Item 1. FINANCIAL STATEMENTS
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Item 1. FINANCIAL STATEMENTS
UnitedHealth Group
Condensed Consolidated Balance Sheets
(Unaudited)
| (in millions, except per share data) | June 30, 2025 | December 31, 2024 | ||||||||||||
| Assets | ||||||||||||||
| Current assets: | ||||||||||||||
| Cash and cash equivalents | $ | 28,596 | $ | 25,312 | ||||||||||
| Short-term investments | 3,424 | 3,801 | ||||||||||||
| Accounts receivable, net | 24,142 | 22,365 | ||||||||||||
| Other current receivables, net | 28,582 | 26,089 | ||||||||||||
| Prepaid expenses and other current assets | 8,955 | 8,212 | ||||||||||||
| Total current assets | 93,699 | 85,779 | ||||||||||||
| Long-term investments | 52,466 | 52,354 | ||||||||||||
| Property, equipment and capitalized software, net | 10,923 | 10,553 | ||||||||||||
| Goodwill | 107,677 | 106,734 | ||||||||||||
| Other intangible assets, net | 22,510 | 23,268 | ||||||||||||
| Other assets | 21,298 | 19,590 | ||||||||||||
| Total assets | $ | 308,573 | $ | 298,278 | ||||||||||
| Liabilities, redeemable noncontrolling interests and equity | ||||||||||||||
| Current liabilities: | ||||||||||||||
| Medical costs payable | $ | 38,427 | $ | 34,224 | ||||||||||
| Accounts payable and accrued liabilities | 34,330 | 34,337 | ||||||||||||
| Short-term borrowings and current maturities of long-term debt | 5,698 | 4,545 | ||||||||||||
| Unearned revenues | 3,032 | 3,317 | ||||||||||||
| Other current liabilities | 29,294 | 27,346 | ||||||||||||
| Total current liabilities | 110,781 | 103,769 | ||||||||||||
| Long-term debt, less current maturities | 73,495 | 72,359 | ||||||||||||
| Deferred income taxes | 3,804 | 3,620 | ||||||||||||
| Other liabilities | 15,709 | 15,939 | ||||||||||||
| Total liabilities | 203,789 | 195,687 | ||||||||||||
| Commitments and contingencies (Note 7) | ||||||||||||||
| Redeemable noncontrolling interests | 4,315 | 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; 905 and 915 issued and outstanding | 9 | 9 | ||||||||||||
| Retained earnings | 97,250 | 96,036 | ||||||||||||
| Accumulated other comprehensive loss | (2,535) | (3,387) | ||||||||||||
| Nonredeemable noncontrolling interests | 5,745 | 5,610 | ||||||||||||
| Total equity | 100,469 | 98,268 | ||||||||||||
| Total liabilities, redeemable noncontrolling interests and equity | $ | 308,573 | $ | 298,278 |
See Notes to the Condensed Consolidated Financial Statements
UnitedHealth Group
Condensed Consolidated Statements of Operations
(Unaudited)
| Three Months Ended June 30, | Six Months Ended June 30, | |||||||||||||||||||||||||
| (in millions, except per share data) | 2025 | 2024 | 2025 | 2024 | ||||||||||||||||||||||
| Revenues: | ||||||||||||||||||||||||||
| Premiums | $ | 87,905 | $ | 76,897 | $ | 174,439 | $ | 154,885 | ||||||||||||||||||
| Products | 13,564 | 12,211 | 26,600 | 24,120 | ||||||||||||||||||||||
| Services | 9,039 | 8,750 | 18,011 | 17,638 | ||||||||||||||||||||||
| Investment and other income | 1,108 | 997 | 2,141 | 2,008 | ||||||||||||||||||||||
| Total revenues | 111,616 | 98,855 | 221,191 | 198,651 | ||||||||||||||||||||||
| Operating costs: | ||||||||||||||||||||||||||
| Medical costs | 78,585 | 65,458 | 151,996 | 131,193 | ||||||||||||||||||||||
| Operating costs | 13,778 | 13,162 | 27,372 | 27,239 | ||||||||||||||||||||||
| Cost of products sold | 13,019 | 11,340 | 25,409 | 22,396 | ||||||||||||||||||||||
| Depreciation and amortization | 1,084 | 1,020 | 2,145 | 2,017 | ||||||||||||||||||||||
| Total operating costs | 106,466 | 90,980 | 206,922 | 182,845 | ||||||||||||||||||||||
| Earnings from operations | 5,150 | 7,875 | 14,269 | 15,806 | ||||||||||||||||||||||
| Interest expense | (1,027) | (985) | (2,025) | (1,829) | ||||||||||||||||||||||
| Loss on sale of subsidiary and subsidiaries held for sale | (41) | (1,225) | (56) | (8,311) | ||||||||||||||||||||||
| Earnings before income taxes | 4,082 | 5,665 | 12,188 | 5,666 | ||||||||||||||||||||||
| Provision for income taxes | (510) | (1,244) | (2,142) | (2,466) | ||||||||||||||||||||||
| Net earnings | 3,572 | 4,421 | 10,046 | 3,200 | ||||||||||||||||||||||
| Earnings attributable to noncontrolling interests | (166) | (205) | (348) | (393) | ||||||||||||||||||||||
| Net earnings attributable to UnitedHealth Group common shareholders | $ | 3,406 | $ | 4,216 | $ | 9,698 | $ | 2,807 | ||||||||||||||||||
