The Quarterly
UNH 2016 10-K

Unitedhealth Group Inc (UNH) SEC Quarterly Report (10-Q) for Q1 2017

UNH Q2 2017 10-Q
UNH 2016 10-K UNH Q2 2017 10-Q


UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

__________________________________________________________ 

Form 10-Q

__________________________________________________________ 

[X]

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

FOR THE QUARTERLY PERIOD ENDED MARCH 31, 2017

or

[ ]

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

FOR THE TRANSITION PERIOD FROM _______ TO _______

Commission file number: 1-10864

__________________________________________________________ 

UnitedHealth Group Incorporated

(Exact name of registrant as specified in its charter)

 __________________________________________________________ 

Delaware

41-1321939

(State or other jurisdiction of

incorporation or organization)

(I.R.S. Employer

Identification No.)

UnitedHealth Group Center

9900 Bren Road East

Minnetonka, Minnesota

55343

(Address of principal executive offices)

(Zip Code)

(952) 936-1300

(Registrant's telephone number, including area code)

__________________________________________________________  

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes [X] No [ ]

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).    Yes [X] No [ ]

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company, or an emerging growth company. See the definitions of "large accelerated filer," "accelerated filer," "smaller reporting company," and "emerging growth company" in Rule 12b-2 of the Exchange Act:

Large accelerated filer

[X]

Accelerated filer

[ ]

Non-accelerated filer

[ ]

Smaller reporting company

[ ]

Emerging growth company

[ ]

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. [ ]

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes [ ] No [X]

As of April 28, 2017, there were 963,661,565 shares of the registrant's Common Stock, $.01 par value per share, issued and outstanding.


UNITEDHEALTH GROUP

Table of Contents

Page

Part I. Financial Information

Item 1.

Financial Statements (unaudited)

1

Condensed Consolidated Balance Sheets as of March 31, 2017 and December 31, 2016

1

Condensed Consolidated Statements of Operations for the Three Months Ended March 31, 2017 and 2016

2

Condensed Consolidated Statements of Comprehensive Income for the Three Months Ended March 31, 2017 and 2016

3

Condensed Consolidated Statements of Changes in Equity for the Three Months Ended March 31, 2017 and 2016

4

Condensed Consolidated Statements of Cash Flows for the Three Months Ended March 31, 2017 and 2016

5

Notes to the Condensed Consolidated Financial Statements

6

1.

Basis of Presentation

6

2.

Investments

8

3.

Fair Value

9

4.

Other Current Receivables

11

5.

Medical Costs Payable

11

6.

Commercial Paper and Long-Term Debt

12

7.

Commitments and Contingencies

13

8.

Segment Financial Information

14

Item 2.

Management's Discussion and Analysis of Financial Condition and Results of Operations

15

Item 3.

Quantitative and Qualitative Disclosures About Market Risk

23

Item 4.

Controls and Procedures

23

Part II. Other Information

Item 1.

Legal Proceedings

23

Item 1A.

Risk Factors

23

Item 2.

Unregistered Sales of Equity Securities and Use of Proceeds

24

Item 6.

Exhibits

24

Signatures

25




PART I

ITEM 1.    FINANCIAL STATEMENTS

UnitedHealth Group

Condensed Consolidated Balance Sheets

(Unaudited)

(in millions, except per share data)

March 31,
2017

December 31,
2016

Assets

Current assets:

Cash and cash equivalents

$

16,142


$

10,430


Short-term investments

3,210


2,845


Accounts receivable, net

9,595


8,152


Other current receivables, net

6,609


7,499


Assets under management

2,886


3,105


Prepaid expenses and other current assets

2,547


1,848


Total current assets

40,989


33,879


Long-term investments

25,760


23,868


Property, equipment and capitalized software, net

6,329


5,901


Goodwill

52,376


47,584


Other intangible assets, net

8,618


8,541


Other assets

3,085


3,037


Total assets

$

137,157


$

122,810


Liabilities, redeemable noncontrolling interests and equity

Current liabilities:

Medical costs payable

$

17,650


$

16,391


Accounts payable and accrued liabilities

13,473


13,361


Commercial paper and current maturities of long-term debt

7,747


7,193


Unearned revenues

6,475


1,968


Other current liabilities

12,198


10,339


Total current liabilities

57,543


49,252


Long-term debt, less current maturities

26,154


25,777


Future policy benefits

2,519


2,524


Deferred income taxes

2,894


2,761


Other liabilities

2,385


2,307


Total liabilities

91,495


82,621


Commitments and contingencies (Note 7)





Redeemable noncontrolling interests

1,667


2,012


Equity:

Preferred stock, $0.001 par value - 10 shares authorized; no shares issued or outstanding

-


-


Common stock, $0.01 par value - 3,000 shares authorized; 965 and 952 issued and outstanding

10


10


Additional paid-in capital

1,819


-


Retained earnings

42,521


40,945


Accumulated other comprehensive loss

(2,447

)

(2,681

)

Nonredeemable noncontrolling interest

2,092


(97

)

Total equity

43,995


38,177


Total liabilities, redeemable noncontrolling interests and equity

$

137,157


$

122,810



See Notes to the Condensed Consolidated Financial Statements


1

Table of Contents


UnitedHealth Group

Condensed Consolidated Statements of Operations

(Unaudited)

Three Months Ended March 31,

(in millions, except per share data)

2017

2016

Revenues:

Premiums

$

38,938


$

34,811


Products

6,129


6,393


Services

3,434


3,140


Investment and other income

222


183


Total revenues

48,723


44,527


Operating costs:

Medical costs

32,079


28,430


Operating costs

7,022


6,758


Cost of products sold

5,676


5,877


Depreciation and amortization

533


502


Total operating costs

45,310


41,567


Earnings from operations

3,413


2,960


Interest expense

(283

)

(259

)

Earnings before income taxes

3,130


2,701


Provision for income taxes

(939

)

(1,074

)

Net earnings

2,191


1,627


Earnings attributable to noncontrolling interests

(19

)

(16

)

Net earnings attributable to UnitedHealth Group common shareholders

$

2,172


$

1,611


Earnings per share attributable to UnitedHealth Group common shareholders:

Basic

$

2.28


$

1.69


Diluted

$

2.23


$

1.67


Basic weighted-average number of common shares outstanding

954


953


Dilutive effect of common share equivalents

21


14


Diluted weighted-average number of common shares outstanding

975


967


Anti-dilutive shares excluded from the calculation of dilutive effect of common share equivalents

9


7


Cash dividends declared per common share

$

0.625


$

0.500



See Notes to the Condensed Consolidated Financial Statements


2

Table of Contents



UnitedHealth Group

Condensed Consolidated Statements of Comprehensive Income

(Unaudited)


Three Months Ended March 31,

(in millions)

2017

2016

Net earnings

$

2,191


$

1,627


Other comprehensive income:

Gross unrealized gains on investment securities during the period

99


260


Income tax effect

(32

)

(96

)

Total unrealized gains, net of tax

67


164


Gross reclassification adjustment for net realized gains included in net earnings

(21

)

(35

)

Income tax effect

8


13


Total reclassification adjustment, net of tax

(13

)

(22

)

Total foreign currency translation gains

180


388


Other comprehensive income

234


530


Comprehensive income

2,425


2,157


Comprehensive income attributable to noncontrolling interests

(19

)

(16

)

Comprehensive income attributable to UnitedHealth Group common shareholders

$

2,406


$

2,141



See Notes to the Condensed Consolidated Financial Statements


3

Table of Contents


UnitedHealth Group

Condensed Consolidated Statements of Changes in Equity

(Unaudited)

Common Stock

Additional Paid-In Capital

Retained Earnings

Accumulated Other Comprehensive (Loss)

Income

Nonredeemable Noncontrolling Interest

Total

Equity

(in millions)

Shares

Amount

Net Unrealized (Losses) Gains on Investments

Foreign Currency Translation (Losses) Gains

Balance at January 1, 2017

952


$

10


$

-


$

40,945


$

(97

)

$

(2,584

)

$

(97

)

$

38,177


Net earnings

2,172


9


2,181


Other comprehensive income

54


180


234


Issuances of common stock,
and related tax effects

17


-


1,923


1,923


Share-based compensation

189


189


Common share repurchases

(4

)

-


(682

)

-


(682

)

Cash dividends paid on common shares

(596

)

(596

)

 Redeemable noncontrolling interests fair value and other adjustments

389


389


Acquisition of nonredeemable noncontrolling interest

2,191


2,191


Distribution to nonredeemable noncontrolling interest

(11

)

(11

)

Balance at March 31, 2017

965


$

10


$

1,819


$

42,521


$

(43

)

$

(2,404

)

$

2,092


$

43,995


Balance at January 1, 2016

953


$

10


$

29


$

37,125


$

56


$

(3,390

)

$

(105

)

$

33,725


Adjustment to adopt ASU 2016-09

28


28


Net earnings

1,611


11


1,622


Other comprehensive income

142


388


530


Issuances of common stock,

 and related tax effects

5


-


56


56


Share-based compensation

150


150


Common share repurchases

(4

)

-


(176

)

(324

)

(500

)

Cash dividends paid on common shares

(477

)

(477

)

Redeemable noncontrolling interests fair value and other adjustments

(59

)

(59

)

Distribution to nonredeemable noncontrolling interest

(8

)

(8

)

