Operating metrics disclosed this quarter
Read from the filing itself — XBRL does not carry these, so no standard financial dataset has them.
Remaining Performance Obligations
$10.70B
Revenues - Products and Services As of June 30, 2026 and December 31, 2025, accounts receivable related to products and services were $ 9.5 billion and $ 9.7 billion, respectively. As of June 30, 2026, revenue expected to be recognized in any future year related to remaining performance obligations, excluding revenue pertaining to contracts having an original expected duration of one year or less, contracts where revenue is recognized as invoiced and contracts with variable consideration related to undelivered performance obligations, was $ 10.7 billion, of which more than half is expected to be recognized in the next three years .
Medical Care Ratio
86.7%
The following table summarizes our consolidated results of operations and other financial information: (in millions, except percentages and per share data) | | | Three Months Ended June 30, | | | Increase/ (Decrease) | | | Six Months Ended June 30, | | | Increase/ (Decrease) 2026 | | | 2025 | | | 2026 vs. 2025 | | | 2026 | | | 2025 | | | 2026 vs. 2025 Revenues: Premiums | | | $ | | 86,956 | | | | $ | | 87,905 | | | | $ | | (949) | | | | (1) | | % | | | $ | | 174,517 | | | | $ | | 174,439 | | | | $ | | 78 | | | | — | | % Products | | | 13,835 | | | | 13,564 | | | | 271 | | | | 2 | | | | 27,085 | | | | 26,600 | | | | 485 | | | | 2 Services | | | 10,018 | | | | 9,039 | | | | 979 | | | | 11 | | | | 19,797 | | | | 18,011 | | | | 1,786 | | | | 10 Investment and other income | | | 1,223 | | | | 1,108 | | | | 115 | | | | 10 | | | | 2,354 | | | | 2,141 | | | | 213 | | | | 10 Total revenues | | | 112,032 | | | | 111,616 | | | | 416 | | | | — | | | | 223,753 | | | | 221,191 | | | | 2,562 | | | | 1 Operating costs: Medical costs | | | 75,358 | | | | 78,585 | | | | (3,227) | | | | (4) | | | | 148,847 | | | | 151,996 | | | | (3,149) | | | | (2) Operating costs | | | 14,268 | | | | 13,778 | | | | 490 | | | | 4 | | | | 29,658 | | | | 27,372 | | | | 2,286 | | | | 8 Cost of products sold | | | 13,375 | | | | 13,019 | | | | 356 | | | | 3 | | | | 26,198 | | | | 25,409 | | | | 789 | | | | 3 Depreciation and amortization | | | 1,040 | | | | 1,084 | | | | (44) | | | | (4) | | | | 2,069 | | | | 2,145 | | | | (76) | | | | (4) Total operating costs | | | 104,041 | | | | 106,466 | | | | (2,425) | | | | (2) | | | | 206,772 | | | | 206,922 | | | | (150) | | | | — Earnings from operations | | | 7,991 | | | | 5,150 | | | | 2,841 | | | | 55 | | | | 16,981 | | | | 14,269 | | | | 2,712 | | | | 19 Interest expense | | | (962) | | | | (1,027) | | | | 65 | | | | (6) | | | | (1,917) | | | | (2,025) | | | | 108 | | | | (5) Loss on sale of subsidiary and subsidiaries held for sale | | | (61) | | | | (41) | | | | (20) | | | | 49 | | | | (133) | | | | (56) | | | | (77) | | | | 138 Earnings before income taxes | | | 6,968 | | | | 4,082 | | | | 2,886 | | | | 71 | | | | 14,931 | | | | 12,188 | | | | 2,743 | | | | 23 Provision for income taxes | | | (1,298) | | | | (510) | | | | (788) | | | | 155 | | | | (2,780) | | | | (2,142) | | | | (638) | | | | 30 Net earnings | | | 5,670 | | | | 3,572 | | | | 2,098 | | | | 59 | | | | 12,151 | | | | 10,046 | | | | 2,105 | | | | 21 Earnings attributable to noncontrolling interests | | | (186) | | | | (166) | | | | (20) | | | | 12 | | | | (387) | | | | (348) | | | | (39) | | | | 11 Net earnings attributable to UnitedHealth Group common shareholders | | | $ | | 5,484 | | | | $ | | 3,406 | | | | $ | | 2,078 | | | | 61 | | % | | | $ | | 11,764 | | | | $ | | 9,698 | | | | $ | | 2,066 | | | | 21 | | % Diluted earnings per share attributable to UnitedHealth Group common shareholders | | | $ | | 6.04 | | | | $ | | 3.74 | | | | $ | | 2.30 | | | | | | $ | | 12.94 | | | | $ | | 10.61 | | | | $ | | 2.33 Medical care ratio (a) | | | 86.7 | | % | | | 89.4 | | % | | | (2.7) | | % | | | | | 85.3 | | % | | | 87.1 | | % | | | (1.8) | | % Operating cost ratio | | | 12.7 | | | | 12.3 | | | | 0.4 | | | | | | 13.3 | | | | 12.4 | | | | 0.9 Operating margin | | | 7.1 | | | | 4.6 | | | | 2.5 | | | | | | 7.6 | | | | 6.5 | | | | 1.1 Tax rate | | | 18.6 | | | | 12.5 | | | | 6.1 | | | | | | 18.6 | | | | 17.6 | | | | 1.0 Net earnings margin (b) | | | 4.9 | | | | 3.1 | | | | 1.8 | | | | | | 5.3 | | | | 4.4 | | | | 0.9 Return on equity (c) | | | 22.3 | | % | | | 14.4 | | % | | | 7.9 | | | | | | 24.3 | | % | | | 20.6 | | % | | | 3.7 (a) Medical care ratio (MCR) is calculated as medical costs divided by premium revenue.
Earnings Release
EX-99.1 2 earningsrelease2q26_7152.htm EX-99.1 earningsrelease2q26_7152 Page 1 of 17 UnitedHealth Group Reports Second Quarter 2026 Results • Second Quarter 2026 Revenues of $112.0 Billion; Earnings from Operations of $8.0 Billion • Earnings of $6.04 Per Share and Adjusted Earnings of $6.38 Per Share • Updated Full Year 2026 Earnings Outlook Range to $18.45 to $18.95 Per Share; Adjusted Earnings Range of $19.50 to $20.00 Per Share 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-second-quarter-2026-results.pdf (July 16, 2026) UnitedHealth Group (NYSE: UNH) today reported second quarter 2026 results and raised guidance for full year 2026. “Our results and outlook reflect the continuing progress in our work to simplify how we operate, improve both afford...
Source
0000731766-26-000191
Filed July 16, 2026 at 10:00 AM UTC. The figures above are from the audited statements, not from this release.
