UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
__________________________________________________________
Form 10-Q
__________________________________________________________
|
| | | | |
[X]☒ | QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
FOR THE QUARTERLY PERIOD ENDED SEPTEMBERFor the quarterly period ended June 30, 20172023
or
|
| | | | |
[ ]☐ | TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
FOR THE TRANSITION PERIOD FROMFor the transition period from _______ TOto _______
Commission file number:File Number: 1-10864
__________________________________________________________
UnitedHealth Group Incorporated
(Exact name of registrant as specified in its charter)
__________________________________________________________
|
| | | | | | | | | | |
Delaware | | 41-1321939 |
(State or other jurisdiction of incorporation or organization)
| | (I.R.S. Employer Identification No.)
|
| | |
UnitedHealth Group Center | | 55343 |
9900 Bren Road East Minnetonka, Minnesota
| | 55343 |
Minnetonka, | Minnesota | |
(Address of principal executive offices) | | (Zip Code) |
(952) 936-1300
(Registrant’s telephone number, including area code)
___________________________________________________________________________________________________________________
Securities registered pursuant to Section 12(b) of the Act:
| | | | | | | | | | | | | | |
Title of each class | | Trading Symbol(s) | | Name of each exchange on which registered |
Common Stock, $.01 par value | | UNH | | New York Stock Exchange |
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes [X]☒ No [ ]☐
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yes [X]☒ No [ ]☐
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act:
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| | | | | | | | | | | | | | | | | | | | | | |
Large accelerated filer | [X]☒ | | Accelerated filer | [ ]☐ | | Non-accelerated filer | [ ]☐ |
| Smaller reporting company | [ ]☐ | | | | | Emerging growth company | [ ]☐ |
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. [ ] ☐
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes [ ]☐ No [X]☒
As of OctoberJuly 31, 2017,2023, there were 969,067,449926,305,139 shares of the registrant’s Common Stock, $.01 par value per share, issued and outstanding.
UNITEDHEALTH GROUP
Table of Contents
PART I
ITEM 1. FINANCIAL STATEMENTS
UnitedHealth Group
Condensed Consolidated Balance Sheets
(Unaudited)
| | | | | | | | | | | | | | |
(in millions, except per share data) | | June 30, 2023 | | December 31, 2022 |
Assets | | | | |
Current assets: | | | | |
Cash and cash equivalents | | $ | 41,813 | | | $ | 23,365 | |
Short-term investments | | 4,466 | | | 4,546 | |
Accounts receivable, net | | 17,952 | | | 17,681 | |
Other current receivables, net | | 16,131 | | | 12,769 | |
Assets under management | | 3,623 | | | 4,087 | |
Prepaid expenses and other current assets | | 5,884 | | | 6,621 | |
Total current assets | | 89,869 | | | 69,069 | |
Long-term investments | | 45,988 | | | 43,728 | |
Property, equipment and capitalized software, net | | 10,926 | | | 10,128 | |
Goodwill | | 101,669 | | | 93,352 | |
Other intangible assets, net | | 15,643 | | | 14,401 | |
Other assets | | 16,069 | | | 15,027 | |
Total assets | | $ | 280,164 | | | $ | 245,705 | |
Liabilities, redeemable noncontrolling interests and equity | | | | |
Current liabilities: | | | | |
Medical costs payable | | $ | 31,947 | | | $ | 29,056 | |
Accounts payable and accrued liabilities | | 29,516 | | | 27,715 | |
Short-term borrowings and current maturities of long-term debt | | 6,321 | | | 3,110 | |
Unearned revenues | | 14,852 | | | 3,075 | |
Other current liabilities | | 30,345 | | | 26,281 | |
Total current liabilities | | 112,981 | | | 89,237 | |
Long-term debt, less current maturities | | 59,268 | | | 54,513 | |
Deferred income taxes | | 2,498 | | | 2,769 | |
Other liabilities | | 13,261 | | | 12,839 | |
Total liabilities | | 188,008 | | | 159,358 | |
Commitments and contingencies (Note 7) | | | | |
Redeemable noncontrolling interests | | 4,788 | | | 4,897 | |
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; 927 and 934 issued and outstanding | | 9 | | | 9 | |
Retained earnings | | 89,994 | | | 86,156 | |
Accumulated other comprehensive loss | | (7,650) | | | (8,393) | |
Nonredeemable noncontrolling interests | | 5,015 | | | 3,678 | |
Total equity | | 87,368 | | | 81,450 | |
Total liabilities, redeemable noncontrolling interests and equity | | $ | 280,164 | | | $ | 245,705 | |
|
| | | | | | | | |
(in millions, except per share data) | | September 30, 2017 | | December 31, 2016 |
Assets | | | | |
Current assets: | | | | |
Cash and cash equivalents | | $ | 16,269 |
| | $ | 10,430 |
|
Short-term investments | | 3,525 |
| | 2,845 |
|
Accounts receivable, net | | 8,638 |
| | 8,152 |
|
Other current receivables, net | | 6,826 |
| | 7,499 |
|
Assets under management | | 3,082 |
| | 3,105 |
|
Prepaid expenses and other current assets | | 2,581 |
| | 1,848 |
|
Total current assets | | 40,921 |
| | 33,879 |
|
Long-term investments | | 27,703 |
| | 23,868 |
|
Property, equipment and capitalized software, net | | 6,562 |
| | 5,901 |
|
Goodwill | | 53,402 |
| | 47,584 |
|
Other intangible assets, net | | 8,457 |
| | 8,541 |
|
Other assets | | 3,387 |
| | 3,037 |
|
Total assets | | $ | 140,432 |
| | $ | 122,810 |
|
Liabilities, redeemable noncontrolling interests and equity | | | | |
Current liabilities: | | | | |
Medical costs payable | | $ | 17,963 |
| | $ | 16,391 |
|
Accounts payable and accrued liabilities | | 15,878 |
| | 13,361 |
|
Commercial paper and current maturities of long-term debt | | 4,539 |
| | 7,193 |
|
Unearned revenues | | 6,635 |
| | 1,968 |
|
Other current liabilities | | 13,073 |
| | 10,339 |
|
Total current liabilities | | 58,088 |
| | 49,252 |
|
Long-term debt, less current maturities | | 24,723 |
| | 25,777 |
|
Future policy benefits | | 2,535 |
| | 2,524 |
|
Deferred income taxes | | 2,697 |
| | 2,761 |
|
Other liabilities | | 2,909 |
| | 2,307 |
|
Total liabilities | | 90,952 |
| | 82,621 |
|
Commitments and contingencies (Note 8) | |
|
| |
|
|
Redeemable noncontrolling interests | | 2,170 |
| | 2,012 |
|
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; 969 and 952 issued and outstanding | | 10 |
| | 10 |
|
Additional paid-in capital | | 1,801 |
| | — |
|
Retained earnings | | 45,840 |
| | 40,945 |
|
Accumulated other comprehensive loss | | (2,353 | ) | | (2,681 | ) |
Nonredeemable noncontrolling interest | | 2,012 |
| | (97 | ) |
Total equity | | 47,310 |
| | 38,177 |
|
Total liabilities, redeemable noncontrolling interests and equity | | $ | 140,432 |
| | $ | 122,810 |
|
UnitedHealth Group
Condensed Consolidated Statements of Operations
(Unaudited)
| | | | | | | | | | | | | | | | | | | | | | | | | | |
| | Three Months Ended June 30, | | Six Months Ended June 30, |
(in millions, except per share data) | | 2023 | | 2022 | | 2023 | | 2022 |
Revenues: | | | | | | | | |
Premiums | | $ | 72,474 | | | $ | 63,896 | | | $ | 145,260 | | | $ | 127,966 | |
Products | | 10,651 | | | 9,496 | | | 20,918 | | | 18,836 | |
Services | | 8,663 | | | 6,645 | | | 16,743 | | | 13,017 | |
Investment and other income | | 1,115 | | | 295 | | | 1,913 | | | 662 | |
Total revenues | | 92,903 | | | 80,332 | | | 184,834 | | | 160,481 | |
Operating costs: | | | | | | | | |
Medical costs | | 60,268 | | | 52,093 | | | 120,113 | | | 104,616 | |
Operating costs | | 13,809 | | | 11,709 | | | 27,434 | | | 23,110 | |
Cost of products sold | | 9,748 | | | 8,596 | | | 19,153 | | | 17,083 | |
Depreciation and amortization | | 1,021 | | | 802 | | | 1,991 | | | 1,590 | |
Total operating costs | | 84,846 | | | 73,200 | | | 168,691 | | | 146,399 | |
Earnings from operations | | 8,057 | | | 7,132 | | | 16,143 | | | 14,082 | |
Interest expense | | (828) | | | (467) | | | (1,582) | | | (900) | |
Earnings before income taxes | | 7,229 | | | 6,665 | | | 14,561 | | | 13,182 | |
Provision for income taxes | | (1,572) | | | (1,466) | | | (3,130) | | | (2,835) | |
Net earnings | | 5,657 | | | 5,199 | | | 11,431 | | | 10,347 | |
Earnings attributable to noncontrolling interests | | (183) | | | (129) | | | (346) | | | (250) | |
Net earnings attributable to UnitedHealth Group common shareholders | | $ | 5,474 | | | $ | 5,070 | | | 11,085 | | | $ | 10,097 | |
Earnings per share attributable to UnitedHealth Group common shareholders: | | | | | | | | |
Basic | | $ | 5.89 | | | $ | 5.41 | | | $ | 11.91 | | | $ | 10.75 | |
Diluted | | $ | 5.82 | | | $ | 5.34 | | | $ | 11.77 | | | $ | 10.61 | |
Basic weighted-average number of common shares outstanding | | 930 | | | 937 | | | 931 | | | 939 | |
Dilutive effect of common share equivalents | | 10 | | | 13 | | | 11 | | | 13 | |
Diluted weighted-average number of common shares outstanding | | 940 | | | 950 | | | 942 | | | 952 | |
Anti-dilutive shares excluded from the calculation of dilutive effect of common share equivalents | | 7 | | | 3 | | | 6 | | | 3 | |
|
| | | | | | | | | | | | | | | | |
| | Three Months Ended September 30, | | Nine Months Ended September 30, |
(in millions, except per share data) | | 2017 | | 2016 | | 2017 | | 2016 |
Revenues: | | | | | | | | |
Premiums | | $ | 39,552 |
| | $ | 36,142 |
| | $ | 118,075 |
| | $ | 107,366 |
|
Products | | 6,665 |
| | 6,696 |
| | 19,209 |
| | 19,699 |
|
Services | | 3,858 |
| | 3,264 |
| | 11,089 |
| | 9,673 |
|
Investment and other income | | 247 |
| | 191 |
| | 725 |
| | 567 |
|
Total revenues | | 50,322 |
| | 46,293 |
| | 149,098 |
| | 137,305 |
|
Operating costs: | | | | | | | | |
Medical costs | | 32,201 |
| | 29,040 |
| | 96,829 |
| | 87,342 |
|
Operating costs | | 7,387 |
| | 7,033 |
| | 21,737 |
| | 20,584 |
|
Cost of products sold | | 6,068 |
| | 6,125 |
| | 17,633 |
| | 18,108 |
|
Depreciation and amortization | | 578 |
| | 515 |
| | 1,667 |
| | 1,528 |
|
Total operating costs | | 46,234 |
| | 42,713 |
| | 137,866 |
| | 127,562 |
|
Earnings from operations | | 4,088 |
| | 3,580 |
| | 11,232 |
| | 9,743 |
|
Interest expense | | (294 | ) | | (269 | ) | | (878 | ) | | (799 | ) |
Earnings before income taxes | | 3,794 |
| | 3,311 |
| | 10,354 |
| | 8,944 |
|
Provision for income taxes | | (1,233 | ) | | (1,333 | ) | | (3,252 | ) | | (3,579 | ) |
Net earnings | | 2,561 |
| | 1,978 |
| | 7,102 |
| | 5,365 |
|
Earnings attributable to noncontrolling interests | | (76 | ) | | (10 | ) | | (161 | ) | | (32 | ) |
Net earnings attributable to UnitedHealth Group common shareholders | | $ | 2,485 |
| | $ | 1,968 |
| | $ | 6,941 |
| | $ | 5,333 |
|
Earnings per share attributable to UnitedHealth Group common shareholders: | | | | | | | | |
Basic | | $ | 2.57 |
| | $ | 2.07 |
| | $ | 7.22 |
| | $ | 5.60 |
|
Diluted | | $ | 2.51 |
| | $ | 2.03 |
| | $ | 7.06 |
| | $ | 5.51 |
|
Basic weighted-average number of common shares outstanding | | 968 |
| | 952 |
| | 962 |
| | 952 |
|
Dilutive effect of common share equivalents | | 21 |
| | 17 |
| | 21 |
| | 16 |
|
Diluted weighted-average number of common shares outstanding | | 989 |
| | 969 |
| | 983 |
| | 968 |
|
Anti-dilutive shares excluded from the calculation of dilutive effect of common share equivalents | | 1 |
| | 1 |
| | 6 |
| | 3 |
|
Cash dividends declared per common share | | $ | 0.750 |
| | $ | 0.625 |
| | $ | 2.125 |
| | $ | 1.750 |
|
UnitedHealth Group
Condensed Consolidated Statements of Comprehensive Income
(Unaudited)
| | | | | | | | | | | | | | | | | | | | | | | | | | |
| | Three Months Ended June 30, | | Six Months Ended June 30, |
(in millions) | | 2023 | | 2022 | | 2023 | | 2022 |
Net earnings | | $ | 5,657 | | | $ | 5,199 | | | $ | 11,431 | | | $ | 10,347 | |
Other comprehensive (loss) income: | | | | | | | | |
Gross unrealized (losses) gains on investment securities during the period | | (431) | | | (1,331) | | | 209 | | | (3,354) | |
Income tax effect | | 99 | | | 304 | | | (48) | | | 769 | |
Total unrealized (losses) gains, net of tax | | (332) | | | (1,027) | | | 161 | | | (2,585) | |
Gross reclassification adjustment for net realized gains included in net earnings | | (47) | | | (1) | | | (34) | | | (4) | |
Income tax effect | | 11 | | | — | | | 8 | | | 1 | |
Total reclassification adjustment, net of tax | | (36) | | | (1) | | | (26) | | | (3) | |
Total foreign currency translation gains (losses) | | 267 | | | (676) | | | 608 | | | 242 | |
Other comprehensive (loss) income | | (101) | | | (1,704) | | | 743 | | | (2,346) | |
Comprehensive income | | 5,556 | | | 3,495 | | | 12,174 | | | 8,001 | |
Comprehensive income attributable to noncontrolling interests | | (183) | | | (129) | | | (346) | | | (250) | |
Comprehensive income attributable to UnitedHealth Group common shareholders | | $ | 5,373 | | | $ | 3,366 | | | $ | 11,828 | | | $ | 7,751 | |
|
| | | | | | | | | | | | | | | | |
| | Three Months Ended September 30, | | Nine Months Ended September 30, |
(in millions) | | 2017 | | 2016 | | 2017 | | 2016 |
Net earnings | | $ | 2,561 |
| | $ | 1,978 |
| | $ | 7,102 |
| | $ | 5,365 |
|
Other comprehensive income (loss) : | | | | | | | | |
Gross unrealized gains (losses) on investment securities during the period | | 44 |
| | (21 | ) | | 313 |
| | 473 |
|
Income tax effect | | (17 | ) | | 7 |
| | (111 | ) | | (173 | ) |
Total unrealized gains (losses), net of tax | | 27 |
| | (14 | ) | | 202 |
| | 300 |
|
Gross reclassification adjustment for net realized gains included in net earnings | | (10 | ) | | (26 | ) | | (51 | ) | | (97 | ) |
Income tax effect | | 4 |
| | 9 |
| | 19 |
| | 35 |
|
Total reclassification adjustment, net of tax | | (6 | ) | | (17 | ) | | (32 | ) | | (62 | ) |
Total foreign currency translation gains (losses) | | 217 |
| | (69 | ) | | 158 |
| | 793 |
|
Other comprehensive income (loss) | | 238 |
| | (100 | ) | | 328 |
| | 1,031 |
|
Comprehensive income | | 2,799 |
| | 1,878 |
| | 7,430 |
| | 6,396 |
|
Comprehensive income attributable to noncontrolling interests | | (76 | ) | | (10 | ) | | (161 | ) | | (32 | ) |
Comprehensive income attributable to UnitedHealth Group common shareholders | | $ | 2,723 |
| | $ | 1,868 |
| | $ | 7,269 |
| | $ | 6,364 |
|
UnitedHealth Group
Condensed Consolidated Statements of Changes in Equity
(Unaudited)
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | Common Stock | | Additional Paid-In Capital | | Retained Earnings | | Accumulated Other Comprehensive (Loss) Income | | Nonredeemable Noncontrolling Interests | | Total Equity |
Three months ended June 30, (in millions) | | Shares | | Amount | | | | Net Unrealized (Losses) Gains on Investments | | Foreign Currency Translation (Losses) Gains | | |
Balance at March 31, 2023 | | 932 | | | $ | 9 | | | $ | — | | | $ | 88,852 | | | $ | (2,275) | | | $ | (5,274) | | | $ | 4,509 | | | $ | 85,821 | |
Net earnings | | | | | | | | 5,474 | | | | | | | 139 | | | 5,613 | |
Other comprehensive (loss) income | | | | | | | | | | (368) | | | 267 | | | | | (101) | |
Issuances of common stock, and related tax effects | | 1 | | | — | | | 218 | | | | | | | | | | | 218 | |
Share-based compensation | | | | | | 232 | | | | | | | | | | | 232 | |
Common share repurchases | | (6) | | | — | | | (442) | | | (2,585) | | | | | | | | | (3,027) | |
Cash dividends paid on common shares ($1.88 per share) | | | | | | | | (1,747) | | | | | | | | | (1,747) | |
Redeemable noncontrolling interests fair value and other adjustments | | | | | | (8) | | | | | | | | | | | (8) | |
Acquisition and other adjustments of nonredeemable noncontrolling interests | | | | | | | | | | | | | | 478 | | | 478 | |
Distribution to nonredeemable noncontrolling interests | | | | | | | | | | | | | | (111) | | | (111) | |
Balance at June 30, 2023 | | 927 | | | $ | 9 | | | $ | — | | | $ | 89,994 | | | $ | (2,643) | | | $ | (5,007) | | | $ | 5,015 | | | $ | 87,368 | |
| | | | | | | | | | | | | | | | |
Balance at March 31, 2022 | | 939 | | | $ | 10 | | | $ | — | | | $ | 78,782 | | | $ | (1,137) | | | $ | (4,889) | | | $ | 3,362 | | | $ | 76,128 | |
Net earnings | | | | | | | | 5,070 | | | | | | | 94 | | | 5,164 | |
Other comprehensive loss | | | | | | | | | | (1,028) | | | (676) | | | | | (1,704) | |
Issuances of common stock, and related tax effects | | 1 | | | — | | | 174 | | | | | | | | | | | 174 | |
Share-based compensation | | | | | | 194 | | | | | | | | | | | 194 | |
Common share repurchases | | (5) | | | — | | | (733) | | | (1,767) | | | | | | | | | (2,500) | |
Cash dividends paid on common shares ($1.65 per share) | | | | | | | | (1,545) | | | | | | | | | (1,545) | |
