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UnitedHealth Group Reports Second Quarter 2026 Results

  • Second Quarter 2026 Revenues of $112.0 Billion; Earnings from Operations of $8.0 Billion
  • Earnings of $6.04 Per Share and Adjusted Earnings of $6.38 Per Share
  • Updated Full Year 2026 Earnings Outlook Range to $18.45 to $18.95 Per Share; Adjusted Earnings Range of $19.50 to $20.00 Per Share

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--(BUSINESS WIRE)--UnitedHealth Group (NYSE: UNH) today reported second quarter 2026 results and raised guidance for full year 2026.

“Our results and outlook reflect the continuing progress in our work to simplify how we operate, improve both affordability and the health care experience for patients and care providers and apply modern technology to create real improvement for people,” said Stephen Hemsley, chief executive officer of UnitedHealth Group.

The company now expects full year 2026 adjusted net earnings between $19.50 to $20.00 per share resulting from performance year-to-date and an improved outlook for the remainder of the year. A table outlining the company’s updated outlook is below, with additional detail on page 7 of this release.

Consolidated revenues for the second quarter 2026 were $112.0 billion and earnings from operations were $8.0 billion, with a net margin of 4.9%. Cash flows from operations were $11.1 billion, or 1.9x net income, and the debt-to-capital ratio was 41.2% as of June 30, 2026.

UnitedHealth Group’s medical cost ratio was 86.7% for the second quarter 2026, reflecting cost and pricing discipline, as well as mix changes across all benefit offerings. The operating cost ratio of 12.7% in the second quarter 2026 compared to 12.3% in the second quarter 2025, reflecting targeted investments in technology, operations and the community.

Over the last year, the company has advanced a broad set of reforms and commitments to improve affordability, transparency and simplicity for care providers and consumers. These actions reflect the company’s deep commitment to helping people live healthier lives and helping make the health system work better for everyone. These actions are outlined in more detail on page 3 of this release.

Second Quarter 2026 Key Performance Metrics

  • Second quarter 2026 adjusted net earnings were $6.38 per share.
  • The medical care ratio was 86.7% and reflected product design changes, improved medical management and better aligned pricing. MCR was affected by $860 million of net favorable prior period development, with the majority related to 2026 dates of service.
  • The operating cost ratio of 12.7% included targeted investments in infrastructure, artificial intelligence, care delivery enhancements, consumer experience and community support.
  • UnitedHealthcare served 48.5 million consumers and reported revenues of $86.0 billion and earnings of $3.9 billion, with operating margins of 4.6%.
  • Optum supported more than 120 million consumers and generated revenues of $65.7 billion and earnings of $4.0 billion, representing 160 basis points of margin expansion year-over-year.

UnitedHealth Group Updated 2026 Full Year Guidance

($ in millions, except per share data)

 

 

 

Reported Operating
Earnings

 

Adjusted Operating
Earnings

 

UnitedHealthcare

 

 

 

> $12,000

 

> $12,000

 

Optum Health

 

 

 

> $2,275

 

> $2,215

 

Optum Insight

 

 

 

> $4,925

 

> $4,750

 

Optum Rx

 

 

 

> $6,250

 

> $6,250

 

Optum (a)

 

 

 

> $13,450

 

> $13,215

 

UnitedHealth Group

 

 

 

> $25,450

 

> $25,215

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Medical Care Ratio

 

 

 

 

 

88.1% ± 25 bps

 

Tax Rate

 

 

 

 

 

~18.5%

 

 

 

 

 

 

 

 

 

Cash Flows from Operations

 

 

 

 

 

~$24,000

 

Share Repurchase

 

 

 

 

 

At Least $5,000

 

 

 

 

 

 

 

 

 

Net Earnings to UNH Shareholders

 

 

 

 

 

> $16,750

 

 

 

 

 

Diluted

 

Adjusted (b)

 

Net Earnings per Share

 

 

 

$18.45 - $18.95

 

$19.50 - $20.00

 

(a)

Refer to page 7 of this release for a bridge of Optum Reported to Adjusted Operating Earnings.

(b)

Refer to page 16 of this release for a reconciliation of the non-GAAP measure.

Addressing America’s Healthcare Challenges with Sustainable Solutions

UnitedHealth Group remains committed to addressing the issues that make health care costly and complicated for the people and providers we serve. Recent actions taken to address these issues include:

Governance, Oversight and Transparency

Making the health system work better for everyone starts with trust, transparency and accountability. The company is strengthening that foundation by deepening oversight and renewing its leadership culture.

  • Refreshed leadership roles and re-energizing the company’s culture and commitment to mission.
  • Created a new Public Responsibility Committee for the Board of Directors, named a new Lead Independent Director and committee chairs and added a new independent director.
  • Published comprehensive reviews of its business practices, which included risk assessment operations, care services management and prescription drug manufacturer discounts, and implemented all recommended improvements from the reviews.
  • Released an independent review of the HouseCalls program that showed the sampled diagnoses were overwhelmingly supported by medical records, with an error rate nearly three times lower than the rate reported by CMS’s most recent audits.

