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    SEC Form 10-Q filed by UnitedHealth Group Incorporated

    8/9/24 4:10:48 PM ET
    $UNH
    Medical Specialities
    Health Care
    Get the next $UNH alert in real time by email
    unh-20240630
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    UNITED STATES
    SECURITIES AND EXCHANGE COMMISSION
    Washington, D.C. 20549
    __________________________________________________________ 
    FORM 10-Q
    __________________________________________________________ 
    ☒QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
    For the quarterly period ended June 30, 2024
    or
    ☐TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
    For the transition period from _______ to _______
    Commission File Number: 1-10864
    __________________________________________________________ 
    UHG(R)_CMYK.jpg
    UnitedHealth Group Incorporated
    (Exact name of registrant as specified in its charter)
     __________________________________________________________ 
    Delaware41-1321939
    (State or other jurisdiction of
    incorporation or organization)
    (I.R.S. Employer
    Identification No.)
    9900 Bren Road East55343655 New York Avenue NW20001
    Minnetonka,
    Minnesota
    Washington,DC
    (Address of principal executive offices) (Zip Code)(Address of principal executive offices)(Zip Code)
    (800) 328-5979
    (Registrant’s telephone number, including area code)
    _________________________________________________________  
    Securities registered pursuant to Section 12(b) of the Act:
    Title of each classTrading Symbol(s)Name of each exchange on which registered
    Common Stock, $.01 par valueUNHNew York Stock Exchange
    Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes ☒ No ☐
    Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).    Yes ☒ No ☐
    Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act
    Large accelerated filer☒Accelerated filer
    ☐
    Non-accelerated filer
    ☐
    Smaller reporting company
    ☐
    Emerging growth company
    ☐
    If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
    Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes ☐ No ☒
    As of July 31, 2024, there were 923,418,150 shares of the registrant’s Common Stock, $.01 par value per share, issued and outstanding.



    UNITEDHEALTH GROUP
    Table of Contents
     
      Page
    Part I. Financial Information
    Item 1.
    Financial Statements (unaudited)
    1
    Condensed Consolidated Balance Sheets as of June 30, 2024 and December 31, 2023
    1
    Condensed Consolidated Statements of Operations for the Three and Six Months Ended June 30, 2024 and 2023
    2
    Condensed Consolidated Statements of Comprehensive Income for the Three and Six Months Ended June 30, 2024 and 2023
    3
    Condensed Consolidated Statements of Changes in Equity for the Three and Six Months Ended June 30, 2024 and 2023
    4
    Condensed Consolidated Statements of Cash Flows for the Six Months Ended June 30, 2024 and 2023
    6
    Notes to the Condensed Consolidated Financial Statements
    7
    1.
    Basis of Presentation
    7
    2.
    Investments
    8
    3.
    Fair Value
    10
    4.
    Medical Costs Payable
    11
    5.
    Short-Term Borrowings and Long-Term Debt
    12
    6.
    Shareholder’s Equity
    12
    7.
    Commitments and Contingencies
    13
    8.
    Disposition and Held for Sale
    14
    9.
    Segment Financial Information
    15
    Item 2.
    Management’s Discussion and Analysis of Financial Condition and Results of Operations
    17
    Item 3.
    Quantitative and Qualitative Disclosures About Market Risk
    26
    Item 4.
    Controls and Procedures
    26
    Part II. Other Information
    Item 1.
    Legal Proceedings
    26
    Item 1A.
    Risk Factors
    26
    Item 2.
    Unregistered Sales of Equity Securities and Use of Proceeds
    27
    Item 5.
    Other Information
    27
    Item 6.
    Exhibits
    27
    Signatures
    28




    PART I
    ITEM 1.    FINANCIAL STATEMENTS
    UnitedHealth Group
    Condensed Consolidated Balance Sheets
    (Unaudited)
    (in millions, except per share data)June 30,
    2024
    December 31,
    2023
    Assets
    Current assets:
    Cash and cash equivalents$26,286 $25,427 
    Short-term investments5,037 4,201 
    Accounts receivable, net23,115 21,276 
    Other current receivables, net26,762 17,694 
    Assets under management3,414 3,755 
    Prepaid expenses and other current assets7,424 6,084 
    Total current assets92,038 78,437 
    Long-term investments46,113 47,609 
    Property, equipment and capitalized software, net
    9,801 11,450 
    Goodwill105,436 103,732 
    Other intangible assets, net14,729 15,194 
    Other assets17,939 17,298 
    Total assets$286,056 $273,720 
    Liabilities, redeemable noncontrolling interests and equity
    Current liabilities:
    Medical costs payable$32,547 $32,395 
    Accounts payable and accrued liabilities30,886 31,958 
    Short-term borrowings and current maturities of long-term debt11,371 4,274 
    Unearned revenues2,572 3,355 
    Other current liabilities27,294 27,072 
    Total current liabilities104,670 99,054 
    Long-term debt, less current maturities63,727 58,263 
    Deferred income taxes3,631 3,021 
    Other liabilities14,794 14,463 
    Total liabilities186,822 174,801 
    Commitments and contingencies (Note 7)
    Redeemable noncontrolling interests4,558 4,498 
    Equity:
    Preferred stock, $0.001 par value - 10 shares authorized; no shares issued or outstanding
    — — 
    Common stock, $0.01 par value - 3,000 shares authorized; 921 and 924 issued and outstanding
    9 9 
    Additional paid-in capital373 — 
    Retained earnings92,400 95,774 
    Accumulated other comprehensive loss(3,423)(7,027)
    Nonredeemable noncontrolling interests
    5,317 5,665 
    Total equity94,676 94,421 
    Total liabilities, redeemable noncontrolling interests and equity$286,056 $273,720 
    See Notes to the Condensed Consolidated Financial Statements
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    UnitedHealth Group
    Condensed Consolidated Statements of Operations
    (Unaudited)
     Three Months Ended
    June 30,
    Six Months Ended
    June 30,
    (in millions, except per share data)2024202320242023
    Revenues:
    Premiums$76,897 $72,474 $154,885 $145,260 
    Products12,211 10,651 24,120 20,918 
    Services8,750 8,663 17,638 16,743 
    Investment and other income997 1,115 2,008 1,913 
    Total revenues98,855 92,903 198,651 184,834 
    Operating costs:
    Medical costs65,458 60,268 131,193 120,113 
    Operating costs13,162 13,809 27,239 27,434 
    Cost of products sold11,340 9,748 22,396 19,153 
    Depreciation and amortization1,020 1,021 2,017 1,991 
    Total operating costs90,980 84,846 182,845 168,691 
    Earnings from operations7,875 8,057 15,806 16,143 
    Interest expense(985)(828)(1,829)(1,582)
    Loss on sale of subsidiary and subsidiaries held for sale(1,225)— (8,311)— 
    Earnings before income taxes5,665 7,229 5,666 14,561 
    Provision for income taxes(1,244)(1,572)(2,466)(3,130)
    Net earnings4,421 5,657 3,200 11,431 
    Earnings attributable to noncontrolling interests(205)(183)(393)(346)
    Net earnings attributable to UnitedHealth Group common shareholders$4,216 $5,474 $2,807 $11,085 
    Earnings per share attributable to UnitedHealth Group common shareholders:
    Basic$4.58 $5.89 $3.05 $11.91 
    Diluted$4.54 $5.82 $3.02 $11.77 
    Basic weighted-average number of common shares outstanding921 930 921 931 
    Dilutive effect of common share equivalents7 10 8 11 
    Diluted weighted-average number of common shares outstanding928 940 929 942 
    Anti-dilutive shares excluded from the calculation of dilutive effect of common share equivalents8 7 7 6 
    See Notes to the Condensed Consolidated Financial Statements
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    UnitedHealth Group
    Condensed Consolidated Statements of Comprehensive Income
    (Unaudited)
     Three Months Ended
    June 30,
    Six Months Ended
    June 30,
    (in millions)2024202320242023
    Net earnings$4,421 $5,657 $3,200 $11,431 
    Other comprehensive income (loss):
    Gross unrealized (losses) gains on investment securities during the period(75)(431)(365)209 
    Income tax effect17 99 85 (48)
    Total unrealized (losses) gains, net of tax(58)(332)(280)161 
    Gross reclassification adjustment for net realized gains included in net earnings(26)(47)(58)(34)
    Income tax effect6 11 13 8 
    Total reclassification adjustment, net of tax
    (20)(36)(45)(26)
    Foreign currency translation gains (losses) 8 267 (285)608 
    Reclassification adjustment for translation losses included in net earnings86 — 4,214 — 
    Total foreign currency translation gains94 267 3,929 608 
    Other comprehensive income (loss)16 (101)3,604 743 
    Comprehensive income4,437 5,556 6,804 12,174 
    Comprehensive income attributable to noncontrolling interests(205)(183)(393)(346)
    Comprehensive income attributable to UnitedHealth Group common shareholders$4,232 $5,373 $6,411 $11,828 
    See Notes to the Condensed Consolidated Financial Statements
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    UnitedHealth Group
    Condensed Consolidated Statements of Changes in Equity
    (Unaudited)
    Common StockAdditional Paid-In CapitalRetained EarningsAccumulated Other Comprehensive LossNonredeemable Noncontrolling InterestsTotal
    Equity
    Three months ended June 30,
    (in millions)
    SharesAmountNet Unrealized (Losses) Gains on InvestmentsForeign Currency Translation (Losses) Gains
    Balance at March 31, 2024920 $9 $— $90,118 $(2,218)$(1,221)$5,682 $92,370 
    Net earnings4,216 158 4,374 
    Other comprehensive (loss) income(78)94 16 
    Issuances of common stock, and related tax effects
    1 — 196 196 
    Share-based compensation
    210 210 
    Common share repurchases— — 3 1 4 
    Cash dividends paid on common shares ($2.10 per share)
    (1,935)(1,935)
    Redeemable noncontrolling interests fair value and other adjustments
    (36)(36)
    Acquisition and other adjustments of nonredeemable noncontrolling interests
    (338)(338)
    Distribution to nonredeemable noncontrolling interests
    (185)(185)
    Balance at June 30, 2024921 $9 $373 $92,400 $(2,296)$(1,127)$5,317 $94,676 
    Balance at March 31, 2023932 $9 $— $88,852 $(2,275)$(5,274)$4,509 $85,821 
    Net earnings
    5,474 139 5,613 
    Other comprehensive (loss) income(368)267 (101)
    Issuances of common stock, and related tax effects
    1 — 218 218 
    Share-based compensation
    232 232 
    Common share repurchases(6)— (442)(2,585)(3,027)
    Cash dividends paid on common shares ($1.88 per share)
    (1,747)(1,747)
    Redeemable noncontrolling interests fair value and other adjustments
    (8)(8)
    Acquisition and other adjustments of nonredeemable noncontrolling interests478 478 
    Distribution to nonredeemable noncontrolling interests
    (111)(111)
    Balance at June 30, 2023927 $9 $— $89,994 $(2,643)$(5,007)$5,015 $87,368 
    See Notes to the Condensed Consolidated Financial Statements