Redeemable noncontrolling interests fair value and other adjustments | | | | | | 365 | | | | | | | | | | | 365 | |
Acquisition and other adjustments of nonredeemable noncontrolling interests | | | | | | | | | | | | | | 12 | | | 12 | |
Distribution to nonredeemable noncontrolling interests | | | | | | | | | | | | | | (83) | | | (83) | |
Balance at June 30, 2022 | | 935 | | | $ | 10 | | | $ | — | | | $ | 80,540 | | | $ | (2,165) | | | $ | (5,565) | | | $ | 3,385 | | | $ | 76,205 | |
|
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | Common Stock | | Additional Paid-In Capital | | Retained Earnings | | Accumulated Other Comprehensive (Loss) Income | | Nonredeemable Noncontrolling Interest | | Total Equity |
(in millions) | | Shares | | Amount | | | | Net Unrealized (Losses) Gains on Investments | | Foreign Currency Translation (Losses) Gains | | |
Balance at January 1, 2017 | | 952 |
| | $ | 10 |
| | $ | — |
| | $ | 40,945 |
| | $ | (97 | ) | | $ | (2,584 | ) | | $ | (97 | ) | | $ | 38,177 |
|
Net earnings | | | | | | | | 6,941 |
| | | | | | 120 |
| | 7,061 |
|
Other comprehensive income | | | | | | | | | | 170 |
| | 158 |
| | | | 328 |
|
Issuances of common stock, and related tax effects | | 24 |
| | — |
| | 2,156 |
| | | | | | | | | | 2,156 |
|
Share-based compensation | | | | | | 447 |
| | | | | | | | | | 447 |
|
Common share repurchases | | (7 | ) | | — |
| | (1,173 | ) | |
|
| | | | | | | | (1,173 | ) |
Cash dividends paid on common shares | | | | | | | | (2,046 | ) | | | | | | | | (2,046 | ) |
Redeemable noncontrolling interests fair value and other adjustments | | | | | | 371 |
| | | | | | | | | | 371 |
|
Acquisition of nonredeemable noncontrolling interest | | | | | | | | | | | | | | 2,111 |
| | 2,111 |
|
Distribution to nonredeemable noncontrolling interest | | | | | | | | | | | | | | (122 | ) | | (122 | ) |
Balance at September 30, 2017 | | 969 |
| | $ | 10 |
| | $ | 1,801 |
| | $ | 45,840 |
| | $ | 73 |
| | $ | (2,426 | ) | | $ | 2,012 |
| | $ | 47,310 |
|
| | | | | | | | | | | | | | | | |
Balance at January 1, 2016 | | 953 |
| | $ | 10 |
| | $ | 29 |
| | $ | 37,125 |
| | $ | 56 |
| | $ | (3,390 | ) | | $ | (105 | ) | | $ | 33,725 |
|
Adjustment to adopt ASU 2016-09 | | | | | | | | 28 |
| | | | | | | | 28 |
|
Net earnings | | | | | | | | 5,333 |
| | | | | | 31 |
| | 5,364 |
|
Other comprehensive income | | | | | | | | | | 238 |
| | 793 |
| | | | 1,031 |
|
Issuances of common stock, and related tax effects | | 8 |
| | — |
| | 187 |
| | | | | | | | | | 187 |
|
Share-based compensation | | | | | | 350 |
| | | | | | | | | | 350 |
|
Common share repurchases | | (9 | ) | | — |
| | (242 | ) | | (875 | ) | | | | | | | | (1,117 | ) |
Cash dividends paid on common shares | | | | | | | | (1,666 | ) | | | | | | | | (1,666 | ) |
Acquisition of redeemable noncontrolling interest shares | | | | | | (143 | ) | | | | | | | | | | (143 | ) |
Redeemable noncontrolling interests fair value and other adjustments | | | | | | (181 | ) | | | | | | | | | | (181 | ) |
Distribution to nonredeemable noncontrolling interest | | | | | | | | | | | | | | (24 | ) | | (24 | ) |
Balance at September 30, 2016 | | 952 |
| | $ | 10 |
| | $ | — |
| | $ | 39,945 |
| | $ | 294 |
| | $ | (2,597 | ) | | $ | (98 | ) | | $ | 37,554 |
|
UnitedHealth Group
Condensed Consolidated Statements of Changes in Equity
(Unaudited)
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | Common Stock | | Additional Paid-In Capital | | Retained Earnings | | Accumulated Other Comprehensive (Loss) Income | | Nonredeemable Noncontrolling Interests | | Total Equity |
Six months ended March 31, (in millions) | | Shares | | Amount | | | | Net Unrealized (Losses) Gains on Investments | | Foreign Currency Translation (Losses) Gains | | |
Balance at January 1, 2023 | | 934 | | | $ | 9 | | | $ | — | | | $ | 86,156 | | | $ | (2,778) | | | $ | (5,615) | | | $ | 3,678 | | | $ | 81,450 | |
Net earnings | | | | | | | | 11,085 | | | | | | | 252 | | | 11,337 | |
Other comprehensive income | | | | | | | | | | 135 | | | 608 | | | | | 743 | |
Issuances of common stock, and related tax effects | | 3 | | | — | | | 568 | | | | | | | | | | | 568 | |
Share-based compensation | | | | | | 598 | | | | | | | | | | | 598 | |
Common share repurchases | | (10) | | | — | | | (1,075) | | | (3,963) | | | | | | | | | (5,038) | |
Cash dividends paid on common shares ($3.53 per share) | | | | | | | | (3,284) | | | | | | | | | (3,284) | |
Redeemable noncontrolling interests fair value and other adjustments | | | | | | (91) | | | | | | | | | | | (91) | |
Acquisition and other adjustments of nonredeemable noncontrolling interests | | | | | | | | | | | | | | 1,297 | | | 1,297 | |
Distribution to nonredeemable noncontrolling interests | | | | | | | | | | | | | | (212) | | | (212) | |
Balance at June 30, 2023 | | 927 | | | $ | 9 | | | $ | — | | | $ | 89,994 | | | $ | (2,643) | | | $ | (5,007) | | | $ | 5,015 | | | $ | 87,368 | |
| | | | | | | | | | | | | | | | |
Balance at January 1, 2022 | | 941 | | | $ | 10 | | | $ | — | | | $ | 77,134 | | | $ | 423 | | | $ | (5,807) | | | $ | 3,285 | | | $ | 75,045 | |
Net earnings | | | | | | | | 10,097 | | | | | | | 182 | | | 10,279 | |
Other comprehensive (loss) income | | | | | | | | | | (2,588) | | | 242 | | | | | (2,346) | |
Issuances of common stock, and related tax effects | | 4 | | | — | | | 507 | | | | | | | | | | | 507 | |
Share-based compensation | | | | | | 476 | | | | | | | | | | | 476 | |
Common share repurchases | | (10) | | | — | | | (1,217) | | | (3,783) | | | | | | | | | (5,000) | |
Cash dividends paid on common shares ($3.10 per share) | | | | | | | | (2,908) | | | | | | | | | (2,908) | |
Redeemable noncontrolling interests fair value and other adjustments | | | | | | 234 | | | | | | | | | | | 234 | |
Acquisition and other adjustments of nonredeemable noncontrolling interests | | | | | | | | | | | | | | 103 | | | 103 | |
Distribution to nonredeemable noncontrolling interests | | | | | | | | | | | | | | (185) | | | (185) | |
Balance at June 30, 2022 | | 935 | | | $ | 10 | | | $ | — | | | $ | 80,540 | | | $ | (2,165) | | | $ | (5,565) | | | $ | 3,385 | | | $ | 76,205 | |
UnitedHealth Group
Condensed Consolidated Statements of Cash Flows
(Unaudited)
| | | | | | | | | | | | | | |
| | Six Months Ended June 30, |
(in millions) | | 2023 | | 2022 |
Operating activities | | | | |
Net earnings | | $ | 11,431 | | | $ | 10,347 | |
Noncash items: | | | | |
Depreciation and amortization | | 1,991 | | | 1,590 | |
Deferred income taxes | | (482) | | | (15) | |
Share-based compensation | | 604 | | | 504 | |
Other, net | | (91) | | | 215 | |
Net change in other operating items, net of effects from acquisitions and changes in AARP balances: | | | | |
Accounts receivable | | 197 | | | (4,204) | |
Other assets | | (2,001) | | | (643) | |
Medical costs payable | | 2,408 | | | 4,029 | |
Accounts payable and other liabilities | | 1,547 | | | 807 | |
Unearned revenues | | 11,755 | | | (440) | |
Cash flows from operating activities | | 27,359 | | | 12,190 | |
Investing activities | | | | |
Purchases of investments | | (9,225) | | | (8,903) | |
Sales of investments | | 3,188 | | | 2,348 | |
Maturities of investments | | 4,463 | | | 3,189 | |
Cash paid for acquisitions, net of cash assumed | | (8,161) | | | (7,150) | |
Purchases of property, equipment and capitalized software | | (1,589) | | | (1,212) | |
Other, net | | (424) | | | (532) | |
Cash flows used for investing activities | | (11,748) | | | (12,260) | |
Financing activities | | | | |
Common share repurchases | | (5,000) | | | (5,000) | |
Cash dividends paid | | (3,284) | | | (2,908) | |
Proceeds from common stock issuances | | 628 | | | 756 | |
Repayments of long-term debt | | (2,125) | | | (1,100) | |
Proceeds from short-term borrowings, net | | 3,426 | | | 1,340 | |
Proceeds from issuance of long-term debt | | 6,394 | | | 5,922 | |
Customer funds administered | | 4,069 | | | 5,786 | |
Other, net | | (1,377) | | | (1,546) | |
Cash flows from financing activities | | 2,731 | | | 3,250 | |
Effect of exchange rate changes on cash and cash equivalents | | 106 | | | 57 | |
Increase in cash and cash equivalents | | 18,448 | | | 3,237 | |
Cash and cash equivalents, beginning of period | | 23,365 | | | 21,375 | |
Cash and cash equivalents, end of period | | $ | 41,813 | | | $ | 24,612 | |
|
| | | | | | | | |
| | Nine Months Ended September 30, |
(in millions) | | 2017 | | 2016 |
Operating activities | | | | |
Net earnings | | $ | 7,102 |
| | $ | 5,365 |
|
Noncash items: | | | | |
Depreciation and amortization | | 1,667 |
| | 1,528 |
|
Deferred income taxes | | (459 | ) | | (405 | ) |
Share-based compensation | | 456 |
| | 369 |
|
Other, net | | 168 |
| | (68 | ) |
Net change in other operating items, net of effects from acquisitions and changes in AARP balances: | | | | |
Accounts receivable | | (244 | ) | | (580 | ) |
Other assets | | (763 | ) | | (1,835 | ) |
Medical costs payable | | 1,305 |
| | 1,984 |
|
Accounts payable and other liabilities | | 2,283 |
| | 1,280 |
|
Unearned revenues | | 4,658 |
| | 3,566 |
|
Cash flows from operating activities | | 16,173 |
| | 11,204 |
|
Investing activities | | | | |
Purchases of investments | | (10,626 | ) | | (12,231 | ) |
Sales of investments | | 2,809 |
| | 4,422 |
|
Maturities of investments | | 4,251 |
| | 3,040 |
|
Cash paid for acquisitions, net of cash assumed | | (908 | ) | | (2,727 | ) |
Purchases of property, equipment and capitalized software | | (1,391 | ) | | (1,220 | ) |
Other, net | | (30 | ) | | (25 | ) |
Cash flows used for investing activities | | (5,895 | ) | | (8,741 | ) |
Financing activities | | | | |
Common share repurchases | | (1,173 | ) | | (1,117 | ) |
Cash dividends paid | | (2,046 | ) | | (1,666 | ) |
Proceeds from common stock issuances | | 604 |
| | 387 |
|
Proceeds from issuance of long-term debt | | 1,342 |
| | 2,485 |
|
Repayments of long-term debt | | (2,867 | ) | | (2,101 | ) |
(Repayments of) proceeds from commercial paper, net | | (3,352 | ) | | 693 |
|
Customer funds administered | | 3,659 |
| | 1,249 |
|
Other, net | | (624 | ) | | (590 | ) |
Cash flows used for financing activities | | (4,457 | ) | | (660 | ) |
Effect of exchange rate changes on cash and cash equivalents | | 18 |
| | 70 |
|
Increase in cash and cash equivalents | | 5,839 |
| | 1,873 |
|
Cash and cash equivalents, beginning of period | | 10,430 |
| | 10,923 |
|
Cash and cash equivalents, end of period | | $ | 16,269 |
| | $ | 12,796 |
|
| | | | |
Supplemental Schedule of Noncash Investing Activities | | | | |
Common stock issued for acquisition | | $ | 2,164 |
| | $ | — |
|
UnitedHealth Group
Notes to the Condensed Consolidated Financial Statements
(Unaudited)
1. Basis of Presentation and Significant Accounting Policies
UnitedHealth Group Incorporated (individually and together with its subsidiaries, “UnitedHealth Group” and “the Company”the “Company”) is a diversified health care and well-being company dedicatedwith a mission to helpinghelp people live healthier lives and helpinghelp make the health system work better for everyone. Through its diversified family of businesses,Our two distinct, yet complementary business platforms — 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 leverages core competencies in advanced, enabling technology; health care data, information and intelligence; and clinical care management and coordinationis privileged to help meet the demands of the health system. These core competencies are deployed within the Company’s two distinct, but strategically aligned, business platforms: health benefits operating under UnitedHealthcare and health services operating under Optum.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”Statements and Supplementary Data” in the Company’s Annual Report on Form 10-K for the year ended December 31, 20162022 as filed with the SEC (2016(2022 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 revenues, valuation and impairment analysis of goodwill and other intangible assets and valuations of certain investments.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
The Company’s revenues include premium, product, and service revenues. Service revenues include net patient service revenues that are recorded based upon established billing rates, less allowances for contractual adjustments, and are recognized as services are provided. For more information about the Company’s revenues, see Notes 2 and 13 of Notes to the Consolidated Financial Statements in Part II, Item 8, “Financial Statements” in the 2016 10-K. See Note 9 for disaggregation of revenue by segment and type.As of SeptemberJune 30, 2017,2023 and December 31, 2022, accounts receivablesreceivable related to products and services were $3.5 billion. For the three$7.7 billion and nine months ended September$7.1 billion, respectively. As of June 30, 2017, the Company had no material bad-debt expense and there were no material contract assets, contract liabilities or deferred contract costsrecorded on the Condensed Consolidated Balance Sheet as of September 30, 2017.
For the three and nine months ended September 30, 2017,2023, revenue recognized from performance obligations related to prior periods (for example, due to changes in transaction price), was not material.
Revenue expected to be recognized in any future year related to remaining performance obligations, excluding revenue pertaining to contracts that havehaving 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 $12.2 billion, of which approximately half is not material.
Health Insurance Industry Tax
The Patient Protection and Affordable Care Act (ACA) included an annual, nondeductible insurance industry tax (Health Insurance Industry Tax)expected to be levied proportionally across the insurance industry for risk-based health insurance products. A provisionrecognized in the 2016 Federal Budget imposed a one year moratorium for 2017 on the collectionnext three years.
The remainder of the accounting policies disclosed in Note 2 of Notes to the Consolidated Financial Statements in Part II, Item 8, “Financial Statements” in the 2016 10-K remain unchanged.
Recently Issued Accounting Standards
In February 2016, the Financial Accounting Standards Board (FASB) issued Accounting Standard Update (ASU) No. 2016-02, “Leases (Topic 842)” (ASU 2016-02). Under ASU 2016-02, an entity will be required to recognize assets and liabilities for the rights and obligations created by leases on the entity’s balance sheet for both finance and operating leases. For leases with a term of 12 months or less, an entity can elect to not recognize lease assets and lease liabilities and expense the lease over a straight-line basis for the term of the lease. ASU 2016-02 will require new disclosures that depict the amount, timing and uncertainty of cash flows pertaining to an entity’s leases. Companies are required to adopt the new standard using a modified retrospective approach for annual and interim periods beginning after December 15, 2018. Early adoption of ASU 2016-02 is permitted. When adopted, the Company does not expect ASU 2016-02 to have a material impact on its results of operations, equity or cash flows. The impact of ASU 2016-02 on the Company’s consolidated financial position will be based on leases outstanding at the time of adoption.
In January 2016, the FASB issued ASU 2016-01, “Financial Instruments - Overall (Subtopic 825-10): Recognition and Measurement of Financial Assets and Financial Liabilities” (ASU 2016-01). The new guidance changes the current accounting related to (i) the classification and measurement of certain equity investments, (ii) the presentation of changes in the fair value of financial liabilities measured under the fair value option that are due to instrument-specific credit risk, and (iii) certain disclosures associated with the fair value of financial instruments. Most notably, ASU 2016-01 requires that equity investments, with certain exemptions, be measured at fair value with changes in fair value recognized in net income as opposed to other comprehensive income. The new guidance is effective for annual and interim reporting periods beginning after December 15, 2017. As of September 30, 2017, based on equity securities held, the Company does not expect ASU 2016-01 to have a material impact on its consolidated financial position, results of operations, equity or cash flows. The Company will continue to evaluate any changes in its mix of investments or market conditions and the related impact of ASU 2016-01.
