Item 1. Financial Statements
ITEM 1. FINANCIAL STATEMENTS
UnitedHealth Group
Condensed Consolidated Balance Sheets
(Unaudited)
(in millions, except per share data) March 31,
2025 December 31,
2024
Assets
Current assets:
Cash and cash equivalents $ 30,717 $ 25,312
Short-term investments 3,574 3,801
Accounts receivable, net 26,936 22,365
Other current receivables, net 26,022 26,089
Prepaid expenses and other current assets 9,036 8,212
Total current assets 96,285 85,779
Long-term investments 51,863 52,354
Property, equipment and capitalized software, net 10,734 10,553
Goodwill 107,566 106,734
Other intangible assets, net 22,947 23,268
Other assets 20,395 19,590
Total assets $ 309,790 $ 298,278
Liabilities, redeemable noncontrolling interests and equity
Current liabilities:
Medical costs payable $ 37,136 $ 34,224
Accounts payable and accrued liabilities 33,566 34,337
Short-term borrowings and current maturities of long-term debt 9,986 4,545
Unearned revenues 3,296 3,317
Other current liabilities 29,487 27,346
Total current liabilities 113,471 103,769
Long-term debt, less current maturities 71,285 72,359
Deferred income taxes 3,902 3,620
Other liabilities 15,963 15,939
Total liabilities 204,621 195,687
Commitments and contingencies (Note 6)
Redeemable noncontrolling interests 4,358 4,323
Equity:
Preferred stock, $ 0.001 par value - 10 shares authorized; no shares issued or outstanding
— —
Common stock, $ 0.01 par value - 3,000 shares authorized; 910 and 915 issued and outstanding
9 9
Retained earnings 97,934 96,036
Accumulated other comprehensive loss ( 2,905 ) ( 3,387 )
Nonredeemable noncontrolling interests 5,773 5,610
Total equity 100,811 98,268
Total liabilities, redeemable noncontrolling interests and equity $ 309,790 $ 298,278
See Notes to the Condensed Consolidated Financial Statements
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UnitedHealth Group
Condensed Consolidated Statements of Operations
(Unaudited)
Three Months Ended
March 31,
(in millions, except per share data) 2025 2024
Revenues:
Premiums $ 86,534 $ 77,988
Products 13,036 11,909
Services 8,972 8,888
Investment and other income 1,033 1,011
Total revenues 109,575 99,796
Operating costs:
Medical costs 73,411 65,735
Operating costs 13,594 14,077
Cost of products sold 12,390 11,056
Depreciation and amortization 1,061 997
Total operating costs 100,456 91,865
Earnings from operations 9,119 7,931
Interest expense ( 998 ) ( 844 )
Loss on sale of subsidiary and subsidiaries held for sale ( 15 ) ( 7,086 )
Earnings before income taxes 8,106 1
Provision for income taxes ( 1,632 ) ( 1,222 )
Net earnings (loss) 6,474 ( 1,221 )
Earnings attributable to noncontrolling interests ( 182 ) ( 188 )
Net earnings (loss) attributable to UnitedHealth Group common shareholders $ 6,292 $ ( 1,409 )
Earnings (loss) per share attributable to UnitedHealth Group common shareholders:
Basic $ 6.90 $ ( 1.53 )
Diluted $ 6.85 $ ( 1.53 )
Basic weighted-average number of common shares outstanding 912 922
Dilutive effect of common share equivalents 6 —
Diluted weighted-average number of common shares outstanding 918 922
Anti-dilutive shares excluded from the calculation of dilutive effect of common share equivalents 6 15
See Notes to the Condensed Consolidated Financial Statements
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UnitedHealth Group
Condensed Consolidated Statements of Comprehensive Income
(Unaudited)
Three Months Ended
March 31,
(in millions) 2025 2024
Net earnings (loss) $ 6,474 $ ( 1,221 )
Other comprehensive income:
Gross unrealized gains (losses) on investment securities during the period 521 ( 290 )
Income tax effect ( 119 ) 68
Total unrealized gains (losses), net of tax 402 ( 222 )