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    UnitedHealth Group
    Condensed Consolidated Statements of Changes in Equity
    (Unaudited)
    Common StockAdditional Paid-In CapitalRetained EarningsAccumulated Other Comprehensive LossNonredeemable Noncontrolling InterestsTotal
    Equity
    Six months ended June 30,
    (in millions)
    SharesAmountNet Unrealized (Losses) Gains on InvestmentsForeign Currency Translation (Losses) Gains
    Balance at January 1, 2024924 $9 $— $95,774 $(1,971)$(5,056)$5,665 $94,421 
    Net earnings2,807 307 3,114 
    Other comprehensive (loss) income(325)3,929 3,604 
    Issuances of common stock, and related tax effects3 — 438 438 
    Share-based compensation562 562 
    Common share repurchases(6)— (571)(2,517)(3,088)
    Cash dividends paid on common shares ($3.98 per share)
    (3,664)(3,664)
    Redeemable noncontrolling interests fair value and other adjustments(56)(56)
    Acquisition and other adjustments of nonredeemable noncontrolling interests(319)(319)
    Distribution to nonredeemable noncontrolling interests(336)(336)
    Balance at June 30, 2024921 $9 $373 $92,400 $(2,296)$(1,127)$5,317 $94,676 
    Balance at January 1, 2023934 $9 $— $86,156 $(2,778)$(5,615)$3,678 $81,450 
    Net earnings
    11,085 252 11,337 
    Other comprehensive income135 608 743 
    Issuances of common stock, and related tax effects
    3 — 568 568 
    Share-based compensation
    598 598 
    Common share repurchases(10)— (1,075)(3,963)(5,038)
    Cash dividends paid on common shares ($3.53 per share)
    (3,284)(3,284)
    Redeemable noncontrolling interests fair value and other adjustments
    (91)(91)
    Acquisition and other adjustments of nonredeemable noncontrolling interests1,297 1,297 
    Distribution to nonredeemable noncontrolling interests
    (212)(212)
    Balance at June 30, 2023927 $9 $— $89,994 $(2,643)$(5,007)$5,015 $87,368 
    See Notes to the Condensed Consolidated Financial Statements
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    UnitedHealth Group
    Condensed Consolidated Statements of Cash Flows
    (Unaudited)
     Six Months Ended
    June 30,
    (in millions)20242023
    Operating activities
    Net earnings$3,200 $11,431 
    Noncash items:
    Depreciation and amortization2,017 1,991 
    Deferred income taxes(358)(482)
    Share-based compensation594 604 
    Loss on sale of subsidiary and subsidiaries held for sale8,311 — 
    Other, net459 (91)
    Net change in other operating items, net of effects from acquisitions, dispositions and changes in AARP balances:
    Accounts receivable(2,471)197 
    Other assets(4,121)(2,001)
    Medical costs payable777 2,408 
    Accounts payable and other liabilities36 1,547 
    Unearned revenues(554)11,755 
    Cash flows from operating activities7,890 27,359 
    Investing activities
    Purchases of investments(10,130)(9,225)
    Sales of investments5,288 3,188 
    Maturities of investments4,621 4,463 
    Cash paid for acquisitions, net of cash assumed(3,031)(8,161)
    Purchases of property, equipment and capitalized software(1,596)(1,589)
    Loans to providers - cyberattack(8,100)— 
    Other, net(809)(424)
    Cash flows used for investing activities(13,757)(11,748)
    Financing activities
    Common share repurchases(3,072)(5,000)
    Cash dividends paid(3,664)(3,284)
    Proceeds from common stock issuances744 628 
    Repayments of long-term debt(1,750)(2,125)
    Proceeds from short-term borrowings, net8,615 3,426 
    Proceeds from issuance of long-term debt5,925 6,394 
    Customer funds administered990 4,069 
    Other, net(753)(1,377)
    Cash flows from financing activities7,035 2,731 
    Effect of exchange rate changes on cash and cash equivalents(44)106 
    Increase in cash and cash equivalents, including cash within businesses held for sale1,124 18,448 
    Less: cash within businesses held for sale(265)— 
    Net increase in cash and cash equivalents859 18,448 
    Cash and cash equivalents, beginning of period25,427 23,365 
    Cash and cash equivalents, end of period$26,286 $41,813 
    See Notes to the Condensed Consolidated Financial Statements
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    UnitedHealth Group
    Notes to the Condensed Consolidated Financial Statements
    (Unaudited)
    1.    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. The Company’s two distinct, yet complementary businesses — 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, 2023 as filed with the SEC (2023 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
    As of June 30, 2024 and December 31, 2023, accounts receivable related to products and services were $9.0 billion and $8.6 billion, respectively. As of June 30, 2024, revenue expected to be recognized in any future year related to remaining performance obligations, excluding revenue pertaining to contracts having an original expected duration of one year or less, contracts where revenue is recognized as invoiced and contracts with variable consideration related to undelivered performance obligations, was $14.0 billion, of which approximately half is expected to be recognized in the next three years.
    7

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    2.    Investments
    A summary of debt securities by major security type is as follows:
    (in millions)Amortized
    Cost
    Gross
    Unrealized
    Gains
    Gross
    Unrealized
    Losses
    Fair
    Value
    June 30, 2024
    Debt securities - available-for-sale:
    U.S. government and agency obligations$5,007 $— $(264)$4,743 
    State and municipal obligations7,299 4 (397)6,906 
    Corporate obligations23,193 14 (1,222)21,985 
    U.S. agency mortgage-backed securities9,320 3 (899)8,424 
    Non-U.S. agency mortgage-backed securities2,894 — (218)2,676 
    Total debt securities - available-for-sale47,713 21 (3,000)44,734 
    Debt securities - held-to-maturity:
    U.S. government and agency obligations413 — (4)409 
    State and municipal obligations28 — (3)25 
    Corporate obligations124 — — 124 
    Total debt securities - held-to-maturity565 — (7)558 
    Total debt securities$48,278 $21 $(3,007)$45,292 
    December 31, 2023
    Debt securities - available-for-sale:
    U.S. government and agency obligations$4,674 $3 $(234)$4,443 
    State and municipal obligations7,636 39 (322)7,353 
    Corporate obligations23,136 67 (1,186)22,017 
    U.S. agency mortgage-backed securities8,982 22 (708)8,296 
    Non-U.S. agency mortgage-backed securities3,023 3 (240)2,786 
    Total debt securities - available-for-sale47,451 134 (2,690)44,895 
    Debt securities - held-to-maturity:
    U.S. government and agency obligations506 1 (6)501 
    State and municipal obligations28 — (2)26 
    Corporate obligations69 — — 69 
    Total debt securities - held-to-maturity603 1 (8)596 
    Total debt securities$48,054 $135 $(2,698)$45,491 
    The Company held $4.2 billion and $4.9 billion of equity securities as of June 30, 2024 and December 31, 2023, respectively. The Company’s investments in equity securities primarily consist of venture investments and employee savings plan related investments. Additionally, the Company’s investments included $1.7 billion and $1.4 billion of equity method investments primarily in operating businesses in the health care sector as of June 30, 2024 and December 31, 2023, respectively. The allowance for credit losses on held-to-maturity securities at June 30, 2024 and December 31, 2023 was not material.
    8

