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UnitedHealth Group Reports 2019 Results

January 15, 2020 5:55 AM

MINNETONKA, Minn.--(BUSINESS WIRE)-- Diversified strength in performance continued across UnitedHealth Group (NYSE: UNH) in the fourth quarter and full year 2019.

“The dedicated women and men of UnitedHealth Group work together each day to improve outcomes and the patient and physician experience, while making health care more affordable, enabling us to serve more people better, while positioning us for continued growth in 2020,” said David S. Wichmann, chief executive officer of UnitedHealth Group.

The Company affirmed its recently issued full year earnings outlook for 2020, including net earnings of $15.45 to $15.75 per share and adjusted net earnings of $16.25 to $16.55 per share.

Quarterly and Annual Financial Performance

Three Months Ended

Year Ended

December 31,
2019

December 31,
2018

September 30,
2019

December 31,
2019

December 31,
2018

Revenues

$60.9 billion

$58.4 billion

$60.4 billion

$242.2 billion

$226.2 billion

Earnings from
Operations

$5.1 billion

$4.5 billion

$5.0 billion

$19.7 billion

$17.3 billion

Net Margin

5.8%

5.2%

5.9%

5.7%

5.3%

UnitedHealthcare provides health care benefits, serving individuals and employers, and Medicare and Medicaid beneficiaries. UnitedHealthcare is dedicated to improving the value health care consumers receive by reducing the total cost of care, enhancing the quality of care received, improving health and wellness and simplifying the health care experience.

Quarterly and Annual Financial Performance

Three Months Ended

Year Ended

December 31,
2019

December 31,
2018

September 30,
2019

December 31,
2019

December 31,
2018

Revenues

$48.2 billion

$46.2 billion

$48.1 billion

$193.8 billion

$183.5 billion

Earnings from
Operations

$2.1 billion

$1.8 billion

$2.7 billion

$10.3 billion

$9.1 billion

Operating
Margin

4.3%

3.9%

5.5%

5.3%

5.0%

Optum is a health services business serving the broad health care marketplace, including payers, care providers, health systems, employers, governments, life sciences companies and consumers. Using market-leading information, data analytics, technology and clinical insights, Optum helps improve overall health system performance: optimizing care quality, reducing health care costs and improving the consumer and physician experience.

Quarterly and Annual Financial Performance

Three Months Ended

Year Ended

December 31,
2019

December 31,
2018

September 30,
2019

December 31,
2019

December 31,
2018

Revenues

$29.8 billion

$27.6 billion

$28.8 billion

$113.0 billion

$101.3 billion

Earnings from
Operations

$3.0 billion

$2.7 billion

$2.4 billion

$9.4 billion

$8.2 billion

Operating
Margin

10.1%

9.8%

8.2%

8.3%

8.1%

About UnitedHealth Group

UnitedHealth Group (NYSE: UNH) is a diversified health care company dedicated to helping people live healthier lives and helping make the health system work better for everyone. UnitedHealth Group offers a broad spectrum of products and services through two distinct platforms: UnitedHealthcare, which provides health care coverage and benefits services; and Optum, which provides information and technology-enabled health services. For more information, visit UnitedHealth Group at www.unitedhealthgroup.com or follow @UnitedHealthGrp on Twitter.

Earnings Conference Call

As previously announced, UnitedHealth Group will discuss the Company’s results, strategy and future outlook on a conference call with investors at 8:45 a.m. Eastern Time today. UnitedHealth Group will host a live webcast of this conference call from the Investors page of the Company’s website (www.unitedhealthgroup.com). Following the call, a webcast replay will be available on the same site through January 29, 2020. The conference call replay can also be accessed by dialing 1-800-839-1192. This earnings release and the Form 8-K dated January 15, 2020, can also be accessed from the Investors page of the Company’s website.

Non-GAAP Financial Information

This news release presents non-GAAP financial information provided as a complement to the results provided in accordance with accounting principles generally accepted in the United States of America (“GAAP”). A reconciliation of the non-GAAP financial information to the most directly comparable GAAP financial measure is provided in the accompanying tables found at the end of this release.