Gross reclassification adjustment for net realized gains included in net earnings ( 10 ) ( 32 )
Income tax effect 2 7
Total reclassification adjustment, net of tax ( 8 ) ( 25 )
Foreign currency translation gains (losses) 88 ( 293 )
Reclassification adjustment for translation losses included in net earnings (loss) — 4,128
Total foreign currency translation gains 88 3,835
Other comprehensive income 482 3,588
Comprehensive income 6,956 2,367
Comprehensive income attributable to noncontrolling interests ( 182 ) ( 188 )
Comprehensive income attributable to UnitedHealth Group common shareholders $ 6,774 $ 2,179
See Notes to the Condensed Consolidated Financial Statements
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UnitedHealth Group
Condensed Consolidated Statements of Changes in Equity
(Unaudited)
Common Stock Additional Paid-In Capital Retained Earnings Accumulated Other Comprehensive Loss Nonredeemable Noncontrolling Interests Total
Equity
Three months ended March 31,
(in millions) Shares Amount Net Unrealized (Losses) Gains on Investments Foreign Currency Translation (Losses) Gains
Balance at January 1, 2025 915 $ 9 $ — $ 96,036 $ ( 2,226 ) $ ( 1,161 ) $ 5,610 $ 98,268
Net earnings 6,292 148 6,440
Other comprehensive income 394 88 482
Issuances of common stock, and related tax effects 1 — 183 183
Share-based compensation 362 362
Common share repurchases ( 6 ) — ( 540 ) ( 2,482 ) ( 3,022 )
Cash dividends paid on common shares ($ 2.10 per share)
( 1,912 ) ( 1,912 )
Redeemable noncontrolling interests fair value and other adjustments ( 5 ) ( 5 )
Acquisition and other adjustments of nonredeemable noncontrolling interests 194 194
Distribution to nonredeemable noncontrolling interests ( 179 ) ( 179 )
Balance at March 31, 2025 910 9 — 97,934 ( 1,832 ) ( 1,073 ) 5,773 100,811
Balance at January 1, 2024 924 $ 9 $ — $ 95,774 $ ( 1,971 ) $ ( 5,056 ) $ 5,665 $ 94,421
Net (loss) earnings ( 1,409 ) 149 ( 1,260 )
Other comprehensive (loss) income ( 247 ) 3,835 3,588
Issuances of common stock, and related tax effects
2 — 242 242
Share-based compensation
352 352
Common share repurchases ( 6 ) — ( 574 ) ( 2,518 ) ( 3,092 )
Cash dividends paid on common shares ($ 1.88 per share)
( 1,729 ) ( 1,729 )
Redeemable noncontrolling interests fair value and other adjustments
( 20 ) ( 20 )
Acquisition and other adjustments of nonredeemable noncontrolling interests 19 19
Distribution to nonredeemable noncontrolling interests
( 151 ) ( 151 )
Balance at March 31, 2024 920 $ 9 $ — $ 90,118 $ ( 2,218 ) $ ( 1,221 ) $ 5,682 $ 92,370
See Notes to the Condensed Consolidated Financial Statements
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UnitedHealth Group
Condensed Consolidated Statements of Cash Flows
(Unaudited)
Three Months Ended
March 31,
(in millions) 2025 2024
Operating activities
Net earnings (loss) $ 6,474 $ ( 1,221 )
Noncash items:
Depreciation and amortization 1,061 997
Deferred income taxes 64 ( 27 )
Share-based compensation 375 372
Loss on sale of subsidiary and subsidiaries held for sale 15 7,086
Other, net 97 179
Net change in other operating items, net of effects from acquisitions and dispositions:
Accounts receivable ( 4,462 ) ( 6,162 )
Other assets ( 544 ) ( 1,927 )
Medical costs payable 2,993 2,069
Accounts payable and other liabilities ( 607 ) ( 231 )
Unearned revenues ( 10 ) 9
Cash flows from operating activities 5,456 1,144
Investing activities
Purchases of investments ( 4,135 ) ( 4,798 )
Sales of investments 3,185 2,976
Maturities of investments 2,167 2,314
Cash paid for acquisitions and other transactions, net of cash assumed ( 702 ) ( 3,006 )
Purchases of property, equipment and capitalized software ( 898 ) ( 743 )
Loans to care providers - cyberattack — ( 2,164 )