Recently Adopted Accounting Standards
In May 2014, the FASB issued ASU No. 2014-09, “Revenue from Contracts with Customers (Topic 606)” as modified by subsequently issued ASUs 2015-14, 2016-08, 2016-10, 2016-12 and 2016-20 (collectively ASU 2014-09). ASU 2014-09 superseded existing revenue recognition standards with a single model unless those contracts are within the scope of other standards (e.g., an insurance entity’s insurance contracts). The revenue recognition principle in ASU 2014-09 is that an entity should recognize revenue to depict the transfer of goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. The Company early adopted the new standard effective January 1, 2017, as allowed, using the modified retrospective approach. A significant majority of the Company’s revenues are not subject to the new guidance. The adoption of ASU 2014-09 did not have a material impact on the Company’s consolidated financial position, results of operations, equity or cash flows as of the adoption date or for the nine months ended September 30, 2017. The Company has included the disclosures required by ASU 2014-09 above.
The Company has determined that there have been no other recently adopted or issued accounting standards that had, or will have, a material impact on its Condensed Consolidated Financial Statements.
2. Investments
A summary of short-term and long-term investmentsdebt securities by major security type is as follows:
| | | | | | | | | | | | | | | | | | | | | | | | | | |
(in millions) | | Amortized Cost | | Gross Unrealized Gains | | Gross Unrealized Losses | | Fair Value |
June 30, 2023 | | | | | | | | |
Debt securities - available-for-sale: | | | | | | | | |
U.S. government and agency obligations | | $ | 4,990 | | | $ | — | | | $ | (283) | | | $ | 4,707 | |
State and municipal obligations | | 7,334 | | | 10 | | | (427) | | | 6,917 | |
Corporate obligations | | 23,582 | | | 11 | | | (1,643) | | | 21,950 | |
U.S. agency mortgage-backed securities | | 8,504 | | | 5 | | | (799) | | | 7,710 | |
Non-U.S. agency mortgage-backed securities | | 3,148 | | | — | | | (304) | | | 2,844 | |
Total debt securities - available-for-sale | | 47,558 | | | 26 | | | (3,456) | | | 44,128 | |
Debt securities - held-to-maturity: | | | | | | | | |
U.S. government and agency obligations | | 466 | | | — | | | (11) | | | 455 | |
State and municipal obligations | | 28 | | | — | | | (3) | | | 25 | |
Corporate obligations | | 246 | | | — | | | — | | | 246 | |
Total debt securities - held-to-maturity | | 740 | | | — | | | (14) | | | 726 | |
Total debt securities | | $ | 48,298 | | | $ | 26 | | | $ | (3,470) | | | $ | 44,854 | |
December 31, 2022 | | | | | | | | |
Debt securities - available-for-sale: | | | | | | | | |
U.S. government and agency obligations | | $ | 4,093 | | | $ | 1 | | | $ | (285) | | | $ | 3,809 | |
State and municipal obligations | | 7,702 | | | 25 | | | (479) | | | 7,248 | |
Corporate obligations | | 23,675 | | | 17 | | | (1,798) | | | 21,894 | |
U.S. agency mortgage-backed securities | | 7,379 | | | 15 | | | (808) | | | 6,586 | |
Non-U.S. agency mortgage-backed securities | | 3,077 | | | 1 | | | (294) | | | 2,784 | |
Total debt securities - available-for-sale | | 45,926 | | | 59 | | | (3,664) | | | 42,321 | |
Debt securities - held-to-maturity: | | | | | | | | |
U.S. government and agency obligations | | 578 | | | — | | | (14) | | | 564 | |
State and municipal obligations | | 29 | | | — | | | (3) | | | 26 | |
Corporate obligations | | 89 | | | — | | | — | | | 89 | |
Total debt securities - held-to-maturity | | 696 | | | — | | | (17) | | | 679 | |
Total debt securities | | $ | 46,622 | | | $ | 59 | | | $ | (3,681) | | | $ | 43,000 | |
The Company held $4.2 billion and $3.7 billion of equity securities as of June 30, 2023 and December 31, 2022, respectively. The Company’s investments in equity securities primarily consist of employee savings plan related investments, venture investments and shares of Brazilian real denominated fixed-income funds with readily determinable fair values. Additionally, the Company’s investments included $1.4 billion and $1.5 billion of equity method investments in operating businesses in the health care sector as of June 30, 2023 and December 31, 2022, respectively. The allowance for credit losses on held-to-maturity securities at June 30, 2023 and December 31, 2022 was not material.
|
| | | | | | | | | | | | | | | | |
(in millions) | | Amortized Cost | | Gross Unrealized Gains | | Gross Unrealized Losses | | Fair Value |
September 30, 2017 | | | | | | | | |
Debt securities - available-for-sale: | | | | | | | | |
U.S. government and agency obligations | | $ | 2,708 |
| | $ | 3 |
| | $ | (24 | ) | | $ | 2,687 |
|
State and municipal obligations | | 6,997 |
| | 117 |
| | (20 | ) | | 7,094 |
|
Corporate obligations | | 13,092 |
| | 88 |
| | (26 | ) | | 13,154 |
|
U.S. agency mortgage-backed securities | | 3,946 |
| | 13 |
| | (28 | ) | | 3,931 |
|
Non-U.S. agency mortgage-backed securities | | 1,018 |
| | 5 |
| | (4 | ) | | 1,019 |
|
Total debt securities - available-for-sale | | 27,761 |
| | 226 |
| | (102 | ) | | 27,885 |
|
Equity securities | | 1,949 |
| | 30 |
| | (38 | ) | | 1,941 |
|
Debt securities - held-to-maturity: | | | | | | | | |
U.S. government and agency obligations | | 259 |
| | — |
| | — |
| | 259 |
|
State and municipal obligations | | 4 |
| | — |
| | — |
| | 4 |
|
Corporate obligations | | 285 |
| | — |
| | — |
| | 285 |
|
Total debt securities - held-to-maturity | | 548 |
| | — |
| | — |
| | 548 |
|
Total investments | | $ | 30,258 |
| | $ | 256 |
| | $ | (140 | ) | | $ | 30,374 |
|
December 31, 2016 | | | | | | | | |
Debt securities - available-for-sale: | | | | | | | | |
U.S. government and agency obligations | | $ | 2,294 |
| | $ | 1 |
| | $ | (31 | ) | | $ | 2,264 |
|
State and municipal obligations | | 7,120 |
| | 40 |
| | (101 | ) | | 7,059 |
|
Corporate obligations | | 10,944 |
| | 41 |
| | (58 | ) | | 10,927 |
|
U.S. agency mortgage-backed securities | | 2,963 |
| | 7 |
| | (43 | ) | | 2,927 |
|
Non-U.S. agency mortgage-backed securities | | 1,009 |
| | 3 |
| | (10 | ) | | 1,002 |
|
Total debt securities - available-for-sale | | 24,330 |
| | 92 |
| | (243 | ) | | 24,179 |
|
Equity securities | | 2,036 |
| | 52 |
| | (47 | ) | | 2,041 |
|
Debt securities - held-to-maturity: | | | | | | | | |
U.S. government and agency obligations | | 250 |
| | 1 |
| | — |
| | 251 |
|
State and municipal obligations | | 5 |
| | — |
| | — |
| | 5 |
|
Corporate obligations | | 238 |
| | — |
| | — |
| | 238 |
|
Total debt securities - held-to-maturity | | 493 |
| | 1 |
| | — |
| | 494 |
|
Total investments | | $ | 26,859 |
| | $ | 145 |
| | $ | (290 | ) | | $ | 26,714 |
|
The amortized cost and fair value of debt securities as of SeptemberJune 30, 2017,2023, by contractual maturity, were as follows: | | | | Available-for-Sale | | Held-to-Maturity | | Available-for-Sale | | Held-to-Maturity |
(in millions) | | Amortized Cost | | Fair Value | | Amortized Cost | | Fair Value | (in millions) | | Amortized Cost | | Fair Value | | Amortized Cost | | Fair Value |
Due in one year or less | | $ | 3,650 |
| | $ | 3,651 |
| | $ | 165 |
| | $ | 165 |
| Due in one year or less | | $ | 4,646 | | | $ | 4,613 | | | $ | 466 | | | $ | 461 | |
Due after one year through five years | | 10,607 |
| | 10,645 |
| | 125 |
| | 125 |
| Due after one year through five years | | 14,748 | | | 13,935 | | | 225 | | | 219 | |
Due after five years through ten years | | 6,476 |
| | 6,540 |
| | 113 |
| | 113 |
| Due after five years through ten years | | 11,332 | | | 10,206 | | | 31 | | | 30 | |
Due after ten years | | 2,064 |
| | 2,099 |
| | 145 |
| | 145 |
| Due after ten years | | 5,180 | | | 4,820 | | | 18 | | | 16 | |
U.S. agency mortgage-backed securities | | 3,946 |
| | 3,931 |
| | — |
| | — |
| U.S. agency mortgage-backed securities | | 8,504 | | | 7,710 | | | — | | | — | |
Non-U.S. agency mortgage-backed securities | | 1,018 |
| | 1,019 |
| | — |
| | — |
| Non-U.S. agency mortgage-backed securities | | 3,148 | | | 2,844 | | | — | | | — | |
Total debt securities | | $ | 27,761 |
| | $ | 27,885 |
| | $ | 548 |
| | $ | 548 |
| Total debt securities | | $ | 47,558 | | | $ | 44,128 | | | $ | 740 | | | $ | 726 | |
The fair value of available-for-sale investmentsdebt securities with gross unrealized losses by major security type and length of time that individual securities have been in a continuous unrealized loss position were as follows:
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | Less Than 12 Months | | 12 Months or Greater | | Total |
(in millions) | | Fair Value | | Gross Unrealized Losses | | Fair Value | | Gross Unrealized Losses | | Fair Value | | Gross Unrealized Losses |
June 30, 2023 | | | | | | | | | | | | |
Debt securities - available-for-sale: | | | | | | | | | | | | |
U.S. government and agency obligations | | $ | 2,300 | | | $ | (28) | | | $ | 1,902 | | | $ | (255) | | | $ | 4,202 | | | $ | (283) | |
State and municipal obligations | | 2,769 | | | (46) | | | 3,324 | | | (381) | | | 6,093 | | | (427) | |
Corporate obligations | | 6,346 | | | (122) | | | 13,974 | | | (1,521) | | | 20,320 | | | (1,643) | |
U.S. agency mortgage-backed securities | | 3,111 | | | (79) | | | 4,314 | | | (720) | | | 7,425 | | | (799) | |
Non-U.S. agency mortgage-backed securities | | 577 | | | (15) | | | 2,239 | | | (289) | | | 2,816 | | | (304) | |
Total debt securities - available-for-sale | | $ | 15,103 | | | $ | (290) | | | $ | 25,753 | | | $ | (3,166) | | | $ | 40,856 | | | $ | (3,456) | |
December 31, 2022 | | | | | | | | | | | | |
Debt securities - available-for-sale: | | | | | | | | | | | | |
U.S. government and agency obligations | | $ | 2,007 | | | $ | (96) | | | $ | 1,290 | | | $ | (189) | | | $ | 3,297 | | | $ | (285) | |
State and municipal obligations | | 4,630 | | | (288) | | | 1,178 | | | (191) | | | 5,808 | | | (479) | |
Corporate obligations | | 13,003 | | | (893) | | | 6,637 | | | (905) | | | 19,640 | | | (1,798) | |
U.S. agency mortgage-backed securities | | 3,561 | | | (345) | | | 2,239 | | | (463) | | | 5,800 | | | (808) | |
Non-U.S. agency mortgage-backed securities | | 1,698 | | | (128) | | | 976 | | | (166) | | | 2,674 | | | (294) | |
Total debt securities - available-for-sale | | $ | 24,899 | | | $ | (1,750) | | | $ | 12,320 | | | $ | (1,914) | | | $ | 37,219 | | | $ | (3,664) | |
|
| | | | | | | | | | | | | | | | | | | | | | | | |
| | Less Than 12 Months | | 12 Months or Greater | | Total |
(in millions) | | Fair Value | | Gross Unrealized Losses | | Fair Value | | Gross Unrealized Losses | | Fair Value | | Gross Unrealized Losses |
September 30, 2017 | | | | | | | | | | | | |
Debt securities - available-for-sale: | | | | | | | | | | | | |
U.S. government and agency obligations | | $ | 1,635 |
| | $ | (11 | ) | | $ | 532 |
| | $ | (13 | ) | | $ | 2,167 |
| | $ | (24 | ) |
State and municipal obligations | | 1,910 |
| | (15 | ) | | 429 |
| | (5 | ) | | 2,339 |
| | (20 | ) |
Corporate obligations | | 3,958 |
| | (17 | ) | | 496 |
| | (9 | ) | | 4,454 |
| | (26 | ) |
U.S. agency mortgage-backed securities | | 2,233 |
| | (24 | ) | | 146 |
| | (4 | ) | | 2,379 |
| | (28 | ) |
Non-U.S. agency mortgage-backed securities | | 351 |
| | (3 | ) | | 49 |
| | (1 | ) | | 400 |
| | (4 | ) |
Total debt securities - available-for-sale | | $ | 10,087 |
| | $ | (70 | ) | | $ | 1,652 |
| | $ | (32 | ) | | $ | 11,739 |
| | $ | (102 | ) |
Equity securities | | $ | 59 |
| | $ | (4 | ) | | $ | 97 |
| | $ | (34 | ) | | $ | 156 |
| | $ | (38 | ) |
December 31, 2016 | | | | | | | | | | | | |
Debt securities - available-for-sale: | | | | | | | | | | | | |
U.S. government and agency obligations | | $ | 1,794 |
| | $ | (31 | ) | | $ | — |
| | $ | — |
| | $ | 1,794 |
| | $ | (31 | ) |
State and municipal obligations | | 4,376 |
| | (101 | ) | | — |
| | — |
| | 4,376 |
| | (101 | ) |
Corporate obligations | | 5,128 |
| | (56 | ) | | 137 |
| | (2 | ) | | 5,265 |
| | (58 | ) |
U.S. agency mortgage-backed securities | | 2,247 |
| | (40 | ) | | 79 |
| | (3 | ) | | 2,326 |
| | (43 | ) |
Non-U.S. agency mortgage-backed securities | | 544 |
| | (7 | ) | | 97 |
| | (3 | ) | | 641 |
| | (10 | ) |
Total debt securities - available-for-sale | | $ | 14,089 |
| | $ | (235 | ) | | $ | 313 |
| | $ | (8 | ) | | $ | 14,402 |
| | $ | (243 | ) |
Equity securities | | $ | 93 |
| | $ | (5 | ) | | $ | 91 |
| | $ | (42 | ) | | $ | 184 |
| | $ | (47 | ) |
The Company’s unrealized losses from alldebt securities as of SeptemberJune 30, 20172023 were generated from 9,000approximately 35,000 positions out of a total of 29,00041,000 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.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 SeptemberJune 30, 2017,2023, the Company did not have the intent to sell any of the available-for-sale debt securities in an unrealized loss position. Therefore, the Company believes these losses to be temporary. The allowance for credit losses on available-for-sale debt securities at June 30, 2023 and December 31, 2022 was not material.
The Company’s investments in equity securities consist
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”Statements and Supplementary Data” in the 20162022 10-K.
The following table presents a summary of fair value measurements by level and carrying values for items measured at fair value on a recurring basis in the Condensed Consolidated Balance Sheets:
| | | | | | | | | | | | | | | | | | | | | | | | | | |
(in millions) | | Quoted Prices in Active Markets (Level 1) | | Other Observable Inputs (Level 2) | | Unobservable Inputs (Level 3) | | Total Fair and Carrying Value |
June 30, 2023 | | | | | | | | |
Cash and cash equivalents | | $ | 41,763 | | | $ | 50 | | | $ | — | | | $ | 41,813 | |
Debt securities - available-for-sale: | | | | | | | | |
U.S. government and agency obligations | | 4,318 | | | 389 | | | — | | | 4,707 | |
State and municipal obligations | | — | | | 6,917 | | | — | | | 6,917 | |
Corporate obligations | | 36 | | | 21,732 | | | 182 | | | 21,950 | |
U.S. agency mortgage-backed securities | | — | | | 7,710 | | | — | | | 7,710 | |
Non-U.S. agency mortgage-backed securities | | — | | | 2,844 | | | — | | | 2,844 | |
Total debt securities - available-for-sale | | 4,354 | | | 39,592 | | | 182 | | | 44,128 | |
Equity securities | | 2,270 | | | 37 | | | 70 | | | 2,377 | |
Assets under management | | 1,332 | | | 2,190 | | | 101 | | | 3,623 | |
Total assets at fair value | | $ | 49,719 | | | $ | 41,869 | | | $ | 353 | | | $ | 91,941 | |
Percentage of total assets at fair value | | 54 | % | | 45 | % | | 1 | % | | 100 | % |
December 31, 2022 | | | | | | | | |
Cash and cash equivalents | | $ | 23,202 | | | $ | 163 | | | $ | — | | | $ | 23,365 | |
Debt securities - available-for-sale: | | | | | | | | |
U.S. government and agency obligations | | 3,505 | | | 304 | | | — | | | 3,809 | |
State and municipal obligations | | — | | | 7,248 | | | — | | | 7,248 | |
Corporate obligations | | 7 | | | 21,695 | | | 192 | | | 21,894 | |
U.S. agency mortgage-backed securities | | — | | | 6,586 | | | — | | | 6,586 | |
Non-U.S. agency mortgage-backed securities | | — | | | 2,784 | | | — | | | 2,784 | |
Total debt securities - available-for-sale | | 3,512 | | | 38,617 | | | 192 | | | 42,321 | |
Equity securities | | 2,043 | | | 35 | | | 70 | | | 2,148 | |
Assets under management | | 1,788 | | | 2,203 | | | 96 | | | 4,087 | |
Total assets at fair value | | $ | 30,545 | | | $ | 41,018 | | | $ | 358 | | | $ | 71,921 | |
Percentage of total assets at fair value | | 42 | % | | 57 | % | | 1 | % | | 100 | % |
|
| | | | | | | | | | | | | | | | |
(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, 2017 | | | | | | | | |
Cash and cash equivalents | | $ | 13,462 |
| | $ | 2,807 |
| | $ | — |
| | $ | 16,269 |
|
Debt securities - available-for-sale: | | | | | | | | |
U.S. government and agency obligations | | 2,405 |
| | 282 |
| | — |
| | 2,687 |
|
State and municipal obligations | | — |
| | 7,094 |
| | — |
| | 7,094 |
|
Corporate obligations | | 73 |
| | 12,947 |
| | 134 |
| | 13,154 |
|
U.S. agency mortgage-backed securities | | — |
| | 3,931 |
| | — |
| | 3,931 |
|
Non-U.S. agency mortgage-backed securities | | — |
| | 1,019 |
| | — |
| | 1,019 |
|
Total debt securities - available-for-sale | | 2,478 |
| | 25,273 |
| | 134 |
| | 27,885 |
|
Equity securities | | 1,804 |
| | 14 |
| | 123 |
| | 1,941 |
|
Assets under management | | 763 |
| | 2,319 |
| | — |
| | 3,082 |
|
Interest rate swap assets | | — |
| | 50 |
| | — |
| | 50 |
|
Total assets at fair value |
| $ | 18,507 |
| | $ | 30,463 |
| | $ | 257 |
| | $ | 49,227 |
|
Percentage of total assets at fair value | | 37 | % | | 62 | % | | 1 | % | | 100 | % |
Interest rate swap liabilities | | $ | — |
| | $ | 12 |
| | $ | — |
| | $ | 12 |
|
December 31, 2016 | | | | | | | | |
Cash and cash equivalents | | $ | 10,386 |
| | $ | 44 |
| | $ | — |
| | $ | 10,430 |
|
Debt securities - available-for-sale: | | | | | | | | |
U.S. government and agency obligations | | 2,017 |
| | 247 |
| | — |
| | 2,264 |
|
State and municipal obligations | | — |
| | 7,059 |
| | — |
| | 7,059 |
|
Corporate obligations | | 21 |
| | 10,804 |
| | 102 |
| | 10,927 |
|
U.S. agency mortgage-backed securities | | — |
| | 2,927 |
| | — |
| | 2,927 |
|
Non-U.S. agency mortgage-backed securities | | — |
| | 1,002 |
| | — |
| | 1,002 |
|
Total debt securities - available-for-sale | | 2,038 |
| | 22,039 |
| | 102 |
| | 24,179 |
|
Equity securities | | 1,591 |
| | 13 |
| | 437 |
| | 2,041 |
|
Assets under management | | 1,064 |
| | 2,041 |
| | — |
| | 3,105 |
|
Interest rate swap assets | | — |
| | 55 |
| | — |
| | 55 |
|
Total assets at fair value | | $ | 15,079 |
| | $ | 24,192 |
| | $ | 539 |
| | $ | 39,810 |
|
Percentage of total assets at fair value | | 38 | % | | 61 | % | | 1 | % | | 100 | % |
Interest rate swap liabilities | | $ | — |
| | $ | 14 |
| | $ | — |
| | $ | 14 |
|
Transfers between levels, if any, are recorded asThere were no transfers in or out of the beginning of the reporting period in which the transfer occurs; there were no transfers between Levels 1, 2 orLevel 3 of any financial assets or liabilities during the ninesix months ended SeptemberJune 30, 20172023 or 2016.2022.
