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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)September 30, 2025December 31, 2024
Assets
Current assets:
Cash and cash equivalents$27,210$25,312
Short-term investments3,4043,801
Accounts receivable, net22,67222,365
Other current receivables, net32,76226,089
Prepaid expenses and other current assets9,0198,212
Total current assets95,06785,779
Long-term investments52,99652,354
Property, equipment and capitalized software, net11,10410,553
Goodwill110,340106,734
Other intangible assets, net22,78523,268
Other assets22,97719,590
Total assets$315,269$298,278
Liabilities, redeemable noncontrolling interests and equity
Current liabilities:
Medical costs payable$40,181$34,224
Accounts payable and accrued liabilities36,03334,337
Short-term borrowings and current maturities of long-term debt7,7374,545
Unearned revenues3,3663,317
Other current liabilities28,20927,346
Total current liabilities115,526103,769
Long-term debt, less current maturities72,39972,359
Deferred income taxes3,1623,620
Other liabilities18,36915,939
Total liabilities209,456195,687
Commitments and contingencies (Note 7)
Redeemable noncontrolling interests4,2444,323
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; 906 and 915 issued and outstanding99
Additional paid-in capital394—
Retained earnings97,59596,036
Accumulated other comprehensive loss(2,211)(3,387)
Nonredeemable noncontrolling interests5,7825,610
Total equity101,56998,268
Total liabilities, redeemable noncontrolling interests and equity$315,269$298,278

See Notes to the Condensed Consolidated Financial Statements

UnitedHealth Group

Condensed Consolidated Statements of Operations

(Unaudited)

Three Months Ended September 30,Nine Months Ended September 30,
(in millions, except per share data)2025202420252024
Revenues:
Premiums$88,979$77,442$263,418$232,327
Products13,29612,63139,89636,751
Services9,7549,10427,76526,742
Investment and other income1,1321,6433,2733,651
Total revenues113,161100,820334,352299,471
Operating costs:
Medical costs79,95865,957231,954197,150
Operating costs15,22313,28042,59540,519
Cost of products sold12,56611,83437,97534,230
Depreciation and amortization1,0991,0413,2443,058
Total operating costs108,84692,112315,768274,957
Earnings from operations4,3158,70818,58424,514
Interest expense(1,003)(1,074)(3,028)(2,903)
Loss on sale of subsidiary and subsidiaries held for sale(83)(20)(139)(8,331)
Earnings before income taxes3,2297,61415,41713,280
Provision for income taxes(686)(1,356)(2,828)(3,822)
Net earnings2,5436,25812,5899,458
Earnings attributable to noncontrolling interests(195)(203)(543)(596)
Net earnings attributable to UnitedHealth Group common shareholders$2,348$6,055$12,046$8,862
Earnings per share attributable to UnitedHealth Group common shareholders:
Basic$2.59$6.56$13.27$9.61
Diluted$2.59$6.51$13.21$9.53
Basic weighted-average number of common shares outstanding906923908922
Dilutive effect of common share equivalents2748
Diluted weighted-average number of common shares outstanding908930912930
Anti-dilutive shares excluded from the calculation of dilutive effect of common share equivalents164126

See Notes to the Condensed Consolidated Financial Statements

UnitedHealth Group

Condensed Consolidated Statements of Comprehensive Income

(Unaudited)

Three Months Ended September 30,Nine Months Ended September 30,
(in millions)2025202420252024
Net earnings$2,543$6,258$12,589$9,458
Other comprehensive income:
Gross unrealized gains on investment securities during the period5351,4341,3831,069
Income tax effect(122)(328)(316)(243)
Total unrealized gains, net of tax4131,1061,067826
Gross reclassification adjustment for net realized gains included in net earnings(24)(291)(51)(349)
Income tax effect6671280
Total reclassification adjustment, net of tax(18)(224)(39)(269)
Foreign currency translation (losses) gains(71)88148(197)
Reclassification adjustment for translation losses included in net earnings———4,214
Total foreign currency translation (losses) gains(71)881484,017
Other comprehensive income3249701,1764,574
Comprehensive income2,8677,22813,76514,032
Comprehensive income attributable to noncontrolling interests(195)(203)(543)(596)
Comprehensive income attributable to UnitedHealth Group common shareholders$2,672$7,025$13,222$13,436

