Investments [Line Items] | ||
Debt Securities, Available-for-sale, Amortized Cost | 8,213 | 7,379 |
Securities, Available for sale Debt Securities, Gross Unrealized Gains | 35 | 15 |
Debt Securities, Available-for-sale, Accumulated Gross Unrealized Loss, before Tax | (708) | (808) |
Debt Securities, Available-for-sale | 7,540 | 6,586 |
Non-U.S. Agency Mortgage-Backed Securities [Member] | ||
Schedule of Investments [Line Items] | ||
Debt Securities, Available-for-sale, Amortized Cost | 3,156 | 3,077 |
Securities, Available for sale Debt Securities, Gross Unrealized Gains | 1 | 1 |
Debt Securities, Available-for-sale, Accumulated Gross Unrealized Loss, before Tax | (283) | (294) |
Debt Securities, Available-for-sale | $ 2,874 | $ 2,784 |
Investments (Amortized Cost and
Investments (Amortized Cost and Fair Value of Available-for-Sale Debt Securities by Contractual Maturity) (Details) - USD ($) $ in Millions | Mar. 31, 2023 | Dec. 31, 2022 |
Schedule of Investments [Line Items] | ||
Due in one year or less, Amortized Cost | $ 4,722 | |
Due after one year through five years, Amortized Cost | 14,356 | |
Due after five years through ten years, Amortized Cost | 12,240 | |
Due after ten years, Amortized Cost | 5,646 | |
Total debt securities - available-for-sale, Amortized Cost | 48,333 | $ 45,926 |
Due in one year or less, Fair Value | 4,691 | |
Due after one year through five years, Fair Value | 13,708 | |
Due after five years through ten years, Fair Value | 11,217 | |
Due after ten years, Fair Value | 5,351 | |
Debt Securities, Available-for-sale | 45,381 | 42,321 |
Debt Securities, Held-to-Maturity, Amortized Cost, Maturity, Allocated and Single Maturity Date, Year One | 377 | |
Debt Securities, Held-to-Maturity, Amortized Cost, Maturity, Allocated and Single Maturity Date, after Year One Through Five | 261 | |
Debt Securities, Held-to-Maturity, Amortized Cost, Maturity, Allocated and Single Maturity Date, after Year 5 Through 10 | 24 | |
Debt Securities, Held-to-Maturity, Amortized Cost, Maturity, Allocated and Single Maturity Date, after Year 10 | 20 | |
Debt Securities, Held-to-maturity | 682 | 696 |
Held-to-maturity Securities, Debt Maturities, within One Year, Fair Value | 376 | |
Debt Securities, Held-to-Maturity, Fair Value, Maturity, Allocated and Single Maturity Date, after Year One Through Five | 254 | |
Debt Securities, Held-to-Maturity, Fair Value, Maturity, Allocated and Single Maturity Date, after Year 5 Through 10 | 22 | |
Debt Securities, Held-to-Maturity, Fair Value, Maturity, Allocated and Single Maturity Date, after Year 10 | 17 | |
Debt Securities, Held-to-maturity, Fair Value | 669 | 679 |
U.S. Agency Mortgage-Backed Securities [Member] | ||
Schedule of Investments [Line Items] | ||
Mortgage-backed securities, Amortized Cost | 8,213 | |
Total debt securities - available-for-sale, Amortized Cost | 8,213 | 7,379 |
Mortgage-backed securities, Fair Value | 7,540 | |
Debt Securities, Available-for-sale | 7,540 | 6,586 |
Non-U.S. Agency Mortgage-Backed Securities [Member] | ||
Schedule of Investments [Line Items] | ||
Mortgage-backed securities, Amortized Cost | 3,156 | |
Total debt securities - available-for-sale, Amortized Cost | 3,156 | 3,077 |
Mortgage-backed securities, Fair Value | 2,874 | |
Debt Securities, Available-for-sale | $ 2,874 | $ 2,784 |
Investments (Fair Value of Avai
Investments (Fair Value of Available-For-Sale Investments with Gross Unrealized Losses by Investment Type and Length of Time That Individual Securities Have Been in a Continuous Unrealized Loss Position) (Details) - USD ($) $ in Millions | Mar. 31, 2023 | Dec. 31, 2022 |
Debt Securities [Member] | ||
Schedule of Investments [Line Items] | ||
