Stock Analysis on Net

UnitedHealth Group Inc. (NYSE:UNH)

$24.99

Economic Value Added (EVA)

Microsoft Excel

EVA is registered trademark of Stern Stewart.

Economic value added or economic profit is the difference between revenues and costs,where costs include not only expenses, but also cost of capital.

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Economic Profit

UnitedHealth Group Inc., economic profit calculation

US$ in millions

Microsoft Excel
12 months ended: Dec 31, 2025 Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021
Net operating profit after taxes (NOPAT)1
Cost of capital2
Invested capital3
 
Economic profit4

Based on: 10-K (reporting date: 2025-12-31), 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).

1 NOPAT. See details »

2 Cost of capital. See details »

3 Invested capital. See details »

4 2025 Calculation
Economic profit = NOPAT – Cost of capital × Invested capital
= × =


The period under review demonstrates a fluctuating pattern in economic profit. Initially, a positive trend is evident, followed by a significant decline towards a negative economic profit in the final year presented.

Net Operating Profit After Taxes (NOPAT)
NOPAT increased consistently from 2021 to 2023, rising from US$18,910 million to US$26,672 million. However, a substantial decrease is observed in 2024 and 2025, falling to US$18,940 million and subsequently to US$15,617 million, respectively. This suggests potential challenges in maintaining profitability in the later years.
Cost of Capital
The cost of capital remained relatively stable between 2021 and 2024, fluctuating within a narrow range of 9.01% to 9.20%. A noticeable decrease is observed in 2025, with the cost of capital declining to 8.53%. This reduction in the cost of capital, however, did not prevent economic profit from becoming negative.
Invested Capital
Invested capital exhibited a consistent upward trend from 2021 to 2024, increasing from US$139,922 million to US$198,557 million. In 2025, invested capital experienced a slight decrease to US$197,568 million, indicating a potential stabilization or minor reduction in capital deployment.
Economic Profit
Economic profit increased steadily from US$6,059 million in 2021 to a peak of US$9,939 million in 2023, reflecting a period of strong value creation. However, a dramatic decline occurred in 2024, with economic profit falling to US$1,045 million. This trend culminated in a negative economic profit of US$1,232 million in 2025, signifying that the returns generated were insufficient to cover the cost of capital employed.

The divergence between NOPAT and economic profit in the final two years suggests that while operating profits remained substantial, the increasing invested capital and relatively stable cost of capital ultimately led to a destruction of economic value in 2025. The decrease in NOPAT in 2024 and 2025 is a key driver of this shift.


Net Operating Profit after Taxes (NOPAT)

UnitedHealth Group Inc., NOPAT calculation

US$ in millions

Microsoft Excel
12 months ended: Dec 31, 2025 Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021
Net earnings attributable to UnitedHealth Group common shareholders
Deferred income tax expense (benefit)1
Increase (decrease) in receivables allowances2
Increase (decrease) in unearned revenues3
Increase (decrease) in equity equivalents4
Interest expense
Interest expense, operating lease liability5
Adjusted interest expense
Tax benefit of interest expense6
Adjusted interest expense, after taxes7
Net income (loss) attributable to noncontrolling interest
Net operating profit after taxes (NOPAT)

Based on: 10-K (reporting date: 2025-12-31), 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).

1 Elimination of deferred tax expense. See details »

2 Addition of increase (decrease) in receivables allowances.

3 Addition of increase (decrease) in unearned revenues.

4 Addition of increase (decrease) in equity equivalents to net earnings attributable to UnitedHealth Group common shareholders.

5 2025 Calculation
Interest expense on capitalized operating leases = Operating lease liability × Discount rate
= × =

6 2025 Calculation
Tax benefit of interest expense = Adjusted interest expense × Statutory income tax rate
= × 21.00% =

7 Addition of after taxes interest expense to net earnings attributable to UnitedHealth Group common shareholders.


Net earnings attributable to UnitedHealth Group common shareholders and net operating profit after taxes (NOPAT) both demonstrate a pattern of initial growth followed by a subsequent decline over the five-year period. NOPAT exhibits a more pronounced increase initially, before experiencing a more significant decrease in later years.