The following table presents a summary of fair value measurements by level and carrying values for certain financial instruments not measured at fair value on a recurring basis in the Condensed Consolidated Balance Sheets:
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
(in millions) | | Quoted Prices in Active Markets (Level 1) | | Other Observable Inputs (Level 2) | | Unobservable Inputs (Level 3) | | Total Fair Value | | Total Carrying Value |
June 30, 2023 | | | | | | | | | | |
Debt securities - held-to-maturity | | $ | 651 | | | $ | 75 | | | $ | — | | | $ | 726 | | | $ | 740 | |
Long-term debt and other financing obligations | | $ | — | | | $ | 58,644 | | | $ | — | | | $ | 58,644 | | | $ | 61,217 | |
December 31, 2022 | | | | | | | | | | |
Debt securities - held-to-maturity | | $ | 577 | | | $ | 102 | | | $ | — | | | $ | 679 | | | $ | 696 | |
Long-term debt and other financing obligations | | $ | — | | | $ | 53,626 | | | $ | — | | | $ | 53,626 | | | $ | 56,823 | |
|
| | | | | | | | | | | | | | | | | | | | |
(in millions) | | Quoted Prices in Active Markets (Level 1) | | Other Observable Inputs (Level 2) | | Unobservable Inputs (Level 3) | | Total Fair Value | | Total Carrying Value |
September 30, 2017 | | | | | | | | | | |
Debt securities - held-to-maturity: | | | | | | | | | | |
U.S. government and agency obligations | | $ | 256 |
| | $ | 3 |
| | $ | — |
| | $ | 259 |
| | $ | 259 |
|
State and municipal obligations | | — |
| | — |
| | 4 |
| | 4 |
| | 4 |
|
Corporate obligations | | 17 |
| | 1 |
| | 267 |
| | 285 |
| | 285 |
|
Total debt securities - held-to-maturity | | $ | 273 |
| | $ | 4 |
| | $ | 271 |
| | $ | 548 |
| | $ | 548 |
|
Other assets | | $ | — |
| | $ | 477 |
| | $ | — |
| | $ | 477 |
| | $ | 475 |
|
Long-term debt and other financing obligations | | $ | — |
| | $ | 31,686 |
| | $ | — |
| | $ | 31,686 |
| | $ | 28,959 |
|
December 31, 2016 | | | | | | | | | | |
Debt securities - held-to-maturity: | | | | | | | | | | |
U.S. government and agency obligations | | $ | 251 |
| | $ | — |
| | $ | — |
| | $ | 251 |
| | $ | 250 |
|
State and municipal obligations | | — |
| | — |
| | 5 |
| | 5 |
| | 5 |
|
Corporate obligations | | 20 |
| | 8 |
| | 210 |
| | 238 |
| | 238 |
|
Total debt securities - held-to-maturity | | $ | 271 |
| | $ | 8 |
| | $ | 215 |
| | $ | 494 |
| | $ | 493 |
|
Other assets | | $ | — |
| | $ | 476 |
| | $ | — |
| | $ | 476 |
| | $ | 471 |
|
Long-term debt and other financing obligations | | $ | — |
| | $ | 31,295 |
| | $ | — |
| | $ | 31,295 |
| | $ | 29,337 |
|
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. There were no significant fair value adjustments for these assets and liabilities recorded during the ninesix months ended SeptemberJune 30, 20172023 or 2016.2022.
4. Other Current Receivables
The Company’s pharmacy care services businesses contract with pharmaceutical manufacturers, some of which provide rebates based on use of the manufacturers’ products by the Company’s clients. As of September 30, 2017 and December 31, 2016, total pharmaceutical manufacturer rebates receivable included in other receivables in the Condensed Consolidated Balance Sheets amounted to $4.0 billion and $3.3 billion, respectively. See Note 2 of Notes to the Consolidated Financial Statements in Part II, Item 8, “Financial Statements” in the 2016 10-K for more information on the Company’s pharmaceutical manufacturer rebates.
5. Medical Costs Payable
The following table shows the components of the change in medical costs payable for the ninesix months ended SeptemberJune 30:
| | (in millions) | | 2017 | | 2016 | (in millions) | | 2023 | | 2022 |
Medical costs payable, beginning of period | | $ | 16,391 |
| | $ | 14,330 |
| Medical costs payable, beginning of period | | $ | 29,056 | | | $ | 24,483 | |
Acquisitions | | 76 |
| | — |
| Acquisitions | | 1 | | | 171 | |
Reported medical costs: | | | | | Reported medical costs: | |
Current year | | 97,519 |
| | 87,532 |
| Current year | | 120,773 | | | 104,936 | |
Prior years | | (690 | ) | | (190 | ) | Prior years | | (660) | | | (320) | |
Total reported medical costs | | 96,829 |
| | 87,342 |
| Total reported medical costs | | 120,113 | | | 104,616 | |
Medical payments: | | | | | Medical payments: | | | | |
Payments for current year | | (81,237 | ) | | (72,092 | ) | Payments for current year | | (91,621) | | | (78,937) | |
Payments for prior years | | (14,096 | ) | | (13,080 | ) | Payments for prior years | | (25,602) | | | (21,355) | |
Total medical payments | | (95,333 | ) | | (85,172 | ) | Total medical payments | | (117,223) | | | (100,292) | |
Medical costs payable, end of period | | $ | 17,963 |
| | $ | 16,500 |
| Medical costs payable, end of period | | $ | 31,947 | | | $ | 28,978 | |
For the ninesix months ended SeptemberJune 30, 2017, the2023 and 2022, prior years’ medical cost reserve development was primarily driven by lower than expected health system utilization levels. For the nine months ended September 30, 2016,included no individual factors that were significant. Medical costs payable included reserves for claims incurred by insured customers but not yet reported to the Company of $12.4$22.0 billion and $11.6$20.0 billion at SeptemberJune 30, 20172023 and December 31, 2016,2022, respectively.
6. Commercial Paper5. Short-Term Borrowings and Long-Term Debt
Commercial paper and senior unsecured long-term debt consisted of the following: |
| | | | | | | | | | | | | | | | | | | | | | | | |
| | September 30, 2017 | | December 31, 2016 |
(in millions, except percentages) | | Par Value | | Carrying Value | | Fair Value | | Par Value | | Carrying Value | | Fair Value |
Commercial paper | | $ | 304 |
| | $ | 303 |
| | $ | 303 |
| | $ | 3,633 |
| | $ | 3,633 |
| | $ | 3,633 |
|
Floating rate notes due January 2017 | | — |
| | — |
| | — |
| | 750 |
| | 750 |
| | 750 |
|
6.000% notes due June 2017 | | — |
| | — |
| | — |
| | 441 |
| | 446 |
| | 450 |
|
1.450% notes due July 2017 | | — |
| | — |
| | — |
| | 750 |
| | 750 |
| | 751 |
|
1.400% notes due October 2017 | | 625 |
| | 625 |
| | 625 |
| | 625 |
| | 624 |
| | 626 |
|
6.000% notes due November 2017 | | 156 |
| | 157 |
| | 157 |
| | 156 |
| | 159 |
| | 163 |
|
1.400% notes due December 2017 | | 750 |
| | 750 |
| | 750 |
| | 750 |
| | 751 |
| | 750 |
|
6.000% notes due February 2018 | | 1,100 |
| | 1,102 |
| | 1,118 |
| | 1,100 |
| | 1,107 |
| | 1,153 |
|
1.900% notes due July 2018 | | 1,500 |
| | 1,498 |
| | 1,504 |
| | 1,500 |
| | 1,496 |
| | 1,507 |
|
1.700% notes due February 2019 | | 750 |
| | 749 |
| | 750 |
| | 750 |
| | 748 |
| | 748 |
|
1.625% notes due March 2019 | | 500 |
| | 501 |
| | 499 |
| | 500 |
| | 501 |
| | 498 |
|
2.300% notes due December 2019 | | 500 |
| | 497 |
| | 504 |
| | 500 |
| | 498 |
| | 504 |
|
2.700% notes due July 2020 | | 1,500 |
| | 1,496 |
| | 1,530 |
| | 1,500 |
| | 1,495 |
| | 1,523 |
|
3.875% notes due October 2020 | | 450 |
| | 449 |
| | 473 |
| | 450 |
| | 450 |
| | 474 |
|
4.700% notes due February 2021 | | 400 |
| | 407 |
| | 431 |
| | 400 |
| | 409 |
| | 433 |
|
2.125% notes due March 2021 | | 750 |
| | 746 |
| | 750 |
| | 750 |
| | 745 |
| | 741 |
|
3.375% notes due November 2021 | | 500 |
| | 497 |
| | 520 |
| | 500 |
| | 497 |
| | 519 |
|
2.875% notes due December 2021 | | 750 |
| | 748 |
| | 769 |
| | 750 |
| | 748 |
| | 760 |
|
2.875% notes due March 2022 | | 1,100 |
| | 1,063 |
| | 1,125 |
| | 1,100 |
| | 1,057 |
| | 1,114 |
|
3.350% notes due July 2022 | | 1,000 |
| | 996 |
| | 1,044 |
| | 1,000 |
| | 995 |
| | 1,030 |
|
0.000% notes due November 2022 | | 15 |
| | 11 |
| | 12 |
| | 15 |
| | 11 |
| | 12 |
|
2.750% notes due February 2023 | | 625 |
| | 612 |
| | 632 |
| | 625 |
| | 609 |
| | 622 |
|
2.875% notes due March 2023 | | 750 |
| | 771 |
| | 765 |
| | 750 |
| | 771 |
| | 753 |
|
3.750% notes due July 2025 | | 2,000 |
| | 1,987 |
| | 2,122 |
| | 2,000 |
| | 1,986 |
| | 2,070 |
|
3.100% notes due March 2026 | | 1,000 |
| | 995 |
| | 1,012 |
| | 1,000 |
| | 994 |
| | 986 |
|
3.450% notes due January 2027 | | 750 |
| | 745 |
| | 776 |
| | 750 |
| | 745 |
| | 762 |
|
3.375% notes due April 2027 | | 625 |
| | 618 |
| | 643 |
| | — |
| | — |
| | — |
|
4.625% notes due July 2035 | | 1,000 |
| | 991 |
| | 1,146 |
| | 1,000 |
| | 991 |
| | 1,090 |
|
5.800% notes due March 2036 | | 850 |
| | 837 |
| | 1,071 |
| | 850 |
| | 837 |
| | 1,034 |
|
6.500% notes due June 2037 | | 500 |
| | 491 |
| | 683 |
| | 500 |
| | 491 |
| | 643 |
|
6.625% notes due November 2037 | | 650 |
| | 641 |
| | 903 |
| | 650 |
| | 640 |
| | 850 |
|
6.875% notes due February 2038 | | 1,100 |
| | 1,075 |
| | 1,561 |
| | 1,100 |
| | 1,075 |
| | 1,497 |
|
5.700% notes due October 2040 | | 300 |
| | 296 |
| | 383 |
| | 300 |
| | 296 |
| | 366 |
|
5.950% notes due February 2041 | | 350 |
| | 345 |
| | 460 |
| | 350 |
| | 345 |
| | 437 |
|
4.625% notes due November 2041 | | 600 |
| | 588 |
| | 673 |
| | 600 |
| | 588 |
| | 634 |
|
4.375% notes due March 2042 | | 502 |
| | 483 |
| | 543 |
| | 502 |
| | 483 |
| | 509 |
|
3.950% notes due October 2042 | | 625 |
| | 607 |
| | 641 |
| | 625 |
| | 606 |
| | 609 |
|
4.250% notes due March 2043 | | 750 |
| | 734 |
| | 801 |
| | 750 |
| | 734 |
| | 765 |
|
4.750% notes due July 2045 | | 2,000 |
| | 1,972 |
| | 2,310 |
| | 2,000 |
| | 1,972 |
| | 2,203 |
|
4.200% notes due January 2047 | | 750 |
| | 738 |
| | 799 |
| | 750 |
| | 737 |
| | 759 |
|
4.250% notes due April 2047 | | 725 |
| | 717 |
| | 777 |
| | — |
| | — |
| | — |
|
Total commercial paper and long-term debt | | $ | 29,102 |
| | $ | 28,838 |
| | $ | 31,565 |
| | $ | 33,022 |
| | $ | 32,770 |
| | $ | 34,728 |
|
In 2017, the Company repaid $926 million in debt assumed in the first quarter in connection with an acquisition. The Company’s long-term debt obligations also included $424 million and $200 million of other financing obligations, of which $104 million and $80 million were classified as current as of September 30, 2017 and December 31, 2016, respectively.
Long-term Debt
In October 2017,March 2023, the Company issued $4.0$6.5 billion of senior unsecured notes consisting of the following: |
| | | | |
(in millions, except percentages) | | Par Value |
Floating rate notes due October 2020 | | $ | 300 |
|
1.950% notes due October 2020 | | 900 |
|
2.375% notes due October 2022 | | 900 |
|
2.950% notes due October 2027 | | 950 |
|
3.750% notes due October 2047 | | 950 |
|
| | | | | | | | |
(in millions, except percentages) | | Par Value |
4.250% notes due January 2029 | | $ | 1,250 | |
4.500% notes due April 2033 | | 1,500 | |
5.050% notes due April 2053 | | 2,000 | |
5.200% notes due April 2063 | | 1,750 | |
Commercial Paper and Bank Credit Facilities
Commercial paper consists of short-duration, senior unsecured debt privately placed on a discount basis through broker-dealers. As of SeptemberJune 30, 2017,2023, the Company’s outstandingCompany had $4.4 billion of commercial paper hadoutstanding, with a weighted-average annual interest rate of 1.4%5.1%.
The Company has $3.0 billion five-year, $2.0 billion three-year and $1.0 billion 364-day revolving bank credit facilities with 23 banks, which mature in December 2021, December 2019 and December 2017, respectively. These facilities provide liquidity support for the Company’s commercial paper program and are available for general corporate purposes. As of September 30, 2017, no amounts had been drawn on any of the bank credit facilities. The annual interest rates, which are variable based on term, are calculated based on the London Interbank Offered Rate (LIBOR) plus a credit spread basedFor more information on the Company’s senior unsecured credit ratings. If amounts had been drawn on the bank credit facilities as of September 30, 2017, annual interest rates would have ranged from 2.0% to 2.3%.
Debt Covenants
The Company’s bank credit facilities contain various covenants, including covenants requiring the Company to maintain adefined debt to debt-plus-shareholders’ equity ratio of not more than 55%. The Company was in compliance with itsshort-term borrowings, debt covenants asand long-term debt, see Note 8 of September 30, 2017.Notes to the Consolidated Financial Statements included in Part II, Item 8, “Financial Statements and Supplementary Data” in the 2022 10-K.
7. Shareholders' Equity
6. Dividends
In June 2017,2023, the Company’s Board of Directors increased the Company’s quarterly cash dividend to shareholders to an annual dividend rate of $3.00 per share from $2.50$7.52 compared to $6.60 per share, which the Company had paid since June 2016.2022. 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 2017 dividend payments:payments during the six months ended June 30, 2023:
| | | | | | | | | | | | | | |
Payment Date | | Amount per Share | | Total Amount Paid |
| | | | (in millions) |
March 21 | | $ | 1.65 | | | $ | 1,537 | |
June 27 | | 1.88 | | | 1,747 | |
|
| | | | | | | | |
Payment Date | | Amount per Share | | Total Amount Paid |
| | | | (in millions) |
March 10, 2017 | | $ | 0.625 |
| | $ | 596 |
|
June 27, 2017 | | 0.750 |
| | 724 |
|
September 19, 2017 | | 0.750 |
| | 726 |
|
8.7. Commitments and Contingencies
Pending Acquisitions
As of June 30, 2023, the Company has entered into agreements to acquire companies in the health care sector, subject to regulatory approval and other customary closing conditions. The total anticipated consideration required for these acquisitions, excluding the payoff of acquired indebtedness, is approximately $5 billion.
