UnitedHealth Group
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UnitedHealth Group (UNH) investor relations material

UnitedHealth Group Q3 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q3 2026 earnings summary13 Oct, 2026

Executive summary

  • Q3 reflected improving execution and operating reforms, with leadership citing progress toward sustainable growth in 2027 and beyond within the 13%-16% long-term target range.

  • Modernization, integrated value-based care, AI adoption and simpler processes are central to improving care access, experience and affordability.

Financial highlights

  • Q3 revenue was $112.7B vs. $113.2B YoY; earnings from operations rose to $6.6B from $4.3B.

  • Net earnings were $4.3B vs. $2.5B YoY; earnings attributable to common shareholders were $4.11B vs. $2.35B.

  • Diluted EPS was $4.56 vs. $2.59 YoY; adjusted diluted EPS was $4.69 vs. $2.92.

  • Nine-month revenue was $336.4B vs. $334.4B; net earnings were $16.5B vs. $12.6B YoY.

Outlook and guidance

  • FY 2026 outlook increased to at least $19.50 diluted EPS and $20.50 adjusted EPS, incorporating Q3 experience and planned year-end investments.

  • Leadership characterized adjusted EPS of at least $20.50 as a solid run rate; the lower end of the 13%-16% long-term growth target was described as a more reasonable 2027 starting point than analyst consensus.

  • Medicare Advantage margins are expected near the top of the 2%-4% range in 2026; Medicaid core margins are expected moderately better than -1%.

  • Optum Health expects a strong pace toward its 6%-8% target margin range by 2028; 2027 earnings growth is expected, with further detail planned before year-end.

  • Medicaid expects margin improvement in 2027 and aims to return to targeted margins in 2028 and sustain them through 2030; 2027 tailwinds include value-based care, buybacks, AI and modernization, offset by investment, medical trends and funding pressure.

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Frequently asked questions

Diverse Healthcare Services

UnitedHealth Group is an American healthcare company that operates through two primary divisions: UnitedHealthcare and Optum. UnitedHealthcare offers healthcare coverage and benefits services, while Optum provides information and technology-enabled health services. The company delivers a broad spectrum of healthcare products and services to its customers, encompassing health coverage, Medicare plans, short-term health insurance, Medicaid plans, health management, and global health solutions. It is headquartered in Minnetonka, Minnesota, and its shares are listed on the NYSE.

UnitedHealthcare

The UnitedHealthcare segment of UnitedHealth Group is primarily focused on health insurance services. It offers a wide range of health benefit programs for individuals, employers, and Medicare and Medicaid beneficiaries. The company provides access to healthcare services through its extensive network of healthcare providers, offering various insurance products that include but are not limited to, health maintenance organization, preferred provider organization, and point-of-service plans. The company is one of the largest providers of health insurance in the country and also offers coverage to customers outside of the US. Some similar companies traded on the public markets include Cigna and Humana.

The Optum Business Segment

The Optum segment of the company operates as a health services and innovation company, complementing the health insurance offerings of UnitedHealthcare by providing a broad spectrum of services and solutions. Optum is organized into three main divisions: OptumHealth, OptumInsight, and OptumRx, each focusing on different aspects of healthcare and technology.

  • OptumHealth: This division offers health management services, care delivery, and wellness programs. It provides personalized and scalable health and wellness solutions, including physical health, mental health, complex care management, and financial services to individuals and employers. It also operates an extensive network of care providers, offering primary care, urgent care, and specialty services.

  • OptumInsight: OptumInsight provides data, analytics, research, consulting, technology, and managed services solutions to hospitals, physicians, health plans, governments, and life sciences companies. The focus is on improving operational efficiency, reducing costs, and enhancing the quality of care.