| Earnings per share attributable to UnitedHealth Group common shareholders: | ||||||||||||||||||||||||||
| Basic | $ | 3.76 | $ | 4.58 | $ | 10.66 | $ | 3.05 | ||||||||||||||||||
| Diluted | $ | 3.74 | $ | 4.54 | $ | 10.61 | $ | 3.02 | ||||||||||||||||||
| Basic weighted-average number of common shares outstanding | 907 | 921 | 910 | 921 | ||||||||||||||||||||||
| Dilutive effect of common share equivalents | 3 | 7 | 4 | 8 | ||||||||||||||||||||||
| Diluted weighted-average number of common shares outstanding | 910 | 928 | 914 | 929 | ||||||||||||||||||||||
| Anti-dilutive shares excluded from the calculation of dilutive effect of common share equivalents | 13 | 8 | 10 | 7 |
See Notes to the Condensed Consolidated Financial Statements
UnitedHealth Group
Condensed Consolidated Statements of Comprehensive Income
(Unaudited)
| Three Months Ended June 30, | Six Months Ended June 30, | |||||||||||||||||||||||||
| (in millions) | 2025 | 2024 | 2025 | 2024 | ||||||||||||||||||||||
| Net earnings | $ | 3,572 | $ | 4,421 | $ | 10,046 | $ | 3,200 | ||||||||||||||||||
| Other comprehensive income: | ||||||||||||||||||||||||||
| Gross unrealized gains (losses) on investment securities during the period | 327 | (75) | 848 | (365) | ||||||||||||||||||||||
| Income tax effect | (75) | 17 | (194) | 85 | ||||||||||||||||||||||
| Total unrealized gains (losses), net of tax | 252 | (58) | 654 | (280) | ||||||||||||||||||||||
| Gross reclassification adjustment for net realized gains included in net earnings | (17) | (26) | (27) | (58) | ||||||||||||||||||||||
| Income tax effect | 4 | 6 | 6 | 13 | ||||||||||||||||||||||
| Total reclassification adjustment, net of tax | (13) | (20) | (21) | (45) | ||||||||||||||||||||||
| Foreign currency translation gains (losses) | 131 | 8 | 219 | (285) | ||||||||||||||||||||||
| Reclassification adjustment for translation losses included in net earnings | — | 86 | — | 4,214 | ||||||||||||||||||||||
| Total foreign currency translation gains | 131 | 94 | 219 | 3,929 | ||||||||||||||||||||||
| Other comprehensive income | 370 | 16 | 852 | 3,604 | ||||||||||||||||||||||
| Comprehensive income | 3,942 | 4,437 | 10,898 | 6,804 | ||||||||||||||||||||||
| Comprehensive income attributable to noncontrolling interests | (166) | (205) | (348) | (393) | ||||||||||||||||||||||
| Comprehensive income attributable to UnitedHealth Group common shareholders | $ | 3,776 | $ | 4,232 | $ | 10,550 | $ | 6,411 |
See Notes to the Condensed Consolidated Financial Statements
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 June 30, (in millions) | Shares | Amount | Net Unrealized (Losses) Gains on Investments | Foreign Currency Translation (Losses) Gains | ||||||||||||||||||||||||||||||||||||||||||||||
| Balance at March 31, 2025 | 910 | $ | 9 | $ | — | $ | 97,934 | $ | (1,832) | $ | (1,073) | $ | 5,773 | $ | 100,811 | |||||||||||||||||||||||||||||||||||
| Net earnings | 3,406 | 149 | 3,555 | |||||||||||||||||||||||||||||||||||||||||||||||
| Other comprehensive income | 239 | 131 | 370 | |||||||||||||||||||||||||||||||||||||||||||||||
| Issuances of common stock, and related tax effects | 1 | — | 196 | 196 | ||||||||||||||||||||||||||||||||||||||||||||||
| Share-based compensation | 229 | 229 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Common share repurchases | (6) | — | (415) | (2,090) | (2,505) | |||||||||||||||||||||||||||||||||||||||||||||
| Cash dividends paid on common shares ($2.21 per share) | (2,000) | (2,000) | ||||||||||||||||||||||||||||||||||||||||||||||||
| Redeemable noncontrolling interests fair value and other adjustments | (10) | (10) | ||||||||||||||||||||||||||||||||||||||||||||||||
| Acquisition and other adjustments of nonredeemable noncontrolling interests | (19) | (19) | ||||||||||||||||||||||||||||||||||||||||||||||||
| Distribution to nonredeemable noncontrolling interests | (158) | (158) | ||||||||||||||||||||||||||||||||||||||||||||||||
| Balance at June 30, 2025 | 905 | $ | 9 | $ | — | $ | 97,250 | $ | (1,593) | $ | (942) | $ | 5,745 | $ | 100,469 | |||||||||||||||||||||||||||||||||||
| Balance at March 31, 2024 | 920 | $ | 9 | $ | — | $ | 90,118 | $ | (2,218) | $ | (1,221) | $ | 5,682 | $ | 92,370 | |||||||||||||||||||||||||||||||||||
| Net earnings | 4,216 | 158 | 4,374 | |||||||||||||||||||||||||||||||||||||||||||||||
