Form 8-K
8-K — UNITEDHEALTH GROUP INC
Accession: 0000731766-26-000121
Filed: 2026-04-21
Period: 2026-04-21
CIK: 0000731766
SIC: 6324 (HOSPITAL & MEDICAL SERVICE PLANS)
Item: Results of Operations and Financial Condition
Item: Financial Statements and Exhibits
Documents
8-K — unh-20260421.htm (Primary)
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8-K
8-K (Primary)
Filename: unh-20260421.htm · Sequence: 1
unh-20260421
0000731766false00007317662026-04-212026-04-21
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
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FORM 8-K
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Current Report
Pursuant to Section 13 or 15(d) of
The Securities Exchange Act of 1934
Date of report (Date of earliest event reported): April 21, 2026
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UNITEDHEALTH GROUP INCORPORATED
(Exact name of registrant as specified in its charter)
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Delaware 1-10864 41-1321939
(State or other jurisdiction of incorporation)
(Commission File Number)
(I.R.S. Employer Identification No.)
1 Health Drive 655 New York Avenue NW
Eden Prairie, Minnesota 55344 Washington, DC 20001
(Address of principal executive offices) (Zip Code) (Address of principal executive offices) (Zip Code)
Registrant’s telephone number, including area code: (800) 328-5979
N/A
(Former name or former address, if changed since last report.)
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Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
☐ Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
☐ Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
☐ Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
☐ Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Securities registered pursuant to Section 12(b) of the Act:
Title of each class Trading Symbol(s) Name of each exchange on which registered
Common Stock, $.01 par value UNH New York Stock Exchange
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).
☐ 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. ☐
Item 2.02 Results of Operations and Financial Condition.
On April 21, 2026, UnitedHealth Group Incorporated (the “Company”) issued a press release announcing its first quarter 2026 results. A copy of the press release is furnished herewith as Exhibit 99.1. The press release also includes a hyperlink to a pdf document which is furnished herewith as Exhibit 99.2. Exhibits 99.1 and 99.2 are incorporated herein by reference.
The information in this Item 2.02 shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, nor shall it be deemed incorporated by reference in any Company filing under the Securities Act of 1933 or the Securities Exchange Act of 1934, except as shall be expressly set forth by specific reference in such filing.
Item 9.01. Financial Statements and Exhibits.
Exhibit Description
99.1
Press Release dated April 21, 2026
99.2
Hyperlinked PDF
104 Cover Page Interactive Data File (formatted as Inline XBRL).
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 hereunto duly authorized.
Date: April 21, 2026
UNITEDHEALTH GROUP INCORPORATED
By: /s/ Kuai H. Leong
Kuai H. Leong
Senior Deputy General Counsel and Deputy Corporate Secretary
EX-99.1
EX-99.1
Filename: earningsrelease1q26press.htm · Sequence: 2
earningsrelease1q26press
Page 1 of 16 UnitedHealth Group Reports First Quarter 2026 Results • First Quarter 2026 Revenues of $111.7 Billion Grew 2% Year-over-Year • Earnings of $6.90 Per Share and Adjusted Earnings of $7.23 Per Share • Full Year 2026 Earnings Outlook Raised to Greater Than $17.35 Per Share; Adjusted Earnings of Greater Than $18.25 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/2026/unh-reports-first-quarter-2026-results.pdf (April 21, 2026) UnitedHealth Group (NYSE: UNH) today reported first quarter 2026 results, with performance supported by actions taken over the last several quarters. “We are continuing to help simplify and modernize health care for the people and care providers we serve, bringing greater value, affordability, transparency and connectivity,” said Stephen Hemsley, chief executive officer of UnitedHealth Group. The company expects full year 2026 adjusted net earnings of greater than $18.25 per share. Consolidated revenues for the first quarter 2026 were $111.7 billion, with earnings from operations of $9.0 billion. Net margin was 5.6% compared to 5.7% in the year ago quarter. Cash flows from operations were $8.9 billion, or 1.4x net income, and the debt-to-capital ratio was 42.9% as of March 31, 2026. UnitedHealth Group’s medical cost ratio was 83.9% for the first quarter 2026, down 90 basis points from the first quarter 2025. The operating cost ratio of 13.8% in the first quarter 2026 compared to 12.4% in the first quarter 2025, reflecting investments to drive improved consumer and care provider experiences and greater operating efficiencies, as well as investments in its people and the communities it serves. The company continues to build on the initiatives begun in the second half of 2025, strengthening in essential areas including operations, management, technology, consumer and provider experiences, community engagement and corporate governance. Actions included: • Refocusing the organization on U.S. health care, exiting non-U.S. businesses. • Refreshing nearly half of the top 100 leadership roles. • Accelerating simplification and modernization, including substantial artificial intelligence and cybersecurity investments. • Advancing meaningful changes in areas such as data and process interoperability, prior authorization, transparency, pharmacy practices and more. • Creating a Public Responsibility Committee of the Board, naming a Lead Independent Director and new committee chairs, adding a new independent director and accelerating the board recruiting process. • Redoubling community engagement and support through the United Health Foundation. During the quarter, the company entered into an agreement to acquire Alegeus Technologies, a health care technology platform providing benefits administration for consumer-directed healthcare accounts, reflecting the company’s commitment to advancing more flexible, consumer-centered solutions. The acquisition is subject to regulatory review and is expected to close in the back half of 2026 and be earnings neutral to 2026. UnitedHealth Group also completed the sale of the Optum UK
Page 2 of 16 business, with $400 million in net proceeds committed to the United Health Foundation, and entered into an arrangement to buy back at least $2 billion of its common stock, which it expects to complete by the end of the second quarter 2026. First Quarter 2026 Key Performance Metrics • First quarter 2026 adjusted net earnings were $7.23 per share. • The medical care ratio of 83.9% included a 20 basis point positive impact from the previously disclosed Optum Health loss contracts reserve. • The operating cost ratio of 13.8% reflected incremental investments in people, processes and technology, including artificial intelligence, to improve performance and support future innovations, modernization, growth and earnings. • UnitedHealthcare served 49.1 million consumers and expanded operating margins by 40 basis points to 6.6% compared to 6.2% in the first quarter 2025. • Optum supported more than 122 million consumers across its businesses, driving revenues of $63.7 billion and earnings of $3.3 billion, reflecting a margin of 5.2%. • Optum Health operating earnings were $1.1 billion. Adjusted operating earnings were $1.3 billion, excluding the impacts related to the third-party loss contracts and restructuring actions disclosed in the fourth quarter 2025.
Page 3 of 16 UnitedHealth Group First Quarter 2026 Results Quarterly Financial Performance Three Months Ended March 31, 2026 March 31, 2025 December 31, 2025 Revenues $111.7 billion $109.6 billion $113.2 billion Earnings from Operations $9.0 billion $9.1 billion $0.4 billion Net Margin 5.6% 5.7% - • UnitedHealth Group’s first quarter 2026 revenues were $111.7 billion compared to $109.6 billion in the year ago quarter. • First quarter 2026 earnings from operations of $9.0 billion reflected improved operations and continued investments. • The first quarter 2026 medical care ratio was 83.9% compared to 84.8% in the first quarter 2025. The year-over-year decrease was driven by strong medical cost management and favorable reserve development, partially offset by consistently elevated utilization and unit cost trends. • Days claims payable were 48.6 compared to 44.1 in the fourth quarter 2025 and 45.5 in the first quarter 2025. The sequential variation was driven by seasonality and claims payment timing. Days sales outstanding of 21.6 compared to 18.8 in the fourth quarter 2025 and 22.3 in the year ago quarter, reflecting normal seasonality. • The first quarter 2026 operating cost ratio of 13.8% compared to 12.4% in 2025, reflecting investments in people, processes and technology to drive improved consumer and care provider experiences and greater operating efficiencies. • Cash flows from operations were $8.9 billion, or 1.4 times net income, reflecting strong earnings and changes in working capital accounts. • Debt-to-capital ratio was 42.9% as of March 31, 2026, compared to 43.9% in the fourth quarter 2025 and 44.6% in the first quarter 2025. The company continues to target a long-term debt-to-capital ratio of approximately 40.0% and expects to reach that level in the back half of 2026. • The company expects to repurchase at least $2.0 billion of its common stock by the end of the second quarter 2026.