Claims Incurred but Not Reported Reserve
$26.50B
4. Medical Costs Payable The following table shows the components of the change in medical costs payable for the six months ended June 30: (in millions) | | | 2026 | | | 2025 Medical costs payable, beginning of period | | | $ | | 39,337 | | | | $ | | 34,224 Reported medical costs: Current year | | | 150,333 | | | | 152,316 Prior years | | | ( 1,250 ) | | | | ( 320 ) Changes in premium deficiency and loss contract reserves | | | ( 236 ) | | | | — Total reported medical costs | | | 148,847 | | | | 151,996 Medical payments: Payments for current year | | | ( 116,846 ) | | | | ( 118,793 ) Payments for prior years | | | ( 32,474 ) | | | | ( 28,998 ) Total medical payments | | | ( 149,320 ) | | | | ( 147,791 ) Change in medical costs payable included within businesses held for sale | | | 66 | | | | ( 2 ) Medical costs payable, end of period | | | $ | | 38,930 | | | | $ | | 38,427 For the six months ended June 30, 2026, prior years’ medical cost reserve development was driven by a favorable respiratory illness season along with various other individually insignificant factors. For the six months ended June 30, 2025, prior years’ medical cost reserve development did not include any individually significant factors. Medical costs payable included reserves for claims incurred by consumers but not yet reported to the Company of $ 26.5 billion and $ 26.7 billion at June 30, 2026 and December 31, 2025, respectively.
Favorable Prior-Years Medical Cost Reserve Development
$-1.25B
4. Medical Costs Payable The following table shows the components of the change in medical costs payable for the six months ended June 30: (in millions) | | | 2026 | | | 2025 Medical costs payable, beginning of period | | | $ | | 39,337 | | | | $ | | 34,224 Reported medical costs: Current year | | | 150,333 | | | | 152,316 Prior years | | | ( 1,250 ) | | | | ( 320 ) Changes in premium deficiency and loss contract reserves | | | ( 236 ) | | | | — Total reported medical costs | | | 148,847 | | | | 151,996 Medical payments: Payments for current year | | | ( 116,846 ) | | | | ( 118,793 ) Payments for prior years | | | ( 32,474 ) | | | | ( 28,998 ) Total medical payments | | | ( 149,320 ) | | | | ( 147,791 ) Change in medical costs payable included within businesses held for sale | | | 66 | | | | ( 2 ) Medical costs payable, end of period | | | $ | | 38,930 | | | | $ | | 38,427 For the six months ended June 30, 2026, prior years’ medical cost reserve development was driven by a favorable respiratory illness season along with various other individually insignificant factors. For the six months ended June 30, 2025, prior years’ medical cost reserve development did not include any individually significant factors. Medical costs payable included reserves for claims incurred by consumers but not yet reported to the Company of $ 26.5 billion and $ 26.7 billion at June 30, 2026 and December 31, 2025, respectively.
Total UnitedHealthcare Medical People Served
48.5M
The following table summarizes the number of people served by our UnitedHealthcare businesses, by major market segment and funding arrangement: June 30, | | | Increase/(Decrease) (in thousands, except percentages) | | | 2026 | | | 2025 | | | 2026 vs. 2025 Commercial: Risk-based | | | 7,655 | | | | 8,440 | | | | (785) | | | | (9) | | % Fee-based | | | 22,265 | | | | 21,530 | | | | 735 | | | | 3 Total Commercial | | | 29,920 | | | | 29,970 | | | | (50) | | | | — Medicare Advantage | | | 7,565 | | | | 8,350 | | | | (785) | | | | (9) Medicaid | | | 6,780 | | | | 7,490 | | | | (710) | | | | (9) Medicare Supplement (Standardized) | | | 4,260 | | | | 4,305 | | | | (45) | | | | (1) Total Community and Senior | | | 18,605 | | | | 20,145 | | | | (1,540) | | | | (8) Total UnitedHealthcare - Medical | | | 48,525 | | | | 50,115 | | | | (1,590) | | | | (3) | | % Supplemental Data: Medicare Part D stand-alone | | | 2,710 | | | | 2,800 | | | | (90) | | | | (3) | | % South American businesses held for sale | | | 1,145 | | | | 1,165 | | | | (20) | | | | (2) | | %
UHC Commercial Fee-Based People Served
22.3M
The following table summarizes the number of people served by our UnitedHealthcare businesses, by major market segment and funding arrangement: June 30, | | | Increase/(Decrease) (in thousands, except percentages) | | | 2026 | | | 2025 | | | 2026 vs. 2025 Commercial: Risk-based | | | 7,655 | | | | 8,440 | | | | (785) | | | | (9) | | % Fee-based | | | 22,265 | | | | 21,530 | | | | 735 | | | | 3 Total Commercial | | | 29,920 | | | | 29,970 | | | | (50) | | | | — Medicare Advantage | | | 7,565 | | | | 8,350 | | | | (785) | | | | (9) Medicaid | | | 6,780 | | | | 7,490 | | | | (710) | | | | (9) Medicare Supplement (Standardized) | | | 4,260 | | | | 4,305 | | | | (45) | | | | (1) Total Community and Senior | | | 18,605 | | | | 20,145 | | | | (1,540) | | | | (8) Total UnitedHealthcare - Medical | | | 48,525 | | | | 50,115 | | | | (1,590) | | | | (3) | | % Supplemental Data: Medicare Part D stand-alone | | | 2,710 | | | | 2,800 | | | | (90) | | | | (3) | | % South American businesses held for sale | | | 1,145 | | | | 1,165 | | | | (20) | | | | (2) | | %
UHC Commercial Risk-Based People Served
7.7M