United Health Foundation

The United Health Foundation has been refreshed, expanding its priorities to include rural health, maternal and children's health and behavioral health, among others.

  • Committed $1 billion to the United Health Foundation to support key initiatives, including improving rural health care, strengthening maternal and children's health and addressing behavioral health challenges.

Affordability, Rural Care and Benefits

The company is taking steps to increase support and access and decrease costs for all communities served.

  • Committed to voluntarily eliminating and rebating profits from individual Affordable Care Act coverage offerings in 2026, returning this money directly to approximately 1 million ACA members as Congress works toward longer-term solutions to strengthen the stability and affordability of these plans.
  • Announced support for 1,500 rural hospitals and their associated providers by accelerating payments, cutting reimbursement timelines in half and exempting these providers from most medical prior approval requirements.
  • Announced nationwide coverage expansion for doula care with employer-sponsored plans, with more than 7 million members eligible for coverage by January 2027.

Prior Approval Reform

The company is removing prior approval requirements, standardizing processes across the industry, cutting back on paperwork and increasing transparency into the prior approval process, making it quicker and simpler for doctors to treat patients.

  • Eliminating 30% of current prior approval volume by the end of 2026.
  • Eliminating nearly two-thirds of prior approval requirements for pediatric care, including waivers for certain procedures performed at leading pediatric hospitals by the end of 2026.
  • Leading an industry-wide effort to standardize prior approval requirements for electronic submissions, with more than 70% of UnitedHealthcare prior approvals expected to be included by the end of 2026.
  • Publicly reporting prior approval metrics to help care providers and the public better understand the process.
  • Expanding eligibility for UnitedHealthcare's Gold Card program – exempting high-performing providers from routine approval requirements entirely – and removing requirements for home health services, representing nearly 10% of total UnitedHealthcare prior approval volume.

Pharmacy Reform and Drug Affordability

To combat high prescription drug costs, the company is lowering out-of-pocket costs for patients and bringing greater transparency to pharmacy benefits, setting a new standard for the industry.

  • Launched the industry’s first fully transparent, fee-based pharmacy care model to bring greater clarity, predictability and affordability by decoupling PBM pricing from drug list prices and prescription volume, aligning incentives with patients and plan sponsors and introducing digital tools that allow consumers to view and compare medication costs upfront.
  • Committed to 100% pass-through of manufacturer drug rebate discounts to clients by January 1, 2028.
  • Eliminated 33% of drug reauthorizations – representing 11% of pharmacy prior approvals – for a list of nearly 270 chronic condition medications.
  • Increased minimum payments to independent and community physicians for brand name drugs, benefiting approximately 2,300 independent and community pharmacies.

UnitedHealth Group Second Quarter 2026 Results

Quarterly Financial Performance

 

Three Months Ended

 

June 30,

2026

 

June 30,

2025

 

March 31,

2026

 

 

 

 

 

 

Revenues

$112.0 billion

 

$111.6 billion

 

$111.7 billion

Earnings from Operations

$8.0 billion

 

$5.2 billion

 

$9.0 billion

Net Margin

4.9%

 

3.1%

 

5.6%

 

 

 

 

 

 

  • UnitedHealth Group’s second quarter 2026 revenues were $112.0 billion compared to $111.6 billion in the year ago quarter.
  • Second quarter 2026 earnings from operations of $8.0 billion compared to $5.2 billion in the year ago quarter, driven by strong performance across both UnitedHealthcare and Optum.
  • The second quarter 2026 medical care ratio was 86.7% compared to 89.4% in the second quarter 2025. The year-over-year decrease was driven by benefit design and pricing discipline, member mix and medical cost management initiatives. Net medical reserve development was $860 million in the quarter.
  • Days claims payable were 47.0 compared to 48.6 in the first quarter 2026 and 44.5 in the second quarter 2025. The sequential variation was driven by normal seasonality. Days sales outstanding of 17.7 compared to 21.6 in the first quarter 2026 and 19.9 in the year ago quarter, with the sequential and year-over-year decrease due to payment timing.
  • The second quarter 2026 operating cost ratio of 12.7% compared to 12.3% in second quarter 2025, reflecting incremental investments in technology, processes and people to improve care delivery and customer experiences and advance community health.
  • Cash flows from operations were $11.1 billion, or 1.9 times net income, reflecting the timing of a substantial government payment, along with strong earnings performance and disciplined working capital management.
  • Debt-to-capital ratio was 41.2% as of June 30, 2026, compared to 42.9% in the first quarter 2026 and 44.1% in the second quarter 2025. The company continues to target a long-term debt-to-capital ratio of approximately 40.0% by year-end.
  • The company repurchased $4.0 billion of its common stock through mid-July 2026 and is on track to repurchase at least $5.0 billion for the full year 2026.

