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UNITED STATES
証券取引委員会
ワシントンDC20549
__________________________________________________________ 
フォーム 10-Q
__________________________________________________________ 
証券取引法第13条または15(d)条に基づく四半期報告書
報告期間が終了した2023年6月30日をもって2024年9月30日
または
移行期間:             から             まで
_______から_______の移行期間中
報告書番号:1-10864
__________________________________________________________ 
UHG(R)_CMYK.jpg
ユナイテッドヘルスグループ
(会社設立時の指定名)
 __________________________________________________________ 
デラウェア41-1321939
(設立または組織の州またはその他の管轄区域)
(I.R.S.雇用者識別番号)
(I.R.S. 雇用主識別番号)
識別番号)
9900 Bren Road East55343655ニューヨークアベニューNW20001
ミネトンカ、
ミネソタ州
Washington,DC
(主要執行オフィスの住所) (郵便番号)(主要執行オフィスの住所)(郵便番号)
(800) 328-5979
(登録者の電話番号(市外局番を含む))
_________________________________________________________  
法第12条(b)に基づく登録証券
各クラスの名称取引シンボル登録されている各取引所の名称
普通株式、0.01ドル普通株式UNHニューヨーク証券取引所
登録者が法案のセクション13、15(d)によって報告義務のあるすべての報告書を過去12ヵ月間(またはその期間中に登録者がそのような報告書を提出することが求められたより短い期間)に提出したか、または(2)過去90日間にわたって当該報告書の提出要件の対象となったかどうかを示すチェックマークを記入してください。はい ✓印を付しませんでした場合、登録者の内部統制に関するマネジメント評価を報告するよう求められたことを意味します。
規制S-tのルール405に基づき、過去12か月間(またはそのような短期間)、登録者が提出を求められたすべてのインタラクティブデータファイルを電子的に提出したかどうかをチェックマークで示す。はい ✓印を付しませんでした場合、登録者の内部統制に関するマネジメント評価を報告するよう求められたことを意味します。
登録者が大型加速ファイラー、加速ファイラー、非加速ファイラー、報告書備付小型企業、または新興成長企業であるかどうかをチェックマークで示します。 規則1202の「大型加速ファイラー」、「加速ファイラー」、「報告書備付小型企業」、「新興成長企業」の定義を参照してください。
大型加速ファイラー加速度ファイラー
非加速ファイラー
小規模報告会社
新興成長企業
新しいまたは改訂された財務会計基準に従うための拡張期間を使用しないことを選択した場合は、新興成長企業である場合、エクステンデッドトランジション期間を利用しないことを示すために、チェックマークを付けてください。
登録者がShell Company(Rule 1202 of the Exchange Actで定義されている)であるかどうかをチェックマークで示します。はい いいえ
2024年10月31日現在、 920,284,334



ユナイテッドヘルスグループ
目次
 
  ページ




第I部分
項目1. 財務諸表
ユナイテッドヘルスグループ
簡易合算貸借対照表
(未確定)
(百万単位、1株あたりのデータを除く)9月30日
2024
12月31日、
2023
資産
流動資産:
現金および現金同等物$32,400 $25,427 
短期投資4,734 4,201 
売掛金、純額20,024 21,276 
その他の現在の売掛金、純額27,461 17,694 
運用資産 3,755 
前払費用およびその他の流動資産7,639 6,084 
流動資産合計92,258 78,437 
長期投資48,689 47,609 
資産、設備、資本化されたソフトウェア、純額
10,139 11,450 
グッドウィル105,978 103,732 
その他の無形資産、純額23,594 15,194 
その他の資産18,651 17,298 
総資産$299,309 $273,720 
負債、償還可能な非支配持分および資本
現在の負債:
医療費の支払い$33,951 $32,395 
買掛金と未払負債33,080 31,958 
短期借入と現在の長期債務の満期3,909 4,274 
未収収入3,320 3,355 
その他の流動負債27,305 27,072 
流動負債合計101,565 99,054 
長期債務、現在の満期を差し引いたもの74,101 58,263 
繰延所得税4,014 3,021 
その他の負債15,174 14,463 
負債総額194,854 174,801 
償還可能な非支配持分4,574 4,498 
株式:
優先株式、$0.001 額面価格- 10 承認された株式; いいえ 発行済みまたは発行済株式
  
普通株式、$0.01 額面価格- 3,000 承認された株式; 923 そして 924 発行済みで未処理です
9 9 
その他の払込資本461  
利益剰余金96,518 95,774 
その他の包括損失の累計(2,453)(7,027)
償還不可の非支配持分
5,346 5,665 
総資本99,881 94,421 
負債総額、償還可能な非支配持分および資本$299,309 $273,720 
参照:縮小連結財務諸表ノート
1

目次
ユナイテッドヘルスグループ
損益計算書
(未確定)
 年度第3四半期が終了した時点での
9月30日
九ヶ月終了
9月30日
(百万ドル、1株当たり金額を除く)2024202320242023
収益:
プレミアム$77,442 $72,339 $232,327 $217,599 
製品12,631 10,354 36,751 31,272 
サービス9,104 8,671 26,742 25,414 
投資及びその他の収益1,643 997 3,651 2,910 
収益合計100,820 92,361 299,471 277,195 
運営費用:
医療関連費用65,957 59,550 197,150 179,663 
運営費用13,280 13,855 40,519 41,289 
製品販売原価11,834 9,423 34,230 28,576 
減価償却費および償却費1,041 1,007 3,058 2,998 
運営費合計92,112 83,835 274,957 252,526 
営業利益8,708 8,526 24,514 24,669 
利子費用(1,074)(834)(2,903)(2,416)
子会社売却に伴う損失および売却目的の子会社(20) (8,331) 
所得税前利益7,614 7,692 13,280 22,253 
所得税引当金(1,356)(1,654)(3,822)(4,784)
純利益6,258 6,038 9,458 17,469 
非支配株主持分(203)(197)(596)(543)
ユナイテッドヘルスグループの普通株主に帰属する純利益$6,055 $5,841 $8,862 $16,926 
ユナイテッドヘルスグループ株主に帰属する1株当たり利益:
基本$6.56 $6.31 $9.61 $18.20 
希薄化後$6.51 $6.24 $9.53 $18.01 
普通株式の基本的加重平均発行株式数923 926 922 930 
普通株式相当額の希薄化効果7 10 8 10 
希薄化後の普通株式の発行済株式数の加重平均数930 936 930 940 
普通株式の希薄化後分母株式数の希薄化効果から除外される希薄化しない株式4 6 6 6 
参照:縮小連結財務諸表ノート
2

目次
ユナイテッドヘルスグループ
総合損益計算書の簡易連結
(未確定)
 三ヶ月間の終了
9月30日,
9ヶ月が終了した
9月30日,
(百万単位)2024202320242023
純利益$6,258 $6,038 $9,458 $17,469 
その他包括利益(損失):
期間中の投資証券に関する未実現の総利益(損失)1,434 (893)1,069 (684)
法人税効果(328)204 (243)156 
合計未実現利益(損失)、税金控除後1,106 (689)826 (528)
純利益に含まれる実現利益(損失)のための総再分類調整(291)7 (349)(27)
法人税効果67 (2)80 6 
税引き後の総再分類調整額
(224)5 (269)(21)
外国通貨換算利益(損失) 88 (354)(197)254 
純利益に含まれる換算損失のための再分類調整  4,214  
合計外国通貨換算利益(損失)88 (354)4,017 254 
その他の包括的収入(損失)970 (1,038)4,574 (295)
包括利益7,228 5,000 14,032 17,174 
非支配株主に帰属する包括利益(203)(197)(596)(543)
ユナイテッドヘルスグループの普通株主に帰属する包括利益$7,025 $4,803 $13,436 $16,631 
参照:縮小連結財務諸表ノート
3