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    The amortized cost and fair value of debt securities as of June 30, 2024, by contractual maturity, were as follows:
    Available-for-SaleHeld-to-Maturity
    (in millions)Amortized
    Cost
    Fair
    Value
    Amortized
    Cost
    Fair
    Value
    Due in one year or less$5,172 $5,137 $363 $362 
    Due after one year through five years14,656 14,021 171 168 
    Due after five years through ten years10,930 10,044 14 13 
    Due after ten years4,741 4,432 17 15 
    U.S. agency mortgage-backed securities9,320 8,424 — — 
    Non-U.S. agency mortgage-backed securities2,894 2,676 — — 
    Total debt securities$47,713 $44,734 $565 $558 
    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 Months12 Months or Greater Total
    (in millions)Fair
    Value
    Gross
    Unrealized
    Losses
    Fair
    Value
    Gross
    Unrealized
    Losses
    Fair
    Value
    Gross
    Unrealized
    Losses
    June 30, 2024
    Debt securities - available-for-sale:
    U.S. government and agency obligations
    $1,187 $(9)$2,773 $(255)$3,960 $(264)
    State and municipal obligations1,942 (30)4,584 (367)6,526 (397)
    Corporate obligations5,334 (49)13,570 (1,173)18,904 (1,222)
    U.S. agency mortgage-backed securities2,511 (45)5,757 (854)8,268 (899)
    Non-U.S. agency mortgage-backed securities
    403 (4)2,157 (214)2,560 (218)
    Total debt securities - available-for-sale$11,377 $(137)$28,841 $(2,863)$40,218 $(3,000)
    December 31, 2023
    Debt securities - available-for-sale:
    U.S. government and agency obligations
    $1,270 $(7)$2,077 $(227)$3,347 $(234)
    State and municipal obligations907 (7)4,063 (315)4,970 (322)
    Corporate obligations1,826 (17)14,696 (1,169)16,522 (1,186)
    U.S. agency mortgage-backed securities1,337 (12)5,069 (696)6,406 (708)
    Non-U.S. agency mortgage-backed securities
    279 (6)2,202 (234)2,481 (240)
    Total debt securities - available-for-sale$5,619 $(49)$28,107 $(2,641)$33,726 $(2,690)
    The Company’s unrealized losses from debt securities as of June 30, 2024 were generated from approximately 33,000 positions out of a total of 40,000 positions. The Company believes that it will timely collect the 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 June 30, 2024, 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 June 30, 2024 and December 31, 2023 was not material.
    9

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    3.    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 2023 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
    in Active
    Markets
    (Level 1)
    Other
    Observable
    Inputs
    (Level 2)
    Unobservable
    Inputs
    (Level 3)
    Total
    Fair and Carrying
    Value
    June 30, 2024
    Cash and cash equivalents$26,070$216$—$26,286
    Debt securities - available-for-sale:
    U.S. government and agency obligations4,571172—4,743
    State and municipal obligations—6,906—6,906
    Corporate obligations2021,76819721,985
    U.S. agency mortgage-backed securities—8,424—8,424
    Non-U.S. agency mortgage-backed securities—2,676—2,676
    Total debt securities - available-for-sale4,59139,94619744,734
    Equity securities1,70116691,786
    Assets under management 1,4141,8931073,414
    Total assets at fair value$33,776$42,071$373$76,220
    Percentage of total assets at fair value44 %55 %1 %100 %
    December 31, 2023
    Cash and cash equivalents$25,345$82$—$25,427
    Debt securities - available-for-sale:
    U.S. government and agency obligations4,167276—4,443
    State and municipal obligations—7,353—7,353
    Corporate obligations1521,80020222,017
    U.S. agency mortgage-backed securities—8,296—8,296
    Non-U.S. agency mortgage-backed securities—2,786—2,786
    Total debt securities - available-for-sale4,18240,51120244,895
    Equity securities2,46816692,553
    Assets under management 1,5052,1401103,755
    Total assets at fair value$33,500$42,749$381$76,630
    Percentage of total assets at fair value44 %55 %1 %100 %
    There were no transfers in or out of Level 3 financial assets or liabilities during the six months ended June 30, 2024 or 2023.
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    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
    in Active
    Markets
    (Level 1)
    Other
    Observable
    Inputs
    (Level 2)
    Unobservable
    Inputs
    (Level 3)
    Total
    Fair
    Value
    Total Carrying Value
    June 30, 2024
    Debt securities - held-to-maturity$531 $27 $— $558 $565 
    Long-term debt and other financing obligations$— $61,144 $— $61,144 $65,186 
    December 31, 2023
    Debt securities - held-to-maturity$524 $72 $— $596 $603 
    Long-term debt and other financing obligations$— $59,851 $— $59,851 $61,449 
    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. The assets and liabilities within our South American operations held for sale as of June 30, 2024 were measured at the lower of carrying value or fair value less cost to sell. Fair value is measured based upon unobservable amounts, such as estimated selling price derived from Company-specific information and market conditions. There were no other significant fair value adjustments for assets and liabilities recorded during the six months ended June 30, 2024 or 2023.
    4.    Medical Costs Payable
    The following table shows the components of the change in medical costs payable for the six months ended June 30:
    (in millions)20242023
    Medical costs payable, beginning of period$32,395 $29,056 
    Acquisitions (dispositions), net(687)1 
    Reported medical costs:
    Current year131,583 120,773 
    Prior years(390)(660)
    Total reported medical costs131,193 120,113 
    Medical payments:
    Payments for current year
    (102,288)(91,621)
    Payments for prior years(27,887)(25,602)
    Total medical payments(130,175)(117,223)
    Less: medical costs payable included within businesses held for sale(179)— 
    Medical costs payable, end of period$32,547 $31,947 
    For the six months ended June 30, 2024 and 2023, prior years’ medical cost reserve development included no individual factors that were significant. Medical costs payable included reserves for claims incurred by consumers but not yet reported to the Company of $23.6 billion and $22.3 billion at June 30, 2024 and December 31, 2023, respectively.
    11