UnitedHealthcare Second Quarter 2026 Results

UnitedHealthcare provides health care benefits to individuals and employers, as well as Government Program beneficiaries. UnitedHealthcare is dedicated to improving the value customers and consumers receive by improving health and wellness, enhancing the quality of care received, simplifying the health care experience and reducing the total cost of care.

Quarterly Financial Performance

 

Three Months Ended

 

June 30,

2026

 

June 30,

2025

 

March 31,

2026

 

 

 

 

 

 

Revenues

$86.0 billion

 

$86.1 billion

 

$86.3 billion

Earnings from Operations

$3.9 billion

 

$2.1 billion

 

$5.7 billion

Operating Margin

4.6%

 

2.4%

 

6.6%

 

 

 

 

 

 

UnitedHealthcare

  • UnitedHealthcare continues to improve the consumer experience, including by expanding care access and digital services, simplifying prior approvals and offering greater support to rural hospitals and care providers.
  • UnitedHealthcare second quarter 2026 revenues of $86.0 billion compared to $86.1 billion in the second quarter 2025. UnitedHealthcare served 48.5 million people in the second quarter 2026, down 525,000 sequentially.
  • UnitedHealthcare’s second quarter 2026 earnings from operations were $3.9 billion and operating margin was 4.6% compared to $2.1 billion and 2.4% in second quarter 2025. The year-over-year increase was driven by medical and operating cost management, pricing discipline and benefit design changes.

UnitedHealthcare Employer & Individual

  • UnitedHealthcare Employer & Individual second quarter 2026 revenues were $20.0 billion compared to $19.8 billion in the second quarter 2025.
  • The number of people served contracted by 145,000 in the second quarter 2026 due to attrition in employer self-funded and fully-insured products.

UnitedHealthcare Medicare & Retirement

  • UnitedHealthcare Medicare & Retirement second quarter 2026 revenues were $42.4 billion compared to $42.6 billion in the second quarter 2025 due to fewer seniors served.
  • Seniors served through Medicare Advantage, including programs serving complex populations included in Medicaid, have contracted by 965,000 since year-end 2025.

UnitedHealthcare Community & State

  • UnitedHealthcare Community & State second quarter 2026 revenues were $23.6 billion compared to $23.7 billion in the second quarter 2025.
  • People served contracted by 380,000 in the second quarter 2026 primarily due to the planned exit from the Louisiana health plan, as well as ongoing Medicaid eligibility requirements.

Optum Second Quarter 2026 Results

The Optum businesses serve participants throughout health care, including payers, care providers, employers, governments, life sciences companies and consumers. Using market-leading information, analytics and technology to yield clinical insights, Optum helps improve overall health system performance by optimizing care quality, reducing care costs and improving the consumer experience.

Quarterly Financial Performance

 

Three Months Ended

 

June 30,

2026

 

June 30,

2025

 

March 31,

2026

 

 

 

 

 

 

Revenues

$65.7 billion

 

$67.2 billion

 

$63.7 billion

Earnings from Operations

$4.0 billion

 

$3.1 billion

 

$3.3 billion

Operating Margin

6.2%

 

4.6%

 

5.2%

 

 

 

 

 

 

Optum Health

  • Optum Health continues to show steady momentum, with ongoing improvements in access to care and clinical and operational discipline driving better patient outcomes, increased provider satisfaction and cost management savings as the business recenters on its integrated value-based care delivery model.
  • Optum Health’s second quarter 2026 revenues of $23.5 billion decreased 5% year-over-year due to ~700,000 fewer value-based care patients served.
  • Second quarter 2026 earnings from operations were $1.2 billion, representing a 5.1% operating margin. The year-over-year increase was driven by strong operational improvements and medical cost management.

Optum Insight

  • Optum Insight continues to bring AI-enabled products and services to the market, including autonomous coding and digital prior authorization tools, and completed its acquisition of Alegeus on July 2, 2026, expanding the company's consumer-directed healthcare account capabilities.
  • Optum Insight reported second quarter 2026 revenues of $5.4 billion.
  • Second quarter 2026 earnings from operations were $1.4 billion compared to $1.2 billion in the second quarter 2025. The year-over-year increase was driven by operational improvements and timing of contracts.

Optum Rx

  • Optum Rx is leading an industry-wide shift toward greater transparency and affordability through a modern pharmacy care model that eliminates spread pricing, replaces volume-based incentives with clearly defined per-member fees and provides full disclosure of manufacturer payments.
  • Optum Rx’s second quarter 2026 revenues were $38.3 billion compared to $38.5 billion in second quarter 2025.
  • Earnings from operations for the second quarter 2026 were $1.5 billion compared to $1.4 billion in the second quarter 2025, reflecting specialty generics adoption and continued operational improvements. Adjusted scripts were 387 million compared to 414 million last year due to membership declines within UnitedHealthcare and other customers.