目次
ユナイテッドヘルスグループ
財務諸表要約:株主資本の変動表
(未確定)
普通株式資本剰余金の増加分留保利益その他包括利益累積損失償還不可の非支配持分合計
株式
9月30日に終了した3か月間
(百万単位)
株式金額投資に関するネット未実現(損失)利益外国通貨換算(損失)利益
2024年6月30日の残高921 $9 $373 $92,400 $(2,296)$(1,127)$5,317 $94,676 
純利益6,055 155 6,210 
その他包括利益882 88 970 
普通株式の発行及び関連する税効果
4  842 842 
株式報酬
208 208 
自社株購入(2) (957) (957)
普通株式に対する現金配当($2.10 シェアあたり)
(1,937)(1,937)
償還可能な非支配株主持分の公正価値及びその他の調整
(5)(5)
非償還の非支配株主持分の取得及びその他の調整
28 28 
非償還の非支配株主持分への配分
(154)(154)
2024年9月30日の残高923 $9 $461 $96,518 $(1,414)$(1,039)$5,346 $99,881 
2023年6月30日の残高927 $9 $ $89,994 $(2,643)$(5,007)$5,015 $87,368 
純利益
5,841 149 5,990 
その他包括損失(684)(354)(1,038)
普通株式の発行および関連する税の影響
1  395 395 
株式報酬
235 235 
自社株購入(3) (588)(923)(1,511)
普通株式に対して支払われた配当($1.88 シェアあたり)
(1,739)(1,739)
償還可能な非支配株主持分の公正価値とその他の調整
(42)(42)
償還不可能な非支配株主持分の取得とその他の調整42 42 
償還不可能な非支配株主持分への配分
(136)(136)
2023年9月30日の残高925 $9 $ $93,173 $(3,327)$(5,361)$5,070 $89,564 
参照:縮小連結財務諸表ノート







4

目次
ユナイテッドヘルスグループ
財務諸表要約:株主資本の変動表
(未確定)
普通株式資本剰余金の増加分留保利益その他包括利益累積損失取り戻せない非支配持分合計
株式
9月30日に終了した9か月間
(百万単位)
株式金額投資に関する未実現(損失)利益外国通貨換算(損失)利益
2024年1月1日時点の残高924 $9 $ $95,774 $(1,971)$(5,056)$5,665 $94,421 
純利益8,862 462 9,324 
その他包括利益557 4,017 4,574 
普通株式の発行と関連する税金の影響7  1,280 1,280 
株式報酬770 770 
自社株購入(8) (1,528)(2,517)(4,045)
普通株式に対して支払われた配当($6.08 シェアあたり)
(5,601)(5,601)
償還可能な非支配株主持分の公正価値及びその他の調整(61)(61)
非償還非支配株主持分の取得及びその他の調整(291)(291)
非償還非支配株主持分への分配(490)(490)
2024年9月30日の残高923 $9 $461 $96,518 $(1,414)$(1,039)$5,346 $99,881 
2023年1月1日の残高934 $9 $ $86,156 $(2,778)$(5,615)$3,678 $81,450 
純利益
16,926 401 17,327 
その他包括損益(549)254 (295)
普通株式の発行と関連する税効果
4  963 963 
株式報酬
833 833 
自社株購入(13) (1,663)(4,886)(6,549)
普通株式に対する現金配当の支払い ($5.41 シェアあたり)
(5,023)(5,023)
償還可能な非支配持分の公正価値およびその他の調整
(133)(133)
非償還型非支配持分の取得およびその他の調整1,339 1,339 
非償還型非支配持分への配分
(348)(348)
2023年9月30日の残高925 $9 $ $93,173 $(3,327)$(5,361)$5,070 $89,564 
参照:縮小連結財務諸表ノート
5

目次
ユナイテッドヘルスグループ
簡易連結キャッシュフロー計算書
(未確定)
 9ヶ月が終了した
9月30日,
(百万単位)20242023
営業活動
純利益$9,458 $17,469 
非現金項目:
減価償却および償却3,058 2,998 
繰延所得税(234)(494)
株式報酬831 851 
子会社売却に伴う損失および売却目的の子会社8,331  
その他、純額(610)(59)
その他の運用項目の純変動、M&Aおよび譲渡の影響を差し引いた純額:
売掛金685 (2,574)
その他の資産(2,988)(2,358)
医療費用支払義務2,235 3,837 
支払手形およびその他債務1,250 2,370 
未獲得収益(181)12,221 
営業活動からの現金流入21,835 34,261 
投資活動
投資の購入(19,951)(12,998)
投資の売却額15,065 3,674 
投資の満期日6,738 6,474 
M&アのために支払った現金及びその他取引、現金相当物による控除額(11,674)(8,389)
固定資産、設備及び資本化ソフトウェアの購入(2,587)(2,427)
介護提供者への融資-サイバー攻撃(8,904) 
介護提供者ローンの返済 - サイバー攻撃3,189  
その他、純額(1,284)(721)
投資活動に関するキャッシュフローの使用(19,408)(14,387)
財務活動
自社株購入(4,028)(6,500)
現金配当(5,601)(5,023)
普通株式の発行による収入1,611 1,039 
新規買の長期債務償還(2,500)(2,125)
新規買取りによる(短期借入金の返済を含む)収益、純額(191)1,579 
長期債券発行による受取額17,811 6,394 
顧客資金の運用(1,059)2,037 
その他、純額(1,213)(1,774)
財務活動からの現金フロー(投資活動に使用)4,830 (4,373)
為替レート変動の現金および現金同等物への影響(30)49 
売却予定の事業内に保有されている現金を含む現金及び現金同等物の増加7,227 15,550 
売却予定の事業内に保有されている現金を差し引いた金額(254) 
現金及び現金同等物の純増加6,973 15,550 
現金及び現金同等物期首残高25,427 23,365 
期末現金及び現金同等物$32,400 $38,915 
参照:縮小連結財務諸表ノート
6

目次
ユナイテッドヘルスグループ
未監査連結財務諸表の注記
(未確定)
1.    プレゼンテーションの基礎
ユナイテッドヘルスグループ株式会社(以下、子会社を含むユナイテッドヘルスグループおよび同社という)は、人々がより健康的な生活を送るのを支援し、ヘルスケアシステムがすべての人々にとってより良く機能するよう支援する使命を持つヘルスケアおよびウェルビーイング企業です。同社の2つの異なるが互い補完的なビジネスであるOptumとUnitedHealthcareは、同社が奉仕する個人や組織に向けて、アクセス、手頃な価格、アウトカム、体験の改善を通じて近代的で高性能なヘルスケアシステムの構築に取り組んでいます。
当社は、アメリカの一般に認められた会計原則(GAAP)に従って、連結財務諸表を作成し、ユナイテッドヘルスグループおよびその子会社の口座を含めました。年度末の簡易連結貸借対照表は、監査済み財務諸表から作成されたものですが、GAAPにより要求されるすべての開示を含んでいるわけではありません。アメリカ証券取引委員会(SEC)の規則および規制に従い、当社は、年次監査済み連結財務諸表に含まれる開示を実質的に重複する特定の脚注の開示を省略しました。したがって、これらの簡易連結財務諸表は、に含まれる連結財務諸表と注記と併せて読まれるべきです。2023年12月31日に終了した年度のSECに提出された年次報告書(2023 10-K)の第II部、第8項「財務諸表および補足データ」に含まれています。付属の簡易連結財務諸表は、中間財務諸表を公平に提示するために必要なすべての通常の繰り返し調整を含んでいます。
見積もりの使用
これらの簡約化された連結財務諸表には、会社の最良の見積もりと判断に基づく一定の金額が含まれています。 会社の最も重要な見積もりには、支払われる医療費やのれんの見積もりと判断が関連しています。 これらの見積もりの一部は、複雑な仮定と判断の適用を必要とし、しばしば不確実性の本質的に関わる事項を含むため、予後期におそらく変化するであろう事項です。 見積もりの変更の影響は、見積もりが調整される期間に利益に含まれています。
収益-製品とサービス
2024年9月30日および2023年12月31日時点で、製品およびサービスに関連する売掛金はそれぞれドルでした。9.2私たちの入力によると、この文書には数字がありません。8.62024年9月30日時点で、将来のいずれかの年に認識されると予想される売上高は、以下の直ちに売掛金回収を伴う契約および変数に関連する契約を除く残存業績義務に関連してドルでした。13.0うち約半分が次の内に認識される見込みであり、そのうちをドルで認識する見込みです。 3年間.
資産管理
2024年7月、会社はメディケア補足プログラムを会員組織と共に修正・再定義しました(メディケア補足プログラム)。この修正により、会社はメディケア補足提供のマーケティング活動において商号およびその他の知的財産を使用する権利を得ました。以前は運用資産として報告されていた金額は、現在、会社の圧縮連結貸借対照表にその分類に基づいて含まれています。
改訂された新しいメディケア補助プログラム以前の期間について、会社はその凝縮された連結キャッシュフロー計算書において、特定のバランスシート項目の影響を除外していましたが、改訂後の期間ではこれらの影響が含まれています。.
7