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    5.    Short-Term Borrowings and Long-Term Debt
    In March 2024, the Company issued $6.0 billion of senior unsecured notes consisting of the following:
    (in millions, except percentages)Par Value
    4.600% notes due April 2027
    $500 
    4.700% notes due April 2029
    400 
    4.900% notes due April 2031
    1,000 
    5.000% notes due April 2034
    1,250 
    5.375% Notes due April 2054
    1,750 
    5.500% Notes due April 2064
    1,100 
    In July 2024, the Company issued $12.0 billion of senior unsecured notes consisting of the following:
    (in millions, except percentages)Par Value
    Floating rate notes due July 2026
    $500 
    4.750% notes due July 2026
    650 
    4.800% notes due January 2030
    1,250 
    4.950% notes due January 2032
    1,500 
    5.150% notes due July 2034
    2,000 
    5.500% notes due July 2044
    1,500 
    5.625% notes due July 2054
    2,750 
    5.750% notes due July 2064
    1,850 
    As of June 30, 2024, the Company had $9.9 billion of commercial paper outstanding, with a weighted-average annual interest rate of 5.4%.
    In May 2024, the Company entered into an additional $3 billion 364-day revolving bank credit facility and a $5 billion 364-day delayed draw term loan. As of June 30, 2024 no amount had been drawn on any of the bank credit facilities.
    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 2023 10-K.
    6.    Shareholders’ Equity
    Share Repurchase Program
    In June 2024, the Company’s Board of Directors amended the Company’s share repurchase program to authorize the repurchase of up to 35 million shares of Common Stock, in addition to all remaining shares authorized to be repurchased under the Board’s 2018 renewal of the program. As of June 30, 2024, the Company had 44 million shares remaining available under its share repurchase authorization.
    Dividends
    In June 2024, the Company’s Board of Directors increased the Company’s quarterly cash dividend to shareholders to an annual rate of $8.40 compared to $7.52 per share, which the Company had paid since June 2023. Declaration and payment of future quarterly dividends is at the discretion of the Board of Directors and may be adjusted as business needs or market conditions change.
    The following table provides details of the Company’s dividend payments during the six months ended June 30, 2024:
    Payment DateAmount per ShareTotal Amount Paid
    (in millions)
    March 19$1.88 $1,729 
    June 252.10 1,935 
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    7.    Commitments and Contingencies
    Pending Transactions
    As of June 30, 2024, the Company had entered into transaction agreements in the health care sector, subject to regulatory approval and/or other customary closing conditions. The total anticipated consideration required for these transactions, excluding the payoff of acquired indebtedness, was approximately $6 billion. In July, 2024, the Company completed transactions in the health care sector for total consideration of approximately $10 billion.
    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, the Company’s international businesses are also subject to investigations, audits and reviews by applicable foreign governments. The Company has also been responding to subpoenas, information requests and investigations from governmental entities. The Company can provide no assurance as to the scope and outcome of these matters and no assurance as to whether its business, financial condition or results of operations will be materially adversely affected. 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.
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    8.    Disposition and Held for Sale
    On February 6, 2024, the Company completed the sale of its Brazil operations. During the six months ended June 30, 2024, the Company recorded a loss of $7.1 billion within the Condensed Consolidated Statement of Operations, of which $4.1 billion related to the impact of cumulative foreign currency translation losses previously included in accumulated other comprehensive loss.
    In the second quarter of 2024, the Company initiated a plan to sell its remaining South American operations. The sales are expected to close within a year, subject to regulatory and other customary closing conditions. The Company determined that the businesses are classified as held for sale. Assets and liabilities held for sale have been included within prepaid and other current assets and other current liabilities on the Condensed Consolidated Balance Sheet, respectively. In the second quarter of 2024, the Company recorded a loss of $1.2 billion within the Condensed Consolidated Statements of Operations, of which $867 million related to the impact of cumulative foreign currency translation losses.
    The assets and liabilities of the Brazil and held for sale disposal groups as of the date of the sale and as of June 30, 2024, respectively, were as follows:
    (in millions)Brazil
    Disposition
    Businesses
    Held for Sale
    Assets
    Cash and cash equivalents$778 $265 
    Accounts receivable and other current assets515 608 
    Long-term investments788 39 
    Property, equipment and capitalized software1,052 633 
    Deferred tax assets1,035 — 
    Goodwill and other intangible assets317 445 
    Other long-term assets439 246 
    Remeasurement of assets of businesses held for sale to fair value less cost to sell(1)
    — (1,225)
    Total assets$4,924 $1,011 
    Liabilities
    Medical costs payable$701 $179 
    Accounts payable and other current liabilities834 378 
    Other long-term liabilities136 524 
    Total liabilities$1,671 $1,081 
    (1)      Includes the effect of $867 million of cumulative foreign currency translation losses and $52 million of noncontrolling interests.
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    9.    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 2023 10-K.
    The following tables present reportable segment financial information:
      Optum  
    (in millions)UnitedHealthcareOptum HealthOptum InsightOptum RxOptum EliminationsOptumCorporate and
    Eliminations
    Consolidated
    Three Months Ended June 30, 2024
    Revenues - unaffiliated customers:
    Premiums$70,950 $5,947 $— $— $— $5,947 $— $76,897 
    Products— 62 41 12,108 — 12,211 — 12,211 
    Services2,388 4,083 1,405 874 — 6,362 — 8,750 
    Total revenues - unaffiliated customers
    73,338 10,092 1,446 12,982 — 24,520 — 97,858 
    Total revenues - affiliated customers
    — 16,576 3,070 19,373 (1,129)37,890 (37,890)— 
    Investment and other income
    528 382 27 60 — 469 — 997 
    Total revenues$73,866 $27,050 $4,543 $32,415 $(1,129)$62,879 $(37,890)$98,855 
    Earnings from operations$4,004 $1,919 $546 $1,406 $— $3,871 $— $7,875 
    Interest expense— — — — — — (985)(985)
    Loss on sale of subsidiary and subsidiaries held for sale(1,225)— — — — — — (1,225)
    Earnings before income taxes
    $2,779 $1,919 $546 $1,406 $— $3,871 $(985)$5,665 
    Three Months Ended June 30, 2023
    Revenues - unaffiliated customers:
    Premiums$67,047 $5,427 $— $— $— $5,427 $— $72,474 
    Products— 51 39 10,561 — 10,651 — 10,651 
    Services2,584 3,541 1,995 543 — 6,079 — 8,663 
    Total revenues - unaffiliated customers
    69,631 9,019 2,034 11,104 — 22,157 — 91,788 
    Total revenues - affiliated customers
    — 14,454 2,615 17,496 (893)33,672 (33,672)— 
    Investment and other income
    600 444 25 46 — 515 — 1,115 
    Total revenues$70,231 $23,917 $4,674 $28,646 $(893)$56,344 $(33,672)$92,903 
    Earnings from operations$4,358 $1,525 $968 $1,206 $— $3,699 $— $8,057 
    Interest expense— — — — — — (828)(828)
    Earnings before income taxes
    $4,358 $1,525 $968 $1,206 $— $3,699 $(828)$7,229 
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      Optum  
    (in millions)UnitedHealthcareOptum HealthOptum InsightOptum RxOptum EliminationsOptumCorporate and
    Eliminations
    Consolidated
    Six Months Ended June 30, 2024
    Revenues - unaffiliated customers:
    Premiums$143,243 $11,642 $— $— $— $11,642 $— $154,885 
    Products— 121 82 23,917 — 24,120 — 24,120 
    Services4,917 8,053 3,107 1,561 — 12,721 — 17,638 
    Total revenues - unaffiliated customers
    148,160 19,816 3,189 25,478 — 48,483 — 196,643 
    Total revenues - affiliated customers
    — 33,193 5,801 37,654 (2,145)74,503 (74,503)— 
    Investment and other income
    1,063 772 55 118 — 945 — 2,008 
    Total revenues$149,223 $53,781 $9,045 $63,250 $(2,145)$123,931 $(74,503)$198,651 
    Earnings from operations$8,399 $3,818 $1,036 $2,553 $— $7,407 $— $15,806 
    Interest expense— — — — — — (1,829)(1,829)
    Loss on sale of subsidiary and subsidiaries held for sale(8,311)— — — — — — (8,311)
    Earnings before income taxes
    $88 $3,818 $1,036 $2,553 $— $7,407 $(1,829)$5,666 
    Six Months Ended June 30, 2023
    Revenues - unaffiliated customers:
    Premiums$134,505 $10,755 $— $— $— $10,755 $— $145,260 
    Products— 95 79 20,744 — 20,918 — 20,918 
    Services5,139 6,630 3,921 1,053 — 11,604 — 16,743 
    Total revenues - unaffiliated customers
    139,644 17,480 4,000 21,797 — 43,277 — 182,921 
    Total revenues - affiliated customers
    — 28,720 5,125 34,175 (1,752)66,268 (66,268)— 
    Investment and other income
    1,055 721 45 92 — 858 — 1,913 
    Total revenues$140,699 $46,921 $9,170 $56,064 $(1,752)$110,403 $(66,268)$184,834 
    Earnings from operations$8,701 $3,301 $1,875 $2,266 $— $7,442 $— $16,143 
    Interest expense— — — — — — (1,582)(1,582)
    Earnings before income taxes
    $8,701 $3,301 $1,875 $2,266 $— $7,442 $(1,582)$14,561 
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    ITEM 2.    MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
    The following discussion should be read together with the accompanying Condensed Consolidated Financial Statements and Notes and with our 2023 10-K, including the Consolidated Financial Statements and Notes included in Part II, Item 8, “Financial Statements and Supplementary Data” in that report. Unless the context indicates otherwise, references to the terms “UnitedHealth Group,” the “Company,” “we,” “our” or “us” used throughout this Management’s Discussion and Analysis of Financial Condition and Results of Operations refer to UnitedHealth Group Incorporated and its consolidated subsidiaries.
    Readers are cautioned that the statements, estimates, projections or outlook contained in this Management's Discussion and Analysis of Financial Condition and Results of Operations, including discussions regarding financial prospects, economic conditions, trends and uncertainties contained in this Item 2, may constitute forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 (PSLRA). These forward-looking statements involve risks and uncertainties that may cause our actual results to differ materially from the results discussed or implied in the forward-looking statements. A description of some of the risks and uncertainties is set forth in Part I, Item 1A, “Risk Factors” in our 2023 10-K and in the discussion below.
