UnitedHealth Group Reports Second Quarter 2024 Results

Rhea-AI Summary

UnitedHealth Group (NYSE: UNH) reported strong second quarter 2024 results, with revenues of $98.9 billion, up nearly $6 billion year-over-year. Growth was led by Optum and UnitedHealthcare's domestic offerings. The company updated its full year 2024 net earnings outlook to $15.95 to $16.40 per share, reflecting the classification of remaining South America operations as held for sale and estimated Change Healthcare cyberattack impacts. Adjusted earnings outlook remains at $27.50 to $28.00 per share. The cyberattack's total estimated impact for 2024 is $1.90 to $2.05 per share. UnitedHealthcare saw significant growth in domestic consumers served, while Optum's revenues increased by over $6 billion compared to the previous year.

Positive

• Revenues grew by nearly $6 billion year-over-year to $98.9 billion
• UnitedHealthcare's domestic commercial offerings grew by 2.3 million consumers year-to-date
• Cash flows from operations were $6.7 billion, 1.5 times net income
• Annual dividend rate increased by 12%, marking 15th consecutive year of double-digit increases
• Optum Health revenue increased 13% over last year
• Optum Rx revenue increased 13% in the second quarter
• Optum Insight revenue backlog grew by over $1 billion over last year

Negative

• Cyberattack impacts totaled $0.92 per share in Q2, with full-year 2024 impact estimated at $1.90 to $2.05 per share
• South American operations classified as held for sale, with $1.28 per share impact in Q2
• Medical care ratio increased to 85.1% from 83.2% in the prior year
• Days claims payable decreased to 45.2 from 48.2 in Q2 2023
• UnitedHealthcare's operating margin decreased to 5.4% from 6.2% in Q2 2023

Insights

Financial Analyst

UnitedHealth Group's Q2 2024 financial results present several key takeaways for investors. The revenue growth to $98.9 billion, an increase of $6 billion year over year, indicates robust performance, particularly driven by Optum and UnitedHealthcare. Notably, $73.9 billion of this revenue came from UnitedHealthcare, with a 5.4% operating margin, reflecting strong market presence.

The reported earnings per share (EPS) of $4.54 is impacted by significant events, including the classification of South American operations as held for sale and cyberattack impacts. Adjusted EPS of $6.80 suggests a solid core operational performance, with disruptions excluded.

The cyberattack had a noteworthy financial impact, costing $0.92 per share in the quarter and estimated to affect $1.90 to $2.05 per share for the full year. Despite this, the company's ability to restore most of the services and provide substantial financial support to care providers highlights resilience and commitment to stakeholders.

The decision to sell South American operations, including the sale of its Brazilian business, reflects strategic realignment towards more profitable and stable regions, potentially reducing exposure to currency fluctuations and other regional risks.

Investors should note the operating cost ratio improvement to 13.3% from 14.9% last year, demonstrating increased efficiency.

Overall, the financials suggest a balanced performance with strong revenue growth, improving efficiency and strategic shifts, although the cyberattack and South American impacts present challenges that are being managed proactively.

Tech Expert

The cyberattack on Change Healthcare significantly impacted UnitedHealth Group’s operations, costing $0.92 per share in Q2 and projected $1.90 to $2.05 per share for 2024. The restoration of affected services and financial support to providers illustrate the company’s robust tech resilience and crisis management capabilities.

Such disruptions underscore the importance of cybersecurity in healthcare, a sector increasingly reliant on digital infrastructures and data-driven solutions. The attack’s financial toll highlights the substantial costs associated with remediation and support efforts, including direct response costs estimated at $1.30 to $1.35 per share.

Investors should understand that while the immediate impacts are financially burdensome, UnitedHealth's proactive measures to restore services and support care providers reinforce the company's commitment to operational stability and reliability. Continuous investment in cybersecurity will be important to mitigate such risks in the future and protect both operational and financial health.