See Notes to the Condensed Consolidated Financial Statements

UnitedHealth Group

Condensed Consolidated Statements of Changes in Equity

(Unaudited)

Common StockAdditional Paid-In CapitalRetained EarningsAccumulated Other Comprehensive LossNonredeemable Noncontrolling InterestsTotal Equity
Three months ended September 30, (in millions)SharesAmountNet Unrealized (Losses) Gains on InvestmentsForeign Currency Translation (Losses) Gains
Balance at June 30, 2025905$9$—$97,250$(1,593)$(942)$5,745$100,469
Net earnings2,3481672,515
Other comprehensive income (loss)395(71)324
Issuances of common stock, and related tax effects1—241241
Share-based compensation214214
Common share repurchases——1(1)—
Cash dividends paid on common shares ($2.21 per share)(2,002)(2,002)
Redeemable noncontrolling interests fair value and other adjustments(62)(62)
Acquisition and other adjustments of nonredeemable noncontrolling interests3434
Distribution to nonredeemable noncontrolling interests(164)(164)
Balance at September 30, 2025906$9$394$97,595$(1,198)$(1,013)$5,782$101,569
Balance at June 30, 2024921$9$373$92,400$(2,296)$(1,127)$5,317$94,676
Net earnings6,0551556,210
Other comprehensive income88288970
Issuances of common stock, and related tax effects4—842842
Share-based compensation208208
Common share repurchases(2)—(957)—(957)
Cash dividends paid on common shares ($2.10 per share)(1,937)(1,937)
Redeemable noncontrolling interests fair value and other adjustments(5)(5)
Acquisition and other adjustments of nonredeemable noncontrolling interests2828
Distribution to nonredeemable noncontrolling interests(154)(154)
Balance at September 30, 2024923$9$461$96,518$(1,414)$(1,039)$5,346$99,881

See Notes to the Condensed Consolidated Financial Statements

UnitedHealth Group

Condensed Consolidated Statements of Changes in Equity

(Unaudited)

Common StockAdditional Paid-In CapitalRetained EarningsAccumulated Other Comprehensive LossNonredeemable Noncontrolling InterestsTotal Equity
Nine months ended September 30, (in millions)SharesAmountNet Unrealized (Losses) Gains on InvestmentsForeign Currency Translation (Losses) Gains
Balance at January 1, 2025915$9$—$96,036$(2,226)$(1,161)$5,610$98,268
Net earnings12,04646412,510
Other comprehensive income1,0281481,176
Issuances of common stock, and related tax effects3—620620
Share-based compensation805805
Common share repurchases(12)—(954)(4,573)(5,527)
Cash dividends paid on common shares ($6.52 per share)(5,914)(5,914)
Redeemable noncontrolling interests fair value and other adjustments(77)(77)
Acquisition and other adjustments of nonredeemable noncontrolling interests209209
Distribution to nonredeemable noncontrolling interests(501)(501)
Balance at September 30, 2025906$9$394$97,595$(1,198)$(1,013)$5,782$101,569
Balance at January 1, 2024924$9$—$95,774$(1,971)$(5,056)$5,665$94,421
Net earnings8,8624629,324
Other comprehensive income5574,0174,574
Issuances of common stock, and related tax effects7—1,2801,280
Share-based compensation770770
Common share repurchases(8)—(1,528)(2,517)(4,045)
Cash dividends paid on common shares ($6.08 per share)(5,601)(5,601)
Redeemable noncontrolling interests fair value and other adjustments(61)(61)
Acquisition and other adjustments of nonredeemable noncontrolling interests(291)(291)
Distribution to nonredeemable noncontrolling interests(490)(490)
Balance at September 30, 2024923$9$461$96,518$(1,414)$(1,039)$5,346$99,881