    EXECUTIVE OVERVIEW
    General
    UnitedHealth Group 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 businesses — 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 we are privileged to serve.
    We have four reportable segments:
    •Optum Health;
    •Optum Insight;
    •Optum Rx; and
    •UnitedHealthcare, which includes UnitedHealthcare Employer & Individual, UnitedHealthcare Medicare & Retirement and UnitedHealthcare Community & State.
    Further information on our business is presented in Part I, Item 1, “Business” and Part II, Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in our 2023 10-K and additional information on our segments can be found in this Item 2 and in Note 9 of Notes to the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report.
    Change Healthcare Cyberattack
    As previously announced, on February 21, 2024, we identified that cybercrime threat actors had gained access to certain Change Healthcare information technology systems. Upon detection of this outside threat, we isolated the impacted systems to protect our partners and customers.
    We have made substantial progress in mitigating the impact to consumers and care providers of the unprecedented cyberattack on the U.S. health system and have restored the majority of the affected Change Healthcare services. To support care providers, we accelerated funding and provided interest-free loans of more than $9 billion through June 30, 2024. For the three and six months ended June 30, 2024, we incurred $776 million and $1.4 billion of direct response costs, respectively, including network restoration and increased medical care expenditures, as we suspended some care management activities to help care providers with their workflow processes. Optum Insight also experienced estimated business disruption impacts of $334 million and $613 million for the three and six months ended June 30, 2024, respectively, reflecting lost revenue while maintaining full readiness of the affected Change Healthcare services. We expect to continue to incur direct response costs and experience business disruption impacts over the remainder of the year, including costs to continue to restore Change Healthcare’s services.
    Based upon our ongoing review of the impacted data, we have found files containing protected health information (PHI) or personally identifiable information (PII), which cover a substantial proportion of people in America. In June 2024, Change Healthcare gave public notice of the breach under HIPAA and began notifying affected customer entities in June and individuals in late July. The investigation of impacted data is ongoing. It is possible that future risks and uncertainties resulting from the Change Healthcare cyberattack, including risks related to impacted data, litigation, reputational harm, and regulatory actions could adversely affect our financial condition or results of operations.
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    Business Trends
    Our businesses participate in the United States and certain other international health markets. We expect overall spending on health care to continue to grow in the future, due to inflation, medical technology and pharmaceutical advancement, regulatory requirements, demographic trends in the population and national interest in health and well-being. The rate of market growth may be affected by a variety of factors, including macroeconomic conditions and regulatory changes, which could impact our results of operations, including our continued efforts to control health care costs.
    Pricing Trends. To price our health care benefits, products and services, we start with our view of expected future costs, including medical cost trends, inflation and labor market dynamics. We frequently evaluate and adjust our approach in each of the local markets we serve, considering all relevant factors, such as product positioning, price competitiveness and environmental, competitive, legislative and regulatory considerations, including minimum medical loss ratio thresholds and similar revenue adjustments. We will continue seeking to balance growth and profitability across all these dimensions.
    The commercial risk market remains highly competitive in the small group, large group and individual segments. We expect broad-based competition to continue as the industry adapts to individual and employer needs.
    Government programs in the community and senior sector tend to receive lower rates of increase than the commercial market due to governmental budget pressures and lower cost trends.
    Medical Cost Trends. Our medical cost trends primarily relate to changes in unit costs, care activity and prescription drug costs. As expected and contemplated in our benefits design, we have continued to observe increased care patterns, primarily related to outpatient procedures for seniors, which may continue in future periods. We endeavor to mitigate those increases by engaging physicians and consumers with information and helping them make clinically sound choices, with the objective of helping them achieve quality, affordable care.
    As a result of the Change Healthcare cyberattack, we incurred medical costs related to the impact of the temporary suspension of some care management activities, impacting our UnitedHealthcare and Optum Health businesses, to help care providers with their workflow processes. Early in the second quarter we resumed these activities. For the three and six months June 30, 2024, medical costs related to the temporary suspension of some care management activities were $290 million and $630 million, respectively.
    Medicaid Redeterminations. Medicaid redeterminations have continued to impact the number of people served through our Medicaid offerings, partially offset by an increase in consumers served through our commercial offerings as we endeavor to ensure that people and families have continued access to care.
    Regulatory Trends and Uncertainties
    Medicare Advantage Rates. Medicare Advantage rate notices over the years have at times resulted in industry base rates well below the industry forward medical trend. For example, the Final Notices for 2024 and 2025 rates resulted in an industry base rate decrease, both well short of an increasing industry forward medical cost trend, creating continued pressure in the Medicare Advantage program. Further, substantial revisions to the risk adjustment model, which serves to adjust rates to reflect a patient’s health status and care resource needs, will result in reduced funding and potentially benefits for people, especially those with some of the greatest health and social challenges.
    As a result of ongoing Medicare funding pressures, there are adjustments we can make to partially offset these rate pressures and reductions for a particular period. For example, we can seek to intensify our medical and operating cost management, make changes to the size and composition of our care provider networks, adjust member benefits and implement or increase the member premiums supplementing the monthly payments we receive from the government. Additionally, we decide annually on a county-by-county basis where we will offer Medicare Advantage plans.
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    SELECTED OPERATING PERFORMANCE AND OTHER SIGNIFICANT ITEMS
    The following summarizes select second quarter 2024 year-over-year operating comparisons to second quarter 2023 and other financial results.
    •Consolidated revenues grew 6%, UnitedHealthcare revenues grew 5% and Optum revenues grew 12%.
    •UnitedHealthcare served 1.6 million more people domestically, driven by growth in commercial offerings, partially offset by the impact of Medicaid redeterminations.
    •Consolidated earnings from operations of $7.9 billion compared to $8.1 billion last year, impacted by the Change Healthcare cyberattack.
    •Diluted earnings per common share was $4.54, impacted by the loss on our South American subsidiaries held for sale and the Change Healthcare cyberattack.
    •Cash flows from operations for the six months ended June 30, 2024 were $7.9 billion.
    RESULTS SUMMARY
    The following table summarizes our consolidated results of operations and other financial information:
    (in millions, except percentages and per share data)Three Months Ended
    June 30,
    Increase/
    (Decrease)
    Six Months Ended
    June 30,
    Increase/
    (Decrease)
    202420232024 vs. 2023202420232024 vs. 2023
    Revenues:
    Premiums$76,897 $72,474$4,423 6 %$154,885 $145,260$9,625 7 %
    Products12,211 10,6511,560 15 24,120 20,9183,202 15 
    Services8,750 8,66387 1 17,638 16,743895 5 
    Investment and other income997 1,115(118)(11)2,008 1,91395 5 
    Total revenues98,855 92,9035,952 6 198,651 184,83413,817 7 
    Operating costs:
    Medical costs65,458 60,2685,190 9 131,193 120,11311,080 9 
    Operating costs13,162 13,809(647)(5)27,239 27,434(195)(1)
    Cost of products sold11,340 9,7481,592 16 22,396 19,1533,243 17 
    Depreciation and amortization1,020 1,021(1)— 2,017 1,99126 1 
    Total operating costs90,980 84,8466,134 7 182,845 168,69114,154 8 
    Earnings from operations7,875 8,057(182)(2)15,806 16,143(337)(2)
    Interest expense(985)(828)(157)19 (1,829)(1,582)(247)16 
    Loss on sale of subsidiary and subsidiaries held for sale(1,225)—(1,225)nm(8,311)—(8,311)nm
    Earnings before income taxes5,665 7,229(1,564)(22)5,666 14,561(8,895)(61)
    Provision for income taxes(1,244)(1,572)328 (21)(2,466)(3,130)664 (21)
    Net earnings4,421 5,657(1,236)(22)3,200 11,431(8,231)(72)
    Earnings attributable to noncontrolling interests(205)(183)(22)12 (393)(346)(47)14 
    Net earnings attributable to UnitedHealth Group common shareholders$4,216 $5,474$(1,258)(23)$2,807 $11,085$(8,278)(75)
    Diluted earnings per share attributable to UnitedHealth Group common shareholders $4.54 $5.82$(1.28)$3.02 $11.77$(8.75)
    Medical care ratio (a)85.1 %83.2%1.9 %84.7 %82.7%2.0 %
    Operating cost ratio13.3 14.9(1.6)13.7 14.8(1.1)
    Operating margin8.0 8.7(0.7)8.0 8.7(0.7)
    Tax rate22.021.70.3 43.521.522.0 
    Net earnings margin (b)4.3 5.9(1.6)1.4 6.0(4.6)
    Return on equity (c)19.2%26.8%(7.6)6.4%27.5%(21.1)
    nm = not meaningful
    (a)Medical care ratio (MCR) is calculated as medical costs divided by premium revenue.
    (b)Net earnings margin attributable to UnitedHealth Group shareholders.
    (c)Return on equity is calculated as annualized net earnings attributable to UnitedHealth Group common shareholders divided by average shareholders’ equity. Average shareholders’ equity is calculated using the shareholders’ equity balance at the end of the preceding year and the shareholders’ equity balances at the end of each of the quarters in the year presented.
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    2024 RESULTS OF OPERATIONS COMPARED TO 2023 RESULTS OF OPERATIONS