The following table summarizes the number of people served by our UnitedHealthcare businesses, by major market segment and funding arrangement: June 30, | | | Increase/(Decrease) (in thousands, except percentages) | | | 2026 | | | 2025 | | | 2026 vs. 2025 Commercial: Risk-based | | | 7,655 | | | | 8,440 | | | | (785) | | | | (9) | | % Fee-based | | | 22,265 | | | | 21,530 | | | | 735 | | | | 3 Total Commercial | | | 29,920 | | | | 29,970 | | | | (50) | | | | — Medicare Advantage | | | 7,565 | | | | 8,350 | | | | (785) | | | | (9) Medicaid | | | 6,780 | | | | 7,490 | | | | (710) | | | | (9) Medicare Supplement (Standardized) | | | 4,260 | | | | 4,305 | | | | (45) | | | | (1) Total Community and Senior | | | 18,605 | | | | 20,145 | | | | (1,540) | | | | (8) Total UnitedHealthcare - Medical | | | 48,525 | | | | 50,115 | | | | (1,590) | | | | (3) | | % Supplemental Data: Medicare Part D stand-alone | | | 2,710 | | | | 2,800 | | | | (90) | | | | (3) | | % South American businesses held for sale | | | 1,145 | | | | 1,165 | | | | (20) | | | | (2) | | %
UHC Medicaid People Served
6.8M
The following table summarizes the number of people served by our UnitedHealthcare businesses, by major market segment and funding arrangement: June 30, | | | Increase/(Decrease) (in thousands, except percentages) | | | 2026 | | | 2025 | | | 2026 vs. 2025 Commercial: Risk-based | | | 7,655 | | | | 8,440 | | | | (785) | | | | (9) | | % Fee-based | | | 22,265 | | | | 21,530 | | | | 735 | | | | 3 Total Commercial | | | 29,920 | | | | 29,970 | | | | (50) | | | | — Medicare Advantage | | | 7,565 | | | | 8,350 | | | | (785) | | | | (9) Medicaid | | | 6,780 | | | | 7,490 | | | | (710) | | | | (9) Medicare Supplement (Standardized) | | | 4,260 | | | | 4,305 | | | | (45) | | | | (1) Total Community and Senior | | | 18,605 | | | | 20,145 | | | | (1,540) | | | | (8) Total UnitedHealthcare - Medical | | | 48,525 | | | | 50,115 | | | | (1,590) | | | | (3) | | % Supplemental Data: Medicare Part D stand-alone | | | 2,710 | | | | 2,800 | | | | (90) | | | | (3) | | % South American businesses held for sale | | | 1,145 | | | | 1,165 | | | | (20) | | | | (2) | | %
UHC Medicare Advantage People Served
7.6M
The following table summarizes the number of people served by our UnitedHealthcare businesses, by major market segment and funding arrangement: June 30, | | | Increase/(Decrease) (in thousands, except percentages) | | | 2026 | | | 2025 | | | 2026 vs. 2025 Commercial: Risk-based | | | 7,655 | | | | 8,440 | | | | (785) | | | | (9) | | % Fee-based | | | 22,265 | | | | 21,530 | | | | 735 | | | | 3 Total Commercial | | | 29,920 | | | | 29,970 | | | | (50) | | | | — Medicare Advantage | | | 7,565 | | | | 8,350 | | | | (785) | | | | (9) Medicaid | | | 6,780 | | | | 7,490 | | | | (710) | | | | (9) Medicare Supplement (Standardized) | | | 4,260 | | | | 4,305 | | | | (45) | | | | (1) Total Community and Senior | | | 18,605 | | | | 20,145 | | | | (1,540) | | | | (8) Total UnitedHealthcare - Medical | | | 48,525 | | | | 50,115 | | | | (1,590) | | | | (3) | | % Supplemental Data: Medicare Part D stand-alone | | | 2,710 | | | | 2,800 | | | | (90) | | | | (3) | | % South American businesses held for sale | | | 1,145 | | | | 1,165 | | | | (20) | | | | (2) | | %
UHC Stand-Alone Medicare Part D People Served
2.7M
The following table summarizes the number of people served by our UnitedHealthcare businesses, by major market segment and funding arrangement: June 30, | | | Increase/(Decrease) (in thousands, except percentages) | | | 2026 | | | 2025 | | | 2026 vs. 2025 Commercial: Risk-based | | | 7,655 | | | | 8,440 | | | | (785) | | | | (9) | | % Fee-based | | | 22,265 | | | | 21,530 | | | | 735 | | | | 3 Total Commercial | | | 29,920 | | | | 29,970 | | | | (50) | | | | — Medicare Advantage | | | 7,565 | | | | 8,350 | | | | (785) | | | | (9) Medicaid | | | 6,780 | | | | 7,490 | | | | (710) | | | | (9) Medicare Supplement (Standardized) | | | 4,260 | | | | 4,305 | | | | (45) | | | | (1) Total Community and Senior | | | 18,605 | | | | 20,145 | | | | (1,540) | | | | (8) Total UnitedHealthcare - Medical | | | 48,525 | | | | 50,115 | | | | (1,590) | | | | (3) | | % Supplemental Data: Medicare Part D stand-alone | | | 2,710 | | | | 2,800 | | | | (90) | | | | (3) | | % South American businesses held for sale | | | 1,145 | | | | 1,165 | | | | (20) | | | | (2) | | %
UHC Standardized Medicare Supplement People Served
4.3M
The following table summarizes the number of people served by our UnitedHealthcare businesses, by major market segment and funding arrangement: June 30, | | | Increase/(Decrease) (in thousands, except percentages) | | | 2026 | | | 2025 | | | 2026 vs. 2025 Commercial: Risk-based | | | 7,655 | | | | 8,440 | | | | (785) | | | | (9) | | % Fee-based | | | 22,265 | | | | 21,530 | | | | 735 | | | | 3 Total Commercial | | | 29,920 | | | | 29,970 | | | | (50) | | | | — Medicare Advantage | | | 7,565 | | | | 8,350 | | | | (785) | | | | (9) Medicaid | | | 6,780 | | | | 7,490 | | | | (710) | | | | (9) Medicare Supplement (Standardized) | | | 4,260 | | | | 4,305 | | | | (45) | | | | (1) Total Community and Senior | | | 18,605 | | | | 20,145 | | | | (1,540) | | | | (8) Total UnitedHealthcare - Medical | | | 48,525 | | | | 50,115 | | | | (1,590) | | | | (3) | | % Supplemental Data: Medicare Part D stand-alone | | | 2,710 | | | | 2,800 | | | | (90) | | | | (3) | | % South American businesses held for sale | | | 1,145 | | | | 1,165 | | | | (20) | | | | (2) | | %
UHC Total Commercial People Served
29.9M
