Stock Analysis on Net

UnitedHealth Group Inc. (NYSE:UNH)

$24.99

Analysis of Income Taxes

Microsoft Excel

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Income Tax Expense (Benefit)

UnitedHealth Group Inc., income tax expense (benefit), continuing operations

US$ in millions

Microsoft Excel
12 months ended: Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
Federal
State and local
Foreign
Current provision
Deferred provision (benefit)
Provision for income taxes

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).


Current Provision
The current income tax provision shows variability throughout the observed years. It decreased from $4,981 million in 2020 to $4,448 million in 2021, indicating a reduction in current tax liabilities. However, there was a notable increase to $6,377 million in 2022, followed by a slight decrease to $6,213 million in 2023. In 2024, the provision declined further to $5,125 million. This pattern suggests fluctuations possibly linked to changes in taxable income or tax rates over the years.
Deferred Provision (Benefit)
The deferred tax provision, which can represent either a tax expense or benefit, exhibits a significant swing over the period. It shifted from a minor benefit of -$8 million in 2020 to a substantial expense of $130 million in 2021. This was followed by large deferred tax benefits in 2022 (-$673 million), 2023 (-$245 million), and 2024 (-$296 million). The negative values after 2021 imply recognition of deferred tax assets or reductions in deferred tax liabilities, contributing positively to the overall tax position in those years.
Provision for Income Taxes
The total income tax provision, combining current and deferred components, reflects overall movements consistent with the underlying current and deferred trends. It decreased from $4,973 million in 2020 to $4,578 million in 2021, then rose substantially to $5,704 million in 2022 and further to $5,968 million in 2023. In 2024, it decreased again to $4,829 million. This indicates that, despite significant deferred tax benefits after 2021, the total tax provision remained relatively elevated in 2022 and 2023 before subsiding in 2024.

Effective Income Tax Rate (EITR)

UnitedHealth Group Inc., effective income tax rate (EITR) reconciliation

Microsoft Excel
Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
U.S. federal statutory tax rate
State income taxes, net of federal benefit
Share-based awards, excess tax benefit
Non-deductible compensation
Health insurance tax
Foreign rate differential
Tax effect of dispositions and other strategic transactions
Other, net
Effective income tax rate

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).


The analysis of the effective income tax rate and its components over the five-year period reveals several noteworthy trends and fluctuations. The U.S. federal statutory tax rate remains constant at 21% throughout the period, providing a stable baseline for tax calculations.

State income taxes, net of the federal benefit, show a gradual increase from 1.5% in 2020 to a peak of 2.4% in 2022, followed by a decline to 1.7% in 2024. This indicates variability in state-level tax impacts, possibly due to changes in state tax legislation or the company's state-specific income allocation.

Share-based awards, excess tax benefits, consistently present a slight negative impact on the tax rate, fluctuating between -0.6% and -0.3%, before returning to -0.5% in 2024. This suggests a minor but relatively stable tax benefit associated with share-based compensation over time.

Non-deductible compensation remains relatively stable around 0.6%, with a slight increase to 0.9% in the final year, reflecting minor variations in compensation components non-eligible for tax deductions.

The health insurance tax appears only in 2020 at 3%, after which it is absent, indicating either the elimination or reclassification of this tax component.

The foreign rate differential consistently contributes to reducing the overall tax burden, with values ranging from -0.8% to -1.8%, showing an increasing tax benefit from foreign operations over the years.

The tax effect of dispositions and other strategic transactions is absent initially, then becomes slightly negative in 2022 and 2023, before a significant positive spike to 6.1% in 2024, indicating a major strategic transaction or disposition that increased tax liabilities in the latest year.

Other net effects vary widely, with notable negative values in 2021 (-1.5%), a near-neutral impact in 2022 (-0.1%), and a significant increase in negative impact in 2024 (-3.3%), suggesting variable miscellaneous tax-related adjustments affecting the effective tax rate.