UnitedHealth Group 2026 Outlook

($ and weighted-average shares in millions; except per share data)

 

As of
January 27, 2026

 

As of
July 16, 2026

 

Operating Earnings

 

 

 

 

 

UnitedHealthcare

 

> $10,800

 

> $12,000

 

Optum Health

 

> $2,200

 

> $2,275

 

Optum Insight

 

> $4,750

 

> $4,925

 

Optum Rx

 

> $6,250

 

> $6,250

 

Optum

 

> $13,200

 

> $13,450

 

UnitedHealth Group

 

> $24,000

 

> $25,450

 

 

 

 

 

 

 

 

 

 

 

 

 

Net Earnings to UNH Shareholders

 

> $15,600

 

> $16,750

 

Diluted Net Earnings per Share to UNH Shareholders

 

> $17.10

 

$18.45 - $18.95

 

Adjusted Earnings per Share (1)

 

> $17.75

 

$19.50 - $20.00

 

 

 

 

 

 

 

 

 

 

 

 

 

Medical Care Ratio

 

88.8% ± 50 bps

 

88.1% ± 25 bps

 

Tax Rate

 

~19.25%

 

~18.5%

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash Flows from Operations

 

> $18,000

 

~$24,000

 

Share Repurchase

 

~$2,500

 

At Least $5,000

 

 

 

 

 

 

 

 

(1) Refer to page 16 of this release for a reconciliation of non-GAAP measures.

Below outlines the 2026 Reported to Adjusted Earnings Bridge for Optum as of July 16, 2026.

Optum 2026 Reported to Adjusted Earnings Bridge

($ in millions)

 

Optum Health

 

Optum Insight

 

Optum Rx

 

Total Optum

 

 

 

 

 

 

 

 

 

2026 Reported Operating Earnings Guidance

 

> $2,275 (1)

 

> $4,925

 

> $6,250

 

> $13,450

Net Portfolio Divestitures, Restructuring and Other

 

$345

 

$(175)

 

-

 

$170

Net Change in Third Party Loss Contracts

 

$(405)

 

-

 

-

 

$(405)

2026 Adjusted Operating Earnings

 

> $2,215

 

> $4,750

 

> $6,250

 

> $13,215

Adjusted Operating Earnings as of January 27, 2026

 

> $1,577

 

> $4,750

 

> $6,250

 

> $12,577

 

 

 

 

 

 

 

 

 

 

(1) Optum Health includes $405 million of 2026 operating earnings related to the net change in loss contracts reserve, which will be excluded from adjusted operating earnings and adjusted earnings per share.

About UnitedHealth Group

UnitedHealth Group (NYSE: UNH) is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone through two distinct and complementary businesses. Optum delivers care aided by technology and data, empowering people, partners and providers with the guidance and tools they need to achieve better health. UnitedHealthcare offers a full range of health benefits, enabling affordable coverage, simplifying the health care experience and delivering access to high-quality care. Visit UnitedHealth Group at www.unitedhealthgroup.com and follow UnitedHealth Group on LinkedIn.

Earnings Conference Call

As previously announced, UnitedHealth Group will discuss the company’s results, strategy and future outlook on a conference call with investors at 8:00 a.m. Eastern Time today. UnitedHealth Group will host a live webcast of this conference call from the Investor Relations page of the company’s website (www.unitedhealthgroup.com). Following the call, a webcast replay will be on the Investor Relations page through July 30, 2026. This earnings release and the Form 8-K dated July 16, 2026, can also be accessed from the Investor Relations page of the company’s website.

Non-GAAP Financial Information

This news release presents non-GAAP financial information provided as a complement to the results provided in accordance with accounting principles generally accepted in the United States of America (“GAAP”). A reconciliation of the non-GAAP financial information to the most directly comparable GAAP financial measure is provided in the accompanying tables found at the end of this release.

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; our ability to successfully execute initiatives designed to simplify and improve the consumer healthcare experience; our ability to effectively execute our value-based care strategies; the DOJ’s legal actions concerning our participation in the Medicare program; our ability to maintain and achieve improvement in quality scores impacting revenue; failure to maintain effective and efficient information systems or if our technology products do not operate as intended; risks and uncertainties associated with our businesses providing pharmacy care services; competitive pressures, including our ability to maintain or increase our market share; changes in or challenges to our public sector contract awards; failure to achieve targeted operating cost productivity improvements; failure to develop and maintain satisfactory relationships with health care payers, physicians, hospitals and other service providers; the impact of potential changes in tax laws and regulations; increases in costs and other liabilities associated with litigation, government investigations, audits or reviews; risks and uncertainties associated with our increasing use of artificial intelligence and other emerging technologies; failure to complete, manage or integrate strategic transactions; risks and uncertainties associated with the sale of our remaining operations in South America; risks associated with public health crises arising from large-scale medical emergencies, pandemics, natural disasters and other extreme events; failure to attract, develop, retain, and manage the succession of key employees and executives; our investment portfolio performance; impairment of our goodwill and intangible assets; failure to protect proprietary rights to our databases, software and related products; downgrades in our credit ratings; and our ability to obtain sufficient funds from our regulated subsidiaries or from external financings to fund our obligations, reinvest in our business, maintain our debt to total capital ratio at targeted levels, maintain our quarterly dividend payment cycle, or continue repurchasing shares of our common stock.