Less Than 12 Months, Fair Value | $ 11,886 | $ 24,899 |
Less Than 12 Months, Gross Unrealized Losses | (301) | (1,750) |
Greater Than 12 Months, Fair Value | 23,641 | 12,320 |
Greater Than 12 Months, Gross Unrealized Losses | (2,816) | (1,914) |
Total, Fair Value | 35,527 | 37,219 |
Available-for-sale Securities, Continuous Unrealized Loss Position, Accumulated Loss | (3,117) | (3,664) |
U.S. Government and Agency Obligations [Member] | ||
Schedule of Investments [Line Items] | ||
Less Than 12 Months, Fair Value | 1,279 | 2,007 |
Less Than 12 Months, Gross Unrealized Losses | (12) | (96) |
Greater Than 12 Months, Fair Value | 1,825 | 1,290 |
Greater Than 12 Months, Gross Unrealized Losses | (224) | (189) |
Total, Fair Value | 3,104 | 3,297 |
Available-for-sale Securities, Continuous Unrealized Loss Position, Accumulated Loss | (236) | (285) |
State and Municipal Obligations [Member] | ||
Schedule of Investments [Line Items] | ||
Less Than 12 Months, Fair Value | 1,898 | 4,630 |
Less Than 12 Months, Gross Unrealized Losses | (30) | (288) |
Greater Than 12 Months, Fair Value | 3,110 | 1,178 |
Greater Than 12 Months, Gross Unrealized Losses | (335) | (191) |
Total, Fair Value | 5,008 | 5,808 |
Available-for-sale Securities, Continuous Unrealized Loss Position, Accumulated Loss | (365) | (479) |
Corporate Obligations [Member] | ||
Schedule of Investments [Line Items] | ||
Less Than 12 Months, Fair Value | 6,337 | 13,003 |
Less Than 12 Months, Gross Unrealized Losses | (178) | (893) |
Greater Than 12 Months, Fair Value | 12,443 | 6,637 |
Greater Than 12 Months, Gross Unrealized Losses | (1,347) | (905) |
Total, Fair Value | 18,780 | 19,640 |
Available-for-sale Securities, Continuous Unrealized Loss Position, Accumulated Loss | (1,525) | (1,798) |
U.S. Agency Mortgage-Backed Securities [Member] | ||
Schedule of Investments [Line Items] | ||
Less Than 12 Months, Fair Value | 1,589 | 3,561 |
Less Than 12 Months, Gross Unrealized Losses | (55) | (345) |
Greater Than 12 Months, Fair Value | 4,274 | 2,239 |
Greater Than 12 Months, Gross Unrealized Losses | (653) | (463) |
Total, Fair Value | 5,863 | 5,800 |
Available-for-sale Securities, Continuous Unrealized Loss Position, Accumulated Loss | (708) | (808) |
Non-U.S. Agency Mortgage-Backed Securities [Member] | ||
Schedule of Investments [Line Items] | ||
Less Than 12 Months, Fair Value | 783 | 1,698 |
Less Than 12 Months, Gross Unrealized Losses | (26) | (128) |
Greater Than 12 Months, Fair Value | 1,989 | 976 |
Greater Than 12 Months, Gross Unrealized Losses | (257) | (166) |
Total, Fair Value | 2,772 | 2,674 |
Available-for-sale Securities, Continuous Unrealized Loss Position, Accumulated Loss | $ (283) | $ (294) |
Fair Value (Narrative) (Details
Fair Value (Narrative) (Details) - USD ($) $ in Millions | 3 Months Ended | |
Mar. 31, 2023 | Mar. 31, 2022 | |
Fair Value [Line Items] | ||
Transfers Into Level 3 | $ 0 | $ 0 |
Transfers out of Level 3 | 0 | 0 |
Significant fair value adjustments for assets and liabilities measured on a nonrecurring basis | $ 0 | $ 0 |
Fair Value (Financial Assets an
Fair Value (Financial Assets and Liabilities Measured at Fair Value on a Recurring Basis) (Details) - USD ($) $ in Millions | Mar. 31, 2023 | Dec. 31, 2022 |
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Cash and cash equivalents | $ 41,913 | $ 23,365 |
Debt Securities, Available-for-sale | 45,381 | 42,321 |
Equity Securities, FV-NI | 2,233 | 2,148 |
Assets under management | 3,837 | 4,087 |
Assets, Fair Value Disclosure | 93,364 | 71,921 |
Debt Securities [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Debt Securities, Available-for-sale | 45,381 | 42,321 |
U.S. Government and Agency Obligations [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Debt Securities, Available-for-sale | 4,529 | 3,809 |
