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SECURITIES AND EXCHANGE COMMISSION
                                                              Washington, D.C. 20549


                                                                       FORM 8-K

                                                         Current Report Pursuant to
                                                            Section 13 or 15(d) of
                                                     the Securities Exchange Act of 1934
                                      Date of report (Date of earliest event reported): January 19, 2006




     UNITEDHEALTH GROUP INCORPORATED
                                                       (Exact name of registrant as specified in its charter)




                  Minnesota                                                   0-10864                                 41-1321939
            (State or other jurisdiction                               (Commission File Number)                       (I.R.S. Employer
                 of incorporation)                                                                                   Identification No.)

UnitedHealth Group Center, 9900 Bren Road East, Minnetonka, Minnesota                                               55343
                            (Address of principal executive offices)                                               (Zip Code)

                                    Registrant’s telephone number, including area code: (952) 936-1300
                                                                               N/A
                                                  (Former name or former address, if changed since last report.)




Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant
under any of the following provisions:
     Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
     Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
     Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
     Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Item 2.02. Results of Operations and Financial Condition
On January 19, 2006, UnitedHealth Group Incorporated (the “Company”) issued a press release discussing fourth quarter 2005
results. A copy of the press release is furnished herewith as Exhibit 99 and incorporated in this Item 2.02 by reference. The press
release contains forward-looking statements regarding the Company.
To supplement our consolidated financial results as determined by generally accepted accounting principles (GAAP), the press
release also discloses the following non-GAAP information which management believes provides useful information to investors:
Certain account balances and financial measures have been presented in this earnings release excluding our AARP business.
Management believes these disclosures are meaningful since underwriting gains or losses related to the AARP business are recorded
as an increase or decrease to a rate stabilization fund (RSF) and the effects of changes in balance sheet amounts associated with the
AARP program accrue to the overall benefit of the AARP policyholders through the RSF balance. Although the Company is at risk
for underwriting losses to the extent cumulative net losses exceed the balance in the RSF, the Company has not been required to fund
any underwriting deficits to date and management believes the RSF balance is sufficient to cover potential future underwriting or
other risks associated with the contract.
Adjusted operating cash flows is presented in the earnings release to facilitate the comparison of cash flows from operating activities
for periods in which the Company does not receive all monthly premium payments from the Centers for Medicare and Medicaid
Services (CMS). CMS is contractually obligated to pay their monthly premium on the first calendar day of the applicable month. If
the first calendar day of the month falls on a weekend or a holiday, CMS has historically paid the Company on the last business day
of the preceding calendar month. As such, GAAP operating cash flows may vary depending upon the number of payments received
by the Company from CMS during a particular period. Adjusted operating cash flows presents operating cash flows assuming that
each monthly CMS premium payment was received on the first calendar day of the month.
The 2005 operating cost ratio, operating margin and diluted net earnings per common share excluding Medicare Part D market launch
expenses have been presented in the earnings release to facilitate comparison of these measures across periods that do not contain
similar expenses. Medicare Part D is a new program under which we began providing prescription drug insurance coverage to
Medicare-eligible individuals beginning January 1, 2006.

                                                       UnitedHealth Group
                                         Reconciliation of Non-GAAP Financial Measures
                                               (in millions, except per share data)
                                                            (unaudited)
                                                                                             Three Months Ended     Twelve Months Ended
                                                                                                December 31,           December 31,

                                                                                              2005       2004        2005        2004

GAAP Cash Flows From Operating Activities                                                   $ 632 $       1,250 $ 4,326       $ 4,135
January 2005 CMS Premium Payment Received in December 2004                                    —            (275)    275          (275)
October 2005 CMS Premium Payment Received in September 2005                                   309           —       —             —
January 2004 CMS Premium Payment Received in December 2003                                    —             —       —             175

Adjusted Cash Flows From Operating Activities                                               $ 941 $         975    $ 4,601    $ 4,035
Three Months Ended       Twelve Months Ended
                                                                                          December 31,             December 31,

                                                                                       2005         2004         2005         2004

GAAP Operating Costs                                                                 $ 1,872      $ 1,592      $ 6,814      $ 5,743
Medicare Part D Market Launch Expenses                                                   (50)         —            (60)         —

Adjusted Operating Costs                                                             $ 1,822      $ 1,592      $ 6,754      $ 5,743

GAAP Operating Cost Ratio                                                               15.5%        15.1%        15.0%        15.4%
Adjusted Operating Cost Ratio                                                           15.1%        15.1%        14.9%        15.4%
GAAP Earnings From Operations                                                        $ 1,429      $ 1,188      $ 5,373      $ 4,101
Medicare Part D Market Launch Expenses                                                    50          —             60          —

Adjusted Earnings From Operations                                                    $ 1,479      $ 1,188      $ 5,433      $ 4,101

GAAP Operating Margin                                                                   11.9%        11.3%        11.8%        11.0%
Adjusted Operating Margin                                                               12.3%        11.3%        12.0%        11.0%
GAAP Diluted Net Earnings Per Common Share                                           $ 0.65       $ 0.54       $ 2.48       $ 1.97
Impact of Medicare Part D Market Launch Expenses                                       0.02          —           0.03          —

Adjusted Diluted Net Earnings Per Common Share                                       $ 0.67       $ 0.54       $ 2.51       $ 1.97


CAUTIONARY STATEMENT FOR PURPOSES OF THE “SAFE HARBOR” PROVISIONS OF THE PRIVATE
SECURITIES LITIGATION REFORM ACT OF 1995
UnitedHealth Group and its representatives may from time to time make written and oral forward-looking statements within the
meaning of the Private Securities Litigation Reform Act of 1995 (PSLRA), including statements in this report, in presentations, press
releases (including the earnings release attached as Exhibit 99 to this report and the earnings conference call described in such
earnings release), filings with the Securities and Exchange Commission, reports to shareholders and in meetings with analysts and
investors. Generally the words “believe,” “expect,” “intend,” “estimate,” “anticipate,” “project,” “will” and similar expressions
identify forward-looking statements, which
generally are not historical in nature. These statements may contain information about financial prospects, economic conditions,
trends and unknown certainties. We caution that actual results could differ materially from those that management expects, depending
on the outcome of certain factors. These forward-looking statements involve risks and uncertainties that may cause our actual results
to differ materially from the results discussed in the forward-looking statements. Some factors that could cause results to differ
materially from the forward-looking statements include:
     •   increases in health care costs that are higher than we anticipated in establishing our premium rates, including increased
         consumption of or costs of medical services;
     •   heightened competition as a result of new entrants into our market, and consolidation of health care companies and
         suppliers;
     •   events that may negatively affect our contract with AARP;
     •   increased competition and other uncertainties resulting from changes in Medicare laws;
     •   increases in costs and other liabilities associated with increased litigation, legislative activity and government regulation and
         review of our industry;
     •   our ability to execute contracts on competitive terms with physicians, hospitals and other service providers;
     •   failure to maintain effective and efficient information systems, which could result in the loss of existing customers,
         difficulties in attracting new customers, difficulties in determining medical costs estimates and appropriate pricing, customer
         and physician and health care provider disputes, regulatory violations, increases in operating costs, or other adverse
         consequences;
     •   possible impairment of the value of our intangible assets if future results do not adequately support goodwill and intangible
         assets recorded for businesses that we acquire;
     •   costs associated with compliance with restrictions on patient privacy, including system changes, development of new
         administrative processes, and potential noncompliance by our business associates;
     •   misappropriation of our proprietary technology;
     •   potential effects of terrorism, including increased use of health care services, disruption of information and payment
         systems, and increased health care costs; and
     •   the anticipated benefits of our acquisition of PacifiCare Health Systems, Inc. may not be realized due to a number of
         uncertainties, including integration of PacifiCare into UnitedHealth Group, and general competitive factors in the
         marketplace, which could result in increased costs, decreases in the amount of expected revenues and diversion of
         management’s time and resources.
This list of important factors is not intended to be exhaustive. A further list and description of some of these risks and uncertainties
can be found in our reports filed with the Securities and Exchange Commission from time to time, including our annual reports on
Form 10-K and quarterly reports on Form 10-Q. Any or all forward-looking statements we make may turn out to be wrong. You
should not place undue reliance on forward-looking statements, which speak only as of the date they are made. Except to the extent
otherwise required by federal securities laws, we do not undertake to publicly update or revise any forward-looking statements.
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 hereunto duly authorized.
Date: January 19, 2006

                                                                                 UNITEDHEALTH GROUP INCORPORATED

                                                                                 By: /s/ David J. Lubben

                                                                                      David J. Lubben
                                                                                      General Counsel & Secretary
EXHIBITS
Number   Description

  99     Press Release, dated January 19, 2006, issued by UnitedHealth Group
Exhibit 99

NEWS RELEASE




Contacts: John S. Penshorn
          Senior Vice President
          952-936-7214
          Patrick J. Erlandson
          Chief Financial Officer
          952-936-5901