Forward-Looking Statements

The statements, estimates, projections, guidance or outlook contained in this document include “forward-looking” statements which are intended to take advantage of the “safe harbor” provisions of the federal securities law. The words “believe,” “expect,” “intend,” “estimate,” “anticipate,” “forecast,” “outlook,” “plan,” “project,” “should” and similar expressions identify forward-looking statements. These statements may contain information about financial prospects, economic conditions and trends and involve risks and uncertainties. Actual results could differ materially from those that management expects, depending on the outcome of certain factors including: our ability to effectively estimate, price for and manage medical costs; new or changes in existing health care laws or regulations, or their enforcement or application; the DOJ’s legal action relating to the risk adjustment submission matter; our ability to maintain and achieve improvement in quality scores impacting revenue; reductions in revenue or delays to cash flows received under government programs; changes in Medicare, the CMS star ratings program or the application of risk adjustment data validation audits; cyberattacks, other privacy/data security incidents, or our failure to comply with related regulations; risks and uncertainties associated with the pharmacy benefits management industry; competitive pressures; changes in or challenges to our public sector contract awards; our ability to contract on competitive terms with physicians, hospitals and other service providers; failure to achieve targeted operating cost productivity improvements; increases in costs and other liabilities associated with litigation, government investigations, audits or reviews; failure to manage successfully our strategic alliances or complete or receive anticipated benefits of strategic transactions; fluctuations in foreign currency exchange rates; downgrades in our credit ratings; our investment portfolio performance; impairment of our goodwill and intangible assets; failure to maintain effective and efficient information systems or if our technology products do not operate as intended; and our ability to obtain sufficient funds from our regulated subsidiaries or from external financings to fund our obligations, maintain our debt to total capital ratio at targeted levels, maintain our quarterly dividend payment cycle, or continue repurchasing shares of our common stock. This above list is not exhaustive. We discuss these matters, and certain risks that may affect our business operations, financial condition and results of operations more fully in our filings with the SEC, including our reports on Forms 10-K, 10-Q and 8-K. By their nature, forward-looking statements are not guarantees of future performance or results and are subject to risks, uncertainties and assumptions that are difficult to predict or quantify. Actual results may vary materially from expectations expressed or implied in this document or any of our prior communications. You should not place undue reliance on forward-looking statements, which speak only as of the date they are made. We do not undertake to update or revise any forward-looking statements, except as required by law.

UNITEDHEALTH GROUP
Earnings Release Schedules and Supplementary Information
Year Ended December 31, 2019
- Condensed Consolidated Statements of Operations
- Condensed Consolidated Balance Sheets
- Condensed Consolidated Statements of Cash Flows
- Supplemental Financial Information - Businesses
- Supplemental Financial Information - Business Metrics
- Reconciliation of Non-GAAP Financial Measure
UNITEDHEALTH GROUP
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(in millions, except per share data)
(unaudited)
Three Months Ended
December 31,
Year Ended
December 31,

2019

2018

2019

2018

Revenues
Premiums

$

47,625

$

44,932

$

189,699

$

178,087

Products

7,626

8,551

31,597

29,601

Services

5,217

4,593

18,973

17,183

Investment and other income

433

341

1,886

1,376

Total revenues

60,901

58,417

242,155

226,247

Operating costs
Medical costs

39,276

36,955

156,440

145,403

Operating costs

9,301

8,703

35,193

34,074

Cost of products sold

6,511

7,625

28,117

26,998

Depreciation and amortization

718

637

2,720

2,428

Total operating costs

55,806

53,920

222,470

208,903

Earnings from operations

5,095

4,497

19,685

17,344

Interest expense

(437

)

(374

)

(1,704

)

(1,400

)

Earnings before income taxes

4,658

4,123

17,981

15,944

Provision for income taxes

(990

)

(959

)

(3,742

)

(3,562

)

Net earnings

3,668

3,164

14,239

12,382

Earnings attributable to noncontrolling interests

(127

)

(124

)

(400

)

(396

)

Net earnings attributable to UnitedHealth Group common shareholders

$

3,541

$

3,040

$

13,839

$

11,986

Diluted earnings per share attributable to UnitedHealth Group common shareholders

$

3.68

$

3.10

$

14.33

$

12.19

Adjusted earnings per share attributable to UnitedHealth Group common shareholders (a)