Page 4 of 16 UnitedHealthcare First 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 March 31, 2026 March 31, 2025 December 31, 2025 Revenues $86.3 billion $84.6 billion $87.1 billion Earnings from Operations $5.7 billion $5.2 billion $0.3 billion Operating Margin 6.6% 6.2% 0.4% UnitedHealthcare • UnitedHealthcare first quarter 2026 revenues of $86.3 billion compared to $84.6 billion in the first quarter 2025. UnitedHealthcare served 49.1 million people in the first quarter 2026 compared to 49.8 million people at year end 2025. • UnitedHealthcare’s first quarter 2026 earnings from operations were $5.7 billion compared to $5.2 billion in the first quarter 2025. Operating margin of 6.6% compared to 6.2% in the first quarter 2025, primarily due to repricing across all lines of business in response to cost trends that remain elevated but in line with expectations. UnitedHealthcare Employer & Individual • UnitedHealthcare Employer & Individual first quarter 2026 revenues were $20.1 billion compared to $19.8 billion in the first quarter 2025. • The number of people served increased by 415,000 in the first quarter 2026, with growth in employer self-funded offerings partially offset by attrition in both group fully-insured and individual products. UnitedHealthcare Medicare & Retirement • UnitedHealthcare Medicare & Retirement first quarter 2026 revenues of $42.1 billion grew 1% year-over-year as a result of trend-driven repricing actions partially offset by attrition in the number of seniors served. • Seniors served through Medicare Advantage, including programs serving complex populations included in Medicaid, declined by 965,000 in the first quarter 2026. UnitedHealthcare Community & State • UnitedHealthcare Community & State first quarter 2026 revenues of $24.1 billion grew 4% year-over-year, driven primarily by Medicaid rate updates. • People served contracted by 220,000 in the first quarter 2026 primarily due to the early impact of state eligibility changes.
Page 5 of 16 Optum First 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 March 31, 2026 March 31, 2025 December 31, 2025 Revenues $63.7 billion $63.9 billion $70.3 billion Earnings from Operations $3.3 billion $3.9 billion $0.1 billion Operating Margin 5.2% 6.1% 0.1% Optum Health • Optum Health’s first quarter 2026 revenues of $24.1 billion decreased 3% year-over-year, reflecting fewer value-based care members. • First quarter 2026 earnings from operations were $1.1 billion, representing a 4.7% margin. Adjusted earnings from operations were $1.3 billion, reflecting a margin of 5.4%, excluding the positive impacts of the third-party loss contracts reserve and restructuring actions taken in the fourth quarter 2025. The year-over-year change was driven by continued investments and medical costs that remain elevated, partially offset by operational improvements across the business. Optum Insight • Optum Insight’s first quarter 2026 revenues of $5.1 billion compared to $5.0 billion in the year ago quarter. • First quarter 2026 earnings from operations were $1.0 billion compared to $1.2 billion in the first quarter 2025. The year- over-year decrease was driven by continued investments in people, technology and new products. Optum Rx • Optum Rx’s first quarter 2026 revenues of $35.7 billion increased 2% year-over-year, driven by growth in specialty pharmacy partially offset by UHC membership attrition. • Earnings from operations for the first quarter 2026 were $1.2 billion compared to $1.3 billion in the first quarter 2025. The decrease year-over-year was primarily due to lower volume from membership attrition at UHC and investments in people. Adjusted scripts were 383 million compared to 408 million last year.
Page 6 of 16 About UnitedHealth Group UnitedHealth Group (NYSE: UNH) is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone through two distinct and complementary businesses. Optum delivers care aided by technology and data, empowering people, partners and providers with the guidance and tools they need to achieve better health. UnitedHealthcare offers a full range of health benefits, enabling affordable coverage, simplifying the health care experience and delivering access to high-quality care. Visit UnitedHealth Group at www.unitedhealthgroup.com and follow UnitedHealth Group on LinkedIn. Earnings Conference Call As previously announced, UnitedHealth Group will discuss the company’s results, strategy and future outlook on a conference call with investors at 8:00 a.m. Eastern Time today. UnitedHealth Group will host a live webcast of this conference call from the Investor Relations page of the company’s website (www.unitedhealthgroup.com). Following the call, a webcast replay will be on the Investor Relations page through May 5, 2026. This earnings release and the Form 8-K dated April 21, 2026, can also be accessed from the Investor Relations page of the company’s website. Non-GAAP Financial Information This news release presents non-GAAP financial information provided as a complement to the results provided in accordance with accounting principles generally accepted in the United States of America (“GAAP”). A reconciliation of the non-GAAP financial information to the most directly comparable GAAP financial measure is provided in the accompanying tables found at the end of this release. Forward-Looking Statements The statements, estimates, projections, guidance or outlook contained in this document include “forward-looking” statements which are intended to take advantage of the “safe harbor” provisions of the federal securities laws. The words “believe,” “expect,” “intend,” “estimate,” “anticipate,” “forecast,” “outlook,” “plan,” “project,” “should” and similar expressions identify forward-looking statements. These statements may contain information about financial prospects, economic conditions and trends and involve risks and uncertainties. Actual results could differ materially from those that management expects, depending on the outcome of certain factors including: our ability to effectively estimate, price for and manage medical costs; new or changes in existing health care laws or regulations, or their enforcement or application; cyberattacks, other privacy/data security incidents, or our failure to comply with related regulations; reductions in revenue or delays to cash flows received under government programs; changes in Medicare, the CMS star ratings program or the application of risk adjustment data validation audits; the DOJ’s legal actions concerning our participation in the Medicare program; our ability to maintain and achieve improvement in quality scores impacting revenue; failure to maintain effective and efficient information systems or if our technology products do not operate as intended; risks and uncertainties associated with our businesses providing pharmacy care services; competitive pressures, including our ability to maintain or increase our market share; changes in or challenges to our public sector contract awards; failure to achieve targeted operating cost productivity improvements; failure to develop and maintain satisfactory relationships with health care payers, physicians, hospitals and other service providers; the impact of potential changes in tax laws and regulations; increases in costs and other liabilities associated with litigation, government investigations, audits or reviews; risks and uncertainties associated with our increasing use of artificial intelligence and other emerging technologies; failure to complete, manage or integrate strategic transactions; risks and uncertainties associated with the sale of our remaining operations in South America; risks associated with public health crises arising from large-scale medical emergencies, pandemics, natural disasters and other extreme events; failure to attract, develop, retain, and manage the succession of key employees and executives; our investment portfolio performance; impairment of our goodwill and intangible assets; failure to protect proprietary rights to our databases, software and related products; downgrades in our credit ratings; and our ability to obtain sufficient funds from our regulated subsidiaries or from external financings to fund our obligations, reinvest in our business, maintain our debt to total capital ratio at targeted levels, maintain our quarterly dividend payment cycle, or continue repurchasing shares of our common stock. This above list is not exhaustive. We discuss these matters, and certain risks that may affect our business operations, financial condition and results of operations, more fully in our filings with the SEC, including our reports on Forms 10-K, 10-Q and 8-K. By their nature, forward-looking statements are not guarantees of future performance or results and are subject to risks, uncertainties and assumptions that are difficult to predict or quantify. Actual results may vary materially from expectations expressed or implied in this document or any of our prior communications. You should not place undue reliance on forward- looking statements, which speak only as of the date they are made. We do not undertake to update or revise any forward- looking statements, except as required by law. Investors: Media: investor_relations@uhg.com uhgmedia@uhg.com
UNITEDHEALTH GROUP Earnings Release Schedules and Supplementary Information Quarter Ended March 31, 2026 • Condensed Consolidated Statements of Operations • Condensed Consolidated Balance Sheets • Condensed Consolidated Statements of Cash Flows • Revenues by Business - Supplemental Financial Information • Earnings by Business - Supplemental Financial Information • Segment Realignment - Prior Period Financial Information and Performance Metrics • People Served and Performance Metrics - Supplemental Financial Information • Reconciliation of Non-GAAP Financial Measures Page 7 of 16
