EX-99.1 2 a2021q2exhibit991.htm EX-99.1 Document

(For Immediate Release)


Revenues of $71.3 Billion Grew 15%, with Well-Diversified Growth at Optum and UnitedHealthcare
Earnings from Operations were $6.0 Billion
Cash Flows from Operations reached $5.5 Billion or 1.3x Net Income
Net Earnings were $4.46 Per Share and Adjusted Earnings were $4.70 Per Share

MINNETONKA, Minn. (July 15, 2021) – Strong and diversified growth continued across UnitedHealth Group (NYSE: UNH) in the second quarter 2021.
“The compassion, dedication and ongoing efforts of our 330,000 colleagues to advance peoples’ health and health system performance reinforces our confidence in delivering strongly on our strategies for those we serve and continuing to grow well into the future,” said Andrew Witty, chief executive officer of UnitedHealth Group.
Based upon first half 2021 performance, the Company increased its full year net earnings outlook to $17.35 to $17.85 per share and adjusted earnings to $18.30 to $18.80 per share. The outlook continues to include approximately $1.80 per share in potential net unfavorable COVID-19 effects. UnitedHealth Group is focused on helping people access the care they need, including vaccinations, and expects a continued rise in provision of care in the second half of this year. COVID-19 effects include testing and treatment costs; the residual impact of people having deferred care in 2020; and unemployment and other economy-driven factors.
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Quarterly Financial Performance
Three Months Ended
June 30,June 30,March 31,
Revenues$71.3 billion$62.1 billion$70.2 billion
Earnings from Operations$6.0 billion$9.2 billion$6.7 billion
Net Margin6.0%10.7%6.9%
UnitedHealth Group’s second quarter 2021 revenues of $71.3 billion grew 14.8% year-over-year, reflecting well-diversified growth across the enterprise, including double-digit percentage growth at both Optum and UnitedHealthcare.
Earnings from operations in the second quarter 2021 were $6.0 billion and adjusted earnings were $4.70 per share, with the year-over-year comparisons reflecting the broad-based deferral of care during the second quarter 2020 due to the pandemic.
Cash flows from operations in second quarter 2021 were $5.5 billion, or 1.3 times net income.
The second quarter 2021 medical care ratio of 82.8% compared to 70.2% last year, with the variance due to second quarter 2020 COVID-19 effects. Favorable medical reserve development was $500 million in the quarter compared to $1.0 billion in the first quarter 2021 and $1.4 billion in the second quarter last year. Days claims payable of 49.1 days compared to 49.8 days in the first quarter 2021 and 50.4 days in the second quarter 2020.
The second quarter 2021 operating cost ratio of 14.5% decreased from 16.1% in second quarter 2020. Factors contributing to the decline include the repeal of the health insurance tax, broad-based 2020 investments to support people and health systems, the revenue-related effects of the pandemic, and continued productivity advances, partially offset by business mix and investments.
The Company returned $1.4 billion to shareholders in the second quarter via dividends, following a 16% increase in June 2021. In the quarter, 3.2 million shares were repurchased for $1.2 billion, bringing year-to-date repurchases to 7.9 million shares for $2.9 billion.
Return on equity of 25.2% in the quarter reflected the Company’s strong and diverse earnings profile and efficient capital base. Debt to total capital was 40.1% at quarter end.
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UnitedHealthcare provides health care benefits globally, serving individuals and employers, and Medicare and Medicaid beneficiaries. UnitedHealthcare is dedicated to improving the value customers and consumers receive by reducing the total cost of care, enhancing the quality of care received, improving health and wellness and simplifying the health care experience.
Quarterly Financial Performance
Three Months Ended
June 30,June 30,March 31,
Revenues$55.5 billion$49.1 billion$55.1 billion
Earnings from Operations$3.1 billion$7.0 billion$4.1 billion
Operating Margin5.6%14.3%7.5%
UnitedHealthcare second quarter 2021 revenues grew by $6.4 billion or 13.0% to $55.5 billion compared to last year.
Strong growth in UnitedHealthcare’s community and senior offerings resulted from expansion in people served. Since the end of 2020, total people served by UnitedHealthcare grew by nearly 1.2 million, including 150,000 in the second quarter 2021.
Second quarter 2021 operating earnings were $3.1 billion compared to $7.0 billion last year, reflecting strong revenue growth, more than offset by pandemic driven deferral of care last year.
Growth highlights include: continued strong membership growth during the first half this year in individual Medicare Advantage, Group Medicare Advantage and Dual Special Needs Plans; Medicaid contract awards in Hawaii and Ohio, as well as a strong pipeline of potential new and renewing awards during the remainder of 2021; and further expansion of innovative commercial benefit products and capabilities such as our care provider-aligned and consumer-centric products, and continued outlook for strong specialty benefits growth.
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Optum is a health services business serving the global health care marketplace, including payers, care providers, employers, governments, life sciences companies and consumers. Using market-leading information, data analytics, technology and clinical insights, Optum helps improve overall health system performance: optimizing care quality, reducing health care costs and improving the consumer experience.
Quarterly Financial Performance
Three Months Ended
June 30,June 30,March 31,
Revenues$38.3 billion$32.7 billion$36.4 billion
Earnings from Operations$2.9 billion$2.2 billion$2.6 billion
Operating Margin7.5%6.8%7.2%
Optum second quarter revenues of $38.3 billion grew 17.2% and operating earnings of $2.9 billion grew 29.1%, with each of the three Optum businesses contributing double-digit operating earnings growth.
OptumHealth served 99 million people at the end of second quarter 2021 compared to 97 million a year ago, and revenue per consumer served increased 43% year-over-year. This continues the expansion of people served in value-based care arrangements, growth in affiliated physicians and build-out of local market care delivery services including in-home, clinic-based and outpatient services, all on a multi-payer basis.