See Notes to the Condensed Consolidated Financial Statements

UnitedHealth Group

Condensed Consolidated Statements of Cash Flows

(Unaudited)

Nine Months Ended September 30,
(in millions)20252024
Operating activities
Net earnings$12,589$9,458
Noncash items:
Depreciation and amortization3,2443,058
Deferred income taxes(1,019)(234)
Share-based compensation795831
Loss on sale of subsidiary and subsidiaries held for sale1398,331
Other, net64(610)
Net change in other operating items, net of effects from acquisitions and dispositions:
Accounts receivable65685
Other assets(3,105)(2,988)
Medical costs payable6,1782,235
Accounts payable and other liabilities(417)1,250
Unearned revenues56(181)
Cash flows from operating activities18,58921,835
Investing activities
Purchases of investments(12,805)(19,951)
Sales of investments7,94515,065
Maturities of investments6,5176,738
Cash paid for acquisitions and other transactions, net of cash assumed(4,436)(11,674)
Purchases of property, equipment and capitalized software(2,674)(2,587)
Loans to care providers - cyberattack—(8,904)
Repayments of care provider loans - cyberattack1,5433,189
Other, net(2,164)(1,284)
Cash flows used for investing activities(6,074)(19,408)
Financing activities
Common share repurchases(5,545)(4,028)
Cash dividends paid(5,914)(5,601)
Proceeds from common stock issuances8031,611
Repayments of long-term debt(2,000)(2,500)
Proceeds from (repayments of) short-term borrowings, net1,469(191)
Proceeds from issuance of long-term debt2,96917,811
Customer funds administered(1,792)(1,059)
Other, net(603)(1,213)
Cash flows (used for) from financing activities(10,613)4,830
Effect of exchange rate changes on cash and cash equivalents25(30)
Increase in cash and cash equivalents, including cash within businesses held for sale1,9277,227
Less: net increase in cash within businesses held for sale(29)(254)
Net increase in cash and cash equivalents1,8986,973
Cash and cash equivalents, beginning of period25,31225,427
Cash and cash equivalents, end of period$27,210$32,400

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 September 30, 2025 and December 31, 2024, accounts receivable related to products and services were $10.1 billion and $9.9 billion, respectively. As of September 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 $11.6 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 CostGross Unrealized GainsGross Unrealized LossesFair Value
September 30, 2025
Debt securities - available-for-sale:
U.S. government and agency obligations$3,893$2$(167)$3,728
State and municipal obligations6,74720(273)6,494
Corporate obligations24,731156(578)24,309
U.S. agency mortgage-backed securities10,25825(651)9,632
Non-U.S. agency mortgage-backed securities2,75711(109)2,659
Total debt securities - available-for-sale48,386214(1,778)46,822
Debt securities - held-to-maturity:
U.S. government and agency obligations4591(1)459
State and municipal obligations26—(2)24
Corporate obligations3——3
Total debt securities - held-to-maturity4881(3)486
Total debt securities$48,874$215$(1,781)$47,308
December 31, 2024
Debt securities - available-for-sale:
U.S. government and agency obligations$4,600$1$(274)$4,327
State and municipal obligations7,3572(375)6,984
Corporate obligations24,39156(1,140)23,307
U.S. agency mortgage-backed securities10,5771(994)9,584
Non-U.S. agency mortgage-backed securities2,8902(175)2,717
Total debt securities - available-for-sale49,81562(2,958)46,919
Debt securities - held-to-maturity:
U.S. government and agency obligations444—(2)442
State and municipal obligations28—(2)26
Corporate obligations40——40
Total debt securities - held-to-maturity512—(4)508
Total debt securities$50,327$62$(2,962)$47,427

The Company held $5.6 billion and $4.9 billion of equity securities as of September 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 $3.5 billion and $3.8 billion of equity method investments primarily in operating businesses in the health care sector as of September 30, 2025 and December 31, 2024, respectively. The allowance for credit losses on held-to-maturity securities at September 30, 2025 and December 31, 2024 was not material.