Legal Matters
Because of the nature of its businesses, theThe Company is frequently made party to a variety of legal actions and regulatory inquiries, including demands, audits, 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 that a loss may be incurred.
Litigation Matters
California Claims Processing Matter.On January 25, 2008, the California Department of Insurance (CDI) issued an Order to Show Cause to PacifiCare Life and Health Insurance Company, a subsidiary of the Company, alleging violations of certain insurance statutes and regulations related to an alleged failure to include certain language in standard claims correspondence, timeliness and accuracy of claims processing, interest payments, care provider contract implementation, care provider dispute resolution and other related matters. Although the Company believes that CDI had never before issued a fine in excess of $8 million, CDI advocated a fine of approximately $325 million in this matter. The matter was the subject of an administrative hearing before a California administrative law judge beginning in December 2009, and in August 2013, the administrative law judge issued a nonbinding proposed decision recommending a fine of $11.5 million. The California Insurance Commissioner (Commissioner) rejected the administrative law judge’s recommendation and on June 9, 2014, issued his own decision imposing a fine of approximately $174 million. On July 10, 2014, the Company filed a lawsuit in California state court challenging the Commissioner’s decision. On September 8, 2015, in the first phase of that lawsuit, the California state court issued an order invalidating certain of the regulations the Commissioner had relied upon in issuing his decision and penalty. On September 21, 2017, the court entered a final ruling reversing all of the penalties imposed and remanding certain issues to the Commissioner. The Company cannot reasonably estimate the range of loss, if any, that may result from this matter given the procedural status of the dispute, the wide range of possible outcomes, the legal issues presented (including the legal basis for the majority of the alleged violations), the inherent difficulty in predicting a regulatory fine in the event of a remand, and the various remedies and levels of judicial review that remain available to the Company.
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 CMS,Centers for Medicare and Medicaid Services (CMS), state insurance and health and welfare departments, the Brazilian national regulatory agency for private health insurance and plans (the Agência Nacional de Saúde Suplementar), state attorneys general, the Office of the Inspector General, the Office of Personnel Management, the Office of 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 Brazilian federal revenue service (the Secretaria da Receita Federal), the U.S. Department of Labor, the Federal Deposit Insurance Corporation, the Consumer Financial Protection Bureau (CFPB), the Defense Contract Audit Agency and other governmental authorities. Similarly, our international businesses are also subject to investigations, audits and reviews by applicable foreign governments, including South American and other non-U.S. governmental authorities. 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 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 Department of Justice (DOJ)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 that the Company along with a number of other Medicare Advantage plans, 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 24, 2017, DOJ intervened in a separate lawsuit initially asserted against2018, and moved for partial summary judgment. In March 2019, the Company and filed by a whistleblower in 2009 concerning risk adjustment submissions by Medicare Advantage plans. On October 5, 2017, in one ofcourt denied the cases, the district court dismissed certain of DOJ’s claims with prejudice,government’s motion for partial summary judgment and dismissed all of DOJ’s remaining claims with leave to file a further amended complaint; on October 12, the DOJ filed a notice of dismissalCompany’s counterclaims without prejudice of the case. The other case is now pending in the U.S. District Court for the Central District of California.prejudice. The Company cannot reasonably estimate the outcome thatwhich may result from these mattersthis matter given their current posture.its procedural status.
8. Business Combinations
During the six months ended June 30, 2023, the Company completed several business combinations for total consideration of $8.2 billion.
Acquired assets (liabilities) at acquisition date were: | | | | | | | | |
(in millions) | | |
Cash and cash equivalents | | $ | 104 | |
Accounts receivable and other current assets | | 550 | |
Property, equipment and other long-term assets | | 542 | |
Other intangible assets | | 1,795 | |
Total identifiable assets acquired | | 2,991 | |
Medical costs payable | | (1) | |
Accounts payable and other current liabilities | | (473) | |
Other long-term liabilities | | (617) | |
Total identifiable liabilities acquired | | (1,091) | |
Total net identifiable assets | | 1,900 | |
Goodwill | | 7,734 | |
Redeemable noncontrolling interests | | (113) | |
Nonredeemable noncontrolling interests | | (1,297) | |
Net assets acquired | | $ | 8,224 | |
The majority of goodwill is not deductible for income tax purposes. 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 Value | | Weighted-Average Useful Life |
Acquired finite-lived intangible assets: | | | | |
Customer-related | | $ | 223 | | | 12 years |
Trademarks and technology | | 171 | | | 5 years |
Other | | 38 | | | 6 years |
Total acquired finite-lived intangible assets | | 432 | | | 9 years |
Total acquired indefinite-lived intangible assets - operating licenses and certificates | | 1,363 | | | |
Total acquired intangible assets | | $ | 1,795 | | | |
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 June 30, 2023, acquired entities impact on revenues and net earnings was not material.
Unaudited pro forma revenues and net earnings for the six months ended June 30, 2023 and 2022, as if the business combinations had occurred on January 1, 2022, were immaterial for both periods.
9. Segment Financial Information
The Company’s four reportable segments are UnitedHealthcare, OptumHealth, OptumInsightOptum Health, Optum Insight and OptumRx. Optum Rx. For more information on the Company’s segments, see Part I, Item I, “Business” and Note 1314 of Notes to the Consolidated Financial Statements included in Part II, Item 8, “Financial Statements”Statements and Supplementary Data” in the 20162022 10-K.
As of September 30, 2017, OptumHealth’s total Total assets were $26.1at Optum Health increased to $80.8 billion as of June 30, 2023 compared to $18.7$69.0 billion as of December 31, 2016. The increase was2022, primarily due to acquisitions, which increased goodwill by $5.1 billion during the nine months ended September 30, 2017.from business combinations of $7.0 billion.
The following tables present reportable segment financial information:
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | | | Optum | | | | |
(in millions) | | UnitedHealthcare | | Optum Health | | Optum Insight | | Optum Rx | | Optum Eliminations | | Optum | | Corporate and Eliminations | | Consolidated |
Three Months Ended June 30, 2023 | | | | | | | | | | | | | | | | |
Revenues - unaffiliated customers: | | | | | | | | | | | | | | | | |
Premiums | | $ | 67,047 | | | $ | 5,427 | | | $ | — | | | $ | — | | | $ | — | | | $ | 5,427 | | | $ | — | | | $ | 72,474 | |
Products | | — | | | 51 | | | 39 | | | 10,561 | | | — | | | 10,651 | | | — | | | 10,651 | |
Services | | 2,584 | | | 3,541 | | | 1,995 | | | 543 | | | — | | | 6,079 | | | — | | | 8,663 | |
Total revenues - unaffiliated customers | | 69,631 | | | 9,019 | | | 2,034 | | | 11,104 | | | — | | | 22,157 | | | — | | | 91,788 | |
Total revenues - affiliated customers | | — | | | 14,454 | | | 2,615 | | | 17,496 | | | (893) | | | 33,672 | | | (33,672) | | | — | |
Investment and other income | | 600 | | | 444 | | | 25 | | | 46 | | | — | | | 515 | | | — | | | 1,115 | |
Total revenues | | $ | 70,231 | | | $ | 23,917 | | | $ | 4,674 | | | $ | 28,646 | | | $ | (893) | | | $ | 56,344 | | | $ | (33,672) | | | $ | 92,903 | |
Earnings from operations | | $ | 4,358 | | | $ | 1,525 | | | $ | 968 | | | $ | 1,206 | | | $ | — | | | $ | 3,699 | | | $ | — | | | $ | 8,057 | |
Interest expense | | — | | | — | | | — | | | — | | | — | | | — | | | (828) | | | (828) | |
Earnings before income taxes | | $ | 4,358 | | | $ | 1,525 | | | $ | 968 | | | $ | 1,206 | | | $ | — | | | $ | 3,699 | | | $ | (828) | | | $ | 7,229 | |
Three Months Ended June 30, 2022 | | | | | | | | | | | | | | | | |
Revenues - unaffiliated customers: | | | | | | | | | | | | | | | | |
Premiums | | $ | 59,368 | | | $ | 4,528 | | | $ | — | | | $ | — | | | $ | — | | | $ | 4,528 | | | $ | — | | | $ | 63,896 | |
Products | | — | | | 6 | | | 58 | | | 9,432 | | | — | | | 9,496 | | | — | | | 9,496 | |
Services | | 2,542 | | | 2,740 | | | 1,034 | | | 329 | | | — | | | 4,103 | | | — | | | 6,645 | |
Total revenues - unaffiliated customers | | 61,910 | | | 7,274 | | | 1,092 | | | 9,761 | | | — | | | 18,127 | | | — | | | 80,037 | |
Total revenues - affiliated customers | | — | | | 10,224 | | | 2,181 | | | 15,038 | | | (588) | | | 26,855 | | | (26,855) | | | — | |
Investment and other income | | 195 | | | 85 | | | 9 | | | 6 | | | — | | | 100 | | | — | | | 295 | |
Total revenues | | $ | 62,105 | | | $ | 17,583 | | | $ | 3,282 | | | $ | 24,805 | | | $ | (588) | | | $ | 45,082 | | | $ | (26,855) | | | $ | 80,332 | |
Earnings from operations | | $ | 3,850 | | | $ | 1,399 | | | $ | 839 | | | $ | 1,044 | | | $ | — | | | $ | 3,282 | | | $ | — | | | $ | 7,132 | |
Interest expense | | — | | | — | | | — | | | — | | | — | | | — | | | (467) | | | (467) | |
Earnings before income taxes | | $ | 3,850 | | | $ | 1,399 | | | $ | 839 | | | $ | 1,044 | | | $ | — | | | $ | 3,282 | | | $ | (467) | | | $ | 6,665 | |
| | | | | | Optum | | | | | | | | | Optum | | | | |
(in millions) | | UnitedHealthcare | | OptumHealth | | OptumInsight | | OptumRx | | Optum Eliminations | | Optum | | Corporate and Eliminations | | Consolidated | (in millions) | | UnitedHealthcare | | Optum Health | | Optum Insight | | Optum Rx | | Optum Eliminations | | Optum | | Corporate and Eliminations | | Consolidated |
Three Months Ended September 30, 2017 | | | | | | | | | | | | | | | | | |
Six Months Ended June 30, 2023 | | Six Months Ended June 30, 2023 | | | | | | | | | | | | | | | | |
Revenues - unaffiliated customers: | | | | | | | | | | | | | | | | | Revenues - unaffiliated customers: | |
Premiums | | $ | 38,576 |
| | $ | 976 |
| | $ | — |
| | $ | — |
| | $ | — |
| | $ | 976 |
| | $ | — |
| | $ | 39,552 |
| Premiums | | $ | 134,505 | | | $ | 10,755 | | | $ | — | | | $ | — | | | $ | — | | | $ | 10,755 | | | $ | — | | | $ | 145,260 | |
Products | | — |
| | 10 |
| | 29 |
| | 6,626 |
| | — |
| | 6,665 |
| | — |
| | 6,665 |
| Products | | — | | | 95 | | | 79 | | | 20,744 | | | — | | | 20,918 | | | — | | | 20,918 | |
Services | | 2,005 |
| | 1,040 |
| | 677 |
| | 136 |
| | — |
| | 1,853 |
| | — |
| | 3,858 |
| Services | | 5,139 | | | 6,630 | | | 3,921 | | | 1,053 | | | — | | | 11,604 | | | — | | | 16,743 | |
Total revenues - unaffiliated customers | | 40,581 |
| | 2,026 |
| | 706 |
| | 6,762 |
| | — |
| | 9,494 |
| | — |
| | 50,075 |
| Total revenues - unaffiliated customers | | 139,644 | | | 17,480 | | | 4,000 | | | 21,797 | | | — | | | 43,277 | | | — | | | 182,921 | |
Total revenues - affiliated customers | | — |
| | 3,138 |
| | 1,297 |
| | 9,186 |
| | (324 | ) | | 13,297 |
| | (13,297 | ) | | — |
| Total revenues - affiliated customers | | — | | | 28,720 | | | 5,125 | | | 34,175 | | | (1,752) | | | 66,268 | | | (66,268) | | | — | |
Investment and other income | | 153 |
| | 88 |
| | 1 |
| | 5 |
| | — |
| | 94 |
| | — |
| | 247 |
| Investment and other income | | 1,055 | | | 721 | | | 45 | | | 92 | | | — | | | 858 | | | — | | | 1,913 | |
Total revenues | | $ | 40,734 |
| | $ | 5,252 |
| | $ | 2,004 |
| | $ | 15,953 |
| | $ | (324 | ) | | $ | 22,885 |
| | $ | (13,297 | ) | | $ | 50,322 |
| Total revenues | | $ | 140,699 | | | $ | 46,921 | | | $ | 9,170 | | | $ | 56,064 | | | $ | (1,752) | | | $ | 110,403 | | | $ | (66,268) | | | $ | 184,834 | |
Earnings from operations | | $ | 2,391 |
| | $ | 513 |
| | $ | 414 |
| | $ | 770 |
| | $ | — |
| | $ | 1,697 |
| | $ | — |
| | $ | 4,088 |
| Earnings from operations | | $ | 8,701 | | | $ | 3,301 | | | $ | 1,875 | | | $ | 2,266 | | | $ | — | | | $ | 7,442 | | | $ | — | | | $ | 16,143 | |
Interest expense | | — |
| | — |
| | — |
| | — |
| | — |
| | — |
| | (294 | ) | | (294 | ) | Interest expense | | — | | | — | | | — | | | — | | | — | | | — | | | (1,582) | | | (1,582) | |
Earnings before income taxes | | $ | 2,391 |
| | $ | 513 |
| | $ | 414 |
| | $ | 770 |
| | $ | — |
| | $ | 1,697 |
| | $ | (294 | ) | | $ | 3,794 |
| Earnings before income taxes | | $ | 8,701 | | | $ | 3,301 | | | $ | 1,875 | | | $ | 2,266 | | | $ | — | | | $ | 7,442 | | | $ | (1,582) | | | $ | 14,561 | |
Three Months Ended September 30, 2016 | | | | | | | | | | | | | | | | | |
Six Months Ended June 30, 2022 | | Six Months Ended June 30, 2022 | | | | | | | | | | | | | | | | |
Revenues - unaffiliated customers: | | | | | | | | | | | | | | | | | Revenues - unaffiliated customers: | |
Premiums | | $ | 35,137 |
| | $ | 1,005 |
| | $ | — |
| | $ | — |
| | $ | — |
| | $ | 1,005 |
| | $ | — |
| | $ | 36,142 |
| Premiums | | $ | 119,305 | | | $ | 8,661 | | | $ | — | | | $ | — | | | $ | — | | | $ | 8,661 | | | $ | — | | | $ | 127,966 | |
Products | | — |
| | 12 |
| | 30 |
| | 6,654 |
| | — |
| | 6,696 |
| | — |
| | 6,696 |
| Products | | — | | | 12 | | | 98 | | | 18,726 | | | — | | | 18,836 | | | — | | | 18,836 | |
Services | | 1,907 |
| | 604 |
| | 617 |
| | 136 |
| | — |
| | 1,357 |
| | — |
| | 3,264 |
| Services | | 5,057 | | | 5,298 | | | 2,008 | | | 654 | | | — | | | 7,960 | | | — | | | 13,017 | |
Total revenues - unaffiliated customers | | 37,044 |
| | 1,621 |
| | 647 |
| | 6,790 |
| | — |
| | 9,058 |
| | — |
| | 46,102 |
| Total revenues - unaffiliated customers | | 124,362 | | | 13,971 | | | 2,106 | | | 19,380 | | | — | | | 35,457 | | | — | | | 159,819 | |
Total revenues - affiliated customers | | — |
| | 2,656 |
| | 1,177 |
| | 8,445 |
| | (275 | ) | | 12,003 |
| | (12,003 | ) | | — |
| Total revenues - affiliated customers | | — | | | 20,053 | | | 4,319 | | | 29,329 | | | (1,141) | | | 52,560 | | | (52,560) | | | — | |
Investment and other income | | 133 |
| | 55 |
| | 1 |
| | 2 |
| | — |
| | 58 |
| | — |
| | 191 |
| Investment and other income | | 338 | | | 241 | | | 76 | | | 7 | | | — | | | 324 | | | — | | | 662 | |
Total revenues | | $ | 37,177 |
| | $ | 4,332 |
| | $ | 1,825 |
| | $ | 15,237 |
| | $ | (275 | ) | | $ | 21,119 |
| | $ | (12,003 | ) | | $ | 46,293 |
| Total revenues | | $ | 124,700 | | | $ | 34,265 | | | $ | 6,501 | | | $ | 48,716 | | | $ | (1,141) | | | $ | 88,341 | | | $ | (52,560) | | | $ | 160,481 | |
Earnings from operations | | $ | 2,113 |
| | $ | 404 |
| | $ | 371 |
| | $ | 692 |
| | $ | — |
| | $ | 1,467 |
| | $ | — |
| | $ | 3,580 |
| Earnings from operations | | $ | 7,648 | | | $ | 2,765 | | | $ | 1,686 | | | $ | 1,983 | | | $ | — | | | $ | 6,434 | | | $ | — | | | $ | 14,082 | |
Interest expense | | — |
| | — |
| | — |
| | — |
| | — |
| | — |
| | (269 | ) | | (269 | ) | Interest expense | | — | | | — | | | — | | | — | | | — | | | — | | | (900) | | | (900) | |
Earnings before income taxes | | $ | 2,113 |
| | $ | 404 |
| | $ | 371 |
| | $ | 692 |
| | $ | — |
| | $ | 1,467 |
| | $ | (269 | ) | | $ | 3,311 |
| Earnings before income taxes | | $ | 7,648 | | | $ | 2,765 | | | $ | 1,686 | | | $ | 1,983 | | | $ | — | | | $ | 6,434 | | | $ | (900) | | | $ | 13,182 | |
|
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | | | Optum | | | | |
(in millions) | | UnitedHealthcare | | OptumHealth | | OptumInsight | | OptumRx | | Optum Eliminations | | Optum | | Corporate and Eliminations | | Consolidated |
Nine Months Ended September 30, 2017 | | | | | | | | | | | | | | | | |
Revenues - unaffiliated customers: | | | | | | | | | | | | | | | | |
Premiums | | $ | 115,295 |
| | $ | 2,780 |
| | $ | — |
| | $ | — |
| | $ | — |
| | $ | 2,780 |
| | $ | — |
| | $ | 118,075 |
|
Products | | — |
| | 33 |
| | 69 |
| | 19,107 |
| | — |
| | 19,209 |
| | — |
| | 19,209 |
|
Services | | 5,885 |
| | 2,769 |
| | 2,011 |
| | 424 |
| | — |
| | 5,204 |
| | — |
| | 11,089 |
|
Total revenues - unaffiliated customers | | 121,180 |
| | 5,582 |
| | 2,080 |
| | 19,531 |
| | — |
| | 27,193 |
| | — |
| | 148,373 |
|
Total revenues - affiliated customers | | — |
| | 9,294 |
| | 3,757 |
| | 27,196 |
| | (894 | ) | | 39,353 |
| | (39,353 | ) | | — |
|
Investment and other income | | 478 |
| | 231 |
| | 3 |
| | 13 |
| | — |
| | 247 |
| | — |
| | 725 |
|
Total revenues | | $ | 121,658 |
| | $ | 15,107 |
| | $ | 5,840 |
| | $ | 46,740 |
| | $ | (894 | ) | | $ | 66,793 |
| | $ | (39,353 | ) | | $ | 149,098 |
|
Earnings from operations | | $ | 6,736 |
| | $ | 1,267 |
| | $ | 1,080 |
| | $ | 2,149 |
| | $ | — |
| | $ | 4,496 |
| | $ | — |
| | $ | 11,232 |
|
Interest expense | | — |
| | — |
| | — |
| | — |
| | — |
| | — |
| | (878 | ) | | (878 | ) |
Earnings before income taxes | | $ | 6,736 |
| | $ | 1,267 |
| | $ | 1,080 |
| | $ | 2,149 |
| | $ | — |
| | $ | 4,496 |
| | $ | (878 | ) | | $ | 10,354 |
|
Nine Months Ended September 30, 2016 | | | | | | | | | | | | | | | | |
Revenues - unaffiliated customers: | | | | | | | | | | | | | | | | |
Premiums | | $ | 104,641 |
| | $ | 2,725 |
| | $ | — |
| | $ | — |
| | $ | — |
| | $ | 2,725 |
| | $ | — |
| | $ | 107,366 |
|
Products | | 1 |
| | 36 |
| | 67 |
| | 19,595 |
| | — |
| | 19,698 |
| | — |
| | 19,699 |
|
Services | | 5,569 |
| | 1,813 |
| | 1,862 |
| | 429 |
| | — |
| | 4,104 |
| | — |
| | 9,673 |
|
Total revenues - unaffiliated customers | | 110,211 |
| | 4,574 |
| | 1,929 |
| | 20,024 |
| | — |
| | 26,527 |
| | — |
| | 136,738 |
|
Total revenues - affiliated customers | | — |
| | 7,682 |
| | 3,324 |
| | 24,554 |
| | (806 | ) | | 34,754 |
| | (34,754 | ) | | — |
|
Investment and other income | | 422 |
| | 139 |
| | 1 |
| | 5 |
| | — |
| | 145 |
| | — |
| | 567 |
|
Total revenues | | $ | 110,633 |
| | $ | 12,395 |
| | $ | 5,254 |
| | $ | 44,583 |
| | $ | (806 | ) | | $ | 61,426 |
| | $ | (34,754 | ) | | $ | 137,305 |
|
Earnings from operations | | $ | 5,909 |
| | $ | 1,008 |
| | $ | 950 |
| | $ | 1,876 |
| | $ | — |
| | $ | 3,834 |
| | $ | — |
| | $ | 9,743 |
|
Interest expense | | — |
| | — |
| | — |
| | — |
| | — |
| | — |
| | (799 | ) | | (799 | ) |
Earnings before income taxes | | $ | 5,909 |
| | $ | 1,008 |
| | $ | 950 |
| | $ | 1,876 |
| | $ | — |
| | $ | 3,834 |
| | $ | (799 | ) | | $ | 8,944 |
|
| |
ITEM 2. | MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS |
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 20162022 10-K, including the Consolidated Financial Statements and Notes included in Part II, Item 8, “Financial Statements”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 20162022 10-K and in the discussion below.