The effective income tax rate overall demonstrates fluctuations within a range of approximately 20.5% to 24.1%. It decreases from 24% in 2020 to a low of 20.5% in 2021 and 2023, with intermediate variation, before returning to 24.1% in 2024. The observed variability in the effective rate appears to be influenced by the interplay of state taxes, foreign tax differentials, strategic transactions, and other adjustments rather than changes in the statutory federal tax rate.

U.S. federal statutory tax rate
Stable at 21% throughout the period.
State income taxes, net of federal benefit
Gradual increase to 2.4% in 2022, then decline to 1.7% in 2024.
Share-based awards, excess tax benefit
Consistent minor negative contribution, fluctuating between -0.6% and -0.3%.
Non-deductible compensation
Stable around 0.6%, with a rise to 0.9% in 2024.
Health insurance tax
Present only in 2020 at 3%, absent thereafter.
Foreign rate differential
Increasing tax benefit from -0.8% to -1.8% over time.
Tax effect of dispositions and other strategic transactions
Negligible or negative in early years, significant positive impact of 6.1% in 2024.
Other, net
Variable negative impacts, notably -3.3% in 2024.
Effective income tax rate
Ranges between 20.5% and 24.1%, with fluctuations driven by multiple variable components.

Components of Deferred Tax Assets and Liabilities

UnitedHealth Group Inc., components of deferred tax assets and liabilities

US$ in millions

Microsoft Excel
Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
Accrued expenses and allowances
U.S. federal and state net operating loss carryforwards
Share-based compensation
Nondeductible liabilities
Non-U.S. tax loss carryforwards
Lease liability
Net unrealized losses on investments
Other, domestic
Other, non-U.S.
Deferred income tax assets, before valuation allowances
Valuation allowances
Deferred income tax assets
U.S. federal and state intangible assets
Non-U.S. goodwill and intangible assets
Capitalized software
Depreciation and amortization
Prepaid expenses
Outside basis in partnerships
Lease right-of-use asset
Net unrealized gains on investments
Other, non-U.S.
Deferred income tax liabilities
Net deferred income tax assets (liabilities)

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).