| Other comprehensive (loss) income | (78) | 94 | 16 | |||||||||||||||||||||||||||||||||||||||||||||||
| Issuances of common stock, and related tax effects | 1 | — | 196 | 196 | ||||||||||||||||||||||||||||||||||||||||||||||
| Share-based compensation | 210 | 210 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Common share repurchases | — | — | 3 | 1 | 4 | |||||||||||||||||||||||||||||||||||||||||||||
| Cash dividends paid on common shares ($2.10 per share) | (1,935) | (1,935) | ||||||||||||||||||||||||||||||||||||||||||||||||
| Redeemable noncontrolling interests fair value and other adjustments | (36) | (36) | ||||||||||||||||||||||||||||||||||||||||||||||||
| Acquisition and other adjustments of nonredeemable noncontrolling interests | (338) | (338) | ||||||||||||||||||||||||||||||||||||||||||||||||
| Distribution to nonredeemable noncontrolling interests | (185) | (185) | ||||||||||||||||||||||||||||||||||||||||||||||||
| Balance at June 30, 2024 | 921 | $ | 9 | $ | 373 | $ | 92,400 | $ | (2,296) | $ | (1,127) | $ | 5,317 | $ | 94,676 |
See Notes to the Condensed Consolidated Financial Statements
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 | |||||||||||||||||||||||||||||||||||||||||||||
| Six months ended June 30, (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 | 9,698 | 297 | 9,995 | |||||||||||||||||||||||||||||||||||||||||||||||
| Other comprehensive income | 633 | 219 | 852 | |||||||||||||||||||||||||||||||||||||||||||||||
| Issuances of common stock, and related tax effects | 2 | — | 379 | 379 | ||||||||||||||||||||||||||||||||||||||||||||||
| Share-based compensation | 591 | 591 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Common share repurchases | (12) | — | (955) | (4,572) | (5,527) | |||||||||||||||||||||||||||||||||||||||||||||
| Cash dividends paid on common shares ($4.31 per share) | (3,912) | (3,912) | ||||||||||||||||||||||||||||||||||||||||||||||||
| Redeemable noncontrolling interests fair value and other adjustments | (15) | (15) | ||||||||||||||||||||||||||||||||||||||||||||||||
| Acquisition and other adjustments of nonredeemable noncontrolling interests | 175 | 175 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Distribution to nonredeemable noncontrolling interests | (337) | (337) | ||||||||||||||||||||||||||||||||||||||||||||||||
| Balance at June 30, 2025 | 905 | $ | 9 | $ | — | $ | 97,250 | $ | (1,593) | $ | (942) | $ | 5,745 | $ | 100,469 | |||||||||||||||||||||||||||||||||||
| Balance at January 1, 2024 | 924 | $ | 9 | $ | — | $ | 95,774 | $ | (1,971) | $ | (5,056) | $ | 5,665 | $ | 94,421 | |||||||||||||||||||||||||||||||||||
| Net earnings | 2,807 | 307 | 3,114 | |||||||||||||||||||||||||||||||||||||||||||||||
| Other comprehensive (loss) income | (325) | 3,929 | 3,604 | |||||||||||||||||||||||||||||||||||||||||||||||
| Issuances of common stock, and related tax effects | 3 | — | 438 | 438 | ||||||||||||||||||||||||||||||||||||||||||||||
| Share-based compensation | 562 | 562 | ||||||||||||||||||||||||||||||||||||||||||||||||
| Common share repurchases | (6) | — | (571) | (2,517) | (3,088) | |||||||||||||||||||||||||||||||||||||||||||||
| Cash dividends paid on common shares ($3.98 per share) | (3,664) | (3,664) | ||||||||||||||||||||||||||||||||||||||||||||||||
| Redeemable noncontrolling interests fair value and other adjustments | (56) | (56) | ||||||||||||||||||||||||||||||||||||||||||||||||
| Acquisition and other adjustments of nonredeemable noncontrolling interests | (319) | (319) | ||||||||||||||||||||||||||||||||||||||||||||||||
| Distribution to nonredeemable noncontrolling interests | (336) | (336) | ||||||||||||||||||||||||||||||||||||||||||||||||
| Balance at June 30, 2024 | 921 | $ | 9 | $ | 373 | $ | 92,400 | $ | (2,296) | $ | (1,127) | $ | 5,317 | $ | 94,676 |
See Notes to the Condensed Consolidated Financial Statements
UnitedHealth Group
Condensed Consolidated Statements of Cash Flows
(Unaudited)
| Six Months Ended June 30, | ||||||||||||||
| (in millions) | 2025 | 2024 | ||||||||||||
| Operating activities | ||||||||||||||
| Net earnings | $ | 10,046 | $ | 3,200 | ||||||||||
| Noncash items: | ||||||||||||||
| Depreciation and amortization | 2,145 | 2,017 | ||||||||||||
| Deferred income taxes | (87) | (358) | ||||||||||||
| Share-based compensation | 572 | 594 | ||||||||||||
| Loss on sale of subsidiary and subsidiaries held for sale | 56 | 8,311 | ||||||||||||
