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, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
Net operating profit after taxes (NOPAT)1
Cost of capital2
Invested capital3
 
Economic profit4

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).

1 NOPAT. See details »

2 Cost of capital. See details »

3 Invested capital. See details »

4 2024 Calculation
Economic profit = NOPAT – Cost of capital × Invested capital
= × =


The financial data reveals several important trends regarding profitability, capital efficiency, and value creation over the five-year period.

Net Operating Profit After Taxes (NOPAT)

NOPAT shows an overall upward trajectory from 2020 through 2023, escalating from $18,059 million to $26,672 million. This increase indicates improving operational performance and profitability. However, the figure declines sharply in 2024 to $18,940 million, representing a significant drop compared to the prior year and nearing the 2020 level. This decline may suggest challenges in maintaining operating profit margins or external adverse factors affecting operations in the latest period.

Cost of Capital

The cost of capital remains relatively stable throughout the period, fluctuating narrowly between 9.82% and 10.14%. A slight decreasing trend appears in the final year, with the cost lowering to 9.91%. The stability of this metric suggests consistent expectations around the required return on invested capital and financial risk profile.

Invested Capital

Invested capital exhibits steady growth year-over-year, increasing from $130,513 million in 2020 to $198,557 million in 2024. This continuous rise reflects ongoing investments in assets and resources to support business operations and future growth. The rate of increase appears consistent, indicating a deliberate and sustained capital deployment strategy.

Economic Profit

Economic profit, which measures value creation beyond the cost of capital, fluctuates significantly. Starting at $5,245 million in 2020, it decreases slightly in 2021 to $4,741 million, then rises notably to $8,242 million in 2023, indicating strong economic value generation during that period. However, 2024 shows a stark reversal to a negative economic profit of -$742 million, implying that the company did not cover its cost of capital and destroyed economic value in that year. This negative result aligns with the drop in NOPAT and suggests that despite higher invested capital, the returns earned were insufficient to generate positive excess profit.

In summary, the data discloses a pattern of increasing operational profits and invested capital through 2023, with effective value creation evidenced by positive economic profits. The cost of capital remains steady, supporting comparability over time. However, the marked decline in NOPAT and the sharp reduction to negative economic profit in 2024 raise concerns about recent profitability and efficiency, indicating challenges in sustaining returns above capital costs despite continued capital investment. This recent downturn warrants further investigation into operational factors or market conditions impacting performance in the latest period.


Net Operating Profit after Taxes (NOPAT)

UnitedHealth Group Inc., NOPAT calculation

US$ in millions

Microsoft Excel
12 months ended: Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
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: 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).

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 2024 Calculation
Interest expense on capitalized operating leases = Operating lease liability × Discount rate
= × =

6 2024 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
The net earnings showed a generally upward 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 notable decline to 14,405 million US dollars, indicating a significant reduction compared to the previous year and even below the 2021 level.
Net Operating Profit After Taxes (NOPAT)
NOPAT also exhibited growth over the first four years, rising from 18,059 million US dollars in 2020 to a peak of 26,672 million US dollars in 2023. Similar to net earnings, 2024 saw a decrease in NOPAT to 18,940 million US dollars, which is considerably lower than the 2023 figure but still above the 2020 and 2021 levels.
Overall Analysis
Both net earnings and NOPAT demonstrated strong performance growth from 2020 through 2023, suggesting operational improvements and profitability enhancements during this period. The sharp decline in both metrics in 2024 indicates a reversal of these positive trends, potentially due to adverse business conditions, increased costs, or other factors affecting profitability. Despite the decline, the 2024 NOPAT remains above earlier years, implying some retained operational efficiency compared to the start of the observed period.

Cash Operating Taxes

UnitedHealth Group Inc., cash operating taxes calculation

US$ in millions

Microsoft Excel
12 months ended: Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
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: 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 tax-related financial data over the five-year period reveals several noteworthy trends.

Provision for income taxes
The provision for income taxes exhibited some fluctuations during the observed period. An initial decrease occurred from 4,973 million USD in 2020 to 4,578 million USD in 2021. This was followed by an increase to 5,704 million USD in 2022 and a further rise to 5,968 million USD in 2023. However, the provision dropped significantly to 4,829 million USD in 2024. Overall, the provision peaked in 2023 before declining in the last reported year.
Cash operating taxes
Cash operating taxes mirrored a somewhat similar overall pattern but with more pronounced changes. After decreasing from 5,358 million USD in 2020 to 4,823 million USD in 2021, there was a substantial rise to 6,851 million USD in 2022 and a slight increase to 6,936 million USD in 2023. The amount then declined to 5,994 million USD in 2024. This suggests that cash operating taxes experienced greater volatility compared to the provision for income taxes, with notable escalations in 2022 and 2023 before easing in 2024.

