The CEO of UnitedHealth Group said Thursday that shortcomings of America’s health care system must be addressed.

In its first results since its insurance unit CEO was fatally shot in New York City, UnitedHealth Group reported Thursday weaker-than-expected fourth-quarter revenue, prompting its shares to fall in early morning trading despite quarterly profit beating projections.

UnitedHealth reported fourth-quarter results on Thursday that reflected persistent challenges for the health insurance sector.

In his first public comments since one of his executives was shot to death, UnitedHealth Group CEO Andrew Witty said the healthcare system “needs to function better.”