© 2026 UnitedHealth Group, Inc. All rights reserved.
1
First Quarter 2026 Revenues of $111.7 Billion Grew 2%
Year-Over-Year; Earnings of $6.90 Per Share and
Adjusted Earnings of $7.23 Per Share
We are continuing to help simplify
and modernize health care for the
people and care providers we serve,
bringing greater value, affordability,
transparency and connectivity.”
Stephen Hemsley
Chief Executive Officer,
UnitedHealth Group
April 21, 2026
UnitedHealth Group (NYSE: UNH) today reported first quarter 2026 results,
with performance supported by actions taken over the last several quarters.
The company expects full year 2026 adjusted net earnings of greater than
$18.25 per share.
Consolidated revenues for the first quarter 2026 were $111.7 billion,
with earnings from operations of $9.0 billion. Net margin was 5.6%
compared to 5.7% in the year ago quarter. Cash flows from operations
were $8.9 billion, or 1.4x net income, and the debt-to-capital ratio was
42.9% as of March 31, 2026.
UnitedHealth Group’s medical cost ratio was 83.9% for the first quarter 2026,
down 90 basis points from the first quarter 2025. The operating cost ratio of
13.8% in the first quarter 2026 compared to 12.4% in the first quarter 2025,
reflecting investments to drive improved consumer and care provider
experiences and greater operating efficiencies, as well as investments in its
people and the communities it serves.
The company continues to build on the initiatives begun in the second half of
2025, strengthening in essential areas including operations, management,
technology, consumer and provider experiences, community engagement
and corporate governance. Actions included:
•
Refocusing
the organization on U.S. health care, exiting non-U.S.
businesses.
•
Refreshing
nearly half of the top 100 leadership roles.
•
Accelerating
simplification and modernization, including substantial
artificial intelligence and cybersecurity investments.
•
Advancing
meaningful changes in areas such as data and process
interoperability, prior authorization, transparency, pharmacy practices
and more.
•
Creating
a Public Responsibility Committee of the Board, naming a
Lead Independent Director and new committee chairs, adding a new
independent director and accelerating the board recruiting process.
•
Redoubling
community engagement and support through the United
Health Foundation.
During the quarter, the company entered into an agreement to acquire
Alegeus Technologies, a health care technology platform providing benefits
administration for consumer-directed healthcare accounts, reflecting the
company’s commitment to advancing more flexible, consumer-centered
solutions. The acquisition is subject to regulatory review and is expected to
close in the back half of 2026 and be earnings neutral to 2026. UnitedHealth
Group also completed the sale of the Optum UK business, with $400 million
in net proceeds committed to the United Health Foundation, and entered into
an arrangement to buy back at least $2 billion of its common stock, which it
expects to complete by the end of the second quarter 2026.
UnitedHealth Group Reports First Quarter 2026 Results
First Quarter 2026
Key Performance Metrics
•
First quarter 2026 adjusted net earnings
were $7.23 per share.
•
The medical care ratio of 83.9% included
a 20 basis point positive impact from the
previously disclosed Optum Health loss
contracts reserve.
•
The operating cost ratio of 13.8%
reflected incremental investments in
people, processes and technology,
including artificial intelligence, to improve
performance and support future
innovations, modernization, growth and
earnings.
•
UnitedHealthcare served 49.1 million
consumers and expanded operating
margins by 40 basis points to 6.6%
compared to 6.2% in the first quarter
2025.
•
Optum supported more than 122 million
consumers across its businesses, driving
revenues of $63.7 billion and earnings of
$3.3 billion, reflecting a margin of 5.2%.
•
Optum Health operating earnings were
$1.1 billion. Adjusted operating earnings
were $1.3 billion, excluding the impacts
related to the third-party loss contracts
and restructuring actions disclosed in the
fourth quarter 2025.
Full Year 2026 Earnings Outlook Raised to Greater Than
$17.35 Per Share; Adjusted Earnings of Greater Than
$18.25 Per Share
© 2026 UnitedHealth Group, Inc. All rights reserved.