Accrued expenses and allowances
The accrued expenses and allowances showed fluctuations over the period, decreasing from $815 million in 2020 to $707 million in 2022, before increasing significantly to $1,055 million in 2024. This indicates variability in short-term liabilities, with a notable rise in the most recent year.
U.S. federal and state net operating loss carryforwards
These carryforwards increased from $276 million in 2020 to a peak of $540 million in 2022, then declined slightly to $442 million in 2024. The trend suggests increased utilization or changes in tax position following 2022.
Share-based compensation
Share-based compensation expenses demonstrated a consistent upward trend, rising from $98 million in 2020 to $189 million in 2024, reflecting increased employee incentives or equity-related compensation policies.
Nondeductible liabilities
Nondeductible liabilities rose steadily from $252 million in 2020 to a high of $343 million in 2024, indicating growing liabilities that do not provide tax benefits.
Non-U.S. tax loss carryforwards
There was a substantial increase from $340 million in 2020 to $1,061 million in 2023, followed by an abrupt drop to $21 million in 2024. This sharp decline suggests a significant change in utilization or reassessment of these assets.
Lease liability
Lease liabilities peaked at $1,284 million in 2021 before declining each year to $846 million in 2024. This steady reduction indicates repayment or restructuring of lease obligations over the period.
Net unrealized losses on investments
No data was available for the first two years, but a high unrealized loss of $829 million appeared in 2022, followed by declines to $669 million by 2024, evidence of volatility in investment valuations.
Other, domestic
Other domestic liabilities or assets increased continuously from $126 million in 2020 to $597 million in 2024, representing growth in miscellaneous domestic financial factors.
Other, non-U.S.
Non-U.S. components fluctuated, starting at $454 million in positive terms in 2020, decreasing sharply to $59 million in 2024. Conversely, the negative balances for this item showed less negative amounts moving from -$350 million to -$28 million, reflecting volatility.
Deferred income tax assets, before valuation allowances
These assets increased from $3,561 million in 2020 to a peak of $5,061 million in 2023, before declining to $4,221 million in 2024, indicating investment in deferred tax positions followed by partial realization or write-down.
Valuation allowances
Valuation allowances deepened steadily from -$170 million in 2020 to -$397 million in 2024, showing increasing reserves against deferred tax assets due to uncertainty in recoverability.
Deferred income tax assets (net of allowances)
Net deferred income tax assets increased from $3,391 million in 2020 to $4,695 million in 2023, then fell to $3,824 million in 2024, mirroring the trends in gross assets and valuation allowances.
U.S. federal and state intangible assets
These intangible assets continuously decreased from -$2,588 million in 2020 to -$4,479 million in 2024 (negative balances), suggesting amortization or impairment over time.
Non-U.S. goodwill and intangible assets
Goodwill and intangible assets outside the U.S. fluctuated, initially less negative from -$606 million in 2020 to -$82 million in 2024, implying possible impairment recoveries or disposals.
Capitalized software
The value of capitalized software decreased from -$731 million in 2020 to -$288 million in 2024, indicative of amortization or write-downs treating these assets conservatively.
Depreciation and amortization
After relatively stable amounts around -$346 million to -$349 million initially, depreciation spiked to -$520 million in 2022, followed by decreases in subsequent years, reflecting changes in fixed asset valuation or capital expenditure cycles.
Prepaid expenses
Prepaid expenses increased in their negative balances from -$216 million in 2020 to -$374 million in 2024, consistent with rising prepaid outflows or adjustments in expense recognition timing.
Outside basis in partnerships
This item showed a steady increase in negative balance from -$342 million in 2020 to -$960 million in 2024, indicative of growing liabilities or basis adjustments in partnership interests.
Lease right-of-use asset
The right-of-use asset decreased from -$1,179 million in 2020 to -$833 million in 2024, consistent with the reduction of corresponding lease liabilities, reflecting lease terminations or expirations.
Net unrealized gains on investments
These gains decreased from -$400 million in 2020 to -$125 million in 2021, with no data afterwards, implying limited or no recorded unrealized gains in recent years.
Deferred income tax liabilities
Deferred income tax liabilities increased from -$6,758 million in 2020 to a peak of -$7,716 million in 2023, then slightly decreased to -$7,444 million in 2024, indicating growing tax liabilities deferred to future periods.
Net deferred income tax assets (liabilities)
The net balance, reflecting the difference between deferred tax assets and liabilities, was negative throughout, ranging from -$3,367 million in 2020 to a low of -$3,620 million in 2024. The trend suggests an increasing net liability position over the period.

Deferred Tax Assets and Liabilities, Classification

UnitedHealth Group Inc., deferred tax assets and liabilities, classification

US$ in millions

Microsoft Excel
Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
Deferred income tax liabilities

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).


Deferred Income Tax Liabilities (US$ in millions)
Over the analyzed period from 2020 to 2024, the deferred income tax liabilities exhibit a fluctuating trend. Initially, there is a slight decline from 3,367 million in 2020 to 3,265 million in 2021, representing a modest decrease.
In 2022, this downward trend continues more noticeably, with the liabilities dropping to 2,769 million, indicating a significant reduction compared to previous years.
However, in 2023, the deferred income tax liabilities reverse direction and increase moderately to 3,021 million. This suggests a partial recovery in this liability component after the prior decline.
In 2024, the upward trend strengthens further with the liabilities rising to 3,620 million, surpassing the levels observed at the start of the period in 2020. This indicates an overall increase over the five-year timeframe by approximately 7.5% from the initial figure.
In summary, the deferred income tax liabilities demonstrate a pattern of initial decrease over the first three years, followed by a rebound over the last two years, ending with a net increase relative to the start of the period. This may reflect changes in tax regulations, temporary differences, or timing variations in deductible and taxable amounts recognized in financial reporting. Continuous monitoring may be advised to understand the underlying causes and potential impacts on future tax obligations.