Repayments of care provider loans - cyberattack 891 —
Other, net ( 582 ) ( 919 )
Cash flows used for investing activities ( 74 ) ( 6,340 )
Financing activities
Common share repurchases ( 3,000 ) ( 3,072 )
Cash dividends paid ( 1,912 ) ( 1,729 )
Proceeds from common stock issuances 360 486
Repayments of long-term debt — ( 750 )
Proceeds from short-term borrowings, net 3,911 6,189
Proceeds from issuance of long-term debt — 5,925
Customer funds administered 1,245 1,745
Other, net ( 505 ) ( 563 )
Cash flows from financing activities 99 8,231
Effect of exchange rate changes on cash and cash equivalents 15 ( 48 )
Increase in cash and cash equivalents, including cash within businesses held for sale 5,496 2,987
Less: net increase in cash within businesses held for sale ( 91 ) —
Net increase in cash and cash equivalents 5,405 2,987
Cash and cash equivalents, beginning of period 25,312 25,427
Cash and cash equivalents, end of period $ 30,717 $ 28,414
See Notes to the Condensed Consolidated Financial Statements
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UnitedHealth Group
Notes to the Condensed Consolidated Financial Statements
(Unaudited)
1. Basis of Presentation
UnitedHealth Group Incorporated (individually and together with its subsidiaries, “UnitedHealth Group” and the “Company”) is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone. The Company’s two distinct, yet complementary businesses — Optum and UnitedHealthcare — are working to help build a modern, high-performing health system through improved access, affordability, outcomes and experiences for the individuals and organizations the Company is privileged to serve.
The Company has prepared the Condensed Consolidated Financial Statements according to U.S. Generally Accepted Accounting Principles (GAAP) and has included the accounts of UnitedHealth Group and its subsidiaries. The year-end condensed consolidated balance sheet was derived from audited financial statements, but does not include all disclosures required by GAAP. In accordance with the rules and regulations of the U.S. Securities and Exchange Commission (SEC), the Company has omitted certain footnote disclosures that would substantially duplicate the disclosures contained in its annual audited Consolidated Financial Statements. Therefore, these Condensed Consolidated Financial Statements should be read together with the Consolidated Financial Statements and the Notes included in Part II, Item 8, “Financial Statements and Supplementary Data” in the Company’s Annual Report on Form 10-K for the year ended December 31, 2024 as filed with the SEC (2024 10-K). The accompanying Condensed Consolidated Financial Statements include all normal recurring adjustments necessary to present the interim financial statements fairly.
Use of Estimates
These Condensed Consolidated Financial Statements include certain amounts based on the Company’s best estimates and judgments. The Company’s most significant estimates relate to estimates and judgments for medical costs payable and goodwill. Certain of these estimates require the application of complex assumptions and judgments, often because they involve matters that are inherently uncertain and will likely change in subsequent periods. The impact of any change in estimates is included in earnings in the period in which the estimate is adjusted.
Revenues - Products and Services
As of March 31, 2025 and December 31, 2024, accounts receivable related to products and services were $ 11.7 billion and $ 9.9 billion, respectively. As of March 31, 2025, 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 $ 12.4 billion, of which approximately half is expected to be recognized in the next three years .