Balance at March 31, 2016

954


$

10


$

-


$

37,963


$

198


$

(3,002

)

$

(102

)

$

35,067




See Notes to the Condensed Consolidated Financial Statements


4

Table of Contents


UnitedHealth Group

Condensed Consolidated Statements of Cash Flows

(Unaudited)

Three Months Ended March 31,

(in millions)

2017

2016

Operating activities

Net earnings

$

2,191


$

1,627


Noncash items:

Depreciation and amortization

533


502


Deferred income taxes

(89

)

145


Share-based compensation

196


157


Other, net

43


6


Net change in other operating items, net of effects from acquisitions and changes in AARP balances:

Accounts receivable

(1,232

)

(1,110

)

Other assets

(998

)

(2,162

)

Medical costs payable

1,024


1,368


Accounts payable and other liabilities

292


2,036


Unearned revenues

4,496


(251

)

Cash flows from operating activities

6,456


2,318


Investing activities

Purchases of investments

(3,683

)

(5,173

)

Sales of investments

1,018


2,122


Maturities of investments

1,326


978


Cash paid for acquisitions, net of cash assumed

(468

)

(1,697

)

Purchases of property, equipment and capitalized software

(507

)

(425

)

Other, net

25


14


Cash flows used for investing activities

(2,289

)

(4,181

)

Financing activities

Common share repurchases

(682

)

(500

)

Cash dividends paid

(596

)

(477

)

Proceeds from common stock issuances

270


198


Proceeds from issuance of long-term debt

1,342


2,485


Repayments of long-term debt

(1,392

)

(601

)

Repayments of commercial paper, net

(139

)

(285

)

Customer funds administered

3,217


1,067


Other, net

(495

)

(385

)

Cash flows from financing activities

1,525


1,502


Effect of exchange rate changes on cash and cash equivalents

20


34


Increase (decrease) in cash and cash equivalents

5,712


(327

)

Cash and cash equivalents, beginning of period

10,430


10,923


Cash and cash equivalents, end of period

$

16,142


$

10,596


Supplemental Schedule of Noncash Investing Activities

Common stock issued for acquisition

$

1,860


$

-



See Notes to the Condensed Consolidated Financial Statements


5

Table of Contents


UnitedHealth Group

Notes to the Condensed Consolidated Financial Statements

(Unaudited)

1. Basis of Presentation and Significant Accounting Policies

UnitedHealth Group Incorporated (individually and together with its subsidiaries, "UnitedHealth Group" and "the Company") is a diversified health and well-being company dedicated to helping people live healthier lives and helping to make the health system work better for everyone. Through its diversified family of businesses, the Company leverages core competencies in advanced, enabling technology; health care data, information and intelligence; and clinical care management and coordination to help meet the demands of the health system. These core competencies are deployed within the Company's two distinct, but strategically aligned, business platforms: health benefits operating under UnitedHealthcare and health services operating under Optum.

The Company has prepared the Condensed Consolidated Financial Statements according to U.S. Generally Accepted Accounting Principles (GAAP) and has included the accounts of UnitedHealth Group and its subsidiaries. The year-end condensed consolidated balance sheet was derived from audited financial statements, but does not include all disclosures required by GAAP. In accordance with the rules and regulations of the U.S. Securities and Exchange Commission (SEC), the Company has omitted certain footnote disclosures that would substantially duplicate the disclosures contained in its annual audited Consolidated Financial Statements. Therefore, these Condensed Consolidated Financial Statements should be read together with the Consolidated Financial Statements and the Notes included in Part II, Item 8, "Financial Statements" in the Company's Annual Report on Form 10-K for the year ended December 31, 2016 as filed with the SEC ( 2016 10-K). The accompanying Condensed Consolidated Financial Statements include all normal recurring adjustments necessary to present the interim financial statements fairly.

Use of Estimates

These Condensed Consolidated Financial Statements include certain amounts based on the Company's best estimates and judgments. The Company's most significant estimates relate to estimates and judgments for medical costs payable and revenues, valuation and impairment analysis of goodwill and other intangible assets and valuations of certain investments. Certain of these estimates require the application of complex assumptions and judgments, often because they involve matters that are inherently uncertain and will likely change in subsequent periods. The impact of any change in estimates is included in earnings in the period in which the estimate is adjusted.

Revenues

The Company's revenues include premium, product, and service revenues. Service revenues include net patient service revenues that are recorded based upon established billing rates, less allowances for contractual adjustments, and are recognized as services are provided. For more information about the Company's revenues, see Notes 2 and 13 of Notes to the Consolidated Financial Statements in Part II, Item 8, "Financial Statements" in the 2016 10-K. See Note 8 for disaggregation of revenue by segment and type.

As of March 31, 2017, accounts receivables related to products and services were $3.3 billion . For the three months ended March 31, 2017, the Company had no material bad-debt expense and there were no material contract assets, contract liabilities or deferred contract costs recorded on the Condensed Consolidated Balance Sheet as of March 31, 2017.

For the three months ended March 31, 2017, revenue recognized from performance obligations related to prior periods (for example, due to changes in transaction price), was not material.

Revenue expected to be recognized in any future year related to remaining performance obligations, excluding revenue pertaining to contracts that have an original expected duration of one year or less, contracts where revenue is recognized as invoiced and contracts with variable consideration related to undelivered performance obligations, is not material.

Health Insurance Industry Tax

The Patient Protection and Affordable Care Act (ACA) included an annual, nondeductible insurance industry tax (Health Insurance Industry Tax) to be levied proportionally across the insurance industry for risk-based health insurance products. A provision in the 2016 Federal Budget imposed a one year moratorium for 2017 on the collection of the Health Insurance Industry Tax. The Company has experienced a lower effective income tax rate in 2017 as compared to 2016 primarily due to the moratorium.

The remainder of the accounting policies disclosed in Note 2 of Notes to the Consolidated Financial Statements in Part II, Item 8, "Financial Statements" in the 2016 10-K remain unchanged.


6

Table of Contents


Recently Issued Accounting Standards

In February 2016, the Financial Accounting Standards Board (FASB) issued Accounting Standard Update (ASU) No. 2016-02, "Leases (Topic 842)" (ASU 2016-02). Under ASU 2016-02, an entity will be required to recognize assets and liabilities for the rights and obligations created by leases on the entity's balance sheet for both finance and operating leases. For leases with a term of 12 months or less, an entity can elect to not recognize lease assets and lease liabilities and expense the lease over a straight-line basis for the term of the lease. ASU 2016-02 will require new disclosures that depict the amount, timing, and uncertainty of cash flows pertaining to an entity's leases. Companies are required to adopt the new standard using a modified retrospective approach for annual and interim periods beginning after December 15, 2018. Early adoption of ASU 2016-02 is permitted. When adopted, the Company does not expect ASU 2016-02 to have a material impact on its results of operations, equity or cash flows. The impact of ASU 2016-02 on the Company's consolidated financial position will be based on leases outstanding at the time of adoption.

In January 2016, the FASB issued ASU 2016-01, "Financial Instruments - Overall (Subtopic 825-10): Recognition and Measurement of Financial Assets and Financial Liabilities" (ASU 2016-01). The new guidance changes the current accounting related to (i) the classification and measurement of certain equity investments, (ii) the presentation of changes in the fair value of financial liabilities measured under the fair value option that are due to instrument-specific credit risk, and (iii) certain disclosures associated with the fair value of financial instruments. Most notably, ASU 2016-01 requires that equity investments, with certain exemptions, be measured at fair value with changes in fair value recognized in net income as opposed to other comprehensive income. The new guidance is effective for annual and interim reporting periods beginning after December 15, 2017. As of March 31, 2017, based on equity securities held, the Company does not expect ASU 2016-01 to have a material impact on its consolidated financial position, results of operations, equity or cash flows. The Company will continue to evaluate any changes in its mix of investments or market conditions and the related impact of ASU 2016-01.

Recently Adopted Accounting Standards

In May 2014, the FASB issued ASU No. 2014-09, "Revenue from Contracts with Customers (Topic 606)" as modified by subsequently issued ASUs 2015-14, 2016-08, 2016-10, 2016-12 and 2016-20 (collectively ASU 2014-09). ASU 2014-09 superseded existing revenue recognition standards with a single model unless those contracts are within the scope of other standards (e.g., an insurance entity's insurance contracts). The revenue recognition principle in ASU 2014-09 is that an entity should recognize revenue to depict the transfer of goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. The Company early adopted the new standard effective January 1, 2017, as allowed, using the modified retrospective approach. A significant majority of the Company's revenues are not subject to the new guidance. The adoption of ASU 2014-09 did not have a material impact on the Company's consolidated financial position, results of operations, equity or cash flows as of the adoption date or for the three months ended March 31, 2017. The Company has included the disclosures required by ASU 2014-09 above.

The Company has determined that there have been no other recently adopted or issued accounting standards that had, or will have, a material impact on its Condensed Consolidated Financial Statements.