(For Immediate Release)
                                        UNITEDHEALTH GROUP REPORTS RECORD
                FOURTH QUARTER AND FULL YEAR 2005 EARNINGS OF $0.65 AND $2.48 PER SHARE
                   Company Increases 2006 Earnings Per Share Growth Projection To a Range of 21% to 23%

     •                                                               •
          Fourth Quarter Revenues Up 15%                                  Full Year Revenues Up 22%
     •                                                               •
          Fourth Quarter Operating Margin of 11.9%                        Full Year Operating Margin of 11.8%
     •                                                               •
          Fourth Quarter Adjusted Cash Flows exceeded $900                Full Year Adjusted Cash Flows above $4.6 Billion
          Million
     •                                                               •
          Fourth Quarter Return on Equity of 24%                          Full Year Return on Equity of 27%
     •                                                               •
          Fourth Quarter EPS Grew 20%                                     Full Year EPS Grew 26%
MINNEAPOLIS (January 19, 2006) – UnitedHealth Group (NYSE: UNH) achieved record results in the fourth quarter and full year
ended December 31, 2005, reported Chairman and CEO William W. McGuire, M.D. today.
He noted that the full year results were driven by balanced contributions across the diversified family of UnitedHealth Group
businesses and the extension of services to nearly 3.6 million new customers across all of its member-based businesses in 2005.
Quarterly and Annual Financial Performance
                                                            Three Months Ended                                  Year Ended

                                            December 31,      September 30,       December 31,       December 31,        December 31,
                                                2005              2005                2004               2005                2004

Revenues                                  $12.05 billion     $11.32 billion      $10.51 billion    $45.37 billion      $37.22 billion
Earnings From Operations                  $ 1.43 billion     $ 1.38 billion      $ 1.19 billion    $ 5.37 billion      $ 4.10 billion
Operating Margin                                    11.9%              12.2%              11.3%              11.8%               11.0%

UnitedHealth Group Highlights
     • Fourth quarter earnings per share of $0.65 increased 20 percent from $0.54 in the fourth quarter of 2004, and improved 1
       cent or 2 percent from the third quarter of 2005. Fourth quarter earnings per share included approximately 2 cents per share
       in market launch expenses for the Medicare Part D prescription drug benefit program. Excluding the market launch
       expenses, fourth quarter earnings of $0.67 per share gained 24 percent year-over-year.
     •   Full year earnings per share of $2.48, which includes 3 cents per share in Medicare Part D program launch costs, increased
         26 percent from $1.97 per share in 2004. Excluding the market launch expenses, full year earnings of $2.51 per share grew
         27 percent year-over-year.
     •   Fourth quarter consolidated net earnings increased to $870 million, up $131 million or 18 percent year-over-year and $28
         million or 3 percent on a sequential quarter basis. Full year net earnings advanced to $3.3 billion, up $713 million or 28
         percent over 2004 results.
     •   On December 20, 2005, the Company completed its acquisition of PacifiCare Health Systems, Inc., (PacifiCare),
         strengthening the assets of multiple business segments and improving the breadth of its customer offerings and its future
         earnings capacity. The results of the operations of PacifiCare in the subsequent seven business day period contributed $440
         million in revenues to UnitedHealth Group fourth quarter and full year results on a consolidated basis. PacifiCare had no
         significant impact on UnitedHealth Group operating or financial metrics for the fourth quarter or full year.
     •   Consolidated fourth quarter revenues exceeded $12.0 billion, increasing $1.5 billion or 15 percent year-over-year and $723
         million or 6 percent sequentially. Revenues for full year 2005 increased $8.1 billion or 22 percent to $45.4 billion, with
         sizable revenue advances in each of the Company’s business segments.
Highlights for UnitedHealth Group – Continued
    •   Fourth quarter investment and other income of $121 million included $9 million in net capital losses on the sale of
        investments. By comparison, third quarter 2005 investment and other income of $135 million included $4 million in net
        capital gains, and fourth quarter 2004 investment and other income of $110 million also included $4 million in net capital
        gains.
    •   Operating costs represented 15.5 percent of revenues in the fourth quarter, including about 40 basis points or approximately
        $50 million in market launch expenses for the Medicare Part D prescription drug benefit program. Excluding these market
        launch expenses, the fourth quarter 2005 operating cost ratio of 15.1 percent was stable year-over-year. The full year
        reported operating cost ratio of 15.0 percent improved significantly from 15.4 percent in 2004. Excluding market launch
        expenses, the full year operating cost ratio was 14.9 percent.
    •   Earnings from operations increased to $1.4 billion in the fourth quarter, up $241 million or 20 percent over the prior year,
        and up $51 million or 4 percent sequentially. Full year earnings from operations of $5.4 billion advanced 31 percent over
        2004 results.
    •   Consolidated fourth quarter operating margin improved to 11.9 percent from 11.3 percent in the fourth quarter of 2004.
        Excluding market launch expenses for the Medicare Part D prescription drug benefit program from both the third and fourth
        quarters of 2005, the fourth quarter operating margin of 12.3 percent was stable with the third quarter and gained 1 percent
        from 11.3 percent in the fourth quarter of 2004. The full year reported operating margin of 11.8 percent improved 80 basis
        points from 11.0 percent in 2004. Excluding market launch costs, the full year operating margin of 12.0 percent expanded 1
        percent in 2005.
    •   Adjusted cash flows from operations were $941 million for the fourth quarter and $4.6 billion for the year. Reported cash
        flows from operations, which included only two monthly payments in the fourth quarter and 11 monthly payments for the
        full year from the Centers for Medicare and Medicaid Services (CMS), were $632 million in the fourth quarter and more
        than $4.3 billion for the full year.
    •   The medical care ratio, excluding the AARP division of Ovations, was 78.2 percent in the fourth quarter and 78.6 percent
        for full year 2005, a decrease of 90 basis points year-over-year.
    •   Medical costs payable, excluding PacifiCare and the AARP division of Ovations, increased $281 million or 6 percent year-
        over-year to $4.9 billion. Including PacifiCare, medical costs payable were $6.3 billion at December 31, 2005. Medical costs
        days payable were 63 days for the quarter, excluding the AARP division of Ovations and the operations of the PacifiCare
        platform.
    •   During the fourth quarter, the Company realized favorable development of $30 million in its estimates of medical costs
        incurred in 2004. The Company also realized $50 million in favorable development related to estimates of medical costs
        incurred in the first nine months of 2005, with no effect on full year results.
Highlights for UnitedHealth Group – Continued
     •   The Company used $960 million in cash in the fourth quarter to retire outstanding debt obligations of PacifiCare. In
         addition, UnitedHealth Group repurchased 4 million shares in the fourth quarter, bringing the full year repurchase total to
         54 million shares at a weighted average cost of $48 per share.
     •   Fourth quarter 2005 annualized return on equity was 24 percent, with full year return on equity exceeding 27 percent.

Closing Comment
Dr. McGuire concluded, “I am pleased to report both strong 2005 results and a very favorable 2006 outlook, supported by
accelerating internal growth and expanding business opportunities. Our growth prospects across all of our business units directly
reflect our ability to help the health care system work more effectively and, in turn, enhance the accessibility and affordability of
services. Based on our strong position and business momentum entering 2006, we now anticipate a further increase in our earnings
per share growth to a range of 21 percent to 23 percent over our 2005 results.”
UnitedHealth Group adopted the new accounting rules for stock compensation costs, effective January 2006. Including noncash stock
compensation costs, the Company anticipates earnings of $2.85 to $2.90 per share in 2006, a significant increase over the $2.82 to
$2.85 per share that the Company had previously projected for 2006. On a comparative accounting basis, the new 2006 outlook of
$2.85 to $2.90 in earnings per share compares with earnings of $2.36 per share in 2005, including an adjustment to reflect 12 cents
per share in noncash stock compensation costs in 2005. A restatement of historical financial results to reflect noncash stock
compensation costs by business segment, by quarter, will be available in the Financial Reports and SEC Filings section of the Investor
Information page on www.unitedhealthgroup.com.
Business Description – Health Care Services
The Health Care Services segment consists of the UnitedHealthcare, AmeriChoice and Ovations business units. UnitedHealthcare
coordinates network-based health and well-being services on behalf of multistate mid-sized and local employers and for consumers.
AmeriChoice facilitates and manages health care services for state Medicaid programs and their beneficiaries. Ovations delivers
health and well-being services to Americans over the age of 50.

