Relative Intelligence · Managed Health Care

How UnitedHealth Group (UNH) compares with the whole market and its popular alternatives
Built by QuantCommons' quantitative engine, this page is about relative opportunity, not data on UNH alone. It places UNH (UnitedHealth Group Incorporated) against 13 popular alternatives, its neighboring categories and the entire market of over 10,000 U.S.-listed stocks and ETFs, and surfaces what has done better on consistent outperformance, return for the risk taken, behavior in real market crashes and diversification. The result is a clearer view of where UNH stands in the market, and of the alternatives worth a closer look.
Period covered: UNH's full trading record, from October 1986 through September 2026. All returns include reinvested dividends. Data as of October 20, 2026.
Data as of October 20, 2026. Full tables and charts read best on a larger screen.
On this page12 sections
Key findings
- Right nowOver the past 6 months, UNH rose 31.2% against 9.1% for the S&P 500 and 11.2% for the Nasdaq 100. That said, the slide is UNH's own: it is 29.7% below its high, against 1.3% for the S&P 500. At a glance ↓
- Stock or market?UNH lagged its own industry over the past 3 months, rising 0.1% while the managed health care ETF IHF (iShares U.S. Healthcare Providers ETF) rose 7.1%. The S&P 500 rose 3.9%. Even so, last month cut against the tape: UNH rose 11.0% while the S&P 500 fell 0.6%.
- Past 1 to 3 yearsThe long record (ahead of 67% of the stocks worth at least $300 million over 10 years) has not carried into the past 3 years (behind 84% of them). The last two calendar years both went the same way: UNH fell 33.1% in 2025, against 15.8% for the S&P 500 and 17.9% for the Nasdaq 100. Market rank ↓
- Long termUNH turned $10,000 into $34,100 over the past decade, against $42,100 in the S&P 500. Even so, over the past decade, only ELV (Elevance Health) and MOH (Molina Healthcare) of its managed health care peers outpaced UNH. Growth of $10,000 ↓
- In a crashIn the 2022 bear market, UNH fell 16.9%, against 24.5% for the S&P 500. That was more than CI (Cigna, 10.7%) but less than CVS (CVS Health, 19.9%). Crash tests ↓
- DiversificationAgainst the S&P 500, UNH has a correlation of 0.27 over 5 years, less closely than 75% of stocks worth at least $300 million. Next to an index fund it is a real diversifier. Over 10 years UNH gave up some upside in exchange for smaller losses: 81% of the S&P 500's gains in rising months and 82% of its losses in falling ones, with a beta of 0.70. Market capture ↓
- Better options
- Popular alternatives
- MCK (McKesson), ELV (Elevance Health) and COR (Cencora) earned more than UNH with less volatility over the past 5 years. MCK returned 38.7% a year at 25.0% volatility, against 1.1% a year at 32.1%.
- Nearby categories and themes
- CAH (Cardinal Health, health care distribution) and EHC (Encompass Health, health care facilities) earned more than UNH with less volatility over the past 5 years. CAH returned 42.1% a year at 24.7% volatility, against 1.1% a year at 32.1%.
- Whole market
- 1,272 of the 3,633 stocks and funds worth at least $500 million earned more than UNH with less volatility over the past 5 years, among them AAPL (Apple), MSFT (Microsoft) and VTI (Vanguard Morningstar Total Stock Market ETF).
How much would $10,000 in UNH have grown?
This chart tracks a hypothetical $10,000 investment in UNH over the past 29 years, with dividends reinvested, alongside the same amount in the S&P 500, investments that ended ahead of UNH over the same span and UNH's popular alternatives, among those that traded for the entire period. A second view covers the past 5 years, the period the better options further down the page are judged on. It shows not only where each investment ended up but also how smooth or uneven the path was.
- $10,000 invested in UNH at the end of September 1997 would have grown to $772,802 by September 2026, more than the $132,907 it would have become in SPY, an S&P 500 fund.
- Five of the eight other investments on the chart ended ahead of UNH, and AAPL finished highest, at $20,534,853.
Choose a period
From the end of September 1997 to the end of September 2026. The scale is logarithmic, so equal steps up the chart are equal percentage gains. Hover over a fund in the key to pick out its line. 52 of the 1,042 stocks and funds worth at least $500 million that traded the whole period ended ahead of UNH; the chart shows 5, closest alternatives first. The other 3 lines are popular alternatives, shown for context.
- AAPL$21M+205,249% total · +30.1% a year
- GILD$2M+15,614% total · +19.1% a year
- ROST$1M+14,044% total · +18.6% a year
- AME$869,262+8,593% total · +16.6% a year
- JCI$864,263+8,543% total · +16.6% a year
- UNH$772,802+7,628% total · +16.2% a year
- COR$574,137+5,641% total · +15.0% a year
- MCK$208,304+1,983% total · +11.0% a year
- SPY (S&P 500)$132,907+1,229% total · +9.3% a year
- THC$32,921+229% total · +4.2% a year
From the end of September 2021 to the end of September 2026. The scale is logarithmic, so equal steps up the chart are equal percentage gains. Hover over a fund in the key to pick out its line. 2,471 of the 3,628 stocks and funds worth at least $500 million that traded the whole period ended ahead of UNH; the chart shows 5, closest alternatives first. The other 3 lines are popular alternatives, shown for context.
- MCK$43,941+339% total · +34.5% a year
- THC$38,466+285% total · +30.9% a year
- COR$26,420+164% total · +21.4% a year
- SPY (S&P 500)$19,000+90.0% total · +13.7% a year
- HCA$18,335+83.3% total · +12.9% a year
- OSCR$17,735+77.4% total · +12.1% a year
- CI$14,904+49.0% total · +8.3% a year
- ELV$11,221+12.2% total · +2.3% a year
- UNH$10,283+2.8% total · +0.6% a year
- VEEV$9,905−0.9% total · −0.2% a year
UNH at a glance
This section summarizes the key facts about the stock, its returns over periods from one to ten years and the risk it has carried, with dividends reinvested throughout. These figures serve as the baseline for every comparison that follows.
- UNH is still 29.7% below its all-time high.
- UNH's deepest decline since it began trading in 1986 was 74.4%, from December 2005 to November 2008. It took about four years from the low to climb back to its old high.
- Over 29 full calendar years, UNH's best was 2000, when it returned 131%, and its worst was 2008, when it lost 54.2%. It lost money in five of those years.
The company
- Market value
- $376B
- Industry
- Medical - Healthcare Plans
- Price history from
- October 1986
Returns
- Past 1 year
- +18.1%total return
- Past 3 years
- −15.3%−5.4% a year
- Past 5 years
- +5.5%+1.1% a year
- Past 10 years
- +241%+13.1% a year
- Best calendar year
- +131%2000
- Worst calendar year
- −54.2%2008
- Losing years
- 5 of 29full calendar years
Risk
- Volatility
- 32.1%typical yearly swing, 5 years
- Sharpe ratio
- 0.20return per unit of risk, 5 years
- Worst decline ever
- −74.4%Dec 2005 to Nov 2008
- From its all-time high
- −29.7%below the peak
UNH against the whole market
Where UNH ranks among every stock and fund, and what across the market has done better.
How does UNH rank among all stocks?
This section ranks UNH on return, volatility, risk-adjusted return and worst decline against every stock worth at least $300 million with enough history. Where the comparisons with its popular alternatives show how UNH stacks up against its peers, these rankings show where it stands in the market as a whole.
- UNH's 3-year return ranks in the bottom 16% of the 3,017 stocks worth at least $300 million with 3 years of history.
Ranked against U.S.-listed stocks worth at least $300M that have enough history for each measure, so the count changes from row to row; smaller stocks are left out. Lower volatility and smaller declines rank higher.
| Measure | UNH | Rank | Standing |
|---|---|---|---|
| 1-year return | +18.1% | 1,305 of 3,287 | top 40% |
| 3-year return | −15.3% | 2,530 of 3,017 | bottom 17% |
| 5-year return | +5.5% | 1,650 of 2,893 | bottom 44% |
| 10-year return | +241% | 735 of 2,202 | top 33% |
| Volatility, 5 years | 32.1% | 918 of 2,893 | top 32% |
| Sharpe ratio, 5 years | 0.20 | 1,842 of 2,893 | bottom 37% |
| Worst decline, past 10 years | −61.4% | 938 of 2,187 | top 43% |
What has beaten UNH on both return and risk?
