An operating lease is treated like a rental contract. Neither the leased asset nor the associated liability is reported on the lessee balance sheet, but the rights may be very similar to the rights of an owner. The lessee only records the lease payments as a rental expense in income statement.

Adjustments to Financial Statements for Operating Leases
Adjusted Financial Ratios for Operating Leases (Summary)
Adjusted Total Asset Turnover
Adjusted Debt to Equity
Adjusted Return on Assets (ROA)

UnitedHealth Group Inc., adjustments to financial statements

US$ in millions

	Dec 31, 2023	Dec 31, 2022	Dec 31, 2021	Dec 31, 2020	Dec 31, 2019
Adjustment to Total Assets
Total assets (as reported)	273,720)	245,705)	212,206)	197,289)	173,889)
Add: Operating lease right-of-use asset (before adoption of FASB Topic 842)¹	—)	—)	—)	—)	—)
Total assets (adjusted)	273,720)	245,705)	212,206)	197,289)	173,889)
Adjustment to Total Debt
Total debt (as reported)	62,537)	57,623)	46,003)	43,467)	40,678)
Add: Operating lease liability (before adoption of FASB Topic 842)²	—)	—)	—)	—)	—)
Add: Current operating lease liabilities (included in Other current liabilities)	1,038)	997)	870)	865)	804)
Add: Noncurrent operating lease liabilities (included in Other liabilities)	3,860)	3,833)	3,403)	3,582)	3,155)
Total debt (adjusted)	67,435)	62,453)	50,276)	47,914)	44,637)

Based on: 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), 10-K (reporting date: 2019-12-31).

^{1, 2} Equal to total present value of future operating lease payments.

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

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UnitedHealth Group Inc., adjusted financial ratios

	Dec 31, 2023	Dec 31, 2022	Dec 31, 2021	Dec 31, 2020	Dec 31, 2019
Total Asset Turnover¹
Reported total asset turnover	1.34	1.31	1.34	1.30	1.38
Adjusted total asset turnover	1.34	1.31	1.34	1.30	1.38
Debt to Equity²
Reported debt to equity	0.70	0.74	0.64	0.66	0.71
Adjusted debt to equity	0.76	0.80	0.70	0.73	0.77
Return on Assets³ (ROA)
Reported ROA	8.18%	8.19%	8.15%	7.81%	7.96%
Adjusted ROA	8.18%	8.19%	8.15%	7.81%	7.96%

Based on: 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), 10-K (reporting date: 2019-12-31).

¹ See details »

² See details »

³ See details »

Financial ratio	Description	The company
Adjusted total asset turnover	An activity ratio calculated as total revenue divided by adjusted total assets.	UnitedHealth Group Inc. adjusted total asset turnover ratio deteriorated from 2021 to 2022 but then improved from 2022 to 2023 not reaching 2021 level.
Adjusted debt to equity	A solvency ratio calculated as adjusted total debt divided by total shareholders’ equity.	UnitedHealth Group Inc. adjusted debt to equity ratio deteriorated from 2021 to 2022 but then slightly improved from 2022 to 2023.
Adjusted ROA	A profitability ratio calculated as net income divided by adjusted total assets.	UnitedHealth Group Inc. adjusted ROA improved from 2021 to 2022 but then slightly deteriorated from 2022 to 2023.

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

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	Dec 31, 2023	Dec 31, 2022	Dec 31, 2021	Dec 31, 2020	Dec 31, 2019
As Reported
Selected Financial Data (US$ in millions)
Revenues, customers	367,533)	322,132)	285,273)	255,639)	240,269)
Total assets	273,720)	245,705)	212,206)	197,289)	173,889)
Activity Ratio
Total asset turnover¹	1.34	1.31	1.34	1.30	1.38
Adjusted for Operating Leases
Selected Financial Data (US$ in millions)
Revenues, customers	367,533)	322,132)	285,273)	255,639)	240,269)
Adjusted total assets	273,720)	245,705)	212,206)	197,289)	173,889)
Activity Ratio
Adjusted total asset turnover²	1.34	1.31	1.34	1.30	1.38

Based on: 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), 10-K (reporting date: 2019-12-31).