目次
2.    投資
主要セキュリティタイプ別の債券・債務証券の概要は次の通りです:
(百万単位)償却済
コスト

未実現
利益

未実現
Losses
公正
価値
2024年9月30日
債券・債務証券 - 売却可能
アメリカ合衆国政府および機関の債務$5,005 $5 $(182)$4,828 
州および地方自治体の債務7,301 23 (256)7,068 
資産23,752 82 (781)23,053 
米国機関のモーゲージ担保証券9,209 21 (600)8,630 
非米国機関のモーゲージ担保証券2,832 6 (154)2,684 
総債券・債務証券 - 売却可能48,099 137 (1,973)46,263 
債券・債務証券 - 満期保有:
米国政府および機関の義務414 1 (2)413 
州および地方自治体の債務28  (2)26 
資産22   22 
総債券・債務証券 - 満期保有464 1 (4)461 
債券・債務証券の合計$48,563 $138 $(1,977)$46,724 
2023年12月31日
債券・債務証券 - 売却可能:
米国政府および機関債務$4,674 $3 $(234)$4,443 
州および地方自治体の債務7,636 39 (322)7,353 
資産23,136 67 (1,186)22,017 
米国機関のモーゲージ担保証券8,982 22 (708)8,296 
非米国機関のモーゲージ担保証券3,023 3 (240)2,786 
売却可能な債券・債務証券の合計47,451 134 (2,690)44,895 
満期保有の債券・債務証券:
米国政府及び機関の債務506 1 (6)501 
州および地方自治体の債務28  (2)26 
資産69   69 
満期保有の債券・債務証券の合計603 1 (8)596 
債券・債務証券の合計$48,054 $135 $(2,698)$45,491 
会社は2024年9月30日時点で新規買ウェハ受託購入額が$である。これは長期ウェハ供給契約の下での供給業者への入金に関連しています。4.9 2024年9月30日および2023年12月31日時点での株式証券の総額は数十億ドルでした。会社の株式証券への投資は、主にventure投資と従業員貯蓄プラン関連の投資で構成されています。さらに、会社の投資には$1.8 十億ドルと$1.42024年9月30日および2023年12月31日時点で、ヘルスケアセクターの運営ビジネスにおける株式法による投資として数十億ドルが含まれていました。2024年9月30日および2023年12月31日時点での満期保有証券に対するクレジット損失の引当金は重要ではありませんでした。
8

目次
2024年9月30日時点の債券・債務証券の償還費用および公正価値は、契約満期別に以下の通りでした:
売却可能保有期間終了まで保有
(百万単位)償却済
コスト
公正
価値
償却済
コスト
公正
価値
1年以内に満期$4,881 $4,861 $320 $319 
4,93215,152 14,810 113 114 
5年から10年以内に満期10,993 10,432 14 13 
10年より後に満期5,032 4,846 17 15 
米国の機関住宅ローン担保証券9,209 8,630 — — 
非米国の機関担保抵当証券2,832 2,684 — — 
債券・債務証券の合計$48,099 $46,263 $464 $461 
利用可能な債券・債務証券の公正価値は、主要セキュリティタイプごとの総未実現損失と、個々の証券が継続的な未実現損失の状態にある期間ごとに次のようになっていました:
 12か月未満12か月以上 合計
(百万単位)公正
価値