    Consolidated Financial Results
    Revenues
    The increases in revenues were primarily driven by growth in Optum Rx and Optum Health, growth across our UnitedHealthcare domestic offerings and pricing trends, partially offset by decreased UnitedHealthcare international revenue due to the sale of our Brazil operations.
    Medical Costs and MCR
    Medical costs increased primarily due to growth in people served through Medicare Advantage, those with higher acuity needs and domestic commercial offerings. The MCR increased as a result of the revenue effects of the Medicare funding reductions, incremental medical costs for accommodations made to care providers as a result of the Change Healthcare cyberattack, South American impacts and decreased favorable reserve development.
    Operating Cost Ratio
    The operating cost ratio decreased primarily due to operating cost management, partially offset by the impact of our direct response efforts to the Change Healthcare cyberattack and investments to support future growth.
    Loss on Sale of Subsidiary and Subsidiaries Held for Sale
    On February 6, 2024, the Company completed the sale of its Brazil operations. During the six months ended June 30, 2024, we recorded a loss of $7.1 billion, of which $4.1 billion related to the impact of cumulative foreign currency translation losses previously included in accumulated other comprehensive loss.
    In the second quarter of 2024, the Company initiated a plan to sell its remaining South American operations, which were classified as held for sale as of June 30, 2024. As a result, the Company recorded a loss of $1.2 billion, of which $867 million related to the impact of cumulative foreign currency translation losses.
    Reportable Segments
    See Note 9 of Notes to the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report for more information on our segments. We utilize various metrics to evaluate and manage our reportable segments, including people served by UnitedHealthcare by major market segment and funding arrangement, people served by Optum Health and adjusted scripts for Optum Rx. These metrics are the main drivers of revenue, earnings and cash flows at each business. The metrics also allow management and investors to evaluate and understand business mix, including the level and scope of services provided to people, and pricing trends when comparing the metrics to revenue by segment.
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    The following table presents a summary of the reportable segment financial information:
     Three Months Ended
    June 30,
    Increase/
    (Decrease)
    Six Months Ended
    June 30,
    Increase/
    (Decrease)
    (in millions, except percentages)202420232024 vs. 2023202420232024 vs. 2023
    Revenues
    UnitedHealthcare$73,866 $70,231$3,6355 %$149,223$140,699$8,524 6 %
    Optum Health27,050 23,9173,13313 53,78146,9216,860 15 
    Optum Insight4,543 4,674(131)(3)9,0459,170(125)(1)
    Optum Rx32,415 28,6463,76913 63,25056,0647,186 13 
    Optum eliminations(1,129)(893)(236)26 (2,145)(1,752)(393)22 
    Optum62,879 56,3446,53512 123,931110,40313,528 12 
    Eliminations(37,890)(33,672)(4,218)13 (74,503)(66,268)(8,235)12 
    Consolidated revenues$98,855 $92,903$5,9526 %$198,651$184,834$13,817 7 %
    Earnings from operations
    UnitedHealthcare$4,004 $4,358$(354)(8)%$8,399$8,701$(302)(3)%
    Optum Health1,919 1,52539426 3,8183,301517 16 
    Optum Insight546 968(422)(44)1,0361,875(839)(45)
    Optum Rx1,406 1,20620017 2,5532,266287 13 
    Optum3,871 3,6991725 7,4077,442(35)— 
    Consolidated earnings from operations$7,875 $8,057$(182)(2)%$15,806$16,143$(337)(2)%
    Operating margin
    UnitedHealthcare5.4 %6.2 %(0.8)%5.6 %6.2 %(0.6)%
    Optum Health7.1 6.4 0.7 7.1 7.0 0.1 
    Optum Insight12.0 20.7 (8.7)11.5 20.4 (8.9)
    Optum Rx4.3 4.2 0.1 4.0 4.0 — 
    Optum6.2 6.6 (0.4)6.0 6.7 (0.7)
    Consolidated operating margin8.0 %8.7 %(0.7)%8.0 %8.7 %(0.7)%
    UnitedHealthcare
    The following table summarizes UnitedHealthcare revenues by business:
     Three Months Ended
    June 30,
    Increase/
    (Decrease)
    Six Months Ended
    June 30,
    Increase/
    (Decrease)
    (in millions, except percentages)202420232024 vs. 2023202420232024 vs. 2023
    UnitedHealthcare Employer & Individual - Domestic$18,646 $16,759 $1,887 11 %$36,485 $33,303 $3,182 10 %
    UnitedHealthcare Employer & Individual - Global591 2,325 (1,734)(75)2,123 4,488 (2,365)(53)
    UnitedHealthcare Employer & Individual - Total19,237 19,084 153 1 38,608 37,791 817 2 
    UnitedHealthcare Medicare & Retirement34,904 32,440 2,464 8 70,390 65,446 4,944 8 
    UnitedHealthcare Community & State19,725 18,707 1,018 5 40,225 37,462 2,763 7 
    Total UnitedHealthcare revenues$73,866 $70,231 $3,635 5 %$149,223 $140,699 $8,524 6 %
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    The following table summarizes the number of people served by our UnitedHealthcare businesses, by major market segment and funding arrangement:
    June 30,Increase/(Decrease)
    (in thousands, except percentages)202420232024 vs. 2023
    Commercial - Domestic:
    Risk-based8,735 8,035 700 9 %
    Fee-based20,835 19,140 1,695 9 
    Total Commercial - Domestic29,570 27,175 2,395 9 
    Medicare Advantage7,770 7,590 180 2 
    Medicaid7,410 8,355 (945)(11)
    Medicare Supplement (Standardized)4,335 4,330 5 — 
    Total Community and Senior19,515 20,275 (760)(4)
    Total UnitedHealthcare - Domestic Medical49,085 47,450 1,635 3 
    Commercial - Global1,330 5,385 (4,055)(75)
    Total UnitedHealthcare - Medical50,415 52,835 (2,420)(5)%
    Supplemental Data:
    Medicare Part D stand-alone3,065 3,355 (290)(9)%
    UnitedHealthcare’s revenues increased due to growth in the number of people served through Medicare Advantage, domestic commercial offerings and those with higher acuity needs, partially offset by decreased people served globally due to the sale of our Brazil operations and Medicaid offerings due to continued redeterminations. Earnings from operations increased due to the factors impacting revenue, partially offset by Medicare Advantage funding reductions and incremental medical costs for accommodations to support care providers as a result of the Change Healthcare cyberattack.
    Optum
    Total revenues increased due to growth at Optum Rx and Optum Health. Earnings from operations increased for the three months ended June 30, 2024 and were consistent for the six months ended June 30, 2024, with growth at Optum Rx and Optum Health offset by the impacts of the Change Healthcare cyberattack. The results by segment were as follows:
    Optum Health
    Revenues at Optum Health increased primarily due to organic growth in patients served under value-based care arrangements. Earnings from operations increased due to cost management initiatives, partially offset by costs associated with serving newly added patients under value-based care arrangements. For the six months ended June 30, 2024, earnings from operations increases were also partially offset by incremental medical costs for accommodations to support care providers as a result of the Change Healthcare cyberattack. Optum Health served approximately 104 million people and 103 million people as of June 30, 2024 and June 30, 2023, respectively.
    Optum Insight
    Revenues at Optum Insight decreased due the business disruption impacts from the Change Healthcare cyberattack, partially offset by growth in technology services. Earnings from operations decreased primarily due to the business disruption impacts and direct response costs related to the Change Healthcare cyberattack.
    Optum Rx
    Revenues and earnings from operations at Optum Rx increased due to higher script volumes from both new clients and growth in existing clients and growth in pharmacy services. Optum Rx fulfilled 399 million and 381 million adjusted scripts in the second quarters of 2024 and 2023, respectively.
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    LIQUIDITY, FINANCIAL CONDITION AND CAPITAL RESOURCES
    Liquidity
    Summary of our Major Sources and Uses of Cash and Cash Equivalents
     Six Months Ended June 30,Increase/(Decrease)
    (in millions)202420232024 vs. 2023
    Sources of cash:
    Cash provided by operating activities$7,890 $27,359 $(19,469)
    Issuances of short-term borrowings and long-term debt, net of repayments12,790 7,695 5,095 
    Proceeds from common stock issuances744 628 116 
    Customer funds administered990 4,069 (3,079)
    Total sources of cash22,414 39,751 (17,337)
    Uses of cash:
    Common stock repurchases(3,072)(5,000)1,928 
    Cash paid for acquisitions, net of cash assumed(3,031)(8,161)5,130 
    Purchases of investments, net of sales and maturities (221)(1,574)1,353 
    Purchases of property, equipment and capitalized software(1,596)(1,589)(7)
    Cash dividends paid(3,664)(3,284)(380)
    Loans to providers - cyberattack(8,100)— (8,100)
    Other(1,562)(1,801)239 
    Total uses of cash(21,246)(21,409)163 
    Effect of exchange rate changes on cash and cash equivalents(44)106 (150)
    Increase in cash and cash equivalents, including cash classified within assets held for sale$1,124 $18,448 $(17,324)
    Less: net increase in cash classified within assets held for sale(265)— (265)
    Net increase in cash and cash equivalents$859 $18,448 $(17,589)
    2024 Cash Flows Compared to 2023 Cash Flows
    Decreased cash flows provided by operating activities were primarily driven by the receipt of the July CMS premium payment of $11.8 billion in June 2023 and Change Healthcare cyberattack response actions, including the acceleration of provider payments. Other significant changes in sources or uses of cash year-over-year included decreased cash paid for acquisitions, increased net issuances of short-term borrowings and long-term debt, decreased share repurchases and net purchases of investments, offset by loans to care providers in response to the Change Healthcare cyberattack and decreased customer funds administered.
    Financial Condition
    As of June 30, 2024, our cash, cash equivalent, available-for-sale debt securities and equity securities balances of $75.2 billion included approximately $26.3 billion of cash and cash equivalents (of which $4.1 billion was available for general corporate use), $44.7 billion of debt securities and $4.2 billion of investments in equity securities. Given the significant portion of our portfolio held in cash and cash equivalents, we do not anticipate fluctuations in the aggregate fair value of our financial assets to have a material impact on our liquidity or capital position. Our available-for-sale debt securities portfolio had a weighted-average duration of 4.0 years and a weighted-average credit rating of “Double A” as of June 30, 2024. When multiple credit ratings are available for an individual security, the average of the available ratings is used to determine the weighted-average credit rating.