State and Municipal Obligations [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Debt Securities, Available-for-sale | 7,755 | 7,248 |
Corporate Obligations [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Debt Securities, Available-for-sale | 22,683 | 21,894 |
U.S. Agency Mortgage-Backed Securities [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Debt Securities, Available-for-sale | 7,540 | 6,586 |
Non-U.S. Agency Mortgage-Backed Securities [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Debt Securities, Available-for-sale | 2,874 | 2,784 |
Quoted Prices in Active Markets (Level 1) [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Cash and cash equivalents | 41,851 | 23,202 |
Equity Securities, FV-NI | 2,128 | 2,043 |
Assets under management | 1,491 | 1,788 |
Assets, Fair Value Disclosure | 49,608 | 30,545 |
Quoted Prices in Active Markets (Level 1) [Member] | Debt Securities [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Debt Securities, Available-for-sale | 4,138 | 3,512 |
Quoted Prices in Active Markets (Level 1) [Member] | U.S. Government and Agency Obligations [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Debt Securities, Available-for-sale | 4,122 | 3,505 |
Quoted Prices in Active Markets (Level 1) [Member] | State and Municipal Obligations [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Debt Securities, Available-for-sale | 0 | 0 |
Quoted Prices in Active Markets (Level 1) [Member] | Corporate Obligations [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Debt Securities, Available-for-sale | 16 | 7 |
Quoted Prices in Active Markets (Level 1) [Member] | U.S. Agency Mortgage-Backed Securities [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Debt Securities, Available-for-sale | 0 | 0 |
Quoted Prices in Active Markets (Level 1) [Member] | Non-U.S. Agency Mortgage-Backed Securities [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Debt Securities, Available-for-sale | 0 | 0 |
Other Observable Inputs (Level 2) [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Cash and cash equivalents | 62 | 163 |
Equity Securities, FV-NI | 35 | 35 |
Assets under management | 2,245 | 2,203 |
Assets, Fair Value Disclosure | 43,404 | 41,018 |
Other Observable Inputs (Level 2) [Member] | Debt Securities [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Debt Securities, Available-for-sale | 41,062 | 38,617 |
Other Observable Inputs (Level 2) [Member] | U.S. Government and Agency Obligations [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Debt Securities, Available-for-sale | 407 | 304 |
Other Observable Inputs (Level 2) [Member] | State and Municipal Obligations [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Debt Securities, Available-for-sale | 7,755 | 7,248 |
Other Observable Inputs (Level 2) [Member] | Corporate Obligations [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Debt Securities, Available-for-sale | 22,486 | 21,695 |
Other Observable Inputs (Level 2) [Member] | U.S. Agency Mortgage-Backed Securities [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Debt Securities, Available-for-sale | 7,540 | 6,586 |
Other Observable Inputs (Level 2) [Member] | Non-U.S. Agency Mortgage-Backed Securities [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Debt Securities, Available-for-sale | 2,874 | 2,784 |
Unobservable Inputs (Level 3) [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Cash and cash equivalents | 0 | 0 |
Equity Securities, FV-NI | 70 | 70 |
Assets under management | 101 | 96 |
Assets, Fair Value Disclosure | 352 | 358 |