EXECUTIVE OVERVIEW
General
UnitedHealth Group is a diversified health care and well-being company dedicatedwith a mission to helpinghelp people live healthier lives and helpinghelp make the health system work better for everyone. Through our diversified family of businesses, we leverage core competencies in advanced, enabling technology; health care data; informationOur two distinct, yet complementary business platforms — Optum and intelligence; and clinical care management and coordinationUnitedHealthcare — are working to help meetbuild a modern, high-performing health system through improved access, affordability, outcomes and experiences for the demands of the health system. These core competenciesindividuals and organizations we are deployed within our two distinct, but strategically aligned, business platforms: health benefits operating under 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 health services operating under Optum.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 20162022 10-K and additional information on our segments can be found in this Item 2 and in Note 9 of Notes to the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report. Business Trends
Our businesses participate in the United States, BrazilianSouth America and certain other international health markets. In the United States, health care spending has grown consistently for many years and comprises approximately 18% of gross domestic product. 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 macro-economicmacroeconomic conditions and regulatory changes, which have impacted and could further impact our results of operations.operations, including our continued efforts to control health care costs.
Pricing Trends.Trends. To price our health care benefitbenefits, products and services, we start with our view of expected future costs.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.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 both the small group, and large group and individual segments. We expect broad-based competition to continue as the industry adapts to individual and employer needs amid reform changes. A provisionneeds.
Government programs in the 2016 Federal Budget imposed a one year moratorium for 2017 oncommunity and senior sector tend to receive lower rates of increase than the collectioncommercial market due to governmental budget pressures and lower cost trends.
Medical Cost Trends.Our medical cost trends primarily relate to changes in unit costs, health system utilizationcare activity and prescription drug costs. During the second quarter, we observed increased care patterns, primarily related to outpatient procedures for seniors, which may continue in future periods. We endeavor to mitigate those increases by engaging physicians and consumers with medical management. Our 2017 management activities include managing costs across all health care categories, including specialty pharmacy spending, as new therapies are introduced at high costsinformation and older drugs experience price increases.
helping them make clinically sound choices, with the objective of helping them achieve quality, affordable care. Regulatory Trends and Uncertainties
Following is a summary of management’s view of the trends and uncertainties related to Medicare Advantage rates. For additional information regarding the ACA and other regulatory trends and uncertainties, see Part I, Item 1 “Business - Government Regulation,” Item 1A, “Risk Factors” and Part II, Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in our 2016 10-K.
Medicare Advantage Rates.Medicare Advantage rate notices over the years have at times resulted in industry base rates well below industry forward medical trend. For example, the Final 2018 Medicare AdvantageNotice for 2024 rates resulted in an increase in industry base rates of approximately 0.45%,rate decrease, well short of thewhat is an increasing industry forward medical cost trend, of 3%, which createscreating continued pressure in the Medicare Advantage program. The impactFurther, 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 thisthe greatest health and social challenges.
As a result of ongoing Medicare funding shortfall inpressures, 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 is partially mitigated by reductions in provider payments for those care providers with rates indexed to Medicare Advantage revenues or Medicare fee-for-service payment rates. These factors can affect our plan benefit designs, pricing, growth prospects and earnings expectations for our Medicare Advantage plans.
As provided in the ACA, our Medicare Advantage rates are currently enhanced by CMS quality bonuses in certain counties based on our local plans’ Star ratings. The level of Star ratings from CMS, based upon specified clinical and operational performance standards, will impact future quality bonuses. In addition, Star ratings affect the amount of savings a plan can use to offer supplemental benefits, which ultimately may affect the plan’s membership and revenue. For the 2017 payment year, approximately 80% of our Medicare Advantage members are in plans rated four stars or higher. We expect at least 85% of our Medicare Advantage members will be in plans rated four stars or higher for payment year 2018. We continue to dedicate substantial resources to advance our quality scores and Star ratings to strengthen our local market programs and further improve our performance.
SELECTED OPERATING PERFORMANCE AND OTHER SIGNIFICANT ITEMS
The following summarizes select thirdsecond quarter 20172023 year-over-year operating comparisons to thirdsecond quarter 20162022 and other 2017 significant items.financial results.
•Consolidated revenues grew 9%16%, UnitedHealthcare revenues grew 10%13% and Optum revenues grew 8%25%.
•UnitedHealthcare grew to serve an additional 1.0served 1.6 million people.more people, driven by growth across our U.S. businesses.
Earnings•Consolidated earnings from operations increased 14%, including increasesof $8.1 billion compared to $7.1 billion last year, included growth of 13% at both UnitedHealthcare and 16% at Optum.
The effective income tax rate decreased 780 basis points to 32.5%.
•Diluted earnings per common share increased 24%.were $5.82.
•Cash flows from operations for the ninesix months ended SeptemberJune 30, 20172023 were $16.2 billion, aided by the September receipt$27.4 billion.
•Return on equity was 26.8%.
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 June 30, | | Increase/(Decrease) | | Six Months Ended June 30, | | Increase/(Decrease) |
| 2023 | | 2022 | | 2023 vs. 2022 | | 2023 | | 2022 | | 2023 vs. 2022 |
Revenues: | | | | | | | | | | | | | | | | |
Premiums | | $ | 72,474 | | | $ | 63,896 | | | $ | 8,578 | | | 13 | % | | $ | 145,260 | | | $ | 127,966 | | | $ | 17,294 | | | 14 | % |
Products | | 10,651 | | | 9,496 | | | 1,155 | | | 12 | | | 20,918 | | | 18,836 | | | 2,082 | | | 11 | |
Services | | 8,663 | | | 6,645 | | | 2,018 | | | 30 | | | 16,743 | | | 13,017 | | | 3,726 | | | 29 | |
Investment and other income | | 1,115 | | | 295 | | | 820 | | | 278 | | | 1,913 | | | 662 | | | 1,251 | | | 189 | |
Total revenues | | 92,903 | | | 80,332 | | | 12,571 | | | 16 | | | 184,834 | | | 160,481 | | | 24,353 | | | 15 | |
Operating costs: | | | | | | | | | | | | | | | | |
Medical costs | | 60,268 | | | 52,093 | | | 8,175 | | | 16 | | | 120,113 | | | 104,616 | | | 15,497 | | | 15 | |
Operating costs | | 13,809 | | | 11,709 | | | 2,100 | | | 18 | | | 27,434 | | | 23,110 | | | 4,324 | | | 19 | |
Cost of products sold | | 9,748 | | | 8,596 | | | 1,152 | | | 13 | | | 19,153 | | | 17,083 | | | 2,070 | | | 12 | |
Depreciation and amortization | | 1,021 | | | 802 | | | 219 | | | 27 | | | 1,991 | | | 1,590 | | | 401 | | | 25 | |
Total operating costs | | 84,846 | | | 73,200 | | | 11,646 | | | 16 | | | 168,691 | | | 146,399 | | | 22,292 | | | 15 | |
Earnings from operations | | 8,057 | | | 7,132 | | | 925 | | | 13 | | | 16,143 | | | 14,082 | | | 2,061 | | | 15 | |
Interest expense | | (828) | | | (467) | | | (361) | | | 77 | | | (1,582) | | | (900) | | | (682) | | | 76 | |
Earnings before income taxes | | 7,229 | | | 6,665 | | | 564 | | | 8 | | | 14,561 | | | 13,182 | | | 1,379 | | | 10 | |
Provision for income taxes | | (1,572) | | | (1,466) | | | (106) | | | 7 | | | (3,130) | | | (2,835) | | | (295) | | | 10 | |
Net earnings | | 5,657 | | | 5,199 | | | 458 | | | 9 | | | 11,431 | | | 10,347 | | | 1,084 | | | 10 | |
Earnings attributable to noncontrolling interests | | (183) | | | (129) | | | (54) | | | 42 | | | (346) | | | (250) | | | (96) | | | 38 | |
Net earnings attributable to UnitedHealth Group common shareholders | | $ | 5,474 | | | $ | 5,070 | | | $ | 404 | | | 8 | % | | $ | 11,085 | | | $ | 10,097 | | | $ | 988 | | | 10 | % |
Diluted earnings per share attributable to UnitedHealth Group common shareholders | | $ | 5.82 | | | $ | 5.34 | | | $ | 0.48 | | | | | $ | 11.77 | | | $ | 10.61 | | | $ | 1.16 | | | |
Medical care ratio (a) | | 83.2 | % | | 81.5 | % | | 1.7 | % | | | | 82.7 | % | | 81.8 | % | | 0.9 | % | | |
Operating cost ratio | | 14.9 | | | 14.6 | | | 0.3 | | | | | 14.8 | | | 14.4 | | | 0.4 | | | |
Operating margin | | 8.7 | | | 8.9 | | | (0.2) | | | | | 8.7 | | | 8.8 | | | (0.1) | | | |
Tax rate | | 21.7 | | | 22.0 | | | (0.3) | | | | | 21.5 | | | 21.5 | | | — | | | |
Net earnings margin (b) | | 5.9 | | | 6.3 | | | (0.4) | | | | | 6.0 | | | 6.3 | | | (0.3) | | | |
Return on equity (c) | | 26.8 | % | | 27.9 | % | | (1.1) | % | | | | 27.5 | % | | 27.9 | % | | (0.4) | % | | |
(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.
|
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
(in millions, except percentages and per share data) | | Three Months Ended September 30, | | Increase/(Decrease) | | Nine Months Ended September 30, | | Increase/(Decrease) |
| 2017 | | 2016 | | 2017 vs. 2016 | | 2017 | | 2016 | | 2017 vs. 2016 |
Revenues: | | | | | | | | | | | | | | | | |
Premiums | | $ | 39,552 |
| | $ | 36,142 |
| | $ | 3,410 |
| | 9 | % | | $ | 118,075 |
| | $ | 107,366 |
| | $ | 10,709 |
| | 10 | % |
Products | | 6,665 |
| | 6,696 |
| | (31 | ) | | — |
| | 19,209 |
| | 19,699 |
| | (490 | ) | | (2 | ) |
Services | | 3,858 |
| | 3,264 |
| | 594 |
| | 18 |
| | 11,089 |
| | 9,673 |
| | 1,416 |
| | 15 |
|
Investment and other income | | 247 |
| | 191 |
| | 56 |
| | 29 |
| | 725 |
| | 567 |
| | 158 |
| | 28 |
|
Total revenues | | 50,322 |
| | 46,293 |
| | 4,029 |
| | 9 |
| | 149,098 |
| | 137,305 |
| | 11,793 |
| | 9 |
|
Operating costs: | | | | | | | | | | | | | | | | |
Medical costs | | 32,201 |
| | 29,040 |
| | 3,161 |
| | 11 |
| | 96,829 |
| | 87,342 |
| | 9,487 |
| | 11 |
|
Operating costs | | 7,387 |
| | 7,033 |
| | 354 |
| | 5 |
| | 21,737 |
| | 20,584 |
| | 1,153 |
| | 6 |
|
Cost of products sold | | 6,068 |
| | 6,125 |
| | (57 | ) | | (1 | ) | | 17,633 |
| | 18,108 |
| | (475 | ) | | (3 | ) |
Depreciation and amortization | | 578 |
| | 515 |
| | 63 |
| | 12 |
| | 1,667 |
| | 1,528 |
| | 139 |
| | 9 |
|
Total operating costs | | 46,234 |
| | 42,713 |
| | 3,521 |
| | 8 |
| | 137,866 |
| | 127,562 |
| | 10,304 |
| | 8 |
|
Earnings from operations | | 4,088 |
| | 3,580 |
| | 508 |
| | 14 |
| | 11,232 |
| | 9,743 |
| | 1,489 |
| | 15 |
|
Interest expense | | (294 | ) | | (269 | ) | | (25 | ) | | 9 |
| | (878 | ) | | (799 | ) | | (79 | ) | | 10 |
|
Earnings before income taxes | | 3,794 |
| | 3,311 |
| | 483 |
| | 15 |
| | 10,354 |
| | 8,944 |
| | 1,410 |
| | 16 |
|
Provision for income taxes | | (1,233 | ) | | (1,333 | ) | | 100 |
| | (8 | ) | | (3,252 | ) | | (3,579 | ) | | 327 |
| | (9 | ) |
Net earnings | | 2,561 |
| | 1,978 |
| | 583 |
| | 29 |
| | 7,102 |
| | 5,365 |
| | 1,737 |
| | 32 |
|
Earnings attributable to noncontrolling interests | | (76 | ) | | (10 | ) | | (66 | ) | | nm |
| | (161 | ) | | (32 | ) | | (129 | ) | | nm |
|
Net earnings attributable to UnitedHealth Group common shareholders | | $ | 2,485 |
| | $ | 1,968 |
| | $ | 517 |
| | 26 | % | | $ | 6,941 |
| | $ | 5,333 |
| | $ | 1,608 |
| | 30 | % |
Diluted earnings per share attributable to UnitedHealth Group common shareholders | | $ | 2.51 |
| | $ | 2.03 |
| | $ | 0.48 |
| | 24 | % | | $ | 7.06 |
| | $ | 5.51 |
| | $ | 1.55 |
| | 28 | % |
Medical care ratio (a) | | 81.4 | % | | 80.3 | % | | 1.1 | % | | | | 82.0 | % | | 81.3 | % | | 0.7 | % | | |
Operating cost ratio | | 14.7 |
| | 15.2 |
| | (0.5 | ) | | | | 14.6 |
| | 15.0 |
| | (0.4 | ) | | |
Operating margin | | 8.1 |
| | 7.7 |
| | 0.4 |
| | | | 7.5 |
| | 7.1 |
| | 0.4 |
| | |
Tax rate | | 32.5 |
| | 40.3 |
| | (7.8 | ) | | | | 31.4 |
| | 40.0 |
| | (8.6 | ) | | |
Net earnings margin (b) | | 4.9 |
| | 4.3 |
| | 0.6 |
| | | | 4.7 |
| | 3.9 |
| | 0.8 |
| | |
Return on equity (c) | | 22.5 | % | | 21.3 | % | | 1.2 | % | | | | 22.0 | % | | 19.9 | % | | 2.1 | % | | |
nm = not meaningful
| |
(a) | Medical care ratio 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 divided by average equity. Average equity is calculated using the equity balance at the end of the preceding year and the equity balances at the end of each of the quarters in the year presented. |
20172023 RESULTS OF OPERATIONS COMPARED TO 20162022 RESULTS OF OPERATIONS
Consolidated Financial Results
Revenues
The increases in revenues were primarily driven by organic growth in the number of individualspeople served across our benefits businessesthrough Medicare Advantage and Medicaid, pricing trends and growth across all of Optum’sthe Optum businesses. These increases were partially offset by revenue decreasesRevenues also increased due to withdrawals of ACA-compliant products in the individual market and the effects of the Health Insurance Industry Tax moratorium.increased investment income, primarily driven by increased interest rates.
