UnitedHealth Q3 Earnings Beat on Rising Commercial Membership

Core Insights - UnitedHealth Group Incorporated (UNH) reported third-quarter 2025 adjusted earnings per share (EPS) of $2.92, exceeding the Zacks Consensus Estimate of $2.75, but reflecting a 59.2% decline year over year [1][9] - Revenues increased by 12% year over year to $113.2 billion, although this figure missed the consensus mark by 0.2% [1][9] - The earnings were supported by growth in domestic commercial membership and strong performance in Optum Rx, but were partially offset by elevated medical costs [1] Business Performance - UNH's third-quarter premium reached $89 billion, up from $77.4 billion a year ago, but also missed the consensus estimate by 0.2% [2] - The medical care ratio (MCR) was reported at 89.9%, deteriorating by 470 basis points from the previous year and falling short of the Zacks Consensus Estimate of 90.9% [3] Operating Costs and Earnings - Total operating costs for the third quarter were $108.8 billion, an increase of 18.2% year over year, driven by higher medical costs and operating expenses [4] - Operating earnings declined by 50% year over year to $4.3 billion, with the net margin decreasing by 390 basis points to 2.1% [4] Performance of Business Platforms - Revenues from UnitedHealthcare, the health benefits segment, rose 16% year over year to $87.1 billion, driven by domestic commercial membership growth, surpassing the Zacks Consensus Estimate [5] - Optum's revenues were $69.2 billion, an 8% increase year over year, attributed to strong contributions from Optum Rx, exceeding the consensus mark [6] Membership and Financial Position - UnitedHealthcare served 50.1 million people as of September 30, 2025, reflecting a 1.6% year-over-year growth, although it fell short of the consensus estimate [7] - As of September 30, 2025, UnitedHealth had cash and short-term investments of $30.6 billion, total assets of $315.3 billion, and total equity of $101.6 billion, all showing increases from the previous year [10] Outlook - Management projects adjusted net EPS for 2025 to be at least $16.25, up from a previous estimate of $16, with net earnings expected to be at least $14.9 billion [12]