7

Table of Contents


2.    Investments

A summary of short-term and long-term investments by major security type is as follows:

(in millions)

Amortized

Cost

Gross

Unrealized

Gains

Gross

Unrealized

Losses

Fair

Value

March 31, 2017

Debt securities - available-for-sale:

U.S. government and agency obligations

$

2,529


$

2


$

(28

)

$

2,503


State and municipal obligations

7,020


64


(64

)

7,020


Corporate obligations

11,879


48


(46

)

11,881


U.S. agency mortgage-backed securities

3,345


7


(44

)

3,308


Non-U.S. agency mortgage-backed securities

999


2


(10

)

991


Total debt securities - available-for-sale

25,772


123


(192

)

25,703


Equity securities

2,120


43


(42

)

2,121


Debt securities - held-to-maturity:

U.S. government and agency obligations

259


1


-


260


State and municipal obligations

5


-


-


5


Corporate obligations

288


-


-


288


Total debt securities - held-to-maturity

552


1


-


553


Total investments

$

28,444


$

167


$

(234

)

$

28,377


December 31, 2016

Debt securities - available-for-sale:

U.S. government and agency obligations

$

2,294


$

1


$

(31

)

$

2,264


State and municipal obligations

7,120


40


(101

)

7,059


Corporate obligations

10,944


41


(58

)

10,927


U.S. agency mortgage-backed securities

2,963


7


(43

)

2,927


Non-U.S. agency mortgage-backed securities

1,009


3


(10

)

1,002


Total debt securities - available-for-sale

24,330


92


(243

)

24,179


Equity securities

2,036


52


(47

)

2,041


Debt securities - held-to-maturity:

U.S. government and agency obligations

250


1


-


251


State and municipal obligations

5


-


-


5


Corporate obligations

238


-


-


238


Total debt securities - held-to-maturity

493


1


-


494


Total investments

$

26,859


$

145


$

(290

)

$

26,714


The amortized cost and fair value of debt securities as of March 31, 2017 , by contractual maturity, were as follows:

Available-for-Sale

Held-to-Maturity

(in millions)

Amortized

Cost

Fair

Value

Amortized
Cost

Fair
Value

Due in one year or less

$

3,291


$

3,293


$

191


$

191


Due after one year through five years

10,041


10,049


111


111


Due after five years through ten years

6,090


6,069


120


120


Due after ten years

2,006


1,993


130


131


U.S. agency mortgage-backed securities

3,345


3,308


-


-


Non-U.S. agency mortgage-backed securities

999


991


-


-


Total debt securities

$

25,772


$

25,703


$

552


$

553



8

Table of Contents


The fair value of available-for-sale investments with gross unrealized losses by major security type and length of time that individual securities have been in a continuous unrealized loss position were as follows:

Less Than 12 Months

12 Months or Greater

 Total

(in millions)

Fair

Value

Gross

Unrealized

Losses

Fair

Value

Gross
Unrealized
Losses

Fair

Value

Gross
Unrealized
Losses

March 31, 2017

Debt securities - available-for-sale:

U.S. government and agency obligations

$

2,077


$

(28

)

$

-


$

-


$

2,077


$

(28

)

State and municipal obligations

3,187


(64

)

-


-


3,187


(64

)

Corporate obligations

4,567


(44

)

81


(2

)

4,648


(46

)

U.S. agency mortgage-backed securities

2,406


(41

)

76


(3

)

2,482


(44

)

Non-U.S. agency mortgage-backed securities

616


(8

)

47


(2

)

663


(10

)

Total debt securities - available-for-sale

$

12,853


$

(185

)

$

204


$

(7

)

$

13,057


$

(192

)

Equity securities

$

75


$

(4

)

$

101


$

(38

)

$

176


$

(42

)

December 31, 2016

Debt securities - available-for-sale:

U.S. government and agency obligations

$

1,794


$

(31

)

$

-


$

-


$

1,794


$

(31

)

State and municipal obligations

4,376


(101

)

-


-


4,376


(101

)

Corporate obligations

5,128


(56

)

137


(2

)

5,265


(58

)

U.S. agency mortgage-backed securities

2,247


(40

)

79


(3

)

2,326


(43

)

Non-U.S. agency mortgage-backed securities

544


(7

)

97


(3

)

641


(10

)

Total debt securities - available-for-sale

$

14,089


$

(235

)

$

313


$

(8

)

$

14,402


$

(243

)

Equity securities

$

93


$

(5

)

$

91


$

(42

)

$

184


$

(47

)

The Company's unrealized losses from all securities as of March 31, 2017 were generated from more than 10,000 positions out of a total of 27,000 positions. The Company believes that it will collect the principal and interest due on its debt securities that have an amortized cost in excess of fair value. The unrealized losses were primarily caused by interest rate increases and not by unfavorable changes in the credit quality associated with these securities. At each reporting period, the Company evaluates securities for impairment when the fair value of the investment is less than its amortized cost. The Company evaluated the underlying credit quality and credit ratings of the issuers, noting no significant deterioration since purchase. As of March 31, 2017 , the Company did not have the intent to sell any of the securities in an unrealized loss position. Therefore, the Company believes these losses to be temporary.

The Company's investments in equity securities consist of investments in Brazilian real denominated fixed-income funds, employee savings plan related investments, venture capital funds, and dividend paying stocks. The Company evaluated its investments in equity securities for severity and duration of unrealized loss, overall market volatility and other market factors. Additionally, as of March 31, 2017 , the Company's investments included $594 million in equity method investments that were obtained as part of a 2017 acquisition.

3.    Fair Value

Certain assets and liabilities are measured at fair value in the Condensed Consolidated Financial Statements or have fair values disclosed in the Notes to the Condensed Consolidated Financial Statements. These assets and liabilities are classified into one of three levels of a hierarchy defined by GAAP.

For a description of the methods and assumptions that are used to estimate the fair value and determine the fair value hierarchy classification of each class of financial instrument, see Note 4 of Notes to the Consolidated Financial Statements in Part II, Item 8, "Financial Statements" in the 2016 10-K.


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Table of Contents


The following table presents a summary of fair value measurements by level and carrying values for items measured at fair value on a recurring basis in the Condensed Consolidated Balance Sheets:

(in millions)

Quoted Prices

in Active

Markets

(Level 1)

Other

Observable

Inputs

(Level 2)

Unobservable

Inputs

(Level 3)

Total

Fair and Carrying

Value

March 31, 2017

Cash and cash equivalents

$

16,101


$

41


$

-


$

16,142


Debt securities - available-for-sale:

U.S. government and agency obligations

2,220


283


-


2,503


State and municipal obligations

-


7,020


-


7,020


Corporate obligations

26


11,744


111


11,881


U.S. agency mortgage-backed securities

-


3,308


-


3,308


Non-U.S. agency mortgage-backed securities

-


991


-


991


Total debt securities - available-for-sale

2,246


23,346


111


25,703


Equity securities

1,666


12


443


2,121


Assets under management

888


1,998


-


2,886


Interest rate swap assets

-


45


-


45


Total assets at fair value


$

20,901


$

25,442


$

554


$

46,897


Percentage of total assets at fair value

45

%

54

%

1

%

100

%

Interest rate swap liabilities

$

-


$

19


$

-


$

19


December 31, 2016

Cash and cash equivalents

$

10,386


$

44


$

-


$

10,430


Debt securities - available-for-sale:

U.S. government and agency obligations

2,017


247


-


2,264


State and municipal obligations

-


7,059


-


7,059


Corporate obligations

21


10,804


102


10,927


U.S. agency mortgage-backed securities

-


2,927


-


2,927


Non-U.S. agency mortgage-backed securities

-


1,002


-


1,002


Total debt securities - available-for-sale

2,038


22,039


102


24,179


Equity securities

1,591


13


437


2,041


Assets under management

1,064


2,041


-


3,105


Interest rate swap assets

-


55


-


55


Total assets at fair value

$

15,079


$

24,192


$

539


$

39,810


Percentage of total assets at fair value

38

%

61

%

1

%

100

%

Interest rate swap liabilities

$

-


$

14


$

-


$

14


Transfers between levels, if any, are recorded as of the beginning of the reporting period in which the transfer occurs; there were no transfers between Levels 1, 2 or 3 of any financial assets or liabilities during the three months ended March 31, 2017 or 2016 .


10

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The following table presents a summary of fair value measurements by level and carrying values for certain financial instruments not measured at fair value on a recurring basis in the Condensed Consolidated Balance Sheets:

(in millions)

Quoted Prices

in Active

Markets

(Level 1)

Other

Observable

Inputs

(Level 2)

Unobservable

Inputs

(Level 3)

Total

Fair

Value

Total Carrying Value

March 31, 2017

Debt securities - held-to-maturity:

U.S. government and agency obligations

$

257


$

3


$

-


$

260


$

259


State and municipal obligations

-


-


5


5


5


Corporate obligations

18


2


268


288


288


Total debt securities - held-to-maturity

$

275


$

5


$

273


$

553


$

552


Other assets

$

-


$

468


$

-


$

468


$

465


Long-term debt and other financing obligations

$

-


$

32,489


$

-


$

32,489


$

30,399


December 31, 2016

Debt securities - held-to-maturity:

U.S. government and agency obligations

$

251


$

-


$

-


$

251


$

250


State and municipal obligations

-


-


5


5


5


Corporate obligations

20


8


210


238


238


Total debt securities - held-to-maturity

$

271


$

8


$

215


$

494


$

493


Other assets

$

-


$

476


$

-


$

476


$

471


Long-term debt and other financing obligations

$

-


$

31,295


$

-


$

31,295


$

29,337


Nonfinancial assets and liabilities or financial assets and liabilities that are measured at fair value on a nonrecurring basis are subject to fair value adjustments only in certain circumstances, such as when the Company records an impairment. There were no significant fair value adjustments for these assets and liabilities recorded during the three months ended March 31, 2017 or 2016 .