UNITEDHEALTH GROUP CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (in millions, except per share data; unaudited) Three Months Ended March 31, 2026 2025 Revenues Premiums .............................................................................................................................................................................................. $87,561 $86,534 Products ................................................................................................................................................................................................. 13,250 13,036 Services ................................................................................................................................................................................................. 9,779 8,972 Investment and other income ............................................................................................................................................................. 1,131 1,033 Total revenues ................................................................................................................................................................................. 111,721 109,575 Operating costs Medical costs ........................................................................................................................................................................................ 73,489 73,411 Operating costs .................................................................................................................................................................................... 15,390 13,594 Cost of products sold ........................................................................................................................................................................... 12,823 12,390 Depreciation and amortization ........................................................................................................................................................... 1,029 1,061 Total operating costs ...................................................................................................................................................................... 102,731 100,456 Earnings from operations ................................................................................................................................................................ 8,990 9,119 Interest expense ................................................................................................................................................................................... (955) (998) Loss on sale of subsidiary and subsidiaries held for sale ............................................................................................................. (72) (15) Earnings before income taxes ....................................................................................................................................................... 7,963 8,106 Provision for income taxes ................................................................................................................................................................. (1,482) (1,632) Net earnings ....................................................................................................................................................................................... 6,481 6,474 Earnings attributable to noncontrolling interests ............................................................................................................................. (201) (182) Net earnings attributable to UnitedHealth Group common shareholders .......................................................................... $6,280 $6,292 Diluted earnings per share attributable to UnitedHealth Group common shareholders .............................................. $6.90 $6.85 Adjusted earnings per share attributable to UnitedHealth Group common shareholders (a) ...................................... $7.23 $7.20 Diluted weighted-average common shares outstanding ................................................................................................................ 910 918 (a) See page 15 for a reconciliation of non-GAAP measures. Page 8 of 16
UNITEDHEALTH GROUP CONDENSED CONSOLIDATED BALANCE SHEETS (in millions; unaudited) March 31, 2026 December 31, 2025 Assets Cash and short-term investments ..................................................................................................................................................... $31,229 $28,121 Accounts receivable, net .................................................................................................................................................................... 26,587 23,018 Other current assets ............................................................................................................................................................................ 33,311 39,443 Total current assets ................................................................................................................................................................... 91,127 90,582 Long-term investments ....................................................................................................................................................................... 56,788 54,251 Other long-term assets ....................................................................................................................................................................... 164,729 164,748 Total assets .................................................................................................................................................................................... $312,644 $309,581 Liabilities, redeemable noncontrolling interests and equity Medical costs payable ......................................................................................................................................................................... $39,659 $39,337 Short-term borrowings and current maturities of long-term debt ................................................................................................. 6,477 6,069 Other current liabilities ........................................................................................................................................................................ 67,988 69,491 Total current liabilities ............................................................................................................................................................... 114,124 114,897 Long-term debt, less current maturities ............................................................................................................................................ 71,440 72,320 Other long-term liabilities .................................................................................................................................................................... 21,761 20,666 Redeemable noncontrolling interests ............................................................................................................................................... 1,424 1,608 Equity ..................................................................................................................................................................................................... 103,895 100,090 Total liabilities, redeemable noncontrolling interests and equity ........................................................................................... $312,644 $309,581 Page 9 of 16
UNITEDHEALTH GROUP CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (in millions; unaudited) Three Months Ended March 31, 2026 2025 Operating Activities Net earnings ......................................................................................................................................................................................... $6,481 $6,474 Noncash items: Depreciation and amortization ....................................................................................................................................................... 1,029 1,061 Deferred income taxes and other .................................................................................................................................................. 236 161 Share-based compensation ........................................................................................................................................................... 348 375 Loss on sale of subsidiary and subsidiaries held for sale .......................................................................................................... 72 15 Net changes in operating assets and liabilities ............................................................................................................................... 746 (2,630) Cash flows from operating activities .......................................................................................................................................... 8,912 5,456 Investing Activities (Purchases of investments, net of sales and maturities) sales and maturities of investments, net of purchases ............... (2,352) 1,217 Purchases of property, equipment and capitalized software ........................................................................................................ (763) (898) Cash paid for acquisitions and other transactions, net .................................................................................................................. — (702) Repayment of care provider loans - cyberattack ............................................................................................................................ 82 891 Other, net .............................................................................................................................................................................................. 586 (582) Cash flows used for investing activities .................................................................................................................................... (2,447) (74) Financing Activities Common share repurchases .............................................................................................................................................................. — (3,000) Dividends paid ...................................................................................................................................................................................... (2,005) (1,912) Net change in short-term borrowings and long-term debt ............................................................................................................. (400) 3,911 Other, net .............................................................................................................................................................................................. (587) 1,100 Cash flows (used for) from financing activities ........................................................................................................................ (2,992) 99 Effect of exchange rate changes on cash and cash equivalents ................................................................................................. (7) 15 Increase in cash and cash equivalents, including cash within businesses held for sale ......................................................... 3,466 5,496 Less: change in cash within businesses held for sale ................................................................................................................... 170 (91) Net increase in cash and cash equivalents ..................................................................................................................................... 3,636 5,405 Cash and cash equivalents, beginning of period ............................................................................................................................ 24,365 25,312 Cash and cash equivalents, end of period ...................................................................................................................................... $28,001 $30,717 Page 10 of 16