Medical Costs and Medical Care Ratio (MCR)MCR
Medical costs increased primarily due to risk-based membership growth in people served through Medicare Advantage and medical cost trends.Medicaid. The MCR increases wereincreased as a result of elevated care activity, primarily relating to outpatient care for seniors, and business mix. For the three months ended June 30, 2023, the MCR also increased due to the effects of the Health Insurance Industry Tax moratorium offset primarily by the reduction of individual ACA business and an increase indecreased favorable medical cost reserve development.
Income Tax RateOperating Cost Ratio
Our effective tax rates decreasedThe operating cost ratio increased primarily due to the Health Insurance Industry Tax moratoriumbusiness mix and higher tax benefits resulting from an increase in share-based payment activity.investments to support future growth, partially offset by continued productivity advances.
Reportable Segments
See Note 9 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. The following table presents a summary of the reportable segment financial information:
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | Three Months Ended June 30, | | Increase/ (Decrease) | | Six Months Ended June 30, | | Increase/(Decrease) |
(in millions, except percentages) | | 2023 | | 2022 | | 2023 vs. 2022 | | 2023 | | 2022 | | 2023 vs. 2022 |
Revenues | | | | | | | | | | | | | | | | |
UnitedHealthcare | | $ | 70,231 | | | $ | 62,105 | | | $ | 8,126 | | | 13 | % | | $ | 140,699 | | | $ | 124,700 | | | $ | 15,999 | | | 13 | % |
Optum Health | | 23,917 | | | 17,583 | | | 6,334 | | | 36 | | | 46,921 | | | 34,265 | | | 12,656 | | | 37 | |
Optum Insight | | 4,674 | | | 3,282 | | | 1,392 | | | 42 | | | 9,170 | | | 6,501 | | | 2,669 | | | 41 | |
Optum Rx | | 28,646 | | | 24,805 | | | 3,841 | | | 15 | | | 56,064 | | | 48,716 | | | 7,348 | | | 15 | |
Optum eliminations | | (893) | | | (588) | | | (305) | | | 52 | | | (1,752) | | | (1,141) | | | (611) | | | 54 | |
Optum | | 56,344 | | | 45,082 | | | 11,262 | | | 25 | | | 110,403 | | | 88,341 | | | 22,062 | | | 25 | |
Eliminations | | (33,672) | | | (26,855) | | | (6,817) | | | 25 | | | (66,268) | | | (52,560) | | | (13,708) | | | 26 | |
Consolidated revenues | | $ | 92,903 | | | $ | 80,332 | | | $ | 12,571 | | | 16 | % | | $ | 184,834 | | | $ | 160,481 | | | $ | 24,353 | | | 15 | % |
Earnings from operations | | | | | | | | | | | | | | | | |
UnitedHealthcare | | $ | 4,358 | | | $ | 3,850 | | | $ | 508 | | | 13 | % | | $ | 8,701 | | | $ | 7,648 | | | $ | 1,053 | | | 14 | % |
Optum Health | | 1,525 | | | 1,399 | | | 126 | | | 9 | | | 3,301 | | | 2,765 | | | 536 | | | 19 | |
Optum Insight | | 968 | | | 839 | | | 129 | | | 15 | | | 1,875 | | | 1,686 | | | 189 | | | 11 | |
Optum Rx | | 1,206 | | | 1,044 | | | 162 | | | 16 | | | 2,266 | | | 1,983 | | | 283 | | | 14 | |
Optum | | 3,699 | | | 3,282 | | | 417 | | | 13 | | | 7,442 | | | 6,434 | | | 1,008 | | | 16 | |
Consolidated earnings from operations | | $ | 8,057 | | | $ | 7,132 | | | $ | 925 | | | 13 | % | | $ | 16,143 | | | $ | 14,082 | | | $ | 2,061 | | | 15 | % |
Operating margin | | | | | | | | | | | | | | | | |
UnitedHealthcare | | 6.2 | % | | 6.2 | % | | — | % | | | | 6.2 | % | | 6.1 | % | | 0.1 | % | | |
Optum Health | | 6.4 | | | 8.0 | | | (1.6) | | | | | 7.0 | | | 8.1 | | | (1.1) | | | |
Optum Insight | | 20.7 | | | 25.6 | | | (4.9) | | | | | 20.4 | | | 25.9 | | | (5.5) | | | |
Optum Rx | | 4.2 | | | 4.2 | | | — | | | | | 4.0 | | | 4.1 | | | (0.1) | | | |
Optum | | 6.6 | | | 7.3 | | | (0.7) | | | | | 6.7 | | | 7.3 | | | (0.6) | | | |
Consolidated operating margin | | 8.7 | % | | 8.9 | % | | (0.2) | % | | | | 8.7 | % | | 8.8 | % | | (0.1) | % | | |
|
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | Three Months Ended September 30, | | Increase/(Decrease) | | Nine Months Ended September 30, | | Increase/(Decrease) |
(in millions, except percentages) | | 2017 | | 2016 | | 2017 vs. 2016 | | 2017 | | 2016 | | 2017 vs. 2016 |
Revenues | | | | | | | | | | | | | | | | |
UnitedHealthcare | | $ | 40,734 |
| | $ | 37,177 |
| | $ | 3,557 |
| | 10 | % | | $ | 121,658 |
| | $ | 110,633 |
| | $ | 11,025 |
| | 10 | % |
OptumHealth | | 5,252 |
| | 4,332 |
| | 920 |
| | 21 |
| | 15,107 |
| | 12,395 |
| | 2,712 |
| | 22 |
|
OptumInsight | | 2,004 |
| | 1,825 |
| | 179 |
| | 10 |
| | 5,840 |
| | 5,254 |
| | 586 |
| | 11 |
|
OptumRx | | 15,953 |
| | 15,237 |
| | 716 |
| | 5 |
| | 46,740 |
| | 44,583 |
| | 2,157 |
| | 5 |
|
Optum eliminations | | (324 | ) | | (275 | ) | | (49 | ) | | 18 |
| | (894 | ) | | (806 | ) | | (88 | ) | | 11 |
|
Optum | | 22,885 |
| | 21,119 |
| | 1,766 |
| | 8 |
| | 66,793 |
| | 61,426 |
| | 5,367 |
| | 9 |
|
Eliminations | | (13,297 | ) | | (12,003 | ) | | (1,294 | ) | | 11 |
| | (39,353 | ) | | (34,754 | ) | | (4,599 | ) | | 13 |
|
Consolidated revenues | | $ | 50,322 |
| | $ | 46,293 |
| | $ | 4,029 |
| | 9 | % | | $ | 149,098 |
| | $ | 137,305 |
| | $ | 11,793 |
| | 9 | % |
Earnings from operations | | | | | | | | | | | | | | | | |
UnitedHealthcare | | $ | 2,391 |
| | $ | 2,113 |
| | $ | 278 |
| | 13 | % | | $ | 6,736 |
| | $ | 5,909 |
| | $ | 827 |
| | 14 | % |
OptumHealth | | 513 |
| | 404 |
| | 109 |
| | 27 |
| | 1,267 |
| | 1,008 |
| | 259 |
| | 26 |
|
OptumInsight | | 414 |
| | 371 |
| | 43 |
| | 12 |
| | 1,080 |
| | 950 |
| | 130 |
| | 14 |
|
OptumRx | | 770 |
| | 692 |
| | 78 |
| | 11 |
| | 2,149 |
| | 1,876 |
| | 273 |
| | 15 |
|
Optum | | 1,697 |
| | 1,467 |
| | 230 |
| | 16 |
| | 4,496 |
| | 3,834 |
| | 662 |
| | 17 |
|
Consolidated earnings from operations | | $ | 4,088 |
| | $ | 3,580 |
| | $ | 508 |
| | 14 | % | | $ | 11,232 |
| | $ | 9,743 |
| | $ | 1,489 |
| | 15 | % |
Operating margin | | | | | | | | | | | | | | | | |
UnitedHealthcare | | 5.9 | % | | 5.7 | % | | 0.2 | % | | | | 5.5 | % | | 5.3 | % | | 0.2 | % | | |
OptumHealth | | 9.8 |
| | 9.3 |
| | 0.5 |
| | | | 8.4 |
| | 8.1 |
| | 0.3 |
| | |
OptumInsight | | 20.7 |
| | 20.3 |
| | 0.4 |
| | | | 18.5 |
| | 18.1 |
| | 0.4 |
| | |
OptumRx | | 4.8 |
| | 4.5 |
| | 0.3 |
| | | | 4.6 |
| | 4.2 |
| | 0.4 |
| | |
Optum | | 7.4 |
| | 6.9 |
| | 0.5 |
| | | | 6.7 |
| | 6.2 |
| | 0.5 |
| | |
Consolidated operating margin | | 8.1 | % | | 7.7 | % | | 0.4 | % | | | | 7.5 | % | | 7.1 | % | | 0.4 | % | | |
UnitedHealthcare
The following table summarizes UnitedHealthcare revenues by business:
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | Three Months Ended June 30, | | Increase/(Decrease) | | Six Months Ended June 30, | | Increase/(Decrease) |
(in millions, except percentages) | | 2023 | | 2022 | | 2023 vs. 2022 | | 2023 | | 2022 | | 2023 vs. 2022 |
UnitedHealthcare Employer & Individual - Domestic | | $ | 16,759 | | | $ | 15,567 | | | $ | 1,192 | | | 8 | % | | $ | 33,303 | | | $ | 31,389 | | | $ | 1,914 | | | 6 | % |
UnitedHealthcare Employer & Individual - Global | | 2,325 | | | 2,247 | | | 78 | | | 3 | | | 4,488 | | | 4,380 | | | 108 | | | 2 | |
UnitedHealthcare Employer & Individual - Total | | 19,084 | | | 17,814 | | | 1,270 | | | 7 | | | 37,791 | | | 35,769 | | | 2,022 | | | 6 | |
UnitedHealthcare Medicare & Retirement | | 32,440 | | | 28,625 | | | 3,815 | | | 13 | | | 65,446 | | | 57,725 | | | 7,721 | | | 13 | |
UnitedHealthcare Community & State | | 18,707 | | | 15,666 | | | 3,041 | | | 19 | | | 37,462 | | | 31,206 | | | 6,256 | | | 20 | |
Total UnitedHealthcare revenues | | $ | 70,231 | | | $ | 62,105 | | | $ | 8,126 | | | 13 | % | | $ | 140,699 | | | $ | 124,700 | | | $ | 15,999 | | | 13 | % |
|
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | Three Months Ended September 30, | | Increase/(Decrease) | | Nine Months Ended September 30, | | Increase/(Decrease) |
(in millions, except percentages) | | 2017 | | 2016 | | 2017 vs. 2016 | | 2017 | | 2016 | | 2017 vs. 2016 |
UnitedHealthcare Employer & Individual | | $ | 13,054 |
| | $ | 13,251 |
| | $ | (197 | ) | | (1 | )% | | $ | 38,759 |
| | $ | 39,580 |
| | $ | (821 | ) | | (2 | )% |
UnitedHealthcare Medicare & Retirement | | 16,306 |
| | 13,927 |
| | 2,379 |
| | 17 |
| | 49,605 |
| | 42,286 |
| | 7,319 |
| | 17 |
|
UnitedHealthcare Community & State | | 9,378 |
| | 8,312 |
| | 1,066 |
| | 13 |
| | 27,505 |
| | 24,303 |
| | 3,202 |
| | 13 |
|
UnitedHealthcare Global | | 1,996 |
| | 1,687 |
| | 309 |
| | 18 |
| | 5,789 |
| | 4,464 |
| | 1,325 |
| | 30 |
|
Total UnitedHealthcare revenues | | $ | 40,734 |
| | $ | 37,177 |
| | $ | 3,557 |
| | 10 | % | | $ | 121,658 |
| | $ | 110,633 |
| | $ | 11,025 |
| | 10 | % |
The following table summarizes the number of individualspeople served by our UnitedHealthcare businesses, by major market segment and funding arrangement: |
| | | | | | | | | | | | |
| | September 30, | | Increase/(Decrease) |
(in thousands, except percentages) | | 2017 | | 2016 | | 2017 vs. 2016 |
Commercial group: | | | | | | | | |
Risk-based | | 7,805 |
| | 7,265 |
| | 540 |
| | 7 | % |
Fee-based | | 18,610 |
| | 18,880 |
| | (270 | ) | | (1 | ) |
Total commercial group | | 26,415 |
| | 26,145 |
| | 270 |
| | 1 |
|
Individual | | 515 |
| | 1,485 |
| | (970 | ) | | (65 | ) |
Fee-based TRICARE | | 2,855 |
| | 2,855 |
| | — |
| | — |
|
Total commercial | | 29,785 |
| | 30,485 |
| | (700 | ) | | (2 | ) |
Medicare Advantage | | 4,390 |
| | 3,600 |
| | 790 |
| | 22 |
|
Medicaid | | 6,375 |
| | 5,790 |
| | 585 |
| | 10 |
|
Medicare Supplement (Standardized) | | 4,415 |
| | 4,245 |
| | 170 |
| | 4 |
|
Total public and senior | | 15,180 |
| | 13,635 |
| | 1,545 |
| | 11 |
|
Total UnitedHealthcare - domestic medical | | 44,965 |
| | 44,120 |
| | 845 |
| | 2 |
|
International | | 4,080 |
| | 3,970 |
| | 110 |
| | 3 |
|
Total UnitedHealthcare - medical | | 49,045 |
| | 48,090 |
| | 955 |
| | 2 | % |
Supplemental Data: | | | | | | | | |
Medicare Part D stand-alone | | 4,945 |
| | 4,945 |
| | — |
| | — | % |
Broad-based growth across group sizes and regions, led by gains in services to small groups, resulted in the overall increase in people served through risk-based benefit plans in the commercial group market. Fee-based commercial group business declined due to the non-renewal of one public sector customer. Membership in individual business decreased due to our reduced participation in ACA-compliant products in 2017. Medicare Advantage increased year-over-year due to growth in people served through individual and employer-sponsored group Medicare Advantage plans. Medicaid growth was driven by the combination of new state-based awards and growth in established programs. Medicare Supplement growth reflected strong customer retention and new sales. | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | June 30, | | Increase/(Decrease) |
(in thousands, except percentages) | | 2023 | | 2022 | | 2023 vs. 2022 |
Commercial - Domestic: | | | | | | | | |
Risk-based | | 8,035 | | | 8,010 | | | 25 | | | — | % |
Fee-based | | 19,140 | | | 18,480 | | | 660 | | | 4 | |
Total Commercial - Domestic | | 27,175 | | | 26,490 | | | 685 | | | 3 | |
Medicare Advantage | | 7,590 | | | 6,945 | | | 645 | | | 9 | |
Medicaid | | 8,355 | | | 7,990 | | | 365 | | | 5 | |
Medicare Supplement (Standardized) | | 4,330 | | | 4,355 | | | (25) | | | (1) | |
Total Community and Senior | | 20,275 | | | 19,290 | | | 985 | | | 5 | |
Total UnitedHealthcare - Domestic Medical | | 47,450 | | | 45,780 | | | 1,670 | | | 4 | |
Commercial - Global | | 5,385 | | | 5,465 | | | (80) | | | (1) | |
Total UnitedHealthcare - Medical | | 52,835 | | | 51,245 | | | 1,590 | | | 3 | % |
Supplemental Data: | | | | | | | | |
Medicare Part D stand-alone | | 3,355 | | | 3,330 | | | 25 | | | 1 | % |
UnitedHealthcare’s revenue increases wererevenues increased due to growth in the number of individualspeople served across its businessesthrough individual and price increases for underlying medical cost trends, which weregroup Medicare Advantage plans; growth in existing Medicaid markets, including a greater mix of people with higher acuity needs; and an increase in the number of people served through commercial offerings. Earnings from operations increased due to increased investment income and the factors impacting revenue, partially offset by the reduction of people served in ACA-compliant individual products and the impact of the Health Insurance Industry Tax moratorium.
The increase in UnitedHealthcare’s operating earnings was led by diversified growth and increased operating margin. The 2016 results included losses in ACA-compliant individual products.elevated care activity, primarily relating to outpatient care for seniors.
Optum
Total revenues and operating earnings increased as each segment reported increased revenues and earnings from operations as a result ofincreased due to growth across the factors discussed below.
Optum businesses. The results by segment were as follows:
OptumHealthOptum Health
Revenue and earnings from operationsRevenues at Optum Health increased at OptumHealth primarily due to organic and acquisition-related growth in patients served under value-based care delivery.arrangements and business combinations. Earnings from operations increased due to increased investment income and cost management initiatives, partially offset by higher senior outpatient and behavioral health care activity and costs associated with serving newly added patients under value-based care arrangements. Optum Health served approximately 103 million people as of June 30, 2023 compared to 101 million people as of June 30, 2022.
OptumInsightOptum Insight
RevenueRevenues and earnings from operations at OptumInsightOptum Insight increased primarily due to growth in revenue managementbusiness services as a result of business combinations and business processgrowth in technology services.
RevenueOptum Rx
Revenues and earnings from operations at OptumRxOptum Rx increased primarily due to clientgrowth in specialty pharmacy offerings and consumer growth. OptumRxhigher script volumes from growth in people served. Earnings from operations also increased as a result of continued supply chain management initiatives. Optum Rx fulfilled 321381 million and 357 million adjusted scripts in the third quartersecond quarters of 2017 compared to 309 million in 2016.2023 and 2022, respectively.