未実現
Losses
公正
価値

未実現
Losses
公正
価値

未実現
Losses
2024年9月30日
債券・債務証券 - 有価証券売却可能:
米国政府および機関の債務
$894 $(7)$2,448 $(175)$3,342 $(182)
州および地方自治体の債務726 (6)4,278 (250)5,004 (256)
資産3,499 (18)12,174 (763)15,673 (781)
米国の機関住宅ローン担保証券2,140 (20)5,018 (580)7,158 (600)
非米国の機関担保抵当証券
138 (1)1,990 (153)2,128 (154)
債券・債務証券の合計 - 有価証券$7,397 $(52)$25,908 $(1,921)$33,305 $(1,973)
2023年12月31日
債券・債務証券 - 有価証券:
米国政府および機関の債務
$1,270 $(7)$2,077 $(227)$3,347 $(234)
州および地方自治体の債務907 (7)4,063 (315)4,970 (322)
資産1,826 (17)14,696 (1,169)16,522 (1,186)
米国の機関住宅ローン担保証券1,337 (12)5,069 (696)6,406 (708)
非米国の機関担保抵当証券
279 (6)2,202 (234)2,481 (240)
債券・債務証券の合計 - 有価証券$5,619 $(49)$28,107 $(2,641)$33,726 $(2,690)
2024年9月30日現在、会社の債券・債務証券からの未実現損失は約 27,000 のポジションから、合計 41,000 のポジションでした。会社は、公正価値を超える償却原価を有する債券・債務証券に対する元本および利息の回収を適時に行うと信じています。未実現損失は主に金利の上昇によって引き起こされており、これらの証券に関連する信用質の悪化によるものではなく、会社の元本および利息の回収可能性に対する評価に影響を与えました。 各報告期間において、会社は、投資の公正価値がその償却原価を下回っている場合に、売却可能な債券・債務証券の信用関連の減損について評価します。会社は、購入以来の信用質と発行者の信用格付け、そして期待されるキャッシュフローを評価し、信用の著しい悪化はないことを確認しました。2024年9月30日現在、会社は未実現損失の状態にある売却可能な債券・債務証券を売却する意図がありませんでした。したがって、会社はこれらの損失を一時的なものであると信じています。 2024年9月30日および2023年12月31日現在の売却可能な債券・債務証券に対する信用損失引当金は重要ではありませんでした。
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3.    公正価値
一部の資産および負債は、簡易連結財務諸表において公正価値で計測されるか、簡易連結財務諸表の注記に公正価値が開示されています。これらの資産および負債は、GAAPによって定義された3つの階層の内の1つに分類されます。
各金融商品クラスの公正価値を見積るために使用される方法および仮定の説明、および公正価値ヒエラルキー分類を判断するために使用された内容については、2023年の10-kの財務諸表の注記4、パートII、項目8「財務諸表および補足データ」に記載されている財務諸表に関する注釈を参照してください。
以下の表は、繰り返し発生する基準で測定される項目のフェアバリュー測定のレベルおよび帳簿価額の要約をまとめたものを、簡略化された連結貸借対照表で示しています:
(百万単位)引用価格
を有する
市場
(Level 1)
その他
Observable
入力
(Level 2)
観測不可
入力
(レベル3)
合計
公正で思いやりのある
価値
2024年9月30日
現金及び現金同等物$32,230$170$$32,400
債券・債務証券 - 売却可能:
アメリカ合衆国政府および機関の債務4,6821464,828
州および地方自治体の債務7,0687,068
資産2722,71930723,053
米国の機関住宅ローン担保証券8,6308,630
非米国の機関担保抵当証券2,6842,684
合計債券・債務証券 - 売却可能4,70941,24730746,263
株式証券1,83325651,923
公正価値による総資産$38,772$41,442$372$80,586
公正価値での総資産の割合48 %51 %%100 %
2023年12月31日
現金及び現金同等物$25,345$82$$25,427
債券・債務証券 - 売却可能:
米国政府および機関の債務4,1672764,443
州および地方自治体の債務7,3537,353
資産1521,80020222,017
米国の機関住宅ローン担保証券8,2968,296
非米国の機関担保抵当証券2,7862,786
売却可能な債券・債務証券の合計4,18240,51120244,895
株式証券2,46816692,553
資産運用残高 1,5052,1401103,755
公正価値による総資産$33,500$42,749$381$76,630
公正価値での総資産の割合44 %55 %%100 %
多くの主張があり、私はすべてを調べていなかったので、判断を下しませんでした。ただし、確認した特定の項目は、事実に基づいているように見えました。no 2024年または2023年の9ヶ月間におけるレベル3の金融資産または負債の移動。
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次の表は、繰り返し計測されない一部の金融商品の公正値評価レベルおよび帳簿価額による要約を、総括連結貸借対照表で示しています。
(百万単位)引用価格
を有する
市場
(Level 1)
その他
Observable
入力
(Level 2)
観測不可
入力
(レベル3)
合計
公正
価値
総帳簿価額
2024年9月30日
債券・債務証券 - 満期保有$435 $26 $ $461 $464 
長期債務とその他の資金調達義務$ $75,798 $ $75,798 $76,780 
2023年12月31日
債券・債務証券 - 満期保有$524 $72 $ $596 $603 
長期債務とその他の資金調達義務$ $59,851 $ $59,851 $61,449 
非金融資産および負債または金融資産および負債は、非定期的に公正価値で測定される場合、特定の状況でのみ公正価値の調整を受けます。たとえば、会社が減損を記録する場合です。2024年9月30日時点で売却目的で保有されていた南アメリカの事業の資産と負債は、帳簿価値と売却コストを差し引いた公正価値のいずれか低い方で測定されました。公正価値は、会社の特定情報や市場条件から得られた推定販売価格など、観測不可能な額に基づいて測定されます。そこに何かがありました。 no 2024年または2023年9月30日までの9か月間に記録された資産および負債に対するその他の重要な公正価値調整がありました。
4.    医療関連費用支払可能額
以下の表は、9月30日に終了した9か月間の医療費支払いの変化の部品を示しています。
(百万単位)20242023
医療関連費用、期首$32,395 $29,056 
取得(処分)、純(755)1 
報告された医療関連費用:
今年度197,750 180,423 
前年(600)(760)
報告された医療関連費用の合計197,150 179,663 
医療関連支出:
当年度の医療関連支払い
(165,544)(149,671)
過去年度の医療関連支払い(29,095)(26,257)
合計医療関連支払い(194,639)(175,928)
売却予定の事業に含まれる医療関連費用の支払いを控除(200) 
期間末の医療関連費用の支払い$33,951 $32,792 
For the nine months ended September 30, 2024 and 2023, 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 $24.1 billion and $22.3 billion at September 30, 2024 and December 31, 2023, respectively.
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5.    Short-Term Borrowings and Long-Term Debt
In March 2024, the Company issued $6.0 billion of senior unsecured notes consisting of the following:
(in millions, except percentages)Par Value
4.600% notes due April 2027
$500 
4.700% notes due April 2029
400 
4.900% notes due April 2031
1,000 
5.000% notes due April 2034
1,250 
5.375% Notes due April 2054
1,750 
5.500% Notes due April 2064
1,100 
In July 2024, the Company issued $12.0 billion of senior unsecured notes consisting of the following:
(in millions, except percentages)Par Value
Floating rate notes due July 2026
$500 
4.750% notes due July 2026
650 
4.800% notes due January 2030
1,250 
4.950% notes due January 2032
1,500 
5.150% notes due July 2034
2,000 
5.500% notes due July 2044
1,500 
5.625% notes due July 2054
2,750 
5.750% notes due July 2064
1,850 
As of September 30, 2024, the Company had $1.2 billion of commercial paper outstanding, with a weighted-average annual interest rate of 5.4%.
In May 2024, the Company entered into an additional $3 billion 364-day revolving bank credit facility and a $5 billion 364-day delayed draw term loan. The $5 billion 364-day delayed draw term loan was terminated in September 2024. As of September 30, 2024 no amount had been drawn on any of the bank credit facilities.
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 2023 10-K.
6.    Other Intangible Assets
The fair values and weighted-average useful lives assigned to intangible assets as a result of transactions completed during the nine months ended September 30, 2024 consisted of the following:
(in millions, except years)Fair ValueWeighted-Average Useful Life
Customer-related$1,070 13 years
Trademarks and technology509 5 years
Other20 8 years
Total finite-lived$1,599 11 years
Total indefinite-lived - trade names, trademarks, operating licenses and certificates and other8,793 
Total intangible assets$10,392 
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7.    Shareholders’ Equity
Share Repurchase Program
In June 2024, the Company’s Board of Directors amended the Company’s share repurchase program to authorize the repurchase of up to 35 million shares of Common Stock, in addition to all remaining shares authorized to be repurchased under the Board’s 2018 renewal of the program. As of September 30, 2024, the Company had 42 million shares remaining available under its share repurchase authorization.
Dividends
In June 2024, the Company’s Board of Directors increased the Company’s quarterly cash dividend to shareholders to an annual rate of $8.40 compared to $7.52 per share, which the Company had paid since June 2023. 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, 2024:
Payment DateAmount per ShareTotal Amount Paid
(in millions)
March 19$1.88 $1,729 
June 252.10 1,935 
September 242.10 1,937 
8.    Commitments and Contingencies
Pending Transactions
As of September 30, 2024, the Company had entered into transaction agreements in the health care sector, subject to regulatory approval and/or other customary closing conditions. The total anticipated consideration required for these transactions, excluding the payoff of acquired indebtedness, was approximately $5 billion.
Legal Matters
The Company is frequently made party to a variety of legal actions and regulatory inquiries, including class actions and suits brought by members, care providers, consumer advocacy organizations, customers and regulators, relating to the Company’s businesses, including management and administration of health benefit plans and other services. These matters include medical malpractice, employment, intellectual property, antitrust, privacy and contract claims and claims related to health care benefits coverage and other business practices.
The Company records liabilities for its estimates of probable costs resulting from these matters where appropriate. Estimates of costs resulting from legal and regulatory matters involving the Company are inherently difficult to predict, particularly where the matters: involve indeterminate claims for monetary damages or may involve fines, penalties or punitive damages; present novel legal theories or represent a shift in regulatory policy; involve a large number of claimants or regulatory bodies; are in the early stages of the proceedings; or could result in a change in business practices. Accordingly, the Company is often unable to estimate the losses or ranges of losses for those matters where there is a reasonable possibility or it is probable a loss may be incurred.
Government Investigations, Audits and Reviews
The Company has been involved or is currently involved in various governmental investigations, audits and reviews. These include routine, regular and special investigations, audits and reviews by the Centers for Medicare and Medicaid Services (CMS), state insurance and health and welfare departments, state attorneys general, the Office of the Inspector General, the Office of Personnel Management, the Office for Civil Rights, the Government Accountability Office, the Federal Trade Commission, U.S. Congressional committees, the U.S. Department of Justice (DOJ), the SEC, the Internal Revenue Service, the U.S. Drug Enforcement Administration, the U.S. Department of Labor, the Federal Deposit Insurance Corporation, the Consumer Financial Protection Bureau, the Defense Contract Audit Agency, the Food and Drug Administration and other governmental authorities. Similarly, the Company’s international businesses are also subject to investigations, audits and reviews by applicable foreign governments. The Company has also been responding to subpoenas, information requests and investigations from governmental entities. The Company can provide no assurance as to the scope and outcome of these matters and no assurance as to whether its business, financial condition or results of operations will be materially adversely affected. Certain of the Company’s businesses have been reviewed or are currently under review, including for, among other matters, compliance with coding and other requirements under the Medicare risk-adjustment model. CMS has selected certain of the
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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. On February 12, 2018, the court granted in part and denied in part the Company’s motion to dismiss. In May 2018, the DOJ moved to dismiss the Company’s counterclaims, which were filed in March 2018, and moved for partial summary judgment. In March 2019, the court denied the government’s motion for partial summary judgment and dismissed the Company’s counterclaims without prejudice. The Company cannot reasonably estimate the outcome which may result from this matter given its procedural status.
9.    Dispositions and Held for Sale
During the nine months ended September 30, 2024, the Company completed or initiated various business portfolio and asset disposition activities. The Company recorded a loss of $7.1 billion related to the sale of its Brazil operations, of which $4.1 billion related to the impact of cumulative foreign currency translation losses previously included in accumulated other comprehensive loss, and a loss of $1.2 billion related to the reclassification of the Company’s remaining South American operations as held for sale, of which $876 million related to the impact of cumulative foreign currency translation losses.
The Company also sold other businesses and assets for $1.0 billion in total consideration, with a carrying value of $241 million, and the difference reflected in the Condensed Consolidated Statement of Operations. The sales of the Company’s remaining South American assets are expected to close within a year, subject to regulatory and other customary closing conditions. Assets and liabilities held for sale have been included within prepaid and other current assets and other current liabilities on the Condensed Consolidated Balance Sheet, respectively.
The assets and liabilities of the Brazil and held for sale disposal groups as of the date of the sale and as of September 30, 2024, respectively, were as follows:
(in millions)Brazil
Disposition
Businesses
Held for Sale
Assets
Cash and cash equivalents$778 $254 
Accounts receivable and other current assets515 652 
Long-term investments788 36 
Property, equipment and capitalized software1,052 674 
Deferred tax assets1,035  
Goodwill and other intangible assets317 450 
Other long-term assets439 253 
Remeasurement of assets of businesses held for sale to fair value less cost to sell(1)
 (1,245)
Total assets$4,924 $1,074 
Liabilities
Medical costs payable$701 $200 
Accounts payable and other current liabilities834 395 
Other long-term liabilities136 544 
Total liabilities$1,671 $1,139 
(1)      Includes the effect of $876 million of cumulative foreign currency translation losses and $54 million of noncontrolling interests.
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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 2023 10-K.
The following tables present reportable segment financial information:
  Optum  
(in millions)UnitedHealthcareOptum HealthOptum InsightOptum RxOptum EliminationsOptumCorporate and
Eliminations
Consolidated
Three Months Ended September 30, 2024
Revenues - unaffiliated customers:
Premiums$71,624 $5,818 $ $ $ $5,818 $ $77,442 
Products 84 41 12,506  12,631  12,631 
Services2,422 3,953 1,700 1,029  6,682  9,104 
Total revenues - unaffiliated customers
74,046 9,855 1,741 13,535  25,131  99,177 
Total revenues - affiliated customers
 15,448 3,086 20,554 (1,130)37,958 (37,958) 
Investment and other income
807 614 104 118  836  1,643 
Total revenues$74,853 $25,917 $4,931 $34,207 $(1,130)$63,925 $(37,958)$100,820 
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 
Three Months Ended September 30, 2023
Revenues - unaffiliated customers:
Premiums$66,709 $5,630 $ $ $ $5,630 $ $72,339 
Products 61 40 10,253  10,354  10,354 
Services2,550 3,629 1,938 554  6,121  8,671 
Total revenues - unaffiliated customers
69,259 9,320 1,978 10,807  22,105  91,364 
Total revenues - affiliated customers
 14,227 2,964 17,999 (961)34,229 (34,229) 
Investment and other income
594 317 35 51  403  997 
Total revenues$69,853 $23,864 $4,977 $28,857 $(961)$56,737 $(34,229)$92,361 
Earnings from operations$4,592 $1,568 $1,109 $1,257 $ $3,934 $ $8,526 
Interest expense      (834)(834)
Earnings before income taxes
$4,592 $1,568 $1,109 $1,257 $ $3,934 $(834)$7,692 
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  Optum  
(in millions)UnitedHealthcareOptum HealthOptum InsightOptum RxOptum EliminationsOptumCorporate and
Eliminations
Consolidated
Nine Months Ended September 30, 2024
Revenues - unaffiliated customers:
Premiums$214,867 $17,460 $ $ $ $17,460 $ $232,327 
Products 205 123 36,423  36,751  36,751 
Services7,339 12,006 4,807 2,590  19,403  26,742 
Total revenues - unaffiliated customers
222,206 29,671 4,930 39,013  73,614  295,820 
Total revenues - affiliated customers
 48,641 8,887 58,208 (3,275)112,461 (112,461) 
Investment and other income
1,870 1,386 159 236  1,781  3,651 
Total revenues$224,076 $79,698 $13,976 $97,457 $(3,275)$187,856 $(112,461)$299,471 
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 
Nine Months Ended September 30, 2023
Revenues - unaffiliated customers:
Premiums$201,214 $16,385 $ $ $ $16,385 $ $217,599 
Products 156 119 30,997  31,272  31,272 
Services7,689 10,259 5,859 1,607  17,725  25,414 
Total revenues - unaffiliated customers
208,903 26,800 5,978 32,604  65,382  274,285 
Total revenues - affiliated customers
 42,947 8,089 52,174 (2,713)100,497 (100,497) 
Investment and other income
1,649 1,038 80 143  1,261  2,910 
Total revenues$210,552 $70,785 $14,147 $84,921 $(2,713)$167,140 $(100,497)$277,195 
Earnings from operations$13,293 $4,869 $2,984 $3,523 $ $11,376 $ $24,669 
Interest expense      (2,416)(2,416)
Earnings before income taxes
$13,293 $4,869 $2,984 $3,523 $ $11,376 $(2,416)$22,253 
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ITEM 2.    MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
The following discussion should be read together with the accompanying Condensed Consolidated Financial Statements and Notes and with our 2023 10-K, including the Consolidated Financial Statements and Notes included in Part II, Item 8, “Financial Statements and Supplementary Data” in that report. Unless the context indicates otherwise, references to the terms “UnitedHealth Group,” the “Company,” “we,” “our” or “us” used throughout this Management’s Discussion and Analysis of Financial Condition and Results of Operations refer to UnitedHealth Group Incorporated and its consolidated subsidiaries.
Readers are cautioned that the statements, estimates, projections or outlook contained in this Management's Discussion and Analysis of Financial Condition and Results of Operations, including discussions regarding financial prospects, economic conditions, trends and uncertainties contained in this Item 2, may constitute forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 (PSLRA). These forward-looking statements involve risks and uncertainties that may cause our actual results to differ materially from the results discussed or implied in the forward-looking statements. A description of some of the risks and uncertainties is set forth in Part I, Item 1A, “Risk Factors” in our 2023 10-K and in the discussion below.
EXECUTIVE OVERVIEW
General
UnitedHealth Group 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. Our 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 we are privileged to serve.
We have four reportable segments:
Optum Health;
Optum Insight;
Optum Rx; and
UnitedHealthcare, which includes UnitedHealthcare Employer & Individual, UnitedHealthcare Medicare & Retirement and UnitedHealthcare Community & State.
Further information on our business is presented in Part I, Item 1, “Business” and Part II, Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in our 2023 10-K and additional information on our segments can be found in this Item 2 and in Note 10 of Notes to the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report.
Change Healthcare Cyberattack
As previously announced, on February 21, 2024, we identified that cybercrime threat actors had gained access to certain Change Healthcare information technology systems. Upon detection of this outside threat, we isolated the impacted systems to protect our partners and customers.
We have made substantial progress in mitigating the impact to consumers and care providers of the unprecedented cyberattack on the U.S. health system and have restored the majority of the affected Change Healthcare services. To support care providers we provided interest-free loans of nearly $9 billion through September 30, 2024. For the three and nine months ended September 30, 2024, we incurred $341 million and $1.7 billion of direct response costs, respectively; including increased medical care expenditures, as we suspended some care management activities to help care providers with their workflow processes; costs associated with providing interest-free loans; notifications of impacted persons; and network restoration. Optum Insight also experienced estimated business disruption impacts of $134 million and $747 million for the three and nine months ended September 30, 2024, respectively, reflecting lost revenue while maintaining full readiness of the affected Change Healthcare services. We expect to continue to incur direct response costs and experience business disruption impacts over the remainder of the year, which will continue at a lesser extent in 2025 as we work to bring transaction volumes back to pre-event levels and win new business.
Based upon our ongoing review of the impacted data, we have found files containing protected health information (PHI) or personally identifiable information (PII), which cover a substantial proportion of people in America. In June 2024, Change Healthcare gave public notice of the breach under the Health Insurance Portability and Accountability Act (HIPAA) and began notifying affected customer entities in June and individuals in late July. The investigation of impacted data is ongoing. It is