2023 Calculations

¹ Total asset turnover = Revenues, customers ÷ Total assets
= 367,533 ÷ 273,720 = 1.34

² Adjusted total asset turnover = Revenues, customers ÷ Adjusted total assets
= 367,533 ÷ 273,720 = 1.34

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Activity ratio	Description	The company
Adjusted total asset turnover	An activity ratio calculated as total revenue divided by adjusted total assets.	UnitedHealth Group Inc. adjusted total asset turnover ratio deteriorated from 2021 to 2022 but then improved from 2022 to 2023 not reaching 2021 level.

	Dec 31, 2023	Dec 31, 2022	Dec 31, 2021	Dec 31, 2020	Dec 31, 2019
As Reported
Selected Financial Data (US$ in millions)
Total debt	62,537)	57,623)	46,003)	43,467)	40,678)
Shareholders’ equity attributable to UnitedHealth Group	88,756)	77,772)	71,760)	65,491)	57,616)
Solvency Ratio
Debt to equity¹	0.70	0.74	0.64	0.66	0.71
Adjusted for Operating Leases
Selected Financial Data (US$ in millions)
Adjusted total debt	67,435)	62,453)	50,276)	47,914)	44,637)
Shareholders’ equity attributable to UnitedHealth Group	88,756)	77,772)	71,760)	65,491)	57,616)
Solvency Ratio
Adjusted debt to equity²	0.76	0.80	0.70	0.73	0.77

Based on: 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), 10-K (reporting date: 2019-12-31).

2023 Calculations

¹ Debt to equity = Total debt ÷ Shareholders’ equity attributable to UnitedHealth Group
= 62,537 ÷ 88,756 = 0.70

² Adjusted debt to equity = Adjusted total debt ÷ Shareholders’ equity attributable to UnitedHealth Group
= 67,435 ÷ 88,756 = 0.76

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Solvency ratio	Description	The company
Adjusted debt-to-equity	A solvency ratio calculated as adjusted total debt divided by total shareholders’ equity.	UnitedHealth Group Inc. adjusted debt-to-equity ratio deteriorated from 2021 to 2022 but then slightly improved from 2022 to 2023.

	Dec 31, 2023	Dec 31, 2022	Dec 31, 2021	Dec 31, 2020	Dec 31, 2019
As Reported
Selected Financial Data (US$ in millions)
Net earnings attributable to UnitedHealth Group common shareholders	22,381)	20,120)	17,285)	15,403)	13,839)
Total assets	273,720)	245,705)	212,206)	197,289)	173,889)
Profitability Ratio
ROA¹	8.18%	8.19%	8.15%	7.81%	7.96%
Adjusted for Operating Leases
Selected Financial Data (US$ in millions)
Net earnings attributable to UnitedHealth Group common shareholders	22,381)	20,120)	17,285)	15,403)	13,839)
Adjusted total assets	273,720)	245,705)	212,206)	197,289)	173,889)
Profitability Ratio
Adjusted ROA²	8.18%	8.19%	8.15%	7.81%	7.96%

Based on: 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), 10-K (reporting date: 2019-12-31).

2023 Calculations

¹ ROA = 100 × Net earnings attributable to UnitedHealth Group common shareholders ÷ Total assets
= 100 × 22,381 ÷ 273,720 = 8.18%

² Adjusted ROA = 100 × Net earnings attributable to UnitedHealth Group common shareholders ÷ Adjusted total assets
= 100 × 22,381 ÷ 273,720 = 8.18%

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Profitability ratio	Description	The company
Adjusted ROA	A profitability ratio calculated as net income divided by adjusted total assets.	UnitedHealth Group Inc. adjusted ROA improved from 2021 to 2022 but then slightly deteriorated from 2022 to 2023.

UnitedHealth Group Inc. (NYSE:UNH)

Analysis of Operating Leases

Adjustments to Financial Statements for Operating Leases

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

Adjusted Financial Ratios for Operating Leases (Summary)

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

Adjusted Total Asset Turnover

Adjusted Debt to Equity

Adjusted Return on Assets (ROA)