More than 87% of the premiums UnitedHealth collected in the fourth quarter went back out the door to cover medical costs, which was “well above” what analysts expected, TD Cowen analyst Ryan Langston said in a research note.
UnitedHealth said it was still dealing with an increase in prescriptions for expensive specialty drugs and other cost pressures it detailed in previous quarters. The company's net income rose slightly to $5.54 billion in the quarter.
Adjusted results totaled $6.81 per share. The company's revenue climbed about 7% to $100.8 billion, which missed expectations.
Analysts expected earnings of $6.73 per share in the fourth quarter on $101.6 billion in revenue, according to the data firm FactSet.
UnitedHealth operates the nation’s largest health insurer, UnitedHealthcare, which covers more than 49 million people in the United States. It also operates a large pharmacy benefit manager that runs prescription drug coverage and a growing business that delivers care and provides technical support.
The company's full-year profit, which had climbed ever year for nearly a decade, sank 36% to $14.4 billion in 2024. The bottom line was hurt partly by costs tied to a massive cyberattack that hit its Change Healthcare business early in the year
UnitedHealth, based in Minnetonka, Minnesota, surprised Wall Street early last year by reporting soaring medical costs in the final quarter of 2023. Weeks later, the company discovered the cyberattack, which disrupted business and added more than $2 billion in direct response costs.
Then in early December, UnitedHealthcare CEO Brian Thompson was fatally shot as he walked to the company's annual investor meeting in mid-town Manhattan. A 26-year-old suspect, Luigi Mangione, faces federal and state charges in connection with Thompson's death.
Prosecutors have said Mangione, who was not a UnitedHealthcare customer, was carrying a notebook expressing hostility toward the health insurance industry and especially wealthy executives when he was arrested.
The shooting gave rise to an outpouring of grievances about insurance companies. A survey conducted a few weeks after the shooting found that most Americans believe health insurance profits or coverage denials bear some responsibility for Thompson's death.
Shares of UnitedHealth, a component of the Dow Jones Industrial Average, sank after Thompson’s shooting and fell about 4% on the year.
The stock had rallied so far in 2025 before falling about 4% to $522.25 in premarket trading Thursday.
Credit: AP
Credit: AP