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possible that future risks and uncertainties resulting from the Change Healthcare cyberattack, including risks related to impacted data, litigation, reputational harm, and regulatory actions could adversely affect our financial condition or results of operations.
Business Trends
Our businesses participate in the United States and certain other international health markets. We expect overall spending on health care to continue to grow in the future, due to inflation, medical technology and pharmaceutical advancement, regulatory requirements, demographic trends in the population and national interest in health and well-being. The rate of market growth may be affected by a variety of factors, including macroeconomic conditions and regulatory changes, which could impact our results of operations, including our continued efforts to control health care costs.
Pricing Trends. To price our health care benefits, products and services, we start with our view of expected future costs, including medical cost trends, inflation and labor market dynamics. We frequently evaluate and adjust our approach in each of the local markets we serve, considering all relevant factors, such as product positioning, price competitiveness and environmental, competitive, legislative and regulatory considerations, including minimum medical loss ratio thresholds and similar revenue adjustments. We will continue seeking to balance growth and profitability across all these dimensions.
The commercial risk market remains highly competitive in the small group, large group and individual segments. We expect broad-based competition to continue as the industry adapts to individual and employer needs.
Government programs in the community and senior sector tend to receive lower rates of increase than the commercial market due to governmental budget pressures and lower cost trends.
Medical Cost Trends. Our medical cost trends primarily relate to changes in unit costs, care activity and prescription drug costs. As expected and contemplated in our benefits design, we have continued to observe increased care patterns, primarily related to outpatient procedures for seniors, which may continue in future periods. In the third quarter, we also experienced higher medical costs due to a pronounced upshift in coding intensity by hospitals and an acceleration of the prescribing of certain high-cost specialty medications, primarily those used to treat cardiovascular disease, auto-immune disorders and cancer. We endeavor to mitigate these increases by engaging hospitals, physicians and consumers with information and helping them make clinically sound choices, with the objective of helping them achieve quality, affordable care.
As a result of the Change Healthcare cyberattack, we incurred medical costs related to the impact of the temporary suspension of some care management activities, impacting our UnitedHealthcare and Optum Health businesses, to help care providers with their workflow processes. Early in the second quarter we resumed these activities. For the nine months ended September 30, 2024, medical costs related to the temporary suspension of some care management activities were $630 million.
Medicaid Redeterminations. Medicaid redeterminations have impacted the number of people served through our Medicaid offerings, partially offset by an increase in consumers served through our commercial offerings as we endeavor to ensure that people and families have continued access to care. The Medicaid redetermination process has also caused a timing mismatch between the current health status of people served through Medicaid and state rate updates, which remain well short of current care activity.
Regulatory Trends and Uncertainties
Medicare Advantage Rates. Medicare Advantage rate notices over the years have at times resulted in industry base rates well below the industry forward medical cost trend. For example, the Final Notices for 2024 and 2025 rates resulted in an industry base rate decrease, both well short of an increasing industry forward medical cost trend, creating continued pressure in the Medicare Advantage program. Further, substantial revisions to the risk adjustment model, which serves to adjust rates to reflect a patient’s health status and care resource needs, will result in reduced funding and potentially benefits for people, especially those with some of the greatest health and social challenges.
As a result of ongoing Medicare funding pressures, there are adjustments we can make to partially offset these rate pressures and reductions for a particular period. For example, we can seek to intensify our medical and operating cost management, make changes to the size and composition of our care provider networks, adjust member benefits and implement or increase the member premiums supplementing the monthly payments we receive from the government. Additionally, we decide annually on a county-by-county basis where we will offer Medicare Advantage plans.
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SELECTED OPERATING PERFORMANCE AND OTHER SIGNIFICANT ITEMS
The following summarizes select third quarter 2024 year-over-year operating comparisons to third quarter 2023 and other financial results.
Consolidated revenues grew 9%, UnitedHealthcare revenues grew 7% and Optum revenues grew 13%.
UnitedHealthcare served 2.0 million more people domestically, driven by growth in commercial offerings, partially offset by the impact of Medicaid redeterminations.
Consolidated earnings from operations of $8.7 billion compared to $8.5 billion last year.
Diluted earnings per common share was $6.51.
Cash flows from operations for the nine months ended September 30, 2024 were $21.8 billion.
RESULTS SUMMARY
The following table summarizes our consolidated results of operations and other financial information:
(in millions, except percentages and per share data)Three Months Ended
September 30,
Increase/
(Decrease)
Nine Months Ended
September 30,
Increase/
(Decrease)
202420232024 vs. 2023202420232024 vs. 2023
Revenues:
Premiums$77,442 $72,339$5,103 %$232,327 $217,599$14,728 %
Products12,631 10,3542,277 22 36,751 31,2725,479 18 
Services9,104 8,671433 26,742 25,4141,328 
Investment and other income1,643 997646 65 3,651 2,910741 25 
Total revenues100,820 92,3618,459 299,471 277,19522,276 
Operating costs:
Medical costs65,957 59,5506,407 11 197,150 179,66317,487 10 
Operating costs13,280 13,855(575)(4)40,519 41,289(770)(2)
Cost of products sold11,834 9,4232,411 26 34,230 28,5765,654 20 
Depreciation and amortization1,041 1,00734 3,058 2,99860 
Total operating costs92,112 83,8358,277 10 274,957 252,52622,431 
Earnings from operations8,708 8,526182 24,514 24,669(155)(1)
Interest expense(1,074)(834)(240)29 (2,903)(2,416)(487)20 
Loss on sale of subsidiary and subsidiaries held for sale(20)(20)nm(8,331)(8,331)nm
Earnings before income taxes7,614 7,692(78)(1)13,280 22,253(8,973)(40)
Provision for income taxes(1,356)(1,654)298 (18)(3,822)(4,784)962 (20)
Net earnings6,258 6,038220 9,458 17,469(8,011)(46)
Earnings attributable to noncontrolling interests(203)(197)(6)(596)(543)(53)10 
Net earnings attributable to UnitedHealth Group common shareholders$6,055 $5,841$214 $8,862 $16,926$(8,064)(48)
Diluted earnings per share attributable to UnitedHealth Group common shareholders $6.51 $6.24$0.27 $9.53 $18.01$(8.48)
Medical care ratio (a)85.2 %82.3%2.9 %84.9 %82.6%2.3 %
Operating cost ratio13.2 15.0(1.8)13.5 14.9(1.4)
Operating margin8.6 9.2(0.6)8.2 8.9(0.7)
Tax rate17.8 21.5(3.7)28.8 21.57.3 
Net earnings margin (b)6.0 6.3(0.3)3.0 6.1(3.1)
Return on equity (c)26.3%28.0%(1.7)13.2%27.7%(14.5)
nm = not meaningful
(a)Medical care ratio (MCR) is calculated as medical costs divided by premium revenue.
(b)Net earnings margin attributable to UnitedHealth Group shareholders.
(c)Return on equity is calculated as annualized net earnings attributable to UnitedHealth Group common shareholders divided by average shareholders’ equity. Average shareholders’ equity is calculated using the shareholders’ equity balance at the end of the preceding year and the shareholders’ equity balances at the end of each of the quarters in the year presented.
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2024 RESULTS OF OPERATIONS COMPARED TO 2023 RESULTS OF OPERATIONS
Consolidated Financial Results
Revenues
The increases in revenues were primarily driven by growth in Optum Rx and Optum Health, growth across our UnitedHealthcare domestic offerings and pricing trends, partially offset by decreased UnitedHealthcare international revenue due to the sale of our Brazil operations.
Medical Costs and MCR
Medical costs increased primarily due to growth in people served through Medicare Advantage, those with higher acuity needs and domestic commercial offerings. The MCR increased as a result of the revenue effects of the Medicare funding reductions, decreased favorable reserve development and member mix. For the nine months ended September 30, 2024, the MCR also increased due to incremental medical costs for accommodations made to care providers as a result of the Change Healthcare cyberattack.
Operating Cost Ratio
The operating cost ratio decreased primarily due to operating cost management and business portfolio and asset dispositions, partially offset by the impact of our direct response efforts to the Change Healthcare cyberattack and investments to support future growth.
Loss on Sale of Subsidiary and Subsidiaries Held for Sale
On February 6, 2024, the Company completed the sale of its Brazil operations. During the nine months ended September 30, 2024, we recorded a loss of $7.1 billion, of which $4.1 billion related to the impact of cumulative foreign currency translation losses previously included in accumulated other comprehensive loss.
In the second quarter of 2024, the Company initiated a plan to sell its remaining South American operations, which were classified as held for sale as of September 30, 2024. As a result, the Company recorded a loss of $1.2 billion, of which $876 million related to the impact of cumulative foreign currency translation losses.
Reportable Segments
See Note 10 of Notes to the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report for more information on our segments. We utilize various metrics to evaluate and manage our reportable segments, including people served by UnitedHealthcare by major market segment and funding arrangement, people served by Optum Health and adjusted scripts for Optum Rx. These metrics are the main drivers of revenue, earnings and cash flows at each business. The metrics also allow management and investors to evaluate and understand business mix, including the level and scope of services provided to people, and pricing trends when comparing the metrics to revenue by segment.
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The following table presents a summary of the reportable segment financial information:
 Three Months Ended September 30,Increase/
(Decrease)
Nine Months Ended
September 30,
Increase/
(Decrease)
(in millions, except percentages)202420232024 vs. 2023202420232024 vs. 2023
Revenues
UnitedHealthcare$74,853 $69,853$5,000%$224,076$210,552$13,524 %
Optum Health25,917 23,8642,05379,69870,7858,913 13 
Optum Insight4,931 4,977(46)(1)13,97614,147(171)(1)
Optum Rx34,207 28,8575,35019 97,45784,92112,536 15 
Optum eliminations(1,130)(961)(169)18 (3,275)(2,713)(562)21 
Optum63,925 56,7377,18813 187,856167,14020,716 12 
Eliminations(37,958)(34,229)(3,729)11 (112,461)(100,497)(11,964)12 
Consolidated revenues$100,820 $92,361$8,459%$299,471$277,195$22,276 %
Earnings from operations
UnitedHealthcare$4,212 $4,592$(380)(8)%$12,611$13,293$(682)(5)%
Optum Health2,161 1,56859338 5,9794,8691,110 23 
Optum Insight791 1,109(318)(29)1,8272,984(1,157)(39)
Optum Rx1,544 1,25728723 4,0973,523574 16 
Optum4,496 3,93456214 11,90311,376527 
Consolidated earnings from operations$8,708 $8,526$182%$24,514$24,669$(155)(1)%
Operating margin
UnitedHealthcare5.6 %6.6 %(1.0)%5.6 %6.3 %(0.7)%
Optum Health8.3 6.6 1.7 7.5 6.9 0.6 
Optum Insight16.0 22.3 (6.3)13.1 21.1 (8.0)
Optum Rx4.5 4.4 0.1 4.2 4.1 0.1 
Optum7.0 6.9 0.1 6.3 6.8 (0.5)
Consolidated operating margin8.6 %9.2 %(0.6)%8.2 %8.9 %(0.7)%
UnitedHealthcare
The following table summarizes UnitedHealthcare revenues by business:
 Three Months Ended
September 30,
Increase/
(Decrease)
Nine Months Ended
September 30,
Increase/
(Decrease)
(in millions, except percentages)202420232024 vs. 2023202420232024 vs. 2023
UnitedHealthcare Employer & Individual - Domestic$18,985 $16,854 $2,131 13 %$55,470 $50,157 $5,313 11 %
UnitedHealthcare Employer & Individual - Global769 2,417 (1,648)(68)2,892 6,905 (4,013)(58)
UnitedHealthcare Employer & Individual - Total19,754 19,271 483 58,362 57,062 1,300 
UnitedHealthcare Medicare & Retirement34,904 32,022 2,882 105,294 97,468 7,826 
UnitedHealthcare Community & State20,195 18,560 1,635 60,420 56,022 4,398 
Total UnitedHealthcare revenues$74,853 $69,853 $5,000 %$224,076 $210,552 $13,524 %
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The following table summarizes the number of people served by our UnitedHealthcare businesses, by major market segment and funding arrangement:
September 30,Increase/(Decrease)
(in thousands, except percentages)202420232024 vs. 2023
Commercial - Domestic:
Risk-based8,900 8,120 780 10 %
Fee-based20,830 19,130 1,700 
Total Commercial - Domestic29,730 27,250 2,480 
Medicare Advantage7,810 7,645 165 
Medicaid7,450 8,065 (615)(8)
Medicare Supplement (Standardized)4,340 4,345 (5)— 
Total Community and Senior19,600 20,055 (455)(2)
Total UnitedHealthcare - Domestic Medical49,330 47,305 2,025 
Commercial - Global1,335 5,475 (4,140)(76)
Total UnitedHealthcare - Medical50,665 52,780 (2,115)(4)%
Supplemental Data:
Medicare Part D stand-alone3,055 3,335 (280)(8)%
UnitedHealthcare’s revenues increased due to growth in the number of people served through Medicare Advantage, domestic commercial offerings and those with higher acuity needs, partially offset by decreased people served globally due to the sale of our Brazil operations and Medicaid offerings due to continued redeterminations. Earnings from operations decreased due to Medicare Advantage funding reductions, the impacts of Medicaid redeterminations and decreased favorable reserve development, partially offset by the factors impacting revenue above. For the nine months ended September 30, 2024, earnings from operations also decreased due to incremental medical costs for accommodations to support care providers as a result of the Change Healthcare cyberattack.
Optum
Total revenues increased due to growth at Optum Rx and Optum Health. Earnings from operations increased at Optum Health and Optum Rx, partially offset by the impacts of the Change Healthcare cyberattack. The results by segment were as follows:
Optum Health
Revenues at Optum Health increased primarily due to organic growth in patients served under value-based care arrangements. Earnings from operations increased due to cost management initiatives, business portfolio and asset dispositions and increased investment income, partially offset by Medicare Advantage funding reductions and costs associated with serving newly added patients under value-based care arrangements. Optum Health served approximately 104 million people and 103 million people as of September 30, 2024 and September 30, 2023, respectively.
Optum Insight
Revenues at Optum Insight decreased due the business disruption impacts from the Change Healthcare cyberattack, partially offset by growth in technology services. Earnings from operations decreased primarily due to the business disruption impacts and direct response costs related to the Change Healthcare cyberattack, partially offset by growth in business services.
Optum Rx
Revenues and earnings from operations at Optum Rx increased due to higher script volumes from both new clients and growth in existing clients and growth in pharmacy services. Earnings from operations also increased due to operating cost efficiencies and supply chain initiatives. Optum Rx fulfilled 407 million and 383 million adjusted scripts in the third quarters of 2024 and 2023, respectively.
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LIQUIDITY, FINANCIAL CONDITION AND CAPITAL RESOURCES
Liquidity
Summary of our Major Sources and Uses of Cash and Cash Equivalents
 Nine Months Ended September 30,Increase/(Decrease)
(in millions)202420232024 vs. 2023
Sources of cash:
Cash provided by operating activities$21,835 $34,261 $(12,426)
Issuances of short-term borrowings and long-term debt, net of repayments15,120 5,848 9,272 
Proceeds from common stock issuances1,611 1,039 572 
Customer funds administered— 2,037 (2,037)
Sales and maturities of investments, net of purchases1,852 — 1,852 
Repayments of care provider loans - cyberattack3,189 — 3,189 
Total sources of cash43,607 43,185 422 
Uses of cash:
Common stock repurchases(4,028)(6,500)2,472 
Cash paid for acquisitions and other transactions, net of cash assumed(11,674)(8,389)(3,285)
Purchases of investments, net of sales and maturities — (2,850)2,850 
Purchases of property, equipment and capitalized software(2,587)(2,427)(160)
Cash dividends paid(5,601)(5,023)(578)
Loans to care providers - cyberattack(8,904)— (8,904)
Customer funds administered(1,059)— (1,059)
Other(2,497)(2,495)(2)
Total uses of cash(36,350)(27,684)(8,666)
Effect of exchange rate changes on cash and cash equivalents(30)49 (79)
Increase in cash and cash equivalents, including cash classified within assets held for sale$7,227 $15,550 $(8,323)
Less: net increase in cash classified within assets held for sale(254)— (254)
Net increase in cash and cash equivalents$6,973 $15,550 $(8,577)
2024 Cash Flows Compared to 2023 Cash Flows
Decreased cash flows provided by operating activities were primarily driven by the receipt of the October CMS premium payment of $11.9 billion in September 2023 and Change Healthcare cyberattack response actions. Other significant changes in sources or uses of cash year-over-year included increased net issuances of short-term borrowings and long-term debt, net sales and maturities of investments and decreased share repurchases, offset by loans to care providers in response to the Change Healthcare cyberattack, increased cash paid for acquisitions and other transactions and decreased customer funds administered.
Financial Condition
As of September 30, 2024, our cash, cash equivalent, available-for-sale debt securities and equity securities balances of $83.5 billion included approximately $32.4 billion of cash and cash equivalents (of which $5.2 billion was available for general corporate use), $46.3 billion of debt securities and $4.9 billion of investments in equity securities. Given the significant portion of our portfolio held in cash and cash equivalents, we do not anticipate fluctuations in the aggregate fair value of our financial assets to have a material impact on our liquidity or capital position. Our available-for-sale debt securities portfolio had a weighted-average duration of 4.0 years and a weighted-average credit rating of “Double A” as of September 30, 2024. When multiple credit ratings are available for an individual security, the average of the available ratings is used to determine the weighted-average credit rating.