Quarterly and Annual Financial Performance
                                                               Three Months Ended                               Year Ended

                                               December 31,       September 30,     December 31,      December 31,       December 31,
                                                   2005               2005              2004              2005               2004

Revenues                                      $10.63 billion     $9.95 billion      $9.32 billion   $40.02 billion     $32.67 billion
Earnings From Operations                      $ 985 million      $976 million       $834 million    $ 3.82 billion     $ 2.81 billion
Operating Margin                                         9.3%               9.8%             8.9%               9.5%               8.6%

Key Developments for Health Care Services
• Fourth quarter 2005 Health Care Services revenues grew $1.3 billion or 14 percent year-over-year to $10.6 billion. Full year
   revenues increased $7.3 billion or 22 percent to $40.0 billion.
•   Fourth quarter Health Care Services earnings from operations of $985 million increased $151 million or 18 percent year-over-
    year and $9 million or 1 percent sequentially.
•   Fourth quarter operating margin of 9.3 percent increased 40 basis points year-over-year and decreased 50 basis points
    sequentially. The sequential decrease was due to an increase in Health Care Services operating costs in the Ovations business
    related to preparation, marketing and enrollment for the start of Medicare Part D prescription drug benefit plans on January 1,
    2006. The full year operating margin of 9.5 percent expanded 90 basis points year-over-year.
Key Developments for Health Care Services – Continued
    • Fourth quarter revenues of $7.1 billion for UnitedHealthcare grew by $683 million or 11 percent year-over-year. Full year
       revenues of $27.2 billion increased by more than $5.2 billion or 24 percent year-over-year.
     •   For the year, UnitedHealthcare (excluding the impact of PacifiCare) brought services to an additional 720,000 people in
         2005, including 335,000 through internal growth and 385,000 through geographically focused acquisitions. The completion
         of the PacifiCare merger in late December 2005 brings additional significant mid-sized and small employer business, as well
         as individual business, to UnitedHealthcare for 2006.
     •   The full year UnitedHealthcare medical care ratio of 78.2 percent improved 80 basis points as medical cost trends moderated
         in 2005, impacted by effective health care facilitation and cost management, efficient benefit designs and the general
         economic environment. The fourth quarter medical care ratio was 78.0 percent.
     •   AmeriChoice fourth quarter revenues of $873 million increased $48 million or 6 percent year-over-year and $30 million or 4
         percent sequentially. Full year AmeriChoice revenues of $3.4 billion increased 9 percent year-over-year.
     •   AmeriChoice grew enrollment by 20,000 people in the fourth quarter of 2005, bringing the year-end total to 1.25 million
         people. Year-over-year, the number of people served by AmeriChoice was stable, as organic growth was offset by a
         membership reduction related to its withdrawal from the Illinois market during the third quarter of 2005.
     •   Ovations fourth quarter revenues of $2.6 billion grew $571 million or 28 percent year-over-year. Full year Ovations
         revenues of $9.4 billion increased more than $1.8 billion or 24 percent over 2004 results.
     •   In its Medicare Advantage health benefit programs, Ovations added 20,000 seniors through internal growth in the fourth
         quarter, bringing the full year membership advance to 65,000 people, an increase of 20 percent. The merger with the
         PacifiCare Secure Horizons business in late December nearly triples the number of seniors served through Medicare
         Advantage plans for January 2006.
     •   On a combined basis as of January 17, 2006, Ovations and PacifiCare had enrolled 4.3 million senior consumers in
         Medicare Part D prescription drug benefit plans, including those affiliated with Medicare Advantage health plan programs
         with Part D benefits.
     •   Full year earnings from operations for Ovations increased by approximately 25 percent in 2005 due to overall revenue
         growth and the achievement of stable operating margins, despite bearing significant expenses for launch of the Medicare
         Part D prescription drug benefit program on January 1, 2006.
Business Description
Uniprise delivers network-based health and well-being services, business-to-business transaction processing services, consumer
connectivity, and technology support services to large employers and health plans, and provides health-related consumer and financial
transaction products and services.

Quarterly and Annual Financial Performance
                                                                 Three Months Ended                              Year Ended

                                                 December 31,      September 30,      December 31,     December 31,      December 31,
                                                     2005              2005               2004             2005              2004

Revenues                                        $978 million       $969 million       $845 million    $3.85 billion     $3.37 billion
Earnings From Operations                        $207 million       $205 million       $169 million    $799 million      $677 million
Operating Margin                                         21.2%              21.2%             20.0%            20.8%             20.1%
Key Developments
•   Uniprise revenues increased $133 million or 16 percent over fourth quarter 2004 and $485 million or 14 percent for full year
    2005, reaching $978 million and $3.85 billion for the respective periods.
•   Uniprise advanced the number of people served in the national multilocation employer segment by more than 600,000 in 2005.
    Uniprise estimates it added more than 400,000 new consumers in early 2006, and that it is on track for full year 2006 growth of
    500,000 to 600,000 people.
•   The Uniprise fourth quarter operating margin of 21.2 percent increased 120 basis points year-over-year and was stable
    sequentially, as fourth quarter earnings from operations grew 22 percent or $38 million year-over-year to $207 million. As a
    result of productivity and efficiency gains, earnings from operations increased $2 million from third quarter 2005, despite
    seasonal fourth quarter enrollment costs and expenses for significant levels of benefit plan changes related to 2006 enrollment
    activities.
•   Full year earnings from operations of $799 million increased $122 million or 18 percent over 2004 results. The full year operating
    margin of 20.8 percent reflected 70 basis points in year-over-year gain, driven by improving productivity through the application
    of advanced technology to basic business processes.
Business Description
Specialized Care Services offers a comprehensive array of specialized benefits, networks, services and resources to make health care
work better by connecting people to proven solutions for health and well being.

Quarterly and Annual Financial Performance
                                                                 Three Months Ended                             Year Ended

                                                 December 31,      September 30,      December 31,    December 31,      December 31,
                                                     2005              2005               2004            2005              2004

Revenues                                        $753 million       $728 million       $588 million    $2.81 billion    $2.30 billion
Earnings From Operations                        $162 million       $148 million       $129 million    $582 million     $485 million
Operating Margin                                         21.5%              20.3%             21.9%           20.7%             21.1%
Key Developments
    • Fourth quarter revenues rose to $753 million, up $165 million or 28 percent year-over-year and $25 million or 3 percent
       from the third quarter of 2005. Full year revenues of $2.8 billion increased $511 million or 22 percent, reflecting exceptional
       growth as the businesses within this segment added more than 5 million new people as customers in 2005. This includes
       more than 3 million people who were customers of other UnitedHealth Group businesses and who purchased an offering
       from Specialized Care Services for the first time.
     •   The Specialized Care Services fourth quarter operating margin of 21.5 percent expanded 120 basis points sequentially and
         declined 40 basis points year-over-year. The full year operating margin of 20.7 percent also decreased 40 basis points year-
         over-year. The fourth quarter and full year operating margin percentages were consistent with the evolving business mix for
         this reporting segment.
     •   Fourth quarter earnings from operations of $162 million increased $33 million or 26 percent year-over-year and $14 million
         or 9 percent sequentially. Full year earnings from operations grew $97 million or 20 percent year-over-year to $582 million.
Business Description
Ingenix is a leader in the field of health care data, analysis and application, serving pharmaceutical companies, health insurers and
other payers, physicians and other health care providers, large employers and governments.

Quarterly and Annual Financial Performance
                                                                  Three Months Ended                               Year Ended

                                                  December 31,      September 30,      December 31,      December 31,      December 31,
                                                      2005              2005               2004              2005              2004

Revenues                                         $248 million       $205 million       $214 million     $794 million      $670 million
Earnings From Operations                         $ 75 million       $ 49 million       $ 56 million     $177 million      $129 million
Operating Margin                                          30.2%              23.9%             26.2%             22.3%             19.3%
Key Developments
    • Ingenix fourth quarter revenues of $248 million increased $34 million or 16 percent year-over-year and $43 million or 21
       percent sequentially. Advances were driven by the seasonal pick-up for Ingenix syndicated content products and strong
       software sales. On a full year basis, Ingenix grew revenues by $124 million or 19 percent over 2004 results.
     •   Strong sales performance continued in the fourth quarter, with the Ingenix contract revenue backlog exceeding $850 million
         across its business units on December 31, 2005, a year-over-year increase of 28 percent.
     •   Ingenix earnings from operations increased $19 million or 34 percent year-over-year and $26 million or 53 percent on a
         sequential quarter basis. Full year earnings from operations increased $48 million or 37 percent to $177 million. The fourth
         quarter operating margin of 30.2 percent expanded 4 percentage points year-over-year, bringing the full year 2005 operating
         margin up to 22.3 percent. Exceptional earnings leverage, particularly from data, software and informatics products, drove
         the year-over-year and sequential operating margin gains.
About UnitedHealth Group
UnitedHealth Group (www.unitedhealthgroup.com) is a diversified health and well-being company dedicated to making health care
work better. Headquartered in Minneapolis, Minn., UnitedHealth Group offers a broad spectrum of products and services through six
operating businesses: UnitedHealthcare, Ovations, AmeriChoice, Uniprise, Specialized Care Services and Ingenix. Through its family
of businesses, UnitedHealth Group serves approximately 65 million individuals nationwide.