In summary, both provision for income taxes and cash operating taxes showed a general pattern of decline in the initial year, followed by significant increases in the middle years of the period, peaking around 2023, and subsequently decreasing in 2024. The larger magnitude of changes in cash operating taxes compared to provision for income taxes may warrant further investigation to understand the underlying causes.


Invested Capital

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

US$ in millions

Microsoft Excel
Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
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: 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).

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.


Total reported debt & leases
The total reported debt and leases exhibit a consistent upward trend over the five-year period. Starting at $47,914 million in 2020, it increases gradually each year, reaching $81,793 million by 2024. The most significant growth appears between 2023 and 2024, where the increase surpasses previous annual increments, indicating a potentially higher reliance on debt financing or capital lease arrangements in the most recent year.
Shareholders’ equity attributable to UnitedHealth Group
Shareholders’ equity shows a steady increase from $65,491 million in 2020 to $92,658 million in 2024. The equity base grows consistently each year without any declines, reflecting accumulation of retained earnings or issuance of additional equity capital. The growth rate appears relatively stable, with a slightly accelerated increase from 2022 onwards, suggesting strengthening financial foundation.
Invested capital
Invested capital also demonstrates a continual rise, moving from $130,513 million in 2020 to $198,557 million in 2024. This indicator grows substantially over the period, with the largest yearly increments occurring between 2021 and 2022, and then especially from 2023 to 2024. The rising invested capital corresponds with the increases in both debt and equity, indicating expanded capital deployment or asset base growth.

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: 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 »

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: 2020-12-31).

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, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
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: 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).

1 Economic profit. See details »

2 Invested capital. See details »

3 2024 Calculation
Economic spread ratio = 100 × Economic profit ÷ Invested capital
= 100 × ÷ =

4 Click competitor name to see calculations.


Economic Profit
The economic profit displayed some fluctuation over the reported periods. It declined from 5,245 million USD in 2020 to 4,741 million USD in 2021, followed by an increase in 2022 to 5,848 million USD and a further rise in 2023 to 8,242 million USD. However, there was a significant downturn in 2024, resulting in a negative economic profit of 742 million USD. This suggests that the company’s profitability, in terms of value creation above its cost of capital, faced a notable challenge in the most recent year.
Invested Capital
The invested capital consistently increased across the years, moving from 130,513 million USD in 2020 to 198,557 million USD in 2024. This steady growth indicates ongoing capital investments or acquisitions, reflecting expansion or increased resource allocation for future growth opportunities.
Economic Spread Ratio
The economic spread ratio exhibited a declining trend from 4.02% in 2020 to 3.39% in 2021, followed by a slight recovery to 3.54% in 2022 and a notable increase to 4.51% in 2023. However, it reversed sharply in 2024 to a negative value of -0.37%. This ratio indicates the spread between return on invested capital and the cost of capital, and its negative value in 2024 suggests the return was insufficient to cover the capital costs that year.
Overall Insights
While invested capital showed steady growth, both economic profit and economic spread ratio revealed volatility and a worrying decline in 2024. The sharp decrease in economic profit and shift to a negative economic spread ratio points to potential operational or market challenges affecting the company’s ability to generate value beyond its capital costs in the most recent year. This could warrant further investigation into the underlying causes and strategic responses.

Economic Profit Margin

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

Microsoft Excel
Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
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: 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).

1 Economic profit. See details »

2 2024 Calculation
Economic profit margin = 100 × Economic profit ÷ Adjusted revenues, customers
= 100 × ÷ =

3 Click competitor name to see calculations.


Economic Profit
The economic profit exhibited a fluctuating trend over the period. It started at 5,245 million US dollars in 2020, decreased to 4,741 million in 2021, then increased to 5,848 million in 2022 and further rose significantly to 8,242 million in 2023. However, there was a notable decline in 2024, with economic profit turning negative to -742 million. This reversal suggests challenges impacting profitability during the most recent year.
Adjusted Revenues, Customers
Adjusted revenues showed consistent and substantial growth throughout the years. From 255,859 million US dollars in 2020, revenues increased steadily each year, reaching 285,002 million in 2021, 322,636 million in 2022, 367,813 million in 2023, and 395,038 million in 2024. This upward trajectory indicates strong expansion in customer-related revenue streams.
Economic Profit Margin
The economic profit margin mirrored the movements seen in economic profit, starting at 2.05% in 2020 and declining to 1.66% in 2021. It then recovered to 1.81% in 2022 and climbed to a peak of 2.24% in 2023. In 2024, the margin turned negative at -0.19%, reflecting the downturn in economic profit that year despite rising revenues.
Summary
There is evidence of robust revenue growth across the five-year period, consistent with expanding business or customer base. However, profitability metrics such as economic profit and its margin display volatility, notably with a sharp decline in the last reported year that resulted in negative economic profit and margin. This juxtaposition points to potential cost pressures, operational challenges, or adverse market conditions in 2024 that offset strong revenue gains. Ongoing monitoring of underlying factors affecting profitability will be essential to understand the drivers of the recent downturn and to support future strategic decisions.