• Revenues of $98.9 Billion Grew Nearly $6 Billion Year Over Year, Led by Optum
• Consumers Served by UnitedHealthcare’s Commercial Domestic Offerings Grew 2.3 Million Year to Date
• Cash Flows from Operations were $6.7 Billion or 1.5x Net Income
• Second Quarter Earnings of $4.54 Per Share Reflect Classification of Remaining South American Operations as Held for Sale and Cyberattack Impacts
• Adjusted Earnings of $6.80 Per Share Include $0.28 in Business Disruption Impacts; Exclude South American and Direct Response Costs

UnitedHealth Group (NYSE: UNH) reported second quarter 2024 results reflecting broad-based growth at Optum and UnitedHealthcare.

UnitedHealth Group corporate headquarters (Photo: Business Wire)

“The diversified, durable growth across UnitedHealth Group stems from our colleagues’ commitment to ensuring high-quality, affordable care is available to the people we serve, and positions us well for the near and long-term,” said Andrew Witty, chief executive officer of UnitedHealth Group.

The company updated its full year 2024 net earnings outlook to $15.95 to $16.40 per share to reflect the classification to held for sale of its remaining South America operations and the estimated Change Healthcare cyberattack impacts. The company completed the sale of its larger Brazilian operations in the first quarter of 2024.

The company affirmed the adjusted net earnings outlook of $27.50 to $28.00 per share established at its November 2023 Investor Conference. The consistent outlook absorbs an estimated $0.60 to $0.70 per share of business disruption impacts for the affected Change Healthcare services, which has increased $0.30 per share since the initial estimate was provided last quarter.

Cyberattack Update

The company has restored the majority of the affected Change Healthcare services while continuing to provide financial support to the remaining health care providers in need. To date, the company has provided over $9 billion in advance funding and interest-free loans to support care providers.

Total cyberattack impacts in the second quarter were $0.92 per share. This included $0.64 per share to support direct response efforts such as the Change Healthcare clearinghouse platform restoration and increased medical care expenditures. Additionally, Change Healthcare business disruption impacts, reflecting lost revenue and the costs of maintaining full readiness of the affected Change Healthcare services, were $0.28 per share in the second quarter.

The company currently estimates the total full year 2024 impact at $1.90 to $2.05 per share. Within this, direct response costs are estimated at $1.30 to $1.35, an increase of $0.40 to $0.45 from the initial estimate. The change is due to the company’s care provider financial support initiatives and consumer notification costs. Business disruption impacts are estimated at $0.60 to $0.70 per share.

South America Update

Having completed the sale of its Brazilian business, the company intends to sell its remaining South American operations. Total South American impacts in the quarter were $1.28 per share, the majority of which is non-cash and is due to the cumulative impact of foreign currency losses.

Quarterly Financial Performance
	Three Months Ended
	June 30, 2024	June 30, 2024 (Adj)	June 30, 2023	December 31, 2023
Revenues	$98.9 billion	$99.1 billion	$92.9 billion	$94.4 billion
Earnings from Operations	$ 7.9 billion	$ 8.7 billion	$ 8.1 billion	$ 7.7 billion
Net Margin	4.3%	6.0%	5.9%	5.8%

