← UNH forward model

UNH · Forward model · UnitedHealthcare

What has to happen in UnitedHealthcare

Model as of

This page changes UnitedHealthcare inside the complete UNH model. Every other vertical, corporate programme and valuation assumption stays in the selected portfolio case.

UNH forward model
Horizon
Consolidated fair value $403.52 all other verticals held in this portfolio case
Final-quarter revenue $95.63B 77% of company revenue
Explicit segment contribution $67.99B EBITDA less segment capex, before corporate items

UnitedHealthcare

Basis quarter$86.02B
Final quarter$95.63B
Implied CAGR+2%
Final revenue mix77%

A risk-bearing benefits business whose revenue is people served times premium per member per month, reset every 1 January. It does not grow by selling more to the same member; it grows by adding members and by the rate reset, and in 2026 management is deliberately shedding members to reprice. Membership fell 525,000 in the basis quarter and Medicare Advantage is down 965,000 since year-end 2025.

Last four quarters
2025 Q3 $87.07B Reported
2025 Q4 $87.11B Reported
2026 Q1 $86.27B Reported
2026 Q2 $86.02B Reported
Employer & Individual (domestic and global)Medicare & RetirementCommunity & State
Subscribers 48.5M 97.5% of a 49.8M addressable base 48,525k medical members at 30 June 2026, down 525k in the quarter (2Q26 UnitedHealthcare Customer Profile).
Addressable subscribers 49.8M the S-curve ceiling 49.76m is the year-end 2025 base implied by the January outlook. A scaling artefact the driver needs, not a researched TAM.
Net adds 0/qtr ramping toward 0/qtr, throttled as the base approaches the TAM
Net-add ceiling 0/qtr what supply can deliver at full rate
ARPU $590.88/mo drifting +0.8% per quarter, floor $0.00 $590.88 = 2Q26 revenue $86,017M / 48,525k members / 3 months. Blended and derived; UNH discloses no PMPM.
Non-subscriber revenue $0/qtr growing 0.0% per quarter Zero. Every dollar of UnitedHealthcare revenue sits inside the member-times-premium identity.
UnitedHealthcare

Latest: $95.63B (2031Q2E)

Period Value
2023Q2 $70.23B
2023Q3 $69.85B
2023Q4 $70.81B
2024Q1 $75.36B
2024Q2 $73.87B
2024Q3 $74.85B
2024Q4 $74.13B
2025Q1 $84.62B
2025Q2 $86.10B
2025Q3 $87.07B
2025Q4 $87.11B
2026Q1 $86.27B
2026Q2 $86.02B
2026Q3E $85.35B
2026Q4E $85.08B
2027Q1E $85.08B
2027Q2E $85.29B
2027Q3E $85.64B
2027Q4E $86.08B
2028Q1E $86.61B
2028Q2E $87.18B
2028Q3E $87.79B
2028Q4E $88.44B
2029Q1E $89.10B
2029Q2E $89.79B
2029Q3E $90.49B
2029Q4E $91.19B
2030Q1E $91.91B
2030Q2E $92.64B
2030Q3E $93.38B
2030Q4E $94.12B
2031Q1E $94.87B
2031Q2E $95.63B

Assumptions & reasoning

  • 4.26% is the guided full-year 2026 operating margin - $12,000M of operating earnings on the $335,000M revenue floor, 3.58% - plus 0.68pp of pro-rata D&A. It is deliberately not the 2026 Q2 print of 4.6% operating: management has said UnitedHealthcare earnings are weighted about 75% to the first half, so the second-half quarters this model projects earn far less than the basis quarter did.
  • Terminal 5.30% EBITDA is 4.62% operating, which is the level UnitedHealthcare actually printed in 2026 Q2 - the base case is that the strong quarter becomes the full-year average by 2031, not that margin keeps climbing past it.
  • Membership is disclosed every quarter and is on a consistent domestic basis only from 2025; the 2023-2024 counts include South American businesses now held for sale. Revenue reconciles exactly to the three disclosed sub-lines in every quarter.
  • The driver is left aseasonal on purpose. UnitedHealthcare revenue shows a Q1 lift of about 3% but the Q4 window spread of 6.0% is wider than the whole 5.7% amplitude, and the Q1 lift is the 1 January enrolment and rate reset that member-times-premium already carries.
UNH model map

Explore another vertical