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2. Investments
A summary of debt securities by major security type is as follows:
(in millions) Amortized
Cost Gross
Unrealized
Gains Gross
Unrealized
Losses Fair
Value
March 31, 2025
Debt securities - available-for-sale:
U.S. government and agency obligations $ 4,276 $ 1 $ ( 212 ) $ 4,065
State and municipal obligations 7,110 4 ( 367 ) 6,747
Corporate obligations 24,097 65 ( 924 ) 23,238
U.S. agency mortgage-backed securities 10,410 5 ( 812 ) 9,603
Non-U.S. agency mortgage-backed securities 2,939 3 ( 148 ) 2,794
Total debt securities - available-for-sale 48,832 78 ( 2,463 ) 46,447
Debt securities - held-to-maturity:
U.S. government and agency obligations 447 1 ( 1 ) 447
State and municipal obligations 27 — ( 3 ) 24
Corporate obligations 18 — — 18
Total debt securities - held-to-maturity 492 1 ( 4 ) 489
Total debt securities $ 49,324 $ 79 $ ( 2,467 ) $ 46,936
December 31, 2024
Debt securities - available-for-sale:
U.S. government and agency obligations $ 4,600 $ 1 $ ( 274 ) $ 4,327
State and municipal obligations 7,357 2 ( 375 ) 6,984
Corporate obligations 24,391 56 ( 1,140 ) 23,307
U.S. agency mortgage-backed securities 10,577 1 ( 994 ) 9,584
Non-U.S. agency mortgage-backed securities 2,890 2 ( 175 ) 2,717
Total debt securities - available-for-sale 49,815 62 ( 2,958 ) 46,919
Debt securities - held-to-maturity:
U.S. government and agency obligations 444 — ( 2 ) 442
State and municipal obligations 28 — ( 2 ) 26
Corporate obligations 40 — — 40
Total debt securities - held-to-maturity 512 — ( 4 ) 508
Total debt securities $ 50,327 $ 62 $ ( 2,962 ) $ 47,427
The Company held $ 5.1 billion and $ 4.9 billion of equity securities as of March 31, 2025 and December 31, 2024, respectively. The Company’s investments in equity securities primarily consist of venture investments and employee savings plan related investments. Additionally, the Company’s investments included $ 3.4 billion and $ 3.8 billion of equity method investments primarily in operating businesses in the health care sector as of March 31, 2025 and December 31, 2024, respectively. The allowance for credit losses on held-to-maturity securities at March 31, 2025 and December 31, 2024 was not material.
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The amortized cost and fair value of debt securities as of March 31, 2025, by contractual maturity, were as follows:
Available-for-Sale Held-to-Maturity
(in millions) Amortized
Cost Fair
Value Amortized
Cost Fair
Value
Due in one year or less $ 3,693 $ 3,670 $ 341 $ 341
Due after one year through five years 14,251 13,885 120 121
Due after five years through ten years 12,248 11,536 14 13
Due after ten years 5,291 4,959 17 14
U.S. agency mortgage-backed securities 10,410 9,603 — —
Non-U.S. agency mortgage-backed securities 2,939 2,794 — —
Total debt securities $ 48,832 $ 46,447 $ 492 $ 489
The fair value of available-for-sale debt securities with gross unrealized losses by major security type and length of time that individual securities have been in a continuous unrealized loss position were as follows:
Less Than 12 Months 12 Months or Greater Total
(in millions) Fair
Value Gross
Unrealized
Losses Fair
Value Gross
Unrealized
Losses Fair
Value Gross
Unrealized
Losses
March 31, 2025
Debt securities - available-for-sale:
U.S. government and agency obligations $ 1,540 $ ( 28 ) $ 1,944 $ ( 184 ) $ 3,484 $ ( 212 )
State and municipal obligations 2,111 ( 67 ) 4,150 ( 300 ) 6,261 ( 367 )
Corporate obligations 6,855 ( 146 ) 10,705 ( 778 ) 17,560 ( 924 )
U.S. agency mortgage-backed securities 4,032 ( 114 ) 4,660 ( 698 ) 8,692 ( 812 )
Non-U.S. agency mortgage-backed securities 557 ( 4 ) 1,745 ( 144 ) 2,302 ( 148 )
Total debt securities - available-for-sale $ 15,095 $ ( 359 ) $ 23,204 $ ( 2,104 ) $ 38,299 $ ( 2,463 )
December 31, 2024
Debt securities - available-for-sale:
U.S. government and agency obligations $ 1,475 $ ( 51 ) $ 2,152 $ ( 223 ) $ 3,627 $ ( 274 )