UNITEDHEALTH GROUP REVENUES BY BUSINESS - SUPPLEMENTAL FINANCIAL INFORMATION (in millions; unaudited) Optum UnitedHealth Group Consolidated (a)UnitedHealthcare Optum Health (c) Optum Insight (c) Optum Rx Total Optum (a) Three Months Ended March 31, 2026 Total revenues ....................................................................... $86,265 $24,109 $5,125 $35,736 $63,749 $111,721 Restructuring and other (2) ................................................. — 3 (77) — (74) (74) Adjusted revenues (b) ..................................................... $86,265 $24,112 $5,048 $35,736 $63,675 $111,647 Three Months Ended March 31, 2025 Total revenues ....................................................................... $84,617 $24,837 $5,027 $35,132 $63,885 $109,575 UnitedHealthcare Revenues (in millions; unaudited) Three Months Ended March 31, 2026 2025 UnitedHealthcare Employer & Individual - Domestic ............................................................................................................................ $19,206 $19,066 UnitedHealthcare Employer & Individual - Global ................................................................................................................................. 912 782 UnitedHealthcare Employer & Individual - Total ............................................................................................................................. 20,118 19,848 UnitedHealthcare Medicare & Retirement .............................................................................................................................................. 42,082 41,705 UnitedHealthcare Community & State .................................................................................................................................................... 24,065 23,064 Total UnitedHealthcare revenues ..................................................................................................................................................... $86,265 $84,617 (a) Optum and consolidated revenues for the three months ended March 31, 2026 and 2025 include Optum eliminations of $1,221 and $1,111; and corporate eliminations of $38,293 and $38,927, respectively. (b) See page 15 for description of non-GAAP measures. (c) Prior period amounts have been recast to reflect the realignment of Optum Financial. See page 13 for further discussion. Note: See end notes for further information regarding non-GAAP adjustments. Page 11 of 16
UNITEDHEALTH GROUP EARNINGS BY BUSINESS - SUPPLEMENTAL FINANCIAL INFORMATION (in millions, except percentages; unaudited) Optum UnitedHealth Group ConsolidatedUnitedHealthcare Optum Health (b) Optum Insight (b) Optum Rx Total Optum Three Months Ended March 31, 2026 Earnings from operations .......................................................... $5,694 $1,141 $963 $1,192 $3,296 $8,990 Net portfolio divestitures and South American impacts (1) .. — 306 (528) (8) (230) (230) Restructuring and other (2) ....................................................... — (135) 339 — 204 204 Adjusted earnings from operations (a) ............................. $5,694 $1,312 $774 $1,184 $3,270 $8,964 Operating margin ........................................................................ 6.6 % 4.7 % 18.8 % 3.3 % 5.2 % 8.0 % Adjusted operating margin (a) .................................................. 6.6 % 5.4 % 15.3 % 3.3 % 5.1 % 8.0 % Three Months Ended March 31, 2025 Earnings from operations .......................................................... $5,226 $1,411 $1,164 $1,318 $3,893 $9,119 Operating margin ........................................................................ 6.2 % 5.7 % 23.2 % 3.8 % 6.1 % 8.3 % (a) See page 15 for description of non-GAAP measures. (b) Prior period amounts have been recast to reflect the realignment of Optum Financial. See page 13 for further discussion. Note: See end notes for further information regarding non-GAAP adjustments. Page 12 of 16
UNITEDHEALTH GROUP SEGMENT REALIGNMENT - PRIOR PERIOD FINANCIAL INFORMATION AND PERFORMANCE METRICS (in millions, except percentages) (unaudited) Optum Financial Segment Realignment On January 1, 2026, we realigned certain of our businesses to respond to changes in the markets we serve and the opportunities that are emerging as the health system evolves. Optum Financial, including Optum Bank, which was historically included in Optum Health, is now included in Optum Insight. Our reportable segments remain unchanged and prior period segment financial information has been recast to conform to the 2026 presentation. There was no impact to the results of UnitedHealthcare, Optum Rx or Optum as result of the realignment of Optum Financial. The below tables provide a summary of the recasted segment information and Optum Health consumers served for the comparative prior periods. Three Months Ended Year Ended March 31, 2025 June 30, 2025 September 30, 2025 December 31, 2025 December 31, 2025 December 31, 2024 Revenues: Optum Health .......................................................................... $24,837 $24,725 $25,422 $25,067 $100,051 $103,516 Optum Insight ......................................................................... 5,027 5,232 5,320 5,455 21,034 20,356 Optum Rx ................................................................................ 35,132 38,459 39,679 41,456 154,726 133,231 Optum Eliminations ................................................................ (1,111) (1,191) (1,244) (1,645) (5,191) (4,146) Optum ................................................................................. $63,885 $67,225 $69,177 $70,333 $270,620 $252,957 Earnings from Operations: Optum Health .......................................................................... $1,411 $429 $41 $(2,996) $(1,115) $6,902 Optum Insight ......................................................................... 1,164 1,205 920 172 3,461 3,965 Optum Rx ................................................................................ 1,318 1,441 1,549 2,885 7,193 5,836 Optum ................................................................................. $3,893 $3,075 $2,510 $61 $9,539 $16,703 Operating Margin: Optum Health .......................................................................... 5.7 % 1.7 % 0.2 % (12.0) % (1.1) % 6.7 % Optum Insight ......................................................................... 23.2 23.0 17.3 3.2 16.5 19.5 Optum Rx ................................................................................ 3.8 3.7 3.9 7.0 4.6 4.4 Optum ................................................................................. 6.1 4.6 3.6 0.1 3.5 6.6 March 31, 2025 June 30, 2025 September 30, 2025 December 31, 2025 Optum Health Consumers Served (in millions) ................................................................................ 95 95 93 92 Page 13 of 16
UNITEDHEALTH GROUP PEOPLE SERVED AND PERFORMANCE METRICS - SUPPLEMENTAL FINANCIAL INFORMATION (unaudited) UnitedHealthcare Customer Profile (in thousands) People Served March 31, 2026 December 31, 2025 March 31, 2025 Commercial: Risk-based ......................................................................................................................... 7,725 8,165 8,410 Fee-based .......................................................................................................................... 22,340 21,485 21,590 Total Commercial ........................................................................................................... 30,065 29,650 30,000 Medicare Advantage ............................................................................................................ 7,555 8,445 8,245 Medicaid ................................................................................................................................ 7,160 7,380 7,570 Medicare Supplement (Standardized) .............................................................................. 4,270 4,285 4,310 Total Community and Senior ...................................................................................... 18,985 20,110 20,125 Total UnitedHealthcare - Medical ............................................................................... 49,050 49,760 50,125 Supplemental Data Medicare Part D stand-alone .......................................................................................... 2,740 2,770 2,835 South American businesses held for sale ..................................................................... 1,160 1,160 1,160 Optum Performance Metrics March 31, 2026 December 31, 2025 March 31, 2025 Optum Health Consumers Served (in millions) (a) ........................................................... 93 92 95 Optum Rx Quarterly Adjusted Scripts (in millions) ........................................................... 383 424 408 (a) Prior period amounts have been recast to reflect the realignment of Optum Financial. See page 13 for further discussion. Page 14 of 16