4.    Other Current Receivables

The Company's pharmacy care services businesses contract with pharmaceutical manufacturers, some of which provide rebates based on use of the manufacturers' products by the Company's clients. As of March 31, 2017 and December 31, 2016, total pharmaceutical manufacturer rebates receivable included in other receivables in the Condensed Consolidated Balance Sheets amounted to $4.0 billion and $3.3 billion , respectively. See Note 2 of Notes to the Consolidated Financial Statements in Part II, Item 8, "Financial Statements" in the 2016 10-K for more information on the Company's pharmaceutical manufacturer rebates.

5.    Medical Costs Payable

The following table shows the components of the change in medical costs payable for the three months ended March 31:

(in millions)

2017

2016

Medical costs payable, beginning of period

$

16,391


$

14,330


Acquisitions

76


-


Reported medical costs:

Current year

32,529


28,790


Prior years

(450

)

(360

)

Total reported medical costs

32,079


28,430


Medical payments:

Payments for current year

(18,742

)

(15,797

)

Payments for prior years

(12,154

)

(11,140

)

Total medical payments

(30,896

)

(26,937

)

Medical costs payable, end of period

$

17,650


$

15,823


For the three months ended March 31, 2017 and 2016 the medical cost reserve development included no individual factors that were material. Medical costs payable included reserves for claims incurred by insured customers but not yet reported to the Company of $12.5 billion and $11.6 billion at March 31, 2017 and December 31, 2016, respectively.


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6.     Commercial Paper and Long-Term Debt

Commercial paper and senior unsecured long-term debt consisted of the following:

March 31, 2017

December 31, 2016

(in millions, except percentages)

Par
Value

Carrying

Value

Fair

Value

Par

Value

Carrying
Value

Fair

Value

Commercial paper

$

3,502


$

3,502


$

3,502


$

3,633


$

3,633


$

3,633


Floating rate notes due January 2017

-


-


-


750


750


750


6.000% notes due June 2017

441


443


445


441


446


450


1.450% notes due July 2017

750


750


751


750


750


751


1.400% notes due October 2017

625


625


625


625


624


626


6.000% notes due November 2017

156


158


161


156


159


163


1.400% notes due December 2017

750


750


750


750


751


750


6.000% notes due February 2018

1,100


1,106


1,142


1,100


1,107


1,153


1.900% notes due July 2018

1,500


1,497


1,507


1,500


1,496


1,507


1.700% notes due February 2019

750


748


750


750


748


748


1.625% notes due March 2019

500


501


498


500


501


498


2.300% notes due December 2019

500


497


505


500


498


504


2.700% notes due July 2020

1,500


1,495


1,530


1,500


1,495


1,523


3.875% notes due October 2020

450


449


475


450


450


474


4.700% notes due February 2021

400


407


433


400


409


433


2.125% notes due March 2021

750


746


744


750


745


741


3.375% notes due November 2021

500


496


520


500


497


519


2.875% notes due December 2021

750


746


765


750


748


760


2.875% notes due March 2022

1,100


1,056


1,122


1,100


1,057


1,114


3.350% notes due July 2022

1,000


995


1,035


1,000


995


1,030


0.000% notes due November 2022

15


11


12


15


11


12


2.750% notes due February 2023

625


608


623


625


609


622


2.875% notes due March 2023

750


768


752


750


771


753


3.750% notes due July 2025

2,000


1,986


2,089


2,000


1,986


2,070


3.100% notes due March 2026

1,000


994


992


1,000


994


986


3.450% notes due January 2027

750


745


761


750


745


762


3.375% notes due April 2027

625


618


629


-


-


-


4.625% notes due July 2035

1,000


991


1,090


1,000


991


1,090


5.800% notes due March 2036

850


837


1,048


850


837


1,034


6.500% notes due June 2037

500


491


655


500


491


643


6.625% notes due November 2037

650


640


865


650


640


850


6.875% notes due February 2038

1,100


1,075


1,495


1,100


1,075


1,497


5.700% notes due October 2040

300


296


365


300


296


366


5.950% notes due February 2041

350


345


441


350


345


437


4.625% notes due November 2041

600


588


637


600


588


634


4.375% notes due March 2042

502


483


520


502


483


509


3.950% notes due October 2042

625


606


608


625


606


609


4.250% notes due March 2043

750


734


764


750


734


765


4.750% notes due July 2045

2,000


1,972


2,192


2,000


1,972


2,203


4.200% notes due January 2047

750


738


762


750


737


759


4.250% notes due April 2047

725


717


740


-


-


-


Total commercial paper and long-term debt

$

33,491


$

33,210


$

35,300


$

33,022


$

32,770


$

34,728


During the first quarter of 2017, the Company assumed $926 million in debt of an acquired company, of which $642 million was repaid in the first quarter. The Company repaid the remainder of the acquired debt in the second quarter of 2017. The Company's long-term debt obligations also included $407 million and $200 million of other financing obligations, of which $129 million and $80 million were classified as current as of March 31, 2017 and December 31, 2016 , respectively.


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Table of Contents


Commercial Paper and Bank Credit Facilities

Commercial paper consists of short-duration, senior unsecured debt privately placed on a discount basis through broker-dealers. As of March 31, 2017 , the Company's outstanding commercial paper had a weighted-average annual interest rate of 1.1% .

The Company has $3.0 billion five-year, $2.0 billion three-year and $1.0 billion 364-day revolving bank credit facilities with 23 banks, which mature in December 2021 , December 2019 and December 2017, respectively. These facilities provide liquidity support for the Company's commercial paper program and are available for general corporate purposes. As of March 31, 2017 , no amounts had been drawn on any of the bank credit facilities. The annual interest rates, which are variable based on term, are calculated based on the London Interbank Offered Rate (LIBOR) plus a credit spread based on the Company's senior unsecured credit ratings. If amounts had been drawn on the bank credit facilities as of March 31, 2017 , annual interest rates would have ranged from 1.8% to 2.3% .

Debt Covenants

The Company's bank credit facilities contain various covenants, including covenants requiring the Company to maintain a defined debt to debt-plus-shareholders' equity ratio of not more than 55% . The Company was in compliance with its debt covenants as of March 31, 2017 .

7.    Commitments and Contingencies

Legal Matters

Because of the nature of its businesses, the Company is frequently made party to a variety of legal actions and regulatory inquiries, including class actions and suits brought by members, care providers, consumer advocacy organizations, customers and regulators, relating to the Company's businesses, including management and administration of health benefit plans and other services. These matters include medical malpractice, employment, intellectual property, antitrust, privacy and contract claims and claims related to health care benefits coverage and other business practices.

The Company records liabilities for its estimates of probable costs resulting from these matters where appropriate. Estimates of costs resulting from legal and regulatory matters involving the Company are inherently difficult to predict, particularly where the matters: involve indeterminate claims for monetary damages or may involve fines, penalties or punitive damages; present novel legal theories or represent a shift in regulatory policy; involve a large number of claimants or regulatory bodies; are in the early stages of the proceedings; or could result in a change in business practices. Accordingly, the Company is often unable to estimate the losses or ranges of losses for those matters where there is a reasonable possibility or it is probable that a loss may be incurred.

Litigation Matters

California Claims Processing Matter. On January 25, 2008, the California Department of Insurance (CDI) issued an Order to Show Cause to PacifiCare Life and Health Insurance Company, a subsidiary of the Company, alleging violations of certain insurance statutes and regulations related to an alleged failure to include certain language in standard claims correspondence, timeliness and accuracy of claims processing, interest payments, care provider contract implementation, care provider dispute resolution and other related matters. Although the Company believes that CDI had never before issued a fine in excess of $8 million , CDI advocated a fine of approximately $325 million in this matter. The matter was the subject of an administrative hearing before a California administrative law judge beginning in December 2009, and in August 2013, the administrative law judge issued a nonbinding proposed decision recommending a fine of $11.5 million . The California Insurance Commissioner rejected the administrative law judge's recommendation and on June 9, 2014, issued his own decision imposing a fine of approximately $174 million . On July 10, 2014, the Company filed a lawsuit in California state court challenging the Commissioner's decision. On September 8, 2015, in the first phase of that lawsuit, the California state court issued an order invalidating certain of the regulations the Commissioner had relied upon in issuing his decision and penalty. In March 2017, the court entered a tentative ruling reversing all of the penalties imposed and remanding certain further issues to the Commissioner. A final order is expected later this year. The Company cannot reasonably estimate the range of loss, if any, that may result from this matter given the procedural status of the dispute, the wide range of possible outcomes, the legal issues presented (including the legal basis for the majority of the alleged violations), the inherent difficulty in predicting a regulatory fine in the event of a remand, and the various remedies and levels of judicial review that remain available to the Company.