• Second quarter 2024 revenues grew nearly $6 billion to $98.9 billion, led by strong expansion in people served domestically at Optum and UnitedHealthcare. Second quarter earnings from operations were $7.9 billion, including $1.1 billion in unfavorable cyberattack effects. Adjusted earnings from operations of $8.7 billion include the Change Healthcare business disruption impacts and exclude the cyberattack direct response and South American impacts.
• The second quarter 2024 reported medical care ratio of 85.1% included 65 basis points of impacts due to accommodations to support care providers (40 basis points) and South American actions (25 basis points). The increase from the prior year’s 83.2% was also due to the previously noted revenue effects of CMS’s Medicare funding reductions, medical reserve development effects, and business and member mix. The company did not reflect any favorable earnings impacting medical reserve development in the quarter.
• Days claims payable of 45.2 compared to 47.1 in the first quarter of 2024 and 48.2 in the second quarter of 2023. Within this, the return to more normal claims submission patterns from care providers and, to a lesser extent, the impact of the South American actions, decreased days claims payable from the first quarter. The acceleration of claims payments to care providers and South American actions decreased days claims payable from the prior year.
• The second quarter of 2024 operating cost ratio of 13.3% compared to 14.9% in 2023, reflecting continued strong operating cost efficiency.
• Cash flows from operations from the second quarter of 2024 were $6.7 billion, or 1.5 times net income. In June the company increased its annual dividend rate by 12%, the 15^th consecutive year of double-digit increases. During the quarter, the company prioritized financial resources to support care providers disrupted by the cyberattack.

UnitedHealthcare provides health care benefits globally, serving individuals and employers, and Medicare and Medicaid beneficiaries. UnitedHealthcare is dedicated to improving the value customers and consumers receive by improving health and wellness, enhancing the quality of care received, simplifying the health care experience, and reducing the total cost of care.

Quarterly Financial Performance
	Three Months Ended
	June 30, 2024	June 30, 2024 (Adj)	June 30, 2023	December 31, 2023
Revenues	$73.9 billion	$74.1 billion	$70.2 billion	$70.8 billion
Earnings from Operations	$ 4.0 billion	$ 4.4 billion	$ 4.4 billion	$ 3.1 billion
Operating Margin	5.4%	5.9%	6.2%	4.4%

• UnitedHealthcare second quarter revenues of $73.9 billion increased nearly $4 billion over the prior year, reflecting growth in the number of people served domestically. Operating earnings were $4.0 billion and adjusted operating earnings were $4.4 billion.
• Year to date, the number of consumers served domestically with the company’s commercial offerings grew by 2.3 million to 29.6 million as UnitedHealthcare’s innovative and consumer focused product portfolio continues to resonate with customers.
• The total number of people served by the company’s offerings for seniors and people with complex needs grew to 9.4 million. UnitedHealthcare offerings feature product designs tailored to meet the specific needs of people who have limited economic resources and who are often underserved.
• Total people served by the company’s state-based community offerings moderated to 7.4 million, with the year-over-year change due to the state-driven Medicaid eligibility redetermination process. The UnitedHealthcare team is continuing its comprehensive outreach to help families maintain, reinstate or find other affordable coverage.

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

Quarterly Financial Performance
	Three Months Ended
	June 30, 2024	June 30, 2024 (Adj)	June 30, 2023	December 31, 2023
Revenues	$62.9 billion	$62.9 billion	$56.3 billion	$59.5 billion
Earnings from Operations	$ 3.9 billion	$ 4.3 billion	$ 3.7 billion	$ 4.6 billion
Operating Margin	6.2%	6.8%	6.6%	7.7%

• Optum second quarter revenues of $62.9 billion grew over $6 billion over the prior year, with growth led by Optum Rx and Optum Health. Operating earnings were $3.9 billion and adjusted operating earnings were $4.3 billion. Adjusted operating earnings exclude costs to support the direct Change Healthcare response efforts. Operating earnings and adjusted operating earnings include $335 million in business disruption impacts at Change Healthcare.
• Optum Health revenue increased 13% over last year, driven by growth in the number of patients served under value-based care offerings and expansion of the types and level of care provided. Optum Health continued to advance and deepen its clinical support for patients, including those with complex medical needs.
• Optum Insight operating earnings were $550 million and adjusted operating earnings, which exclude direct response costs, were $940 million. Operating earnings and adjusted operating earnings include the $335 million of business disruption impacts. The revenue backlog grew by over $1 billion over last year, reflecting new health system partnerships.
• Optum Rx revenue increased 13% in the second quarter due to growth in serving new customers, expanded relationships with existing clients and continued advancement in the comprehensive scope of pharmacy services offered, including specialty and community-based pharmacies. Adjusted scripts grew to nearly 400 million, compared to 380 million last year.