Forward-Looking Statements
This news release may contain statements, estimates or projections that constitute “forward-looking” statements as defined under U.S.
federal securities laws. Generally the words “believe,” “expect,” “intend,” “estimate,” “anticipate,” “project,” “will” and similar
expressions identify forward-looking statements, which generally are not historical in nature. By their nature, forward-looking
statements are subject to risks and uncertainties that could cause actual results to differ materially from our historical experience and
our present expectations or projections. A list and description of some of the risks and uncertainties can be found in our reports filed
with the Securities and Exchange Commission from time to time, including our annual reports on Form 10-K, quarterly reports on
Form 10-Q and current reports on Form 8-K. You should not place undue reliance on forward-looking statements, which speak only
as of the date they are made. Except to the extent otherwise required by federal securities laws, we do not undertake to publicly
update or revise any forward-looking statements.

Earnings Conference Call
As previously announced, UnitedHealth Group will discuss the Company’s results, strategy and future outlook on a conference call
with investors at 8:45 a.m. Eastern time today. UnitedHealth Group will host a live webcast of this conference call from the Investor
Information page of the Company’s Web site (www.unitedhealthgroup.com). The webcast replay of the call will be available on the
same site for one week following the live call. The conference call replay can also be accessed by dialing 1-800-642-1687, conference
ID #3484226. This earnings release and the Form 8-K dated January 19, 2006, which may also be accessed in the Investor
Information section of the Company’s Web site, include a reconciliation of non-GAAP financial measures.
                                                                  ###
UNITEDHEALTH GROUP
                           Earnings Release Schedules and Supplementary Information
                                       Quarter Ended December 31, 2005

•   Consolidated Statements of Operations
•   Condensed Consolidated Balance Sheets
•   Condensed Consolidated Statements of Cash Flows
•   Segment Financial Information
•   Customer Profile Summary
UNITEDHEALTH GROUP
                                CONSOLIDATED STATEMENTS OF OPERATIONS
                                       (in millions, except per share data)
                                                   (unaudited)
                                                             Three Months Ended December 31,       Year Ended December 31,

                                                                 2005               2004               2005          2004

REVENUES
Premiums                                                    $      10,880       $      9,510       $ 41,058      $ 33,495
Services                                                            1,044                891          3,808         3,335
Investment and Other Income                                           121                110            499           388

     Total Revenues                                                12,045            10,511            45,365        37,218

COSTS
Medical Costs                                                       8,624              7,625           32,725        27,000
Operating Costs                                                     1,872              1,592            6,814         5,743
Depreciation and Amortization                                         120                106              453           374

     Total Costs                                                   10,616              9,323           39,992        33,117

                                                                    1,429              1,188            5,373         4,101
EARNINGS FROM OPERATIONS
Interest Expense                                                         (75)               (42)         (241)         (128)

                                                                    1,354              1,146            5,132         3,973
EARNINGS BEFORE INCOME TAXES
Provision for Income Taxes                                              (484)              (407)       (1,832)       (1,386)

                                                            $           870     $          739     $    3,300    $    2,587
NET EARNINGS

                                                            $           0.69    $          0.57    $     2.61    $     2.07
BASIC NET EARNINGS PER COMMON SHARE

                                                            $           0.65    $          0.54    $     2.48    $     1.97
DILUTED NET EARNINGS PER COMMON SHARE

Diluted Weighted-Average Common Shares Outstanding                  1,338              1,359            1,330         1,310
UNITEDHEALTH GROUP
                                        CONDENSED CONSOLIDATED BALANCE SHEETS
                                                      (in millions)
                                                       (unaudited)
                                                                                                        December 31,     December 31,
                                                                                                            2005             2004

ASSETS
Cash and Short-Term Investments                                                                         $    6,011       $       4,505
Accounts Receivable, net                                                                                     1,290                 906
Other Current Assets                                                                                         3,339               2,830

          Total Current Assets                                                                              10,640            8,241
Long-Term Investments                                                                                        8,971            7,748
Other Long-Term Assets                                                                                      21,763           11,890

      Total Assets                                                                                      $   41,374       $   27,879

LIABILITIES AND SHAREHOLDERS’ EQUITY
Medical Costs Payable                                                                                   $    7,301       $       5,540
Commercial Paper and Current Maturities of Long-Term Debt                                                    3,261                 673
Other Current Liabilities                                                                                    6,082               5,116

            Total Current Liabilities                                                                       16,644           11,329
Long-Term Debt, less current maturities                                                                      3,850            3,350
Future Policy Benefits for Life and Annuity Contracts                                                        1,761            1,669
Deferred Income Taxes and Other Liabilities                                                                  1,386              814
Shareholders’ Equity                                                                                        17,733           10,717

      Total Liabilities and Shareholders’ Equity                                                        $   41,374       $   27,879


      The table below summarizes certain balance sheet data excluding AARP related amounts:
                                                                                  December 31, 2005          December 31, 2004

       Accounts Receivable, net                                                   $           876            $           517
       Other Current Assets                                                       $         1,547            $           947
       Other Current Liabilities                                                  $         4,877            $         3,743
       Medical Costs Payable                                                      $         6,300            $         4,641
       Days Medical Costs in Medical Costs Payable                                             63(a)                      64

(a)   Excludes the impact on Days Medical Costs in Medical Costs Payable of PacifiCare Health Systems, Inc. (PacifiCare), which
      was acquired in December 2005. Including PacifiCare, Days Medical Costs in Medical Costs Payable were 77 days.
UNITEDHEALTH GROUP
                             CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
                                                (in millions)
                                                 (unaudited)
                                                                                   Year Ended December 31,

                                                                                    2005             2004

Operating Activities
    Net Earnings                                                               $     3,300       $    2,587
    Noncash Items:
          Depreciation and amortization                                                453              374
          Deferred income taxes and other                                              167              125
    Net changes in operating assets and liabilities                                    406            1,049

           Cash Flows From Operating Activities                                      4,326            4,135

Investing Activities
     Cash paid for acquisitions, net of cash assumed                                (2,562)          (2,225)
     Purchases of property, equipment and capitalized software                        (509)            (350)
     Net sales and maturities/(purchases) of investments                              (418)             931

           Cash Flows Used For Investing Activities                                 (3,489)          (1,644)

Financing Activities
     Common stock repurchases                                                       (2,557)          (3,446)
     Net change in commercial paper and debt                                         2,656            2,044
     Other, net                                                                        494              640

           Cash Flows From (Used For) Financing Activities                             593             (762)

Increase in cash and cash equivalents                                                1,430            1,729
Cash and cash equivalents, beginning of period                                       3,991            2,262

Cash and cash equivalents, end of period                                       $     5,421       $    3,991

Supplemental Schedule of Noncash Investing Activities:
     Common Stock Issued for Acquisitions                                      $     5,696       $    5,557
UNITEDHEALTH GROUP
                            SEGMENT FINANCIAL INFORMATION
                                       (in millions)
                                        (unaudited)
                                                 Three Months Ended December 31,         Year Ended December 31,

                                                    2005                2004              2005             2004

REVENUES
UnitedHealthcare                             $         7,114       $       6,431     $ 27,186          $ 21,950
Ovations                                               2,638               2,067        9,446             7,602
AmeriChoice                                              873                 825        3,387             3,121

     Health Care Services                            10,625                9,323          40,019           32,673
Uniprise                                                978                  845           3,850            3,365
Specialized Care Services                               753                  588           2,806            2,295
Ingenix                                                 248                  214             794              670
Eliminations                                           (559)                (459)         (2,104)          (1,785)

     Total Consolidated                      $       12,045        $      10,511     $ 45,365          $ 37,218


                                                 Three Months Ended December 31,         Year Ended December 31,

                                                    2005                2004              2005             2004

EARNINGS FROM OPERATIONS
Health Care Services                         $             985     $           834   $     3,815       $    2,810
Uniprise                                                   207                 169           799              677
Specialized Care Services                                  162                 129           582              485
Ingenix                                                     75                  56           177              129

     Total Consolidated                      $         1,429       $       1,188     $     5,373       $    4,101
UNITEDHEALTH GROUP
                                               CUSTOMER PROFILE SUMMARY
                                                      (in thousands)
                                                        (unaudited)
                                                                                             December       September   June    December
Customer Profile                                                                             2005 (a)(b)       2005     2005      2004

Commercial Businesses
   Risk-based                                                                                  11,905        11,785 11,530       10,820
   Fee-based                                                                                   17,035(c)     16,750 16,665       15,525
                                                                                                7,080         7,190 7,075         7,035
Federal, State, and Municipal Governments
                                                                                                1,470(d)      1,555 1,540         1,455
Individual Consumers
                                                                                               19,870        19,745 19,715       19,005
Business-to-Business

                                                                                               57,360        57,025 56,525       53,840
      Grand Total

                                                                                                1,095          1,060    1,005       560
Consumer-directed health plans (included above)


                                                                                             December       September   June    December
                                                                                             2005 (a)(b)       2005     2005      2004

Supplemental Segment Profile - Health Care Services and Uniprise
Health Care Services:
     Risk-based commercial                                                                       7,765         7,805    7,700      7,655
     Fee-based commercial                                                                        3,895(c)      3,615    3,455      3,305
     Medicare                                                                                      395           375      355        330
     Medicaid                                                                                    1,250         1,230    1,265      1,260