2
Mar 31, 2025
Dec 31, 2025
Mar 31, 2026
Revenues
$109.6B
$113.2B
$111.7B
Three Months Ended
Mar 31, 2025
Dec 31, 2025
Mar 31, 2026
Earnings from Operations
$9.1B
$0.4B
$9.0B
Three Months Ended
Financial Performance
UnitedHealth Group
•
UnitedHealth Group’s first quarter 2026 revenues were $111.7 billion compared to $109.6 billion in the year ago
quarter.
•
First quarter 2026 earnings from operations of $9.0 billion reflected improved operations and continued investments.
•
The first quarter 2026 medical care ratio was 83.9% compared to 84.8% in the first quarter 2025. The year-over-year
decrease was driven by strong medical cost management and favorable reserve development, partially offset by
consistently elevated utilization and unit cost trends.
•
Days claims payable were 48.6 compared to 44.1 in the fourth quarter 2025 and 45.5 in the first quarter 2025. The
sequential variation was driven by seasonality and claims payment timing. Days sales outstanding of 21.6 compared
to 18.8 in the fourth quarter 2025 and 22.3 in the year ago quarter, reflecting normal seasonality.
•
The first quarter 2026 operating cost ratio of 13.8% compared to 12.4% in 2025, reflecting investments in people,
processes and technology to drive improved consumer and care provider experiences and greater operating
efficiencies.
•
Cash flows from operations were $8.9 billion, or 1.4 times net income, reflecting strong earnings and changes in
working capital accounts.
•
Debt-to-capital ratio was 42.9% as of March 31, 2026, compared to 43.9% in the fourth quarter 2025 and 44.6% in
the first quarter 2025. The company continues to target a long-term debt-to-capital ratio of approximately 40.0% and
expects to reach that level in the back half of 2026.
•
The company expects to repurchase at least $2.0 billion of its common stock by the end of the second quarter 2026.
+2%
-1%
© 2026 UnitedHealth Group, Inc. All rights reserved.
3
UnitedHealthcare
•
UnitedHealthcare first quarter 2026 revenues of $86.3 billion compared to $84.6 billion in the first quarter 2025.
UnitedHealthcare served 49.1 million people in the first quarter 2026 compared to 49.8 million people at year end
2025.
•
UnitedHealthcare’s first quarter 2026 earnings from operations were $5.7 billion compared to $5.2 billion in the first
quarter 2025. Operating margin of 6.6% compared to 6.2% in the first quarter 2025, primarily due to repricing across
all lines of business in response to cost trends that remain elevated but in line with expectations.
UnitedHealthcare Employer & Individual
•
UnitedHealthcare Employer & Individual first quarter 2026 revenues were $20.1 billion compared to $19.8 billion in
the first quarter 2025.
•
The number of people served increased by 415,000 in the first quarter 2026, with growth in employer self-funded
offerings partially offset by attrition in both group fully-insured and individual products.
UnitedHealthcare Medicare & Retirement
•
UnitedHealthcare Medicare & Retirement first quarter 2026 revenues of $42.1 billion grew 1% year-over-year as a
result of trend-driven repricing actions partially offset by attrition in the number of seniors served.
•
Seniors served through Medicare Advantage, including programs serving complex populations included in Medicaid,
declined by 965,000 in the first quarter 2026.
UnitedHealthcare Community & State
•
UnitedHealthcare Community & State first quarter 2026 revenues of $24.1 billion grew 4% year-over-year, driven
primarily by Medicaid rate updates.
•
People served contracted by 220,000 in the first quarter 2026 primarily due to the early impact of state eligibility
changes.
Mar 31, 2025
Dec 31, 2025
Mar 31, 2026
Revenues
Mar 31, 2025
Dec 31, 2025
Mar 31, 2026
Earnings from Operations
$84.6B
$87.1B
$86.3B
$5.2B
$0.3B
$5.7B
Three Months Ended
Three Months Ended
Financial Performance
UnitedHealthcare provides health care benefits to individuals and employers, as well as Government Program
beneficiaries. UnitedHealthcare is dedicated to improving the value customers and consumers receive by improving
health and wellness, enhancing the quality of care received, simplifying the health care experience and reducing the
total cost of care.
+2%
+9%
© 2026 UnitedHealth Group, Inc. All rights reserved.