    23

    Table of Contents
    Capital Resources and Uses of Liquidity
    In addition to cash flows from operations and cash and cash equivalent balances available for general corporate use, our capital resources and uses of liquidity are as follows:
    Cash Requirements. A summary of our cash requirements as of December 31, 2023 was disclosed in Part II, Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in our 2023 10-K. During the six months ended June 30, 2024, there were no material changes to this previously disclosed information outside the ordinary course of business. We believe our capital resources are sufficient to meet future, short-term and long-term, liquidity needs. We continually evaluate opportunities to expand our operations, including through internal development of new products, programs and technology applications and business combinations.
    Short-Term Borrowings. Our revolving bank credit facilities provide liquidity support for our commercial paper borrowing program, which facilitates the private placement of unsecured debt through independent broker-dealers, and are available for general corporate purposes. For more information on our commercial paper and bank credit facilities, see Note 5 of Notes to the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report and Note 8 of Notes to the Consolidated Financial Statements included in Part II, Item 8, “Financial Statements and Supplementary Data” in our 2023 10-K.
    Our revolving bank credit facilities contain various covenants, including covenants requiring us to maintain a defined debt to debt-plus-shareholders’ equity ratio of not more than 60%. As of June 30, 2024, our debt to debt-plus-shareholders’ equity ratio, as defined and calculated under the credit facilities, was approximately 43%.
    Long-Term Debt. Periodically, we access capital markets and issue long-term debt for general corporate purposes, such as to meet our working capital requirements, to refinance debt, to finance acquisitions or for share repurchases. For more information on our long-term debt, see Note 5 of Notes to the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report and Note 8 of Notes to the Consolidated Financial Statements included in Part II, Item 8, “Financial Statements and Supplementary Data” in our 2023 10-K.
    Credit Ratings. Our credit ratings as of June 30, 2024 were as follows:
      
    Moody’sS&P GlobalFitchA.M. Best
     RatingsOutlookRatingsOutlookRatingsOutlookRatingsOutlook
    Senior unsecured debtA2StableA+StableAStableAStable
    Commercial paperP-1n/aA-1n/aF1n/aAMB-1+n/a
    The availability of financing in the form of debt or equity is influenced by many factors, including our profitability, operating cash flows, debt levels, credit ratings, debt covenants and other contractual restrictions, regulatory requirements and economic and market conditions. A significant downgrade in our credit ratings or adverse conditions in the capital markets may increase the cost of borrowing for us or limit our access to capital.
    Share Repurchase Program. During the six months ended June 30, 2024, we repurchased approximately 6 million shares at an average price of $505.46 per share. In June 2024, our Board of Directors amended our share repurchase program to authorize the repurchase of up to 35 million shares of Common Stock, in addition to all remaining shares authorized to be repurchased under the Board’s 2018 renewal of the program. As of June 30, 2024, we had Board of Directors’ authorization to purchase up to 44 million shares of our common stock. The Board of Directors from time to time may further amend the share repurchase program in order to increase the authorized number of shares which may be repurchased under the program.
    Dividends. In June 2024, our Board of Directors increased our quarterly cash dividend to an annual rate of $8.40 compared to $7.52 per share, which we had paid since June 2023. For more information on our dividend, see Note 6 of Notes to the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report.
    Pending Transactions. As of June 30, 2024, the Company had entered into transaction agreements in the health care sector, subject to regulatory approval and/or other customary closing conditions. The total anticipated consideration required for these transactions, excluding the payoff of acquired indebtedness, was approximately $6 billion. In July, 2024, the Company completed transactions in the health care sector for total consideration of approximately $10 billion.
    For additional liquidity discussion, see Note 10 of Notes to the Consolidated Financial Statements included in Part II, Item 8, “Financial Statements and Supplementary Data” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” included in Part II, Item 7 in our 2023 10-K.

    24

    Table of Contents
    RECENTLY ISSUED ACCOUNTING STANDARDS
    There are no recently issued accounting standards that are expected to have a material impact on our Condensed Consolidated Financial Statements.
    CRITICAL ACCOUNTING ESTIMATES
    In preparing our Condensed Consolidated Financial Statements, we are required to make judgments, assumptions and estimates, which we believe are reasonable and prudent based on the available facts and circumstances. These judgments, assumptions and estimates affect certain of our revenues and expenses and their related balance sheet accounts and disclosure of our contingent liabilities. We base our assumptions and estimates primarily on historical experience and consider known and projected trends. On an ongoing basis, we re-evaluate our selection of assumptions and the method of calculating our estimates. Actual results, however, may materially differ from our calculated estimates, and this difference would be reported in our current operations.
    Our critical accounting estimates include medical costs payable and goodwill. For a detailed description of our critical accounting estimates, see “Management’s Discussion and Analysis of Financial Condition and Results of Operations” included in Part II, Item 7 in our 2023 10-K. For a detailed discussion of our significant accounting policies, see Note 2 of Notes to the Consolidated Financial Statements included in Part II, Item 8, “Financial Statements and Supplementary Data” in our 2023 10-K.
    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 action relating to the risk adjustment submission matter; 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; failure to complete, manage or integrate strategic transactions; risk and uncertainties associated with the continuing sale of 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.
    25

    Table of Contents
    ITEM 3.    QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
    We manage exposure to market interest rates by diversifying investments across different fixed-income market sectors and debt across maturities, as well as by matching a portion of our floating-rate assets and liabilities, either directly or through the use of interest rate swap contracts. Unrealized gains and losses on investments in available-for-sale debt securities are reported in comprehensive income.
    The following table summarizes the impact of hypothetical changes in market interest rates across the entire yield curve by 1% point or 2% points as of June 30, 2024 on our investment income and interest expense per annum, and the fair value of our investments and debt (in millions, except percentages):
    June 30, 2024
    Increase (Decrease) in Market Interest RateInvestment
    Income Per
    Annum
    Interest
    Expense Per
    Annum
    Fair Value of
    Financial Assets
    Fair Value of
    Financial Liabilities
    2 %$701 $592 $(3,634)$(7,939)
    1351 296 (1,869)(4,329)
    (1)(351)(279)1,959 5,239 
    (2)(701)(557)3,989 11,641 
    Note: The impact of hypothetical changes in interest rates may not reflect the full 100 or 200 basis point change on interest income and interest expense or on the fair value of financial assets and liabilities as the rates are assumed to not fall below zero.
    ITEM 4.    CONTROLS AND PROCEDURES
    EVALUATION OF DISCLOSURE CONTROLS AND PROCEDURES
    We maintain disclosure controls and procedures as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934 (Exchange Act) that are designed to provide reasonable assurance that information required to be disclosed by us in reports that we file or submit under the Exchange Act is (i) recorded, processed, summarized and reported within the time periods specified in SEC rules and forms; and (ii) accumulated and communicated to our management, including our principal executive officer and principal financial officer, as appropriate to allow timely decisions regarding required disclosure.
    In connection with the filing of this quarterly report on Form 10-Q, management evaluated, under the supervision and with the participation of our Chief Executive Officer and Chief Financial Officer, the effectiveness of the design and operation of our disclosure controls and procedures as of June 30, 2024. Based upon that evaluation, our Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures were effective at the reasonable assurance level as of June 30, 2024.
    CHANGES IN INTERNAL CONTROL OVER FINANCIAL REPORTING
    There have been no changes in our internal control over financial reporting during the quarter ended June 30, 2024 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
    PART II. OTHER INFORMATION
    ITEM 1.    LEGAL PROCEEDINGS
    A description of our legal proceedings is included in and incorporated by reference to Note 7 of Notes to the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report.
    ITEM 1A.    RISK FACTORS
    In addition to the other information set forth in this report, you should carefully consider the factors discussed in Part I, Item 1A, “Risk Factors” of our 2023 10-K, which could materially affect our business, financial condition or future results. The risks described in our 2023 10-K are not the only risks facing us. Additional risks and uncertainties not currently known to us or that we currently deem to be immaterial also may materially adversely affect our business, financial condition or future results.
    There have been no material changes to the risk factors as disclosed in our 2023 10-K.
    26