The amortized cost and fair value of debt securities as of September 30, 2025, by contractual maturity, were as follows:

Available-for-SaleHeld-to-Maturity
(in millions)Amortized CostFair ValueAmortized CostFair Value
Due in one year or less$3,485$3,466$264$264
Due after one year through five years13,60313,360202202
Due after five years through ten years11,58211,24355
Due after ten years6,7016,4621715
U.S. agency mortgage-backed securities10,2589,632——
Non-U.S. agency mortgage-backed securities2,7572,659——
Total debt securities$48,386$46,822$488$486

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 Months12 Months or GreaterTotal
(in millions)Fair ValueGross Unrealized LossesFair ValueGross Unrealized LossesFair ValueGross Unrealized Losses
September 30, 2025
Debt securities - available-for-sale:
U.S. government and agency obligations$525$(5)$2,561$(162)$3,086$(167)
State and municipal obligations1,346(47)3,825(226)5,171(273)
Corporate obligations1,610(16)11,293(562)12,903(578)
U.S. agency mortgage-backed securities1,044(11)6,434(640)7,478(651)
Non-U.S. agency mortgage-backed securities188—1,471(109)1,659(109)
Total debt securities - available-for-sale$4,713$(79)$25,584$(1,699)$30,297$(1,778)
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 obligations2,593(58)4,085(317)6,678(375)
Corporate obligations7,402(213)11,449(927)18,851(1,140)
U.S. agency mortgage-backed securities4,791(191)4,674(803)9,465(994)
Non-U.S. agency mortgage-backed securities416(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 September 30, 2025 were generated from approximately 25,000 positions out of a total of 41,000 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 September 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 September 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
September 30, 2025
Cash and cash equivalents$21,305$5,905$—$27,210
Debt securities - available-for-sale:
U.S. government and agency obligations3,561167—3,728
State and municipal obligations—6,494—6,494
Corporate obligations—23,84246724,309
U.S. agency mortgage-backed securities—9,632—9,632
Non-U.S. agency mortgage-backed securities—2,659—2,659
Total debt securities - available-for-sale3,56142,79446746,822
Equity securities2,0232142072,444
Total assets at fair value$26,889$48,913$674$76,476
Percentage of total assets at fair value35%64%1%100%
December 31, 2024
Cash and cash equivalents$25,248$64$—$25,312
Debt securities - available-for-sale:
U.S. government and agency obligations4,194133—4,327
State and municipal obligations—6,984—6,984
Corporate obligations2922,84143723,307
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-sale4,22342,25943746,919
Equity securities1,85924651,948
Total assets at fair value$31,330$42,347$502$74,179
Percentage of total assets at fair value42%57%1%100%

There were no transfers in or out of Level 3 financial assets or liabilities during the nine months ended September 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 ValueTotal Carrying Value
September 30, 2025
Debt securities - held-to-maturity$461$25$—$486$488
Long-term debt and other financing obligations$—$73,627$—$73,627$77,247
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 September 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, market conditions and third-party indications. There were no significant fair value adjustments for assets and liabilities recorded during the nine months ended September 30, 2025 or 2024.

4. Medical Costs Payable

The following table shows the components of the change in medical costs payable for the nine months ended September 30:

(in millions)20252024
Medical costs payable, beginning of period$34,224$32,395
Acquisitions (dispositions), net20(755)
Reported medical costs:
Current year231,984197,750
Prior years(30)(600)
Total reported medical costs231,954197,150
Medical payments:
Payments for current year(195,548)(165,544)
Payments for prior years(30,453)(29,095)
Total medical payments(226,001)(194,639)
Less: increase in medical costs payable included within businesses held for sale(16)(200)
Medical costs payable, end of period$40,181$33,951

For the nine months ended September 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 $27.8 billion and $23.7 billion at September 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 2031750
5.3%, June 20351,000
5.95%, June 2055750

As of September 30, 2025, the Company had $2.9 billion of commercial paper outstanding, with a weighted-average annual interest rate of 4.2%.