4
Optum Health
•
Optum Health’s first quarter 2026 revenues of $24.1 billion decreased 3% year-over-year, reflecting fewer
value-based care members.
•
First quarter 2026 earnings from operations were $1.1 billion, representing a 4.7% margin. Adjusted earnings
from operations were $1.3 billion, reflecting a margin of 5.4%, excluding the positive impacts of the third-party loss
contracts reserve and restructuring actions taken in the fourth quarter 2025. The year-over-year change was driven
by continued investments and medical costs that remain elevated, partially offset by operational improvements
across the business.
Optum Insight
•
Optum Insight’s first quarter 2026 revenues of $5.1 billion compared to $5.0 billion in the year ago quarter.
•
First quarter 2026 earnings from operations were $1.0 billion compared to $1.2 billion in the first quarter 2025.
The year-over-year decrease was driven by continued investments in people, technology and new products.
Optum Rx
•
Optum Rx’s first quarter 2026 revenues of $35.7 billion increased 2% year-over-year, driven by growth in specialty
pharmacy partially offset by UHC membership attrition.
•
Earnings from operations for the first quarter 2026 were $1.2 billion compared to $1.3 billion in the first quarter 2025.
The decrease year-over-year was primarily due to lower volume from membership attrition at UHC and investments
in people. Adjusted scripts were 383 million compared to 408 million last year.
The Optum businesses serve participants throughout health care, including payers, care providers, employers,
governments, life sciences companies and consumers. Using market-leading information, analytics and technology to
yield clinical insights, Optum helps improve overall health system performance by optimizing care quality, reducing care
costs and improving the consumer experience.
Mar 31, 2025
Dec 31, 2025
Mar 31, 2026
Revenues
$63.9B
$63.7B
$70.3B
Mar 31, 2025
Dec 31, 2025
Mar 31, 2026
Earnings from Operations
$3.9B
$3.3B
$0.1B
Three Months Ended
Three Months Ended
Financial Performance
-0.2%
-15%
© 2026 UnitedHealth Group, Inc. All rights reserved.
5
(a)
See page 16 for description of non-GAAP measures.
Optum First Quarter 2026 Reported to Adjusted Earnings Bridge
Total Optum
Optum Rx
Optum Insight
Optum Health
($ in millions)
$3,296
$1,192
$963
$1,141
First Quarter 2026 Reported Earnings
from Operations
$111
$(8)
$(189)
$308
Net Portfolio Divestitures, Restructuring
and Other
$(137)
-
-
$(137)
Reduction in Provision for Third Party Loss
Contracts
$3,270
$1,184
$774
$1,312
First Quarter 2026 Adjusted Earnings
from Operations
(a)
5.1%
3.3%
15.3%
5.4%
First Quarter 2026 Adjusted Earnings Margin
Below outlines the First Quarter 2026 Reported and Adjusted Earnings from Operations.
First Quarter 2026 Earnings Bridge
© 2026 UnitedHealth Group, Inc. All rights reserved.
6
About UnitedHealth Group
UnitedHealth Group (NYSE: UNH) 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 through two distinct and complementary businesses.
Optum delivers care aided by technology and data, empowering people, partners and providers with the guidance and
tools they need to achieve better health. UnitedHealthcare offers a full range of health benefits, enabling affordable
coverage, simplifying the health care experience and delivering access to high-quality care. Visit UnitedHealth Group at
www.unitedhealthgroup.com and follow UnitedHealth Group on LinkedIn.
Earnings Conference Call
As previously announced, UnitedHealth Group will discuss the company’s results, strategy and future outlook on a
conference call with investors at 8:00 a.m. Eastern Time today. UnitedHealth Group will host a live webcast of this
conference call from the Investor Relations page of the company’s website (www.unitedhealthgroup.com). Following
the call, a webcast replay will be on the Investor Relations page through May 5, 2026.
This earnings release and the Form 8-K dated April 21, 2026, can also be accessed from the Investor Relations page
of the company’s website.
Non-GAAP Financial Information
This news release presents non-GAAP financial information provided as a complement to the results provided in
accordance with accounting principles generally accepted in the United States of America (“GAAP”). A reconciliation of
the non-GAAP financial information to the most directly comparable GAAP financial measure is provided in the
accompanying tables found at the end of this release.
