Stock Analysis on Net

UnitedHealth Group Inc. (NYSE:UNH)

$24.99

Common-Size Income Statement

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UnitedHealth Group Inc., common-size consolidated income statement

Microsoft Excel
12 months ended: Dec 31, 2025 Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021
Premiums
Products
Services
Revenues, customers
Medical costs
Cost of products sold
Cost of revenues
Gross profit
Investment and other income
Operating costs
Depreciation and amortization
Earnings from operations
Interest expense
Loss on sale of subsidiary and subsidiaries held for sale
Earnings before income taxes
Provision for income taxes
Net earnings
Earnings attributable to noncontrolling interests
Net earnings attributable to UnitedHealth Group common shareholders

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 common-size income statement reveals several noteworthy trends between 2021 and 2025. Revenues are consistently composed of approximately 80% premiums, 12% products, and 9% services, with minor fluctuations annually. However, significant shifts are observed in profitability and cost structures over the period.

Revenue Composition
Premiums consistently represent the largest portion of revenue, fluctuating between 79.13% and 79.83% over the five-year period. Products and Services demonstrate more variability, with Products increasing from 11.62% to 12.71% in 2024 before decreasing to 12.03% in 2025. Services show a similar pattern, peaking at 9.28% in 2023 and declining to 8.57% in 2025.
Cost of Revenues & Gross Profit
Cost of revenues, as a percentage of revenues, steadily increased from -75.91% in 2022 to -82.19% in 2025. This increase is primarily driven by a substantial rise in medical costs, which moved from -65.45% to -70.78% over the same period. Consequently, gross profit margin declined consistently from 24.09% in 2022 to 17.81% in 2025. This indicates increasing pressure on profitability from rising costs.
Operating Performance
Earnings from operations decreased significantly from 8.83% in 2022 to 4.27% in 2025. While operating costs remained relatively stable as a percentage of revenue (around -14%), the decline in gross profit directly impacted operating income. Investment and other income showed some fluctuation, peaking at 1.32% in 2024, but did not offset the decline in gross profit.
Net Profitability
Net earnings attributable to UnitedHealth Group common shareholders followed a similar downward trend, decreasing from 6.25% in 2022 to 2.72% in 2025. The provision for income taxes decreased as a percentage of revenue, from -1.77% to -0.43%, but this reduction was insufficient to mitigate the impact of lower earnings before income taxes. A loss on the sale of a subsidiary and subsidiaries held for sale impacted 2024 results, representing -2.10% of revenues.
Expense Management
Depreciation and amortization remained relatively consistent as a percentage of revenues, decreasing slightly from -1.09% to -0.98%. Interest expense also showed a modest increase, moving from -0.65% to -0.99% in 2024 before decreasing slightly to -0.90% in 2025. These expense items did not appear to be major drivers of the overall decline in profitability.

In summary, the period demonstrates a consistent revenue structure coupled with increasing costs, particularly medical costs, leading to a significant decline in gross profit and, subsequently, net earnings. While some expense items remained stable, the rising cost of revenues is the primary factor impacting the company’s profitability.