    Table of Contents
    ITEM 2.    UNREGISTERED SALE OF EQUITY SECURITIES AND USE OF PROCEEDS
    In November 1997, our Board of Directors adopted a share repurchase program, which the Board of Directors evaluates periodically. In June 2024, the Board of Directors amended our share repurchase program to authorize the repurchase of up to 35 million shares of our common stock in open market purchases or other types of transactions (including prepaid or structured repurchase programs), in addition to all remaining shares authorized to be repurchased under the Board’s 2018 renewal of the program. There is no established expiration date for the program. The Board of Directors from time to time may further amend the share repurchase program in order to increase the authorized number of shares which may be repurchased under the program.
    There were no repurchases of the Company’s Common Stock during the three months ended June 30, 2024. As of June 30, 2024, the Company had 44 million shares remaining available under its share repurchase authorization.
    ITEM 5.    OTHER INFORMATION
    Trading Arrangements
    During the quarter ended June 30, 2024, none of the Company’s directors or officers (as defined in Rule 16a-1(f) under the Exchange Act) adopted or terminated any contract, instruction or written plan for the purchase or sale of Company securities intended to satisfy the affirmative defense conditions of Rule 10b5-1(c) under the Exchange Act or any non-Rule 10b5-1 trading arrangement.
    ITEM 6.    EXHIBITS*
    The following exhibits are filed or incorporated by reference herein in response to Item 601 of Regulation S-K. The Company files Annual Reports on Form 10-K, Quarterly Reports on Form 10-Q and Current Reports on Form 8-K pursuant to the Securities Exchange Act of 1934 under Commission File No. 1-10864.
    3.1
    Certificate of Incorporation of UnitedHealth Group Incorporated (incorporated by reference to Exhibit 3.1 to the Company’s Registration Statement on Form 8-A/A filed on July 1, 2015)
    3.2
    Amended and Restated Bylaws of UnitedHealth Group Incorporated, effective February 23, 2021 (incorporated by reference to Exhibit 3.2 to UnitedHealth Group Incorporated’s Current Report on Form 8-K filed on February 26, 2021)
    4.1
    Amended and Restated Indenture, dated as of April 27, 2023, between UnitedHealth Group Incorporated and Wilmington Trust Company, as successor trustee (incorporated by reference to Exhibit 4.1 to UnitedHealth Group Incorporated’s Current Report on Form 8-K filed on April 28, 2023)
    4.2
    Indenture, dated as of February 4, 2008, between UnitedHealth Group Incorporated and U.S. Bank National Association (incorporated by reference to Exhibit 4.1 to the Company’s Registration Statement on Form S-3, SEC File Number 333-149031, filed on February 4, 2008)
    4.3
    Supplemental Indenture, dated as of April 18, 2023, between UnitedHealth Group Incorporated and U.S. Bank Trust Company, National Association, as trustee, relating to the 6.875% Senior Notes due 2038 (incorporated by reference to Exhibit 4.1 to UnitedHealth Group Incorporated’s Current Report on Form 8-K filed on April 24, 2023)
    31.1
    Certifications pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
    32.1
    Certifications pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
    101.INSXBRL Instance Document - the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document.
    101.SCHInline XBRL Taxonomy Extension Schema Document.
    101.CALInline XBRL Taxonomy Extension Calculation Linkbase Document.
    101.DEFInline XBRL Taxonomy Extension Definition Linkbase Document.
    101.LABInline XBRL Taxonomy Extension Label Linkbase Document.
    101.PREInline XBRL Taxonomy Extension Presentation Linkbase Document.
    104 Cover Page Interactive Data File (formatted as Inline XBRL and embedded within Exhibit 101).
     ________________
    *Pursuant to Item 601(b)(4)(iii) of Regulation S-K, copies of instruments defining the rights of certain holders of long-term debt are not filed. The Company will furnish copies thereof to the SEC upon request.
    27

    Table of Contents
    SIGNATURES
    Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
     
    UNITEDHEALTH GROUP INCORPORATED
     
    /s/ ANDREW WITTY
    Chief Executive Officer
    (principal executive officer)
    Dated:August 9, 2024
    Andrew Witty  
    /s/ JOHN REX
    President and Chief Financial Officer
    (principal financial officer)
    Dated:August 9, 2024
    John Rex  
    /s/ THOMAS ROOS
    Senior Vice President and
    Chief Accounting Officer
    (principal accounting officer)
    Dated:August 9, 2024
    Thomas Roos  
    28
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    UnitedHealth Group Reports 2025 Results and Issues 2026 Outlook

    Full Year 2025 Revenues of $447.6 Billion Grew 12% Year-Over-Year; Earnings of $13.23 Per Share; Adjusted Earnings of $16.35 Per Share Full Year 2026 Revenue Outlook Greater Than $439.0 Billion; Earnings Outlook Greater Than $17.10 Per Share; Adjusted Earnings Greater Than $17.75 Per Share To view this information in a different format, including graphics, published on our website, click here: https://www.unitedhealthgroup.com/content/dam/UHG/PDF/investors/2025/unh-reports-2025-results-and-issues-2026-outlook.pdf. UnitedHealth Group (NYSE:UNH) today reported full year and fourth quarter 2025 results and issued its 2026 outlook. This press release features multimedia. View the full

    1/27/26 5:55:00 AM ET
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    Medical Specialities
    Health Care

    UnitedHealth Group Board Authorizes Payment of Quarterly Dividend

    The UnitedHealth Group (NYSE:UNH) board of directors has authorized payment of a cash dividend of $2.21 per share, to be paid on December 16, 2025, to all shareholders of record of UNH common stock as of the close of business December 8, 2025. 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 hea

    11/7/25 6:50:00 AM ET
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    Medical Specialities
    Health Care

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    Large Ownership Changes

    This live feed shows all institutional transactions in real time.

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    SEC Form SC 13G/A filed by UnitedHealth Group Incorporated (Amendment)

    SC 13G/A - UNITEDHEALTH GROUP INC (0000731766) (Subject)

    2/13/24 5:16:09 PM ET
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    Medical Specialities
    Health Care

    SEC Form SC 13G/A filed by UnitedHealth Group Incorporated (Amendment)

    SC 13G/A - UNITEDHEALTH GROUP INC (0000731766) (Subject)

    2/9/24 10:05:20 AM ET
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    Medical Specialities
    Health Care

    SEC Form SC 13G/A filed by UnitedHealth Group Incorporated (Amendment)

    SC 13G/A - UNITEDHEALTH GROUP INC (0000731766) (Subject)

    2/9/23 12:39:51 PM ET
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    Medical Specialities
    Health Care

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    Leadership Updates

    Live Leadership Updates

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    Twilio Set to Join S&P MidCap 400

    NEW YORK, Aug. 14, 2025 /PRNewswire/ -- Twilio Inc. (NYSE:TWLO) will replace Amedisys Inc. (NASD: AMED) in the S&P MidCap 400 effective prior to the opening of trading on Tuesday, August 19. S&P 500 and S&P 100 constituent UnitedHealth Group Inc. (NYSE:UNH) acquired Amedisys in a deal completed today. Following is a summary of the changes that will take place prior to the open of trading on the effective date: Effective Date Index Name       Action Company Name Ticker GICS Sector August 19, 2025 S&P MidCap 400 Addition Twilio TWLO Information Technology August 19, 2025 S&P MidCap 400 Deletion Amedisys AMED Health Care For more information about S&P Dow Jones Indices, please visit www.spdji

    8/14/25 6:08:00 PM ET
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    Medical/Nursing Services
    Health Care
    Finance: Consumer Services
    Finance

    UnitedHealth Group Investors: Please contact the Portnoy Law Firm to recover your losses. July 7, 2025 Deadline to file Lead Plaintiff Motion.

    Investors can contact the law firm at no cost to learn more about recovering their losses LOS ANGELES, May 13, 2025 (GLOBE NEWSWIRE) --  The Portnoy Law Firm advises UnitedHealth Group ("UnitedHealth" or the "Company") (NYSE:UNH) UnitedHealth investors have until July 7, 2025 to file a lead plaintiff motion. Investors are encouraged to contact attorney Lesley F. Portnoy, by phone 310-692-8883 or email: [email protected], to discuss their legal rights, or click here to join the case. The Portnoy Law Firm can provide a complimentary case evaluation and discuss investors' options for pursuing claims to recover their losses. UnitedHealth is a health insurance and health care services pr

    5/13/25 5:59:56 PM ET
    $UNH
    Medical Specialities
    Health Care

    Charlie Baker Joins UnitedHealth Group's Board of Directors

    UnitedHealth Group (NYSE:UNH) announced Charlie Baker, the former governor of Massachusetts and a prominent former health care executive, has been appointed to its Board of Directors, effective immediately. "Charlie Baker's leadership and deep health care experience will serve UnitedHealth Group well in its efforts to make the health system work better for everyone," said UnitedHealth Group Board Chairman Stephen J. Hemsley. "Charlie is an outstanding addition to our board given his proven track record in government and in leading businesses in the health sector, including care delivery and benefits." "UnitedHealth Group has unique capabilities to improve health care outcomes, lower cos

    11/3/23 4:00:00 PM ET
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    Medical Specialities
    Health Care