The following table summarizes the number of people served by our UnitedHealthcare businesses, by major market segment and funding arrangement: June 30, | | | Increase/(Decrease) (in thousands, except percentages) | | | 2026 | | | 2025 | | | 2026 vs. 2025 Commercial: Risk-based | | | 7,655 | | | | 8,440 | | | | (785) | | | | (9) | | % Fee-based | | | 22,265 | | | | 21,530 | | | | 735 | | | | 3 Total Commercial | | | 29,920 | | | | 29,970 | | | | (50) | | | | — Medicare Advantage | | | 7,565 | | | | 8,350 | | | | (785) | | | | (9) Medicaid | | | 6,780 | | | | 7,490 | | | | (710) | | | | (9) Medicare Supplement (Standardized) | | | 4,260 | | | | 4,305 | | | | (45) | | | | (1) Total Community and Senior | | | 18,605 | | | | 20,145 | | | | (1,540) | | | | (8) Total UnitedHealthcare - Medical | | | 48,525 | | | | 50,115 | | | | (1,590) | | | | (3) | | % Supplemental Data: Medicare Part D stand-alone | | | 2,710 | | | | 2,800 | | | | (90) | | | | (3) | | % South American businesses held for sale | | | 1,145 | | | | 1,165 | | | | (20) | | | | (2) | | %
UHC Total Community and Senior People Served
18.6M
The following table summarizes the number of people served by our UnitedHealthcare businesses, by major market segment and funding arrangement: June 30, | | | Increase/(Decrease) (in thousands, except percentages) | | | 2026 | | | 2025 | | | 2026 vs. 2025 Commercial: Risk-based | | | 7,655 | | | | 8,440 | | | | (785) | | | | (9) | | % Fee-based | | | 22,265 | | | | 21,530 | | | | 735 | | | | 3 Total Commercial | | | 29,920 | | | | 29,970 | | | | (50) | | | | — Medicare Advantage | | | 7,565 | | | | 8,350 | | | | (785) | | | | (9) Medicaid | | | 6,780 | | | | 7,490 | | | | (710) | | | | (9) Medicare Supplement (Standardized) | | | 4,260 | | | | 4,305 | | | | (45) | | | | (1) Total Community and Senior | | | 18,605 | | | | 20,145 | | | | (1,540) | | | | (8) Total UnitedHealthcare - Medical | | | 48,525 | | | | 50,115 | | | | (1,590) | | | | (3) | | % Supplemental Data: Medicare Part D stand-alone | | | 2,710 | | | | 2,800 | | | | (90) | | | | (3) | | % South American businesses held for sale | | | 1,145 | | | | 1,165 | | | | (20) | | | | (2) | | %
Operating Cost Ratio
12.7%
The following table summarizes our consolidated results of operations and other financial information: (in millions, except percentages and per share data) | | | Three Months Ended June 30, | | | Increase/ (Decrease) | | | Six Months Ended June 30, | | | Increase/ (Decrease) 2026 | | | 2025 | | | 2026 vs. 2025 | | | 2026 | | | 2025 | | | 2026 vs. 2025 Revenues: Premiums | | | $ | | 86,956 | | | | $ | | 87,905 | | | | $ | | (949) | | | | (1) | | % | | | $ | | 174,517 | | | | $ | | 174,439 | | | | $ | | 78 | | | | — | | % Products | | | 13,835 | | | | 13,564 | | | | 271 | | | | 2 | | | | 27,085 | | | | 26,600 | | | | 485 | | | | 2 Services | | | 10,018 | | | | 9,039 | | | | 979 | | | | 11 | | | | 19,797 | | | | 18,011 | | | | 1,786 | | | | 10 Investment and other income | | | 1,223 | | | | 1,108 | | | | 115 | | | | 10 | | | | 2,354 | | | | 2,141 | | | | 213 | | | | 10 Total revenues | | | 112,032 | | | | 111,616 | | | | 416 | | | | — | | | | 223,753 | | | | 221,191 | | | | 2,562 | | | | 1 Operating costs: Medical costs | | | 75,358 | | | | 78,585 | | | | (3,227) | | | | (4) | | | | 148,847 | | | | 151,996 | | | | (3,149) | | | | (2) Operating costs | | | 14,268 | | | | 13,778 | | | | 490 | | | | 4 | | | | 29,658 | | | | 27,372 | | | | 2,286 | | | | 8 Cost of products sold | | | 13,375 | | | | 13,019 | | | | 356 | | | | 3 | | | | 26,198 | | | | 25,409 | | | | 789 | | | | 3 Depreciation and amortization | | | 1,040 | | | | 1,084 | | | | (44) | | | | (4) | | | | 2,069 | | | | 2,145 | | | | (76) | | | | (4) Total operating costs | | | 104,041 | | | | 106,466 | | | | (2,425) | | | | (2) | | | | 206,772 | | | | 206,922 | | | | (150) | | | | — Earnings from operations | | | 7,991 | | | | 5,150 | | | | 2,841 | | | | 55 | | | | 16,981 | | | | 14,269 | | | | 2,712 | | | | 19 Interest expense | | | (962) | | | | (1,027) | | | | 65 | | | | (6) | | | | (1,917) | | | | (2,025) | | | | 108 | | | | (5) Loss on sale of subsidiary and subsidiaries held for sale | | | (61) | | | | (41) | | | | (20) | | | | 49 | | | | (133) | | | | (56) | | | | (77) | | | | 138 Earnings before income taxes | | | 6,968 | | | | 4,082 | | | | 2,886 | | | | 71 | | | | 14,931 | | | | 12,188 | | | | 2,743 | | | | 23 Provision for income taxes | | | (1,298) | | | | (510) | | | | (788) | | | | 155 | | | | (2,780) | | | | (2,142) | | | | (638) | | | | 30 Net earnings | | | 5,670 | | | | 3,572 | | | | 2,098 | | | | 59 | | | | 12,151 | | | | 10,046 | | | | 2,105 | | | | 21 Earnings attributable to noncontrolling interests | | | (186) | | | | (166) | | | | (20) | | | | 12 | | | | (387) | | | | (348) | | | | (39) | | | | 11 Net earnings attributable to UnitedHealth Group common shareholders | | | $ | | 5,484 | | | | $ | | 3,406 | | | | $ | | 2,078 | | | | 61 | | % | | | $ | | 11,764 | | | | $ | | 9,698 | | | | $ | | 2,066 | | | | 21 | | % Diluted earnings per share attributable to UnitedHealth Group common shareholders | | | $ | | 6.04 | | | | $ | | 3.74 | | | | $ | | 2.30 | | | | | | $ | | 12.94 | | | | $ | | 10.61 | | | | $ | | 2.33 Medical care ratio (a) | | | 86.7 | | % | | | 89.4 | | % | | | (2.7) | | % | | | | | 85.3 | | % | | | 87.1 | | % | | | (1.8) | | % Operating cost ratio | | | 12.7 | | | | 12.3 | | | | 0.4 | | | | | | 13.3 | | | | 12.4 | | | | 0.9 Operating margin | | | 7.1 | | | | 4.6 | | | | 2.5 | | | | | | 7.6 | | | | 6.5 | | | | 1.1 Tax rate | | | 18.6 | | | | 12.5 | | | | 6.1 | | | | | | 18.6 | | | | 17.6 | | | | 1.0 Net earnings margin (b) | | | 4.9 | | | | 3.1 | | | | 1.8 | | | | | | 5.3 | | | | 4.4 | | | | 0.9 Return on equity (c) | | | 22.3 | | % | | | 14.4 | | % | | | 7.9 | | | | | | 24.3 | | % | | | 20.6 | | % | | | 3.7 (a) Medical care ratio (MCR) is calculated as medical costs divided by premium revenue.