Each dot is an investment, placed by how much it earned a year over the past 5 years (higher is better) and how much its price swung, its volatility (further left is calmer). UNH sits where the dashed lines cross. Anything in the green box above and to the left earned more than UNH with smaller swings, a better trade-off over this period on both counts. Past results are no promise, but a name in the box is worth a closer look.
- 505 stocks and 767 ETFs worth at least $500 million sit in the green region: each earned more than UNH over the past 5 years with smaller price swings. That is 35% of the 3,633 screened.
- Among those with at least half UNH's swings, CAH has the best return for its risk: 42.1% a year at 24.7% volatility, 23% less than UNH's 32.1%, and a Sharpe ratio (return above cash per unit of volatility) of 1.55 against 0.20 for UNH.
- Among UNH's popular alternatives, MCK, COR and HCA are in the region. MCK earned 38.7% a year against 1.1% a year for UNH, at 25.0% volatility, 22% less than UNH's 32.1%.
Annual return is the annualized total return with dividends reinvested, and volatility the annualized swing in daily prices, both over 5 years. Labeled dots are the strongest picks from the table below and the names called out above, colored by how close they sit to UNH; faint dots are 92 more of the 1,272 in the green region (the strongest, one per fund family). 3,633 stocks and funds worth at least $500 million were screened. Hover over a dot for its figures.
- Popular alternatives
- Same and neighboring categories, and shared themes
- The whole market
- Others in the green region
Is there a better investment than UNH?
Investments that beat UNH over the past 5 years on return, volatility, drawdowns, consistency, crash losses or fees, from its popular alternatives out to the whole market.
- Among UNH's popular alternatives, MCK, ELV and COR earned more than UNH with less volatility over the past 5 years. MCK returned 38.7% a year at 25.0% volatility, against 1.1% a year at 32.1%.
- Looking beyond its popular alternatives, CAH (health care distribution) and EHC (health care facilities) earned more than UNH with less volatility over the past 5 years. CAH returned 42.1% a year at 24.7% volatility, against 1.1% a year at 32.1%.
- Across the whole market, 1,272 of the 3,633 stocks and funds worth at least $500 million earned more than UNH with less volatility over the past 5 years, among them AAPL, MSFT and VTI.
How this works
The table below lists investments that beat UNH over the past 5 years on at least one of these measures: a higher annual return with lower volatility, a higher annual return at similar volatility, a similar return with lower volatility, a higher Sharpe ratio with a smaller worst decline, a higher total return in most periods from 3 months to 10 years, or smaller losses in recent market crashes. It checks UNH's popular alternatives first, then the rest of its own and neighboring categories, then every stock and fund worth at least $500 million, and shows the strongest few in each group. The full list of those with a higher return and lower volatility than UNH follows the table.
Annual return is the annualized total return with dividends reinvested. Annual return, volatility and the Sharpe ratio cover 5 years; the worst decline covers the past 10 years. Green marks a better figure than UNH's. "On the frontier" means no other option shown or tested earned more with less volatility. Funds that hold the same thing are shown once. Beyond the popular alternatives, nothing with more than 1.5× UNH's volatility counts as better.
These figures cover the past 5 years. Green marks a better figure than UNH's.
| Investment | Why it is better | Past 5 years | Downside | Long run | Fit | ||||
|---|---|---|---|---|---|---|---|---|---|
| Annual return?higher is better | Volatility?lower is calmer | Sharpe?return per unit of risk | Worst decline?past 10 years | 10Y returntotal | Corr. with UNH?lower diversifies more | Expenseper year | |||
| +1.1% | 32.1% | 0.20 | −61.4% | +241% | 1.00 | — | |||
| +12.7% | 17.1% | 0.79 | −33.7% | +321% | 0.27 | 0.09% | |||
| Popular alternativesbest 6 shownThe investments people most often weigh against UNH. 9 of 13 passed at least one test. | |||||||||
| Higher return, lower volatilityHigher Sharpe, smaller worst declineHigher return in most periods | +38.7% | 25.0% | 1.44 | −38.1% | +586% | 0.18 | — | ||
| Higher return, lower volatilityHigher return in most periods | +2.2% | 29.4% | 0.23 | −50.4% | +307% | 0.71 | — | ||
| Higher return, lower volatilityHigher Sharpe, smaller worst decline | +24.2% | 22.8% | 1.07 | −32.4% | +406% | 0.26 | — | ||
| Higher return, lower volatilityHigher Sharpe, smaller worst decline | +14.1% | 30.1% | 0.59 | −54.7% | +513% | 0.16 | — | ||
| Higher return, lower volatilityHigher Sharpe, smaller worst decline | +9.4% | 28.3% | 0.46 | −42.5% | +176% | 0.46 | — | ||
| Higher return, lower volatility | +5.3% | 30.4% | 0.32 | −56.8% | +47.0% | 0.51 | — | ||
| Same and neighboring categories, and shared themesbest 6 shownEverything else in Managed Health Care and the categories next to it (Health Care Facilities, Health Care Distribution, Application Software), plus UNH's specific themes. 10 of 39 passed at least one test. | |||||||||
| On the frontierHigher return, lower volatilityHigher Sharpe, smaller worst declineHigher return in most periods | +42.1% | 24.7% | 1.55 | −46.1% | +349% | 0.06 | — | ||
PTCPTC Inc. · Application Software | Higher return, similar volatilityHigher Sharpe, smaller worst declineHigher return in most periods | +8.3% | 35.0% | 0.40 | −54.4% | +317% | -0.03 | — | |
EHCEncompass Health Corporation · Health Care Facilities | Higher return, lower volatilityHigher Sharpe, smaller worst decline | +18.4% | 26.8% | 0.77 | −39.5% | +340% | 0.19 | — | |
ENSGThe Ensign Group, Inc. · Health Care Facilities | Higher return, lower volatilityHigher Sharpe, smaller worst decline | +19.8% | 26.8% | 0.81 | −55.5% | +896% | 0.14 | — | |
UHSUniversal Health Services, Inc. · Health Care Facilities | Higher return, similar volatilityHigher Sharpe, smaller worst decline | +7.3% | 32.1% | 0.38 | −56.3% | +55.7% | 0.21 | — | |
HSICHenry Schein, Inc. · Health Care Distribution | Similar return, lower volatility | +1.5% | 25.4% | 0.19 | −41.4% | +41.3% | 0.20 | — | |
| The whole marketbest 8 shownEvery other stock and fund worth at least $500 million. 1,871 of 3,581 passed at least one test. | |||||||||
| Higher return, lower volatilityHigher Sharpe, smaller worst declineHigher return in most periods | +18.5% | 28.0% | 0.75 | −38.5% | +1,168% | 0.28 | — | ||
| Higher return, lower volatilityHigher Sharpe, smaller worst declineHigher return in most periods | +26.1% | 23.4% | 1.11 | −45.1% | +603% | 0.31 | — | ||
| Higher return, lower volatilityHigher Sharpe, smaller worst declineHigher return in most periods | +12.7% | 17.9% | 0.76 | −27.4% | +196% | 0.14 | — | ||
| Higher return, lower volatilityHigher Sharpe, smaller worst declineHigher return in most periods | +12.8% | 22.9% | 0.64 | −36.4% | +429% | 0.21 | — | ||
DXJWisdomTree Japan Hedged Equity Fund · International Equity | On the frontierHigher return, lower volatilityHigher Sharpe, smaller worst declineHigher return in most periods | +26.6% | 19.1% | 1.34 | −39.1% | +428% | 0.02 | 0.48% | |
BFCBank First Corporation · Banks - Regional | Higher return, lower volatilityHigher Sharpe, smaller worst declineHigher return in most periodsSmaller losses in recent crashes | +19.0% | 27.3% | 0.78 | −39.8% | +496% | 0.13 | — | |
| Higher return, similar volatilityHigher Sharpe, smaller worst declineHigher return in most periods | +40.7% | 32.8% | 1.21 | −34.5% | +1,807% | 0.16 | — | ||
| Similar return, lower volatilityHigher Sharpe, smaller worst decline | +1.7% | 2.8% | 0.63 | −8.5% | +20.5% | 0.10 | 0.03% | ||
What these numbers mean for UNH
- Annual return
- UNH returned 1.1% a year over the past 5 years with dividends reinvested, against 12.7% a year for the S&P 500. At that pace, $10,000 became about $10,500. Annual return is the steady yearly rate that would produce the same total result, so investments held over the same span compare fairly. Guide: What is performance and return? →
- Volatility
- UNH's volatility over the past 5 years was 32.1%, 1.9 times the S&P 500's 17.1%. Volatility measures how widely returns swing around their average: in roughly two years out of three, UNH's return lands within 32.1% of its average, either way. The higher it is, the rougher the ride and the harder it is to hold through a slump. Guide: Understanding and measuring risk (volatility) →
- Sharpe ratio
- UNH's Sharpe ratio over the past 5 years was 0.20, against 0.79 for the S&P 500, so UNH earned less for each unit of risk than an index fund did. The Sharpe ratio is the return earned above cash for each unit of volatility: two investments with the same return are not equal if one got there with far bigger swings. Guide: Balancing reward with risk (Sharpe ratio) →
- Worst decline
- UNH's worst fall from a peak to a low over the past 10 years was 61.4%, against 33.7% for the S&P 500. Losses and gains are not symmetric: climbing back from a 61.4% fall takes a 159% gain. Guide: Market crash risk and tail risk →
- Correlation
- Over the past 5 years, UNH's monthly returns had a correlation of 0.27 with the S&P 500. Correlation runs from 1 (moving in lockstep) through 0 (unrelated) to −1 (moving in opposite directions). They are only loosely linked, which makes it a real diversifier next to an index fund. In the table, the correlation column measures each option against UNH instead: the lower it is, the more that option would diversify a UNH holding. Guide: Correlation and diversification →
Show all 1,272 stocks and funds worth at least $500 million that earned more than UNH with less volatility
Out of 3,633 tested over 5 years. The strongest 100 are listed, best first, with funds that hold the same thing listed once.