OptumInsight’s revenue backlog increased by $1.9 billion or 10% compared to the second quarter 2020 to $21.3 billion, driven by growth in comprehensive managed services. OptumInsight continues to advance initiatives to help health systems scale essential capabilities through the deployment of advanced technology, innovative talent and labor models and progressive approaches to productivity enhancements. This includes a significant new client relationship with Bassett Healthcare Network to help them improve clinical and operational performance.
OptumRx adjusted scripts in the quarter were 342 million, growth of 8% compared to last year and 4% from the first quarter 2021, as the provision of care has continued to recover over the last year.
Growth highlights include: continued expansion of Optum Care’s integrated care delivery networks and growth serving people in their homes; OptumInsight new business wins and continued pipeline expansion in comprehensive managed services, including revenue management, information technology, data analytics and payment integrity; and OptumRx’s continued diversification and growth of pharmacy care services, highlighted by specialty pharmacy, infusion services, community-based behavioral health pharmacies and e-commerce.
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About UnitedHealth Group
UnitedHealth Group (NYSE: UNH) is a diversified health care company dedicated to helping people live healthier lives and helping make the health system work better for everyone. UnitedHealth Group offers a broad spectrum of products and services through two distinct platforms: Optum, which provides information and technology-enabled health services; and UnitedHealthcare, which provides health care coverage and benefits services. For more information, visit UnitedHealth Group at www.unitedhealthgroup.com or follow @UnitedHealthGrp on Twitter.
Earnings Conference Call
As previously announced, UnitedHealth Group will discuss the company’s results, strategy and future outlook on a conference call with investors at 8:45 a.m. Eastern Time today. UnitedHealth Group will host a live webcast of this conference call from the Investor Relations page of the company’s website (www.unitedhealthgroup.com). Following the call, a webcast replay will be available on the same site through July 29, 2021. The conference call replay can also be accessed by dialing 1-888-203-1112, Conference Code: 6765563. This earnings release and the Form 8-K dated July 15, 2021 can also be accessed from the Investor Relations page of the Company’s website.
Non-GAAP Financial Information
This news release presents non-GAAP financial information provided as a complement to the results provided in accordance with accounting principles generally accepted in the United States of America (“GAAP”). A reconciliation of the non-GAAP financial information to the most directly comparable GAAP financial measure is provided in the accompanying tables found at the end of this release.
Forward-Looking Statements
The statements, estimates, projections, guidance or outlook contained in this document include “forward-looking” statements which are intended to take advantage of the “safe harbor” provisions of the federal securities law. The words “believe,” “expect,” “intend,” “estimate,” “anticipate,” “forecast,” “outlook,” “plan,” “project,” “should” and similar expressions identify forward-looking statements. These statements may contain information about financial prospects, economic conditions and trends and involve risks and uncertainties. Actual results could differ materially from those that management expects, depending on the outcome of certain factors including: risks associated with public health crises, large-scale medical emergencies and pandemics, such as the COVID-19 pandemic; our ability to effectively estimate, price for and manage medical costs; new or changes in existing health care laws or regulations, or their enforcement or application; the DOJ’s legal action relating to the risk adjustment submission matter; our ability to maintain and achieve improvement in quality scores impacting revenue; reductions in revenue or delays to cash flows received under government programs; changes in Medicare, the CMS star ratings program or the application of risk adjustment data validation audits; failure to maintain effective and efficient information systems or if our technology products do not operate as intended; cyberattacks, other privacy/data security incidents, or our failure to comply with related regulations; risks and uncertainties associated with the pharmacy benefits management industry; competitive pressures; changes in or challenges to our public sector contract awards; our ability to contract on competitive terms with physicians, hospitals and other service providers; failure to attract, develop, retain, and manage the succession of key employees and
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executives; the impact of potential changes in tax laws and regulations (including any increase in the U.S. income tax rate applicable to corporations); failure to achieve targeted operating cost productivity improvements; increases in costs and other liabilities associated with litigation, government investigations, audits or reviews; failure to manage successfully our strategic alliances or complete or receive anticipated benefits of strategic transactions; fluctuations in foreign currency exchange rates; downgrades in our credit ratings; our investment portfolio performance; impairment of our goodwill and intangible assets; and our ability to obtain sufficient funds from our regulated subsidiaries or from external financings to fund our obligations, maintain our debt to total capital ratio at targeted levels, maintain our quarterly dividend payment cycle, or continue repurchasing shares of our common stock. This above list is not exhaustive. We discuss these matters, and certain risks that may affect our business operations, financial condition and results of operations more fully in our filings with the SEC, including our reports on Forms 10-K, 10-Q and 8-K. By their nature, forward-looking statements are not guarantees of future performance or results and are subject to risks, uncertainties and assumptions that are difficult to predict or quantify. Actual results may vary materially from expectations expressed or implied in this document or any of our prior communications. You should not place undue reliance on forward-looking statements, which speak only as of the date they are made. We do not undertake to update or revise any forward-looking statements, except as required by law.
# # #