Unobservable Inputs (Level 3) [Member] | Debt Securities [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Debt Securities, Available-for-sale | 181 | 192 |
Unobservable Inputs (Level 3) [Member] | U.S. Government and Agency Obligations [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Debt Securities, Available-for-sale | 0 | 0 |
Unobservable Inputs (Level 3) [Member] | State and Municipal Obligations [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Debt Securities, Available-for-sale | 0 | 0 |
Unobservable Inputs (Level 3) [Member] | Corporate Obligations [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Debt Securities, Available-for-sale | 181 | 192 |
Unobservable Inputs (Level 3) [Member] | U.S. Agency Mortgage-Backed Securities [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Debt Securities, Available-for-sale | 0 | 0 |
Unobservable Inputs (Level 3) [Member] | Non-U.S. Agency Mortgage-Backed Securities [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Debt Securities, Available-for-sale | $ 0 | $ 0 |
Fair Value (Financial Assets _2
Fair Value (Financial Assets and Liabilities, Not Measured at Fair Value on a Recurring Basis) (Details) - USD ($) $ in Millions | Mar. 31, 2023 | Dec. 31, 2022 |
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Debt Securities, Held-to-maturity, Fair Value | $ 669 | $ 679 |
Debt Securities, Held-to-maturity | 682 | 696 |
Fair Value, Nonrecurring [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Debt Securities, Held-to-maturity, Fair Value | 669 | 679 |
Debt and other financing obligations | 60,307 | 53,626 |
Fair Value, Nonrecurring [Member] | Quoted Prices in Active Markets (Level 1) [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Debt Securities, Held-to-maturity, Fair Value | 595 | 577 |
Debt and other financing obligations | 0 | 0 |
Fair Value, Nonrecurring [Member] | Other Observable Inputs (Level 2) [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Debt Securities, Held-to-maturity, Fair Value | 74 | 102 |
Debt and other financing obligations | 60,307 | 53,626 |
Fair Value, Nonrecurring [Member] | Unobservable Inputs (Level 3) [Member] | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Debt Securities, Held-to-maturity, Fair Value | 0 | 0 |
Debt and other financing obligations | 0 | 0 |
Long-term debt and other financing obligations | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Debt and other financing obligations, carrying value | $ 62,360 | $ 56,823 |
Medical Costs Payable (Narrativ
Medical Costs Payable (Narrative) (Details) - USD ($) $ in Billions | Mar. 31, 2023 | Dec. 31, 2022 |
Insurance [Abstract] | ||
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred but Not Reported (IBNR) Claims, Amount | $ 21.7 | $ 20 |
Medical Costs Payable (Details)
Medical Costs Payable (Details) - USD ($) $ in Millions | 3 Months Ended | |
Mar. 31, 2023 | Mar. 31, 2022 | |
Causes of Increase (Decrease) in Liability for Unpaid Claims and Claims Adjustment Expense [Line Items] | ||
Medical costs payable, beginning of period | $ 29,056 | $ 24,483 |
Acquisitions | 1 | 8 |
Reported medical costs: | ||
Current year | 60,315 | 52,813 |
Prior year | (470) | (290) |
Total reported medical costs | 59,845 | 52,523 |
Medical payments: | ||
Payments for current year | (35,087) | (29,589) |
Payments for prior years | (22,006) | (18,749) |
Total medical payments | (57,093) | (48,338) |
Medical costs payable, end of period | $ 31,809 | $ 28,676 |
Short-Term Borrowings and Lon_3
Short-Term Borrowings and Long-Term Debt (Details) $ in Millions | Mar. 31, 2023 USD ($) |
Debt Instrument [Line Items] | |
Par Value | $ 6,500 |
Commercial Paper | $ 8,200 |
4.250% notes due January 2029 | |
Debt Instrument [Line Items] | |
Debt Instrument, Interest Rate, Stated Percentage | 4.25% |