Government Investigations, Audits and Reviews

The Company has been involved or is currently involved in various governmental investigations, audits and reviews. These include routine, regular and special investigations, audits and reviews by the CMS, state insurance and health and welfare departments, the Brazilian national regulatory agency for private health insurance and plans (the Agência Nacional de Saúde Suplementar), state attorneys general, the Office of the Inspector General, the Office of Personnel Management, the Office of


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Table of Contents


Civil Rights, the Government Accountability Office, the Federal Trade Commission, U.S. Congressional committees, the U.S. Department of Justice, the SEC, the Internal Revenue Service, the U.S. Drug Enforcement Administration, the Brazilian federal revenue service (the Secretaria da Receita Federal), the U.S. Department of Labor, the Federal Deposit Insurance Corporation, the Defense Contract Audit Agency and other governmental authorities. Certain of the Company's businesses have been reviewed or are currently under review, including for, among other matters, compliance with coding and other requirements under the Medicare risk-adjustment model. CMS has selected certain of the Company's local plans for risk adjustment data validation (RADV) audits to validate the coding practices of and supporting documentation maintained by health care providers and such audits may result in retrospective adjustments to payments made to the Company's health plans.

On February 14, 2017, the Department of Justice (DOJ) announced its decision to pursue certain claims within a lawsuit initially asserted against the Company and filed under seal by a whistleblower in 2011. The whistleblower's complaint, which was unsealed on February 15, 2017, alleges that the Company, along with a number of other Medicare Advantage plans, made improper risk adjustment submissions and violated the False Claims Act. On March 24, 2017, DOJ intervened in a separate lawsuit initially asserted against the Company and filed by a whistleblower in 2009 concerning risk adjustment submissions by Medicare Advantage plans. Both cases are now pending in the U.S. District Court for the Central District of California. DOJ filed its complaint in one case on May 1, 2017, and has been ordered to file its complaint in the other case by May 16, 2017. The Company cannot reasonably estimate the outcome that may result from these matters given their current posture.

8.    Segment Financial Information

The Company's four reportable segments are UnitedHealthcare, OptumHealth, OptumInsight and OptumRx . For more information on the Company's segments see Part I, Item I, "Business" and Note 13 of Notes to the Consolidated Financial Statements in Part II, Item 8, "Financial Statements" in the 2016 10-K.

As of March 31, 2017, OptumHealth's total assets were $24.7 billion as compared to $18.7 billion as of December 31, 2016. The increase was due to an acquisition completed during the three months ended March 31, 2017. Goodwill at the OptumHealth reportable segment increased during the first quarter of 2017 by $4.6 billion .

The following tables present reportable segment financial information:

Optum

(in millions)

UnitedHealthcare

OptumHealth

OptumInsight

OptumRx

Optum Eliminations

Optum

Corporate and

Eliminations

Consolidated

Three Months Ended March 31, 2017

Revenues - external customers:

Premiums

$

38,053


$

885


$

-


$

-


$

-


$

885


$

-


$

38,938


Products

-


12


21


6,096


-


6,129


-


6,129


Services

1,922


721


642


149


-


1,512


-


3,434


Total revenues - external customers

39,975


1,618


663


6,245


-


8,526


-


48,501


Total revenues - intersegment

-


3,059


1,179


8,698


(286

)

12,650


(12,650

)

-


Investment and other income

161


56


1


4


-


61


-


222


Total revenues

$

40,136


$

4,733


$

1,843


$

14,947


$

(286

)

$

21,237


$

(12,650

)

$

48,723


Earnings from operations

$

2,134


$

332


$

294


$

653


$

-


$

1,279


$

-


$

3,413


Interest expense

-


-


-


-


-


-


(283

)

(283

)

Earnings before income taxes

$

2,134


$

332


$

294


$

653


$

-


$

1,279


$

(283

)

$

3,130


Three Months Ended March 31, 2016

Revenues - external customers:

Premiums

$

33,963


$

848


$

-


$

-


$

-


$

848


$

-


$

34,811


Products

-


13


20


6,360


-


6,393


-


6,393


Services

1,796


612


606


126


-


1,344


-


3,140


Total revenues - external customers

35,759


1,473


626


6,486


-


8,585


-


44,344


Total revenues - intersegment

-


2,485


1,041


7,785


(254

)

11,057


(11,057

)

-


Investment and other income

141


40


-


2


-


42


-


183


Total revenues

$

35,900


$

3,998


$

1,667


$

14,273


$

(254

)

$

19,684


$

(11,057

)

$

44,527


Earnings from operations

$

1,854


$

300


$

246


$

560


$

-


$

1,106


$

-


$

2,960


Interest expense

-


-


-


-


-


-


(259

)

(259

)

Earnings before income taxes

$

1,854


$

300


$

246


$

560


$

-


$

1,106


$

(259

)

$

2,701



14

Table of Contents


ITEM 2.

MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

The following discussion should be read together with the accompanying Condensed Consolidated Financial Statements and Notes and with our 2016 10-K, including the Consolidated Financial Statements and Notes in Part II, Item 8, "Financial Statements" in that report. Unless the context indicates otherwise, references to the terms "UnitedHealth Group," "we," "our" or "us" used throughout this Management's Discussion and Analysis of Financial Condition and Results of Operations refer to UnitedHealth Group Incorporated and its consolidated subsidiaries.

Readers are cautioned that the statements, estimates, projections or outlook contained in this Management's Discussion and Analysis of Financial Condition and Results of Operations, including discussions regarding financial prospects, economic conditions, trends and uncertainties contained in this Item 2, may constitute forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 (PSLRA). These forward-looking statements involve risks and uncertainties that may cause our actual results to differ materially from the results discussed or implied in the forward-looking statements. A description of some of the risks and uncertainties is set forth in Part I, Item 1A, "Risk Factors" in our 2016 10-K and in the discussion below.

EXECUTIVE OVERVIEW

General

UnitedHealth Group is a diversified health and well-being company dedicated to helping people live healthier lives and helping to make the health system work better for everyone. Through our diversified family of businesses, we leverage core competencies in advanced, enabling technology; health care data; information and intelligence; and clinical care management and coordination to help meet the demands of the health system. These core competencies are deployed within our two distinct, but strategically aligned, business platforms: health benefits operating under UnitedHealthcare and health services operating under Optum.

Further information on our business is presented in Part I, Item 1, "Business" and Part II, Item 7, "Management's Discussion and Analysis of Financial Condition and Results of Operations" in our 2016 10-K and additional information on our segments can be found in this Item 2 and in Note 8 of Notes to the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report.

Business Trends

Our businesses participate in the United States, Brazilian and certain other international health markets. In the United States, health care spending has grown consistently for many years and comprises approximately 18% of gross domestic product. We expect overall spending on health care to continue to grow in the future, due to inflation, medical technology and pharmaceutical advancement, regulatory requirements, demographic trends in the population and national interest in health and well-being. The rate of market growth may be affected by a variety of factors, including macro-economic conditions and regulatory changes, which have impacted and could further impact our results of operations.

Pricing Trends . To price our health care benefit products, we start with our view of expected future costs. We frequently evaluate and adjust our approach in each of the local markets we serve, considering all relevant factors, such as product positioning, price competitiveness and environmental, competitive, legislative and regulatory considerations.

The commercial risk market remains highly competitive in both the small group and large group segments. We expect broad-based competition to continue as the industry adapts to individual and employer needs amid reform changes. A provision in the 2016 Federal Budget imposed a one year moratorium for 2017 on the collection of the Health Insurance Industry Tax. Pricing for contracts that cover some portion of calendar year 2018 will reflect the impact of the returning Health Insurance Industry Tax.

Medicare Advantage funding continues to be pressured, as discussed below in " Regulatory Trends and Uncertainties ."

Medical Cost Trends. Our medical cost trends primarily relate to changes in unit costs, health system utilization and prescription drug costs. We endeavor to mitigate those increases with medical management. Our 2017 management activities include managing costs across all health care categories, including specialty pharmacy spending, as new therapies are introduced at high costs and older drugs experience price increases.

Regulatory Trends and Uncertainties

Following is a summary of management's view of the trends and uncertainties related to Medicare Advantage rates. For additional information regarding the ACA and other regulatory trends and uncertainties, see Part I, Item 1 "Business - Government Regulation", Item 1A, "Risk Factors", and Part II, Item 7, "Management's Discussion and Analysis of Financial Condition and Results of Operations" in our 2016 10-K.


15

Table of Contents


Medicare Advantage Rates. Final 2018 Medicare Advantage rates resulted in an increase in industry base rates of approximately 0.45%, well short of the industry forward medical cost trend of 3%, which creates continued pressure in the Medicare Advantage program. The impact of this funding shortfall in Medicare Advantage is partially mitigated by reductions in provider payments for those care providers with rates indexed to Medicare Advantage revenues or Medicare fee-for-service payment rates. These factors can affect our plan benefit designs, pricing, growth prospects and earnings expectations for our Medicare Advantage plans.

As provided in the ACA, our Medicare Advantage rates are currently enhanced by CMS quality bonuses in certain counties based on our local plans' Star ratings. The level of Star ratings from CMS, based upon specified clinical and operational performance standards, will impact future quality bonuses. In addition, Star ratings affect the amount of savings a plan can use to offer supplemental benefits, which ultimately may affect the plan's membership and revenue. For the 2017 payment year, approximately 80% of our Medicare Advantage members are in plans rated four stars or higher. We expect at least 85% of our Medicare Advantage members will be in plans rated four stars or higher for payment year 2018. We continue to dedicate substantial resources to advance our quality scores and Star ratings to strengthen our local market programs and further improve our performance.


16

Table of Contents


SELECTED OPERATING PERFORMANCE AND OTHER SIGNIFICANT ITEMS

The following summarizes select first quarter 2017 year-over-year operating comparisons to first quarter 2016 and other 2017 significant items.

Consolidated revenues grew 9% , UnitedHealthcare revenues grew 12% and Optum revenues grew 8% .