| # | Investment | Found in | Annual return | Volatility | Sharpe | Worst decline | 10Y return | Corr. with UNH | Expense |
|---|---|---|---|---|---|---|---|---|---|
| 1 | Whole market | +18.5% | 28.0% | 0.75 | −38.5% | +1,168% | 0.28 | — | |
| 2 | Whole market | +26.1% | 23.4% | 1.11 | −45.1% | +603% | 0.31 | — | |
| 3 | Same or nearby category | +42.1% | 24.7% | 1.55 | −46.1% | +349% | 0.06 | — | |
| 4 | Whole market | +12.7% | 17.9% | 0.76 | −27.4% | +196% | 0.14 | — | |
| 5 | Whole market | +12.8% | 22.9% | 0.64 | −36.4% | +429% | 0.21 | — | |
| 6 | DXJWisdomTree Japan Hedged Equity Fund · International Equity | Whole market | +26.6% | 19.1% | 1.34 | −39.1% | +428% | 0.02 | 0.48% |
| 7 | LVHIFranklin International Low Volatility High Dividend Index ETF · International Equity | Whole market | +17.0% | 11.1% | 1.48 | −32.4% | +194% | 0.11 | 0.40% |
| 8 | Whole market | +14.7% | 16.8% | 0.91 | −37.0% | +204% | 0.24 | — | |
| 9 | Whole market | +19.5% | 25.2% | 0.84 | −55.8% | +238% | 0.11 | — | |
| 10 | Whole market | +33.2% | 29.4% | 1.13 | −54.9% | +483% | 0.10 | — | |
| 11 | Whole market | +21.0% | 23.4% | 0.94 | −42.9% | +242% | 0.05 | — | |
| 12 | Whole market | +16.3% | 24.8% | 0.74 | −43.4% | +241% | 0.15 | — | |
| 13 | Whole market | +17.1% | 20.7% | 0.87 | −26.8% | +226% | 0.28 | — | |
| 14 | Whole market | +12.1% | 13.7% | 0.90 | −36.8% | +235% | 0.38 | 0.03% | |
| 15 | Whole market | +19.6% | 24.9% | 0.85 | −24.9% | +266% | 0.09 | — | |
| 16 | Whole market | +22.8% | 24.9% | 0.95 | −30.5% | +200% | -0.10 | — | |
| 17 | Whole market | +15.8% | 20.0% | 0.84 | −42.0% | +310% | 0.28 | — | |
| 18 | BFCBank First Corporation · Banks - Regional | Whole market | +19.0% | 27.3% | 0.78 | −39.8% | +496% | 0.13 | — |
| 19 | Whole market | +18.4% | 26.0% | 0.78 | −35.1% | +779% | 0.19 | 0.09% | |
| 20 | Whole market | +15.7% | 20.4% | 0.82 | −42.6% | +248% | 0.38 | — | |
| 21 | Whole market | +22.6% | 29.1% | 0.85 | −41.6% | +521% | 0.11 | — | |
| 22 | Whole market | +17.8% | 21.4% | 0.88 | −53.7% | +140% | 0.24 | — | |
| 23 | Whole market | +14.4% | 29.9% | 0.60 | −37.9% | +755% | 0.03 | — | |
| 24 | Whole market | +22.4% | 22.3% | 1.02 | −46.3% | +347% | 0.30 | — | |
| 25 | Whole market | +9.7% | 14.3% | 0.72 | −33.4% | +252% | 0.32 | 0.06% | |
| 26 | Whole market | +12.9% | 19.9% | 0.71 | −46.9% | +187% | 0.27 | — | |
| 27 | Whole market | +12.2% | 29.0% | 0.54 | −37.5% | +464% | 0.07 | — | |
| 28 | Whole market | +21.0% | 26.8% | 0.85 | −50.8% | +694% | 0.11 | — | |
| 29 | Whole market | +18.7% | 22.5% | 0.88 | −55.1% | +163% | 0.10 | — | |
| 30 | Whole market | +17.4% | 29.1% | 0.70 | −46.4% | +426% | 0.11 | — | |
| 31 | Whole market | +9.0% | 22.9% | 0.49 | −40.8% | +320% | 0.19 | — | |
| 32 | Whole market | +18.1% | 29.5% | 0.71 | −51.4% | +312% | 0.07 | — | |
| 33 | Whole market | +12.7% | 27.7% | 0.57 | −50.8% | +309% | 0.05 | — | |
| 34 | Whole market | +9.5% | 24.5% | 0.49 | −37.6% | +95.1% | 0.13 | — | |
| 35 | Whole market | +5.5% | 24.9% | 0.34 | −47.7% | +74.8% | 0.32 | — | |
| 36 | Whole market | +19.7% | 23.2% | 0.90 | −48.8% | +292% | 0.02 | — | |
| 37 | Whole market | +11.9% | 19.4% | 0.68 | −54.4% | +30.4% | -0.09 | — | |
| 38 | Whole market | +15.8% | 24.6% | 0.72 | −30.7% | +576% | 0.13 | — | |
| 39 | Whole market | +14.4% | 22.1% | 0.72 | −42.7% | +481% | 0.17 | — | |
| 40 | Whole market | +12.0% | 25.4% | 0.58 | −55.2% | +240% | 0.36 | — | |
| 41 | Whole market | +7.2% | 19.2% | 0.46 | −29.0% | +68.8% | 0.19 | — | |
| 42 | CBOECboe Global Markets, Inc. · Capital Markets | Whole market | +21.5% | 25.1% | 0.91 | −43.2% | +463% | 0.14 | — |
| 43 | SDCIUSCF SummerHaven Dynamic Commodity Strategy No K-1 Fund · Bonds | Whole market | +20.6% | 18.4% | 1.12 | −45.7% | — | 0.14 | 0.80% |
| 44 | EFViShares MSCI EAFE Value ETF · International Equity | Whole market | +13.6% | 15.9% | 0.88 | −43.2% | +157% | 0.15 | 0.31% |
| 45 | Whole market | +14.0% | 25.7% | 0.64 | −45.5% | +79.7% | 0.12 | — | |
| 46 | Whole market | +8.4% | 15.3% | 0.60 | −28.4% | +202% | 0.45 | 0.08% | |
| 47 | KOFCoca-Cola FEMSA, S.A.B. de C.V. · Food & Beverages | Whole market | +22.3% | 24.7% | 0.94 | −55.1% | +119% | 0.09 | — |
| 48 | FNDFSchwab Fundamental International Large Company Index ETF · International Equity | Whole market | +13.6% | 16.3% | 0.87 | −40.2% | +194% | 0.16 | 0.25% |
| 49 | VOEVanguard Morningstar Mid-Cap Value ETF · US Mid-Cap Equity | Whole market | +9.4% | 15.8% | 0.65 | −43.2% | +182% | 0.29 | 0.05% |
| 50 | RSReliance Steel & Aluminum Co. · Metals & Mining | Whole market | +24.8% | 28.1% | 0.93 | −40.8% | +626% | 0.27 | — |
| 51 | AVLVAvantis U.S. Large Cap Value ETF · US Large-Cap Value | Whole market | +14.0% | 16.9% | 0.86 | −19.5% | — | 0.27 | 0.15% |
| 52 | PVALPutnam Focused Large Cap Value ETF · US Large-Cap Value | Whole market | +16.1% | 15.1% | 1.07 | −41.3% | — | 0.32 | 0.56% |
| 53 | HDViShares Core High Dividend ETF · US Dividend Equity | Whole market | +12.9% | 13.0% | 1.00 | −37.0% | +172% | 0.26 | 0.08% |
| 54 | RPRXRoyalty Pharma plc · Pharmaceuticals | Whole market | +13.3% | 23.8% | 0.65 | −49.7% | — | 0.07 | — |
| 55 | Whole market | +6.1% | 27.5% | 0.35 | −42.0% | +63.3% | -0.15 | — | |
| 56 | AVDVAvantis International Small Cap Value ETF · International Equity | Whole market | +13.9% | 17.4% | 0.84 | −43.0% | — | 0.14 | 0.36% |
| 57 | DGXQuest Diagnostics Incorporated · Medical Diagnostics | Whole market | +12.3% | 22.5% | 0.63 | −36.6% | +243% | 0.29 | — |
| 58 | EMXCiShares MSCI Emerging Markets ex China ETF · Emerging Markets Equity | Whole market | +11.1% | 19.5% | 0.64 | −42.8% | — | 0.23 | 0.25% |