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 8:45 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 and at https://uhg.com/Replay through July 30, 2024. This earnings release and the Form 8-K dated July 16, 2024, 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 action relating to the risk adjustment submission matter; our ability to maintain and achieve improvement in quality scores impacting revenue; failure to maintain effective and efficient information systems or if our technology products do not operate as intended; risks and uncertainties associated with our businesses providing pharmacy care services; competitive pressures, including our ability to maintain or increase our market share; changes in or challenges to our public sector contract awards; failure to achieve targeted operating cost productivity improvements; failure to develop and maintain satisfactory relationships with health care payers, physicians, hospitals and other service providers; the impact of potential changes in tax laws and regulations; increases in costs and other liabilities associated with litigation, government investigations, audits or reviews; failure to complete, manage or integrate strategic transactions; risk and uncertainties associated with the pending sale of operations in South America; risks associated with public health crises arising from large-scale medical emergencies, pandemics, natural disasters and other extreme events; failure to attract, develop, retain and manage the succession of key employees and executives; our investment portfolio performance; impairment of our goodwill and intangible assets; failure to protect proprietary rights to our databases, software and related products; downgrades in our credit ratings; and our ability to obtain sufficient funds from our regulated subsidiaries or from external financings to fund our obligations, reinvest in our business, maintain our debt to total capital ratio at targeted levels, maintain our quarterly dividend payment cycle or continue repurchasing shares of our common stock.

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

UNITEDHEALTH GROUP

Earnings Release Schedules and Supplementary Information

Quarter Ended June 30, 2024

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

UNITEDHEALTH GROUP
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(in millions, except per share data; unaudited)
		Three Months Ended June 30,				Six Months Ended June 30,
		2024		2023		2024		2023
Revenues
Premiums		$76,897		$72,474		$154,885		$145,260
Products		12,211		10,651		24,120		20,918
Services		8,750		8,663		17,638		16,743
Investment and other income		997		1,115		2,008		1,913
Total revenues		98,855		92,903		198,651		184,834
Operating costs
Medical costs		65,458		60,268		131,193		120,113
Operating costs		13,162		13,809		27,239		27,434
Cost of products sold		11,340		9,748		22,396		19,153
Depreciation and amortization		1,020		1,021		2,017		1,991
Total operating costs		90,980		84,846		182,845		168,691
Earnings from operations		7,875		8,057		15,806		16,143
Interest expense		(985)		(828)		(1,829)		(1,582)
Loss on sale of subsidiary and subsidiaries held for sale		(1,225)		—		(8,311)		—
Earnings before income taxes		5,665		7,229		5,666		14,561
Provision for income taxes		(1,244)		(1,572)		(2,466)		(3,130)
Net earnings		4,421		5,657		3,200		11,431
Earnings attributable to noncontrolling interests		(205)		(183)		(393)		(346)
Net earnings attributable to UnitedHealth Group common shareholders		$4,216		$5,474		$2,807		$11,085
Diluted earnings per share attributable to UnitedHealth Group common shareholders		$4.54		$5.82		$3.02		$11.77
Adjusted earnings per share attributable to UnitedHealth Group common shareholders (a)		$6.80		$6.14		$13.71		$12.39
Diluted weighted-average common shares outstanding		928		940		929		942

(a)

See page 7 for a reconciliation of non-GAAP measures.