State and municipal obligations 2,593 ( 58 ) 4,085 ( 317 ) 6,678 ( 375 )
Corporate obligations 7,402 ( 213 ) 11,449 ( 927 ) 18,851 ( 1,140 )
U.S. agency mortgage-backed securities 4,791 ( 191 ) 4,674 ( 803 ) 9,465 ( 994 )
Non-U.S. agency mortgage-backed securities 416 ( 5 ) 1,863 ( 170 ) 2,279 ( 175 )
Total debt securities - available-for-sale $ 16,677 $ ( 518 ) $ 24,223 $ ( 2,440 ) $ 40,900 $ ( 2,958 )
The Company’s unrealized losses from debt securities as of March 31, 2025 were generated from approximately 32,000 positions out of a total of 42,000 positions. The Company believes that it will timely collect the principal and interest due on its debt securities that have an amortized cost in excess of fair value. The unrealized losses were primarily caused by interest rate increases and not by unfavorable changes in the credit quality associated with these securities which impacted the Company’s assessment on collectability of principal and interest. At each reporting period, the Company evaluates available-for-sale debt securities for any credit-related impairment when the fair value of the investment is less than its amortized cost. The Company evaluated the expected cash flows, the underlying credit quality and credit ratings of the issuers, noting no significant credit deterioration since purchase. As of March 31, 2025, the Company did not have the intent to sell any of the available-for-sale debt securities in an unrealized loss position. Therefore, the Company believes these losses to be temporary. The allowance for credit losses on available-for-sale debt securities at March 31, 2025 and December 31, 2024 was not material.
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3. Fair Value
Certain assets and liabilities are measured at fair value in the Condensed Consolidated Financial Statements or have fair values disclosed in the Notes to the Condensed Consolidated Financial Statements. These assets and liabilities are classified into one of three levels of a hierarchy defined by GAAP.
For a description of the methods and assumptions that are used to estimate the fair value and determine the fair value hierarchy classification of each class of financial instrument, see Note 4 of Notes to the Consolidated Financial Statements included in Part II, Item 8, “Financial Statements and Supplementary Data” in the 2024 10-K.
The following table presents a summary of fair value measurements by level and carrying values for items measured at fair value on a recurring basis in the Condensed Consolidated Balance Sheets:
(in millions) Quoted Prices
in Active
Markets
(Level 1) Other
Observable
Inputs
(Level 2) Unobservable
Inputs
(Level 3) Total
Fair and Carrying
Value
March 31, 2025
Cash and cash equivalents $ 30,183 $ 534 $ — $ 30,717
Debt securities - available-for-sale:
U.S. government and agency obligations 3,936 129 — 4,065
State and municipal obligations — 6,747 — 6,747
Corporate obligations 30 22,730 478 23,238
U.S. agency mortgage-backed securities — 9,603 — 9,603
Non-U.S. agency mortgage-backed securities — 2,794 — 2,794
Total debt securities - available-for-sale 3,966 42,003 478 46,447
Equity securities 1,708 213 215 2,136
Total assets at fair value $ 35,857 $ 42,750 $ 693 $ 79,300
Percentage of total assets at fair value 45 % 54 % 1 % 100 %
December 31, 2024
Cash and cash equivalents $ 25,248 $ 64 $ — $ 25,312
Debt securities - available-for-sale:
U.S. government and agency obligations 4,194 133 — 4,327
State and municipal obligations — 6,984 — 6,984
Corporate obligations 29 22,841 437 23,307
U.S. agency mortgage-backed securities — 9,584 — 9,584
Non-U.S. agency mortgage-backed securities — 2,717 — 2,717
Total debt securities - available-for-sale 4,223 42,259 437 46,919
Equity securities 1,859 24 65 1,948
Total assets at fair value $ 31,330 $ 42,347 $ 502 $ 74,179
Percentage of total assets at fair value 42 % 57 % 1 % 100 %
There were no transfers in or out of Level 3 financial assets or liabilities during the three months ended March 31, 2025 or 2024.