Par Value | $ 1,250 |
4.500% notes due April 2033 | |
Debt Instrument [Line Items] | |
Debt Instrument, Interest Rate, Stated Percentage | 4.50% |
Par Value | $ 1,500 |
5.050% notes due April 2053 | |
Debt Instrument [Line Items] | |
Debt Instrument, Interest Rate, Stated Percentage | 5.05% |
Par Value | $ 2,000 |
5.200% notes due April 2063 | |
Debt Instrument [Line Items] | |
Debt Instrument, Interest Rate, Stated Percentage | 5.20% |
Par Value | $ 1,750 |
Short-Term Borrowings and Lon_4
Short-Term Borrowings and Long-Term Debt (Narrative) (Details) $ in Millions | Mar. 31, 2023 USD ($) Rate |
Debt Instrument [Line Items] | |
Commercial Paper | $ | $ 8,200 |
Commercial Paper [Member] | |
Debt Instrument [Line Items] | |
Short-term Debt, Weighted Average Interest Rate, at Point in Time | Rate | 5.20% |
Business Combinations (Narrativ
Business Combinations (Narrative) (Details) $ in Millions | 3 Months Ended |
Mar. 31, 2023 USD ($) | |
Business Combination and Asset Acquisition [Abstract] | |
Business Combination, Consideration Transferred | $ 8,000 |
Business Combinations (Details)
Business Combinations (Details) $ in Millions | 3 Months Ended |
Mar. 31, 2023 USD ($) | |
Business Acquisition [Line Items] | |
Cash and cash equivalents | $ 142 |
Accounts receivable and other current assets | 530 |
Property, equipment and other long-term assets | 659 |
Other Intangible Assets | 2,141 |
Total identifiable assets acquired | 3,472 |
Medical costs payable | (1) |
Accounts payable and other current liabilities | (467) |
Other long-term liabilities | (698) |
Total identifiable liabilities acquired | (1,166) |
Total net tangible assets | 2,306 |
Goodwill | 6,646 |
Redeemable noncontrolling interests | (130) |
Nonredeemable noncontrolling interests | (819) |
Net Assets Acquired | $ 8,003 |
Business Combinations Acquired
Business Combinations Acquired Finite-Lived Intangible Asets (Details) $ in Millions | 3 Months Ended |
Mar. 31, 2023 USD ($) | |
Finite-Lived Intangible Assets [Line Items] | |
Finite-lived Intangible Assets Acquired | $ 464 |
Acquired Finite-Lived Intangible Assets, Weighted Average Useful Life | 9 years |
Indefinite-Lived Intangible Assets Acquired | $ 1,677 |
Other Intangible Assets | 2,141 |
Customer-Related Intangible Assets [Member] | |
Finite-Lived Intangible Assets [Line Items] | |
Finite-lived Intangible Assets Acquired | $ 234 |
Acquired Finite-Lived Intangible Assets, Weighted Average Useful Life | 13 years |
Trademarks and Technology [Member] | |
Finite-Lived Intangible Assets [Line Items] | |
Finite-lived Intangible Assets Acquired | $ 220 |
Acquired Finite-Lived Intangible Assets, Weighted Average Useful Life | 5 years |
Other Intangible Assets [Member] | |
Finite-Lived Intangible Assets [Line Items] | |
Finite-lived Intangible Assets Acquired | $ 10 |
Acquired Finite-Lived Intangible Assets, Weighted Average Useful Life | 11 years |
Segment Financial Information_3
Segment Financial Information (Narrative) (Details) $ in Millions | 3 Months Ended | |
Mar. 31, 2023 USD ($) reportableSegments | Dec. 31, 2022 USD ($) | |
Statement [Line Items] | ||
Number of Reportable Segments | reportableSegments | 4 | |
Assets | $ 283,679 | $ 245,705 |
Goodwill | 6,646 | |
Optum Health | ||
Statement [Line Items] | ||
Assets | 80,400 | $ 69,000 |
Goodwill | $ 5,900 |
Segment Financial Information_4
Segment Financial Information (Details) - USD ($) $ in Millions | 3 Months Ended | |
Mar. 31, 2023 | Mar. 31, 2022 | |
Statement [Line Items] | ||
Premiums, revenues - unaffiliated customers | $ 72,786 | $ 64,070 |
Investment and other income | 798 | 367 |
Total revenues | 91,931 | 80,149 |
Earnings from operations | 8,086 | 6,950 |