Adjustments to Financial Statements: Removal of Deferred Taxes

UnitedHealth Group Inc., adjustments to financial statements

US$ in millions

Microsoft Excel
Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
Adjustment to Total Liabilities
Total liabilities (as reported)
Less: Noncurrent deferred tax liabilities, net
Total liabilities (adjusted)
Adjustment to Shareholders’ Equity Attributable To UnitedHealth Group
Shareholders’ equity attributable to UnitedHealth Group (as reported)
Less: Net deferred tax assets (liabilities)
Shareholders’ equity attributable to UnitedHealth Group (adjusted)
Adjustment to Net Earnings Attributable To UnitedHealth Group Common Shareholders
Net earnings attributable to UnitedHealth Group common shareholders (as reported)
Add: Deferred income tax expense (benefit)
Net earnings attributable to UnitedHealth Group common shareholders (adjusted)

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).


The financial data exhibits notable trends in liabilities, equity, and net earnings over the five-year period from 2020 to 2024. Both reported and adjusted metrics show consistent growth in total liabilities and shareholders’ equity, while net earnings display a rising pattern followed by a decline in the final year.

Total Liabilities
Reported total liabilities increased steadily each year, rising from approximately 126.8 billion US dollars in 2020 to nearly 195.7 billion US dollars by the end of 2024. The adjusted total liabilities closely mirror this pattern, starting at 123.4 billion US dollars in 2020 and reaching 192.1 billion by 2024. The adjustments cause a slight reduction in liability values, but both reported and adjusted figures maintain consistent upward trajectories.
Shareholders’ Equity
Reported shareholders’ equity attributable to the company shows continuous growth, climbing from about 65.5 billion US dollars in 2020 to approximately 92.7 billion US dollars in 2024. Adjusted shareholders’ equity values are higher than reported values in all periods, beginning at 68.9 billion US dollars in 2020 and reaching 96.3 billion in 2024. The difference between adjusted and reported equity widens gradually, suggesting increasing recognition of equity through adjustments over time.
Net Earnings
Reported net earnings attributable to common shareholders demonstrated an upward trend from 15.4 billion US dollars in 2020, peaking at 22.4 billion in 2023, followed by a significant decline to 14.4 billion in 2024. Adjusted net earnings follow a very similar trajectory, increasing from 15.4 billion in 2020 to 22.1 billion in 2023, then falling to 14.1 billion in 2024. The close alignment between reported and adjusted net earnings indicates minimal distortion from tax adjustments in net income, but the sharp decrease in 2024 marks a noteworthy change in profitability.

In summary, there is a clear and steady increase in both liabilities and shareholders’ equity over the analyzed period, reflecting expansion or growing financial commitments alongside enhanced equity base. However, while net earnings improved consistently over the first four years, the marked decrease in the final year could signal emerging challenges or changing financial dynamics affecting the company's profitability. The adjustments for deferred income tax do not substantially alter the overall financial trend but provide a slightly more favorable equity position compared to reported values.


UnitedHealth Group Inc., Financial Data: Reported vs. Adjusted


Adjusted Financial Ratios: Removal of Deferred Taxes (Summary)

UnitedHealth Group Inc., adjusted financial ratios

Microsoft Excel
Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
Net Profit Margin
Reported net profit margin
Adjusted net profit margin
Financial Leverage
Reported financial leverage
Adjusted financial leverage
Return on Equity (ROE)
Reported ROE
Adjusted ROE
Return on Assets (ROA)
Reported ROA
Adjusted ROA

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).


The financial performance indicators reveal several notable trends over the five-year period from 2020 to 2024. Both reported and adjusted net profit margins show relative stability with minor fluctuations from 2020 through 2023, generally maintaining levels around 6%. However, a significant decline is observed in 2024, with reported net profit margin decreasing sharply to 3.65% and adjusted net profit margin to 3.57%. This suggests a marked deterioration in profitability during the final year analyzed.