LIQUIDITY, FINANCIAL CONDITION AND CAPITAL RESOURCES
Liquidity
Summary of our Major Sources and Uses of Cash and Cash Equivalents
| | | | | | | | | | | | | | | | | | | | |
| | Six Months Ended June 30, | | Increase/(Decrease) |
(in millions) | | 2023 | | 2022 | | 2023 vs. 2022 |
Sources of cash: | | | | | | |
Cash provided by operating activities | | $ | 27,359 | | | $ | 12,190 | | | $ | 15,169 | |
Issuances of short-term borrowings and long-term debt, net of repayments | | 7,695 | | | 6,162 | | | 1,533 | |
Proceeds from common stock issuances | | 628 | | | 756 | | | (128) | |
Customer funds administered | | 4,069 | | | 5,786 | | | (1,717) | |
Total sources of cash | | 39,751 | | | 24,894 | | | |
Uses of cash: | | | | | | |
Common stock repurchases | | (5,000) | | | (5,000) | | | — | |
Cash paid for acquisitions, net of cash assumed | | (8,161) | | | (7,150) | | | (1,011) | |
Purchases of investments, net of sales and maturities | | (1,574) | | | (3,366) | | | 1,792 | |
Purchases of property, equipment and capitalized software | | (1,589) | | | (1,212) | | | (377) | |
Cash dividends paid | | (3,284) | | | (2,908) | | | (376) | |
Other | | (1,801) | | | (2,078) | | | 277 | |
Total uses of cash | | (21,409) | | | (21,714) | | | |
Effect of exchange rate changes on cash and cash equivalents | | 106 | | | 57 | | | 49 | |
Net increase in cash and cash equivalents | | $ | 18,448 | | | $ | 3,237 | | | $ | 15,211 | |
|
| | | | | | | | | | | | |
| | Nine Months Ended September 30, | | Increase/(Decrease) |
(in millions) | | 2017 | | 2016 | | 2017 vs. 2016 |
Sources of cash: | | | | | | |
Cash provided by operating activities | | $ | 16,173 |
| | $ | 11,204 |
| | $ | 4,969 |
|
Issuances of commercial paper and long-term debt, net of repayments | | — |
| | 1,077 |
| | (1,077 | ) |
Proceeds from common stock issuances | | 604 |
| | 387 |
| | 217 |
|
Customer funds administered | | 3,659 |
| | 1,249 |
| | 2,410 |
|
Total sources of cash | | 20,436 |
| | 13,917 |
| | |
Uses of cash: | | | | | | |
Common stock repurchases | | (1,173 | ) | | (1,117 | ) | | (56 | ) |
Cash paid for acquisitions, net of cash assumed | | (908 | ) | | (2,727 | ) | | 1,819 |
|
Purchases of investments, net of sales and maturities | | (3,566 | ) | | (4,769 | ) | | 1,203 |
|
Repayments of commercial paper and long-term debt, net of issuances | | (4,877 | ) | | — |
| | (4,877 | ) |
Purchases of property, equipment and capitalized software | | (1,391 | ) | | (1,220 | ) | | (171 | ) |
Cash dividends paid | | (2,046 | ) | | (1,666 | ) | | (380 | ) |
Other | | (654 | ) | | (615 | ) | | (39 | ) |
Total uses of cash | | (14,615 | ) | | (12,114 | ) | | |
Effect of exchange rate changes on cash and cash equivalents | | 18 |
| | 70 |
| | (52 | ) |
Net increase in cash and cash equivalents | | $ | 5,839 |
| | $ | 1,873 |
| | $ | 3,966 |
|
20172023 Cash Flows Compared to 20162022 Cash Flows
Increased cash flows provided by operating activities were primarily driven by an increase in unearned revenue due to the September 2017June receipt of our OctoberJuly CMS premium payment of $4.6$11.8 billion higher net earnings and the year-over-year impact of the one-year moratorium on the Health Insurance Industry Tax.
changes in working capital accounts. Other significant changes in sources or uses of cash year-over-year included 2017increased net repaymentsissuances of short-term borrowings and long-term debt compared to 2016and decreased net proceeds from debt issuances, which werepurchases of investments, partially offset by increaseddecreased customer funds administered primarily due to the September receipt of our October CMS payment and a decrease inincreased cash paid for acquisitions and net purchases of investments.acquisitions.
Financial Condition
As of SeptemberJune 30, 2017,2023, our cash, cash equivalent, available-for-sale debt securities and available-for-sale investmentequity securities balances of $46.1$90.1 billion included $16.3approximately $41.8 billion of cash and cash equivalents (of which $1.0$1.2 billion was available for general corporate use), $27.9$44.1 billion of debt securities and $1.9$4.2 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 3.33.9 years and a weighted-average credit rating of “Double A” as of SeptemberJune 30, 2017.2023. 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.
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:
Commercial PaperCash Requirements. A summary of our cash requirements as of December 31, 2022 was disclosed in Part II, Item 7, “Management’s Discussion and Bank Credit Facilities.Analysis of Financial Condition and Results of Operations” in our 2022 10-K. During the six months ended June 30, 2023, 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 third-partyindependent broker-dealers, and are available for general corporate purposes. For more information on our commercial paper and bank credit facilities, see Note 65 of Notes to the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report.report and Note 8 of Notes to the Consolidated Financial Statements included in Part II, Item 8, “Financial Statements and Supplementary Data” in our 2022 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 55%60%. As of SeptemberJune 30, 2017,2023, our debt to debt-plus-shareholders’ equity ratio, as defined and calculated under the credit facilities, was approximately 37%40%.
Long-Term Debt. Periodically, we access capital markets and issue long-term debt for general corporate purposes, for example,such as, to meet our working capital requirements, to refinance debt, to finance acquisitions or for share repurchases. In October 2017, we issued $4.0 billion in senior unsecured notes. We intend to use the net proceeds from this offering to repay commercial paper borrowings, which were incurred for general corporate and working capital purposes, and for other general corporate purposes, which may include redeeming or repurchasing outstanding securities or refinancing debt. For more information on our long-term debt, see Note 65 of Notes to the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report.report and Note 8 of Notes to the Consolidated Financial Statements included in Part II, Item 8, “Financial Statements and Supplementary Data” in our 2022 10-K. Credit Ratings. Our credit ratings as of SeptemberJune 30, 20172023 were as follows: |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| Moody’s (a) | | Standard & Poor’sS&P Global | | Fitch | | A.M. Best |
| Ratings | | Outlook | | Ratings | | Outlook | | Ratings | | Outlook | | Ratings | | Outlook |
Senior unsecured debt | A3 | | StablePositive | | A+ | | NegativeStable | | A-A | | Negative (a) Stable | | bbb+A | | Stable |
Commercial paper | P-2 | | n/a | | A-1 | | n/a | | F1 | | n/a | | AMB-2AMB-1+ | | n/a |
(a) On July 27, 2023, Moody’s upgraded the credit rating on our senior unsecured debt to A2 with an outlook of Stable and the credit rating on our commercial paper to P-1.
| |
(a) | In October 2017, Fitch affirmed our ratings and changed our outlook to Stable. |
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. For example, aA 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 ninesix months ended SeptemberJune 30, 2017,2023, we repurchased 7approximately 10 million shares at an average price of $165.36$483.78 per share. As of SeptemberJune 30, 2017,2023, we had Board of Directors’ authorization to purchase up to an additional 4421 million shares of our common stock.
Dividends.In June 2017, our2023, the Company’s Board of Directors increased our quarterly cash dividend to shareholders to an annual dividend rate of $3.00$7.52 compared to $6.60 per share. For more information on our dividend, see Note 76 of Notes to the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report. Pending Acquisitions. As of June 30, 2023, we have entered into agreements to acquire companies in the health care sector, subject to regulatory approval and other customary closing conditions. The total anticipated consideration required for these acquisitions, excluding the payoff of acquired indebtedness, is 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”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 20162022 10-K.
CONTRACTUAL OBLIGATIONS AND COMMITMENTS
A summary of future obligations under our various contractual obligations and commitments as of December 31, 2016 was disclosed in our 2016 10-K. During the nine months ended September 30, 2017, there were no material changes to this previously disclosed information outside the ordinary course of business. However, we continually evaluate opportunities to expand our operations, including through internal development of new products, programs and technology applications and acquisitions.
RECENTLY ISSUED ACCOUNTING STANDARDS
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 revenues, goodwill and other intangible assets and valuations of certain investments.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 20162022 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”Statements and Supplementary Data” in our 20162022 10-K.
FORWARD-LOOKING STATEMENTS
The statements, estimates, projections, guidance or outlook contained in this document include “forward-looking” statements within the meaning of the PSLRA. These statementswhich are intended to take advantage of the “safe harbor” provisions of the PSLRA. Generally thefederal securities law. The words “believe,” “expect,” “intend,” “estimate,” “anticipate,” “forecast,” “outlook,” “plan,” “project,” “should” and similar expressions identify forward-looking statements, which generally are not historical in nature.statements. These statements may contain information about financial prospects, economic conditions and trends and involve risks and uncertainties. We caution that actualActual results could differ materially from those that management expects, depending on the outcome of certain factors.
Some factors that could cause actual results to differ materially from results discussed or implied in the forward-looking statements include:including: our ability to effectively estimate, price for and manage our medical costs, including the impact of anycosts; new coverage requirements; new laws or regulations, or changes in existing health care laws or regulations, or their enforcement or application, including increases in medical, administrative, technology or other costs or decreases in enrollment resulting from U.S., Brazilian and other jurisdictions’ regulations affecting the health care industry; our ability to maintain and achieve improvement in CMS star ratings and other quality scores that impact revenue;application; reductions in revenue or delays to cash flows received under Medicare, Medicaid and other government programs, including the effects of a prolonged U.S. government shutdown or debt ceiling constraints;programs; changes in Medicare, including changes in payment methodology, the CMS star ratings program or the application of risk adjustment data validation audits; cyber-attacksthe 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; cyberattacks, other privacy or privacy/data security incidents;incidents, or our failure to comply with privacy and data securityrelated regulations; regulatory and other risks and uncertainties of theassociated with our businesses providing pharmacy benefits management industry;care services; competitive pressures, which could affectincluding our ability to maintain or increase our market share; changes in or challenges to our public sector contract awards; our ability to execute contracts on competitive terms with physicians, hospitals and other service providers; failure to achieve targeted operating cost productivity improvements, including savings resulting from technology enhancementimprovements; failure to develop and administrative modernization;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 increased litigation, government investigations, audits or reviews; failure to complete, manage successfully ouror integrate strategic alliances or complete or receive anticipated benefits of acquisitionstransactions; risks associated with public health crises arising from large-scale medical emergencies, pandemics, natural disasters and other strategic transactions, fluctuations in foreign currency exchange rates onextreme events; failure to attract, develop, retain, and manage the succession of key employees and executives; our reported shareholders’ equityinvestment portfolio performance; impairment of our goodwill and results of operations;intangible assets; failure to protect proprietary rights to our databases, software and related products; downgrades in our credit ratings; the performance of our investment portfolio; impairment of the value of our goodwill and intangible assets if estimated future results do not adequately support goodwill and intangible assets recorded for our existing businesses or the businesses that we acquire; failure to maintain effective and efficient information systems or if our technology products do not operate as intended; and our ability to obtain sufficient funds from our regulated subsidiaries or the debt or capital marketsfrom external financings to fund our
obligations, to maintain our debt to total capital ratio at targeted levels, to maintain our quarterly dividend payment cycle, or to continue repurchasing shares of our common stock.
This above list of important factors is not intended to be exhaustive. We discuss certain of these matters, more fully, as well asand certain risk factorsrisks that may affect our business operations, financial condition and results of operations, more fully in our other periodic and current filings with the SEC, including our annual reports on FormForms 10-K, quarterly reports on Form 10-Q and current reports on Form 8-K. Any or all forward-looking statements we make may turn out to be wrong, and can be affected by inaccurate assumptions we might make or by known or unknown risks and uncertainties. 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 future 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 applicable securities laws.law.
ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
We manage exposure to market interest rates by diversifying investments across different fixed incomefixed-income market sectors and debt across maturities, as well as by endeavoring to matchmatching a portion of our floating-rate assets and liabilities, over time, 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 SeptemberJune 30, 20172023 on our investment income and interest expense per annum, and the fair value of our investments and debt (in millions, except percentages):
| | | | | | | | | | | | | | | | | | | | | | | | | | |
| | June 30, 2023 |
Increase (Decrease) in Market Interest Rate | | Investment Income Per Annum | | Interest Expense Per Annum | | Fair Value of Financial Assets | | Fair Value of Financial Liabilities |
2 % | | $ | 1,025 | | | $ | 469 | | | $ | (3,500) | | | $ | (8,164) | |
1 | | 512 | | | 234 | | | (1,799) | | | (4,458) | |
(1) | | (512) | | | (207) | | | 1,882 | | | 5,415 | |
(2) | | (1,025) | | | (410) | | | 3,817 | | | 12,059 | |
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.
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| | September 30, 2017 |
Increase (Decrease) in Market Interest Rate | | Investment Income Per Annum (a) | | Interest Expense Per Annum (a) | | Fair Value of Financial Assets (b) | | Fair Value of Financial Liabilities |
2 % | | $ | 383 |
| | $ | 174 |
| | $ | (1,953 | ) | | $ | (4,005 | ) |
1 | | 192 |
| | 87 |
| | (990 | ) | | (2,169 | ) |
(1) | | (192 | ) | | (87 | ) | | 950 |
| | 2,580 |
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(2) | | (211 | ) | | (107 | ) | | 1,618 |
| | 5,619 |
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(a) | Given the low absolute level of short-term market rates on our floating-rate assets and liabilities as of September 30, 2017, the assumed hypothetical change in interest rates does not reflect the full 200 basis point reduction in interest expense as the rate cannot fall below zero. |
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(b) | As of September 30, 2017, some of our investments had interest rates below 2% so the assumed hypothetical change in the fair value of investments does not reflect the full 200 basis point reduction.
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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 SeptemberJune 30, 2017.2023. 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 SeptemberJune 30, 2017.2023.
CHANGES IN INTERNAL CONTROL OVER FINANCIAL REPORTING
There have been no changes in our internal control over financial reporting during the quarter ended SeptemberJune 30, 20172023 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
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 20162022 10-K, which could materially affect our business, financial condition or future results. The risks described in our 20162022 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 and/or future results.
There have been no material changes to the risk factors as disclosed in our 20162022 10-K.
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ITEM 2. | UNREGISTERED SALE OF EQUITY SECURITIES AND USE OF PROCEEDS |
ITEM 2. UNREGISTERED SALE OF EQUITY SECURITIES AND USE OF PROCEEDS
Issuer Purchases of Equity Securities (a)
Second Quarter 2023
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For the Month Ended | | Total Number of Shares Purchased | | Average Price Paid Per Share | | Total Number of Shares Purchased as Part of Publicly Announced Plans or Programs | | Maximum Number of Shares That May Yet Be Purchased Under The Plans or Programs |
| | (in millions) | | | | (in millions) | | (in millions) |
April 30, 2023 | | 1.2 | | | $ | 499.99 | | | 1.2 | | | 25.8 |
May 31, 2023 | | 1.5 | | | 486.68 | | | 1.5 | | | 24.3 |
June 30, 2023 | | 3.5 | | | 475.99 | | | 3.5 | | | 20.8 |
Total | | 6.2 | | | $ | 483.07 | | | 6.2 | | | |
(a) In November 1997, our Board of Directors adopted a share repurchase program, which the Board of Directors evaluates periodically. In June 2018, the Board of Directors renewed our share repurchase program with an authorization to repurchase up to 100 million shares of our common stock in open market purchases or other types of transactions (including prepaid or structured repurchase programs). There is no established expiration date for the program.
ITEM 5. OTHER INFORMATION
Trading Arrangements
During the third quarter 2017, we repurchased approximately 0.7 million shares at an average price of $194.67 per share. As of Septemberended June 30, 2017, we had Board authorization to purchase up to 44 million shares of our common stock.
In August 2017, we issued 1.5 million shares of our common stock in consideration2023, none of the acquisition of all ofCompany’s directors or officers (as defined in Rule 16a-1(f) under the outstanding shares of a private company. TheExchange Act) adopted or terminated any contract, instruction or written plan for the purchase or sale of theseCompany securities was exempt from registration pursuantintended to Section 4(a)(2)satisfy the affirmative defense conditions of Rule 10b5-1(c) under the SecuritiesExchange Act or any non-Rule 10b5-1 trading arrangement.
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ITEM 6. | 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.
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| | Instrument of Resignation, Appointment and Acceptance of Trustee, dated January 8, 2007, pursuant to the Senior Indenture, dated as of November 15, 1998, amended November 6, 2000, among UnitedHealth Group Incorporated, The Bank of New York and Wilmington Trust Company (incorporated by reference to Exhibit 4.3 to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2007) |
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101101.INS |
| XBRL 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.SCH | The following materials from UnitedHealth Group Incorporated’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2017 filed on November 7, 2017, formatted in | Inline XBRL (eXtensible Business Reporting Language): (i) Condensed Consolidated Balance Sheets, (ii) Condensed Consolidated Statements of Operations, (iii) Condensed Consolidated Statements of Comprehensive Income, (iv) Condensed Consolidated Statements of Changes in Equity, (v) Condensed Consolidated Statements of Cash Flows,Taxonomy Extension Schema Document. |
101.CAL | | Inline XBRL Taxonomy Extension Calculation Linkbase Document. |
101.DEF | | Inline XBRL Taxonomy Extension Definition Linkbase Document. |
101.LAB | | Inline XBRL Taxonomy Extension Label Linkbase Document. |
101.PRE | | Inline XBRL Taxonomy Extension Presentation Linkbase Document. |
104 | | | Cover Page Interactive Data File (formatted as Inline XBRL and (vi) Notes to the Condensed Consolidated Financial Statements.embedded within Exhibit 101). |
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* | | Denotes management contracts and compensation plans in which certain directors and named executive officers participate and which are being filed pursuant to Item 601(b)(10)(iii)(A) of Regulation S-K. |
** | | 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. |
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
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/s/ DAVID S.ANDREW WICHMANNITTY | | Chief Executive Officer
(principal executive officer) | Dated: | November 7, 2017August 2, 2023 |
David S. WichmannAndrew Witty | | | |
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/s/ JOHN F. REX | | Executive Vice President and Chief Financial Officer
(principal financial officer)
| Dated: | November 7, 2017August 2, 2023 |
John F. Rex | | | |
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/S/ s/THOMAS E. ROOS | | Senior Vice President and Chief Accounting Officer
(principal accounting officer)
| Dated: | November 7, 2017August 2, 2023 |
Thomas E. Roos | | | |