UNITEDHEALTH GROUP RECONCILIATION OF NON-GAAP FINANCIAL MEASURES Use of Non-GAAP Financial Measures Adjusted net earnings per share, adjusted earnings from operations, adjusted operating margin and adjusted revenues are non-GAAP financial measures. Non-GAAP financial measures should be considered in addition to, but not as a substitute for, or superior to, financial measures prepared in accordance with GAAP. Adjustments made to these measures are as follows: Intangible Amortization: Adjusted net earnings per share excludes intangible amortization from the relevant GAAP measure. As amortization fluctuates based on the size and timing of the company’s acquisition activity, management believes this exclusion provides a more useful comparison of the company’s underlying business performance and trends from period to period. While intangible assets contribute to the Company’s revenue generation, the intangible amortization is not directly related. Therefore, the related revenues are included in adjusted earnings per share. Net Portfolio Divestitures and South American Impacts: Adjusted net earnings per share, adjusted earnings from operations and adjusted operating margin exclude net portfolio divestitures and South American impacts. Net portfolio divestitures and South American impacts relate to the actions taken by management in the fourth quarter of 2025 as a result of a strategic review of our assets and businesses aimed at advancing and scaling our operations, including our value-based care business at Optum Health. In the first quarter of 2026, these actions resulted in a net gain on the sales of businesses previously classified as held for sale as of December 31, 2025 and net incremental losses on other businesses held for sale, including our remaining South American operations. Portfolio divestitures are not representative of the Company's underlying business and management believes that the exclusion of these items presents a more useful comparison of the Company’s underlying business performance and trends from period to period. Restructuring and Other: Adjusted net earnings per share, adjusted earnings from operations, adjusted operating margin and adjusted revenues exclude restructuring and other items. In the first quarter of 2026, restructuring and other items included a contribution to the United Health Foundation ($400 million) funded by the cash gain on the disposition of an Optum Insight business. This was partially offset by the reduction of loss contract reserves established in the fourth quarter of 2025 ($137 million) and net valuation gains on equity securities ($59 million). These items are not representative of the Company's underlying business and management believes that the exclusion of these items presents a more useful comparison of the Company’s underlying business performance and trends from period to period. Adjusted earnings per share for the projected year ended December 31, 2026 excludes the expected reduction of loss contracts reserves of $402 million in addition to the $137 million recognized in the first quarter of 2026. Page 15 of 16
UNITEDHEALTH GROUP RECONCILIATION OF NON-GAAP FINANCIAL MEASURES (in millions, except per share data; unaudited) Adjusted Net Earnings Per Share Three Months Ended March 31, Projected Year Ended December 31, 2026 2025 2026 Net earnings attributable to UnitedHealth Group common shareholders .......................................................................... $6,280 $6,292 > $15,800 Intangible amortization ............................................................................................................................................................... 334 417 ~1,325 Net portfolio divestitures and South American impacts (1) .................................................................................................. (158) — ~(60) Restructuring and other (2) ....................................................................................................................................................... 204 — ~(200) Tax effect of adjustments ........................................................................................................................................................... (82) (102) ~(255) Adjusted net earnings attributable to UnitedHealth Group common shareholders ................................................... $6,578 $6,607 > $16,610 Diluted earnings per share ........................................................................................................................................................ $6.90 $6.85 > $17.35 Intangible amortization per share ............................................................................................................................................. 0.37 0.46 ~1.45 Net portfolio divestitures and South American impacts per share ..................................................................................... (0.17) — ~(0.05) Restructuring and other per share ........................................................................................................................................... 0.22 — ~(0.20) Tax effect of adjustments per share ......................................................................................................................................... (0.09) (0.11) ~(0.30) Adjusted diluted earnings per share ................................................................................................................................. $7.23 $7.20 > $18.25 End Notes (1) Net portfolio divestitures and South American impacts for the three months ended March 31, 2026 includes net gains on dispositions and businesses held for sale and $72 million of incremental losses related to South American businesses held for sale. For the three months ended March 31, 2025, net gains on dispositions and South American impacts were not significant. (2) Restructuring and other for the three months ended March 31, 2026 includes net valuation gains on equity securities. For the three months ended March 31, 2025 net valuation gains were not significant. Page 16 of 16
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© 2026 UnitedHealth Group, Inc. All rights reserved. 1 First Quarter 2026 Revenues of $111.7 Billion Grew 2% Year-Over-Year; Earnings of $6.90 Per Share and Adjusted Earnings of $7.23 Per Share We are continuing to help simplify and modernize health care for the people and care providers we serve, bringing greater value, affordability, transparency and connectivity.” Stephen Hemsley Chief Executive Officer, UnitedHealth Group April 21, 2026 UnitedHealth Group (NYSE: UNH) today reported first quarter 2026 results, with performance supported by actions taken over the last several quarters. The company expects full year 2026 adjusted net earnings of greater than $18.25 per share. Consolidated revenues for the first quarter 2026 were $111.7 billion, with earnings from operations of $9.0 billion. Net margin was 5.6% compared to 5.7% in the year ago quarter. Cash flows from operations were $8.9 billion, or 1.4x net income, and the debt-to-capital ratio was 42.9% as of March 31, 2026. UnitedHealth Group’s medical cost ratio was 83.9% for the first quarter 2026, down 90 basis points from the first quarter 2025. The operating cost ratio of 13.8% in the first quarter 2026 compared to 12.4% in the first quarter 2025, reflecting investments to drive improved consumer and care provider experiences and greater operating efficiencies, as well as investments in its people and the communities it serves. The company continues to build on the initiatives begun in the second half of 2025, strengthening in essential areas including operations, management, technology, consumer and provider experiences, community engagement and corporate governance. Actions included: • Refocusing the organization on U.S. health care, exiting non-U.S. businesses. • Refreshing nearly half of the top 100 leadership roles. • Accelerating simplification and modernization, including substantial artificial intelligence and cybersecurity investments. • Advancing meaningful changes in areas such as data and process interoperability, prior authorization, transparency, pharmacy practices and more. • Creating a Public Responsibility Committee of the Board, naming a Lead Independent Director and new committee chairs, adding a new independent director and accelerating the board recruiting process. • Redoubling community engagement and support through the United Health Foundation. During the quarter, the company entered into an agreement to acquire Alegeus Technologies, a health care technology platform providing benefits administration for consumer-directed healthcare accounts, reflecting the company’s commitment to advancing more flexible, consumer-centered solutions. The acquisition is subject to regulatory review and is expected to close in the back half of 2026 and be earnings neutral to 2026. UnitedHealth Group also completed the sale of the Optum UK business, with $400 million in net proceeds committed to the United Health Foundation, and entered into an arrangement to buy back at least $2 billion of its common stock, which it expects to complete by the end of the second quarter 2026. UnitedHealth Group Reports First Quarter 2026 Results First Quarter 2026 Key Performance Metrics • First quarter 2026 adjusted net earnings were $7.23 per share. • The medical care ratio of 83.9% included a 20 basis point positive impact from the previously disclosed Optum Health loss contracts reserve. • The operating cost ratio of 13.8% reflected incremental investments in people, processes and technology, including artificial intelligence, to improve performance and support future innovations, modernization, growth and earnings. • UnitedHealthcare served 49.1 million consumers and expanded operating margins by 40 basis points to 6.6% compared to 6.2% in the first quarter 2025. • Optum supported more than 122 million consumers across its businesses, driving revenues of $63.7 billion and earnings of $3.3 billion, reflecting a margin of 5.2%. • Optum Health operating earnings were $1.1 billion. Adjusted operating earnings were $1.3 billion, excluding the impacts related to the third-party loss contracts and restructuring actions disclosed in the fourth quarter 2025. Full Year 2026 Earnings Outlook Raised to Greater Than $17.35 Per Share; Adjusted Earnings of Greater Than $18.25 Per Share
© 2026 UnitedHealth Group, Inc. All rights reserved. 2 Mar 31, 2025 Dec 31, 2025 Mar 31, 2026 Revenues $109.6B $113.2B $111.7B Three Months Ended Mar 31, 2025 Dec 31, 2025 Mar 31, 2026 Earnings from Operations $9.1B $0.4B $9.0B Three Months Ended Financial Performance UnitedHealth Group • UnitedHealth Group’s first quarter 2026 revenues were $111.7 billion compared to $109.6 billion in the year ago quarter. • First quarter 2026 earnings from operations of $9.0 billion reflected improved operations and continued investments. • The first quarter 2026 medical care ratio was 83.9% compared to 84.8% in the first quarter 2025. The year-over-year decrease was driven by strong medical cost management and favorable reserve development, partially offset by consistently elevated utilization and unit cost trends. • Days claims payable were 48.6 compared to 44.1 in the fourth quarter 2025 and 45.5 in the first quarter 2025. The sequential variation was driven by seasonality and claims payment timing. Days sales outstanding of 21.6 compared to 18.8 in the fourth quarter 2025 and 22.3 in the year ago quarter, reflecting normal seasonality. • The first quarter 2026 operating cost ratio of 13.8% compared to 12.4% in 2025, reflecting investments in people, processes and technology to drive improved consumer and care provider experiences and greater operating efficiencies. • Cash flows from operations were $8.9 billion, or 1.4 times net income, reflecting strong earnings and changes in working capital accounts. • Debt-to-capital ratio was 42.9% as of March 31, 2026, compared to 43.9% in the fourth quarter 2025 and 44.6% in the first quarter 2025. The company continues to target a long-term debt-to-capital ratio of approximately 40.0% and expects to reach that level in the back half of 2026. • The company expects to repurchase at least $2.0 billion of its common stock by the end of the second quarter 2026. +2% -1%