| Other, net | 127 | 459 | ||||||||||||
| Net change in other operating items, net of effects from acquisitions and dispositions: | ||||||||||||||
| Accounts receivable | (1,681) | (2,471) | ||||||||||||
| Other assets | (2,143) | (4,121) | ||||||||||||
| Medical costs payable | 4,371 | 777 | ||||||||||||
| Accounts payable and other liabilities | (480) | 36 | ||||||||||||
| Unearned revenues | (282) | (554) | ||||||||||||
| Cash flows from operating activities | 12,644 | 7,890 | ||||||||||||
| Investing activities | ||||||||||||||
| Purchases of investments | (8,180) | (10,130) | ||||||||||||
| Sales of investments | 5,181 | 5,288 | ||||||||||||
| Maturities of investments | 4,326 | 4,621 | ||||||||||||
| Cash paid for acquisitions and other transactions, net of cash assumed | (734) | (3,031) | ||||||||||||
| Purchases of property, equipment and capitalized software | (1,784) | (1,596) | ||||||||||||
| Loans to care providers - cyberattack | — | (8,100) | ||||||||||||
| Repayments of care provider loans - cyberattack | 1,293 | 604 | ||||||||||||
| Other, net | (1,618) | (1,413) | ||||||||||||
| Cash flows used for investing activities | (1,516) | (13,757) | ||||||||||||
| Financing activities | ||||||||||||||
| Common share repurchases | (5,545) | (3,072) | ||||||||||||
| Cash dividends paid | (3,912) | (3,664) | ||||||||||||
| Proceeds from common stock issuances | 581 | 744 | ||||||||||||
| Repayments of long-term debt | — | (1,750) | ||||||||||||
| (Repayments of) proceeds from short-term borrowings, net | (1,403) | 8,615 | ||||||||||||
| Proceeds from issuance of long-term debt | 2,969 | 5,925 | ||||||||||||
| Customer funds administered | (25) | 990 | ||||||||||||
| Other, net | (513) | (753) | ||||||||||||
| Cash flows (used for) from financing activities | (7,848) | 7,035 | ||||||||||||
| Effect of exchange rate changes on cash and cash equivalents | 29 | (44) | ||||||||||||
| Increase in cash and cash equivalents, including cash within businesses held for sale | 3,309 | 1,124 | ||||||||||||
| Less: net increase in cash within businesses held for sale | (25) | (265) | ||||||||||||
| Net increase in cash and cash equivalents | 3,284 | 859 | ||||||||||||
| Cash and cash equivalents, beginning of period | 25,312 | 25,427 | ||||||||||||
| Cash and cash equivalents, end of period | $ | 28,596 | $ | 26,286 |
See Notes to the Condensed Consolidated Financial Statements
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 June 30, 2025 and December 31, 2024, accounts receivable related to products and services were $9.8 billion and $9.9 billion, respectively. As of June 30, 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 $11.9 billion, of which approximately half is expected to be recognized in the next three years.
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 | ||||||||||||||||||||||
| June 30, 2025 | ||||||||||||||||||||||||||
| Debt securities - available-for-sale: | ||||||||||||||||||||||||||
| U.S. government and agency obligations | $ | 4,189 | $ | 3 | $ | (186) | $ | 4,006 | ||||||||||||||||||
| State and municipal obligations | 7,234 | 7 | (375) | 6,866 | ||||||||||||||||||||||
| Corporate obligations | 24,044 | 106 | (735) | 23,415 | ||||||||||||||||||||||
| U.S. agency mortgage-backed securities | 10,341 | 8 | (783) | 9,566 | ||||||||||||||||||||||
| Non-U.S. agency mortgage-backed securities | 2,875 | 7 | (127) | 2,755 | ||||||||||||||||||||||
| Total debt securities - available-for-sale | 48,683 | 131 | (2,206) | 46,608 | ||||||||||||||||||||||
| Debt securities - held-to-maturity: | ||||||||||||||||||||||||||
| U.S. government and agency obligations | 448 | 1 | (1) | 448 | ||||||||||||||||||||||
| State and municipal obligations | 26 | — | (3) | 23 | ||||||||||||||||||||||
| Corporate obligations | 19 | — | — | 19 | ||||||||||||||||||||||
| Total debt securities - held-to-maturity | 493 | 1 | (4) | 490 | ||||||||||||||||||||||
| Total debt securities | $ | 49,176 | $ | 132 | $ | (2,210) | $ | 47,098 | ||||||||||||||||||
| 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 $5.4 billion and $4.9 billion of equity securities as of June 30, 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 June 30, 2025 and December 31, 2024, respectively. The allowance for credit losses on held-to-maturity securities at June 30, 2025 and December 31, 2024 was not material.