This above list is not exhaustive. We discuss these matters, and certain risks that may affect our business operations, financial condition and results of operations, more fully in our filings with the SEC, including our reports on Forms 10-K, 10-Q and 8-K. By their nature, forward-looking statements are not guarantees of future performance or results and are subject to risks, uncertainties and assumptions that are difficult to predict or quantify. Actual results may vary materially from expectations expressed or implied in this document or any of our prior communications. You should not place undue reliance on forward-looking statements, which speak only as of the date they are made. We do not undertake to update or revise any forward-looking statements, except as required by law.

UNITEDHEALTH GROUP

Earnings Release Schedules and Supplementary Information

Quarter Ended June 30, 2026

  • Condensed Consolidated Statements of Operations
  • Condensed Consolidated Balance Sheets
  • Condensed Consolidated Statements of Cash Flows
  • Revenues by Business - Supplemental Financial Information
  • Earnings by Business - Supplemental Financial Information
  • People Served and Performance Metrics - Supplemental Financial Information
  • Reconciliation of Non-GAAP Financial Measures

UNITEDHEALTH GROUP

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(in millions, except per share data; unaudited)

 

 

 

Three Months Ended
June 30,

 

Six Months Ended
June 30,

 

 

2026

 

2025

 

2026

 

2025

Revenues

 

 

 

 

 

 

 

 

Premiums

 

$86,956

 

$87,905

 

$174,517

 

$174,439

Products

 

13,835

 

13,564

 

27,085

 

26,600

Services

 

10,018

 

9,039

 

19,797

 

18,011

Investment and other income

 

1,223

 

1,108

 

2,354

 

2,141

Total revenues

 

112,032

 

111,616

 

223,753

 

221,191

Operating costs

 

 

 

 

 

 

 

 

Medical costs

 

75,358

 

78,585

 

148,847

 

151,996

Operating costs

 

14,268

 

13,778

 

29,658

 

27,372

Cost of products sold

 

13,375

 

13,019

 

26,198

 

25,409

Depreciation and amortization

 

1,040

 

1,084

 

2,069

 

2,145

Total operating costs

 

104,041

 

106,466

 

206,772

 

206,922

Earnings from operations

 

7,991

 

5,150

 

16,981

 

14,269

Interest expense

 

(962)

 

(1,027)

 

(1,917)

 

(2,025)

Loss on sale of subsidiary and subsidiaries held for sale

 

(61)

 

(41)

 

(133)

 

(56)

Earnings before income taxes

 

6,968

 

4,082

 

14,931

 

12,188

Provision for income taxes

 

(1,298)

 

(510)

 

(2,780)

 

(2,142)

Net earnings

 

5,670

 

3,572

 

12,151

 

10,046

Earnings attributable to noncontrolling interests

 

(186)

 

(166)

 

(387)

 

(348)

Net earnings attributable to UnitedHealth Group common shareholders

 

$5,484

 

$3,406

 

$11,764

 

$9,698

Diluted earnings per share attributable to UnitedHealth Group common shareholders (a)

 

$6.04

 

$3.74

 

$12.94

 

$10.61

Adjusted earnings per share attributable to UnitedHealth Group common shareholders (b)

 

$6.38

 

$4.08

 

$13.61

 

$11.29

Diluted weighted-average common shares outstanding

 

906

 

910

 

908

 

914

(a)

The calculation of diluted earnings per share includes an immaterial reduction to the numerator related to forward share repurchase contracts for the three months and six months ended June 30, 2026.

(b)

See page 16 for a reconciliation of non-GAAP measures.

UNITEDHEALTH GROUP

CONDENSED CONSOLIDATED BALANCE SHEETS

(in millions; unaudited)

 

 

 

June 30,
2026

 

December 31,
2025

Assets

 

 

 

 

Cash and short-term investments

 

$31,468

 

$28,121

Accounts receivable, net

 

21,573

 

23,018

Other current assets

 

33,819

 

39,443

Total current assets

 

86,860

 

90,582

Long-term investments

 

57,716

 

54,251

Other long-term assets

 

165,151

 

164,748

Total assets

 

$309,727

 

$309,581

Liabilities, redeemable noncontrolling interests and equity

 

 

 

 

Medical costs payable

 

$38,930

 

$39,337

Short-term borrowings and current maturities of long-term debt

 

3,827

 

6,069

Other current liabilities

 

69,063

 

69,491

Total current liabilities

 

111,820

 

114,897

Long-term debt, less current maturities

 

69,501

 

72,320

Other long-term liabilities

 

22,457

 

20,666

Redeemable noncontrolling interests

 

1,436

 

1,608

Equity

 

104,513

 

100,090

Total liabilities, redeemable noncontrolling interests and equity

 

$309,727

 