Consolidated Operating Margin
7.1%
The following table summarizes our consolidated results of operations and other financial information: (in millions, except percentages and per share data) | | | Three Months Ended June 30, | | | Increase/ (Decrease) | | | Six Months Ended June 30, | | | Increase/ (Decrease) 2026 | | | 2025 | | | 2026 vs. 2025 | | | 2026 | | | 2025 | | | 2026 vs. 2025 Revenues: Premiums | | | $ | | 86,956 | | | | $ | | 87,905 | | | | $ | | (949) | | | | (1) | | % | | | $ | | 174,517 | | | | $ | | 174,439 | | | | $ | | 78 | | | | — | | % Products | | | 13,835 | | | | 13,564 | | | | 271 | | | | 2 | | | | 27,085 | | | | 26,600 | | | | 485 | | | | 2 Services | | | 10,018 | | | | 9,039 | | | | 979 | | | | 11 | | | | 19,797 | | | | 18,011 | | | | 1,786 | | | | 10 Investment and other income | | | 1,223 | | | | 1,108 | | | | 115 | | | | 10 | | | | 2,354 | | | | 2,141 | | | | 213 | | | | 10 Total revenues | | | 112,032 | | | | 111,616 | | | | 416 | | | | — | | | | 223,753 | | | | 221,191 | | | | 2,562 | | | | 1 Operating costs: Medical costs | | | 75,358 | | | | 78,585 | | | | (3,227) | | | | (4) | | | | 148,847 | | | | 151,996 | | | | (3,149) | | | | (2) Operating costs | | | 14,268 | | | | 13,778 | | | | 490 | | | | 4 | | | | 29,658 | | | | 27,372 | | | | 2,286 | | | | 8 Cost of products sold | | | 13,375 | | | | 13,019 | | | | 356 | | | | 3 | | | | 26,198 | | | | 25,409 | | | | 789 | | | | 3 Depreciation and amortization | | | 1,040 | | | | 1,084 | | | | (44) | | | | (4) | | | | 2,069 | | | | 2,145 | | | | (76) | | | | (4) Total operating costs | | | 104,041 | | | | 106,466 | | | | (2,425) | | | | (2) | | | | 206,772 | | | | 206,922 | | | | (150) | | | | — Earnings from operations | | | 7,991 | | | | 5,150 | | | | 2,841 | | | | 55 | | | | 16,981 | | | | 14,269 | | | | 2,712 | | | | 19 Interest expense | | | (962) | | | | (1,027) | | | | 65 | | | | (6) | | | | (1,917) | | | | (2,025) | | | | 108 | | | | (5) Loss on sale of subsidiary and subsidiaries held for sale | | | (61) | | | | (41) | | | | (20) | | | | 49 | | | | (133) | | | | (56) | | | | (77) | | | | 138 Earnings before income taxes | | | 6,968 | | | | 4,082 | | | | 2,886 | | | | 71 | | | | 14,931 | | | | 12,188 | | | | 2,743 | | | | 23 Provision for income taxes | | | (1,298) | | | | (510) | | | | (788) | | | | 155 | | | | (2,780) | | | | (2,142) | | | | (638) | | | | 30 Net earnings | | | 5,670 | | | | 3,572 | | | | 2,098 | | | | 59 | | | | 12,151 | | | | 10,046 | | | | 2,105 | | | | 21 Earnings attributable to noncontrolling interests | | | (186) | | | | (166) | | | | (20) | | | | 12 | | | | (387) | | | | (348) | | | | (39) | | | | 11 Net earnings attributable to UnitedHealth Group common shareholders | | | $ | | 5,484 | | | | $ | | 3,406 | | | | $ | | 2,078 | | | | 61 | | % | | | $ | | 11,764 | | | | $ | | 9,698 | | | | $ | | 2,066 | | | | 21 | | % Diluted earnings per share attributable to UnitedHealth Group common shareholders | | | $ | | 6.04 | | | | $ | | 3.74 | | | | $ | | 2.30 | | | | | | $ | | 12.94 | | | | $ | | 10.61 | | | | $ | | 2.33 Medical care ratio (a) | | | 86.7 | | % | | | 89.4 | | % | | | (2.7) | | % | | | | | 85.3 | | % | | | 87.1 | | % | | | (1.8) | | % Operating cost ratio | | | 12.7 | | | | 12.3 | | | | 0.4 | | | | | | 13.3 | | | | 12.4 | | | | 0.9 Operating margin | | | 7.1 | | | | 4.6 | | | | 2.5 | | | | | | 7.6 | | | | 6.5 | | | | 1.1 Tax rate | | | 18.6 | | | | 12.5 | | | | 6.1 | | | | | | 18.6 | | | | 17.6 | | | | 1.0 Net earnings margin (b) | | | 4.9 | | | | 3.1 | | | | 1.8 | | | | | | 5.3 | | | | 4.4 | | | | 0.9 Return on equity (c) | | | 22.3 | | % | | | 14.4 | | % | | | 7.9 | | | | | | 24.3 | | % | | | 20.6 | | % | | | 3.7 (a) Medical care ratio (MCR) is calculated as medical costs divided by premium revenue.
Optum Rx Adjusted Scripts Fulfilled
387.0M
Revenues at Optum Rx for the three months ended June 30, 2026, decreased due to the reduced script volume as a result of the contraction in people served at UnitedHealthcare, partially offset by growth in retail and specialty pharmacy. For the six months ended June 30, 2026, revenues increased due to growth in retail and specialty pharmacy, partially offset by reduced script volume as a result of the contraction in people served at UnitedHealthcare. Earnings from operations decreased due to lower script volumes, partially offset by growth in specialty pharmacy. Optum Rx fulfilled 387 million and 414 million adjusted scripts in the second quarters of 2026 and 2025, respectively.
Optum Health Operating Margin
5.1%
See Note 9 of Notes to the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report for more information on our segments. We utilize various metrics to evaluate and manage our reportable segments, including people served by UnitedHealthcare by major market segment and funding arrangement, people served by Optum Health and adjusted scripts for Optum Rx. These metrics are the main drivers of revenue, earnings and cash flows at each business. The metrics also allow management and investors to evaluate and understand business mix, including the level and scope of services provided to people, and pricing trends when comparing the metrics to revenue by segment. 2026 Business Realignment On January 1, 2026, we realigned certain 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; with prior period segment financial information, including people served by Optum; recast to conform to the 2026 presentation. 19 Table of Contents The following table presents a summary of the reportable segment financial information: Three Months Ended June 30, | | | Increase/ (Decrease) | | | Six Months Ended June 30, | | | Increase/ (Decrease) (in millions, except percentages) | | | 2026 | | | 2025 | | | 2026 vs. 2025 | | | 2026 | | | 2025 | | | 2026 vs. 2025 Revenues UnitedHealthcare | | | $ | | 86,017 | | | | $ | | 86,103 | | | | $ | | (86) | | | | — | | % | | | $ | | 172,282 | | | | $ | | 170,720 | | | | $ | | 1,562 | | | | 1 | | % Optum Health (a) | | | 23,472 | | | | 24,725 | | | | (1,253) | | | | (5) | | | | 47,581 | | | | 49,562 | | | | (1,981) | | | | (4) Optum Insight (a) | | | 5,402 | | | | 5,232 | | | | 170 | | | | 3 | | | | 10,527 | | | | 10,259 | | | | 268 | | | | 3 Optum Rx | | | 38,292 | | | | 38,459 | | | | (167) | | | | — | | | | 74,028 | | | | 73,591 | | | | 437 | | | | 1 Optum eliminations (a) | | | (1,503) | | | | (1,191) | | | | (312) | | | | 26 | | | | (2,724) | | | | (2,302) | | | | (422) | | | | 18 Optum | | | 65,663 | | | | 67,225 | | | | (1,562) | | | | (2) | | | | 129,412 | | | | 131,110 | | | | (1,698) | | | | (1) Eliminations | | | (39,648) | | | | (41,712) | | | | 2,064 | | | | (5) | | | | (77,941) | | | | (80,639) | | | | 2,698 | | | | (3) Consolidated revenues | | | $ | | 112,032 | | | | $ | | 111,616 | | | | $ | | 416 | | | — | | % | | | $ | | 223,753 | | | | $ | | 221,191 | | | | $ | | 2,562 | | | 1 | | % Earnings from operations UnitedHealthcare | | | $ | | 3,942 | | | | $ | | 2,075 | | | | $ | | 1,867 | | | | 90 | | % | | | $ | | 9,636 | | | | $ | | 7,301 | | | | $ | | 2,335 | | | | 32 | | % Optum Health (a) | | | 1,190 | | | | 429 | | | | 761 | | | | 177 | | | | 2,331 | | | | 1,840 | | | | 491 | | | | 27 Optum Insight (a) | | | 1,369 | | | | 1,205 | | | | 164 | | | | 14 | | | | 2,332 | | | | 2,369 | | | | (37) | | | | (2) Optum Rx | | | 1,490 | | | | 1,441 | | | | 49 | | | | 3 | | | | 2,682 | | | | 2,759 | | | | (77) | | | | (3) Optum | | | 4,049 | | | | 3,075 | | | | 974 | | | | 32 | | | | 7,345 | | | | 6,968 | | | | 377 | | | | 5 Consolidated earnings from operations | | | $ | | 7,991 | | | | $ | | 5,150 | | | | $ | | 2,841 | | | | 55 | | % | | | $ | | 16,981 | | | | $ | | 14,269 | | | | $ | | 2,712 | | | | 19 | | % Operating margin UnitedHealthcare | | | 4.6 | | % | | | 2.4 | | % | | | 2.2 | | % | | | | | 5.6 | | % | | | 4.3 | | % | | | 1.3 | | % Optum Health (a) | | | 5.1 | | | | 1.7 | | | | 3.4 | | | | | | 4.9 | | | | 3.7 | | | | 1.2 Optum Insight (a) | | | 25.3 | | | | 23.0 | | | | 2.3 | | | | | | 22.2 | | | | 23.1 | | | | (0.9) Optum Rx | | | 3.9 | | | | 3.7 | | | | 0.2 | | | | | | 3.6 | | | | 3.7 | | | | (0.1) Optum | | | 6.2 | | | | 4.6 | | | | 1.6 | | | | | | 5.7 | | | | 5.3 | | | | 0.4 Consolidated operating margin | | | 7.1 | | % | | | 4.6 | | % | | | 2.5 | | % | | | | | 7.6 | | % | | | 6.5 | | % | | | 1.1 | | % (a) Prior period amounts have been recast to reflect the realignment of Optum Financial.
