UnitedHealth Group (UNH) Financials

Eden Prairie, MN · Founded · employees

Last Updated: 2025-11-18

UnitedHealth Group generated $447.6B in revenue for fiscal year 2025, a +11.8% year-over-year change. Gross margin was 88.7%. Net income reached $12.8B.

UnitedHealth is witnessing a rare contraction in its core government business while its 'unlimited' cash pile is largely ring-fenced by regulators. Investors must look past headline EPS to see a business battling significant enrollment losses, rising medical costs, and an unquantified mountain of legal and tax risks. UnitedHealth delivered a resilient headline quarter: revenues rose 2% to $111.7B and GAAP net earnings were stable at $6.48B, but beneath the surface there are emerging cracks. UnitedHealthcare served ~1.1 million fewer people (driven by an ~690k drop in Medicare Advantage and reduced Medicaid eligibility), Optum margins compressed (Optum earnings down $597M year-over-year) and operating costs rose meaningfully, driven by investments and restructuring.

Revenue Trend
$287.6BFY21$324.2BFY22$371.6BFY23$400.3BFY24$447.6BFY25

UnitedHealth Group Key Financial Metrics

Revenue
$447.6B
+11.8% YoY
Net Income
$12.8B
2.9% margin
Gross Margin
88.7%
EPS (Diluted)
$13.23
Total Assets
$309.6B
Total Equity
$100.1B
Cash & Equivalents
$24.4B
Total Debt
$77.7B

UnitedHealth Group Income Statement & Revenue History

Fiscal YearRevenueYoY GrowthGross MarginOp. MarginNet IncomeEPS
FY2025$447.6B+11.8%88.7%4.2%$12.8B$13.23
FY2024$400.3B+7.7%0.0%8.1%$14.4B$15.51
FY2023$371.6B+14.6%89.6%8.7%$23.1B$23.86
FY2022$324.2B+12.7%8.8%8.8%$20.6B$21.18
FY2021$287.6B+11.8%8.3%8.3%$17.7B$18.08
FY2020$257.1B+6.2%88.0%8.7%$15.8B$16.03
FY2019$242.2B+7.0%88.4%8.1%$14.2B$14.33
FY2018$226.2B0.0%7.7%$12.4B$12.19

UnitedHealth Group Cash Flow Statement

Fiscal YearOperating Cash FlowCapital ExpendituresFree Cash FlowInvestingFinancing
FY2025$19.7B$-3.6B$16.1B$-8.7B$-11.6B
FY2024$24.2B$-3.5B$20.7B$-20.5B$-3.5B
FY2023$29.1B$-3.4B$25.7B$-15.6B$-11.5B
FY2022$26.2B$-2.8B$23.4B$-28.5B$4.2B
FY2021$22.3B$-2.5B$19.9B$-10.4B$-7.5B
FY2020$22.2B$-2.1B$20.1B$-12.5B$-3.6B
FY2019$18.5B$-2.1B$16.4B$-12.7B$-3.7B
FY2018$15.7B$-2.1B$13.7B$-12.4B$-4.4B

UnitedHealth Group Balance Sheet Summary

Fiscal YearTotal AssetsTotal LiabilitiesTotal EquityCashTotal Debt
FY2025$309.6B$207.9B$100.1B$24.4B$77.7B
FY2024$298.3B$195.7B$98.3B$25.3B$76.9B
FY2023$273.7B$174.8B$94.4B$25.4B$61.5B
FY2022$245.7B$159.4B$81.5B$23.4B$56.8B
FY2021$212.2B$135.7B$75.0B$21.4B$46.0B
FY2020$197.3B$126.8B$68.3B$16.9B$43.5B
FY2019$173.9B$111.7B$60.4B$11.0B$39.8B
FY2018$152.2B$96.0B$54.3B$10.9B$35.2B

UnitedHealth Group Strategic Analysis

Top Strengths

  • Scale across UnitedHealthcare and Optum with diversified revenue streams
  • Strong operating cash flow ($8.9B) and large investable asset base (~$80.0B)
  • Leading position in pharmacy and specialty (Optum Rx) and technology services (Optum Insight)

Top Concerns

  • Medicare Advantage funding shortfalls and membership contraction (~690k fewer MA members)
  • Regulatory and legal overhang (DOJ False Claims Act, CMS RADV audits, IRS NOPAs)
  • Optum margin compression and rising operating cost ratio driven by investments and restructuring

UnitedHealth Group Key Corporate Events

Apr 2023
UnitedHealth Amends $1.36B Bond Terms After Noteholder Consents
Apr 2023
UnitedHealth Removes Lien on 2038 Notes After $820M Consents

Frequently Asked Questions About UnitedHealth Group Financials

How much revenue does UnitedHealth Group make?

UnitedHealth Group generated $447.6B in revenue for fiscal year 2025. That represents a +11.8% change from $400.3B in fiscal year 2024.

Is UnitedHealth Group profitable?

Yes, UnitedHealth Group is profitable. The company reported net income of $12.8B in fiscal year 2025, representing a net profit margin of 2.9%. In the prior fiscal year 2024, net income was $14.4B.

What is UnitedHealth Group's gross margin?

UnitedHealth Group's gross margin for fiscal year 2025 was 88.7%, calculated from gross profit of $396.9B on revenue of $447.6B. Over the past 4 years, gross margins have ranged between 8% and 90%.

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