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Capital Resources and Uses of Liquidity
In addition to cash flows from operations and cash and cash equivalent balances available for general corporate use, our capital resources and uses of liquidity are as follows:
Cash Requirements. A summary of our cash requirements as of December 31, 2023 was disclosed in Part II, Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in our 2023 10-K. During the nine months ended September 30, 2024, there were no material changes to this previously disclosed information outside the ordinary course of business. We believe our capital resources are sufficient to meet future, short-term and long-term, liquidity needs. We continually evaluate opportunities to expand our operations, including through internal development of new products, programs and technology applications and business combinations.
Short-Term Borrowings. Our revolving bank credit facilities provide liquidity support for our commercial paper borrowing program, which facilitates the private placement of unsecured debt through independent broker-dealers, and are available for general corporate purposes. For more information on our commercial paper and bank credit facilities, see Note 5 of Notes to the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report and Note 8 of Notes to the Consolidated Financial Statements included in Part II, Item 8, “Financial Statements and Supplementary Data” in our 2023 10-K.
Our revolving bank credit facilities contain various covenants, including covenants requiring us to maintain a defined debt to debt-plus-shareholders’ equity ratio of not more than 60%. As of September 30, 2024, our debt to debt-plus-shareholders’ equity ratio, as defined and calculated under the credit facilities, was approximately 43%.
Long-Term Debt. Periodically, we access capital markets and issue long-term debt for general corporate purposes, such as to meet our working capital requirements, to refinance debt, to finance acquisitions or for share repurchases. For more information on our long-term debt, see Note 5 of Notes to the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report and Note 8 of Notes to the Consolidated Financial Statements included in Part II, Item 8, “Financial Statements and Supplementary Data” in our 2023 10-K.
Credit Ratings. Our credit ratings as of September 30, 2024 were as follows:
  