Optum Insight Operating Margin
25.3%
See Note 9 of Notes to the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report for more information on our segments. We utilize various metrics to evaluate and manage our reportable segments, including people served by UnitedHealthcare by major market segment and funding arrangement, people served by Optum Health and adjusted scripts for Optum Rx. These metrics are the main drivers of revenue, earnings and cash flows at each business. The metrics also allow management and investors to evaluate and understand business mix, including the level and scope of services provided to people, and pricing trends when comparing the metrics to revenue by segment. 2026 Business Realignment On January 1, 2026, we realigned certain 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; with prior period segment financial information, including people served by Optum; recast to conform to the 2026 presentation. 19 Table of Contents The following table presents a summary of the reportable segment financial information: Three Months Ended June 30, | | | Increase/ (Decrease) | | | Six Months Ended June 30, | | | Increase/ (Decrease) (in millions, except percentages) | | | 2026 | | | 2025 | | | 2026 vs. 2025 | | | 2026 | | | 2025 | | | 2026 vs. 2025 Revenues UnitedHealthcare | | | $ | | 86,017 | | | | $ | | 86,103 | | | | $ | | (86) | | | | — | | % | | | $ | | 172,282 | | | | $ | | 170,720 | | | | $ | | 1,562 | | | | 1 | | % Optum Health (a) | | | 23,472 | | | | 24,725 | | | | (1,253) | | | | (5) | | | | 47,581 | | | | 49,562 | | | | (1,981) | | | | (4) Optum Insight (a) | | | 5,402 | | | | 5,232 | | | | 170 | | | | 3 | | | | 10,527 | | | | 10,259 | | | | 268 | | | | 3 Optum Rx | | | 38,292 | | | | 38,459 | | | | (167) | | | | — | | | | 74,028 | | | | 73,591 | | | | 437 | | | | 1 Optum eliminations (a) | | | (1,503) | | | | (1,191) | | | | (312) | | | | 26 | | | | (2,724) | | | | (2,302) | | | | (422) | | | | 18 Optum | | | 65,663 | | | | 67,225 | | | | (1,562) | | | | (2) | | | | 129,412 | | | | 131,110 | | | | (1,698) | | | | (1) Eliminations | | | (39,648) | | | | (41,712) | | | | 2,064 | | | | (5) | | | | (77,941) | | | | (80,639) | | | | 2,698 | | | | (3) Consolidated revenues | | | $ | | 112,032 | | | | $ | | 111,616 | | | | $ | | 416 | | | — | | % | | | $ | | 223,753 | | | | $ | | 221,191 | | | | $ | | 2,562 | | | 1 | | % Earnings from operations UnitedHealthcare | | | $ | | 3,942 | | | | $ | | 2,075 | | | | $ | | 1,867 | | | | 90 | | % | | | $ | | 9,636 | | | | $ | | 7,301 | | | | $ | | 2,335 | | | | 32 | | % Optum Health (a) | | | 1,190 | | | | 429 | | | | 761 | | | | 177 | | | | 2,331 | | | | 1,840 | | | | 491 | | | | 27 Optum Insight (a) | | | 1,369 | | | | 1,205 | | | | 164 | | | | 14 | | | | 2,332 | | | | 2,369 | | | | (37) | | | | (2) Optum Rx | | | 1,490 | | | | 1,441 | | | | 49 | | | | 3 | | | | 2,682 | | | | 2,759 | | | | (77) | | | | (3) Optum | | | 4,049 | | | | 3,075 | | | | 974 | | | | 32 | | | | 7,345 | | | | 6,968 | | | | 377 | | | | 5 Consolidated earnings from operations | | | $ | | 7,991 | | | | $ | | 5,150 | | | | $ | | 2,841 | | | | 55 | | % | | | $ | | 16,981 | | | | $ | | 14,269 | | | | $ | | 2,712 | | | | 19 | | % Operating margin UnitedHealthcare | | | 4.6 | | % | | | 2.4 | | % | | | 2.2 | | % | | | | | 5.6 | | % | | | 4.3 | | % | | | 1.3 | | % Optum Health (a) | | | 5.1 | | | | 1.7 | | | | 3.4 | | | | | | 4.9 | | | | 3.7 | | | | 1.2 Optum Insight (a) | | | 25.3 | | | | 23.0 | | | | 2.3 | | | | | | 22.2 | | | | 23.1 | | | | (0.9) Optum Rx | | | 3.9 | | | | 3.7 | | | | 0.2 | | | | | | 3.6 | | | | 3.7 | | | | (0.1) Optum | | | 6.2 | | | | 4.6 | | | | 1.6 | | | | | | 5.7 | | | | 5.3 | | | | 0.4 Consolidated operating margin | | | 7.1 | | % | | | 4.6 | | % | | | 2.5 | | % | | | | | 7.6 | | % | | | 6.5 | | % | | | 1.1 | | % (a) Prior period amounts have been recast to reflect the realignment of Optum Financial.