© 2026 UnitedHealth Group, Inc. All rights reserved. 3 UnitedHealthcare • UnitedHealthcare first quarter 2026 revenues of $86.3 billion compared to $84.6 billion in the first quarter 2025. UnitedHealthcare served 49.1 million people in the first quarter 2026 compared to 49.8 million people at year end 2025. • UnitedHealthcare’s first quarter 2026 earnings from operations were $5.7 billion compared to $5.2 billion in the first quarter 2025. Operating margin of 6.6% compared to 6.2% in the first quarter 2025, primarily due to repricing across all lines of business in response to cost trends that remain elevated but in line with expectations. UnitedHealthcare Employer & Individual • UnitedHealthcare Employer & Individual first quarter 2026 revenues were $20.1 billion compared to $19.8 billion in the first quarter 2025. • The number of people served increased by 415,000 in the first quarter 2026, with growth in employer self-funded offerings partially offset by attrition in both group fully-insured and individual products. UnitedHealthcare Medicare & Retirement • UnitedHealthcare Medicare & Retirement first quarter 2026 revenues of $42.1 billion grew 1% year-over-year as a result of trend-driven repricing actions partially offset by attrition in the number of seniors served. • Seniors served through Medicare Advantage, including programs serving complex populations included in Medicaid, declined by 965,000 in the first quarter 2026. UnitedHealthcare Community & State • UnitedHealthcare Community & State first quarter 2026 revenues of $24.1 billion grew 4% year-over-year, driven primarily by Medicaid rate updates. • People served contracted by 220,000 in the first quarter 2026 primarily due to the early impact of state eligibility changes. Mar 31, 2025 Dec 31, 2025 Mar 31, 2026 Revenues Mar 31, 2025 Dec 31, 2025 Mar 31, 2026 Earnings from Operations $84.6B $87.1B $86.3B $5.2B $0.3B $5.7B Three Months Ended Three Months Ended Financial Performance UnitedHealthcare provides health care benefits to individuals and employers, as well as Government Program beneficiaries. UnitedHealthcare is dedicated to improving the value customers and consumers receive by improving health and wellness, enhancing the quality of care received, simplifying the health care experience and reducing the total cost of care. +2% +9%
© 2026 UnitedHealth Group, Inc. All rights reserved. 4 Optum Health • Optum Health’s first quarter 2026 revenues of $24.1 billion decreased 3% year-over-year, reflecting fewer value-based care members. • First quarter 2026 earnings from operations were $1.1 billion, representing a 4.7% margin. Adjusted earnings from operations were $1.3 billion, reflecting a margin of 5.4%, excluding the positive impacts of the third-party loss contracts reserve and restructuring actions taken in the fourth quarter 2025. The year-over-year change was driven by continued investments and medical costs that remain elevated, partially offset by operational improvements across the business. Optum Insight • Optum Insight’s first quarter 2026 revenues of $5.1 billion compared to $5.0 billion in the year ago quarter. • First quarter 2026 earnings from operations were $1.0 billion compared to $1.2 billion in the first quarter 2025. The year-over-year decrease was driven by continued investments in people, technology and new products. Optum Rx • Optum Rx’s first quarter 2026 revenues of $35.7 billion increased 2% year-over-year, driven by growth in specialty pharmacy partially offset by UHC membership attrition. • Earnings from operations for the first quarter 2026 were $1.2 billion compared to $1.3 billion in the first quarter 2025. The decrease year-over-year was primarily due to lower volume from membership attrition at UHC and investments in people. Adjusted scripts were 383 million compared to 408 million last year. The Optum businesses serve participants throughout health care, including payers, care providers, employers, governments, life sciences companies and consumers. Using market-leading information, analytics and technology to yield clinical insights, Optum helps improve overall health system performance by optimizing care quality, reducing care costs and improving the consumer experience. Mar 31, 2025 Dec 31, 2025 Mar 31, 2026 Revenues $63.9B $63.7B $70.3B Mar 31, 2025 Dec 31, 2025 Mar 31, 2026 Earnings from Operations $3.9B $3.3B $0.1B Three Months Ended Three Months Ended Financial Performance -0.2% -15%
© 2026 UnitedHealth Group, Inc. All rights reserved. 5 (a) See page 16 for description of non-GAAP measures. Optum First Quarter 2026 Reported to Adjusted Earnings Bridge Total OptumOptum RxOptum InsightOptum Health ($ in millions) $3,296$1,192$963$1,141First Quarter 2026 Reported Earnings from Operations $111$(8)$(189)$308Net Portfolio Divestitures, Restructuring and Other $(137)--$(137)Reduction in Provision for Third Party Loss Contracts $3,270$1,184$774$1,312First Quarter 2026 Adjusted Earnings from Operations (a) 5.1%3.3%15.3%5.4%First Quarter 2026 Adjusted Earnings Margin Below outlines the First Quarter 2026 Reported and Adjusted Earnings from Operations. First Quarter 2026 Earnings Bridge
© 2026 UnitedHealth Group, Inc. All rights reserved. 6 About UnitedHealth Group UnitedHealth Group (NYSE: UNH) is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone through two distinct and complementary businesses. Optum delivers care aided by technology and data, empowering people, partners and providers with the guidance and tools they need to achieve better health. UnitedHealthcare offers a full range of health benefits, enabling affordable coverage, simplifying the health care experience and delivering access to high-quality care. Visit UnitedHealth Group at www.unitedhealthgroup.com and follow UnitedHealth Group on LinkedIn. Earnings Conference Call As previously announced, UnitedHealth Group will discuss the company’s results, strategy and future outlook on a conference call with investors at 8:00 a.m. Eastern Time today. UnitedHealth Group will host a live webcast of this conference call from the Investor Relations page of the company’s website (www.unitedhealthgroup.com). Following the call, a webcast replay will be on the Investor Relations page through May 5, 2026. This earnings release and the Form 8-K dated April 21, 2026, can also be accessed from the Investor Relations page of the company’s website. Non-GAAP Financial Information This news release presents non-GAAP financial information provided as a complement to the results provided in accordance with accounting principles generally accepted in the United States of America (“GAAP”). A reconciliation of the non-GAAP financial information to the most directly comparable GAAP financial measure is provided in the accompanying tables found at the end of this release. Investors: Media: Investor_relations@uhg.com uhgmedia@uhg.com
© 2026 UnitedHealth Group, Inc. All rights reserved. 7 Forward-Looking Statements The statements, estimates, projections, guidance or outlook contained in this document include “forward-looking” statements which are intended to take advantage of the “safe harbor” provisions of the federal securities laws. The words “believe,” “expect,” “intend,” “estimate,” “anticipate,” “forecast,” “outlook,” “plan,” “project,” “should” and similar expressions identify forward-looking statements. These statements may contain information about financial prospects, economic conditions and trends and involve risks and uncertainties. Actual results could differ materially from those that management expects, depending on the outcome of certain factors including: our ability to effectively estimate, price for and manage medical costs; new or changes in existing health care laws or regulations, or their enforcement or application; cyberattacks, other privacy/data security incidents, or our failure to comply with related regulations; reductions in revenue or delays to cash flows received under government programs; changes in Medicare, the CMS star ratings program or the application of risk adjustment data validation audits; the DOJ’s legal actions concerning our participation in the Medicare program; our ability to maintain and achieve improvement in quality scores impacting revenue; failure to maintain effective and efficient information systems or if our technology products do not operate as intended; risks and uncertainties associated with our businesses providing pharmacy care services; competitive pressures, including our ability to maintain or increase our market share; changes in or challenges to our public sector contract awards; failure to achieve targeted operating cost productivity improvements; failure to develop and maintain satisfactory relationships with health care payers, physicians, hospitals and other service providers; the impact of potential changes in tax laws and regulations; increases in costs and other liabilities associated with litigation, government investigations, audits or reviews; risks and uncertainties associated with our increasing use of artificial intelligence and other emerging technologies; failure to complete, manage or integrate strategic transactions; risks and uncertainties associated with the sale of our remaining operations in South America; risks associated with public health crises arising from large-scale medical emergencies, pandemics, natural disasters and other extreme events; failure to attract, develop, retain, and manage the succession of key employees and executives; our investment portfolio performance; impairment of our goodwill and intangible assets; failure to protect proprietary rights to our databases, software and related products; downgrades in our credit ratings; and our ability to obtain sufficient funds from our regulated subsidiaries or from external financings to fund our obligations, reinvest in our business, maintain our debt to total capital ratio at targeted levels, maintain our quarterly dividend payment cycle, or continue repurchasing shares of our common stock. This above list is not exhaustive. We discuss these matters, and certain risks that may affect our business operations, financial condition and results of operations, more fully in our filings with the SEC, including our reports on Forms 10-K, 10-Q and 8-K. By their nature, forward-looking statements are not guarantees of future performance or results and are subject to risks, uncertainties and assumptions that are difficult to predict or quantify. Actual results may vary materially from expectations expressed or implied in this document or any of our prior communications. You should not place undue reliance on forward-looking statements, which speak only as of the date they are made. We do not undertake to update or revise any forward-looking statements, except as required by law.
