v3.26.1
Segment Financial Information (Notes)
 3 Months Ended
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)UnitedHealthcareOptum
 Health (b)		Optum
Insight (b)		Optum
Rx		Optum Eliminations (b)OptumCorporate 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 
Services2,775 4,235 1,620 1,149 — 7,004 — 9,779 
Total revenues - unaffiliated customers85,761 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 income504 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 software204 184 306 69 — 559 — 763 
Depreciation and Amortization218 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 
Services2,576 3,716 1,659 1,021 — 6,396 — 8,972 
Total revenues - unaffiliated customers84,089 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 income528 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 software196 264 353 85 — 702 — 898 
Depreciation and Amortization219 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.