Investors:Brett ManderfeldMedia:Matt Stearns
Senior Vice PresidentSenior Vice President
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Earnings Release Schedules and Supplementary Information
Quarter Ended June 30, 2021
Condensed Consolidated Statements of Operations
Condensed Consolidated Balance Sheets
Condensed Consolidated Statements of Cash Flows
Supplemental Financial Information - Businesses
Supplemental Financial Information - Business Metrics
Reconciliation of Non-GAAP Financial Measure

(in millions, except per share data)
Three Months Ended
June 30,
Six Months Ended
June 30,
Investment and other income5563411,008706
     Total revenues71,32162,138141,517126,559
Operating costs
Medical costs46,54634,67891,45075,678
Operating costs10,35910,00120,58220,016
Cost of products sold7,6607,50115,23215,188
Depreciation and amortization7787171,5361,440
     Total operating costs65,34352,897128,800112,322
Earnings from operations5,9789,24112,71714,237
Interest expense(410)(430)(807)(867)
Earnings before income taxes5,5688,81111,91013,370
Provision for income taxes(1,196)(2,115)(2,560)(3,209)
Net earnings
Earnings attributable to noncontrolling interests
Net earnings attributable to UnitedHealth Group common shareholders
Diluted earnings per share attributable to UnitedHealth Group common shareholders
Adjusted earnings per share attributable to UnitedHealth Group common shareholders (a)
Diluted weighted-average common shares outstanding
(a)See page 6 for a reconciliation of the non-GAAP measure

(in millions)
June 30,
December 31,
Cash and short-term investments$22,561$19,781
Accounts receivable, net14,58712,870
Other current assets21,76821,067
Total current assets58,91653,718
Long-term investments44,06141,242
Other long-term assets107,315102,329
Total assets$210,292$197,289
Liabilities, redeemable noncontrolling interests and equity
Medical costs payable$25,131$21,872
Short-term borrowings and current maturities of long-term debt
Other current liabilities47,55845,729
Total current liabilities76,55772,420
Long-term debt, less current maturities44,34838,648
Other long-term liabilities16,06615,682
Redeemable noncontrolling interests1,2992,211
Total liabilities, redeemable noncontrolling interests and equity$210,292$197,289


(in millions)
Six Months Ended
June 30,
Operating Activities
Net earnings$9,350$10,161
Noncash items:
Depreciation and amortization1,5361,440
Deferred income taxes and other113238
Share-based compensation426388
Net changes in operating assets and liabilities120719
Cash flows from operating activities11,54512,946
Investing Activities
(Purchases of investments, net of sales and maturities) Sales and maturities, net of purchases(2,789)573
Purchases of property, equipment and capitalized software
Cash paid for acquisitions, net(4,642)(3,952)
Other, net(648)(186)
Cash flows used for investing activities(9,209)(4,485)
Financing Activities
Common share repurchases(2,900)(1,691)
Dividends paid(2,548)(2,212)
Net change in short-term borrowings and long-term debt4,8585,215
Other, net1,1591,712
Cash flows from financing activities5693,024
Effect of exchange rate changes on cash and cash equivalents6(143)
Increase in cash and cash equivalents2,91111,342
Cash and cash equivalents, beginning of period16,92110,985
Cash and cash equivalents, end of period$19,832$22,327