UNITEDHEALTH GROUP Earnings Release Schedules and Supplementary Information Quarter Ended March 31, 2026 • Condensed Consolidated Statements of Operations • Condensed Consolidated Balance Sheets • Condensed Consolidated Statements of Cash Flows • Revenues by Business - Supplemental Financial Information • Earnings by Business - Supplemental Financial Information • Segment Realignment - Prior Period Financial Information and Performance Metrics • People Served and Performance Metrics - Supplemental Financial Information • Reconciliation of Non-GAAP Financial Measures 8
UNITEDHEALTH GROUP CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (in millions, except per share data; unaudited) Three Months Ended March 31, 2026 2025 Revenues Premiums .............................................................................................................................................................................................. $87,561 $86,534 Products ................................................................................................................................................................................................. 13,250 13,036 Services ................................................................................................................................................................................................. 9,779 8,972 Investment and other income ............................................................................................................................................................. 1,131 1,033 Total revenues ................................................................................................................................................................................. 111,721 109,575 Operating costs Medical costs ........................................................................................................................................................................................ 73,489 73,411 Operating costs .................................................................................................................................................................................... 15,390 13,594 Cost of products sold ........................................................................................................................................................................... 12,823 12,390 Depreciation and amortization ........................................................................................................................................................... 1,029 1,061 Total operating costs ...................................................................................................................................................................... 102,731 100,456 Earnings from operations ................................................................................................................................................................ 8,990 9,119 Interest expense ................................................................................................................................................................................... (955) (998) Loss on sale of subsidiary and subsidiaries held for sale ............................................................................................................. (72) (15) Earnings before income taxes ....................................................................................................................................................... 7,963 8,106 Provision for income taxes ................................................................................................................................................................. (1,482) (1,632) Net earnings ....................................................................................................................................................................................... 6,481 6,474 Earnings attributable to noncontrolling interests ............................................................................................................................. (201) (182) Net earnings attributable to UnitedHealth Group common shareholders .......................................................................... $6,280 $6,292 Diluted earnings per share attributable to UnitedHealth Group common shareholders .............................................. $6.90 $6.85 Adjusted earnings per share attributable to UnitedHealth Group common shareholders (a) ...................................... $7.23 $7.20 Diluted weighted-average common shares outstanding ................................................................................................................ 910 918 (a) See page 16 for a reconciliation of non-GAAP measures. 9
UNITEDHEALTH GROUP CONDENSED CONSOLIDATED BALANCE SHEETS (in millions; unaudited) March 31, 2026 December 31, 2025 Assets Cash and short-term investments ..................................................................................................................................................... $31,229 $28,121 Accounts receivable, net .................................................................................................................................................................... 26,587 23,018 Other current assets ............................................................................................................................................................................ 33,311 39,443 Total current assets ................................................................................................................................................................... 91,127 90,582 Long-term investments ....................................................................................................................................................................... 56,788 54,251 Other long-term assets ....................................................................................................................................................................... 164,729 164,748 Total assets .................................................................................................................................................................................... $312,644 $309,581 Liabilities, redeemable noncontrolling interests and equity Medical costs payable ......................................................................................................................................................................... $39,659 $39,337 Short-term borrowings and current maturities of long-term debt ................................................................................................. 6,477 6,069 Other current liabilities ........................................................................................................................................................................ 67,988 69,491 Total current liabilities ............................................................................................................................................................... 114,124 114,897 Long-term debt, less current maturities ............................................................................................................................................ 71,440 72,320 Other long-term liabilities .................................................................................................................................................................... 21,761 20,666 Redeemable noncontrolling interests ............................................................................................................................................... 1,424 1,608 Equity ..................................................................................................................................................................................................... 103,895 100,090 Total liabilities, redeemable noncontrolling interests and equity ........................................................................................... $312,644 $309,581 10
UNITEDHEALTH GROUP CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (in millions; unaudited) Three Months Ended March 31, 2026 2025 Operating Activities Net earnings ......................................................................................................................................................................................... $6,481 $6,474 Noncash items: Depreciation and amortization ....................................................................................................................................................... 1,029 1,061 Deferred income taxes and other .................................................................................................................................................. 236 161 Share-based compensation ........................................................................................................................................................... 348 375 Loss on sale of subsidiary and subsidiaries held for sale .......................................................................................................... 72 15 Net changes in operating assets and liabilities ............................................................................................................................... 746 (2,630) Cash flows from operating activities .......................................................................................................................................... 8,912 5,456 Investing Activities (Purchases of investments, net of sales and maturities) sales and maturities of investments, net of purchases ............... (2,352) 1,217 Purchases of property, equipment and capitalized software ........................................................................................................ (763) (898) Cash paid for acquisitions and other transactions, net .................................................................................................................. — (702) Repayment of care provider loans - cyberattack ............................................................................................................................ 82 891 Other, net .............................................................................................................................................................................................. 586 (582) Cash flows used for investing activities .................................................................................................................................... (2,447) (74) Financing Activities Common share repurchases .............................................................................................................................................................. — (3,000) Dividends paid ...................................................................................................................................................................................... (2,005) (1,912) Net change in short-term borrowings and long-term debt ............................................................................................................. (400) 3,911 Other, net .............................................................................................................................................................................................. (587) 1,100 Cash flows (used for) from financing activities ........................................................................................................................ (2,992) 99 Effect of exchange rate changes on cash and cash equivalents ................................................................................................. (7) 15 Increase in cash and cash equivalents, including cash within businesses held for sale ......................................................... 3,466 5,496 Less: change in cash within businesses held for sale ................................................................................................................... 170 (91) Net increase in cash and cash equivalents ..................................................................................................................................... 3,636 5,405 Cash and cash equivalents, beginning of period ............................................................................................................................ 24,365 25,312 Cash and cash equivalents, end of period ...................................................................................................................................... $28,001 $30,717 11
UNITEDHEALTH GROUP REVENUES BY BUSINESS - SUPPLEMENTAL FINANCIAL INFORMATION (in millions; unaudited) Optum UnitedHealth Group Consolidated (a)UnitedHealthcare Optum Health (c) Optum Insight (c) Optum Rx Total Optum (a) Three Months Ended March 31, 2026 Total revenues ....................................................................... $86,265 $24,109 $5,125 $35,736 $63,749 $111,721 Restructuring and other (2) ................................................. — 3 (77) — (74) (74) Adjusted revenues (b) ..................................................... $86,265 $24,112 $5,048 $35,736 $63,675 $111,647 Three Months Ended March 31, 2025 Total revenues ....................................................................... $84,617 $24,837 $5,027 $35,132 $63,885 $109,575 UnitedHealthcare Revenues (in millions; unaudited) Three Months Ended March 31, 2026 2025 UnitedHealthcare Employer & Individual - Domestic ............................................................................................................................ $19,206 $19,066 UnitedHealthcare Employer & Individual - Global ................................................................................................................................. 912 782 UnitedHealthcare Employer & Individual - Total ............................................................................................................................. 20,118 19,848 UnitedHealthcare Medicare & Retirement .............................................................................................................................................. 42,082 41,705 UnitedHealthcare Community & State .................................................................................................................................................... 24,065 23,064 Total UnitedHealthcare revenues ..................................................................................................................................................... $86,265 $84,617 (a) Optum and consolidated revenues for the three months ended March 31, 2026 and 2025 include Optum eliminations of $1,221 and $1,111; and corporate eliminations of $38,293 and $38,927, respectively. (b) See page 16 for description of non-GAAP measures. (c) Prior period amounts have been recast to reflect the realignment of Optum Financial. See page 14 for further discussion. Note: See end notes for further information regarding non-GAAP adjustments. 12