UNITEDHEALTH GROUP
CONDENSED CONSOLIDATED BALANCE SHEETS
(in millions; unaudited)
		June 30, 2024		December 31, 2023
Assets
Cash and short-term investments		$31,323		$29,628
Accounts receivable, net		23,115		21,276
Other current assets		37,600		27,533
Total current assets		92,038		78,437
Long-term investments		46,113		47,609
Other long-term assets		147,905		147,674
Total assets		$286,056		$273,720
Liabilities, redeemable noncontrolling interests and equity
Medical costs payable		$32,547		$32,395
Short-term borrowings and current maturities of long-term debt		11,371		4,274
Other current liabilities		60,752		62,385
Total current liabilities		104,670		99,054
Long-term debt, less current maturities		63,727		58,263
Other long-term liabilities		18,425		17,484
Redeemable noncontrolling interests		4,558		4,498
Equity		94,676		94,421
Total liabilities, redeemable noncontrolling interests and equity		$286,056		$273,720

UNITEDHEALTH GROUP
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(in millions; unaudited)
		Six Months Ended June 30,
		2024		2023
Operating Activities
Net earnings		$3,200		$11,431
Noncash items:
Depreciation and amortization		2,017		1,991
Deferred income taxes and other		101		(573)
Share-based compensation		594		604
Loss on sale of subsidiary and subsidiaries held for sale		8,311		—
Net changes in operating assets and liabilities		(6,333)		13,906
Cash flows from operating activities		7,890		27,359
Investing Activities
Purchases of investments, net of sales and maturities		(221)		(1,574)
Purchases of property, equipment and capitalized software		(1,596)		(1,589)
Cash paid for acquisitions, net		(3,031)		(8,161)
Loans to providers - cyberattack		(8,100)		—
Other, net		(809)		(424)
Cash flows used for investing activities		(13,757)		(11,748)
Financing Activities
Common share repurchases		(3,072)		(5,000)
Dividends paid		(3,664)		(3,284)
Net change in short-term borrowings and long-term debt		12,790		7,695
Other, net		981		3,320
Cash flows from financing activities		7,035		2,731
Effect of exchange rate changes on cash and cash equivalents		(44)		106
Increase in cash and cash equivalents, including cash within businesses held for sale		1,124		18,448
Less: cash within businesses held for sale		(265)		—
Net increase in cash and cash equivalents		859		18,448
Cash and cash equivalents, beginning of period		25,427		23,365
Cash and cash equivalents, end of period		$26,286		$41,813

UNITEDHEALTH GROUP
REVENUES BY BUSINESS - SUPPLEMENTAL FINANCIAL INFORMATION
(in millions; unaudited)
				Optum								UnitedHealth Group Consolidated (a)
		UnitedHealthcare		Optum Health		Optum Insight		Optum Rx		Total Optum (a)
Three Months Ended June 30, 2024
Total revenues		$73,866		$27,050		$4,543		$32,415		$62,879		$98,855
South American impacts		220		—		—		—		—		220
Adjusted revenues (b)		$74,086		$27,050		$4,543		$32,415		$62,879		$99,075
Business disruption impacts - cyberattack (c)		$—		$—		$334		$—		$334		$334
Three Months Ended June 30, 2023
Total revenues		$70,231		$23,917		$4,674		$28,646		$56,344		$92,903
Six Months Ended June 30, 2024
Total revenues		$149,223		$53,781		$9,045		$63,250		$123,931		$198,651
South American impacts		220		—		—		—		—		220
Adjusted revenues (b)		$149,443		$53,781		$9,045		$63,250		$123,931		$198,871
Business disruption impacts - cyberattack (c)		$—		$—		$613		$—		$613		$613
Six Months Ended June 30, 2023
Total revenues		$140,699		$46,921		$9,170		$56,064		$110,403		$184,834

UnitedHealthcare Revenues
(in millions; unaudited)
		Employer & Individual (E&I)						Medicare & Retirement		Community & State		Total UnitedHealthcare
		Domestic		Global		Total E&I
Three Months Ended June 30, 2024
Total revenues		$18,646		$591		$19,237		$34,904		$19,725		$73,866
Three Months Ended June 30, 2023
Total revenues		$16,759		$2,325		$19,084		$32,440		$18,707		$70,231
Six Months Ended June 30, 2024
Total revenues		$36,485		$2,123		$38,608		$70,390		$40,225		$149,223
Six Months Ended June 30, 2023
Total revenues		$33,303		$4,488		$37,791		$65,446		$37,462		$140,699