Optum Operating Margin
6.2%
See Note 9 of Notes to the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report for more information on our segments. We utilize various metrics to evaluate and manage our reportable segments, including people served by UnitedHealthcare by major market segment and funding arrangement, people served by Optum Health and adjusted scripts for Optum Rx. These metrics are the main drivers of revenue, earnings and cash flows at each business. The metrics also allow management and investors to evaluate and understand business mix, including the level and scope of services provided to people, and pricing trends when comparing the metrics to revenue by segment. 2026 Business Realignment On January 1, 2026, we realigned certain 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; with prior period segment financial information, including people served by Optum; recast to conform to the 2026 presentation. 19 Table of Contents The following table presents a summary of the reportable segment financial information: Three Months Ended June 30, | | | Increase/ (Decrease) | | | Six Months Ended June 30, | | | Increase/ (Decrease) (in millions, except percentages) | | | 2026 | | | 2025 | | | 2026 vs. 2025 | | | 2026 | | | 2025 | | | 2026 vs. 2025 Revenues UnitedHealthcare | | | $ | | 86,017 | | | | $ | | 86,103 | | | | $ | | (86) | | | | — | | % | | | $ | | 172,282 | | | | $ | | 170,720 | | | | $ | | 1,562 | | | | 1 | | % Optum Health (a) | | | 23,472 | | | | 24,725 | | | | (1,253) | | | | (5) | | | | 47,581 | | | | 49,562 | | | | (1,981) | | | | (4) Optum Insight (a) | | | 5,402 | | | | 5,232 | | | | 170 | | | | 3 | | | | 10,527 | | | | 10,259 | | | | 268 | | | | 3 Optum Rx | | | 38,292 | | | | 38,459 | | | | (167) | | | | — | | | | 74,028 | | | | 73,591 | | | | 437 | | | | 1 Optum eliminations (a) | | | (1,503) | | | | (1,191) | | | | (312) | | | | 26 | | | | (2,724) | | | | (2,302) | | | | (422) | | | | 18 Optum | | | 65,663 | | | | 67,225 | | | | (1,562) | | | | (2) | | | | 129,412 | | | | 131,110 | | | | (1,698) | | | | (1) Eliminations | | | (39,648) | | | | (41,712) | | | | 2,064 | | | | (5) | | | | (77,941) | | | | (80,639) | | | | 2,698 | | | | (3) Consolidated revenues | | | $ | | 112,032 | | | | $ | | 111,616 | | | | $ | | 416 | | | — | | % | | | $ | | 223,753 | | | | $ | | 221,191 | | | | $ | | 2,562 | | | 1 | | % Earnings from operations UnitedHealthcare | | | $ | | 3,942 | | | | $ | | 2,075 | | | | $ | | 1,867 | | | | 90 | | % | | | $ | | 9,636 | | | | $ | | 7,301 | | | | $ | | 2,335 | | | | 32 | | % Optum Health (a) | | | 1,190 | | | | 429 | | | | 761 | | | | 177 | | | | 2,331 | | | | 1,840 | | | | 491 | | | | 27 Optum Insight (a) | | | 1,369 | | | | 1,205 | | | | 164 | | | | 14 | | | | 2,332 | | | | 2,369 | | | | (37) | | | | (2) Optum Rx | | | 1,490 | | | | 1,441 | | | | 49 | | | | 3 | | | | 2,682 | | | | 2,759 | | | | (77) | | | | (3) Optum | | | 4,049 | | | | 3,075 | | | | 974 | | | | 32 | | | | 7,345 | | | | 6,968 | | | | 377 | | | | 5 Consolidated earnings from operations | | | $ | | 7,991 | | | | $ | | 5,150 | | | | $ | | 2,841 | | | | 55 | | % | | | $ | | 16,981 | | | | $ | | 14,269 | | | | $ | | 2,712 | | | | 19 | | % Operating margin UnitedHealthcare | | | 4.6 | | % | | | 2.4 | | % | | | 2.2 | | % | | | | | 5.6 | | % | | | 4.3 | | % | | | 1.3 | | % Optum Health (a) | | | 5.1 | | | | 1.7 | | | | 3.4 | | | | | | 4.9 | | | | 3.7 | | | | 1.2 Optum Insight (a) | | | 25.3 | | | | 23.0 | | | | 2.3 | | | | | | 22.2 | | | | 23.1 | | | | (0.9) Optum Rx | | | 3.9 | | | | 3.7 | | | | 0.2 | | | | | | 3.6 | | | | 3.7 | | | | (0.1) Optum | | | 6.2 | | | | 4.6 | | | | 1.6 | | | | | | 5.7 | | | | 5.3 | | | | 0.4 Consolidated operating margin | | | 7.1 | | % | | | 4.6 | | % | | | 2.5 | | % | | | | | 7.6 | | % | | | 6.5 | | % | | | 1.1 | | % (a) Prior period amounts have been recast to reflect the realignment of Optum Financial.
Optum Rx Operating Margin
3.9%
See Note 9 of Notes to the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report for more information on our segments. We utilize various metrics to evaluate and manage our reportable segments, including people served by UnitedHealthcare by major market segment and funding arrangement, people served by Optum Health and adjusted scripts for Optum Rx. These metrics are the main drivers of revenue, earnings and cash flows at each business. The metrics also allow management and investors to evaluate and understand business mix, including the level and scope of services provided to people, and pricing trends when comparing the metrics to revenue by segment. 2026 Business Realignment On January 1, 2026, we realigned certain 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; with prior period segment financial information, including people served by Optum; recast to conform to the 2026 presentation. 19 Table of Contents The following table presents a summary of the reportable segment financial information: Three Months Ended June 30, | | | Increase/ (Decrease) | | | Six Months Ended June 30, | | | Increase/ (Decrease) (in millions, except percentages) | | | 2026 | | | 2025 | | | 2026 vs. 2025 | | | 2026 | | | 2025 | | | 2026 vs. 2025 Revenues UnitedHealthcare | | | $ | | 86,017 | | | | $ | | 86,103 | | | | $ | | (86) | | | | — | | % | | | $ | | 172,282 | | | | $ | | 170,720 | | | | $ | | 1,562 | | | | 1 | | % Optum Health (a) | | | 23,472 | | | | 24,725 | | | | (1,253) | | | | (5) | | | | 47,581 | | | | 49,562 | | | | (1,981) | | | | (4) Optum Insight (a) | | | 5,402 | | | | 5,232 | | | | 170 | | | | 3 | | | | 10,527 | | | | 10,259 | | | | 268 | | | | 3 Optum Rx | | | 38,292 | | | | 38,459 | | | | (167) | | | | — | | | | 74,028 | | | | 73,591 | | | | 437 | | | | 1 Optum eliminations (a) | | | (1,503) | | | | (1,191) | | | | (312) | | | | 26 | | | | (2,724) | | | | (2,302) | | | | (422) | | | | 18 Optum | | | 65,663 | | | | 67,225 | | | | (1,562) | | | | (2) | | | | 129,412 | | | | 131,110 | | | | (1,698) | | | | (1) Eliminations | | | (39,648) | | | | (41,712) | | | | 2,064 | | | | (5) | | | | (77,941) | | | | (80,639) | | | | 2,698 | | | | (3) Consolidated revenues | | | $ | | 112,032 | | | | $ | | 111,616 | | | | $ | | 416 | | | — | | % | | | $ | | 223,753 | | | | $ | | 221,191 | | | | $ | | 2,562 | | | 1 | | % Earnings from operations UnitedHealthcare | | | $ | | 3,942 | | | | $ | | 2,075 | | | | $ | | 1,867 | | | | 90 | | % | | | $ | | 9,636 | | | | $ | | 7,301 | | | | $ | | 2,335 | | | | 32 | | % Optum Health (a) | | | 1,190 | | | | 429 | | | | 761 | | | | 177 | | | | 2,331 | | | | 1,840 | | | | 491 | | | | 27 Optum Insight (a) | | | 1,369 | | | | 1,205 | | | | 164 | | | | 14 | | | | 2,332 | | | | 2,369 | | | | (37) | | | | (2) Optum Rx | | | 1,490 | | | | 1,441 | | | | 49 | | | | 3 | | | | 2,682 | | | | 2,759 | | | | (77) | | | | (3) Optum | | | 4,049 | | | | 3,075 | | | | 974 | | | | 32 | | | | 7,345 | | | | 6,968 | | | | 377 | | | | 5 Consolidated earnings from operations | | | $ | | 7,991 | | | | $ | | 5,150 | | | | $ | | 2,841 | | | | 55 | | % | | | $ | | 16,981 | | | | $ | | 14,269 | | | | $ | | 2,712 | | | | 19 | | % Operating margin UnitedHealthcare | | | 4.6 | | % | | | 2.4 | | % | | | 2.2 | | % | | | | | 5.6 | | % | | | 4.3 | | % | | | 1.3 | | % Optum Health (a) | | | 5.1 | | | | 1.7 | | | | 3.4 | | | | | | 4.9 | | | | 3.7 | | | | 1.2 Optum Insight (a) | | | 25.3 | | | | 23.0 | | | | 2.3 | | | | | | 22.2 | | | | 23.1 | | | | (0.9) Optum Rx | | | 3.9 | | | | 3.7 | | | | 0.2 | | | | | | 3.6 | | | | 3.7 | | | | (0.1) Optum | | | 6.2 | | | | 4.6 | | | | 1.6 | | | | | | 5.7 | | | | 5.3 | | | | 0.4 Consolidated operating margin | | | 7.1 | | % | | | 4.6 | | % | | | 2.5 | | % | | | | | 7.6 | | % | | | 6.5 | | % | | | 1.1 | | % (a) Prior period amounts have been recast to reflect the realignment of Optum Financial.