Interest expense | (754) | (433) |
Income (Loss) from Continuing Operations before Income Taxes, Noncontrolling Interest | 7,332 | 6,517 |
Products | ||
Statement [Line Items] | ||
Revenue from Products and Services - unaffiliated customers | 10,267 | 9,340 |
Services | ||
Statement [Line Items] | ||
Revenue from Products and Services - unaffiliated customers | 8,080 | 6,372 |
Optum | ||
Statement [Line Items] | ||
Investment and other income | 343 | 224 |
Total revenues | 54,059 | 43,259 |
Earnings from operations | 3,743 | 3,152 |
Interest expense | 0 | 0 |
Income (Loss) from Continuing Operations before Income Taxes, Noncontrolling Interest | 3,743 | 3,152 |
Unaffiliated Customers | ||
Statement [Line Items] | ||
Premiums, revenues - unaffiliated customers | 72,786 | 64,070 |
Total revenues | 91,133 | 79,782 |
Unaffiliated Customers | Products | ||
Statement [Line Items] | ||
Revenue from Products and Services - unaffiliated customers | 10,267 | 9,340 |
Unaffiliated Customers | Services | ||
Statement [Line Items] | ||
Revenue from Products and Services - unaffiliated customers | 8,080 | 6,372 |
Unaffiliated Customers | Optum | ||
Statement [Line Items] | ||
Premiums, revenues - unaffiliated customers | 5,328 | 4,133 |
Total revenues | 21,120 | 17,330 |
Unaffiliated Customers | Optum | Products | ||
Statement [Line Items] | ||
Revenue from Products and Services - unaffiliated customers | 10,267 | 9,340 |
Unaffiliated Customers | Optum | Services | ||
Statement [Line Items] | ||
Revenue from Products and Services - unaffiliated customers | 5,525 | 3,857 |
Affiliated Customers | ||
Statement [Line Items] | ||
Total revenues | 0 | 0 |
Affiliated Customers | Optum | ||
Statement [Line Items] | ||
Total revenues | 32,596 | 25,705 |
Operating Segments | UnitedHealthcare | ||
Statement [Line Items] | ||
Investment and other income | 455 | 143 |
Total revenues | 70,468 | 62,595 |
Earnings from operations | 4,343 | 3,798 |
Interest expense | 0 | 0 |
Income (Loss) from Continuing Operations before Income Taxes, Noncontrolling Interest | 4,343 | 3,798 |
Operating Segments | Optum Health | ||
Statement [Line Items] | ||
Investment and other income | 277 | 156 |
Total revenues | 23,004 | 16,682 |
Earnings from operations | 1,776 | 1,366 |
Interest expense | 0 | 0 |
Income (Loss) from Continuing Operations before Income Taxes, Noncontrolling Interest | 1,776 | 1,366 |
Operating Segments | Optum Insight | ||
Statement [Line Items] | ||
Investment and other income | 20 | 67 |
Total revenues | 4,496 | 3,219 |
Earnings from operations | 907 | 847 |
Interest expense | 0 | 0 |
Income (Loss) from Continuing Operations before Income Taxes, Noncontrolling Interest | 907 | 847 |
Operating Segments | Optum Rx | ||
Statement [Line Items] | ||
Investment and other income | 46 | 1 |
Total revenues | 27,418 | 23,911 |
Earnings from operations | 1,060 | 939 |
Interest expense | 0 | 0 |
Income (Loss) from Continuing Operations before Income Taxes, Noncontrolling Interest | 1,060 | 939 |
Operating Segments | Unaffiliated Customers | UnitedHealthcare | ||
Statement [Line Items] | ||
Premiums, revenues - unaffiliated customers | 67,458 | 59,937 |
Total revenues | 70,013 | 62,452 |
Operating Segments | Unaffiliated Customers | UnitedHealthcare | Products | ||
Statement [Line Items] | ||
Revenue from Products and Services - unaffiliated customers | 0 | 0 |
Operating Segments | Unaffiliated Customers | UnitedHealthcare | Services | ||
Statement [Line Items] | ||
Revenue from Products and Services - unaffiliated customers | 2,555 | 2,515 |
Operating Segments | Unaffiliated Customers | Optum Health | ||
Statement [Line Items] | ||
Premiums, revenues - unaffiliated customers | 5,328 | 4,133 |