$309,581

UNITEDHEALTH GROUP

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(in millions; unaudited)

 

 

 

Six Months Ended
June 30,

 

 

2026

 

2025

Operating Activities

 

 

 

 

Net earnings

 

$12,151

 

$10,046

Noncash items:

 

 

 

 

Depreciation and amortization

 

2,069

 

2,145

Deferred income taxes and other

 

176

 

40

Share-based compensation

 

624

 

572

Loss on sale of subsidiary and subsidiaries held for sale

 

133

 

56

Net changes in operating assets and liabilities

 

4,811

 

(215)

Cash flows from operating activities

 

19,964

 

12,644

Investing Activities

 

 

 

 

(Purchases of investments, net of sales and maturities) sales and maturities of investments, net of purchases

 

(2,751)

 

1,327

Purchases of property, equipment and capitalized software

 

(1,562)

 

(1,784)

Cash paid for acquisitions and other transactions, net

 

(98)

 

(734)

Repayment of care provider loans - cyberattack

 

197

 

1,293

Other, net

 

(31)

 

(1,618)

Cash flows used for investing activities

 

(4,245)

 

(1,516)

Financing Activities

 

 

 

 

Common share repurchases

 

(1,646)

 

(5,545)

Dividends paid

 

(4,092)

 

(3,912)

Net change in short-term borrowings and long-term debt

 

(4,813)

 

1,566

Other, net

 

(1,064)

 

43

Cash flows used for financing activities

 

(11,615)

 

(7,848)

Effect of exchange rate changes on cash and cash equivalents

 

(3)

 

29

Increase in cash and cash equivalents, including cash within businesses held for sale

 

4,101

 

3,309

Less: net change in cash within businesses held for sale

 

119

 

(25)

Net increase in cash and cash equivalents

 

4,220

 

3,284

Cash and cash equivalents, beginning of period

 

24,365

 

25,312

Cash and cash equivalents, end of period

 

$28,585

 

$28,596

UNITEDHEALTH GROUP

REVENUES BY BUSINESS - SUPPLEMENTAL FINANCIAL INFORMATION

(in millions; unaudited)

 

 

 

 

 

Optum

 

UnitedHealth
Group
Consolidated (a)

 

 

UnitedHealthcare

 

Optum
Health (c)

 

Optum
Insight (c)

 

Optum
Rx

 

Total
Optum (a)

 

Three Months Ended June 30, 2026

 

 

 

 

 

 

 

 

 

 

 

 

Total revenues

 

$86,017

 

$23,472

 

$5,402

 

$38,292

 

$65,663

 

$112,032

Restructuring and other (2)

 

 

(1)

 

 

 

(1)

 

(1)

Adjusted revenues (b)

 

$86,017

 

$23,471

 

$5,402

 

$38,292

 

$65,662

 

$112,031

Three Months Ended June 30, 2025

 

 

 

 

 

 

 

 

 

 

 

 

Total revenues

 

$86,103

 

$24,725

 

$5,232

 

$38,459

 

$67,225

 

$111,616

 

 

 

 

 

 

 

 

 

 

 

 

 

Six Months Ended June 30, 2026

 

 

 

 

 

 

 

 

 

 

 

 

Total revenues

 

$172,282

 

$47,581

 

$10,527

 

$74,028

 

$129,412

 

$223,753

Restructuring and other (2)

 

 

2

 

(77)

 

 

(75)

 

(75)

Adjusted revenues (b)

 

$172,282

 

$47,583

 

$10,450

 

$74,028

 

$129,337

 

$223,678

Six Months Ended June 30, 2025

 

 

 

 

 

 

 

 

 

 

 

 

Total revenues

 

$170,720

 

$49,562

 

$10,259

 

$73,591

 

$131,110

 

$221,191

UnitedHealthcare Revenues

(in millions; unaudited)

 

 

 

Three Months Ended
June 30,

 

Six Months Ended
June 30,

 

 

2026

 

2025

 

2026

 

2025

UnitedHealthcare Employer & Individual - Domestic

 

$19,048

 

$18,950

 

$38,254

 

$38,016

UnitedHealthcare Employer & Individual - Global

 

944

 

819

 

1,856

 

1,601

UnitedHealthcare Employer & Individual - Total

 

19,992

 

19,769

 

40,110

 

39,617

UnitedHealthcare Medicare & Retirement

 

42,390

 

42,623

 

84,472

 

84,328

UnitedHealthcare Community & State

 

23,635

 

23,711

 

47,700

 

46,775

Total UnitedHealthcare revenues

 

$86,017

 

$86,103

 

$172,282

 

$170,720

(a)

Optum and consolidated revenues for the three months ended June 30, 2026 and 2025 include Optum eliminations of $1,503 and $1,191; and corporate eliminations of $39,648 and $41,712, respectively. Optum and consolidated revenues for the six months ended June 30, 2026 and 2025 include Optum eliminations of $2,724 and $2,302; and corporate eliminations of $77,941 and $80,639, respectively.