$

3.90

$

3.28

$

15.11

$

12.88

Diluted weighted-average common shares outstanding

962

982

966

983

(a)

See page 6 for a reconciliation of the non-GAAP measure
UNITEDHEALTH GROUP
CONDENSED CONSOLIDATED BALANCE SHEETS
(in millions)
(unaudited)

December 31,

December 31,

2019

2018

Assets
Cash and short-term investments

$

14,245

$

14,324

Accounts receivable, net

11,822

11,388

Other current assets

16,567

12,980

Total current assets

42,634

38,692

Long-term investments

37,209

32,510

Other long-term assets

94,046

81,019

Total assets

$

173,889

$

152,221

Liabilities, redeemable noncontrolling interests and equity
Medical costs payable

$

21,690

$

19,891

Commercial paper and current maturities of long-term debt

3,870

1,973

Other current liabilities

36,222

31,345

Total current liabilities

61,782

53,209

Long-term debt, less current maturities

36,808

34,581

Other long-term liabilities

13,137

8,204

Redeemable noncontrolling interests

1,726

1,908

Equity

60,436

54,319

Total liabilities, redeemable noncontrolling interests and equity

$

173,889

$

152,221

UNITEDHEALTH GROUP
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(in millions)
(unaudited)
Year Ended
December 31,

2019

2018

Operating Activities
Net earnings

$

14,239

$

12,382

Noncash items:
Depreciation and amortization

2,720

2,428

Deferred income taxes and other

124

(29

)

Share-based compensation

697

638

Net changes in operating assets and liabilities

683

294

Cash flows from operating activities

18,463

15,713

Investing Activities
Purchases of investments, net of sales and maturities

(2,504

)

(4,099

)

Purchases of property, equipment and capitalized software

(2,071

)

(2,063

)

Cash paid for acquisitions, net

(8,343

)

(5,997

)

Other, net

219

(226

)

Cash flows used for investing activities

(12,699

)

(12,385

)

Financing Activities
Common share repurchases

(5,500

)

(4,500

)

Dividends paid

(3,932

)

(3,320

)

Net change in commercial paper and long-term debt

3,994

4,134

Other, net

(187

)

(679

)

Cash flows from (used for) financing activities

(5,625

)

(4,365

)

Effect of exchange rate changes on cash and cash equivalents

(20

)

(78

)

Increase (decrease) in cash and cash equivalents

119

(1,115

)

Cash and cash equivalents, beginning of period

10,866

11,981

Cash and cash equivalents, end of period

$

10,985

$

10,866

UNITEDHEALTH GROUP
SUPPLEMENTAL FINANCIAL INFORMATION - BUSINESSES
(in millions, except percentages)
(unaudited)
Three Months Ended
December 31,
Year Ended
December 31,

2019

2018

2019

2018

Revenues
UnitedHealthcare

$

48,247

$

46,234

$

193,842

$

183,476

Optum

29,798

27,562

112,950

101,280

Eliminations

(17,144

)

(15,379

)

(64,637

)

(58,509

)

Total consolidated revenues

$

60,901

$

58,417

$

242,155

$

226,247

Earnings from Operations
UnitedHealthcare

$

2,075

$

1,797

$

10,326

$

9,113

Optum (a)

3,020

2,700

9,359

8,231

Total consolidated earnings from operations

$

5,095

$

4,497

$

19,685

$

17,344

Operating Margin
UnitedHealthcare

4.3

%

3.9

%

5.3

%

5.0

%

Optum

10.1

%

9.8

%

8.3

%

8.1

%

Consolidated operating margin

8.4

%

7.7

%

8.1

%

7.7

%

Revenues
UnitedHealthcare Employer & Individual

$

14,538

$

13,905

$

56,945

$

54,761

UnitedHealthcare Medicare & Retirement

20,603

18,900

83,252

75,473

UnitedHealthcare Community & State

10,752

10,955

43,790

43,426

UnitedHealthcare Global

2,354

2,474

9,855

9,816

OptumHealth

$

8,323

$

6,393

$

30,317

$

24,145

OptumInsight

2,861

2,500

10,006

9,008

OptumRx

19,094

19,052

74,288

69,536

Optum eliminations

(480

)

