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UnitedHealth Group Inc.: Q3 FY2026 earnings call

What management said about Q3 FY2026, from the documents filed with the SEC on 13 October 2026: press release. Guidance figures: 4 raised. The quarter’s numbers.

Key takeaways

  • Operating earnings rose to $6.6 billion: Earnings from operations were $6.6 billion, against $4.3 billion a year earlier and $8.0 billion in the second quarter 2026. Revenue was $112.7 billion, against $113.2 billion. Source
  • Diluted and adjusted EPS reported: Diluted EPS was $4.56 and adjusted EPS was $4.69, against $2.59 and $2.92 a year earlier. Nine-month diluted EPS was $17.50. Source
  • UnitedHealthcare earnings reached $2.8 billion: UnitedHealthcare revenue was $86.3 billion, with earnings from operations of $2.8 billion and operating margin of 3.3%, against 2.1% a year earlier. Source
  • Medical care ratio improved to 88.4%: The medical care ratio was 88.4%, against 89.9% a year earlier. The company cited cost management, benefit design, pricing and care delivery enhancements. Source
  • Favorable reserve development of $610 million: Net favorable prior period reserve development of $610 million relates to 2026 dates of service, against $860 million of net favorable development in the second quarter. Source
  • Full-year adjusted EPS raised to $20.50: Full-year 2026 adjusted diluted EPS is now at least $20.50, against $19.50 to $20.00 previously. Reported diluted EPS is at least $19.50, against $18.45 to $18.95. Source

“Our third quarter results reflect the discipline and execution our teams are bringing to every part of our business,”

Stephen Hemsley, chief executive officer of UnitedHealth Group

Guidance

AreaPeriodFigureAgainst last quarter
Adjusted diluted EPS Sourcefull year 2026at least $20.50Raised from $19.50 - $20.00
Diluted EPS Sourcefull year 2026at least $19.50Raised from $18.45 - $18.95
Net earnings attributable to UnitedHealth Group common shareholders Sourcefull year 2026 (projected, $ millions)> $17,650Raised from > $16,750
Adjusted net earnings attributable to UnitedHealth Group common shareholders Sourcefull year 2026 (projected, $ millions)> $18,585Raised from > $17,725

What changed from last quarter

  • Guidance raised: Full-year 2026 adjusted diluted EPS guidance raised to at least $20.50 from $19.50 to $20.00. Source
  • Guidance raised: Full-year 2026 diluted EPS guidance raised to at least $19.50 from $18.45 to $18.95. Source
  • Guidance raised: Projected full-year 2026 net earnings attributable to common shareholders raised to greater than $17,650 million from greater than $16,750 million. Source
  • New: Child and family behavioral health coaching access expanded to about 13 million members, a program not listed in the previous quarter's release. Source

Results and growth drivers

  • Operating earnings rose to $6.6 billion: Earnings from operations were $6.6 billion, against $4.3 billion a year earlier and $8.0 billion in the second quarter 2026. Revenue was $112.7 billion, against $113.2 billion. Source
  • Diluted and adjusted EPS reported: Diluted EPS was $4.56 and adjusted EPS was $4.69, against $2.59 and $2.92 a year earlier. Nine-month diluted EPS was $17.50. Source
  • Net margin rose to 3.6%: Net margin was 3.6%, against 2.1% in the third quarter 2025 and 4.9% in the second quarter 2026. Source

Segments and regions

  • UnitedHealthcare earnings reached $2.8 billion: UnitedHealthcare revenue was $86.3 billion, with earnings from operations of $2.8 billion and operating margin of 3.3%, against 2.1% a year earlier. Source
  • Medicare and Retirement revenue declined: Medicare & Retirement revenue was $42.4 billion, against $43.4 billion, attributed to changes in membership and product mix. Source
  • Optum Health revenue fell 10%: Optum Health revenue fell 10% to $22.9 billion. Earnings were $735 million, a 3.2% margin, against $41 million and 0.2% a year earlier. Source
  • Optum Rx earnings rose to $1.7 billion: Optum Rx revenue was $39.9 billion. Earnings were $1.7 billion against $1.5 billion, with the company citing biosimilar adoption and operational improvements. Source
  • Optum Insight revenue up 3%: Optum Insight revenue was $5.5 billion. Earnings were $1.3 billion against $920 million, which the company attributed to enhanced product offerings and operational efficiencies. Source

“The company now expects full year 2026 adjusted net earnings of at least $20.50 per share, incorporating experience through the third quarter 2026.”