(a)		Optum and consolidated revenues for the three months ended June 30, 2024 and 2023 include Optum eliminations of $1,129 and $893; and corporate eliminations of $37,890 and $33,672, respectively. Optum and consolidated revenues for the six months ended June 30, 2024 and 2023 include Optum eliminations of $2,145 and $1,752; and corporate eliminations of $74,503 and $66,268, respectively.
(b)		See page 7 for description of non-GAAP measures.
(c)		Amounts represent reduced revenues during the business disruption period.

UNITEDHEALTH GROUP
EARNINGS BY BUSINESS - SUPPLEMENTAL FINANCIAL INFORMATION
(in millions, except percentages; unaudited)
					Optum									UnitedHealth Group Consolidated
		UnitedHealthcare			Optum Health			Optum Insight		Optum Rx		Total Optum
Three Months Ended June 30, 2024
Earnings from operations		$4,004			$1,919			$546		$1,406		$3,871		$7,875
Direct response costs - cyberattack		255		(a)	22		(a)	394		—		416		671
South American impacts		115			—			—		—		—		115
Adjusted earnings from operations (b)		$4,374			$1,941			$940		$1,406		$4,287		$8,661
Total direct response costs - cyberattack (c)		$255			$22			$394		$—		$416		$776
Operating margin		5.4 %			7.1 %			12.0 %		4.3 %		6.2 %		8.0 %
Adjusted operating margin (b)		5.9 %			7.2 %			20.7 %		4.3 %		6.8 %		8.7 %
Business disruption impacts - cyberattack (d)		$—			$—			$334		$—		$334		$334
Total cyberattack impacts		$255			$22			$728		$—		$750		$1,110
Three Months Ended June 30, 2023
Earnings from operations		$4,358			$1,525			$968		$1,206		$3,699		$8,057
Operating margin		6.2 %			6.4 %			20.7 %		4.2 %		6.6 %		8.7 %
Six Months Ended June 30, 2024
Earnings from operations		$8,399			$3,818			$1,036		$2,553		$7,407		$15,806
Direct response costs - cyberattack		485		(a)	160		(a)	619		—		779		1,264
South American impacts		115			—			—		—		—		115
Adjusted earnings from operations (b)		$8,999			$3,978			$1,655		$2,553		$8,186		$17,185
Total direct response costs - cyberattack (c)		$485			$160			$619		$—		$779		$1,369
Operating margin		5.6 %			7.1 %			11.5 %		4.0 %		6.0 %		8.0 %
Adjusted operating margin (b)		6.0 %			7.4 %			18.3 %		4.0 %		6.6 %		8.6 %
Business disruption impacts - cyberattack (d)		$—			$—			$613		$—		$613		$613
Total cyberattack impacts		$485			$160			$1,232		$—		$1,392		$1,982
Six Months Ended June 30, 2023
Earnings from operations		$8,701			$3,301			$1,875		$2,266		$7,442		$16,143
Operating margin		6.2 %			7.0 %			20.4 %		4.0 %		6.7 %		8.7 %

(a)		Amounts primarily represent incremental medical costs for accommodations to support care providers.
(b)		See page 7 for description of non-GAAP measures.
(c)		Amounts represent direct response costs incurred within the operating segments and at the parent (e.g., interest expense).
(d)		Amounts represent reduced revenues during the business disruption period. These amounts are not included within the adjustment to earnings from operations.