UnitedHealthcare Operating Margin
4.6%
See Note 9 of Notes to the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report for more information on our segments. We utilize various metrics to evaluate and manage our reportable segments, including people served by UnitedHealthcare by major market segment and funding arrangement, people served by Optum Health and adjusted scripts for Optum Rx. These metrics are the main drivers of revenue, earnings and cash flows at each business. The metrics also allow management and investors to evaluate and understand business mix, including the level and scope of services provided to people, and pricing trends when comparing the metrics to revenue by segment. 2026 Business Realignment On January 1, 2026, we realigned certain 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; with prior period segment financial information, including people served by Optum; recast to conform to the 2026 presentation. 19 Table of Contents The following table presents a summary of the reportable segment financial information: Three Months Ended June 30, | | | Increase/ (Decrease) | | | Six Months Ended June 30, | | | Increase/ (Decrease) (in millions, except percentages) | | | 2026 | | | 2025 | | | 2026 vs. 2025 | | | 2026 | | | 2025 | | | 2026 vs. 2025 Revenues UnitedHealthcare | | | $ | | 86,017 | | | | $ | | 86,103 | | | | $ | | (86) | | | | — | | % | | | $ | | 172,282 | | | | $ | | 170,720 | | | | $ | | 1,562 | | | | 1 | | % Optum Health (a) | | | 23,472 | | | | 24,725 | | | | (1,253) | | | | (5) | | | | 47,581 | | | | 49,562 | | | | (1,981) | | | | (4) Optum Insight (a) | | | 5,402 | | | | 5,232 | | | | 170 | | | | 3 | | | | 10,527 | | | | 10,259 | | | | 268 | | | | 3 Optum Rx | | | 38,292 | | | | 38,459 | | | | (167) | | | | — | | | | 74,028 | | | | 73,591 | | | | 437 | | | | 1 Optum eliminations (a) | | | (1,503) | | | | (1,191) | | | | (312) | | | | 26 | | | | (2,724) | | | | (2,302) | | | | (422) | | | | 18 Optum | | | 65,663 | | | | 67,225 | | | | (1,562) | | | | (2) | | | | 129,412 | | | | 131,110 | | | | (1,698) | | | | (1) Eliminations | | | (39,648) | | | | (41,712) | | | | 2,064 | | | | (5) | | | | (77,941) | | | | (80,639) | | | | 2,698 | | | | (3) Consolidated revenues | | | $ | | 112,032 | | | | $ | | 111,616 | | | | $ | | 416 | | | — | | % | | | $ | | 223,753 | | | | $ | | 221,191 | | | | $ | | 2,562 | | | 1 | | % Earnings from operations UnitedHealthcare | | | $ | | 3,942 | | | | $ | | 2,075 | | | | $ | | 1,867 | | | | 90 | | % | | | $ | | 9,636 | | | | $ | | 7,301 | | | | $ | | 2,335 | | | | 32 | | % Optum Health (a) | | | 1,190 | | | | 429 | | | | 761 | | | | 177 | | | | 2,331 | | | | 1,840 | | | | 491 | | | | 27 Optum Insight (a) | | | 1,369 | | | | 1,205 | | | | 164 | | | | 14 | | | | 2,332 | | | | 2,369 | | | | (37) | | | | (2) Optum Rx | | | 1,490 | | | | 1,441 | | | | 49 | | | | 3 | | | | 2,682 | | | | 2,759 | | | | (77) | | | | (3) Optum | | | 4,049 | | | | 3,075 | | | | 974 | | | | 32 | | | | 7,345 | | | | 6,968 | | | | 377 | | | | 5 Consolidated earnings from operations | | | $ | | 7,991 | | | | $ | | 5,150 | | | | $ | | 2,841 | | | | 55 | | % | | | $ | | 16,981 | | | | $ | | 14,269 | | | | $ | | 2,712 | | | | 19 | | % Operating margin UnitedHealthcare | | | 4.6 | | % | | | 2.4 | | % | | | 2.2 | | % | | | | | 5.6 | | % | | | 4.3 | | % | | | 1.3 | | % Optum Health (a) | | | 5.1 | | | | 1.7 | | | | 3.4 | | | | | | 4.9 | | | | 3.7 | | | | 1.2 Optum Insight (a) | | | 25.3 | | | | 23.0 | | | | 2.3 | | | | | | 22.2 | | | | 23.1 | | | | (0.9) Optum Rx | | | 3.9 | | | | 3.7 | | | | 0.2 | | | | | | 3.6 | | | | 3.7 | | | | (0.1) Optum | | | 6.2 | | | | 4.6 | | | | 1.6 | | | | | | 5.7 | | | | 5.3 | | | | 0.4 Consolidated operating margin | | | 7.1 | | % | | | 4.6 | | % | | | 2.5 | | % | | | | | 7.6 | | % | | | 6.5 | | % | | | 1.1 | | % (a) Prior period amounts have been recast to reflect the realignment of Optum Financial.
Optum Health People Served
93.0M
Revenues at Optum Health decreased primarily due to fewer patients served under value-based arrangements and the impact of dispositions, partially offset by the impact of business combinations. Earnings from operations increased due to cost management, increased favorable reserve development and the net decrease in loss contract reserves, partially offset by continued elevated medical cost trends, the impacts of net portfolio divestitures and investments to support future growth. Optum Health served approximately 93 million people and 95 million people as of June 30, 2026 and June 30, 2025, respectively.