Investors:
Media:
Investor_relations@uhg.com
uhgmedia@uhg.com
6
© 2026 UnitedHealth Group, Inc. All rights reserved.
7
Forward-Looking Statements
The statements, estimates, projections, guidance or outlook contained in this document include “forward-looking”
statements which are intended to take advantage of the “safe harbor” provisions of the federal securities laws. The
words “believe,” “expect,” “intend,” “estimate,” “anticipate,” “forecast,” “outlook,” “plan,” “project,” “should” and similar
expressions identify forward-looking statements. These statements may contain information about financial
prospects, economic conditions and trends and involve risks and uncertainties. Actual results could differ materially
from those that management expects, depending on the outcome of certain factors including: our ability to effectively
estimate, price for and manage medical costs; new or changes in existing health care laws or regulations, or their
enforcement or application; cyberattacks, other privacy/data security incidents, or our failure to comply with related
regulations; reductions in revenue or delays to cash flows received under government programs; changes in
Medicare, the CMS star ratings program or the application of risk adjustment data validation audits; the DOJ’s legal
actions concerning our participation in the Medicare program; our ability to maintain and achieve improvement in
quality scores impacting revenue; failure to maintain effective and efficient information systems or if our technology
products do not operate as intended; risks and uncertainties associated with our businesses providing pharmacy
care services; competitive pressures, including our ability to maintain or increase our market share; changes in or
challenges to our public sector contract awards; failure to achieve targeted operating cost productivity improvements;
failure to develop and maintain satisfactory relationships with health care payers, physicians, hospitals and other
service providers; the impact of potential changes in tax laws and regulations; increases in costs and other liabilities
associated with litigation, government investigations, audits or reviews; risks and uncertainties associated with our
increasing use of artificial intelligence and other emerging technologies; failure to complete, manage or integrate
strategic transactions; risks and uncertainties associated with the sale of our remaining operations in South America;
risks associated with public health crises arising from large-scale medical emergencies, pandemics, natural disasters
and other extreme events; failure to attract, develop, retain, and manage the succession of key employees and
executives; our investment portfolio performance; impairment of our goodwill and intangible assets; failure to protect
proprietary rights to our databases, software and related products; downgrades in our credit ratings; and our ability to
obtain sufficient funds from our regulated subsidiaries or from external financings to fund our obligations, reinvest in
our business, maintain our debt to total capital ratio at targeted levels, maintain our quarterly dividend payment cycle,
or continue repurchasing shares of our common stock.
This above list is not exhaustive. We discuss these matters, and certain risks that may affect our business
operations, financial condition and results of operations, more fully in our filings with the SEC, including our reports
on Forms 10-K, 10-Q and 8-K. By their nature, forward-looking statements are not guarantees of future performance
or results and are subject to risks, uncertainties and assumptions that are difficult to predict or quantify. Actual results
may vary materially from expectations expressed or implied in this document or any of our prior communications.
You should not place undue reliance on forward-looking statements, which speak only as of the date they are made.
We do not undertake to update or revise any forward-looking statements, except as required by law.
UNITEDHEALTH GROUP
Earnings Release Schedules and Supplementary Information
Quarter Ended March 31, 2026
•
Condensed Consolidated Statements of Operations
•
Condensed Consolidated Balance Sheets
•
Condensed Consolidated Statements of Cash Flows
•
Revenues by Business - Supplemental Financial Information
•
Earnings by Business - Supplemental Financial Information
•
Segment Realignment - Prior Period Financial Information and Performance Metrics
•
People Served and Performance Metrics - Supplemental Financial Information
•
Reconciliation of Non-GAAP Financial Measures
8
UNITEDHEALTH GROUP
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(in millions, except per share data; unaudited)
Three Months Ended
March 31,
2026
2025
Revenues
Premiums
..............................................................................................................................................................................................
$87,561
$86,534
Products
.................................................................................................................................................................................................
13,250
13,036
Services
.................................................................................................................................................................................................
9,779
8,972
Investment and other income
.............................................................................................................................................................
1,131
1,033
Total revenues
.................................................................................................................................................................................