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 nine months ended September 30, 2025:

Payment DateAmount per ShareTotal Amount Paid
(in millions)
March 18$2.10$1,912
June 242.212,000
September 232.212,002

7. Commitments and Contingencies

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 sale of its remaining South American operations continues to progress and is now expected to close in the second half of 2026, 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 group as of September 30, 2025, were as follows:

(in millions)Businesses Held for Sale
Assets
Cash and cash equivalents$248
Accounts receivable and other current assets682
Property, equipment and capitalized software743
Goodwill and other intangible assets460
Other long-term assets294
Remeasurement of assets of businesses held for sale to fair value less cost to sell(1)(1,397)
Total assets$1,030
Liabilities
Medical costs payable$195
Accounts payable and other current liabilities377
Other long-term liabilities407
Total liabilities$979

(1) Includes the effect of $985 million of cumulative foreign currency translation losses and $269 million of noncontrolling interests.

9. Business Combinations

During the nine months ended September 30, 2025, the Company completed several business combinations for total consideration of $4.7 billion.

Acquired assets (liabilities) at acquisition date were:

(in millions)
Cash and cash equivalents$305
Accounts receivable and other current assets554
Property, equipment and other long-term assets454
Other intangible assets864
Total identifiable assets acquired2,177
Medical costs payable(20)
Accounts payable and other current liabilities(496)
Other long-term liabilities(364)
Total identifiable liabilities acquired(880)
Total net identifiable assets1,297
Goodwill3,705
Nonredeemable noncontrolling interests(244)
Net assets acquired$4,758

The majority of goodwill is not deductible for income tax purposes. Goodwill attributable to Optum Health from the business combinations completed was $3.4 billion. The preliminary purchase price allocations for the various business combinations are subject to adjustment as valuation analyses, primarily related to intangible assets and contingent liabilities, are finalized.

The acquisition date fair values and weighted-average useful lives assigned to intangible assets were:

(in millions, except years)Fair ValueWeighted-Average Useful Life
Acquired finite-lived intangible assets:
Customer-related$339 years
Trademarks and technology212 years
Other619 years
Total acquired finite-lived intangible assets1158 years
Total acquired indefinite-lived intangible assets - operating licenses and certificates749
Total acquired intangible assets$864

The results of operations and financial condition of acquired entities have been included in the Company’s consolidated results and the results of the corresponding operating segment as of the date of acquisition. Through September 30, 2025, acquired entities’ impact on revenues and net earnings was not material.

Unaudited pro forma revenues and net earnings for the nine months ended September 30, 2025 and 2024, as if the business combinations had occurred on January 1, 2024, were immaterial for both periods.