UNITEDHEALTH GROUP
PEOPLE SERVED AND PERFORMANCE METRICS - SUPPLEMENTAL FINANCIAL INFORMATION
(unaudited)
UnitedHealthcare Customer Profile
(in thousands)
People Served		June 30, 2024		March 31, 2024		December 31, 2023		June 30, 2023
Commercial - Domestic:
Risk-based		8,735		8,545		8,115		8,035
Fee-based		20,835		20,870		19,200		19,140
Total Commercial - Domestic		29,570		29,415		27,315		27,175
Medicare Advantage		7,770		7,760		7,695		7,590
Medicaid		7,410		7,680		7,845		8,355
Medicare Supplement (Standardized)		4,335		4,325		4,355		4,330
Total Community and Senior		19,515		19,765		19,895		20,275
Total UnitedHealthcare - Domestic Medical		49,085		49,180		47,210		47,450
Commercial - Global		1,330		2,295		5,540		5,385
Total UnitedHealthcare - Medical		50,415		51,475		52,750		52,835
Supplemental Data
Medicare Part D stand-alone		3,065		3,085		3,315		3,355

Optum Performance Metrics
		June 30, 2024		March 31, 2024		December 31, 2023		June 30, 2023
Optum Health Consumers Served (in millions)		104		104		103		103
Optum Insight Contract Backlog (in billions)		$32.6		$32.8		$32.1		$31.4
Optum Rx Quarterly Adjusted Scripts (in millions)		399		395		400		381
Note: UnitedHealth Group served 149 million unique individuals across all businesses at June 30, 2024.

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, adjusted net margin, adjusted revenues and adjusted medical care ratio 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 presents 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. South American Impacts: Adjusted net earnings per share and adjusted net margin excludes the effects of various international transactions, including the loss on sale of our Brazilian operations that was completed on February 6, 2024, the loss on our remaining South American operations being classified as held for sale and certain other non-recurring matters impacting our South American operations. Adjusted earnings from operations, adjusted operating margin, adjusted medical care ratio and adjusted revenues excludes the effects of certain non-recurring matters impacting our South American operations. As these matters are related to the Company's strategy to exit South America, the impact is not representative of the Company's underlying business performance and therefore management believes the exclusion presents a more useful comparison of the Company's underlying business performance and trends from period to period. Direct Response Costs - Cyberattack: Adjusted net earnings per share, adjusted earnings from operations, adjusted medical care ratio, adjusted operating margin and adjusted net margin excludes cyberattack direct response costs. Management believes the exclusion of costs incurred to investigate and remediate the attack, other direct and incremental costs incurred as a result of the cyberattack and incremental costs for accommodations to support care providers presents a more useful comparison of the Company's and its reportable segments' underlying business performance and trends from period to period. Note: See pages 4 and 5 for reconciliation of GAAP amounts to adjusted revenues, adjusted earnings from operations and adjusted operating margin.