(383

)

(1,661

)

(1,409

)

(a)

Earnings from operations for Optum for the three months and year ended December 31, 2019 included $901 and $2,963 for OptumHealth; $905 and $2,494 for OptumInsight; and $1,214 and $3,902 for OptumRx, respectively. Earnings from operations for Optum for the three months and year ended December 31, 2018 included $750 and $2,430 for OptumHealth; $861 and $2,243 for OptumInsight; and $1,089 and $3,558 for OptumRx, respectively.
UNITEDHEALTH GROUP
SUPPLEMENTAL FINANCIAL INFORMATION - BUSINESS METRICS
UNITEDHEALTHCARE CUSTOMER PROFILE
(in thousands)
People Served December 31,
2019
September 30,
2019
December 31,
2018
Commercial:
Risk-based

8,575

8,605

8,495

Fee-based

19,185

19,230

18,420

Total Commercial

27,760

27,835

26,915

Medicare Advantage

5,270

5,230

4,945

Medicaid

5,900

5,965

6,450

Medicare Supplement (Standardized)

4,500

4,510

4,545

Total Public and Senior

15,670

15,705

15,940

Total UnitedHealthcare - Domestic Medical

43,430

43,540

42,855

International

5,720

5,845

6,220

Total UnitedHealthcare - Medical

49,150

49,385

49,075

Supplemental Data
Medicare Part D stand-alone

4,405

4,415

4,710

OPTUM PERFORMANCE METRICS
December 31,
2019
September 30,
2019
December 31,
2018
OptumHealth Consumers Served (in millions)

96

95

93

OptumInsight Contract Backlog (in billions)

$

19.3

$

19.0

$

17.0

OptumRx Quarterly Adjusted Scripts (in millions)

333

325

348

Note: UnitedHealth Group served 137 million unique individuals across all businesses at December 31, 2019.
UNITEDHEALTH GROUP
RECONCILIATION OF NON-GAAP FINANCIAL MEASURE
(in millions, except per share data)
(unaudited)
ADJUSTED NET EARNINGS PER SHARE(a)
Three Months Ended
December 31,
Year Ended
December 31,
Projected
Year Ended
December 31,

2019

2018

2019

2018

2020

GAAP net earnings attributable to UnitedHealth Group common shareholders

$

3,541

$

3,040

$

13,839

$

11,986

$14,750 - $15,050

Intangible amortization

275

238

1,004

899

~1,025

Tax effect of intangible amortization

(68

)

(60

)

(248

)

(225

)

~(250)

Adjusted net earnings attributable to UnitedHealth Group common shareholders

$

3,748

$

3,218

$

14,595

$

12,660

$15,525 - $15,825

GAAP diluted earnings per share

$

3.68

$

3.10

$

14.33

$

12.19

$15.45 - $15.75

Intangible amortization per share

0.29

0.24

1.04

0.91

~1.05

Tax effect per share of intangible amortization

(0.07

)

(0.06

)

(0.26

)

(0.22

)

~(0.25)

Adjusted diluted earnings per share

$

3.90

$

3.28

$

15.11

$

12.88

$16.25 - $16.55

(a)

Adjusted net earnings per share is a non-GAAP financial measure. Non-GAAP financial measures should be considered in addition to, but not as a substitute for, or superior to, financial measures prepared in accordance with GAAP.

Adjusted net earnings per share excludes from the relevant GAAP metric, as applicable, intangible amortization and other items, if any, that do not relate to the Company's underlying business performance. Management believes that the use of adjusted net earnings per share provides investors and management useful information about the earnings impact of acquisition-related intangible asset amortization. As amortization fluctuates based on the size and timing of the Company’s acquisition activity, management believes this exclusion provides a more useful comparison of the Company's underlying business performance and trends from period to period. While intangible assets contribute to the Company’s revenue generation, the intangible amortization is not directly related. Therefore, the related revenues are included in adjusted earnings per share.

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Investors:

Brett Manderfeld

Senior Vice President

952-936-7216

Media:

Matt Stearns

Senior Vice President

202-276-0085

Source: UnitedHealth Group

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