Financial leverage ratios, both reported and adjusted, exhibit a gradual upward trend over the same period. The reported financial leverage rises from 3.01 in 2020 to 3.22 by 2024, while the adjusted counterpart increases from 2.87 to 3.10. This moderate increase in leverage indicates a growing reliance on debt or other liabilities to finance the company’s assets, which may contribute to higher financial risk.

Return on equity (ROE) metrics follow a pattern similar to net profit margins. Both reported and adjusted ROE improved steadily from 2020 through 2022 and 2023, reaching peaks of 25.87% and 24.12% respectively. This upward movement reflects increasing profitability relative to shareholders' equity during these years. However, in 2024, there is a pronounced decline in ROE, with reported ROE falling to 15.55% and adjusted ROE to 14.65%, signaling a significant reduction in shareholder returns.

Return on assets (ROA) shows relative stability between 2020 and 2023, with reported ROA values fluctuating between 7.81% and 8.19%, and adjusted ROA remaining close to these figures. In 2024, ROA also experiences a notable drop, with reported ROA decreasing to 4.83% and adjusted ROA to 4.73%. This decline in asset efficiency aligns with the lower profitability outcomes reported in the same year.

Summary of observed trends:
- Net profit margin indicates consistent profitability through 2023, followed by a steep decrease in 2024.
- Financial leverage shows a gradual increase, suggesting rising debt levels or obligations.
- ROE improves steadily until 2023, then declines sharply in 2024, reflecting diminished returns to equity holders.
- ROA remains stable with minor fluctuations before dropping significantly in 2024, indicating reduced asset utilization efficiency.

Overall, the data reveal strong and stable performance from 2020 to 2023 across multiple profitability and efficiency measures, but with a clear reversal in 2024 characterized by lower margins, returns, and decreased asset effectiveness, accompanied by a slight increase in leverage.


UnitedHealth Group Inc., Financial Ratios: Reported vs. Adjusted


Adjusted Net Profit Margin

Microsoft Excel
Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
As Reported
Selected Financial Data (US$ in millions)
Net earnings attributable to UnitedHealth Group common shareholders
Revenues, customers
Profitability Ratio
Net profit margin1
Adjusted for Deferred Taxes
Selected Financial Data (US$ in millions)
Adjusted net earnings attributable to UnitedHealth Group common shareholders
Revenues, customers
Profitability Ratio
Adjusted net profit margin2

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).

2024 Calculations

1 Net profit margin = 100 × Net earnings attributable to UnitedHealth Group common shareholders ÷ Revenues, customers
= 100 × ÷ =

2 Adjusted net profit margin = 100 × Adjusted net earnings attributable to UnitedHealth Group common shareholders ÷ Revenues, customers
= 100 × ÷ =


The financial data indicates varying trends in earnings and profit margins for the periods analyzed. Both reported and adjusted net earnings attributable to common shareholders show an increasing trend from 2020 through 2023, with reported net earnings rising from 15,403 million US dollars in 2020 to 22,381 million US dollars in 2023, and adjusted net earnings moving from 15,395 million to 22,136 million US dollars during the same period. However, in 2024, there is a notable decline in both reported and adjusted net earnings, with values falling to 14,405 million and 14,109 million US dollars respectively, indicating a decrease in profitability relative to prior years.

Regarding profitability ratios, the reported net profit margin exhibits a steady range between 6.03% and 6.25% from 2020 to 2022, slightly decreasing to 6.09% in 2023, followed by a significant drop to 3.65% in 2024. The adjusted net profit margin shows a similar pattern, maintaining levels near 6.0% from 2020 through 2023, and then declining to 3.57% in 2024. This reduction in profit margins alongside decreasing net earnings in 2024 suggests either increased costs, diminished revenue efficiency, or other financial pressures impacting profitability.

