Why Is UnitedHealth (UNH) Down 7.2% Since Last Earnings Report?

Core Viewpoint - UnitedHealth Group's recent earnings report shows a mixed performance with a significant decline in earnings year over year, despite revenue growth, raising questions about future performance leading up to the next earnings release [2][3]. Financial Performance - UnitedHealth reported Q3 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 [3]. - Revenues increased by 12% year over year to $113.2 billion, although this figure missed the consensus mark by 0.2% [3]. - The company's premium for the third quarter was $89 billion, up from $77.4 billion a year ago, but also fell short of the consensus estimate by 0.2% [5]. Medical Care Ratio and Costs - UnitedHealth's medical care ratio (MCR) was 89.9% in Q3, deteriorating by 470 basis points from the previous year and below the consensus estimate of 90.9% [6]. - Medical costs rose to $80 billion from $66 billion a year ago, contributing to the increased MCR [6]. - Total operating costs for Q3 reached $108.8 billion, an 18.2% increase year over year, driven by higher medical costs and operating expenses [7]. Business Segment Performance - Revenues from UnitedHealthcare, the health benefits segment, grew 16% year over year to $87.1 billion, surpassing the Zacks Consensus Estimate [8]. - Optum's revenues were $69.2 billion, an 8% increase year over year, also exceeding the consensus mark [9]. - However, earnings from operations in both segments saw significant declines, with UnitedHealthcare's operating earnings dropping to $1.8 billion from $4.2 billion a year ago [8][9]. Membership and Financial Position - As of September 30, 2025, UnitedHealthcare served 50.1 million members, a 1.6% increase year over year, but below the consensus estimate [10]. - The company ended Q3 with cash and short-term investments of $30.6 billion, up from $29.1 billion at the end of 2024, and total assets increased to $315.3 billion [12]. 2025 Outlook - Management projects adjusted net EPS for 2025 to be at least $16.25, an increase from the previous guidance of $16, while net earnings are expected to reach at least $14.9 billion [14]. - Revenue projections for 2025 are set between $445.5 billion and $448 billion, up from $400.3 billion in 2024 [14]. Market Sentiment and Estimates - There has been an upward trend in estimates revisions for UnitedHealth over the past month, indicating a potentially positive outlook [15]. - The stock currently holds a Zacks Rank 3 (Hold), suggesting an expectation of in-line returns in the coming months [17].