UnitedHealth raises 2026 profit outlook after Q3 results

UnitedHealth Group reported third-quarter 2026 revenue of $112.7 billion and operating earnings of $6.6 billion on October 13. Adjusted earnings were $4.69 per share, while the medical spending ratio was 88.4% and the operating expense ratio was 12.8%. The company lifted its full-year 2026 adjusted earnings outlook to at least $20.50 per share.

The higher earnings floor changes UnitedHealth's full-year profit outlook and gives investors updated cost and margin data for assessing the insurer's performance. UnitedHealthcare reported $86.3 billion of revenue and Optum reported $66.9 billion, providing visibility into the two main operating segments.

  • 1Third-quarter 2026 revenue was $112.7 billion, compared with $113.2 billion in the year-earlier quarter.
  • 2Third-quarter operating earnings were $6.6 billion, versus $4.3 billion a year earlier.
  • 3Adjusted third-quarter earnings were $4.69 per share.
  • 4The medical care ratio was 88.4%, compared with 89.9% in the third quarter of 2025.
  • 5UnitedHealth raised its full-year 2026 adjusted net earnings outlook to at least $20.50 per share.
  • 6UnitedHealth repurchased $5.0 billion of common stock and paid $6.2 billion in dividends year-to-date.
  • Material 17's summary presents the current and prior-year revenue and operating-earnings figures in the opposite order from the detailed results in material 18.

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