Net Earnings
Strong growth from 2020 to 2023 followed by a sharp decrease in 2024.
Profit Margins
Relatively stable and modestly improving margins from 2020 to 2023 with a substantial decline in 2024 for both reported and adjusted figures.
Overall Trend
Positive earnings and margin growth over four years with a pronounced downturn in the most recent year under review.

Adjusted Financial Leverage

Microsoft Excel
Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
As Reported
Selected Financial Data (US$ in millions)
Total assets
Shareholders’ equity attributable to UnitedHealth Group
Solvency Ratio
Financial leverage1
Adjusted for Deferred Taxes
Selected Financial Data (US$ in millions)
Total assets
Adjusted shareholders’ equity attributable to UnitedHealth Group
Solvency Ratio
Adjusted financial leverage2

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).

2024 Calculations

1 Financial leverage = Total assets ÷ Shareholders’ equity attributable to UnitedHealth Group
= ÷ =

2 Adjusted financial leverage = Total assets ÷ Adjusted shareholders’ equity attributable to UnitedHealth Group
= ÷ =


The reported shareholders’ equity attributable to UnitedHealth Group demonstrates a consistent upward trend over the five-year period. Starting from $65,491 million in 2020, it increases steadily each year, reaching $92,658 million by the end of 2024. This pattern indicates ongoing growth in the company's net assets attributable to shareholders.

The adjusted shareholders’ equity, which accounts for annual reported and deferred income tax adjustments, mirrors this upward progression. It starts at a slightly higher base of $68,858 million in 2020 and grows correspondingly each year, reaching $96,278 million in 2024. The adjusted figures tend to be consistently higher than the reported values, reflecting the impact of tax adjustments in enhancing the equity base.

In terms of financial leverage, the reported ratio exhibits some fluctuations but remains in a narrow range between 2.96 and 3.22 over the period. The ratio decreases slightly from 3.01 in 2020 to 2.96 in 2021, then rises to 3.16 in 2022, dips again to 3.08 in 2023, and finally increases to 3.22 in 2024. This indicates a generally stable but mildly increasing use of debt relative to equity.

The adjusted financial leverage ratio, accounting for tax adjustments, follows a similar but slightly lower trend. Starting at 2.87 in 2020, it decreases slightly to 2.83 in 2021, then rises to 3.05 in 2022, falls to 2.98 in 2023, and climbs again to 3.10 in 2024. This suggests that when tax effects are incorporated, the leverage is marginally lower, but the overall pattern of leverage usage remains consistent with the reported data.

Overall, the data reveals steady growth in shareholders’ equity, both reported and adjusted, alongside relatively stable financial leverage ratios. The adjacency of reported and adjusted figures throughout the period supports the conclusion that tax effects moderately influence the capital structure without causing significant volatility in financial leverage trends.


Adjusted Return on Equity (ROE)

Microsoft Excel
Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
As Reported
Selected Financial Data (US$ in millions)
Net earnings attributable to UnitedHealth Group common shareholders
Shareholders’ equity attributable to UnitedHealth Group
Profitability Ratio
ROE1
Adjusted for Deferred Taxes
Selected Financial Data (US$ in millions)
Adjusted net earnings attributable to UnitedHealth Group common shareholders
Adjusted shareholders’ equity attributable to UnitedHealth Group
Profitability Ratio
Adjusted ROE2

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).

2024 Calculations

1 ROE = 100 × Net earnings attributable to UnitedHealth Group common shareholders ÷ Shareholders’ equity attributable to UnitedHealth Group
= 100 × ÷ =

2 Adjusted ROE = 100 × Adjusted net earnings attributable to UnitedHealth Group common shareholders ÷ Adjusted shareholders’ equity attributable to UnitedHealth Group
= 100 × ÷ =