UNITEDHEALTH GROUP
RECONCILIATION OF NON-GAAP FINANCIAL MEASURES
(in millions, except per share data; unaudited)
Adjusted Net Earnings Per Share
		Three Months Ended June 30,				Six Months Ended June 30,				Projected Year Ended December 31,
		2024		2023		2024		2023		2024
Net earnings attributable to UnitedHealth Group common shareholders		$4,216		$5,474		$2,807		$11,085		$14,750 - $15,300
Intangible amortization		417		398		816		786		~1,600
Tax effect of intangible amortization		(103)		(100)		(201)		(196)		~(400)
South American impacts		1,340		—		8,426		—		~8,450
Tax effect of South American impacts		(157)		—		(157)		—		~(160)
Direct response costs - cyberattack		776		—		1,369		—		1,600 -1,650
Tax effect of direct response costs - cyberattack		(182)		—		(323)		—		(375) - (400)
Adjusted net earnings attributable to UnitedHealth Group common shareholders		$6,307		$5,772		$12,737		$11,675		$25,400 - $26,000
Diluted earnings per share		$4.54		$5.82		$3.02		$11.77		$15.95 - $16.40
Intangible amortization per share		0.45		0.42		0.88		0.83		~1.75
Tax effect of intangible amortization per share		(0.11)		(0.10)		(0.22)		(0.21)		~(0.45)
South American impacts per share		1.45		—		9.07		—		~9.10
Tax effect of South American impacts per share		(0.17)		—		(0.17)		—		~(0.15)
Direct response costs - cyberattack per share		0.84		—		1.47		—		1.70 - 1.80
Tax effects of direct response costs - cyberattack per share		(0.20)		—		(0.34)		—		(0.40) - (0.45)
Adjusted diluted earnings per share		$6.80		$6.14		$13.71		$12.39		$27.50 - $28.00
Additional Information: Total Cyberattack Impacts
Business disruption impacts (a)		$334		$—		$613		$—		$700 - $800
Tax effect of business disruption impacts (a)		(70)		—		(118)		—		(140) - (160)
Business disruption impacts, net of tax (a)		$264		$—		$495		$—		$560 - $640
Business disruption impacts per share (a)		$0.28		$—		$0.53		$—		$0.60 - $0.70
Total cyberattack impacts		$1,110		$—		$1,982		$—		$2,300 - $2,450
Tax effect of total cyberattack impacts		(252)		—		(441)		—		(515) - (560)
Total cyberattack impacts, net of tax		$858		$—		$1,541		$—		$1,785 - $1,890
Total cyberattack impacts per share		$0.92		$—		$1.66		$—		$1.90 - $2.05

(a)

Amounts represent reduced revenues during the business disruption period. These amounts are not included within the adjustment to net earnings.

Adjusted Net Margin
		Three Months Ended June 30, 2024		Six Months Ended June 30, 2024
Consolidated revenue		$98,855		$198,651
South American impacts		220		220
Adjusted consolidated revenues		$99,075		$198,871
Net earnings attributable to UnitedHealth Group common shareholders		$4,216		$2,807
South American impacts		1,340		8,426
Tax effect of South American impacts		(157)		(157)
Direct response costs - cyberattack		776		1,369
Tax effect of direct response costs - cyberattack		(182)		(323)
Adjusted net earnings attributable to UnitedHealth Group common shareholders for South American impacts and direct response costs		$5,993		$12,122
Net margin attributable to UnitedHealth Group common shareholders		4.3 %		1.4 %
Adjusted net margin attributable to UnitedHealth Group common shareholders for South American impacts and direct response costs		6.0 %		6.1 %

Adjusted Medical Care Ratio
		Projected Year Ended December 31, 2024
Medical care ratio		84.3% +/- 50 bps
Impact of direct response costs and South American impacts		~(0.3)%
Adjusted medical care ratio		84.0% +/- 50 bps

 

View source version on businesswire.com: https://www.businesswire.com/news/home/20240716029443/en/

Investor Contact:

Zack Sopcak

952-936-7215

zack.sopcak@uhg.com

Media Contact:

Eric Hausman

952-936-3963

eric.hausman@uhg.com

Source: UnitedHealth Group

FAQ

What were UnitedHealth Group's (UNH) Q2 2024 revenue and earnings?

UnitedHealth Group reported Q2 2024 revenues of $98.9 billion and adjusted earnings of $6.80 per share, which includes $0.28 in business disruption impacts.

How did the cyberattack affect UnitedHealth Group's (UNH) Q2 2024 results?

The cyberattack impacted UnitedHealth Group's Q2 2024 results by $0.92 per share, including $0.64 per share in direct response efforts and $0.28 per share in business disruption impacts.

What is UnitedHealth Group's (UNH) updated earnings outlook for 2024?

UnitedHealth Group updated its full year 2024 net earnings outlook to $15.95 to $16.40 per share, while affirming its adjusted net earnings outlook of $27.50 to $28.00 per share.

How many new consumers did UnitedHealthcare's domestic commercial offerings gain in 2024?

UnitedHealthcare's domestic commercial offerings grew by 2.3 million consumers year-to-date in 2024, reaching a total of 29.6 million consumers served.