| 59 | SNXTD Synnex Corp · Technology Distribution | Whole market | +20.3% | 30.4% | 0.76 | −55.8% | +430% | 0.23 | — |
| 60 | AVEMAvantis Emerging Markets Equity ETF · Emerging Markets Equity | Whole market | +9.3% | 19.5% | 0.56 | −36.0% | — | 0.14 | 0.33% |
| 61 | PKGPackaging Corporation of America · Packaging | Whole market | +15.4% | 25.8% | 0.69 | −38.2% | +294% | 0.21 | — |
| 62 | EXPDExpeditors International of Washington, Inc. · Freight & Logistics | Whole market | +12.0% | 27.1% | 0.56 | −35.6% | +349% | 0.19 | — |
| 63 | COWZPacer US Cash Cows 100 ETF · US Large-Cap Value | Whole market | +11.4% | 17.7% | 0.70 | −38.7% | — | 0.21 | 0.49% |
| 64 | Popular alternative | +38.7% | 25.0% | 1.44 | −38.1% | +586% | 0.18 | — | |
| 65 | RNRRenaissanceRe Holdings Ltd. · Insurance | Whole market | +20.1% | 27.8% | 0.80 | −40.7% | +215% | 0.16 | — |
| 66 | AVUSAvantis U.S. Equity ETF · US Total Market | Whole market | +12.2% | 17.2% | 0.76 | −37.0% | — | 0.29 | 0.15% |
| 67 | RWLInvesco S&P 500 Revenue ETF · US Large-Cap Equity | Whole market | +13.7% | 14.4% | 0.97 | −36.1% | +287% | 0.38 | 0.39% |
| 68 | CIBRFirst Trust Nasdaq Cybersecurity ETF · Cybersecurity | Whole market | +14.1% | 26.1% | 0.64 | −33.9% | +454% | 0.14 | 0.58% |
| 69 | CHDChurch & Dwight Co., Inc. · Household & Personal Products | Whole market | +6.1% | 21.1% | 0.39 | −31.7% | +154% | 0.18 | — |
| 70 | HSTHost Hotels & Resorts, Inc. · Hotel REITs | Whole market | +13.8% | 30.0% | 0.58 | −55.0% | +144% | 0.19 | — |
| 71 | IOOiShares Global 100 ETF · Global Equity | Whole market | +15.7% | 17.2% | 0.94 | −31.4% | +361% | 0.22 | 0.40% |
| 72 | FDLFirst Trust Morningstar Dividend Leaders Index Fund · US Dividend Equity | Whole market | +13.9% | 14.4% | 0.98 | −41.4% | +199% | 0.22 | 0.43% |
| 73 | JQUAJPMorgan U.S. Quality Factor ETF · US Quality Equity | Whole market | +13.6% | 15.7% | 0.89 | −32.9% | — | 0.30 | 0.12% |
| 74 | VLUEiShares MSCI USA Value Factor ETF · US Large-Cap Value | Whole market | +15.9% | 18.4% | 0.90 | −39.5% | +286% | 0.37 | 0.15% |
| 75 | AIZAssurant, Inc. · Property & Casualty Insurance | Whole market | +13.3% | 25.3% | 0.62 | −44.6% | +312% | 0.43 | — |
| 76 | BBCAJPMorgan BetaBuilders Canada ETF · International Equity | Whole market | +11.4% | 16.7% | 0.73 | −42.8% | — | 0.27 | 0.19% |
| 77 | SEICSEI Investments Company · Asset Management | Whole market | +12.7% | 22.3% | 0.65 | −51.8% | +168% | 0.17 | — |
| 78 | MSGSMadison Square Garden Sports Corp. · Entertainment | Whole market | +18.4% | 25.6% | 0.79 | −41.6% | +432% | 0.24 | — |
| 79 | NDSNNordson Corporation · Industrial Machinery | Whole market | +7.1% | 25.2% | 0.40 | −44.2% | +262% | 0.22 | — |
| 80 | VPLVanguard FTSE Pacific ETF · International Equity | Whole market | +9.5% | 18.6% | 0.58 | −33.9% | +141% | 0.18 | 0.07% |
| 81 | WTSWatts Water Technologies, Inc. · Industrial Machinery | Whole market | +15.3% | 28.4% | 0.65 | −44.1% | +539% | 0.11 | — |
| 82 | FCFSFirstCash Holdings, Inc · Consumer Finance | Whole market | +20.6% | 30.5% | 0.77 | −50.2% | +422% | 0.38 | — |
| 83 | NEUNewMarket Corporation · Specialty Chemicals | Whole market | +21.0% | 26.8% | 0.85 | −40.7% | +165% | 0.12 | — |
| 84 | Whole market | +3.8% | 0.3% | 13.25 | −0.3% | — | -0.11 | 0.09% | |
| 85 | AIQGlobal X - Artificial Intelligence & Technology ETF · Artificial Intelligence | Whole market | +14.8% | 26.7% | 0.65 | −44.6% | — | 0.18 | 0.68% |
| 86 | FNDESchwab Fundamental Emerging Markets Large Company Index ETF · Emerging Markets Equity | Whole market | +9.8% | 17.0% | 0.64 | −39.9% | +151% | 0.09 | 0.39% |
| 87 | ACTEnact Holdings Inc. · Insurance | Whole market | +20.5% | 24.3% | 0.89 | −20.2% | — | 0.34 | — |
| 88 | THGThe Hanover Insurance Group, Inc. · Property & Casualty Insurance | Whole market | +14.4% | 22.9% | 0.70 | −40.1% | +291% | 0.31 | — |
| 89 | SKMSK Telecom Co.,Ltd · Telecommunications | Whole market | +8.8% | 30.0% | 0.43 | −46.0% | +152% | 0.17 | — |
| 90 | NHCNational HealthCare Corporation · Medical - Care Facilities | Whole market | +32.0% | 28.5% | 1.12 | −35.3% | +394% | 0.35 | — |
| 91 | PDBCInvesco Optimum Yield Diversified Commodity Strategy No K-1 ETF · Broad Commodities | Whole market | +11.7% | 19.3% | 0.67 | −40.7% | +153% | 0.07 | 0.74% |
| 92 | QYLDGlobal X - Nasdaq 100 Covered Call ETF · Equity Income | Whole market | +8.4% | 15.0% | 0.62 | −24.7% | +156% | 0.22 | 0.60% |
| 93 | SJMThe J. M. Smucker Company · Packaged Foods | Whole market | +4.8% | 25.1% | 0.32 | −38.1% | +37.2% | 0.12 | — |
| 94 | FLTWFranklin FTSE Taiwan ETF · Technology | Whole market | +21.8% | 24.3% | 0.94 | −38.0% | — | 0.14 | 0.19% |
| 95 | DBMFiMGP DBi Managed Futures Strategy ETF · Alternatives | Whole market | +9.8% | 12.4% | 0.82 | −20.4% | — | 0.11 | 0.85% |
| 96 | RSPTInvesco S&P 500 Equal Weight Technology ETF · Technology Equity | Whole market | +16.9% | 25.1% | 0.75 | −33.7% | +572% | 0.22 | 0.40% |
| 97 | MSMMSC Industrial Direct Co., Inc. · Industrial Distribution | Whole market | +13.3% | 25.1% | 0.63 | −48.2% | +184% | 0.36 | — |
| 98 | GCOWPacer Global Cash Cows Dividend ETF · International | Whole market | +14.1% | 13.6% | 1.04 | −37.6% | +168% | 0.10 | 0.60% |
| 99 | IBBiShares Biotechnology ETF · Biotechnology | Whole market | +6.2% | 22.4% | 0.38 | −39.8% | +140% | 0.17 | 0.44% |
| 100 | GUNRNorthern Trust Morningstar Global Upstream Natural Resources ETF · Natural Resources Equity | Whole market | +10.1% | 18.8% | 0.60 | −43.0% | +173% | 0.15 | 0.47% |
UNH against its popular alternatives
The investments people most often weigh against UNH, compared period by period and year by year.