             Total Health Care Services                                                        13,305        13,025 12,775       12,550

Uniprise                                                                                       10,480        10,505 10,540         9,875


(a)   Excludes individuals served by PacifiCare Health Systems, Inc., which was acquired in December 2005.
(b)   Reflects a 20,000 person reduction in UnitedHealthcare’s December 31, 2005 commercial membership pursuant to a Consent
      Decree from the Department of Justice related to the PacifiCare merger.
(c)   Includes 255,000 individuals served by United Medical Resources, Inc., which was acquired in December 2005.
(d)   Reflects the divestiture of 85,000 members pursuant to the sale of the Golden Rule life insurance and annuity business in
      October 2005.
PacifiCare Membership
PacifiCare member data is being reviewed by UnitedHealth Group pursuant to the December 20, 2005 merger. As of December 31,
2005, PacifiCare estimated year-end commercial membership of approximately 2.3 million accessing risk-based benefits and 100,000
accessing fee-based benefits. In addition, approximately 750,000 individuals received Medicare-sponsored benefits as of
December 31, 2005. The member data reflects projected fourth quarter net sales and dis-enrollment activities and a partial writedown
related to the rapid run-off experienced by its 2005 Pacific Life indemnity insurance acquisition, representing a total net reduction of
approximately 100,000 commercial members, as well as the discontinuance of approximately 70,000 members to be divested
pursuant to a Consent Decree with the Department of Justice and the completed divestiture of PacifiCare’s Guam-based business.
Beginning in the first quarter of 2006, membership for PacifiCare will be included in UnitedHealth Group’s reported amounts.

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United Health Group [PDF Document] Form 8-K Related to Earnings Release