UnitedHealth Group Inc., press release

Membership and customers

  • Medical membership at 48.3 million: UnitedHealthcare served 48.3 million people at September 30, 2026, against 48.5 million in June 2026 and 50.1 million a year earlier. Source
  • Adjusted scripts fell to 393 million: Adjusted scripts were 393 million, against 414 million a year earlier, due to membership declines within UnitedHealthcare and other customers. Source
  • Medicare Advantage Stars at least 69%: The company reported that at least 69% of members are in 4+ Star plans for 2027, in line with expectations, with improvement in 11 of 12 HEDIS measures. Source

Medical and operating costs

  • Medical care ratio improved to 88.4%: The medical care ratio was 88.4%, against 89.9% a year earlier. The company cited cost management, benefit design, pricing and care delivery enhancements. Source
  • Favorable reserve development of $610 million: Net favorable prior period reserve development of $610 million relates to 2026 dates of service, against $860 million of net favorable development in the second quarter. Source
  • Operating cost ratio fell to 12.8%: Operating cost ratio was 12.8%, against 13.5% a year earlier. The company cited realized efficiencies partly offset by investments in technology, processes and people. Source
  • Days claims payable steady at 47.0: Days claims payable were 47.0, unchanged from the second quarter and up from 46.2 a year earlier. Days sales outstanding were 16.9, against 17.7 in the second quarter. Source

“UnitedHealth Group’s medical cost ratio was 88.4% for the third quarter 2026, reflecting both medical cost management and pricing discipline, as well as benefit design changes and care delivery enhancements focused on affordability and integrated value-based care.”

UnitedHealth Group Inc., press release

Full-year 2026 guidance raised

  • Full-year adjusted EPS raised to $20.50: Full-year 2026 adjusted diluted EPS is now at least $20.50, against $19.50 to $20.00 previously. Reported diluted EPS is at least $19.50, against $18.45 to $18.95. Source
  • Projected net earnings guidance raised: Projected full-year 2026 net earnings attributable to common shareholders are greater than $17,650 million, against greater than $16,750 million previously. Source
  • Adjusted net earnings projection above $18,585 million: Projected full-year 2026 adjusted net earnings are greater than $18,585 million, against greater than $17,725 million previously. Source

Capital, cash and shareholder returns

  • Operating cash flow of $5.1 billion: Cash flows from operations were $5.1 billion in the quarter, or 1.2 times net income. Nine-month cash flows from operations were $25.1 billion. Source
  • Share repurchases of $5.0 billion year-to-date: Year-to-date share repurchases were $5.0 billion and dividends paid were $6.2 billion. Source
  • Debt-to-capital ratio at 41.7%: Debt-to-capital was 41.7% at September 30, 2026, against 41.2% at June 30. The company continues to target a long-term ratio of about 40.0% by year-end. Source

Affordability and prior approval changes

  • $1 billion committed to foundation: The company committed $1 billion to the United Health Foundation for rural healthcare, maternal and children's health, and behavioral health. Source
  • ACA individual profits to be rebated: The company committed to eliminating and rebating profits from individual ACA coverage in 2026, returning the money to about 1 million members. Source
  • Pediatric prior approvals to be cut: The company plans to eliminate nearly two-thirds of prior approval requirements for pediatric care, including waivers at leading pediatric hospitals, by the end of 2026. Source
  • Gold Card eligibility expanded: Gold Card eligibility is being expanded to exempt high-performing clinicians from routine approvals, and home health requirements are being removed, eliminating nearly 10% of UnitedHealthcare prior approval volume. Source

Governance and leadership

  • New Public Responsibility Committee created: The Board created a new Public Responsibility Committee, named a new Lead Independent Director and new committee chairs, and added a new independent director. Source
  • HouseCalls review supports diagnoses: An independent review of the HouseCalls program found sampled diagnoses overwhelmingly supported by medical records, with an error rate nearly three times lower than recent CMS audits. Source
  • Leadership roles refreshed: The company refreshed leadership roles and stated it is re-energizing its culture and commitment to mission. Source

Coming up, as management said on 13 October 2026

  • Doula care coverage by January 2027: More than 7 million members under employer-sponsored plans are to be eligible for doula care coverage by January 2027. Source
  • Drug rebate pass-through by 2028: The company committed to 100% pass-through of manufacturer drug rebate discounts to clients by January 1, 2028. Source
  • Further commitments expected in 2027: The company said further commitments are expected in 2027. Source

Figures management reported

FigureReported
Prior-year reserve development Source$610 million net favorable, related to 2026 dates of service

Risks management discussed

  • Demand: Employer attrition reduced the number of people served in UnitedHealthcare Employer & Individual during the quarter. Source
  • Demand: Seniors served through Medicare Advantage, including complex-population programs, have declined since year-end 2025. Source
  • External: Ongoing Medicaid eligibility changes reduced people served in UnitedHealthcare Community & State. Source
  • Financial: The company recorded incremental losses on South American businesses held for sale, excluded from adjusted results. Source

Earlier plans management reported on

  • Not stated: The company referred to its plan to eliminate 30% of current prior approval volume by the end of 2026. The release gives no progress update. Source
  • Not stated: Share repurchases reached $5.0 billion year-to-date, against the prior plan of at least $5.0 billion for the full year. Source

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.