How do UNH's risk and return compare with its alternatives?
This map plots each investment's annual return over the past 5 years against its volatility, the size of its typical price swings. Investments toward the upper left earned more for a smoother ride, and those toward the lower right earned less for a rougher one. The dashed lines cross at UNH, which divides the map into what did better or worse on each measure.
- Six of the 13 popular alternatives, led by MCK, COR and HCA, were both more rewarding and calmer than UNH over the past 5 years, earning a higher annual return with lower volatility.
- Over the past 5 years, UNH returned 1.1% a year, less than the S&P 500's 12.7%, with higher volatility (32.1% against 17.1%).
Green points earned more than UNH with less volatility; red points earned less with more. Hover over a point for its figures. Total returns with dividends reinvested, annualized.
All figures
| Investment | Annual return | Volatility |
|---|---|---|
| MCK McKesson Corporation | +38.7% | 25.0% |
| THC Tenet Healthcare Corporation | +32.9% | 45.1% |
| COR Cencora, Inc. | +24.2% | 22.8% |
| OSCR Oscar Health, Inc. | +15.7% | 80.0% |
| HCA HCA Healthcare, Inc. | +14.1% | 30.1% |
| SPY S&P 500State Street SPDR S&P 500 ETF | +12.7% | 17.1% |
| CI Cigna Corporation | +9.4% | 28.3% |
| CVS CVS Health Corp. | +5.3% | 30.4% |
| ELV Elevance Health Inc. | +2.2% | 29.4% |
| UNH This pageUnitedHealth Group Incorporated | +1.1% | 32.1% |
| CNC Centene Corp. | +0.8% | 40.0% |
| VEEV Veeva Systems Inc. | −0.1% | 39.6% |
| HUM Humana Inc. | −0.3% | 38.5% |
| MOH Molina Healthcare, Inc. | −5.4% | 40.6% |
| ALHC Alignment Healthcare, Inc. | −15.1% | 65.8% |
Has UNH consistently beaten its popular alternatives?
This section compares UNH with the investments people most often weigh against it, checking each one over eight periods from one month to ten years. Counting how often an alternative earned more than UNH helps separate lasting outperformance from a single strong stretch.
- Five of the 13 popular alternatives, led by THC, MCK and ELV, outperformed UNH in at least 3 of 5 short-term and 2 of 3 long-term timeframes.
- THC outperformed UNH in every long-term period and in all but one short-term period, the most consistent record in the group.
- MCK, COR and HCA earned more for the risk they took than UNH (a higher Sharpe ratio) and fell less in their worst decline of the past 10 years.
A green cell means the alternative earned more than UNH over that period. "Qualified" marks those that did so in at least 3 of 5 short-term periods and 2 of 3 long-term periods.
| Investment | Periods outperformed | Short term | Long term | Risk · 5 years | Fund | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1M | 3M | 6M | YTD | 1Y | 3Y | 5Y | 10Y | Volatilitylower is calmer | Sharpehigher is better | Worst declinepast 10 years | Expense | Assets | Overlapsame sectors | ||
| UNH UnitedHealth Group Incorporated (this page) | — | +11.0% | +0.1% | +31.2% | +27.1% | +18.1% | −15.3% | +5.5% | +241% | 32.1% | 0.20 | −61.4% | — | $376B | — |
| THC QualifiedTenet Healthcare Corporation | 4/5 short3/3 longAll-weather | +4.3% | +40.1% | +42.4% | +36.5% | +34.7% | +399% | +315% | +1,058% | 45.1% | 0.86 | −71.7% | — | $22B | — |
| MCK QualifiedMcKesson Corporation | 3/5 short3/3 long | +16.2% | +24.0% | +20.2% | +25.5% | +31.3% | +131% | +413% | +586% | 25.0% | 1.44 | −38.1% | — | $120B | — |
| ELV QualifiedElevance Health Inc. | 3/5 short3/3 long | +7.5% | +15.7% | +39.0% | +26.1% | +26.8% | +2.0% | +11.7% | +307% | 29.4% | 0.23 | −50.4% | — | $95B | — |
| VEEV QualifiedVeeva Systems Inc. | 4/5 short2/3 long | +22.0% | +61.4% | +88.7% | +45.2% | +11.5% | +59.0% | −0.4% | +715% | 39.6% | 0.19 | −55.7% | — | $52B | — |
| OSCR QualifiedOscar Health, Inc. | 4/5 short2/3 long | +7.6% | +13.7% | +105% | +125% | +66.8% | +560% | +107% | — | 80.0% | 0.57 | −94.2% | — | $8.7B | — |
| HCA Medical - Care FacilitiesHCA Healthcare, Inc. | 1/5 short3/3 long | +9.3% | +26.0% | −2.2% | −0.5% | +8.3% | +97.6% | +93.6% | +513% | 30.1% | 0.59 | −54.7% | — | $101B | — |
| COR Medical - DistributionCencora, Inc. | 1/5 short3/3 long | +8.5% | +13.1% | +6.7% | +1.9% | +5.7% | +86.5% | +195% | +406% | 22.8% | 1.07 | −32.4% | — | $66B | — |
| CI Medical - Healthcare PlansCigna Corporation | 2/5 short2/3 long | +11.7% | +8.6% | +10.8% | +11.7% | +2.2% | +5.9% | +56.7% | +176% | 28.3% | 0.46 | −42.5% | — | $81B | — |
| CVS Medical - Healthcare PlansCVS Health Corp. | 0/5 short2/3 long | +8.2% | −11.4% | +25.6% | +21.0% | +18.5% | +52.5% | +29.2% | +47.0% | 30.4% | 0.32 | −56.8% | — | $121B | — |
| CNC Medical - Healthcare PlansCentene Corp. | 4/5 short1/3 long | +9.0% | +7.6% | +84.9% | +69.6% | +98.9% | −1.5% | +4.0% | +129% | 40.0% | 0.24 | −74.1% | — | $35B | — |
| MOH Medical - Healthcare PlansMolina Healthcare, Inc. | 1/5 short1/3 long | +11.1% | −4.3% | +46.4% | +23.1% | +11.3% | −37.0% | −24.3% | +277% | 40.6% | 0.07 | −70.8% | — | $11B | — |
| ALHC Medical - Healthcare PlansAlignment Healthcare, Inc. | 0/5 short1/3 long | +2.2% | −59.7% | −60.5% | −57.9% | −51.1% | +19.9% | −55.8% | — | 65.8% | 0.08 | −83.6% | — | $1.8B | — |
| HUM Medical - Healthcare PlansHumana Inc. | 5/5 short0/3 long | +12.9% | +7.3% | +104% | +62.8% | +52.1% | −15.1% | −1.3% | +166% | 38.5% | 0.19 | −69.9% | — | $51B | — |
How did UNH do year by year?