NOPAT Trend
NOPAT increased from US$18,910 million in 2021 to US$26,672 million in 2023, representing a cumulative growth of approximately 41.1%. This indicates improving operational profitability during this timeframe. However, NOPAT then decreased to US$18,940 million in 2024 and further to US$15,617 million in 2025. This represents a decline of approximately 26.1% from the 2023 peak. The decrease in NOPAT in 2024 and 2025 suggests potential challenges in maintaining operational efficiency or increased costs.
Net Earnings Trend
Net earnings attributable to UnitedHealth Group common shareholders increased from US$17,285 million in 2021 to US$22,381 million in 2023, a growth of approximately 29.5%. Similar to NOPAT, net earnings then declined, reaching US$14,405 million in 2024 and US$12,056 million in 2025. This represents a decrease of approximately 46.3% from the 2023 high. The decline in net earnings mirrors the trend observed in NOPAT, suggesting a correlation between operational profitability and overall earnings.
Relationship between NOPAT and Net Earnings
While both metrics generally move in the same direction, NOPAT consistently exceeds net earnings throughout the period. This difference could be attributed to factors such as non-operating income or expenses, or differences in accounting treatment. The magnitude of the difference between NOPAT and net earnings remains relatively stable across the observed years.

The observed declines in both NOPAT and net earnings in 2024 and 2025 warrant further investigation to determine the underlying causes and potential implications for future performance.


Cash Operating Taxes

UnitedHealth Group Inc., cash operating taxes calculation

US$ in millions

Microsoft Excel
12 months ended: Dec 31, 2025 Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021
Provision for income taxes
Less: Deferred income tax expense (benefit)
Add: Tax savings from interest expense
Cash operating taxes

Based on: 10-K (reporting date: 2025-12-31), 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).


The provision for income taxes and cash operating taxes both exhibited increasing values from 2021 to 2023, followed by declines in subsequent years. However, the magnitude and timing of these changes differed between the two items.

Provision for Income Taxes
The provision for income taxes increased from US$4,578 million in 2021 to US$5,704 million in 2022, representing a 24.6% increase. Further growth was observed in 2023, reaching US$5,968 million. A notable decrease occurred in 2024, with the provision falling to US$4,829 million, and continued to decline significantly in 2025 to US$1,890 million. This represents a substantial reduction over the two-year period from 2023 to 2025.
Cash Operating Taxes
Cash operating taxes demonstrated a similar upward trend initially, rising from US$4,823 million in 2021 to US$6,851 million in 2022, a 42.3% increase. The value continued to increase in 2023, reaching US$6,936 million. A decrease was then observed in 2024, with cash operating taxes falling to US$5,994 million. The decline continued into 2025, with cash operating taxes reported at US$4,531 million. While decreasing, the rate of decline appears less pronounced than that of the provision for income taxes.
Relationship between Provision and Cash Taxes
In 2021 and 2022, cash operating taxes were consistently higher than the provision for income taxes. This difference narrowed in 2023, and reversed in 2024 and 2025, with the provision for income taxes exceeding cash operating taxes. The divergence in 2025 is particularly significant, suggesting a substantial difference between reported tax expense and actual cash outflows for tax purposes. This could be attributable to changes in deferred tax assets or liabilities, tax credits, or other non-cash tax effects.

The observed trends suggest a potential shift in the company’s tax profile. The significant decline in both measures from 2023 to 2025 warrants further investigation to understand the underlying drivers and potential implications for future financial performance.


Invested Capital

UnitedHealth Group Inc., invested capital calculation (financing approach)

US$ in millions

Microsoft Excel
Dec 31, 2025 Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021
Short-term borrowings and current maturities of long-term debt
Long-term debt, less current maturities
Operating lease liability1
Total reported debt & leases
Shareholders’ equity attributable to UnitedHealth Group
Net deferred tax (assets) liabilities2
Receivables allowances3
Unearned revenues4
Equity equivalents5
Accumulated other comprehensive (income) loss, net of tax6
Redeemable noncontrolling interests
Nonredeemable noncontrolling interests
Adjusted shareholders’ equity attributable to UnitedHealth Group
Invested capital

Based on: 10-K (reporting date: 2025-12-31), 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).

1 Addition of capitalized operating leases.

2 Elimination of deferred taxes from assets and liabilities. See details »

3 Addition of allowance for doubtful accounts receivable.

4 Addition of unearned revenues.

5 Addition of equity equivalents to shareholders’ equity attributable to UnitedHealth Group.

6 Removal of accumulated other comprehensive income.


The invested capital of the organization demonstrates a consistent upward trend over the analyzed period, though the rate of increase fluctuates. Total reported debt & leases and shareholders’ equity attributable to UnitedHealth Group both contribute to this overall growth. A detailed examination of each component reveals specific patterns.