Net Earnings
The reported net earnings attributable to common shareholders showed a generally positive trend from 2020 to 2023, increasing from 15,403 million US dollars in 2020 to a peak of 22,381 million US dollars in 2023. However, in 2024, there was a significant decline to 14,405 million US dollars. Adjusted net earnings followed a similar trajectory, rising steadily from 15,395 million US dollars in 2020 to 22,136 million in 2023, then dropping sharply to 14,109 million in 2024.
Shareholders' Equity
Reported shareholders’ equity systematically increased each year, growing from 65,491 million US dollars in 2020 to 92,658 million US dollars in 2024, showing a consistent upward trend across the entire period. Adjusted shareholders’ equity also rose annually from 68,858 million US dollars in 2020 to 96,278 million US dollars in 2024, reflecting similar steady growth.
Return on Equity (ROE)
Both reported and adjusted ROE percentages indicated strong performance from 2020 through 2023. Reported ROE increased from 23.52% in 2020 to a peak of 25.87% in 2022 before a slight decline to 25.22% in 2023, then decreased sharply to 15.55% in 2024. Adjusted ROE followed a comparable pattern, moving from 22.36% in 2020 up to 24.15% in 2022, remaining stable at 24.12% in 2023, and dropping to 14.65% in 2024.
Overall Observations
There is a clear pattern of growth in net earnings and shareholders' equity through 2023, indicating strengthening financial performance and capitalization. The sudden and notable decrease in both net earnings and ROE in 2024 contrasts with the ongoing increase in shareholders’ equity, suggesting potential challenges affecting profitability or income metrics despite a solid equity base. The adjusted figures closely track the reported values, implying that the adjustments for deferred income tax and other items have a consistent impact over the years without altering the fundamental trends.

Adjusted Return on Assets (ROA)

Microsoft Excel
Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
As Reported
Selected Financial Data (US$ in millions)
Net earnings attributable to UnitedHealth Group common shareholders
Total assets
Profitability Ratio
ROA1
Adjusted for Deferred Taxes
Selected Financial Data (US$ in millions)
Adjusted net earnings attributable to UnitedHealth Group common shareholders
Total assets
Profitability Ratio
Adjusted ROA2

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).

2024 Calculations

1 ROA = 100 × Net earnings attributable to UnitedHealth Group common shareholders ÷ Total assets
= 100 × ÷ =

2 Adjusted ROA = 100 × Adjusted net earnings attributable to UnitedHealth Group common shareholders ÷ Total assets
= 100 × ÷ =


The data reveals several important trends in profitability and return on assets (ROA) for the company over the five-year period.

Net Earnings
Both reported and adjusted net earnings attributable to common shareholders showed a generally increasing trend from 2020 through 2023, with reported net earnings growing from $15,403 million in 2020 to a peak of $22,381 million in 2023. Adjusted net earnings followed a similar pattern, rising from $15,395 million in 2020 to $22,136 million in 2023. However, in 2024, both reported and adjusted earnings declined substantially, with reported earnings dropping to $14,405 million and adjusted earnings to $14,109 million. This marks a significant reversal compared to the previous upward trajectory.
Return on Assets (ROA)
Reported ROA rose steadily from 7.81% in 2020 to a high of 8.19% in 2022, maintaining a similar level at 8.18% in 2023. Adjusted ROA exhibited a slightly different pattern, increasing from 7.8% in 2020 to a peak of 8.21% in 2021 before declining to 7.91% in 2022 and slightly recovering to 8.09% in 2023. Both metrics experienced a marked decline in 2024, with reported ROA falling to 4.83% and adjusted ROA decreasing to 4.73%. This significant drop suggests decreased efficiency in utilizing assets to generate earnings in the most recent year.
General Observations
The alignment between reported and adjusted figures throughout the period indicates consistency in performance metrics when adjusted for annual reported and deferred income tax impacts. The strong growth trends in both earnings and ROA from 2020 to 2023 imply progressive financial improvements and operational efficiency. However, the abrupt decline in 2024 warrants further examination into possible causes, such as changes in market conditions, operational challenges, or tax-related effects impacting net earnings and asset returns.