This table shows each investment's total return in every full calendar year since 1997, along with where UNH ranked among its popular alternatives each year. Annual results reveal how consistently each one kept pace with UNH and how far its good and bad years diverged, detail that multiyear averages tend to smooth over.
- UNH finished ahead of the S&P 500 in 19 of its 29 full calendar years, and behind it in each of the last three.
- Ranked against its popular alternatives each year, UNH finished in the top quarter in five of 29 years and in the bottom quarter in two. In 2025, it ranked 13 of 14.
- Among its popular alternatives, VEEV came out ahead of UNH most often, in seven of the 12 years both traded.
Newest year first. Green marks a year in which the fund came out ahead of UNH; gray means the two finished within a fraction of a point. The rank row places UNH among the alternatives that traded the full year; dark green is the top quarter and red the bottom quarter.
| Investment | Years ahead of UNH | 2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 | 2014 | 2013 | 2012 | 2011 | 2010 | 2009 | 2008 | 2007 | 2006 | 2005 | 2004 | 2003 | 2002 | 2001 | 2000 | 1999 | 1998 | 1997 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UNH This pageUnitedHealth Group Incorporated | — | −33.1% | −2.4% | +0.8% | +6.9% | +45.2% | +21.3% | +20.0% | +14.5% | +39.8% | +38.4% | +18.3% | +36.5% | +41.0% | +8.6% | +42.2% | +19.9% | +14.8% | −54.3% | +8.3% | −13.5% | +41.2% | +51.4% | +39.4% | +18.1% | +15.3% | +131% | +23.5% | −13.4% | +10.3% |
| Rank among alternatives | Top quarter in 5 of 29 | 13 of 14 | 8 of 14 | 8 of 14 | 6 of 14 | 6 of 12 | 4 of 12 | 6 of 12 | 6 of 12 | 5 of 12 | 2 of 12 | 4 of 12 | 7 of 12 | 9 of 11 | 8 of 11 | 3 of 10 | 5 of 10 | 8 of 10 | 7 of 10 | 8 of 10 | 10 of 10 | 4 of 10 | 4 of 10 | 4 of 9 | 3 of 9 | 3 of 7 | 2 of 7 | 1 of 7 | 5 of 7 | 6 of 7 |
| SPY S&P 500State Street SPDR S&P 500 ETF | 10 of 29 | +17.7% | +24.9% | +26.2% | −18.2% | +28.7% | +18.3% | +31.2% | −4.6% | +21.7% | +12.0% | +1.2% | +13.5% | +32.3% | +16.0% | +1.9% | +15.1% | +26.4% | −36.8% | +5.1% | +15.9% | +4.8% | +10.7% | +28.2% | −21.6% | −11.7% | −9.8% | +20.4% | +28.7% | +33.5% |
| THC Tenet Healthcare Corporation | 11 of 29 | +57.4% | +67.0% | +54.9% | −40.3% | +105% | +5.0% | +122% | +13.1% | +2.2% | −51.0% | −40.2% | +20.3% | +29.7% | +58.2% | −23.3% | +24.1% | +369% | −77.4% | −27.1% | −9.0% | −30.2% | −31.6% | −2.1% | −58.1% | +32.1% | +89.2% | −10.5% | −20.8% | +51.4% |
| MCK McKesson Corporation | 15 of 29 | +44.5% | +23.7% | +24.1% | +51.8% | +44.2% | +27.1% | +26.7% | −28.4% | +12.0% | −28.3% | −4.5% | +29.3% | +67.7% | +25.6% | +11.8% | +13.8% | +62.9% | −40.4% | +29.7% | −1.2% | +64.9% | −1.4% | +19.9% | −27.2% | +4.9% | +61.2% | −71.3% | +46.9% | +96.3% |
| ELV Elevance Health Inc. | 12 of 24 | −3.1% | −20.7% | −6.9% | +11.8% | +46.1% | +7.8% | +16.3% | +18.1% | +58.7% | +5.1% | +12.9% | +38.2% | +54.6% | −6.3% | +18.2% | −2.4% | +38.4% | −52.0% | +11.5% | −1.4% | +38.8% | +53.3% | +19.3% | +27.1% | — | — | — | — | — |
| VEEV Veeva Systems Inc. | 7 of 12 | +6.2% | +9.2% | +19.3% | −36.8% | −6.2% | +93.5% | +57.5% | +61.6% | +35.8% | +41.1% | +9.2% | −17.7% | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| OSCR Oscar Health, Inc. | 3 of 4 | +6.9% | +46.9% | +272% | −68.7% | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| HCA HCA Healthcare, Inc. | 8 of 14 | +56.7% | +11.8% | +13.8% | −5.6% | +57.6% | +11.6% | +20.2% | +43.4% | +18.7% | +9.4% | −7.8% | +53.8% | +58.1% | +70.9% | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| COR Cencora, Inc. | 14 of 29 | +51.5% | +10.4% | +25.3% | +26.3% | +38.0% | +17.0% | +18.2% | −16.6% | +20.6% | −23.3% | +16.9% | +29.9% | +65.3% | +17.9% | +10.3% | +32.4% | +48.0% | −19.8% | +3.3% | +8.9% | +41.4% | +2.5% | +5.6% | −14.5% | +25.8% | +233% | −53.3% | +11.7% | +20.8% |
| CI Cigna Corporation | 12 of 29 | +1.7% | −6.3% | −8.0% | +46.7% | +12.3% | +1.8% | +7.7% | −6.5% | +52.3% | −8.8% | +42.2% | +17.7% | +63.8% | +27.4% | +14.6% | +4.1% | +110% | −68.6% | +22.6% | +17.9% | +37.1% | +42.8% | +43.6% | −54.8% | −29.0% | +66.6% | +5.7% | +36.9% | +28.5% |
| CVS CVS Health Corp. | 10 of 29 | +84.3% | −40.8% | −12.6% | −7.6% | +54.9% | −5.1% | +17.3% | −7.0% | −5.8% | −17.8% | +2.9% | +36.5% | +50.4% | +20.3% | +19.0% | +9.1% | +13.2% | −27.2% | +29.4% | +17.7% | +17.8% | +25.7% | +45.7% | −14.9% | −50.4% | +51.1% | −27.1% | +72.6% | +55.5% |
| CNC Centene Corp. | 11 of 24 | −32.1% | −18.4% | −9.5% | −0.5% | +37.3% | −4.5% | +9.0% | +14.3% | +78.5% | −14.1% | +26.7% | +76.1% | +43.8% | +3.5% | +56.1% | +19.9% | +7.3% | −28.1% | +11.7% | −6.5% | −7.3% | +103% | +25.0% | +53.0% | — | — | — | — | — |
| MOH Molina Healthcare, Inc. | 12 of 22 | −40.4% | −19.4% | +9.4% | +3.8% | +49.6% | +56.7% | +16.8% | +51.6% | +41.3% | −9.8% | +12.3% | +54.0% | +28.4% | +21.2% | +20.3% | +21.8% | +29.9% | −54.5% | +19.1% | +22.0% | −42.6% | +83.8% | — | — | — | — | — | — | — |
| ALHC Alignment Healthcare, Inc. | 2 of 4 | +75.6% | +30.7% | −26.8% | −16.4% | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| HUM Humana Inc. | 15 of 29 | +2.4% | −44.0% | −9.9% | +11.2% | +13.8% | +12.7% | +28.9% | +16.3% | +22.6% | +14.9% | +25.1% | +40.4% | +52.3% | −20.6% | +61.5% | +24.7% | +17.7% | −50.5% | +36.2% | +1.8% | +83.0% | +29.9% | +128% | −15.2% | −22.7% | +86.3% | −54.0% | −14.2% | +9.2% |
Risk and diversification
How UNH has fallen, how it held up in crashes beside the S&P 500 and its popular alternatives, and what moves independently of it.
What were UNH's worst declines?
A drawdown is the decline from a peak to the lowest point before a new high. This section presents UNH's five deepest drawdowns since it began trading in 1986, alongside the S&P 500's return over the same dates, and how long each took to recover. Together, these figures show how much an investor could have lost and how long it took to get back to even.