111,721
109,575
Operating costs
Medical costs
........................................................................................................................................................................................
73,489
73,411
Operating costs
....................................................................................................................................................................................
15,390
13,594
Cost of products sold
...........................................................................................................................................................................
12,823
12,390
Depreciation and amortization
...........................................................................................................................................................
1,029
1,061
Total operating costs
......................................................................................................................................................................
102,731
100,456
Earnings from operations
................................................................................................................................................................
8,990
9,119
Interest expense
...................................................................................................................................................................................
(955)
(998)
Loss on sale of subsidiary and subsidiaries held for sale
.............................................................................................................
(72)
(15)
Earnings before income taxes
.......................................................................................................................................................
7,963
8,106
Provision for income taxes
.................................................................................................................................................................
(1,482)
(1,632)
Net earnings
.......................................................................................................................................................................................
6,481
6,474
Earnings attributable to noncontrolling interests
.............................................................................................................................
(201)
(182)
Net earnings attributable to UnitedHealth Group common shareholders
..........................................................................
$6,280
$6,292
Diluted earnings per share attributable to UnitedHealth Group common shareholders
..............................................
$6.90
$6.85
Adjusted earnings per share attributable to UnitedHealth Group common shareholders (a)
......................................
$7.23
$7.20
Diluted weighted-average common shares outstanding
................................................................................................................
910
918
(a)
See page 16 for a reconciliation of non-GAAP measures.
9
UNITEDHEALTH GROUP
CONDENSED CONSOLIDATED BALANCE SHEETS
(in millions; unaudited)
March 31,
2026
December 31,
2025
Assets
Cash and short-term investments
.....................................................................................................................................................
$31,229
$28,121
Accounts receivable, net
....................................................................................................................................................................
26,587
23,018
Other current assets
............................................................................................................................................................................
33,311
39,443
Total current assets
...................................................................................................................................................................
91,127
90,582
Long-term investments
.......................................................................................................................................................................
56,788
54,251
Other long-term assets
.......................................................................................................................................................................
164,729
164,748
Total assets
....................................................................................................................................................................................
$312,644
$309,581
Liabilities, redeemable noncontrolling interests and equity
Medical costs payable
.........................................................................................................................................................................
$39,659
$39,337
Short-term borrowings and current maturities of long-term debt
.................................................................................................
6,477
6,069
Other current liabilities
........................................................................................................................................................................
67,988
69,491
Total current liabilities
...............................................................................................................................................................
114,124
114,897
Long-term debt, less current maturities
............................................................................................................................................
71,440
72,320
Other long-term liabilities
....................................................................................................................................................................
21,761
20,666
Redeemable noncontrolling interests
...............................................................................................................................................
1,424
1,608
Equity
.....................................................................................................................................................................................................
103,895
100,090
Total liabilities, redeemable noncontrolling interests and equity
...........................................................................................
$312,644
$309,581
10
UNITEDHEALTH GROUP
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(in millions; unaudited)
Three Months Ended
March 31,
2026
2025
Operating Activities
Net earnings
.........................................................................................................................................................................................
$6,481
$6,474
Noncash items:
Depreciation and amortization
.......................................................................................................................................................
1,029
1,061
Deferred income taxes and other
..................................................................................................................................................
236
161
Share-based compensation
...........................................................................................................................................................
348
375
Loss on sale of subsidiary and subsidiaries held for sale
..........................................................................................................
72
15
Net changes in operating assets and liabilities
...............................................................................................................................
746
(2,630)
Cash flows from operating activities
..........................................................................................................................................
8,912
5,456
Investing Activities
(Purchases of investments, net of sales and maturities) sales and maturities of investments, net of purchases
...............
(2,352)
1,217
Purchases of property, equipment and capitalized software
........................................................................................................
(763)
(898)
Cash paid for acquisitions and other transactions, net
..................................................................................................................
—
(702)
Repayment of care provider loans - cyberattack
............................................................................................................................
82
891
Other, net
..............................................................................................................................................................................................
586
(582)
Cash flows used for investing activities
....................................................................................................................................
(2,447)
(74)
Financing Activities
Common share repurchases
..............................................................................................................................................................
—
(3,000)
Dividends paid
......................................................................................................................................................................................