The amortized cost and fair value of debt securities as of June 30, 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 | $ | 3,530 | $ | 3,506 | $ | 319 | $ | 319 | ||||||||||||||||||
| Due after one year through five years | 14,415 | 14,106 | 152 | 152 | ||||||||||||||||||||||
| Due after five years through ten years | 11,983 | 11,485 | 5 | 5 | ||||||||||||||||||||||
| Due after ten years | 5,539 | 5,190 | 17 | 14 | ||||||||||||||||||||||
| U.S. agency mortgage-backed securities | 10,341 | 9,566 | — | — | ||||||||||||||||||||||
| Non-U.S. agency mortgage-backed securities | 2,875 | 2,755 | — | — | ||||||||||||||||||||||
| Total debt securities | $ | 48,683 | $ | 46,608 | $ | 493 | $ | 490 |
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 | ||||||||||||||||||||||||||||||||
| June 30, 2025 | ||||||||||||||||||||||||||||||||||||||
| Debt securities - available-for-sale: | ||||||||||||||||||||||||||||||||||||||
| U.S. government and agency obligations | $ | 1,377 | $ | (21) | $ | 1,833 | $ | (165) | $ | 3,210 | $ | (186) | ||||||||||||||||||||||||||
| State and municipal obligations | 2,116 | (93) | 4,037 | (282) | 6,153 | (375) | ||||||||||||||||||||||||||||||||
| Corporate obligations | 4,988 | (80) | 10,214 | (655) | 15,202 | (735) | ||||||||||||||||||||||||||||||||
| U.S. agency mortgage-backed securities | 3,914 | (110) | 4,561 | (673) | 8,475 | (783) | ||||||||||||||||||||||||||||||||
| Non-U.S. agency mortgage-backed securities | 300 | (2) | 1,636 | (125) | 1,936 | (127) | ||||||||||||||||||||||||||||||||
| Total debt securities - available-for-sale | $ | 12,695 | $ | (306) | $ | 22,281 | $ | (1,900) | $ | 34,976 | $ | (2,206) | ||||||||||||||||||||||||||
| 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 June 30, 2025 were generated from approximately 28,000 positions out of a total of 43,000 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 June 30, 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 June 30, 2025 and December 31, 2024 was not material.
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 | ||||||||||||||||||||||
| June 30, 2025 | ||||||||||||||||||||||||||
| Cash and cash equivalents | $ | 23,299 | $ | 5,297 | $ | — | $ | 28,596 | ||||||||||||||||||
| Debt securities - available-for-sale: | ||||||||||||||||||||||||||
| U.S. government and agency obligations | 3,876 | 130 | — | 4,006 | ||||||||||||||||||||||
| State and municipal obligations | — | 6,866 | — | 6,866 | ||||||||||||||||||||||
| Corporate obligations | — | 22,942 | 473 | 23,415 | ||||||||||||||||||||||
| U.S. agency mortgage-backed securities | — | 9,566 | — | 9,566 | ||||||||||||||||||||||
| Non-U.S. agency mortgage-backed securities | — | 2,755 | — | 2,755 | ||||||||||||||||||||||
| Total debt securities - available-for-sale | 3,876 | 42,259 | 473 | 46,608 | ||||||||||||||||||||||
| Equity securities | 1,879 | 213 | 207 | 2,299 | ||||||||||||||||||||||
| Total assets at fair value | $ | 29,054 | $ | 47,769 | $ | 680 | $ | 77,503 | ||||||||||||||||||
| Percentage of total assets at fair value | 37 | % | 62 | % | 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 six months ended June 30, 2025 or 2024.
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 | |||||||||||||||||||||||||||
| June 30, 2025 | ||||||||||||||||||||||||||||||||
| Debt securities - held-to-maturity | $ | 466 | $ | 24 | $ | — | $ | 490 | $ | 493 | ||||||||||||||||||||||
| Long-term debt and other financing obligations | $ | — | $ | 74,304 | $ | — | $ | 74,304 | $ | 79,193 | ||||||||||||||||||||||
| 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 June 30, 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 six months ended June 30, 2025 or 2024.