Total revenues | 8,461 | 6,697 |
Operating Segments | Unaffiliated Customers | Optum Health | Products | ||
Statement [Line Items] | ||
Revenue from Products and Services - unaffiliated customers | 44 | 6 |
Operating Segments | Unaffiliated Customers | Optum Health | Services | ||
Statement [Line Items] | ||
Revenue from Products and Services - unaffiliated customers | 3,089 | 2,558 |
Operating Segments | Unaffiliated Customers | Optum Insight | ||
Statement [Line Items] | ||
Premiums, revenues - unaffiliated customers | 0 | 0 |
Total revenues | 1,966 | 1,014 |
Operating Segments | Unaffiliated Customers | Optum Insight | Products | ||
Statement [Line Items] | ||
Revenue from Products and Services - unaffiliated customers | 40 | 40 |
Operating Segments | Unaffiliated Customers | Optum Insight | Services | ||
Statement [Line Items] | ||
Revenue from Products and Services - unaffiliated customers | 1,926 | 974 |
Operating Segments | Unaffiliated Customers | Optum Rx | ||
Statement [Line Items] | ||
Premiums, revenues - unaffiliated customers | 0 | 0 |
Total revenues | 10,693 | 9,619 |
Operating Segments | Unaffiliated Customers | Optum Rx | Products | ||
Statement [Line Items] | ||
Revenue from Products and Services - unaffiliated customers | 10,183 | 9,294 |
Operating Segments | Unaffiliated Customers | Optum Rx | Services | ||
Statement [Line Items] | ||
Revenue from Products and Services - unaffiliated customers | 510 | 325 |
Operating Segments | Affiliated Customers | UnitedHealthcare | ||
Statement [Line Items] | ||
Total revenues | 0 | 0 |
Operating Segments | Affiliated Customers | Optum Health | ||
Statement [Line Items] | ||
Total revenues | 14,266 | 9,829 |
Operating Segments | Affiliated Customers | Optum Insight | ||
Statement [Line Items] | ||
Total revenues | 2,510 | 2,138 |
Operating Segments | Affiliated Customers | Optum Rx | ||
Statement [Line Items] | ||
Total revenues | 16,679 | 14,291 |
Optum Eliminations | ||
Statement [Line Items] | ||
Investment and other income | 0 | 0 |
Total revenues | (859) | (553) |
Earnings from operations | 0 | 0 |
Interest expense | 0 | 0 |
Income (Loss) from Continuing Operations before Income Taxes, Noncontrolling Interest | 0 | 0 |
Optum Eliminations | Unaffiliated Customers | ||
Statement [Line Items] | ||
Premiums, revenues - unaffiliated customers | 0 | 0 |
Total revenues | 0 | 0 |
Optum Eliminations | Unaffiliated Customers | Products | ||
Statement [Line Items] | ||
Revenue from Products and Services - unaffiliated customers | 0 | 0 |
Optum Eliminations | Unaffiliated Customers | Services | ||
Statement [Line Items] | ||
Revenue from Products and Services - unaffiliated customers | 0 | 0 |
Optum Eliminations | Affiliated Customers | ||
Statement [Line Items] | ||
Total revenues | (859) | (553) |
Corporate and Eliminations | ||
Statement [Line Items] | ||
Investment and other income | 0 | 0 |
Total revenues | (32,596) | (25,705) |
Earnings from operations | 0 | 0 |
Interest expense | (754) | (433) |
Income (Loss) from Continuing Operations before Income Taxes, Noncontrolling Interest | (754) | (433) |
Corporate and Eliminations | Unaffiliated Customers | ||
Statement [Line Items] | ||
Premiums, revenues - unaffiliated customers | 0 | 0 |
Total revenues | 0 | 0 |
Corporate and Eliminations | Unaffiliated Customers | Products | ||
Statement [Line Items] | ||
Revenue from Products and Services - unaffiliated customers | 0 | 0 |
Corporate and Eliminations | Unaffiliated Customers | Services | ||
Statement [Line Items] | ||
Revenue from Products and Services - unaffiliated customers | 0 | 0 |
Corporate and Eliminations | Affiliated Customers | ||
Statement [Line Items] | ||
Total revenues | $ (32,596) | $ (25,705) |