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The following table presents a summary of fair value measurements by level and carrying values for certain financial instruments not measured at fair value on a recurring basis in the Condensed Consolidated Balance Sheets:
(in millions) Quoted Prices
in Active
Markets
(Level 1) Other
Observable
Inputs
(Level 2) Unobservable
Inputs
(Level 3) Total
Fair
Value Total Carrying Value
March 31, 2025
Debt securities - held-to-maturity $ 464 $ 25 $ — $ 489 $ 492
Long-term debt and other financing obligations $ — $ 71,337 $ — $ 71,337 $ 76,036
December 31, 2024
Debt securities - held-to-maturity $ 482 $ 26 $ — $ 508 $ 512
Long-term debt and other financing obligations $ — $ 70,565 $ — $ 70,565 $ 75,604
Nonfinancial assets and liabilities or financial assets and liabilities that are measured at fair value on a nonrecurring basis are subject to fair value adjustments only in certain circumstances, such as when the Company records an impairment. The assets and liabilities within our South American operations held for sale as of March 31, 2025 were measured at the lower of carrying value or fair value less cost to sell. Fair value is measured based upon unobservable amounts, such as estimated selling price derived from Company-specific information and market conditions. There were no significant fair value adjustments for assets and liabilities recorded during the three months ended March 31, 2025 or 2024.
4. Medical Costs Payable
The following table shows the components of the change in medical costs payable for the three months ended March 31:
(in millions) 2025 2024
Medical costs payable, beginning of period $ 34,224 $ 32,395
Acquisitions (dispositions), net — ( 687 )
Reported medical costs:
Current year 73,731 66,045
Prior years ( 320 ) ( 310 )
Total reported medical costs 73,411 65,735
Medical payments:
Payments for current year ( 43,827 ) ( 38,652 )
Payments for prior years ( 26,669 ) ( 24,759 )
Total medical payments ( 70,496 ) ( 63,411 )
Less: increase in medical costs payable included within businesses held for sale ( 3 ) —
Medical costs payable, end of period $ 37,136 $ 34,032
For the three months ended March 31, 2025 and 2024, prior years’ medical cost reserve development included no individual factors that were significant. Medical costs payable included reserves for claims incurred by consumers but not yet reported to the Company of $ 25.9 billion and $ 23.7 billion at March 31, 2025 and December 31, 2024, respectively.
5. Short-Term Borrowings and Long-Term Debt
As of March 31, 2025, the Company had $ 5.2 billion of commercial paper outstanding, with a weighted-average annual interest rate of 4.4 %.
For more information on the Company’s short-term borrowings, debt covenants and long-term debt, see Note 8 of Notes to the Consolidated Financial Statements included in Part II, Item 8, “Financial Statements and Supplementary Data” in the 2024 10-K.
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6. Commitments and Contingencies
Pending Acquisitions
As of March 31, 2025, the Company had entered into agreements to acquire companies in the health care sector, subject to regulatory approval and other customary closing conditions. The total anticipated capital required for these acquisitions, excluding the payoff of acquired indebtedness, was approximately $ 4 billion.
Legal Matters
The Company is frequently made party to a variety of legal actions and regulatory inquiries, including class actions and suits brought by members, care providers, consumer advocacy organizations, customers and regulators, relating to the Company’s businesses, including management and administration of health benefit plans and other services. These matters include medical malpractice, employment, intellectual property, antitrust, privacy and contract claims and claims related to health care benefits coverage and other business practices.