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) | 2025 | 2024 | ||||||||||||
| Medical costs payable, beginning of period | $ | 34,224 | $ | 32,395 | ||||||||||
| Acquisitions (dispositions), net | — | (687) | ||||||||||||
| Reported medical costs: | ||||||||||||||
| Current year | 152,316 | 131,583 | ||||||||||||
| Prior years | (320) | (390) | ||||||||||||
| Total reported medical costs | 151,996 | 131,193 | ||||||||||||
| Medical payments: | ||||||||||||||
| Payments for current year | (118,793) | (102,288) | ||||||||||||
| Payments for prior years | (28,998) | (27,887) | ||||||||||||
| Total medical payments | (147,791) | (130,175) | ||||||||||||
| Less: increase in medical costs payable included within businesses held for sale | (2) | (179) | ||||||||||||
| Medical costs payable, end of period | $ | 38,427 | $ | 32,547 |
For the six months ended June 30, 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 $26.8 billion and $23.7 billion at June 30, 2025 and December 31, 2024, respectively.
5. Short-Term Borrowings and Long-Term Debt
In June 2025, the Company issued $3.0 billion of senior unsecured notes consisting of the following:
| (in millions, except percentages) | Par Value | |||||||
| 4.4%, June 2028 | $ | 500 | ||||||
| 4.65%, January 2031 | 750 | |||||||
| 5.3%, June 2035 | 1,000 | |||||||
| 5.95%, June 2055 | 750 |
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.
6. Dividends
In June 2025, the Company’s Board of Directors increased the Company’s quarterly cash dividend to shareholders to an annual rate of $8.84 compared to $8.40 per share, which the Company had paid since June 2024. Declaration and payment of future quarterly dividends is at the discretion of the Board of Directors and may be adjusted as business needs or market conditions change.
The following table provides details of the Company’s dividend payments during the six months ended June 30, 2025:
| Payment Date | Amount per Share | Total Amount Paid | ||||||||||||
| (in millions) | ||||||||||||||
| March 18 | $ | 2.10 | $ | 1,912 | ||||||||||
| June 24 | 2.21 | 2,000 |
7. Commitments and Contingencies
Pending Acquisitions
As of June 30, 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, shareholders, 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 (OIG), 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 and OIG have 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.
8. 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 June 30, 2025, were as follows:
| (in millions) | Businesses Held for Sale | |||||||
| Assets | ||||||||
| Cash and cash equivalents | $ | 244 | ||||||
| Accounts receivable and other current assets | 674 | |||||||
| Property, equipment and capitalized software | 719 | |||||||
| Goodwill and other intangible assets | 442 | |||||||
| Other long-term assets | 292 | |||||||
| Remeasurement of assets of businesses held for sale to fair value less cost to sell(1) | (1,314) | |||||||
| Total assets | $ | 1,057 | ||||||
| Liabilities | ||||||||
| Medical costs payable | $ | 181 | ||||||
| Accounts payable and other current liabilities | 368 | |||||||
| Other long-term liabilities | 436 | |||||||
| Total liabilities | $ | 985 |
(1) Includes the effect of $847 million of cumulative foreign currency translation losses and $50 million of noncontrolling interests.
9. 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 June 30, 2025 | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Revenues - unaffiliated customers: | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Premiums | $ | 83,019 | $ | 4,886 | $ | — | $ | — | $ | — | $ | 4,886 | $ | — | $ | 87,905 | ||||||||||||||||||||||||||||||||||
| Products | — | 65 | 44 | 13,455 | — | 13,564 | — | 13,564 | ||||||||||||||||||||||||||||||||||||||||||
| Services | 2,511 | 3,846 | 1,516 | 1,166 | — | 6,528 | — | 9,039 | ||||||||||||||||||||||||||||||||||||||||||
| Total revenues - unaffiliated customers | 85,530 | 8,797 | 1,560 | 14,621 | — | 24,978 | — | 110,508 | ||||||||||||||||||||||||||||||||||||||||||