(in millions, except percentages)
Three Months Ended
June 30,
Six Months Ended
June 30,
Total consolidated revenues
Earnings from Operations
Optum (a)2,8832,2345,5144,342
Total consolidated earnings from operations
Operating Margin
UnitedHealthcare5.6 %14.3 %6.5 %9.9 %
Optum7.5 %6.8 %7.4 %6.6 %
Consolidated operating margin
8.4 %14.9 %9.0 %11.2 %
UnitedHealthcare Employer & Individual$14,942$12,963$29,574$27,243
UnitedHealthcare Medicare & Retirement25,30422,85550,77846,007
UnitedHealthcare Community & State13,11011,52326,08322,976
UnitedHealthcare Global2,1181,7664,1533,949
Optum eliminations(478)(447)(953)(851)
(a)Earnings from operations for Optum for the three and six months ended June 30, 2021 included $1,128 and $2,090 for OptumHealth; $762 and $1,541 for OptumInsight; and $993 and $1,883 for OptumRx, respectively. Earnings from operations for Optum for the three and six months ended June 30, 2020 included $841 and $1,553 for OptumHealth; $561 and $1,097 for OptumInsight; and $832 and $1,692 for OptumRx, respectively.


(in thousands)
People ServedJune 30, 2021March 31, 2021December 31, 2020June 30, 2020
Risk-based7,840 7,860 7,910 8,065 
Fee-based18,395 18,455 18,310 18,705 
    Total Commercial26,235 26,315 26,220 26,770 
Medicare Advantage6,385 6,335 5,710 5,605 
Medicaid7,130 6,975 6,620 6,210 
Medicare Supplement (Standardized)4,390 4,390 4,460 4,450 
     Total Community and Senior17,905 17,700 16,790 16,265 
     Total UnitedHealthcare - Domestic Medical44,140 44,015 43,010 43,035 
Global5,485 5,460 5,425 5,365 
     Total UnitedHealthcare - Medical49,625 49,475 48,435 48,400 
Supplemental Data
     Medicare Part D stand-alone3,750 3,795 4,045 4,120 

June 30, 2021March 31, 2021December 31, 2020June 30, 2020
OptumHealth Consumers Served (in millions)99999897
OptumInsight Contract Backlog (in billions)$21.3$20.8$20.2$19.4
OptumRx Quarterly Adjusted Scripts (in millions)342329331316

Note: UnitedHealth Group served 146 million unique individuals across all businesses at June 30, 2021.

(in millions, except per share data)
Three Months Ended
June 30,
Six Months Ended
June 30,
Year Ended
December 31,
GAAP net earnings attributable to UnitedHealth Group common shareholders$4,266$6,637$9,128$10,019$16,550 - $17,050
Intangible amortization305267599532~1,190
Tax effect of intangible amortization(75)(65)(146)(130)~(290)
Adjusted net earnings attributable to UnitedHealth Group common shareholders$4,496$6,839$9,581$10,421$17,450 - $17,950
GAAP diluted earnings per share$4.46$6.91$9.55$10.43$17.35 - $17.85
Intangible amortization per share0.320.280.630.55~1.25
Tax effect per share of intangible amortization(0.08)(0.07)(0.16)(0.14)~(0.30)
Adjusted diluted earnings per share$4.70$7.12$10.02$10.84$18.30 - $18.80

(a)Adjusted net earnings per share is a non-GAAP financial measure. Non-GAAP financial measures should be considered in addition to, but not as a substitute for, or superior to, financial measures prepared in accordance with GAAP.

Adjusted net earnings per share excludes from the relevant GAAP metric, as applicable, intangible amortization and other items, if any, that do not relate to the Company's underlying business performance. Management believes that the use of adjusted net earnings per share provides investors and management useful information about the earnings impact of acquisition-related intangible asset amortization. As amortization fluctuates based on the size and timing of the Company’s acquisition activity, management believes this exclusion provides a more useful comparison of the Company's underlying business performance and trends from period to period. While intangible assets contribute to the Company’s revenue generation, the intangible amortization is not directly related. Therefore, the related revenues are included in adjusted earnings per share.