  • 1. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 8-K Current Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of report (Date of earliest event reported): January 19, 2006 UNITEDHEALTH GROUP INCORPORATED (Exact name of registrant as specified in its charter) Minnesota 0-10864 41-1321939 (State or other jurisdiction (Commission File Number) (I.R.S. Employer of incorporation) Identification No.) UnitedHealth Group Center, 9900 Bren Road East, Minnetonka, Minnesota 55343 (Address of principal executive offices) (Zip Code) Registrant’s telephone number, including area code: (952) 936-1300 N/A (Former name or former address, if changed since last report.) Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions: Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425) Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12) Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b)) Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
  • 2. Item 2.02. Results of Operations and Financial Condition On January 19, 2006, UnitedHealth Group Incorporated (the “Company”) issued a press release discussing fourth quarter 2005 results. A copy of the press release is furnished herewith as Exhibit 99 and incorporated in this Item 2.02 by reference. The press release contains forward-looking statements regarding the Company. To supplement our consolidated financial results as determined by generally accepted accounting principles (GAAP), the press release also discloses the following non-GAAP information which management believes provides useful information to investors: Certain account balances and financial measures have been presented in this earnings release excluding our AARP business. Management believes these disclosures are meaningful since underwriting gains or losses related to the AARP business are recorded as an increase or decrease to a rate stabilization fund (RSF) and the effects of changes in balance sheet amounts associated with the AARP program accrue to the overall benefit of the AARP policyholders through the RSF balance. Although the Company is at risk for underwriting losses to the extent cumulative net losses exceed the balance in the RSF, the Company has not been required to fund any underwriting deficits to date and management believes the RSF balance is sufficient to cover potential future underwriting or other risks associated with the contract. Adjusted operating cash flows is presented in the earnings release to facilitate the comparison of cash flows from operating activities for periods in which the Company does not receive all monthly premium payments from the Centers for Medicare and Medicaid Services (CMS). CMS is contractually obligated to pay their monthly premium on the first calendar day of the applicable month. If the first calendar day of the month falls on a weekend or a holiday, CMS has historically paid the Company on the last business day of the preceding calendar month. As such, GAAP operating cash flows may vary depending upon the number of payments received by the Company from CMS during a particular period. Adjusted operating cash flows presents operating cash flows assuming that each monthly CMS premium payment was received on the first calendar day of the month. The 2005 operating cost ratio, operating margin and diluted net earnings per common share excluding Medicare Part D market launch expenses have been presented in the earnings release to facilitate comparison of these measures across periods that do not contain similar expenses. Medicare Part D is a new program under which we began providing prescription drug insurance coverage to Medicare-eligible individuals beginning January 1, 2006. UnitedHealth Group Reconciliation of Non-GAAP Financial Measures (in millions, except per share data) (unaudited) Three Months Ended Twelve Months Ended December 31, December 31, 2005 2004 2005 2004 GAAP Cash Flows From Operating Activities $ 632 $ 1,250 $ 4,326 $ 4,135 January 2005 CMS Premium Payment Received in December 2004 — (275) 275 (275) October 2005 CMS Premium Payment Received in September 2005 309 — — — January 2004 CMS Premium Payment Received in December 2003 — — — 175 Adjusted Cash Flows From Operating Activities $ 941 $ 975 $ 4,601 $ 4,035
  • 3. Three Months Ended Twelve Months Ended December 31, December 31, 2005 2004 2005 2004 GAAP Operating Costs $ 1,872 $ 1,592 $ 6,814 $ 5,743 Medicare Part D Market Launch Expenses (50) — (60) — Adjusted Operating Costs $ 1,822 $ 1,592 $ 6,754 $ 5,743 GAAP Operating Cost Ratio 15.5% 15.1% 15.0% 15.4% Adjusted Operating Cost Ratio 15.1% 15.1% 14.9% 15.4% GAAP Earnings From Operations $ 1,429 $ 1,188 $ 5,373 $ 4,101 Medicare Part D Market Launch Expenses 50 — 60 — Adjusted Earnings From Operations $ 1,479 $ 1,188 $ 5,433 $ 4,101 GAAP Operating Margin 11.9% 11.3% 11.8% 11.0% Adjusted Operating Margin 12.3% 11.3% 12.0% 11.0% GAAP Diluted Net Earnings Per Common Share $ 0.65 $ 0.54 $ 2.48 $ 1.97 Impact of Medicare Part D Market Launch Expenses 0.02 — 0.03 — Adjusted Diluted Net Earnings Per Common Share $ 0.67 $ 0.54 $ 2.51 $ 1.97 CAUTIONARY STATEMENT FOR PURPOSES OF THE “SAFE HARBOR” PROVISIONS OF THE PRIVATE SECURITIES LITIGATION REFORM ACT OF 1995 UnitedHealth Group and its representatives may from time to time make written and oral forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 (PSLRA), including statements in this report, in presentations, press releases (including the earnings release attached as Exhibit 99 to this report and the earnings conference call described in such earnings release), filings with the Securities and Exchange Commission, reports to shareholders and in meetings with analysts and investors. Generally the words “believe,” “expect,” “intend,” “estimate,” “anticipate,” “project,” “will” and similar expressions identify forward-looking statements, which
  • 4. generally are not historical in nature. These statements may contain information about financial prospects, economic conditions, trends and unknown certainties. We caution that actual results could differ materially from those that management expects, depending on the outcome of certain factors. These forward-looking statements involve risks and uncertainties that may cause our actual results to differ materially from the results discussed in the forward-looking statements. Some factors that could cause results to differ materially from the forward-looking statements include: • increases in health care costs that are higher than we anticipated in establishing our premium rates, including increased consumption of or costs of medical services; • heightened competition as a result of new entrants into our market, and consolidation of health care companies and suppliers; • events that may negatively affect our contract with AARP; • increased competition and other uncertainties resulting from changes in Medicare laws; • increases in costs and other liabilities associated with increased litigation, legislative activity and government regulation and review of our industry; • our ability to execute contracts on competitive terms with physicians, hospitals and other service providers; • failure to maintain effective and efficient information systems, which could result in the loss of existing customers, difficulties in attracting new customers, difficulties in determining medical costs estimates and appropriate pricing, customer and physician and health care provider disputes, regulatory violations, increases in operating costs, or other adverse consequences; • possible impairment of the value of our intangible assets if future results do not adequately support goodwill and intangible assets recorded for businesses that we acquire; • costs associated with compliance with restrictions on patient privacy, including system changes, development of new administrative processes, and potential noncompliance by our business associates; • misappropriation of our proprietary technology; • potential effects of terrorism, including increased use of health care services, disruption of information and payment systems, and increased health care costs; and • the anticipated benefits of our acquisition of PacifiCare Health Systems, Inc. may not be realized due to a number of uncertainties, including integration of PacifiCare into UnitedHealth Group, and general competitive factors in the marketplace, which could result in increased costs, decreases in the amount of expected revenues and diversion of management’s time and resources.
  • 5. This list of important factors is not intended to be exhaustive. A further list and description of some of these risks and uncertainties can be found in our reports filed with the Securities and Exchange Commission from time to time, including our annual reports on Form 10-K and quarterly reports on Form 10-Q. Any or all forward-looking statements we make may turn out to be wrong. You should not place undue reliance on forward-looking statements, which speak only as of the date they are made. Except to the extent otherwise required by federal securities laws, we do not undertake to publicly update or revise any forward-looking statements.
  • 6. 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 hereunto duly authorized. Date: January 19, 2006 UNITEDHEALTH GROUP INCORPORATED By: /s/ David J. Lubben David J. Lubben General Counsel & Secretary
  • 7. EXHIBITS Number Description 99 Press Release, dated January 19, 2006, issued by UnitedHealth Group
  • 8. Exhibit 99 NEWS RELEASE Contacts: John S. Penshorn Senior Vice President 952-936-7214 Patrick J. Erlandson Chief Financial Officer 952-936-5901 (For Immediate Release) UNITEDHEALTH GROUP REPORTS RECORD FOURTH QUARTER AND FULL YEAR 2005 EARNINGS OF $0.65 AND $2.48 PER SHARE Company Increases 2006 Earnings Per Share Growth Projection To a Range of 21% to 23% • • Fourth Quarter Revenues Up 15% Full Year Revenues Up 22% • • Fourth Quarter Operating Margin of 11.9% Full Year Operating Margin of 11.8% • • Fourth Quarter Adjusted Cash Flows exceeded $900 Full Year Adjusted Cash Flows above $4.6 Billion Million • • Fourth Quarter Return on Equity of 24% Full Year Return on Equity of 27% • • Fourth Quarter EPS Grew 20% Full Year EPS Grew 26% MINNEAPOLIS (January 19, 2006) – UnitedHealth Group (NYSE: UNH) achieved record results in the fourth quarter and full year ended December 31, 2005, reported Chairman and CEO William W. McGuire, M.D. today. He noted that the full year results were driven by balanced contributions across the diversified family of UnitedHealth Group businesses and the extension of services to nearly 3.6 million new customers across all of its member-based businesses in 2005.
  • 9. Quarterly and Annual Financial Performance Three Months Ended Year Ended December 31, September 30, December 31, December 31, December 31, 2005 2005 2004 2005 2004 Revenues $12.05 billion $11.32 billion $10.51 billion $45.37 billion $37.22 billion Earnings From Operations $ 1.43 billion $ 1.38 billion $ 1.19 billion $ 5.37 billion $ 4.10 billion Operating Margin 11.9% 12.2% 11.3% 11.8% 11.0% UnitedHealth Group Highlights • Fourth quarter earnings per share of $0.65 increased 20 percent from $0.54 in the fourth quarter of 2004, and improved 1 cent or 2 percent from the third quarter of 2005. Fourth quarter earnings per share included approximately 2 cents per share in market launch expenses for the Medicare Part D prescription drug benefit program. Excluding the market launch expenses, fourth quarter earnings of $0.67 per share gained 24 percent year-over-year. • Full year earnings per share of $2.48, which includes 3 cents per share in Medicare Part D program launch costs, increased 26 percent from $1.97 per share in 2004. Excluding the market launch expenses, full year earnings of $2.51 per share grew 27 percent year-over-year. • Fourth quarter consolidated net earnings increased to $870 million, up $131 million or 18 percent year-over-year and $28 million or 3 percent on a sequential quarter basis. Full year net earnings advanced to $3.3 billion, up $713 million or 28 percent over 2004 results. • On December 20, 2005, the Company completed its acquisition of PacifiCare Health Systems, Inc., (PacifiCare), strengthening the assets of multiple business segments and improving the breadth of its customer offerings and its future earnings capacity. The results of the operations of PacifiCare in the subsequent seven business day period contributed $440 million in revenues to UnitedHealth Group fourth quarter and full year results on a consolidated basis. PacifiCare had no significant impact on UnitedHealth Group operating or financial metrics for the fourth quarter or full year. • Consolidated fourth quarter revenues exceeded $12.0 billion, increasing $1.5 billion or 15 percent year-over-year and $723 million or 6 percent sequentially. Revenues for full year 2005 increased $8.1 billion or 22 percent to $45.4 billion, with sizable revenue advances in each of the Company’s business segments.