| Total revenues - affiliated customers | — | 15,953 | 3,236 | 23,790 | (1,267) | 41,712 | (41,712) | — | ||||||||||||||||||||||||||||||||||||||||||
| Investment and other income | 573 | 455 | 32 | 48 | — | 535 | — | 1,108 | ||||||||||||||||||||||||||||||||||||||||||
| Total revenues | $ | 86,103 | $ | 25,205 | $ | 4,828 | $ | 38,459 | $ | (1,267) | $ | 67,225 | $ | (41,712) | $ | 111,616 | ||||||||||||||||||||||||||||||||||
| Total operating costs (a) | $ | 84,028 | $ | 24,569 | $ | 3,830 | $ | 37,018 | $ | (1,267) | $ | 64,150 | $ | (41,712) | $ | 106,466 | ||||||||||||||||||||||||||||||||||
| Earnings from operations | $ | 2,075 | $ | 636 | $ | 998 | $ | 1,441 | $ | — | $ | 3,075 | $ | — | $ | 5,150 | ||||||||||||||||||||||||||||||||||
| Interest expense | — | — | — | — | — | — | (1,027) | (1,027) | ||||||||||||||||||||||||||||||||||||||||||
| Loss on sale of subsidiary and subsidiaries held for sale | (41) | — | — | — | — | — | — | (41) | ||||||||||||||||||||||||||||||||||||||||||
| Earnings before income taxes | $ | 2,034 | $ | 636 | $ | 998 | $ | 1,441 | $ | — | $ | 3,075 | $ | (1,027) | $ | 4,082 | ||||||||||||||||||||||||||||||||||
| Total assets | $ | 129,587 | $ | 96,452 | $ | 33,716 | $ | 61,674 | $ | — | $ | 191,842 | $ | (12,856) | $ | 308,573 | ||||||||||||||||||||||||||||||||||
| Purchases of property, equipment and capitalized software | 193 | 306 | 289 | 98 | — | 693 | — | 886 | ||||||||||||||||||||||||||||||||||||||||||
| Depreciation and Amortization | 221 | 296 | 351 | 216 | — | 863 | — | 1,084 | ||||||||||||||||||||||||||||||||||||||||||
| Three Months Ended June 30, 2024 | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Revenues - unaffiliated customers: | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Premiums | $ | 70,950 | $ | 5,947 | $ | — | $ | — | $ | — | $ | 5,947 | $ | — | $ | 76,897 | ||||||||||||||||||||||||||||||||||
| Products | — | 62 | 41 | 12,108 | — | 12,211 | — | 12,211 | ||||||||||||||||||||||||||||||||||||||||||
| Services | 2,388 | 4,083 | 1,405 | 874 | — | 6,362 | — | 8,750 | ||||||||||||||||||||||||||||||||||||||||||
| Total revenues - unaffiliated customers | 73,338 | 10,092 | 1,446 | 12,982 | — | 24,520 | — | 97,858 | ||||||||||||||||||||||||||||||||||||||||||
| Total revenues - affiliated customers | — | 16,576 | 3,070 | 19,373 | (1,129) | 37,890 | (37,890) | — | ||||||||||||||||||||||||||||||||||||||||||
| Investment and other income | 528 | 382 | 27 | 60 | — | 469 | — | 997 | ||||||||||||||||||||||||||||||||||||||||||
| Total revenues | $ | 73,866 | $ | 27,050 | $ | 4,543 | $ | 32,415 | $ | (1,129) | $ | 62,879 | $ | (37,890) | $ | 98,855 | ||||||||||||||||||||||||||||||||||
| Total operating costs (a) | $ | 69,862 | $ | 25,131 | $ | 3,997 | $ | 31,009 | $ | (1,129) | $ | 59,008 | $ | (37,890) | $ | 90,980 | ||||||||||||||||||||||||||||||||||
| Earnings from operations | $ | 4,004 | $ | 1,919 | $ | 546 | $ | 1,406 | $ | — | $ | 3,871 | $ | — | $ | 7,875 | ||||||||||||||||||||||||||||||||||
| Interest expense | — | — | — | — | — | — | (985) | (985) | ||||||||||||||||||||||||||||||||||||||||||
| Loss on sale of subsidiary and subsidiaries held for sale | (1,225) | — | — | — | — | — | — | (1,225) | ||||||||||||||||||||||||||||||||||||||||||
| Earnings before income taxes | $ | 2,779 | $ | 1,919 | $ | 546 | $ | 1,406 | $ | — | $ | 3,871 | $ | (985) | $ | 5,665 | ||||||||||||||||||||||||||||||||||
| Total assets | $ | 109,441 | $ | 93,858 | $ | 34,244 | $ | 56,058 | $ | — | $ | 184,160 | $ | (7,545) | $ | 286,056 | ||||||||||||||||||||||||||||||||||
| Purchases of property, equipment and capitalized software | 187 | 230 | 344 | 92 | — | 666 | — | 853 | ||||||||||||||||||||||||||||||||||||||||||
| Depreciation and Amortization | 221 | 277 | 316 | 206 | — | 799 | — | 1,020 |
(a) Total operating costs include medical costs, operating costs, cost of products sold and depreciation and amortization, as applicable for each reportable segment.
