UnitedHealth Group Incorporated (UNH) Cash Flow: Operating & Free Cash Flow

UnitedHealth Group Incorporated (UNH) Cash Flow Statement

In fiscal 2025 (fiscal year ended Dec 31, 2025), UnitedHealth Group Incorporated generated $19.70B of operating cash flow and spent $3.62B on capital expenditures. That left free cash flow of $16.07B, down 22.4% from $20.70B a year earlier, or 3.6% of revenue. It returned $13.46B to shareholders through $7.92B in dividends and $5.54B in share buybacks.

UnitedHealth Group Incorporated Cash Flow Statement Analysis

Values in billions USD

Income Statement Balance Sheet Cash Flow Ratios

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Cash flow statement showing operating, investing, and financing activities for UnitedHealth Group Incorporated (UNH) - Annual data in billions USD
Breakdown	FY 2025	FY 2024	FY 2023	FY 2022	FY 2021	FY 2020	FY 2019	FY 2018	FY 2017
Period ending	Dec 2025	Dec 2024	Dec 2023	Dec 2022	Dec 2021	Dec 2020	Dec 2019	Dec 2018	Dec 2017
Operating Activities
Net Income	12.81	15.24	23.14	20.12	17.73	15.77	13.84	11.99	10.56
Depreciation & Amortization	4.36	4.10	3.97	3.40	3.10	2.89	2.72	2.43	2.25
Deferred Income Tax	-1.75	-0.30	-0.25	-0.67	0.13	-0.06	0.23	0.04	-0.75
Stock Based Compensation	0.97	1.02	1.06	0.93	0.80	0.68	0.70	0.64	0.60
Change in Working Capital	2.28	-0.81	1.64	2.25	1.52	2.90	0.68	0.29	0.68
Change in Accounts Receivable	0.00	-1.44	-3.11	-2.52	-1.00	-0.69	0.16	-1.35	-1.06
Change in Inventory	0.00	0.00	1.04	0.00	-1.03	-2.20	-1.56	-0.75	-0.63
Change in Accounts Payable	1.67	4.97	3.52	1.96	3.86	5.50	1.95	2.36	2.21
Change in Other Working Capital	-4.61	-3.36	-2.44	2.81	-0.94	0.28	0.13	0.04	0.16
Other Operating Activities	-0.72	-3.36	-0.75	0.19	-0.94	0.00	0.29	0.33	0.27
Net Cash from Operating Activities	19.70	24.20	29.07	26.21	22.34	22.17	18.46	15.71	13.60
Investing Activities
Capital Expenditures	-3.62	-3.50	-3.39	-2.80	-2.45	-2.05	-2.07	-2.06	-2.02
Acquisitions	-4.51	-13.41	-10.14	-21.46	-4.82	-7.14	-8.34	-6.00	-2.13
Purchases of Investments	-17.37	-27.31	-18.31	-18.83	-17.14	-16.58	-2.50	-4.10	-4.32
Sales/Maturities of Investments	17.73	27.83	16.54	11.99	15.30	13.74	15.63	9.91	10.27
Other Investing Activities	-1.48	-6.19	-0.96	2.62	-1.27	-0.51	-15.41	-10.14	-10.40
Net Cash from Investing Activities	-8.69	-20.53	-15.57	-28.48	-10.37	-12.53	-12.70	-12.39	-8.60
Financing Activities
Debt Repayment	-3.05	-3.00	-2.13	12.54	-3.15	2.59	3.99	4.13	-2.62
Common Stock Issued	0.83	1.85	1.35	1.25	1.36	1.44	1.04	0.84	0.69
Common Stock Repurchased	-5.55	-9.00	-8.00	-7.00	-5.00	-4.25	-5.50	-4.50	-1.50
Dividends Paid	-7.92	-7.53	-6.76	-5.99	-5.28	-4.58	-3.93	-3.32	-2.77
Other Financing Activities	0.26	-3.49	-2.40	3.43	-1.01	1.22	-1.22	-1.52	2.76
Net Cash from Financing Activities	-11.64	-3.51	-11.53	4.23	-7.46	-3.59	-5.63	-4.37	-3.44
Summary
Effect of Forex Changes on Cash	0.04	-0.06	0.10	0.03	-0.06	-0.12	-0.02	-0.08	0.00
Net Change in Cash	-0.95	-0.12	2.06	1.99	4.52	5.94	0.12	-1.12	1.55
Cash at Beginning of Period	25.31	25.43	23.37	21.38	16.92	10.99	10.87	11.98	10.43
Cash at End of Period	24.37	25.31	25.43	23.37	21.38	16.92	10.99	10.87	11.98
Free Cash Flow	16.08	20.71	25.68	23.40	19.89	20.12	16.39	13.65	11.57
Supplemental Disclosures
Interest Paid	-	3.59	3.04	1.95	1.65	-	-	-	-
Income Taxes Paid	-	4.62	6.08	5.22	3.97	-	-	-	-

Source: Company financial statements from annual and quarterly filings. Data as of Jun 30, 2026. Data sources and methodology

Frequently Asked Questions About UnitedHealth Group Incorporated Cash Flow

What is UnitedHealth Group Incorporated's free cash flow?

UnitedHealth Group Incorporated generated free cash flow of $16.07B in fiscal 2025 (fiscal year ended Dec 31, 2025), operating cash flow of $19.70B minus $3.62B of capital expenditures. That was down 22.4% from $20.70B a year earlier. Free cash flow equaled 3.6% of revenue.

How much does UnitedHealth Group Incorporated spend on capital expenditures?

UnitedHealth Group Incorporated spent $3.62B on capital expenditures in fiscal 2025, compared with $3.50B a year earlier. That equals 18.4% of operating cash flow.

Does UnitedHealth Group Incorporated pay dividends or buy back shares?

Yes. In fiscal 2025 UnitedHealth Group Incorporated returned $7.92B in dividends and $5.54B in share buybacks to shareholders, according to its cash flow statement.

What is free cash flow?

Free cash flow is operating cash flow minus capital expenditures. It is the cash a company has left for dividends, buybacks, debt repayment or acquisitions after funding its operations and investment. Full definition