(2,005)
(1,912)
Net change in short-term borrowings and long-term debt
.............................................................................................................
(400)
3,911
Other, net
..............................................................................................................................................................................................
(587)
1,100
Cash flows (used for) from financing activities
........................................................................................................................
(2,992)
99
Effect of exchange rate changes on cash and cash equivalents
.................................................................................................
(7)
15
Increase in cash and cash equivalents, including cash within businesses held for sale
.........................................................
3,466
5,496
Less: change in cash within businesses held for sale
...................................................................................................................
170
(91)
Net increase in cash and cash equivalents
.....................................................................................................................................
3,636
5,405
Cash and cash equivalents, beginning of period
............................................................................................................................
24,365
25,312
Cash and cash equivalents, end of period
......................................................................................................................................
$28,001
$30,717
11
UNITEDHEALTH GROUP
REVENUES BY BUSINESS - SUPPLEMENTAL FINANCIAL INFORMATION
(in millions; unaudited)
Optum
UnitedHealth
Group
Consolidated (a)
UnitedHealthcare
Optum
Health (c)
Optum
Insight (c)
Optum
Rx
Total
Optum (a)
Three Months Ended March 31, 2026
Total revenues
.......................................................................
$86,265
$24,109
$5,125
$35,736
$63,749
$111,721
Restructuring and other (2)
.................................................
—
3
(77)
—
(74)
(74)
Adjusted revenues (b)
.....................................................
$86,265
$24,112
$5,048
$35,736
$63,675
$111,647
Three Months Ended March 31, 2025
Total revenues
.......................................................................
$84,617
$24,837
$5,027
$35,132
$63,885
$109,575
UnitedHealthcare Revenues
(in millions; unaudited)
Three Months Ended
March 31,
2026
2025
UnitedHealthcare Employer & Individual - Domestic
............................................................................................................................
$19,206
$19,066
UnitedHealthcare Employer & Individual - Global
.................................................................................................................................
912
782
UnitedHealthcare Employer & Individual - Total
.............................................................................................................................
20,118
19,848
UnitedHealthcare Medicare & Retirement
..............................................................................................................................................
42,082
41,705
UnitedHealthcare Community & State
....................................................................................................................................................
24,065
23,064
Total UnitedHealthcare revenues
.....................................................................................................................................................
$86,265
$84,617
(a)
Optum and consolidated revenues for the three months ended March 31, 2026 and 2025 include Optum eliminations of $1,221 and $1,111; and corporate eliminations of $38,293 and
$38,927, respectively.
(b)
See page 16 for description of non-GAAP measures.
(c)
Prior period amounts have been recast to reflect the realignment of Optum Financial. See page 14 for further discussion.
Note:
See end notes for further information regarding non-GAAP adjustments.
12
UNITEDHEALTH GROUP
EARNINGS BY BUSINESS - SUPPLEMENTAL FINANCIAL INFORMATION
(in millions, except percentages; unaudited)
Optum
UnitedHealth
Group
Consolidated
UnitedHealthcare
Optum
Health (b)
Optum
Insight (b)
Optum
Rx
Total
Optum
Three Months Ended March 31, 2026
Earnings from operations
..........................................................
$5,694
$1,141
$963
$1,192
$3,296
$8,990
Net portfolio divestitures and South American impacts (1)
..
—
306
(528)
(8)
(230)
(230)
Restructuring and other (2)
.......................................................
—
(135)
339
—
204
204
Adjusted earnings from operations (a)
.............................
$5,694
$1,312
$774
$1,184
$3,270
$8,964
Operating margin
........................................................................
6.6 %
4.7 %
18.8 %
3.3 %
5.2 %
8.0 %
Adjusted operating margin (a)
..................................................
6.6 %
5.4 %
15.3 %
3.3 %
5.1 %
8.0 %
Three Months Ended March 31, 2025
Earnings from operations
..........................................................
$5,226
$1,411
$1,164
$1,318
$3,893
$9,119
Operating margin
........................................................................
6.2 %
5.7 %
23.2 %
3.8 %
6.1 %
8.3 %
(a)
See page 16 for description of non-GAAP measures.