- In all four of UNH's worst declines, the S&P 500 held up better over the same dates.
- Not every decline was the market's doing: UNH fell 61.4% from November 2024 to August 2025, while the S&P 500 rose 4.8%.
- The slowest recovery came after UNH fell 74.4% from December 2005 to November 2008; it did not regain that peak until April 2013, four years later.
Green means UNH fell less than the S&P 500 over the same dates. Based on daily closing prices with dividends reinvested.
| During | UNH fell | S&P 500, same dates | Peak | Low | Time to the low | Back at the peak | Time to recover |
|---|---|---|---|---|---|---|---|
| 2008 financial crisis | −74.4% | −36.9% | Dec 2005 | Nov 2008 | 2.9 years | Apr 2013 | 4.4 years |
| No named crash | −70.3% | — | Dec 1986 | Nov 1987 | 11 months | May 1989 | 18 months |
| No named crash | −61.4% | +4.8% | Nov 2024 | Aug 2025 | 9 months | Not yet | — |
| No named crash | −57.0% | −4.6% | May 1998 | Aug 1998 | 3 months | May 2000 | 21 months |
| No named crash | −53.8% | −1.6% | Feb 1996 | Jul 1996 | 5 months | Apr 1998 | 21 months |
How did UNH do in stock market crashes?
This section measures how far UNH, the S&P 500 and each alternative fell from peak to trough during every major market crash since 2000. A smaller decline means an investment held up better, and comparing results across crashes shows whether that resilience was consistent or a one-off.
- None of its popular alternatives fell less than UNH in most of the crashes they both traded through.
- UNH fell less than the S&P 500 in five of the ten crashes it has traded through. The clearest case was the dot-com bust, when UNH fell 19.8% and the S&P 500 fell 47.5%.
Newest crash first. Each figure is the fund's deepest fall within the crash window; green means a smaller fall than UNH.
| Investment | Held up better | 2023 regional bank crisisMar 2023 | 2022 bear marketJan 2022 | Covid crashFeb 2020 | Late-2018 sell-offSep 2018 | February 2018 volatility shockFeb 2018 | 2015 China and oil sell-offAug 2015 | 2011 euro debt crisisJul 2011 | 2010 flash crashMay 2010 | 2008 financial crisisOct 2007 | Dot-com bustMar 2000 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| UNH This pageUnitedHealth Group Incorporated | — | −1.8% | −16.9% | −35.9% | −18.6% | −6.7% | −12.4% | −20.7% | −0.8% | −72.4% | −19.8% |
| SPY S&P 500State Street SPDR S&P 500 ETF | 3 of 10 | −3.4% | −24.5% | −33.7% | −19.3% | −6.5% | −12.8% | −17.9% | −1.5% | −55.2% | −47.5% |
| THC Tenet Healthcare Corporation | 1 of 10 | −10.6% | −45.6% | −67.8% | −42.5% | −3.8% | −57.4% | −42.6% | −4.7% | −86.6% | −20.4% |
| MCK McKesson Corporation | 5 of 10 | −0.9% | −10.5% | −32.1% | −20.7% | −6.5% | −30.8% | −14.2% | −3.5% | −57.7% | −39.4% |
| ELV Elevance Health Inc. | 4 of 9 | −2.3% | −15.9% | −42.3% | −15.7% | −3.6% | −22.9% | −23.4% | −0.7% | −67.2% | — |
| VEEV Veeva Systems Inc. | 1 of 6 | −4.6% | −40.0% | −26.7% | −26.5% | −9.5% | −28.9% | — | — | — | — |
| OSCR Oscar Health, Inc. | 0 of 2 | −18.1% | −62.4% | — | — | — | — | — | — | — | — |
| HCA HCA Healthcare, Inc. | 1 of 7 | −2.2% | −39.5% | −54.4% | −20.6% | −3.8% | −31.3% | −49.0% | — | — | — |
| COR Cencora, Inc. | 3 of 10 | −2.3% | −17.8% | −23.8% | −24.2% | −7.1% | −21.4% | −14.5% | −2.8% | −41.9% | −29.7% |
| CI Cigna Corporation | 1 of 10 | −2.6% | −10.7% | −41.3% | −20.8% | −7.4% | −16.2% | −24.0% | −4.7% | −84.3% | −56.3% |
| CVS CVS Health Corp. | 3 of 10 | −4.4% | −19.9% | −27.3% | −22.1% | −9.2% | −16.9% | −14.2% | −1.1% | −45.3% | −62.4% |
| CNC Centene Corp. | 3 of 9 | −4.1% | −24.1% | −32.4% | −25.7% | −4.2% | −27.4% | −27.5% | −3.3% | −53.1% | — |
| MOH Molina Healthcare, Inc. | 2 of 9 | −3.0% | −27.6% | −29.9% | −29.3% | −14.0% | −37.3% | −40.7% | −3.6% | −59.0% | — |
| ALHC Alignment Healthcare, Inc. | 0 of 2 | −11.6% | −51.7% | — | — | — | — | — | — | — | — |
| HUM Humana Inc. | 2 of 10 | −2.0% | −20.9% | −43.4% | −22.8% | −5.1% | −17.3% | −17.5% | −2.7% | −78.4% | −45.3% |
How closely does UNH move with the S&P 500?
Upside capture measures how much of the S&P 500's gains an investment kept in the months the market rose, and downside capture how much of its losses it took in the months the market fell. An investment that captures more of the gains than the losses has compounded ahead of the market over time. This section compares UNH with its popular alternatives on both measures, and on beta (how strongly each has moved with the market), over the past 10 years.
- MCK took just 27% of the S&P 500's losses, against 82% for UNH, while still keeping 72% of its gains.
- Over the past 10 years, UNH captured 81% of the S&P 500's gains in rising months and 82% of its losses in falling months, with a beta of 0.70. It took about the same share of the market's gains as of its losses.
- Five of the 11 popular alternatives had a higher capture ratio (upside capture divided by downside capture) than UNH's 0.98, led by MCK, COR and VEEV.
Monthly total returns over the past 10 years, measured against SPY. 100% capture or a beta of 1.00 means moving in line with the S&P 500. Green marks a better figure than UNH's: more upside, less downside or a higher capture ratio. Sorted by capture ratio.
| Investment | Upside capture | Downside capture | Capture ratio | Beta |
|---|---|---|---|---|
| UNH This pageUnitedHealth Group Incorporated | 81% | 82% | 0.98 | 0.70 |
| MCK McKesson Corporation | 72% | 27% | 2.71 | 0.56 |
| COR Cencora, Inc. | 80% | 58% | 1.39 | 0.56 |
| VEEV Veeva Systems Inc. | 113% | 89% | 1.26 | 0.87 |
| MOH Molina Healthcare, Inc. | 72% | 63% | 1.14 | 0.74 |
| THC Tenet Healthcare Corporation | 173% | 168% | 1.03 | 1.87 |
| HCA HCA Healthcare, Inc. | 135% | 140% | 0.97 | 1.37 |
| ELV Elevance Health Inc. | 94% | 98% | 0.96 | 0.86 |
| CI Cigna Corporation | 66% | 74% | 0.90 | 0.58 |
| HUM Humana Inc. | 70% | 80% | 0.87 | 0.82 |
| CNC Centene Corp. | 69% | 94% | 0.73 | 0.80 |
| CVS CVS Health Corp. | 59% | 99% | 0.60 | 0.70 |
What diversifies UNH?
Correlation measures how closely two investments move together, on a scale from 1 (in lockstep) through 0 (unrelated) to -1 (in opposite directions). This section lists large ETFs and stocks whose returns have had a low correlation with UNH's. Because such investments tend not to fall at the same time, pairing UNH with them can reduce a portfolio's overall swings.
- Moving a fifth of the money in UNH into DXJ would have cut the portfolio's volatility by 20% over the past 5 years and raised its annual return (+0.6% for UNH alone, +6.5% for the mix).
- GLD made money in four of the five calendar years in which UNH lost money.
- Among large ETFs, LVHI, DXJ and EMLP have moved largely independently of UNH over the past 5 years, with correlations of 0.26 or lower, and each still earned a positive 5-year return.