  • 10. Highlights for UnitedHealth Group – Continued • Fourth quarter investment and other income of $121 million included $9 million in net capital losses on the sale of investments. By comparison, third quarter 2005 investment and other income of $135 million included $4 million in net capital gains, and fourth quarter 2004 investment and other income of $110 million also included $4 million in net capital gains. • Operating costs represented 15.5 percent of revenues in the fourth quarter, including about 40 basis points or approximately $50 million in market launch expenses for the Medicare Part D prescription drug benefit program. Excluding these market launch expenses, the fourth quarter 2005 operating cost ratio of 15.1 percent was stable year-over-year. The full year reported operating cost ratio of 15.0 percent improved significantly from 15.4 percent in 2004. Excluding market launch expenses, the full year operating cost ratio was 14.9 percent. • Earnings from operations increased to $1.4 billion in the fourth quarter, up $241 million or 20 percent over the prior year, and up $51 million or 4 percent sequentially. Full year earnings from operations of $5.4 billion advanced 31 percent over 2004 results. • Consolidated fourth quarter operating margin improved to 11.9 percent from 11.3 percent in the fourth quarter of 2004. Excluding market launch expenses for the Medicare Part D prescription drug benefit program from both the third and fourth quarters of 2005, the fourth quarter operating margin of 12.3 percent was stable with the third quarter and gained 1 percent from 11.3 percent in the fourth quarter of 2004. The full year reported operating margin of 11.8 percent improved 80 basis points from 11.0 percent in 2004. Excluding market launch costs, the full year operating margin of 12.0 percent expanded 1 percent in 2005. • Adjusted cash flows from operations were $941 million for the fourth quarter and $4.6 billion for the year. Reported cash flows from operations, which included only two monthly payments in the fourth quarter and 11 monthly payments for the full year from the Centers for Medicare and Medicaid Services (CMS), were $632 million in the fourth quarter and more than $4.3 billion for the full year. • The medical care ratio, excluding the AARP division of Ovations, was 78.2 percent in the fourth quarter and 78.6 percent for full year 2005, a decrease of 90 basis points year-over-year. • Medical costs payable, excluding PacifiCare and the AARP division of Ovations, increased $281 million or 6 percent year- over-year to $4.9 billion. Including PacifiCare, medical costs payable were $6.3 billion at December 31, 2005. Medical costs days payable were 63 days for the quarter, excluding the AARP division of Ovations and the operations of the PacifiCare platform. • During the fourth quarter, the Company realized favorable development of $30 million in its estimates of medical costs incurred in 2004. The Company also realized $50 million in favorable development related to estimates of medical costs incurred in the first nine months of 2005, with no effect on full year results.
  • 11. Highlights for UnitedHealth Group – Continued • The Company used $960 million in cash in the fourth quarter to retire outstanding debt obligations of PacifiCare. In addition, UnitedHealth Group repurchased 4 million shares in the fourth quarter, bringing the full year repurchase total to 54 million shares at a weighted average cost of $48 per share. • Fourth quarter 2005 annualized return on equity was 24 percent, with full year return on equity exceeding 27 percent. Closing Comment Dr. McGuire concluded, “I am pleased to report both strong 2005 results and a very favorable 2006 outlook, supported by accelerating internal growth and expanding business opportunities. Our growth prospects across all of our business units directly reflect our ability to help the health care system work more effectively and, in turn, enhance the accessibility and affordability of services. Based on our strong position and business momentum entering 2006, we now anticipate a further increase in our earnings per share growth to a range of 21 percent to 23 percent over our 2005 results.” UnitedHealth Group adopted the new accounting rules for stock compensation costs, effective January 2006. Including noncash stock compensation costs, the Company anticipates earnings of $2.85 to $2.90 per share in 2006, a significant increase over the $2.82 to $2.85 per share that the Company had previously projected for 2006. On a comparative accounting basis, the new 2006 outlook of $2.85 to $2.90 in earnings per share compares with earnings of $2.36 per share in 2005, including an adjustment to reflect 12 cents per share in noncash stock compensation costs in 2005. A restatement of historical financial results to reflect noncash stock compensation costs by business segment, by quarter, will be available in the Financial Reports and SEC Filings section of the Investor Information page on www.unitedhealthgroup.com.
  • 12. Business Description – Health Care Services The Health Care Services segment consists of the UnitedHealthcare, AmeriChoice and Ovations business units. UnitedHealthcare coordinates network-based health and well-being services on behalf of multistate mid-sized and local employers and for consumers. AmeriChoice facilitates and manages health care services for state Medicaid programs and their beneficiaries. Ovations delivers health and well-being services to Americans over the age of 50. Quarterly and Annual Financial Performance Three Months Ended Year Ended December 31, September 30, December 31, December 31, December 31, 2005 2005 2004 2005 2004 Revenues $10.63 billion $9.95 billion $9.32 billion $40.02 billion $32.67 billion Earnings From Operations $ 985 million $976 million $834 million $ 3.82 billion $ 2.81 billion Operating Margin 9.3% 9.8% 8.9% 9.5% 8.6% Key Developments for Health Care Services • Fourth quarter 2005 Health Care Services revenues grew $1.3 billion or 14 percent year-over-year to $10.6 billion. Full year revenues increased $7.3 billion or 22 percent to $40.0 billion. • Fourth quarter Health Care Services earnings from operations of $985 million increased $151 million or 18 percent year-over- year and $9 million or 1 percent sequentially. • Fourth quarter operating margin of 9.3 percent increased 40 basis points year-over-year and decreased 50 basis points sequentially. The sequential decrease was due to an increase in Health Care Services operating costs in the Ovations business related to preparation, marketing and enrollment for the start of Medicare Part D prescription drug benefit plans on January 1, 2006. The full year operating margin of 9.5 percent expanded 90 basis points year-over-year.
  • 13. Key Developments for Health Care Services – Continued • Fourth quarter revenues of $7.1 billion for UnitedHealthcare grew by $683 million or 11 percent year-over-year. Full year revenues of $27.2 billion increased by more than $5.2 billion or 24 percent year-over-year. • For the year, UnitedHealthcare (excluding the impact of PacifiCare) brought services to an additional 720,000 people in 2005, including 335,000 through internal growth and 385,000 through geographically focused acquisitions. The completion of the PacifiCare merger in late December 2005 brings additional significant mid-sized and small employer business, as well as individual business, to UnitedHealthcare for 2006. • The full year UnitedHealthcare medical care ratio of 78.2 percent improved 80 basis points as medical cost trends moderated in 2005, impacted by effective health care facilitation and cost management, efficient benefit designs and the general economic environment. The fourth quarter medical care ratio was 78.0 percent. • AmeriChoice fourth quarter revenues of $873 million increased $48 million or 6 percent year-over-year and $30 million or 4 percent sequentially. Full year AmeriChoice revenues of $3.4 billion increased 9 percent year-over-year. • AmeriChoice grew enrollment by 20,000 people in the fourth quarter of 2005, bringing the year-end total to 1.25 million people. Year-over-year, the number of people served by AmeriChoice was stable, as organic growth was offset by a membership reduction related to its withdrawal from the Illinois market during the third quarter of 2005. • Ovations fourth quarter revenues of $2.6 billion grew $571 million or 28 percent year-over-year. Full year Ovations revenues of $9.4 billion increased more than $1.8 billion or 24 percent over 2004 results. • In its Medicare Advantage health benefit programs, Ovations added 20,000 seniors through internal growth in the fourth quarter, bringing the full year membership advance to 65,000 people, an increase of 20 percent. The merger with the PacifiCare Secure Horizons business in late December nearly triples the number of seniors served through Medicare Advantage plans for January 2006. • On a combined basis as of January 17, 2006, Ovations and PacifiCare had enrolled 4.3 million senior consumers in Medicare Part D prescription drug benefit plans, including those affiliated with Medicare Advantage health plan programs with Part D benefits. • Full year earnings from operations for Ovations increased by approximately 25 percent in 2005 due to overall revenue growth and the achievement of stable operating margins, despite bearing significant expenses for launch of the Medicare Part D prescription drug benefit program on January 1, 2006.
  • 14. Business Description Uniprise delivers network-based health and well-being services, business-to-business transaction processing services, consumer connectivity, and technology support services to large employers and health plans, and provides health-related consumer and financial transaction products and services. Quarterly and Annual Financial Performance Three Months Ended Year Ended December 31, September 30, December 31, December 31, December 31, 2005 2005 2004 2005 2004 Revenues $978 million $969 million $845 million $3.85 billion $3.37 billion Earnings From Operations $207 million $205 million $169 million $799 million $677 million Operating Margin 21.2% 21.2% 20.0% 20.8% 20.1% Key Developments • Uniprise revenues increased $133 million or 16 percent over fourth quarter 2004 and $485 million or 14 percent for full year 2005, reaching $978 million and $3.85 billion for the respective periods. • Uniprise advanced the number of people served in the national multilocation employer segment by more than 600,000 in 2005. Uniprise estimates it added more than 400,000 new consumers in early 2006, and that it is on track for full year 2006 growth of 500,000 to 600,000 people. • The Uniprise fourth quarter operating margin of 21.2 percent increased 120 basis points year-over-year and was stable sequentially, as fourth quarter earnings from operations grew 22 percent or $38 million year-over-year to $207 million. As a result of productivity and efficiency gains, earnings from operations increased $2 million from third quarter 2005, despite seasonal fourth quarter enrollment costs and expenses for significant levels of benefit plan changes related to 2006 enrollment activities. • Full year earnings from operations of $799 million increased $122 million or 18 percent over 2004 results. The full year operating margin of 20.8 percent reflected 70 basis points in year-over-year gain, driven by improving productivity through the application of advanced technology to basic business processes.
