UnitedHealth Group reported $14.4 billion in 2024 profits as its UnitedHealthcare health insurance and Optum provider services overcame rising costs and a cyberattack.

The company’s shares fell in premarket trading following the healthcare firms first earnings since the killing of executive Brian Thompson.

UnitedHealth's high medical costs and lower-than-expected revenue in the fourth quarter underscored persistent challenges at its insurance unit, sending the healthcare conglomerate's shares down about 4% before the bell on Thursday.