Only ETFs with at least $1.0B in assets and stocks worth at least $10B, with a correlation below 0.5 over the past 5 years and a positive return, are included, ranked by Sharpe ratio; funds that hold the same thing are shown once. The year columns are the years in which UNH lost money. The last two columns show a portfolio that is 80% UNH and 20% the other investment, rebalanced monthly.
ETFs
| Investment | Correlation | 5Y return | Sharpe | 2025 | 2024 | 2008 | 2006 | 1998 | 80/20 mix volatility | 80/20 mix annual return |
|---|---|---|---|---|---|---|---|---|---|---|
| UNH UnitedHealth Group Incorporated (this page) | 1.00 | +5.5% | 0.20 | −33.1% | −2.4% | −54.3% | −13.5% | −13.4% | 34.9% | +0.6% |
| LVHI InternationalFranklin International Low Volatility High Dividend Index ETF | 0.11 | +119% | 1.48 | +27.1% | +15.9% | — | — | — | 28.2% | +4.7% |
| DXJ InternationalWisdomTree Japan Hedged Equity Fund | 0.02 | +225% | 1.34 | +32.8% | +29.8% | −20.8% | — | — | 28.1% | +6.5% |
| EMLP Broad MarketFirst Trust North American Energy Infrastructure Fund | 0.26 | +101% | 1.04 | +9.7% | +33.4% | — | — | — | 28.8% | +4.3% |
| HDV Dividend & IncomeiShares Core High Dividend ETF | 0.26 | +83.3% | 1.00 | +11.9% | +14.1% | — | — | — | 28.8% | +3.7% |
| SMH TechnologyVanEck Semiconductor ETF | 0.14 | +323% | 0.97 | +49.2% | +39.1% | −44.7% | −6.7% | — | 29.8% | +9.0% |
| DBEF InternationalXtrackers MSCI EAFE Hedged Equity ETF | 0.17 | +85.0% | 0.96 | +23.1% | +13.4% | — | — | — | 28.4% | +4.1% |
| GLD CommoditiesSPDR Gold Shares | 0.04 | +126% | 0.96 | +63.7% | +26.7% | +4.9% | +22.6% | — | 28.3% | +5.1% |
| SPMO Broad MarketInvesco S&P 500 Momentum ETF | 0.26 | +136% | 0.93 | +26.6% | +45.8% | — | — | — | 29.3% | +5.6% |
Stocks
| Investment | Correlation | 5Y return | Sharpe | 2025 | 2024 | 2008 | 2006 | 1998 | 80/20 mix volatility | 80/20 mix annual return |
|---|---|---|---|---|---|---|---|---|---|---|
| UNH UnitedHealth Group Incorporated (this page) | 1.00 | +5.5% | 0.20 | −33.1% | −2.4% | −54.3% | −13.5% | −13.4% | 34.9% | +0.6% |
| CAH Medical - DistributionCardinal Health, Inc. | 0.06 | +479% | 1.55 | +76.3% | +19.0% | −39.6% | −5.8% | +51.7% | 28.8% | +8.6% |
| CLS Hardware, Equipment & PartsCelestica Inc. | 0.06 | +3,143% | 1.47 | +220% | +215% | −20.5% | −26.0% | — | 30.9% | +20.9% |
| FIX Engineering & ConstructionComfort Systems USA, Inc. | 0.12 | +1,636% | 1.46 | +121% | +107% | −15.2% | +38.9% | −9.5% | 30.4% | +16.9% |
| MCK Medical - DistributionMcKesson Corporation | 0.18 | +413% | 1.44 | +44.5% | +23.7% | −40.4% | −1.2% | +46.9% | 29.3% | +7.9% |
| MPC Oil & Gas Refining & MarketingMarathon Petroleum Corporation | -0.01 | +690% | 1.41 | +19.2% | −4.0% | — | — | — | 28.6% | +10.8% |
Common questions
What was UNH's worst drawdown?
UNH's deepest decline since it began trading in 1986 was 74.4%, from December 2005 to November 2008. It took about four years from the low to climb back to its old high.
What were UNH's best and worst years?
Over 29 full calendar years, UNH's best year was 2000, when it returned 131%. Its worst was 2008, with a return of -54.2%.
Is there a better investment than UNH?
Among UNH's popular alternatives, MCK, ELV and COR earned more than UNH with less volatility over the past 5 years. MCK returned 38.7% a year at 25.0% volatility, against 1.1% a year at 32.1%. Looking beyond its popular alternatives, CAH (health care distribution) and EHC (health care facilities) earned more than UNH with less volatility over the past 5 years. CAH returned 42.1% a year at 24.7% volatility, against 1.1% a year at 32.1%.
Is UNH more volatile than the S&P 500?
Yes. UNH's volatility over the past 5 years was 32.1%, 1.9 times the S&P 500's 17.1%. Volatility measures how widely returns swing around their average: in roughly two years out of three, UNH's return lands within 32.1% of its average, either way. The higher it is, the rougher the ride and the harder it is to hold through a slump.
What is UNH's Sharpe ratio?
UNH's Sharpe ratio over the past 5 years was 0.20, against 0.79 for the S&P 500, so UNH earned less for each unit of risk than an index fund did. The Sharpe ratio is the return earned above cash for each unit of volatility: two investments with the same return are not equal if one got there with far bigger swings.
How correlated is UNH with the S&P 500?
Over the past 5 years, UNH's monthly returns had a correlation of 0.27 with the S&P 500. Correlation runs from 1 (moving in lockstep) through 0 (unrelated) to −1 (moving in opposite directions). They are only loosely linked, which makes it a real diversifier next to an index fund. In the table, the correlation column measures each option against UNH instead: the lower it is, the more that option would diversify a UNH holding.
What are the best alternatives to UNH?
Of the 13 popular alternatives we compared, five outperformed UNH in at least 3 of 5 short-term and 2 of 3 long-term timeframes, with dividends reinvested: THC, MCK and ELV.
Did UNH outperform the S&P 500?
UNH finished ahead of the S&P 500 (SPY) in 19 of 29 full calendar years. In 2025, it returned -33.1%, against +17.7% for the index.
How did UNH do in stock market crashes?
UNH fell less than the S&P 500 (SPY) in five of the ten major crashes it has traded through, and further in three. The clearest case was the dot-com bust, when UNH fell 19.8% and the S&P 500 fell 47.5%.
What diversifies UNH?
These had a low correlation with UNH over the past 5 years and still earned a positive 5-year return: among large ETFs, LVHI (correlation 0.11), DXJ (correlation 0.02) and EMLP (correlation 0.26); among large stocks, CAH (correlation 0.06), CLS (correlation 0.06) and FIX (correlation 0.12). A correlation near zero means the two have moved largely independently.
How we measure
- Short-term periods are 1M, 3M, 6M, YTD, 1Y; long-term periods are 3Y, 5Y, 10Y. An investment outperformed in a period when its total return, with dividends reinvested, was higher than UNH's. Returns within 0.5 points or 3% of UNH's, whichever is larger, count as a tie.
- "Qualified" means outperforming in at least 3 of 5 short-term periods and 2 of 3 long-term periods. "All-weather" means outperforming in every long-term period and all but one short-term period.
- Popular alternatives are the funds and stocks most often compared with this one. We include only those that trade today, are not leveraged or inverse, and hold at least $200 million.
- Volatility is the annualized standard deviation of daily returns over 5 years, a measure of how much the price typically swings in a year. The Sharpe ratio is the return above cash for each unit of that volatility.
- A decline, or drawdown, runs from a peak to the lowest close before the next high. The worst decline ever uses all the price history we have; comparisons between funds use the past 10 years so that younger funds are judged on the same stretch.
- Sector overlap is the share of assets two funds hold in the same sectors. Correlation and the mixed-portfolio figures use monthly returns.
- Upside and downside capture follow Morningstar's definition: the compound monthly return in the months the S&P 500 rose (or fell), divided by the S&P 500's compound return in those months. Beta measures how strongly monthly returns have moved with the S&P 500. All three use the same window for every investment.
- Figures are computed from daily adjusted prices and update after each trading day. Past performance does not predict future results.
More research
Popular alternatives to UNH
MCKMcKesson
ELVElevance Health
VEEVVeeva Systems
HCAHCA Healthcare
CORCencora
CICigna
CVSCVS Health
HUMHumana