UnitedHealthcare grew to serve an additional 1.6 million people.

Earnings from operations increased 15% , including increases of 15% at UnitedHealthcare and 16% at Optum.

The effective income tax rate decreased 980 basis points to 30.0% .

Diluted earnings per common share increased 34% .

Cash flows from operations were $6.5 billion , aided by the March 2017 receipt of our April CMS premium payment of $4.4 billion.

RESULTS SUMMARY

The following table summarizes our consolidated results of operations and other financial information:

(in millions, except percentages and per share data)

Three Months Ended March 31,

Increase/(Decrease)

2017

2016

2017 vs. 2016

Revenues:

Premiums

$

38,938


$

34,811


$

4,127


12

%

Products

6,129


6,393


(264

)

(4

)

Services

3,434


3,140


294


9


Investment and other income

222


183


39


21


Total revenues

48,723


44,527


4,196


9


Operating costs:

Medical costs

32,079


28,430


3,649


13


Operating costs

7,022


6,758


264


4


Cost of products sold

5,676


5,877


(201

)

(3

)

Depreciation and amortization

533


502


31


6


Total operating costs

45,310


41,567


3,743


9


Earnings from operations

3,413


2,960


453


15


Interest expense

(283

)

(259

)

(24

)

9


Earnings before income taxes

3,130


2,701


429


16


Provision for income taxes

(939

)

(1,074

)

135


(13

)

Net earnings

2,191


1,627


564


35


Earnings attributable to noncontrolling interests

(19

)

(16

)

(3

)

19

 %

Net earnings attributable to UnitedHealth Group common shareholders

$

2,172


$

1,611


$

561


35

 %

Diluted earnings per share attributable to UnitedHealth Group common shareholders

$

2.23


$

1.67


$

0.56


34

 %

Medical care ratio (a)

82.4

%

81.7

%

0.7

 %

Operating cost ratio

14.4


15.2


(0.8

)

Operating margin

7.0


6.6


0.4


Tax rate

30.0


39.8


(9.8

)

Net earnings margin (b)

4.5


3.6


0.9


Return on equity (c)

21.7

%

18.7

%

3.0

 %

(a)

Medical care ratio is calculated as medical costs divided by premium revenue.

(b)

Net earnings margin attributable to UnitedHealth Group shareholders.

(c)

Return on equity is calculated as annualized net earnings divided by average equity. Average equity is calculated using the equity balance at the end of the preceding year and the equity balances at the end of each of the quarters in the year presented.


17

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2017 RESULTS OF OPERATIONS COMPARED TO 2016 RESULTS OF OPERATIONS

Consolidated Financial Results

Revenues

The increase in revenues were primarily driven by organic growth in the number of individuals served across our benefits businesses and growth across all of Optum's businesses. This increase was partially offset by revenue decreases due to withdrawals of individual ACA-compliant products in the individual market and the effects of the Health Insurance Industry Tax moratorium.

Medical Costs and Medical Care Ratio (MCR)

Medical costs increased due to risk-based membership growth and medical cost trends. The MCR increase was due to the effects of the Health Insurance Industry Tax moratorium offset primarily by the reduction of individual ACA business.

Income Tax Rate

Our effective tax rate decreased primarily due to the Health Insurance Industry Tax moratorium as well as higher excess tax benefits resulting from an increase in share-based payment activity.

Reportable Segments

See Note 8 of Notes to the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report for more information on our segments. The following table presents a summary of the reportable segment financial information:

Three Months Ended March 31,

Increase/(Decrease)

(in millions, except percentages)

2017

2016

2017 vs. 2016

Revenues

UnitedHealthcare

$

40,136


$

35,900


$

4,236


12

%

OptumHealth

4,733


3,998


735


18


OptumInsight

1,843


1,667


176


11


OptumRx

14,947


14,273


674


5


Optum eliminations

(286

)

(254

)

(32

)

13


Optum

21,237


19,684


1,553


8


Eliminations

(12,650

)

(11,057

)

(1,593

)

14


Consolidated revenues

$

48,723


$

44,527


$

4,196


9

%

Earnings from operations

UnitedHealthcare

$

2,134


$

1,854


$

280


15

%

OptumHealth

332


300


32


11


OptumInsight

294


246


48


20


OptumRx

653


560


93


17


Optum

1,279


1,106


173


16


Consolidated earnings from operations

$

3,413


$

2,960


$

453


15

%

Operating margin

UnitedHealthcare

5.3

%

5.2

%

0.1

 %

OptumHealth

7.0


7.5


(0.5

)

OptumInsight

16.0


14.8


1.2


OptumRx

4.4


3.9


0.5


Optum

6.0


5.6


0.4


Consolidated operating margin

7.0

%

6.6

%

0.4

 %


18

Table of Contents


UnitedHealthcare

The following table summarizes UnitedHealthcare revenues by business:

Three Months Ended March 31,

Increase/(Decrease)

(in millions, except percentages)

2017

2016

2017 vs. 2016

UnitedHealthcare Employer & Individual

$

12,739


$

12,820


$

(81

)

(1

)%

UnitedHealthcare Medicare & Retirement

16,552


14,065


2,487


18


UnitedHealthcare Community & State

8,949


7,728


1,221


16


UnitedHealthcare Global

1,896


1,287


609


47


Total UnitedHealthcare revenues

$

40,136


$

35,900


$

4,236


12

 %

The following table summarizes the number of individuals served by our UnitedHealthcare businesses, by major market segment and funding arrangement:

March 31,

Increase/(Decrease)

(in thousands, except percentages)

2017

2016

2017 vs. 2016

Commercial group:

Risk-based

7,695


7,115


580


8

 %

Fee-based

19,155


18,945


210


1


Total commercial group

26,850


26,060


790


3


Individual

585


1,485


(900

)

(61

)

Fee-based TRICARE

2,860


2,880


(20

)

(1

)

Total commercial

30,295


30,425


(130

)

-


Medicare Advantage

4,305


3,530


775


22


Medicaid

6,200


5,450


750


14


Medicare Supplement (Standardized)

4,350


4,200


150


4


Total public and senior

14,855


13,180


1,675


13


Total UnitedHealthcare - domestic medical

45,150


43,605


1,545


4


International

4,165


4,065


100


2


Total UnitedHealthcare - medical

49,315


47,670


1,645


3

 %

Supplemental Data:

Medicare Part D stand-alone

4,955


4,990


(35

)

(1

)%

Growth in services to small groups led the overall increase in people served through risk-based benefit plans in the commercial group market. Membership in individual decreased due to our reduced participation in ACA-compliant products in 2017. Medicare Advantage increased year-over-year due to growth in people served through individual and employer-sponsored group Medicare Advantage plans. Medicaid growth was driven by the combination of new state-based awards and growth in established programs. Medicare Supplement growth reflected strong customer retention and new sales. 

UnitedHealthcare's revenue increases were due to growth in the number of individuals served across its businesses and price increases for underlying medical cost trends, which were partially offset by the reduction of people served in ACA-compliant individual products and the impact of the Health Insurance Industry Tax moratorium.

The increase in UnitedHealthcare's operating earnings was led by diversified growth and increased operating margin. The results for first quarter of 2016 included ACA-compliant losses in individual products.

Optum

Total revenues and operating earnings increased as each segment reported increased revenues and earnings from operations as a result of the factors discussed below.


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The results by segment were as follows:

OptumHealth

Revenue and earnings from operations increased at OptumHealth primarily due to growth in care delivery, behavioral services and health financial services.

OptumInsight

Revenue and earnings from operations at OptumInsight increased primarily due to growth in revenue management services, business process services and technology services.

OptumRx

Revenue and earnings from operations at OptumRx increased primarily due to client and consumer expansion. OptumRx fulfilled 322 million adjusted scripts in the first quarter of 2017 compared to 307 million in 2016.

LIQUIDITY, FINANCIAL CONDITION AND CAPITAL RESOURCES

Liquidity

Summary of our Major Sources and Uses of Cash and Cash Equivalents

Three Months Ended March 31,

Increase/(Decrease)

(in millions)

2017

2016

2017 vs. 2016

Sources of cash:

Cash provided by operating activities

$

6,456


$

2,318


$

4,138


Issuances of commercial paper and long-term debt, net of repayments

-


1,599


(1,599

)

Proceeds from common stock issuances

270


198


72


Customer funds administered

3,217


1,067


2,150


Other

25


14


11


Total sources of cash

9,968


5,196


Uses of cash:

Common stock repurchases

(682

)

(500

)

(182

)

Cash paid for acquisitions, net of cash assumed

(468

)

(1,697

)

1,229


Purchases of investments, net of sales and maturities

(1,339

)

(2,073

)

734


Repayments of commercial paper and long-term debt, net of issuances

(189

)

-


(189

)

Purchases of property, equipment and capitalized software

(507

)

(425

)

(82

)

Cash dividends paid

(596

)

(477

)

(119

)

Other

(495

)

(385

)

(110

)

Total uses of cash

(4,276

)

(5,557

)

Effect of exchange rate changes on cash and cash equivalents

20


34


(14

)

Net increase (decrease) in cash and cash equivalents

$

5,712


$

(327

)

$

6,039


2017 Cash Flows Compared to 2016 Cash Flows

Increased cash flows provided by operating activities were primarily driven by the increase in unearned revenues, due to the March 2017 receipt of our April CMS premium payment of $4.4 billion, and higher net earnings, partially offset by the impact of the Health Insurance Industry Tax and the impact of discontinuing many ACA-compliant products.