The Company records liabilities for its estimates of probable costs resulting from these matters where appropriate. Estimates of costs resulting from legal and regulatory matters involving the Company are inherently difficult to predict, particularly where the matters: involve indeterminate claims for monetary damages or may involve fines, penalties or punitive damages; present novel legal theories or represent a shift in regulatory policy; involve a large number of claimants or regulatory bodies; are in the early stages of the proceedings; or could result in a change in business practices. Accordingly, the Company is often unable to estimate the losses or ranges of losses for those matters where there is a reasonable possibility or it is probable a loss may be incurred.
Government Investigations, Audits and Reviews
The Company has been involved or is currently involved in various governmental investigations, audits and reviews. These include routine, regular and special investigations, audits and reviews by the Centers for Medicare and Medicaid Services (CMS), state insurance and health and welfare departments, state attorneys general, the Office of the Inspector General, the Office of Personnel Management, the Office for Civil Rights, the Government Accountability Office, the Federal Trade Commission, U.S. Congressional committees, the U.S. Department of Justice (DOJ), the SEC, the Internal Revenue Service, the U.S. Drug Enforcement Administration, the U.S. Department of Labor, the Federal Deposit Insurance Corporation, the Consumer Financial Protection Bureau, the Defense Contract Audit Agency, the Food and Drug Administration and other governmental authorities. Similarly, the Company’s international businesses are also subject to investigations, audits and reviews by applicable foreign governments. The Company has also been responding to subpoenas, information requests and investigations from governmental entities. The Company can provide no assurance as to the scope and outcome of these matters and no assurance as to whether its business, financial condition or results of operations will be materially adversely affected. Certain of the Company’s businesses have been reviewed or are currently under review, including for, among other matters, compliance with coding and other requirements under the Medicare risk-adjustment model. CMS has selected certain of the Company’s local plans for risk adjustment data validation (RADV) audits to validate the coding practices of and supporting documentation maintained by health care providers and such audits may result in retrospective adjustments to payments made to the Company’s health plans.
On February 14, 2017, the DOJ announced its decision to pursue certain claims within a lawsuit initially asserted against the Company and filed under seal by a whistleblower in 2011. The whistleblower’s complaint, which was unsealed on February 15, 2017, alleges the Company made improper risk adjustment submissions and violated the False Claims Act. In March 2025, a Special Master appointed by the court issued a report recommending that the court enter summary judgment in the Company’s favor on all remaining claims. In April 2025, the DOJ filed a motion asking the court to reject the Special Master’s report. The Company cannot reasonably estimate the outcome which may result from this matter given its procedural status.
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7. Held for Sale
The Company’s planned sales of its remaining South American operations are expected to close within the year, subject to regulatory and other customary closing conditions. Assets and liabilities held for sale have been included within prepaid expenses and other current assets and other current liabilities on the Condensed Consolidated Balance Sheet, respectively.
The assets and liabilities of the held for sale disposal groups as of March 31, 2025, were as follows:
(in millions) Businesses
Held for Sale
Assets
Cash and cash equivalents $ 310
Accounts receivable and other current assets 637
Property, equipment and capitalized software 690
Goodwill and other intangible assets 440
Other long-term assets 287
Remeasurement of assets of businesses held for sale to fair value less cost to sell (1)
( 1,272 )
Total assets $ 1,092
Liabilities
Medical costs payable $ 182
Accounts payable and other current liabilities 459
Other long-term liabilities 411
Total liabilities $ 1,052
(1) Includes the effect of $ 849 million of cumulative foreign currency translation losses and $ 50 million of noncontrolling interests.
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8. Segment Financial Information
The Company’s four reportable segments are UnitedHealthcare, Optum Health, Optum Insight and Optum Rx. For more information on the Company’s segments, see Part I, Item I, “Business” and Note 14 of Notes to the Consolidated Financial Statements included in Part II, Item 8, “Financial Statements and Supplementary Data” in the 2024 10-K.