| Optum | ||||||||||||||||||||||||||||||||||||||||||||||||||
| (in millions) | UnitedHealthcare | Optum Health | Optum Insight | Optum Rx | Optum Eliminations | Optum | Corporate and Eliminations | Consolidated | ||||||||||||||||||||||||||||||||||||||||||
| Six Months Ended June 30, 2025 | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Revenues - unaffiliated customers: | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Premiums | $ | 164,532 | $ | 9,907 | $ | — | $ | — | $ | — | $ | 9,907 | $ | — | $ | 174,439 | ||||||||||||||||||||||||||||||||||
| Products | — | 130 | 88 | 26,382 | — | 26,600 | — | 26,600 | ||||||||||||||||||||||||||||||||||||||||||
| Services | 5,087 | 7,720 | 3,017 | 2,187 | — | 12,924 | — | 18,011 | ||||||||||||||||||||||||||||||||||||||||||
| Total revenues - unaffiliated customers | 169,619 | 17,757 | 3,105 | 28,569 | — | 49,431 | — | 219,050 | ||||||||||||||||||||||||||||||||||||||||||
| Total revenues - affiliated customers | — | 31,867 | 6,298 | 44,927 | (2,453) | 80,639 | (80,639) | — | ||||||||||||||||||||||||||||||||||||||||||
| Investment and other income | 1,101 | 890 | 55 | 95 | — | 1,040 | — | 2,141 | ||||||||||||||||||||||||||||||||||||||||||
| Total revenues | $ | 170,720 | $ | 50,514 | $ | 9,458 | $ | 73,591 | $ | (2,453) | $ | 131,110 | $ | (80,639) | $ | 221,191 | ||||||||||||||||||||||||||||||||||
| Total operating costs (a) | $ | 163,419 | $ | 48,264 | $ | 7,499 | $ | 70,832 | $ | (2,453) | $ | 124,142 | $ | (80,639) | $ | 206,922 | ||||||||||||||||||||||||||||||||||
| Earnings from operations | $ | 7,301 | $ | 2,250 | $ | 1,959 | $ | 2,759 | $ | — | $ | 6,968 | $ | — | $ | 14,269 | ||||||||||||||||||||||||||||||||||
| Interest expense | — | — | — | — | — | — | (2,025) | (2,025) | ||||||||||||||||||||||||||||||||||||||||||
| Loss on sale of subsidiary and subsidiaries held for sale | (56) | — | — | — | — | — | — | (56) | ||||||||||||||||||||||||||||||||||||||||||
| Earnings before income taxes | $ | 7,245 | $ | 2,250 | $ | 1,959 | $ | 2,759 | $ | — | $ | 6,968 | $ | (2,025) | $ | 12,188 | ||||||||||||||||||||||||||||||||||
| Total assets | $ | 129,587 | $ | 96,452 | $ | 33,716 | $ | 61,674 | $ | — | $ | 191,842 | $ | (12,856) | $ | 308,573 | ||||||||||||||||||||||||||||||||||
| Purchases of property, equipment and capitalized software | 389 | 585 | 627 | 183 | — | 1,395 | — | 1,784 | ||||||||||||||||||||||||||||||||||||||||||
| Depreciation and Amortization | 440 | 583 | 695 | 427 | — | 1,705 | — | 2,145 | ||||||||||||||||||||||||||||||||||||||||||
| Six Months Ended June 30, 2024 | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Revenues - unaffiliated customers: | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Premiums | $ | 143,243 | $ | 11,642 | $ | — | $ | — | $ | — | $ | 11,642 | $ | — | $ | 154,885 | ||||||||||||||||||||||||||||||||||
| Products | — | 121 | 82 | 23,917 | — | 24,120 | — | 24,120 | ||||||||||||||||||||||||||||||||||||||||||
| Services | 4,917 | 8,053 | 3,107 | 1,561 | — | 12,721 | — | 17,638 | ||||||||||||||||||||||||||||||||||||||||||
| Total revenues - unaffiliated customers | 148,160 | 19,816 | 3,189 | 25,478 | — | 48,483 | — | 196,643 | ||||||||||||||||||||||||||||||||||||||||||
| Total revenues - affiliated customers | — | 33,193 | 5,801 | 37,654 | (2,145) | 74,503 | (74,503) | — | ||||||||||||||||||||||||||||||||||||||||||
| Investment and other income | 1,063 | 772 | 55 | 118 | — | 945 | — | 2,008 | ||||||||||||||||||||||||||||||||||||||||||
| Total revenues | $ | 149,223 | $ | 53,781 | $ | 9,045 | $ | 63,250 | $ | (2,145) | $ | 123,931 | $ | (74,503) | $ | 198,651 | ||||||||||||||||||||||||||||||||||
| Total operating costs (a) | $ | 140,824 | $ | 49,963 | $ | 8,009 | $ | 60,697 | $ | (2,145) | $ | 116,524 | $ | (74,503) | $ | 182,845 | ||||||||||||||||||||||||||||||||||
| Earnings from operations | $ | 8,399 | $ | 3,818 | $ | 1,036 | $ | 2,553 | $ | — | $ | 7,407 | $ | — | $ | 15,806 | ||||||||||||||||||||||||||||||||||
| Interest expense | — | — | — | — | — | — | (1,829) | (1,829) | ||||||||||||||||||||||||||||||||||||||||||
| Loss on sale of subsidiary and subsidiaries held for sale | (8,311) | — | — | — | — | — | — | (8,311) | ||||||||||||||||||||||||||||||||||||||||||
| Earnings before income taxes | $ | 88 | $ | 3,818 | $ | 1,036 | $ | 2,553 | $ | — | $ | 7,407 | $ | (1,829) | $ | 5,666 | ||||||||||||||||||||||||||||||||||
| Total assets | $ | 109,441 | $ | 93,858 | $ | 34,244 | $ | 56,058 | $ | — | $ | 184,160 | $ | (7,545) | $ | 286,056 | ||||||||||||||||||||||||||||||||||
| Purchases of property, equipment and capitalized software | 370 | 468 | 589 | 169 | — | 1,226 | — | 1,596 | ||||||||||||||||||||||||||||||||||||||||||
| Depreciation and Amortization | 456 | 549 | 626 | 386 | — | 1,561 | — | 2,017 |
(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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