Total Reported Debt & Leases
Total reported debt & leases exhibits a steady increase from US$50,276 million in 2021 to US$83,004 million in 2025. The growth is not linear; a more substantial increase is observed between 2022 and 2023 (US$15,000 million) and again between 2023 and 2024 (US$14,358 million). The increase from 2024 to 2025 is comparatively modest, at US$207 million.
Shareholders’ Equity
Shareholders’ equity attributable to UnitedHealth Group also shows an increasing trend, rising from US$71,760 million in 2021 to US$94,110 million in 2025. The rate of growth is relatively consistent throughout the period, with increases ranging from approximately US$5,000 million to US$7,000 million annually. The largest increase occurs between 2022 and 2023 (US$10,984 million).
Invested Capital
Invested capital, calculated as the sum of total reported debt & leases and shareholders’ equity, increases from US$139,922 million in 2021 to US$197,568 million in 2025. The growth rate mirrors the combined trends of its components, with larger increases observed in 2023 and 2024. Notably, the increase in invested capital slows considerably between 2024 and 2025, rising by only US$754 million, suggesting a potential stabilization in capital deployment.

The consistent growth in both debt and equity suggests ongoing investment and financing activities. The slight deceleration in the growth of invested capital in the most recent year warrants further investigation to determine if this represents a strategic shift or a temporary fluctuation.


Cost of Capital

UnitedHealth Group Inc., cost of capital calculations

Capital (fair value)1 Weights Cost of capital
Equity2 ÷ = × =
Commercial paper, long-term debt and other financing obligations3 ÷ = × × (1 – 21.00%) =
Operating lease liability4 ÷ = × × (1 – 21.00%) =
Total:

Based on: 10-K (reporting date: 2025-12-31).

1 US$ in millions

2 Equity. See details »

3 Commercial paper, long-term debt and other financing obligations. See details »

4 Operating lease liability. See details »

Capital (fair value)1 Weights Cost of capital
Equity2 ÷ = × =
Commercial paper, long-term debt and other financing obligations3 ÷ = × × (1 – 21.00%) =
Operating lease liability4 ÷ = × × (1 – 21.00%) =
Total:

Based on: 10-K (reporting date: 2024-12-31).

1 US$ in millions

2 Equity. See details »

3 Commercial paper, long-term debt and other financing obligations. See details »

4 Operating lease liability. See details »

Capital (fair value)1 Weights Cost of capital
Equity2 ÷ = × =
Commercial paper, long-term debt and other financing obligations3 ÷ = × × (1 – 21.00%) =
Operating lease liability4 ÷ = × × (1 – 21.00%) =
Total:

Based on: 10-K (reporting date: 2023-12-31).

1 US$ in millions

2 Equity. See details »

3 Commercial paper, long-term debt and other financing obligations. See details »

4 Operating lease liability. See details »

Capital (fair value)1 Weights Cost of capital
Equity2 ÷ = × =
Commercial paper, long-term debt and other financing obligations3 ÷ = × × (1 – 21.00%) =
Operating lease liability4 ÷ = × × (1 – 21.00%) =
Total:

Based on: 10-K (reporting date: 2022-12-31).

1 US$ in millions

2 Equity. See details »

3 Commercial paper, long-term debt and other financing obligations. See details »

4 Operating lease liability. See details »

Capital (fair value)1 Weights Cost of capital
Equity2 ÷ = × =
Commercial paper, long-term debt and other financing obligations3 ÷ = × × (1 – 21.00%) =
Operating lease liability4 ÷ = × × (1 – 21.00%) =
Total:

Based on: 10-K (reporting date: 2021-12-31).

1 US$ in millions

2 Equity. See details »

3 Commercial paper, long-term debt and other financing obligations. See details »

4 Operating lease liability. See details »


Economic Spread Ratio

UnitedHealth Group Inc., economic spread ratio calculation, comparison to benchmarks

Microsoft Excel
Dec 31, 2025 Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021
Selected Financial Data (US$ in millions)
Economic profit1
Invested capital2
Performance Ratio
Economic spread ratio3
Benchmarks
Economic Spread Ratio, Competitors4
Abbott Laboratories
Elevance Health Inc.
Intuitive Surgical Inc.
Medtronic PLC

Based on: 10-K (reporting date: 2025-12-31), 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).