(b)

See page 16 for description of non-GAAP measures.

(c) Prior period amounts have been recast to reflect the realignment of Optum Financial.

Note: See end notes for further information regarding non-GAAP adjustments.

UNITEDHEALTH GROUP

EARNINGS BY BUSINESS - SUPPLEMENTAL FINANCIAL INFORMATION

(in millions, except percentages; unaudited)

 

 

 

 

 

Optum

 

UnitedHealth
Group
Consolidated

 

 

UnitedHealthcare

 

Optum
Health (b)

 

Optum
Insight (b)

 

Optum
Rx

 

Total
Optum

 

Three Months Ended June 30, 2026

 

 

 

 

 

 

 

 

 

 

 

 

Earnings from operations

 

$3,942

 

$1,190

 

$1,369

 

$1,490

 

$4,049

 

$7,991

Net portfolio divestitures and South American impacts (1)

 

 

35

 

4

 

 

39

 

39

Restructuring and other (2)

 

 

(51)

 

 

 

(51)

 

(51)

Adjusted earnings from operations (a)

 

$3,942

 

$1,174

 

$1,373

 

$1,490

 

$4,037

 

$7,979

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating margin

 

4.6 %

 

5.1 %

 

25.3 %

 

3.9 %

 

6.2 %

 

7.1 %

Adjusted operating margin (a)

 

4.6 %

 

5.0 %

 

25.4 %

 

3.9 %

 

6.1 %

 

7.1 %

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended June 30, 2025

 

 

 

 

 

 

 

 

 

 

 

 

Earnings from operations

 

$2,075

 

$429

 

$1,205

 

$1,441

 

$3,075

 

$5,150

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating margin

 

2.4 %

 

1.7 %

 

23.0 %

 

3.7 %

 

4.6 %

 

4.6 %

 

 

 

 

 

 

 

 

 

 

 

 

 

Six Months Ended June 30, 2026

 

 

 

 

 

 

 

 

 

 

 

 

Earnings from operations

 

$9,636

 

$2,331

 

$2,332

 

$2,682

 

$7,345

 

$16,981

Net portfolio divestitures and South American impacts (1)

 

 

341

 

(524)

 

(8)

 

(191)

 

(191)

Restructuring and other (2)

 

 

(186)

 

339

 

 

153

 

153

Adjusted earnings from operations (a)

 

$9,636

 

$2,486

 

$2,147

 

$2,674

 

$7,307

 

$16,943

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating margin

 

5.6 %

 

4.9 %

 

22.2 %

 

3.6 %

 

5.7 %

 

7.6 %

Adjusted operating margin (a)

 

5.6 %

 

5.2 %

 

20.5 %

 

3.6 %

 

5.6 %

 

7.6 %

 

 

 

 

 

 

 

 

 

 

 

 

 

Six Months Ended June 30, 2025

 

 

 

 

 

 

 

 

 

 

 

 

Earnings from operations

 

$7,301

 

$1,840

 

$2,369

 

$2,759

 

$6,968

 

$14,269

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating margin

 

4.3 %

 

3.7 %

 

23.1 %

 

3.7 %

 

5.3 %

 

6.5 %

(a)

See page 16 for description of non-GAAP measures.

(b)

Prior period amounts have been recast to reflect the realignment of Optum Financial.

Note: See end notes for further information regarding non-GAAP adjustments.

UNITEDHEALTH GROUP

PEOPLE SERVED AND PERFORMANCE METRICS - SUPPLEMENTAL FINANCIAL INFORMATION

(unaudited)

 

UnitedHealthcare Customer Profile

(in thousands)

 

People Served

 

June 30, 2026

 

March 31, 2026

 

December 31, 2025

 

June 30, 2025

Commercial:

 

 

 

 

 

 

 

 

Risk-based

 

7,655

 

7,725

 

8,165

 

8,440

Fee-based

 

22,265

 

22,340

 

21,485

 

21,530

Total Commercial

 

29,920

 

30,065

 

29,650

 

29,970

Medicare Advantage

 

7,565

 

7,555

 

8,445

 

8,350

Medicaid

 

6,780

 

7,160

 

7,380

 

7,490

Medicare Supplement (Standardized)

 

4,260

 

4,270

 

4,285

 

4,305

Total Community and Senior

 

18,605

 

18,985

 

20,110

 

20,145

Total UnitedHealthcare - Medical

 

48,525

 

49,050

 

49,760

 

50,115

 

 

 

 

 

 

 

 

 

Supplemental Data

 

 

 

 

 

 

 

 

Medicare Part D stand-alone

 

2,710

 

2,740

 

2,770

 

2,800

South American businesses held for sale

 

1,145

 

1,160

 

1,160

 

1,165

Optum Performance Metrics

 

 

 

June 30, 2026

 

March 31, 2026

 

December 31, 2025

 

June 30, 2025

Optum Health Consumers Served (in millions) (a)

 

93

 

93

 

92

 

95

Optum Rx Quarterly Adjusted Scripts (in millions)

 

387

 

383

 

424

 

414

(a)

Prior period amounts have been recast to reflect the realignment of Optum Financial.