Other significant changes in sources or uses of cash year-over-year included increased customer funds administered primarily due to the March receipt of our April CMS premium payment, decreased cash paid for acquisitions and net purchases of investments, partially offset by 2017 net repayments of debt compared to 2016 proceeds from debt issuances.

Financial Condition

As of March 31, 2017, our cash, cash equivalent and available-for-sale investment balances of $44.0 billion included $16.1 billion of cash and cash equivalents (of which approximately $700 million was available for general corporate use), $25.7 billion of debt securities and $2.1 billion of investments in equity securities. Given the significant portion of our portfolio held


20

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in cash equivalents, we do not anticipate fluctuations in the aggregate fair value of our financial assets to have a material impact on our liquidity or capital position. Our available-for-sale debt portfolio had a weighted-average duration of 3.5 years and a weighted-average credit rating of "AA" as of March 31, 2017. When multiple credit ratings are available for an individual security, the average of the available ratings is used to determine the weighted-average credit rating.

Capital Resources and Uses of Liquidity

In addition to cash flows from operations and cash and cash equivalent balances available for general corporate use, our capital resources and uses of liquidity are as follows:

Commercial Paper and Bank Credit Facilities. Our revolving bank credit facilities provide liquidity support for our commercial paper borrowing program, which facilitates the private placement of unsecured debt through third-party broker-dealers, and are available for general corporate purposes. For more information on our commercial paper and bank credit facilities, see Note 6 of Notes to the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report.

Our revolving bank credit facilities contain various covenants, including covenants requiring us to maintain a defined debt to debt-plus-shareholders' equity ratio of not more than 55%. As of March 31, 2017, our debt to debt-plus-shareholders' equity ratio, as defined and calculated under the credit facilities, was approximately 42%.

Long-Term Debt. Periodically, we access capital markets and issue long-term debt for general corporate purposes, for example, to meet our working capital requirements, to refinance debt, to finance acquisitions or for share repurchases. For more information on our long-term debt, see Note 6 of Notes to the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report.

Credit Ratings. Our credit ratings as of March 31, 2017 were as follows:

Moody's

Standard & Poor's

Fitch

A.M. Best

Ratings

Outlook

Ratings

Outlook

Ratings

Outlook

Ratings

Outlook

Senior unsecured debt

A3

Negative

A+

Negative

A-

Negative

bbb+

Stable

Commercial paper

P-2

n/a

A-1

n/a

F1

n/a

AMB-2

n/a

The availability of financing in the form of debt or equity is influenced by many factors, including our profitability, operating cash flows, debt levels, credit ratings, debt covenants and other contractual restrictions, regulatory requirements and economic and market conditions. For example, a significant downgrade in our credit ratings or adverse conditions in the capital markets may increase the cost of borrowing for us or limit our access to capital.

Share Repurchase Program. During the three months ended March 31, 2017 , we repurchased 4 million shares at an average price of $160.72 per share. As of March 31, 2017 , we had Board authorization to purchase up to an additional 47 million shares of our common stock.

Dividends. Our quarterly cash dividend to shareholders reflects an annual dividend rate of $2.50 per share.

For additional liquidity discussion, see Note 10 of Notes to the Consolidated Financial Statements in Part II, Item 8, "Financial Statements" and "Management's Discussion and Analysis of Financial Condition and Results of Operations" in Part II, Item 7 in our 2016 10-K.

CONTRACTUAL OBLIGATIONS AND COMMITMENTS

A summary of future obligations under our various contractual obligations and commitments as of December 31, 2016 was disclosed in our 2016 10-K. During the three months ended March 31, 2017 , there were no material changes to this previously disclosed information outside the ordinary course of business. However, we continually evaluate opportunities to expand our operations, including through internal development of new products, programs and technology applications and acquisitions.

RECENTLY ISSUED ACCOUNTING STANDARDS

See Note 1 of Notes to the Condensed Consolidated Financial Statements in Part I, Item 1 of this report for a discussion of new accounting pronouncements that affect us.

CRITICAL ACCOUNTING ESTIMATES

In preparing our Condensed Consolidated Financial Statements, we are required to make judgments, assumptions and estimates, which we believe are reasonable and prudent based on the available facts and circumstances. These judgments,


21

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assumptions and estimates affect certain of our revenues and expenses and their related balance sheet accounts and disclosure of our contingent liabilities. We base our assumptions and estimates primarily on historical experience and consider known and projected trends. On an ongoing basis, we re-evaluate our selection of assumptions and the method of calculating our estimates. Actual results, however, may materially differ from our calculated estimates and this difference would be reported in our current operations.

Our critical accounting estimates include medical costs payable, revenues, goodwill and other intangible assets and valuations of certain investments. For a detailed description of our critical accounting estimates, see "Management's Discussion and Analysis of Financial Condition and Results of Operations" in Part II, Item 7 in our 2016 10-K. For a detailed discussion of our significant accounting policies, see Note 2 of Notes to the Consolidated Financial Statements in Part II, Item 8, "Financial Statements" in our 2016 10-K.

FORWARD-LOOKING STATEMENTS

The statements, estimates, projections, guidance or outlook contained in this document include "forward-looking" statements within the meaning of the PSLRA. These statements are intended to take advantage of the "safe harbor" provisions of the PSLRA. Generally the words "believe," "expect," "intend," "estimate," "anticipate," "forecast," "outlook," "plan," "project," "should" and similar expressions identify forward-looking statements, which generally are not historical in nature. These statements may contain information about financial prospects, economic conditions and trends and involve risks and uncertainties. We caution that actual results could differ materially from those that management expects, depending on the outcome of certain factors.

Some factors that could cause actual results to differ materially from results discussed or implied in the forward-looking statements include: our ability to effectively estimate, price for and manage our medical costs, including the impact of any new coverage requirements; new laws or regulations, or changes in existing laws or regulations, or their enforcement or application, including increases in medical, administrative, technology or other costs or decreases in enrollment resulting from U.S., Brazilian and other jurisdictions' regulations affecting the health care industry; assessments for insolvent payers under state guaranty fund laws; our ability to maintain and achieve improvement in CMS star ratings and other quality scores that impact revenue; reductions in revenue or delays to cash flows received under Medicare, Medicaid and other government programs, including the effects of a prolonged U.S. government shutdown or debt ceiling constraints; changes in Medicare, including changes in payment methodology, the CMS star ratings program or the application of risk adjustment data validation audits; cyber-attacks or other privacy or data security incidents; failure to comply with privacy and data security regulations; regulatory and other risks and uncertainties of the pharmacy benefits management industry; competitive pressures, which could affect our ability to maintain or increase our market share; changes in or challenges to our public sector contract awards; our ability to execute contracts on competitive terms with physicians, hospitals and other service providers; failure to achieve targeted operating cost productivity improvements, including savings resulting from technology enhancement and administrative modernization; increases in costs and other liabilities associated with increased litigation, government investigations, audits or reviews; failure to manage successfully our strategic alliances or complete or receive anticipated benefits of acquisitions and other strategic transactions, fluctuations in foreign currency exchange rates on our reported shareholders' equity and results of operations; downgrades in our credit ratings; the performance of our investment portfolio; impairment of the value of our goodwill and intangible assets if estimated future results do not adequately support goodwill and intangible assets recorded for our existing businesses or the businesses that we acquire; 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 the debt or capital markets to fund our obligations, to maintain our debt to total capital ratio at targeted levels, to maintain our quarterly dividend payment cycle or to continue repurchasing shares of our common stock.

This list of important factors is not intended to be exhaustive. We discuss certain of these matters more fully, as well as certain risk factors that may affect our business operations, financial condition and results of operations, in our other periodic and current filings with the SEC, including our annual reports on Form 10-K, quarterly reports on Form 10-Q and current reports on Form 8-K. Any or all forward-looking statements we make may turn out to be wrong, and can be affected by inaccurate assumptions we might make or by known or unknown risks and uncertainties. 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 future 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 applicable securities laws.


22

Table of Contents


ITEM 3.    QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

We manage exposure to market interest rates by diversifying investments across different fixed income market sectors and debt across maturities, as well as by endeavoring to match our floating-rate assets and liabilities over time, either directly or through the use of interest rate swap contracts. Unrealized gains and losses on investments in available-for-sale securities are reported in comprehensive income.

The following table summarizes the impact of hypothetical changes in market interest rates across the entire yield curve by 1% point or 2% points as of March 31, 2017 on our investment income and interest expense per annum, and the fair value of our investments and debt (in millions, except percentages):

March 31, 2017

Increase (Decrease) in Market Interest Rate

Investment

Income Per

Annum (a)

Interest

Expense Per

Annum (a)

Fair Value of

Financial Assets (b)

Fair Value of

Financial Liabilities

2 %

$

378


$

234


$

(1,811

)

$

(3,926

)

1

189


117


(924

)

(2,110

)

(1)

(167

)

(115

)

902


2,573


(2)

nm


nm


1,566


5,530


nm = not meaningful

(a)

Given the low absolute level of short-term market rates on our floating-rate assets and liabilities as of March 31, 2017 , the assumed hypothetical change in interest rates does not reflect the full 100 basis point reduction in interest income or interest expense as the rate cannot fall below zero and thus the 200 basis point reduction is not meaningful.