UNITEDHEALTH GROUP EARNINGS BY BUSINESS - SUPPLEMENTAL FINANCIAL INFORMATION (in millions, except percentages; unaudited) Optum UnitedHealth Group ConsolidatedUnitedHealthcare Optum Health (b) Optum Insight (b) Optum Rx Total Optum Three Months Ended March 31, 2026 Earnings from operations .......................................................... $5,694 $1,141 $963 $1,192 $3,296 $8,990 Net portfolio divestitures and South American impacts (1) .. — 306 (528) (8) (230) (230) Restructuring and other (2) ....................................................... — (135) 339 — 204 204 Adjusted earnings from operations (a) ............................. $5,694 $1,312 $774 $1,184 $3,270 $8,964 Operating margin ........................................................................ 6.6 % 4.7 % 18.8 % 3.3 % 5.2 % 8.0 % Adjusted operating margin (a) .................................................. 6.6 % 5.4 % 15.3 % 3.3 % 5.1 % 8.0 % Three Months Ended March 31, 2025 Earnings from operations .......................................................... $5,226 $1,411 $1,164 $1,318 $3,893 $9,119 Operating margin ........................................................................ 6.2 % 5.7 % 23.2 % 3.8 % 6.1 % 8.3 % (a) See page 16 for description of non-GAAP measures. (b) Prior period amounts have been recast to reflect the realignment of Optum Financial. See page 14 for further discussion. Note: See end notes for further information regarding non-GAAP adjustments. 13
UNITEDHEALTH GROUP SEGMENT REALIGNMENT - PRIOR PERIOD FINANCIAL INFORMATION AND PERFORMANCE METRICS (in millions, except percentages) (unaudited) Optum Financial Segment Realignment On January 1, 2026, we realigned certain of our businesses to respond to changes in the markets we serve and the opportunities that are emerging as the health system evolves. Optum Financial, including Optum Bank, which was historically included in Optum Health, is now included in Optum Insight. Our reportable segments remain unchanged and prior period segment financial information has been recast to conform to the 2026 presentation. There was no impact to the results of UnitedHealthcare, Optum Rx or Optum as result of the realignment of Optum Financial. The below tables provide a summary of the recasted segment information and Optum Health consumers served for the comparative prior periods. Three Months Ended Year Ended March 31, 2025 June 30, 2025 September 30, 2025 December 31, 2025 December 31, 2025 December 31, 2024 Revenues: Optum Health .......................................................................... $24,837 $24,725 $25,422 $25,067 $100,051 $103,516 Optum Insight ......................................................................... 5,027 5,232 5,320 5,455 21,034 20,356 Optum Rx ................................................................................ 35,132 38,459 39,679 41,456 154,726 133,231 Optum Eliminations ................................................................ (1,111) (1,191) (1,244) (1,645) (5,191) (4,146) Optum ................................................................................. $63,885 $67,225 $69,177 $70,333 $270,620 $252,957 Earnings from Operations: Optum Health .......................................................................... $1,411 $429 $41 $(2,996) $(1,115) $6,902 Optum Insight ......................................................................... 1,164 1,205 920 172 3,461 3,965 Optum Rx ................................................................................ 1,318 1,441 1,549 2,885 7,193 5,836 Optum ................................................................................. $3,893 $3,075 $2,510 $61 $9,539 $16,703 Operating Margin: Optum Health .......................................................................... 5.7 % 1.7 % 0.2 % (12.0) % (1.1) % 6.7 % Optum Insight ......................................................................... 23.2 23.0 17.3 3.2 16.5 19.5 Optum Rx ................................................................................ 3.8 3.7 3.9 7.0 4.6 4.4 Optum ................................................................................. 6.1 4.6 3.6 0.1 3.5 6.6 March 31, 2025 June 30, 2025 September 30, 2025 December 31, 2025 Optum Health Consumers Served (in millions) ................................................................................ 95 95 93 92 14
UNITEDHEALTH GROUP PEOPLE SERVED AND PERFORMANCE METRICS - SUPPLEMENTAL FINANCIAL INFORMATION (unaudited) UnitedHealthcare Customer Profile (in thousands) People Served March 31, 2026 December 31, 2025 March 31, 2025 Commercial: Risk-based ......................................................................................................................... 7,725 8,165 8,410 Fee-based .......................................................................................................................... 22,340 21,485 21,590 Total Commercial ........................................................................................................... 30,065 29,650 30,000 Medicare Advantage ............................................................................................................ 7,555 8,445 8,245 Medicaid ................................................................................................................................ 7,160 7,380 7,570 Medicare Supplement (Standardized) .............................................................................. 4,270 4,285 4,310 Total Community and Senior ...................................................................................... 18,985 20,110 20,125 Total UnitedHealthcare - Medical ............................................................................... 49,050 49,760 50,125 Supplemental Data Medicare Part D stand-alone .......................................................................................... 2,740 2,770 2,835 South American businesses held for sale ..................................................................... 1,160 1,160 1,160 Optum Performance Metrics March 31, 2026 December 31, 2025 March 31, 2025 Optum Health Consumers Served (in millions) (a) ........................................................... 93 92 95 Optum Rx Quarterly Adjusted Scripts (in millions) ........................................................... 383 424 408 (a) Prior period amounts have been recast to reflect the realignment of Optum Financial. See page 14 for further discussion. 15
UNITEDHEALTH GROUP RECONCILIATION OF NON-GAAP FINANCIAL MEASURES Use of Non-GAAP Financial Measures Adjusted net earnings per share, adjusted earnings from operations, adjusted operating margin and adjusted revenues are non-GAAP financial measures. Non-GAAP financial measures should be considered in addition to, but not as a substitute for, or superior to, financial measures prepared in accordance with GAAP. Adjustments made to these measures are as follows: Intangible Amortization: Adjusted net earnings per share excludes intangible amortization from the relevant GAAP measure. As amortization fluctuates based on the size and timing of the company’s acquisition activity, management believes this exclusion provides a more useful comparison of the company’s underlying business performance and trends from period to period. While intangible assets contribute to the Company’s revenue generation, the intangible amortization is not directly related. Therefore, the related revenues are included in adjusted earnings per share. Net Portfolio Divestitures and South American Impacts: Adjusted net earnings per share, adjusted earnings from operations and adjusted operating margin exclude net portfolio divestitures and South American impacts. Net portfolio divestitures and South American impacts relate to the actions taken by management in the fourth quarter of 2025 as a result of a strategic review of our assets and businesses aimed at advancing and scaling our operations, including our value-based care business at Optum Health. In the first quarter of 2026, these actions resulted in a net gain on the sales of businesses previously classified as held for sale as of December 31, 2025 and net incremental losses on other businesses held for sale, including our remaining South American operations. Portfolio divestitures are not representative of the Company's underlying business and management believes that the exclusion of these items presents a more useful comparison of the Company’s underlying business performance and trends from period to period. Restructuring and Other: Adjusted net earnings per share, adjusted earnings from operations, adjusted operating margin and adjusted revenues exclude restructuring and other items. In the first quarter of 2026, restructuring and other items included a contribution to the United Health Foundation ($400 million) funded by the cash gain on the disposition of an Optum Insight business. This was partially offset by the reduction of loss contract reserves established in the fourth quarter of 2025 ($137 million) and net valuation gains on equity securities ($59 million). These items are not representative of the Company's underlying business and management believes that the exclusion of these items presents a more useful comparison of the Company’s underlying business performance and trends from period to period. Adjusted earnings per share for the projected year ended December 31, 2026 excludes the expected reduction of loss contracts reserves of $402 million in addition to the $137 million recognized in the first quarter of 2026. 16
UNITEDHEALTH GROUP RECONCILIATION OF NON-GAAP FINANCIAL MEASURES (in millions, except per share data; unaudited) Adjusted Net Earnings Per Share Three Months Ended March 31, Projected Year Ended December 31, 2026 2025 2026 Net earnings attributable to UnitedHealth Group common shareholders .......................................................................... $6,280 $6,292 > $15,800 Intangible amortization ............................................................................................................................................................... 334 417 ~1,325 Net portfolio divestitures and South American impacts (1) .................................................................................................. (158) — ~(60) Restructuring and other (2) ....................................................................................................................................................... 204 — ~(200) Tax effect of adjustments ........................................................................................................................................................... (82) (102) ~(255) Adjusted net earnings attributable to UnitedHealth Group common shareholders ................................................... $6,578 $6,607 > $16,610 Diluted earnings per share ........................................................................................................................................................ $6.90 $6.85 > $17.35 Intangible amortization per share ............................................................................................................................................. 0.37 0.46 ~1.45 Net portfolio divestitures and South American impacts per share ..................................................................................... (0.17) — ~(0.05) Restructuring and other per share ........................................................................................................................................... 0.22 — ~(0.20) Tax effect of adjustments per share ......................................................................................................................................... (0.09) (0.11) ~(0.30) Adjusted diluted earnings per share ................................................................................................................................. $7.23 $7.20 > $18.25 End Notes (1) Net portfolio divestitures and South American impacts for the three months ended March 31, 2026 includes net gains on dispositions and businesses held for sale and $72 million of incremental losses related to South American businesses held for sale. For the three months ended March 31, 2025, net gains on dispositions and South American impacts were not significant. (2) Restructuring and other for the three months ended March 31, 2026 includes net valuation gains on equity securities. For the three months ended March 31, 2025 net valuation gains were not significant. 17
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Reference 1: http://www.xbrl.org/2003/role/presentationRef
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-Name Exchange Act
-Number 240
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-Subsection d1-1
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Boolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as soliciting material pursuant to Rule 14a-12 under the Exchange Act.
+ References
Reference 1: http://www.xbrl.org/2003/role/presentationRef
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-Name Exchange Act
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-Subsection 12
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- Definition
Trading symbol of an instrument as listed on an exchange.
+ References
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+ Details
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- Definition
Boolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as written communications pursuant to Rule 425 under the Securities Act.
+ References
Reference 1: http://www.xbrl.org/2003/role/presentationRef
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-Name Securities Act
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-Section 425
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- Definition
Other Address, Address line one
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- Definition
Other Entity Address, City or Town
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- Definition
Other Entity Address, Postal Zip code
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- Definition
Other Entity Address, State or Province
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