  • 15. Business Description Specialized Care Services offers a comprehensive array of specialized benefits, networks, services and resources to make health care work better by connecting people to proven solutions for health and well being. Quarterly and Annual Financial Performance Three Months Ended Year Ended December 31, September 30, December 31, December 31, December 31, 2005 2005 2004 2005 2004 Revenues $753 million $728 million $588 million $2.81 billion $2.30 billion Earnings From Operations $162 million $148 million $129 million $582 million $485 million Operating Margin 21.5% 20.3% 21.9% 20.7% 21.1% Key Developments • Fourth quarter revenues rose to $753 million, up $165 million or 28 percent year-over-year and $25 million or 3 percent from the third quarter of 2005. Full year revenues of $2.8 billion increased $511 million or 22 percent, reflecting exceptional growth as the businesses within this segment added more than 5 million new people as customers in 2005. This includes more than 3 million people who were customers of other UnitedHealth Group businesses and who purchased an offering from Specialized Care Services for the first time. • The Specialized Care Services fourth quarter operating margin of 21.5 percent expanded 120 basis points sequentially and declined 40 basis points year-over-year. The full year operating margin of 20.7 percent also decreased 40 basis points year- over-year. The fourth quarter and full year operating margin percentages were consistent with the evolving business mix for this reporting segment. • Fourth quarter earnings from operations of $162 million increased $33 million or 26 percent year-over-year and $14 million or 9 percent sequentially. Full year earnings from operations grew $97 million or 20 percent year-over-year to $582 million.
  • 16. Business Description Ingenix is a leader in the field of health care data, analysis and application, serving pharmaceutical companies, health insurers and other payers, physicians and other health care providers, large employers and governments. Quarterly and Annual Financial Performance Three Months Ended Year Ended December 31, September 30, December 31, December 31, December 31, 2005 2005 2004 2005 2004 Revenues $248 million $205 million $214 million $794 million $670 million Earnings From Operations $ 75 million $ 49 million $ 56 million $177 million $129 million Operating Margin 30.2% 23.9% 26.2% 22.3% 19.3% Key Developments • Ingenix fourth quarter revenues of $248 million increased $34 million or 16 percent year-over-year and $43 million or 21 percent sequentially. Advances were driven by the seasonal pick-up for Ingenix syndicated content products and strong software sales. On a full year basis, Ingenix grew revenues by $124 million or 19 percent over 2004 results. • Strong sales performance continued in the fourth quarter, with the Ingenix contract revenue backlog exceeding $850 million across its business units on December 31, 2005, a year-over-year increase of 28 percent. • Ingenix earnings from operations increased $19 million or 34 percent year-over-year and $26 million or 53 percent on a sequential quarter basis. Full year earnings from operations increased $48 million or 37 percent to $177 million. The fourth quarter operating margin of 30.2 percent expanded 4 percentage points year-over-year, bringing the full year 2005 operating margin up to 22.3 percent. Exceptional earnings leverage, particularly from data, software and informatics products, drove the year-over-year and sequential operating margin gains.
  • 17. About UnitedHealth Group UnitedHealth Group (www.unitedhealthgroup.com) is a diversified health and well-being company dedicated to making health care work better. Headquartered in Minneapolis, Minn., UnitedHealth Group offers a broad spectrum of products and services through six operating businesses: UnitedHealthcare, Ovations, AmeriChoice, Uniprise, Specialized Care Services and Ingenix. Through its family of businesses, UnitedHealth Group serves approximately 65 million individuals nationwide. Forward-Looking Statements This news release may contain statements, estimates or projections that constitute “forward-looking” statements as defined under U.S. federal securities laws. Generally the words “believe,” “expect,” “intend,” “estimate,” “anticipate,” “project,” “will” and similar expressions identify forward-looking statements, which generally are not historical in nature. By their nature, forward-looking statements are subject to risks and uncertainties that could cause actual results to differ materially from our historical experience and our present expectations or projections. A list and description of some of the risks and uncertainties can be found in our reports filed with the Securities and Exchange Commission from time to time, including our annual reports on Form 10-K, quarterly reports on Form 10-Q and current reports on Form 8-K. You should not place undue reliance on forward-looking statements, which speak only as of the date they are made. Except to the extent otherwise required by federal securities laws, we do not undertake to publicly update or revise any forward-looking statements. Earnings Conference Call As previously announced, UnitedHealth Group will discuss the Company’s results, strategy and future outlook on a conference call with investors at 8:45 a.m. Eastern time today. UnitedHealth Group will host a live webcast of this conference call from the Investor Information page of the Company’s Web site (www.unitedhealthgroup.com). The webcast replay of the call will be available on the same site for one week following the live call. The conference call replay can also be accessed by dialing 1-800-642-1687, conference ID #3484226. This earnings release and the Form 8-K dated January 19, 2006, which may also be accessed in the Investor Information section of the Company’s Web site, include a reconciliation of non-GAAP financial measures. ###
  • 18. UNITEDHEALTH GROUP Earnings Release Schedules and Supplementary Information Quarter Ended December 31, 2005 • Consolidated Statements of Operations • Condensed Consolidated Balance Sheets • Condensed Consolidated Statements of Cash Flows • Segment Financial Information • Customer Profile Summary
  • 19. UNITEDHEALTH GROUP CONSOLIDATED STATEMENTS OF OPERATIONS (in millions, except per share data) (unaudited) Three Months Ended December 31, Year Ended December 31, 2005 2004 2005 2004 REVENUES Premiums $ 10,880 $ 9,510 $ 41,058 $ 33,495 Services 1,044 891 3,808 3,335 Investment and Other Income 121 110 499 388 Total Revenues 12,045 10,511 45,365 37,218 COSTS Medical Costs 8,624 7,625 32,725 27,000 Operating Costs 1,872 1,592 6,814 5,743 Depreciation and Amortization 120 106 453 374 Total Costs 10,616 9,323 39,992 33,117 1,429 1,188 5,373 4,101 EARNINGS FROM OPERATIONS Interest Expense (75) (42) (241) (128) 1,354 1,146 5,132 3,973 EARNINGS BEFORE INCOME TAXES Provision for Income Taxes (484) (407) (1,832) (1,386) $ 870 $ 739 $ 3,300 $ 2,587 NET EARNINGS $ 0.69 $ 0.57 $ 2.61 $ 2.07 BASIC NET EARNINGS PER COMMON SHARE $ 0.65 $ 0.54 $ 2.48 $ 1.97 DILUTED NET EARNINGS PER COMMON SHARE Diluted Weighted-Average Common Shares Outstanding 1,338 1,359 1,330 1,310
  • 20. UNITEDHEALTH GROUP CONDENSED CONSOLIDATED BALANCE SHEETS (in millions) (unaudited) December 31, December 31, 2005 2004 ASSETS Cash and Short-Term Investments $ 6,011 $ 4,505 Accounts Receivable, net 1,290 906 Other Current Assets 3,339 2,830 Total Current Assets 10,640 8,241 Long-Term Investments 8,971 7,748 Other Long-Term Assets 21,763 11,890 Total Assets $ 41,374 $ 27,879 LIABILITIES AND SHAREHOLDERS’ EQUITY Medical Costs Payable $ 7,301 $ 5,540 Commercial Paper and Current Maturities of Long-Term Debt 3,261 673 Other Current Liabilities 6,082 5,116 Total Current Liabilities 16,644 11,329 Long-Term Debt, less current maturities 3,850 3,350 Future Policy Benefits for Life and Annuity Contracts 1,761 1,669 Deferred Income Taxes and Other Liabilities 1,386 814 Shareholders’ Equity 17,733 10,717 Total Liabilities and Shareholders’ Equity $ 41,374 $ 27,879 The table below summarizes certain balance sheet data excluding AARP related amounts: December 31, 2005 December 31, 2004 Accounts Receivable, net $ 876 $ 517 Other Current Assets $ 1,547 $ 947 Other Current Liabilities $ 4,877 $ 3,743 Medical Costs Payable $ 6,300 $ 4,641 Days Medical Costs in Medical Costs Payable 63(a) 64 (a) Excludes the impact on Days Medical Costs in Medical Costs Payable of PacifiCare Health Systems, Inc. (PacifiCare), which was acquired in December 2005. Including PacifiCare, Days Medical Costs in Medical Costs Payable were 77 days.
  • 21. UNITEDHEALTH GROUP CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (in millions) (unaudited) Year Ended December 31, 2005 2004 Operating Activities Net Earnings $ 3,300 $ 2,587 Noncash Items: Depreciation and amortization 453 374 Deferred income taxes and other 167 125 Net changes in operating assets and liabilities 406 1,049 Cash Flows From Operating Activities 4,326 4,135 Investing Activities Cash paid for acquisitions, net of cash assumed (2,562) (2,225) Purchases of property, equipment and capitalized software (509) (350) Net sales and maturities/(purchases) of investments (418) 931 Cash Flows Used For Investing Activities (3,489) (1,644) Financing Activities Common stock repurchases (2,557) (3,446) Net change in commercial paper and debt 2,656 2,044 Other, net 494 640 Cash Flows From (Used For) Financing Activities 593 (762) Increase in cash and cash equivalents 1,430 1,729 Cash and cash equivalents, beginning of period 3,991 2,262 Cash and cash equivalents, end of period $ 5,421 $ 3,991 Supplemental Schedule of Noncash Investing Activities: Common Stock Issued for Acquisitions $ 5,696 $ 5,557
  • 22. UNITEDHEALTH GROUP SEGMENT FINANCIAL INFORMATION (in millions) (unaudited) Three Months Ended December 31, Year Ended December 31, 2005 2004 2005 2004 REVENUES UnitedHealthcare $ 7,114 $ 6,431 $ 27,186 $ 21,950 Ovations 2,638 2,067 9,446 7,602 AmeriChoice 873 825 3,387 3,121 Health Care Services 10,625 9,323 40,019 32,673 Uniprise 978 845 3,850 3,365 Specialized Care Services 753 588 2,806 2,295 Ingenix 248 214 794 670 Eliminations (559) (459) (2,104) (1,785) Total Consolidated $ 12,045 $ 10,511 $ 45,365 $ 37,218 Three Months Ended December 31, Year Ended December 31, 2005 2004 2005 2004 EARNINGS FROM OPERATIONS Health Care Services $ 985 $ 834 $ 3,815 $ 2,810 Uniprise 207 169 799 677 Specialized Care Services 162 129 582 485 Ingenix 75 56 177 129 Total Consolidated $ 1,429 $ 1,188 $ 5,373 $ 4,101
  • 23. UNITEDHEALTH GROUP CUSTOMER PROFILE SUMMARY (in thousands) (unaudited) December September June December Customer Profile 2005 (a)(b) 2005 2005 2004 Commercial Businesses Risk-based 11,905 11,785 11,530 10,820 Fee-based 17,035(c) 16,750 16,665 15,525 7,080 7,190 7,075 7,035 Federal, State, and Municipal Governments 1,470(d) 1,555 1,540 1,455 Individual Consumers 19,870 19,745 19,715 19,005 Business-to-Business 57,360 57,025 56,525 53,840 Grand Total 1,095 1,060 1,005 560 Consumer-directed health plans (included above) December September June December 2005 (a)(b) 2005 2005 2004 Supplemental Segment Profile - Health Care Services and Uniprise Health Care Services: Risk-based commercial 7,765 7,805 7,700 7,655 Fee-based commercial 3,895(c) 3,615 3,455 3,305 Medicare 395 375 355 330 Medicaid 1,250 1,230 1,265 1,260 Total Health Care Services 13,305 13,025 12,775 12,550 Uniprise 10,480 10,505 10,540 9,875 (a) Excludes individuals served by PacifiCare Health Systems, Inc., which was acquired in December 2005. (b) Reflects a 20,000 person reduction in UnitedHealthcare’s December 31, 2005 commercial membership pursuant to a Consent Decree from the Department of Justice related to the PacifiCare merger. (c) Includes 255,000 individuals served by United Medical Resources, Inc., which was acquired in December 2005. (d) Reflects the divestiture of 85,000 members pursuant to the sale of the Golden Rule life insurance and annuity business in October 2005. PacifiCare Membership PacifiCare member data is being reviewed by UnitedHealth Group pursuant to the December 20, 2005 merger. As of December 31, 2005, PacifiCare estimated year-end commercial membership of approximately 2.3 million accessing risk-based benefits and 100,000 accessing fee-based benefits. In addition, approximately 750,000 individuals received Medicare-sponsored benefits as of December 31, 2005. The member data reflects projected fourth quarter net sales and dis-enrollment activities and a partial writedown related to the rapid run-off experienced by its 2005 Pacific Life indemnity insurance acquisition, representing a total net reduction of approximately 100,000 commercial members, as well as the discontinuance of approximately 70,000 members to be divested pursuant to a Consent Decree with the Department of Justice and the completed divestiture of PacifiCare’s Guam-based business. Beginning in the first quarter of 2006, membership for PacifiCare will be included in UnitedHealth Group’s reported amounts.