UNITEDHEALTH GROUP

RECONCILIATION OF NON-GAAP FINANCIAL MEASURES

Use of Non-GAAP Financial Measures

Adjusted net earnings per share, adjusted earnings from operations, adjusted operating margin and adjusted revenues are non-GAAP financial measures. Non-GAAP financial measures should be considered in addition to, but not as a substitute for, or superior to, financial measures prepared in accordance with GAAP. Adjustments made to these measures are as follows:

Intangible Amortization: Adjusted net earnings per share excludes intangible amortization from the relevant GAAP measure. As amortization fluctuates based on the size and timing of the company’s acquisition activity, management believes this exclusion provides a more useful comparison of the company’s underlying business performance and trends from period to period. While intangible assets contribute to the Company’s revenue generation, the intangible amortization is not directly related. Therefore, the related revenues are included in adjusted earnings per share.

Net Portfolio Divestitures and South American Impacts: Adjusted net earnings per share, adjusted earnings from operations and adjusted operating margin exclude net portfolio divestitures and South American impacts. Net portfolio divestitures and South American impacts relate to the actions taken by management in the fourth quarter of 2025 as a result of a strategic review of our assets and businesses aimed at advancing and scaling our operations, including our value-based care business at Optum Health. For the three and six months ended June 30, 2026, these actions included net incremental losses on businesses held for sale, including our remaining South American operations. For the six months ended June 30, 2026, these actions also included a net gain on the sales of businesses previously classified as held for sale as of December 31, 2025. Portfolio divestitures are not representative of the Company's underlying business and management believes that the exclusion of these items presents a more useful comparison of the Company’s underlying business performance and trends from period to period.

Restructuring and Other: Adjusted net earnings per share, adjusted earnings from operations, adjusted operating margin and adjusted revenues exclude restructuring and other items. For the six months ended June 30, 2026, restructuring and other items included a contribution to the United Health Foundation of $400 million funded by the cash gain on the disposition of an Optum Insight business. For the three and six months ended June 30, 2026, restructuring and other items included the net decrease in loss contract reserves of $50 million and $187 million and net valuation gains on equity securities of $1 million and $60 million, respectively. These items are not representative of the Company's underlying business and management believes that the exclusion of these items presents a more useful comparison of the Company’s underlying business performance and trends from period to period.

Adjusted earnings per share for the projected year ended December 31, 2026 excludes the net expected decrease in loss contract reserves.

UNITEDHEALTH GROUP

RECONCILIATION OF NON-GAAP FINANCIAL MEASURES

(in millions, except per share data; unaudited)

Adjusted Net Earnings Per Share

 

 

 

Three Months Ended
June 30,

 

Six Months Ended
June 30,

 

Projected
Year Ended
December 31,

 

 

2026

 

2025

 

2026

 

2025

 

2026

Net earnings attributable to UnitedHealth Group common shareholders

 

$5,484

 

$3,406

 

$11,764

 

$9,698

 

> $16,750

Intangible amortization

 

346

 

409

 

680

 

826

 

~1,345

Net portfolio divestitures and South American impacts (1)

 

100

 

 

(58)

 

 

~(35)

Restructuring and other (2)

 

(51)

 

 

153

 

 

~(50)

Tax effect of adjustments

 

(87)

 

(99)

 

(169)

 

(201)

 

~(285)

Adjusted net earnings attributable to UnitedHealth Group common shareholders

 

$5,792

 

$3,716

 

$12,370

 

$10,323

 

> $17,725

 

 

 

 

 

 

 

 

 

 

 

Diluted earnings per share

 

$6.04

 

$3.74

 

$12.94

 

$10.61

 

$18.45 to $18.95

Intangible amortization per share

 

0.38

 

0.45

 

0.75

 

0.90

 

~1.50

Net portfolio divestitures and South American impacts per share

 

0.11

 

 

(0.06)

 

 

~(0.05)

Restructuring and other per share

 

(0.06)

 

 

0.17

 

 

~(0.05)

Tax effect of adjustments per share

 

(0.09)

 

(0.11)

 

(0.19)

 

(0.22)

 

~(0.35)

Adjusted diluted earnings per share

 

$6.38

 

$4.08

 

$13.61

 

$11.29

 

$19.50 to $20.00

End Notes

(1)

Net portfolio divestitures and South American impacts for the three and six months ended June 30, 2026 includes net impacts of dispositions and businesses held for sale and $61 million and $133 million of incremental losses related to South American businesses held for sale, respectively. For the three and six months ended June 30, 2025, net impacts of dispositions and South American impacts were not significant.

(2)

Restructuring and other for the three and six months ended June 30, 2026 includes net valuation gains on equity securities. For the three and six months ended June 30, 2025 net valuation gains were not significant.

 

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UnitedHealth Group

NYSE:UNH

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