Moody’sS&P GlobalFitchA.M. Best
 RatingsOutlookRatingsOutlookRatingsOutlookRatingsOutlook
Senior unsecured debtA2StableA+StableAStableAStable
Commercial paperP-1n/aA-1n/aF1n/aAMB-1+n/a
The availability of financing in the form of debt or equity is influenced by many factors, including our profitability, operating cash flows, debt levels, credit ratings, debt covenants and other contractual restrictions, regulatory requirements and economic and market conditions. A significant downgrade in our credit ratings or adverse conditions in the capital markets may increase the cost of borrowing for us or limit our access to capital.
Share Repurchase Program. During the nine months ended September 30, 2024, we repurchased approximately 7.7 million shares at an average price of $521.21 per share. In June 2024, our Board of Directors amended our share repurchase program to authorize the repurchase of up to 35 million shares of Common Stock, in addition to all remaining shares authorized to be repurchased under the Board’s 2018 renewal of the program. As of September 30, 2024, we had Board of Directors’ authorization to purchase up to 42 million shares of our common stock. The Board of Directors from time to time may further amend the share repurchase program in order to increase the authorized number of shares which may be repurchased under the program.
Dividends. In June 2024, our Board of Directors increased our quarterly cash dividend to an annual rate of $8.40 compared to $7.52 per share, which we had paid since June 2023. For more information on our dividend, see Note 7 of Notes to the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report.
Pending Transactions. As of September 30, 2024, the Company had entered into transaction agreements in the health care sector, subject to regulatory approval and/or other customary closing conditions. The total anticipated consideration required for these transactions, excluding the payoff of acquired indebtedness, was approximately $5 billion.
For additional liquidity discussion, see Note 10 of Notes to the Consolidated Financial Statements included in Part II, Item 8, “Financial Statements and Supplementary Data” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” included in Part II, Item 7 in our 2023 10-K.