The following tables present reportable segment financial information:
Optum
(in millions) UnitedHealthcare Optum Health Optum Insight Optum Rx Optum Eliminations Optum Corporate and
Eliminations Consolidated
Three Months Ended March 31, 2025
Revenues - unaffiliated customers:
Premiums $ 81,513 $ 5,021 $ — $ — $ — $ 5,021 $ — $ 86,534
Products — 65 44 12,927 — 13,036 — 13,036
Services 2,576 3,874 1,501 1,021 — 6,396 — 8,972
Total revenues - unaffiliated customers
84,089 8,960 1,545 13,948 — 24,453 — 108,542
Total revenues - affiliated customers
— 15,914 3,062 21,137 ( 1,186 ) 38,927 ( 38,927 ) —
Investment and other income
528 435 23 47 — 505 — 1,033
Total revenues $ 84,617 $ 25,309 $ 4,630 $ 35,132 $ ( 1,186 ) $ 63,885 $ ( 38,927 ) $ 109,575
Total operating costs (a) $ 79,391 $ 23,695 $ 3,669 $ 33,814 $ ( 1,186 ) $ 59,992 $ ( 38,927 ) $ 100,456
Earnings from operations $ 5,226 $ 1,614 $ 961 $ 1,318 $ — $ 3,893 $ — $ 9,119
Interest expense — — — — — — ( 998 ) ( 998 )
Loss on sale of subsidiary and subsidiaries held for sale ( 15 ) — — — — — — ( 15 )
Earnings before income taxes
$ 5,211 $ 1,614 $ 961 $ 1,318 $ — $ 3,893 $ ( 998 ) $ 8,106
Total assets $ 131,902 $ 97,722 $ 34,470 $ 60,379 $ — $ 192,571 $ ( 14,683 ) $ 309,790
Purchases of property, equipment and capitalized software 196 279 338 85 — 702 — 898
Depreciation and Amortization 219 287 344 211 — 842 — 1,061
Three Months Ended March 31, 2024
Revenues - unaffiliated customers:
Premiums $ 72,293 $ 5,695 $ — $ — $ — $ 5,695 $ — $ 77,988
Products — 59 41 11,809 — 11,909 — 11,909
Services 2,529 3,970 1,702 687 — 6,359 — 8,888
Total revenues - unaffiliated customers
74,822 9,724 1,743 12,496 — 23,963 — 98,785
Total revenues - affiliated customers
— 16,617 2,731 18,281 ( 1,016 ) 36,613 ( 36,613 ) —
Investment and other income
535 390 28 58 — 476 — 1,011
Total revenues $ 75,357 $ 26,731 $ 4,502 $ 30,835 $ ( 1,016 ) $ 61,052 $ ( 36,613 ) $ 99,796
Total operating costs (a) $ 70,962 $ 24,832 $ 4,012 $ 29,688 $ ( 1,016 ) $ 57,516 $ ( 36,613 ) $ 91,865
Earnings from operations $ 4,395 $ 1,899 $ 490 $ 1,147 $ — $ 3,536 $ — $ 7,931
Interest expense — — — — — — ( 844 ) ( 844 )
Loss on sale of subsidiary and subsidiaries held for sale ( 7,086 ) — — — — — — ( 7,086 )
Earnings before income taxes
$ ( 2,691 ) $ 1,899 $ 490 $ 1,147 $ — $ 3,536 $ ( 844 ) $ 1
Total assets $ 112,840 $ 94,861 $ 34,220 $ 55,291 $ — $ 184,372 $ ( 13,002 ) $ 284,210
Purchases of property, equipment and capitalized software 183 238 245 77 — 560 — 743
Depreciation and Amortization 235 272 310 180 — 762 — 997
(a) Total operating costs include medical costs, operating costs, cost of products sold and depreciation and amortization, as applicable for each reportable segment.
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