(b)
Prior period amounts have been recast to reflect the realignment of Optum Financial. See page 14 for further discussion.
Note:
See end notes for further information regarding non-GAAP adjustments.
13
UNITEDHEALTH GROUP
SEGMENT REALIGNMENT - PRIOR PERIOD FINANCIAL INFORMATION AND PERFORMANCE METRICS
(in millions, except percentages)
(unaudited)
Optum Financial Segment Realignment
On January 1, 2026, we realigned certain of our businesses to respond to changes in the markets we serve 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. Our
reportable segments remain unchanged and prior period segment financial information has been recast to conform to the 2026 presentation. There was no
impact to the results of UnitedHealthcare, Optum Rx or Optum as result of the realignment of Optum Financial. The below tables provide a summary of the
recasted segment information and Optum Health consumers served for the comparative prior periods.
Three Months Ended
Year Ended
March 31,
2025
June 30,
2025
September 30,
2025
December 31,
2025
December 31,
2025
December 31,
2024
Revenues:
Optum Health
..........................................................................
$24,837
$24,725
$25,422
$25,067
$100,051
$103,516
Optum Insight
.........................................................................
5,027
5,232
5,320
5,455
21,034
20,356
Optum Rx
................................................................................
35,132
38,459
39,679
41,456
154,726
133,231
Optum Eliminations
................................................................
(1,111)
(1,191)
(1,244)
(1,645)
(5,191)
(4,146)
Optum
.................................................................................
$63,885
$67,225
$69,177
$70,333
$270,620
$252,957
Earnings from Operations:
Optum Health
..........................................................................
$1,411
$429
$41
$(2,996)
$(1,115)
$6,902
Optum Insight
.........................................................................
1,164
1,205
920
172
3,461
3,965
Optum Rx
................................................................................
1,318
1,441
1,549
2,885
7,193
5,836
Optum
.................................................................................
$3,893
$3,075
$2,510
$61
$9,539
$16,703
Operating Margin:
Optum Health
..........................................................................
5.7 %
1.7 %
0.2 %
(12.0) %
(1.1) %
6.7 %
Optum Insight
.........................................................................
23.2
23.0
17.3
3.2
16.5
19.5
Optum Rx
................................................................................
3.8
3.7
3.9
7.0
4.6
4.4
Optum
.................................................................................
6.1
4.6
3.6
0.1
3.5
6.6
March 31,
2025
June 30,
2025
September 30,
2025
December 31,
2025
Optum Health Consumers Served (in millions)
................................................................................
95
95
93
92
14
UNITEDHEALTH GROUP
PEOPLE SERVED AND PERFORMANCE METRICS - SUPPLEMENTAL FINANCIAL INFORMATION
(unaudited)
UnitedHealthcare Customer Profile
(in thousands)
People Served
March 31, 2026
December 31, 2025
March 31, 2025
Commercial:
Risk-based
.........................................................................................................................
7,725
8,165
8,410
Fee-based
..........................................................................................................................
22,340
21,485
21,590
Total Commercial
...........................................................................................................
30,065
29,650
30,000
Medicare Advantage
............................................................................................................
7,555
8,445
8,245
Medicaid
................................................................................................................................
7,160
7,380
7,570
Medicare Supplement (Standardized)
..............................................................................
4,270
4,285
4,310
Total Community and Senior
......................................................................................
18,985
20,110
20,125
Total UnitedHealthcare - Medical
...............................................................................
49,050
49,760
50,125
Supplemental Data
Medicare Part D stand-alone
..........................................................................................
2,740
2,770
2,835
South American businesses held for sale
.....................................................................
1,160
1,160
1,160
Optum Performance Metrics
March 31, 2026
December 31, 2025
March 31, 2025
Optum Health Consumers Served (in millions) (a)
...........................................................
93
92
95
Optum Rx Quarterly Adjusted Scripts (in millions)
...........................................................
383
424
408
(a)
Prior period amounts have been recast to reflect the realignment of Optum Financial. See page 14 for further discussion.