10. 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)UnitedHealthcareOptum HealthOptum InsightOptum RxOptum EliminationsOptumCorporate and EliminationsConsolidated
Three Months Ended September 30, 2025
Revenues - unaffiliated customers:
Premiums$83,924$5,055$—$—$—$5,055$—$88,979
Products—614513,190—13,296—13,296
Services2,5784,3941,5391,243—7,176—9,754
Total revenues - unaffiliated customers86,5029,5101,58414,433—25,527—112,029
Total revenues - affiliated customers—15,9183,29025,195(1,317)43,086(43,086)—
Investment and other income5684724151—564—1,132
Total revenues$87,070$25,900$4,915$39,679$(1,317)$69,177$(43,086)$113,161
Total operating costs (a)$85,265$25,645$4,209$38,130$(1,317)$66,667$(43,086)$108,846
Earnings from operations$1,805$255$706$1,549$—$2,510$—$4,315
Interest expense——————(1,003)(1,003)
Loss on sale of subsidiary and subsidiaries held for sale(83)——————(83)
Earnings before income taxes$1,722$255$706$1,549$—$2,510$(1,003)$3,229
Total assets$130,492$100,895$33,846$62,528$—$197,269$(12,492)$315,269
Purchases of property, equipment and capitalized software238282267103—652—890
Depreciation and Amortization221309359210—878—1,099
Three Months Ended September 30, 2024
Revenues - unaffiliated customers:
Premiums$71,624$5,818$—$—$—$5,818$—$77,442
Products—844112,506—12,631—12,631
Services2,4223,9531,7001,029—6,682—9,104
Total revenues - unaffiliated customers74,0469,8551,74113,535—25,131—99,177
Total revenues - affiliated customers—15,4483,08620,554(1,130)37,958(37,958)—
Investment and other income807614104118—836—1,643
Total revenues$74,853$25,917$4,931$34,207$(1,130)$63,925$(37,958)$100,820
Total operating costs (a)$70,641$23,756$4,140$32,663$(1,130)$59,429$(37,958)$92,112
Earnings from operations$4,212$2,161$791$1,544$—$4,496$—$8,708
Interest expense——————(1,074)(1,074)
Loss on sale of subsidiary and subsidiaries held for sale(20)——————(20)
Earnings before income taxes$4,192$2,161$791$1,544$—$4,496$(1,074)$7,614
Total assets$120,760$95,482$34,666$57,031$—$187,179$(8,630)$299,309
Purchases of property, equipment and capitalized software211256398126—780—991
Depreciation and Amortization217283332209—824—1,041

(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)UnitedHealthcareOptum HealthOptum InsightOptum RxOptum EliminationsOptumCorporate and EliminationsConsolidated
Nine Months Ended September 30, 2025
Revenues - unaffiliated customers:
Premiums$248,456$14,962$—$—$—$14,962$—$263,418
Products—19113339,572—39,896—39,896
Services7,66512,1144,5563,430—20,100—27,765
Total revenues - unaffiliated customers256,12127,2674,68943,002—74,958—331,079
Total revenues - affiliated customers—47,7859,58870,122(3,770)123,725(123,725)—
Investment and other income1,6691,36296146—1,604—3,273
Total revenues$257,790$76,414$14,373$113,270$(3,770)$200,287$(123,725)$334,352
Total operating costs (a)$248,684$73,909$11,708$108,962$(3,770)$190,809$(123,725)$315,768
Earnings from operations$9,106$2,505$2,665$4,308$—$9,478$—$18,584
Interest expense——————(3,028)(3,028)
Loss on sale of subsidiary and subsidiaries held for sale(139)——————(139)
Earnings before income taxes$8,967$2,505$2,665$4,308$—$9,478$(3,028)$15,417
Total assets$130,492$100,895$33,846$62,528$—$197,269$(12,492)$315,269
Purchases of property, equipment and capitalized software626867895286—2,048—2,674
Depreciation and Amortization6618921,054637—2,583—3,244
Nine Months Ended September 30, 2024
Revenues - unaffiliated customers:
Premiums$214,867$17,460$—$—$—$17,460$—$232,327
Products—20512336,423—36,751—36,751
Services7,33912,0064,8072,590—19,403—26,742
Total revenues - unaffiliated customers222,20629,6714,93039,013—73,614—295,820
Total revenues - affiliated customers—48,6418,88758,208(3,275)112,461(112,461)—
Investment and other income1,8701,386159236—1,781—3,651
Total revenues$224,076$79,698$13,976$97,457$(3,275)$187,856$(112,461)$299,471
Total operating costs (a)$211,465$73,719$12,149$93,360$(3,275)$175,953$(112,461)$274,957
Earnings from operations$12,611$5,979$1,827$4,097$—$11,903$—$24,514
Interest expense——————(2,903)(2,903)
Loss on sale of subsidiary and subsidiaries held for sale(8,331)——————(8,331)
Earnings before income taxes$4,280$5,979$1,827$4,097$—$11,903$(2,903)$13,280
Total assets$120,760$95,482$34,666$57,031$—$187,179$(8,630)$299,309
Purchases of property, equipment and capitalized software581724987295—2,006—2,587
Depreciation and Amortization673832958595—2,385—3,058

(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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