1 Economic profit. See details »

2 Invested capital. See details »

3 2025 Calculation
Economic spread ratio = 100 × Economic profit ÷ Invested capital
= 100 × ÷ =

4 Click competitor name to see calculations.


The economic spread ratio demonstrates a fluctuating performance over the five-year period. Initially, the ratio exhibited growth, peaking in 2023, before experiencing a significant decline in subsequent years.

Economic Spread Ratio Trend
The economic spread ratio increased from 4.33% in 2021 to 4.47% in 2022, indicating a slight improvement in the return generated relative to the cost of invested capital. This positive trend continued into 2023, with the ratio reaching 5.44%, representing the highest value within the observed timeframe. However, a substantial decrease occurred in 2024, with the ratio falling to 0.53%. This downward trajectory continued into 2025, resulting in a negative ratio of -0.62%, signifying that the cost of capital exceeded the returns generated from invested capital.

Economic profit generally increased alongside the economic spread ratio until 2023. However, the decline in the economic spread ratio in 2024 and 2025 correlates with a corresponding decrease in economic profit, culminating in a loss in 2025.

Relationship between Economic Spread Ratio and Economic Profit
A positive correlation is observed between the economic spread ratio and economic profit from 2021 to 2023. As the economic spread ratio increased, so did the absolute value of economic profit. The sharp decline in the economic spread ratio in 2024 and the resulting negative value in 2025 are mirrored by a significant reduction in economic profit, ultimately leading to a negative economic profit in 2025. This suggests a strong link between the efficiency of capital allocation, as measured by the economic spread ratio, and the overall profitability of the entity.

Invested capital consistently increased from 2021 to 2024, before experiencing a slight decrease in 2025. Despite the continued investment, the diminishing economic spread ratio indicates a decreasing ability to generate returns exceeding the cost of that capital.

Invested Capital and Economic Spread
Invested capital grew steadily from US$139,922 million in 2021 to US$198,557 million in 2024. While this indicates expansion and reinvestment within the entity, the simultaneous decline in the economic spread ratio during 2024 and 2025 suggests that these investments did not yield commensurate returns. The slight decrease in invested capital in 2025 did not reverse the trend of diminishing returns, as the economic spread ratio remained negative.

Economic Profit Margin

UnitedHealth Group Inc., economic profit margin calculation, comparison to benchmarks

Microsoft Excel
Dec 31, 2025 Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021
Selected Financial Data (US$ in millions)
Economic profit1
 
Revenues, customers
Add: Increase (decrease) in unearned revenues
Adjusted revenues, customers
Performance Ratio
Economic profit margin2
Benchmarks
Economic Profit Margin, Competitors3
Abbott Laboratories
Elevance Health Inc.
Intuitive Surgical Inc.
Medtronic PLC

Based on: 10-K (reporting date: 2025-12-31), 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).

1 Economic profit. See details »

2 2025 Calculation
Economic profit margin = 100 × Economic profit ÷ Adjusted revenues, customers
= 100 × ÷ =

3 Click competitor name to see calculations.


The economic profit margin exhibited a positive trend initially, followed by a significant decline. Economic profit increased consistently from 2021 to 2023, but then decreased substantially in 2024 and became negative in 2025. This shift is mirrored in the economic profit margin, which peaked in 2023 before experiencing a sharp reversal.

Economic Profit Margin Trend
The economic profit margin increased from 2.13% in 2021 to 2.70% in 2023, indicating improving profitability relative to the capital employed. However, this positive momentum was not sustained. The margin decreased to 0.26% in 2024 and further declined to -0.28% in 2025, suggesting a deterioration in the generation of economic profit from each dollar of revenue.
Relationship between Revenue and Economic Profit
Adjusted revenues demonstrated consistent growth throughout the period, increasing from US$285,002 million in 2021 to US$443,743 million in 2025. Despite this revenue growth, economic profit peaked in 2023 and then declined, indicating that revenue increases were not translating into proportional increases in economic profit in the later years. The negative economic profit in 2025, despite the highest revenue figure, highlights this disconnect.

The substantial decline in economic profit margin from 2023 to 2025 warrants further investigation. Potential factors contributing to this trend could include increased costs, a higher cost of capital, or decreased operational efficiency. The negative economic profit margin in 2025 suggests that the company’s returns are no longer exceeding its cost of capital.