15
UNITEDHEALTH GROUP
RECONCILIATION OF NON-GAAP FINANCIAL MEASURES
Use of Non-GAAP Financial Measures
Adjusted net earnings per share, adjusted earnings from operations, adjusted operating margin and adjusted revenues are non-GAAP financial measures. Non-GAAP
financial measures should be considered in addition to, but not as a substitute for, or superior to, financial measures prepared in accordance with GAAP. Adjustments made to
these measures are as follows:
Intangible Amortization
: Adjusted net earnings per share excludes intangible amortization from the relevant GAAP measure. As amortization fluctuates based on the size
and timing of the company’s acquisition activity, management believes this exclusion provides a more useful comparison of the company’s underlying business performance
and trends from period to period. While intangible assets contribute to the Company’s revenue generation, the intangible amortization is not directly related. Therefore, the
related revenues are included in adjusted earnings per share.
Net Portfolio Divestitures and South American Impacts:
Adjusted net earnings per share, adjusted earnings from operations and adjusted operating margin exclude net
portfolio divestitures and South American impacts.
Net portfolio divestitures and South American impacts relate to the actions taken by management in the fourth quarter of
2025 as a result of a strategic review of our assets and businesses aimed at advancing and scaling our operations, including our value-based care business at Optum Health.
In the first quarter of 2026, these actions resulted in a net gain on the sales of businesses previously classified as held for sale as of December 31, 2025 and net incremental
losses on other businesses held for sale, including our remaining South American operations. Portfolio divestitures are not representative of the Company's underlying
business and management believes that the exclusion of these items presents a more useful comparison of the Company’s underlying business performance and trends from
period to period.
Restructuring and Other:
Adjusted net earnings per share, adjusted earnings from operations, adjusted operating margin and adjusted revenues exclude restructuring and
other items. In the first quarter of 2026, restructuring and other items included a contribution to the United Health Foundation ($400 million) funded by the cash gain on the
disposition of an Optum Insight business. This was partially offset by the reduction of loss contract reserves established in the fourth quarter of 2025 ($137 million) and net
valuation gains on equity securities ($59 million). These items are not representative of the Company's underlying business and management believes that the exclusion of
these items presents a more useful comparison of the Company’s underlying business performance and trends from period to period.
Adjusted earnings per share for the projected year ended December 31, 2026 excludes the expected reduction of loss contracts reserves of $402 million in addition to the
$137 million recognized in the first quarter of 2026.
16
UNITEDHEALTH GROUP
RECONCILIATION OF NON-GAAP FINANCIAL MEASURES
(in millions, except per share data; unaudited)
Adjusted Net Earnings Per Share
Three Months Ended
March 31,
Projected
Year Ended
December 31,
2026
2025
2026
Net earnings attributable to UnitedHealth Group common shareholders
..........................................................................
$6,280
$6,292
> $15,800
Intangible amortization
...............................................................................................................................................................
334
417
~1,325
Net portfolio divestitures and South American impacts (1)
..................................................................................................
(158)
—
~(60)
Restructuring and other (2)
.......................................................................................................................................................
204
—
~(200)
Tax effect of adjustments
...........................................................................................................................................................
(82)
(102)
~(255)
Adjusted net earnings attributable to UnitedHealth Group common shareholders
...................................................
$6,578
$6,607
> $16,610
Diluted earnings per share
........................................................................................................................................................
$6.90
$6.85
> $17.35
Intangible amortization per share
.............................................................................................................................................
0.37
0.46
~1.45
Net portfolio divestitures and South American impacts per share
.....................................................................................
(0.17)
—
~(0.05)
Restructuring and other per share
...........................................................................................................................................
0.22
—
~(0.20)
Tax effect of adjustments per share
.........................................................................................................................................
(0.09)
(0.11)
~(0.30)
Adjusted diluted earnings per share
.................................................................................................................................
$7.23
$7.20
> $18.25
End Notes
(1)
Net portfolio divestitures and South American impacts for the three months ended March 31, 2026 includes net gains on dispositions and businesses held for sale and
$72 million of incremental losses related to South American businesses held for sale. For the three months ended March 31, 2025, net gains on dispositions and
South American impacts were not significant.
(2)
Restructuring and other for the three months ended March 31, 2026 includes net valuation gains on equity securities. For the three months ended March 31, 2025 net
valuation gains were not significant.
17