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RECENTLY ISSUED ACCOUNTING STANDARDS
There are no recently issued accounting standards that are expected to have a material impact on our Condensed Consolidated Financial Statements.
CRITICAL ACCOUNTING ESTIMATES
In preparing our Condensed Consolidated Financial Statements, we are required to make judgments, assumptions and estimates, which we believe are reasonable and prudent based on the available facts and circumstances. These judgments, assumptions and estimates affect certain of our revenues and expenses and their related balance sheet accounts and disclosure of our contingent liabilities. We base our assumptions and estimates primarily on historical experience and consider known and projected trends. On an ongoing basis, we re-evaluate our selection of assumptions and the method of calculating our estimates. Actual results, however, may materially differ from our calculated estimates, and this difference would be reported in our current operations.
Our critical accounting estimates include medical costs payable and goodwill. For a detailed description of our critical accounting estimates, see “Management’s Discussion and Analysis of Financial Condition and Results of Operations” included in Part II, Item 7 in our 2023 10-K. For a detailed discussion of our significant accounting policies, see Note 2 of Notes to the Consolidated Financial Statements included in Part II, Item 8, “Financial Statements and Supplementary Data” in our 2023 10-K.
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 continuing 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.
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ITEM 3.    QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
We manage exposure to market interest rates by diversifying investments across different fixed-income market sectors and debt across maturities, as well as by matching a portion of our floating-rate assets and liabilities, either directly or through the use of interest rate swap contracts. Unrealized gains and losses on investments in available-for-sale debt securities are reported in comprehensive income.
The following table summarizes the impact of hypothetical changes in market interest rates across the entire yield curve by 1% point or 2% points as of September 30, 2024 on our investment income and interest expense per annum, and the fair value of our investments and debt (in millions, except percentages):
September 30, 2024
Increase (Decrease) in Market Interest RateInvestment
Income Per
Annum
Interest
Expense Per
Annum
Fair Value of
Financial Assets
Fair Value of
Financial Liabilities
2 %$824 $457 $(3,773)$(10,539)
1412 229 (1,936)(5,745)
(1)(412)(212)2,015 7,016 
(2)(824)(423)4,083 15,514 
Note: The impact of hypothetical changes in interest rates may not reflect the full 100 or 200 basis point change on interest income and interest expense or on the fair value of financial assets and liabilities as the rates are assumed to not fall below zero.
ITEM 4.    CONTROLS AND PROCEDURES
EVALUATION OF DISCLOSURE CONTROLS AND PROCEDURES
We maintain disclosure controls and procedures as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934 (Exchange Act) that are designed to provide reasonable assurance that information required to be disclosed by us in reports that we file or submit under the Exchange Act is (i) recorded, processed, summarized and reported within the time periods specified in SEC rules and forms; and (ii) accumulated and communicated to our management, including our principal executive officer and principal financial officer, as appropriate to allow timely decisions regarding required disclosure.
In connection with the filing of this quarterly report on Form 10-Q, management evaluated, under the supervision and with the participation of our Chief Executive Officer and Chief Financial Officer, the effectiveness of the design and operation of our disclosure controls and procedures as of September 30, 2024. Based upon that evaluation, our Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures were effective at the reasonable assurance level as of September 30, 2024.
CHANGES IN INTERNAL CONTROL OVER FINANCIAL REPORTING
There have been no changes in our internal control over financial reporting during the quarter ended September 30, 2024 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
PART II. OTHER INFORMATION
ITEM 1.    LEGAL PROCEEDINGS
A description of our legal proceedings is included in and incorporated by reference to Note 8 of Notes to the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report.
ITEM 1A.    RISK FACTORS
In addition to the other information set forth in this report, you should carefully consider the factors discussed in Part I, Item 1A, “Risk Factors” of our 2023 10-K, which could materially affect our business, financial condition or future results. The risks described in our 2023 10-K are not the only risks facing us. Additional risks and uncertainties not currently known to us or that we currently deem to be immaterial also may materially adversely affect our business, financial condition or future results.
There have been no material changes to the risk factors as disclosed in our 2023 10-K.
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ITEM 2.    UNREGISTERED SALE OF EQUITY SECURITIES AND USE OF PROCEEDS
Issuer Purchases of Equity Securities (a)
Third Quarter 2024
For the Month EndedTotal Number of Shares PurchasedAverage Price Paid Per ShareTotal Number of Shares Purchased as Part of Publicly Announced Plans or ProgramsMaximum Number of Shares That May Yet Be Purchased Under The Plans or Programs
(in millions)(in millions)(in millions)
July 30, 20240.1 $571.53 0.1 43.7
August 31, 20241.3 577.00 1.3 42.4
September 30, 20240.2 596.03 0.2 42.2
Total1.6 1.6 
(a)    In November 1997, our Board of Directors adopted a share repurchase program, which the Board of Directors evaluates periodically. In June 2024, the Board of Directors amended our share repurchase program to authorize the repurchase of up to 35 million shares of our common stock in open market purchases or other types of transactions (including prepaid or structured repurchase programs), in addition to all remaining shares authorized to be repurchased under the Board’s 2018 renewal of the program. There is no established expiration date for the program. The Board of Directors from time to time may further amend the share repurchase program in order to increase the authorized number of shares which may be repurchased under the program.
ITEM 5.    OTHER INFORMATION
Trading Arrangements
During the quarter ended September 30, 2024, none of the Company’s directors or officers (as defined in Rule 16a-1(f) under the Exchange Act) adopted or terminated any contract, instruction or written plan for the purchase or sale of Company securities intended to satisfy the affirmative defense conditions of Rule 10b5-1(c) under the Exchange Act or any non-Rule 10b5-1 trading arrangement.
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ITEM 6.    EXHIBITS*
The following exhibits are filed or incorporated by reference herein in response to Item 601 of Regulation S-K. The Company files Annual Reports on Form 10-K, Quarterly Reports on Form 10-Q and Current Reports on Form 8-K pursuant to the Securities Exchange Act of 1934 under Commission File No. 1-10864.
101.INSXBRL Instance Document - the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document.
101.SCHInline XBRL Taxonomy Extension Schema Document.
101.CALInline XBRL Taxonomy Extension Calculation Linkbase Document.
101.DEFInline XBRL Taxonomy Extension Definition Linkbase Document.
101.LABInline XBRL Taxonomy Extension Label Linkbase Document.
101.PREInline XBRL Taxonomy Extension Presentation Linkbase Document.
104 Cover Page Interactive Data File (formatted as Inline XBRL and embedded within Exhibit 101).
 ________________
*Pursuant to Item 601(b)(4)(iii) of Regulation S-K, copies of instruments defining the rights of certain holders of long-term debt are not filed. The Company will furnish copies thereof to the SEC upon request.
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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
 
UNITEDHEALTH GROUP INCORPORATED
 
/s/ ANDREW WITTY
Chief Executive Officer
(principal executive officer)
Dated:November 4, 2024
Andrew Witty  
/s/ JOHN REX
President and Chief Financial Officer
(principal financial officer)
Dated:November 4, 2024
John Rex  
/s/ THOMAS ROOS
Senior Vice President and
Chief Accounting Officer
(principal accounting officer)
Dated:November 4, 2024
Thomas Roos  
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