(b)

As of March 31, 2017 , some of our investments had interest rates below 2% so the assumed hypothetical change in the fair value of investments does not reflect the full 200 basis point reduction.

ITEM 4.    CONTROLS AND PROCEDURES

EVALUATION OF DISCLOSURE CONTROLS AND PROCEDURES

We maintain disclosure controls and procedures as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934 (Exchange Act) that are designed to provide reasonable assurance that information required to be disclosed by us in reports that we file or submit under the Exchange Act is (i) recorded, processed, summarized and reported within the time periods specified in SEC rules and forms; and (ii) accumulated and communicated to our management, including our principal executive officer and principal financial officer, as appropriate to allow timely decisions regarding required disclosure.

In connection with the filing of this quarterly report on Form 10-Q, management evaluated, under the supervision and with the participation of our Chief Executive Officer and Chief Financial Officer, the effectiveness of the design and operation of our disclosure controls and procedures as of March 31, 2017 . Based upon that evaluation, our Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures were effective at the reasonable assurance level as of March 31, 2017 .

CHANGES IN INTERNAL CONTROL OVER FINANCIAL REPORTING

There have been no changes in our internal control over financial reporting during the quarter ended March 31, 2017 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

PART II. OTHER INFORMATION

ITEM 1.

LEGAL PROCEEDINGS

A description of our legal proceedings is included in and incorporated by reference to Note 7 of Notes to the Condensed Consolidated Financial Statements contained in Part I, Item 1 of this report.

ITEM 1A.

RISK FACTORS

In addition to the other information set forth in this report, you should carefully consider the factors discussed in Part I, Item 1A, "Risk Factors" of our 2016 10-K, which could materially affect our business, financial condition or future results. The risks described in our 2016 10-K are not the only risks facing us. Additional risks and uncertainties not currently known to us or that we currently deem to be immaterial also may materially adversely affect our business, financial condition and/or future results.

There have been no material changes to the risk factors disclosed in our 2016 10-K.


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Table of Contents


ITEM 2.    UNREGISTERED SALE OF EQUITY SECURITIES AND USE OF PROCEEDS

In November 1997, our Board of Directors adopted a share repurchase program, which the Board evaluates periodically. There is no established expiration date for the program. During the first quarter 2017, we repurchased approximately 4 million shares at an average price of $160.72 per share. As of March 31, 2017, we had Board authorization to purchase up to 47 million shares of our common stock.

ITEM 6.

EXHIBITS**


The following exhibits are filed or incorporated by reference herein in response to Item 601 of Regulation S-K. The Company files Annual Reports on Form 10-K, Quarterly Reports on Form 10-Q and Current Reports on Form 8-K pursuant to the Securities Exchange Act of 1934 under Commission File No. 1-10864.

3.1


Certificate of Incorporation of UnitedHealth Group Incorporated (incorporated by reference to Exhibit 3.1 to the Company's Registration Statement on Form 8-A/A filed on July 1, 2015)

3.2


Bylaws of UnitedHealth Group Incorporated, effective February 9, 2016 (incorporated by reference to Exhibit 3.1 to the Company's Current Report on Form 8-K filed on February 12, 2016)

4.1


Senior Indenture, dated as of November 15, 1998, between United HealthCare Corporation and The Bank of New York (incorporated by reference to Exhibit 4.1 to the Company's Registration Statement on Form S-3/A, SEC File Number 333-66013, filed on January 11, 1999)

4.2


Amendment, dated as of November 6, 2000, to Senior Indenture, dated as of November 15, 1998, between UnitedHealth Group Incorporated and The Bank of New York (incorporated by reference to Exhibit 4.1 to the Company's Quarterly Report on Form 10-Q for the quarter ended September 30, 2001)

4.3


Instrument of Resignation, Appointment and Acceptance of Trustee, dated January 8, 2007, pursuant to the Senior Indenture, dated as of November 15, 1998, amended November 6, 2000, among UnitedHealth Group Incorporated, The Bank of New York and Wilmington Trust Company (incorporated by reference to Exhibit 4.3 to the Company's Quarterly Report on Form 10-Q for the quarter ended June 30, 2007)

4.4


Indenture, dated as of February 4, 2008, between UnitedHealth Group Incorporated and U.S. Bank National Association (incorporated by reference to Exhibit 4.1 to the Company's Registration Statement on Form S-3, SEC File Number 333-149031, filed on February 4, 2008)

*10.1


Summary of Non-Management Director Compensation, effective as of October 1, 2016

12.1


Computation of Ratio of Earnings to Fixed Charges

31.1


Certifications pursuant to Section 302 of the Sarbanes-Oxley Act of 2002

32.1


Certifications pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

101


The following materials from UnitedHealth Group Incorporated's Quarterly Report on Form 10-Q for the quarter ended March 31, 2017 filed on May 8, 2017, formatted in XBRL (eXtensible Business Reporting Language): (i) Condensed Consolidated Balance Sheets, (ii) Condensed Consolidated Statements of Operations, (iii) Condensed Consolidated Statements of Comprehensive Income, (iv) Condensed Consolidated Statements of Changes in Equity, (v) Condensed Consolidated Statements of Cash Flows, and (vi) Notes to the Condensed Consolidated Financial Statements.

 ________________

*

Denotes management contracts and compensation plans in which certain directors and named executive officers participate and which are being filed pursuant to Item 601(b)(10)(iii)(A) of Regulation S-K.

**

Pursuant to Item 601(b)(4)(iii) of Regulation S-K, copies of instruments defining the rights of certain holders of long-term debt are not filed. The Company will furnish copies thereof to the SEC upon request.



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Table of Contents


SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

UNITEDHEALTH GROUP INCORPORATED

/s/ S TEPHEN  J. H EMSLEY

Chief Executive Officer
(principal executive officer)

Dated:

May 8, 2017

Stephen J. Hemsley

/s/ J OHN  F. R EX

Executive Vice President and

Chief Financial Officer
(principal financial officer)

Dated:

May 8, 2017

John F. Rex

/ S/ T HOMAS  E. R OOS

Senior Vice President and

Chief Accounting Officer
(principal accounting officer)

Dated:

May 8, 2017

Thomas E. Roos



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Table of Contents


EXHIBIT INDEX**


The following exhibits are filed or incorporated by reference herein in response to Item 601 of Regulation S-K. The Company files Annual Reports on Form 10-K, Quarterly Reports on Form 10-Q and Current Reports on Form 8-K pursuant to the Securities Exchange Act of 1934 under Commission File No. 1-10864.

3.1


Certificate of Incorporation of UnitedHealth Group Incorporated (incorporated by reference to Exhibit 3.1 to the Company's Registration Statement on Form 8-A/A filed on July 1, 2015)

3.2


Bylaws of UnitedHealth Group Incorporated, effective February 9, 2016 (incorporated by reference to Exhibit 3.1 to the Company's Current Report on Form 8-K filed on February 12, 2016)

4.1


Senior Indenture, dated as of November 15, 1998, between United HealthCare Corporation and The Bank of New York (incorporated by reference to Exhibit 4.1 to the Company's Registration Statement on Form S-3/A, SEC File Number 333-66013, filed on January 11, 1999)

4.2


Amendment, dated as of November 6, 2000, to Senior Indenture, dated as of November 15, 1998, between UnitedHealth Group Incorporated and The Bank of New York (incorporated by reference to Exhibit 4.1 to the Company's Quarterly Report on Form 10-Q for the quarter ended September 30, 2001)

4.3


Instrument of Resignation, Appointment and Acceptance of Trustee, dated January 8, 2007, pursuant to the Senior Indenture, dated as of November 15, 1998, amended November 6, 2000, among UnitedHealth Group Incorporated, The Bank of New York and Wilmington Trust Company (incorporated by reference to Exhibit 4.3 to the Company's Quarterly Report on Form 10-Q for the quarter ended June 30, 2007)

4.4


Indenture, dated as of February 4, 2008, between UnitedHealth Group Incorporated and U.S. Bank National Association (incorporated by reference to Exhibit 4.1 to the Company's Registration Statement on Form S-3, SEC File Number 333-149031, filed on February 4, 2008)

*10.1


Summary of Non-Management Director Compensation, effective as of October 1, 2016

12.1


Computation of Ratio of Earnings to Fixed Charges

31.1


Certifications pursuant to Section 302 of the Sarbanes-Oxley Act of 2002

32.1


Certifications pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

101


The following materials from UnitedHealth Group Incorporated's Quarterly Report on Form 10-Q for the quarter ended March 31, 2017 filed on May 8, 2017, formatted in XBRL (eXtensible Business Reporting Language): (i) Condensed Consolidated Balance Sheets, (ii) Condensed Consolidated Statements of Operations, (iii) Condensed Consolidated Statements of Comprehensive Income, (iv) Condensed Consolidated Statements of Changes in Equity, (v) Condensed Consolidated Statements of Cash Flows, and (vi) Notes to the Condensed Consolidated Financial Statements.

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*

Denotes management contracts and compensation plans in which certain directors and named executive officers participate and which are being filed pursuant to Item 601(b)(10)(iii)(A) of Regulation S-K.

**

Pursuant to Item 601(b)(4)(iii) of Regulation S-K, copies of instruments defining the rights of certain holders of long-term debt are not filed. The Company will furnish copies thereof to the SEC upon request.



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