Buy or Sell UnitedHealth Stock?

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UNH: UnitedHealth logo
UNH
UnitedHealth

UnitedHealth (UNH) stock has fallen 10% during the past week, and is currently trading at $330.83. We believe there are only a couple of things to fear in UNH stock given its overall Moderate operating performance and financial condition. This is aligned with the stock’s Moderate valuation because of which we think it is Fairly Priced.

Below is our assessment:

  CONCLUSION
What you pay:
Valuation Moderate
What you get:
Growth Strong
Profitability Very Weak
Financial Stability Strong
Downturn Resilience Strong
Operating Performance Moderate
 
Stock Opinion Fairly Priced

Stocks can be volatile, but markets aren’t spared either – 2008, 2020. Volatility happens. See how Trefis’ Boston-based, wealth management partner‘s allocation framework handled both.

Let’s get into details of each of the assessed factors but before that, for quick background: With $300 Bil in market cap, UnitedHealth provides diversified healthcare services, including consumer health benefit plans and pharmacy care programs such as retail network contracting, home delivery, specialty pharmacy, and clinical services.

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[1] Valuation Looks Moderate

  UNH S&P 500
Price-to-Sales Ratio 0.7 3.2
Price-to-Earnings Ratio 16.9 23.7
Price-to-Free Cash Flow Ratio 17.1 20.3

This table highlights how UNH is valued vs broader market. For more details see: UNH Valuation Ratios

[2] Growth Is Strong

  • UnitedHealth has seen its top line grow at an average rate of 11.4% over the last 3 years
  • Its revenues have grown 10% from $394 Bil to $435 Bil in the last 12 months
  • Also, its quarterly revenues grew 12.2% to $113 Bil in the most recent quarter from $101 Bil a year ago.

  UNH S&P 500
3-Year Average 11.4% 5.3%
Latest Twelve Months* 10.5% 5.6%
Most Recent Quarter (YoY)* 12.2% 6.6%

This table highlights how UNH is growing vs broader market. For more details see: UNH Revenue Comparison

[3] Profitability Appears Very Weak

  • UNH last 12 month operating income was $26 Bil representing operating margin of 6.1%
  • With cash flow margin of 4.8%, it generated nearly $21 Bil in operating cash flow over this period
  • For the same period, UNH generated nearly $18 Bil in net income, suggesting net margin of about 4.0%

  UNH S&P 500
Current Operating Margin 6.1% 18.8%
Current OCF Margin 4.8% 20.3%
Current Net Income Margin 4.0% 12.8%

This table highlights how UNH profitability vs broader market. For more details see: UNH Operating Income Comparison

[4] Financial Stability Looks Strong

  • UNH Debt was $80 Bil at the end of the most recent quarter, while its current Market Cap is $300 Bil. This implies Debt-to-Equity Ratio of 27.0%
  • UNH Cash (including cash equivalents) makes up $31 Bil of $315 Bil in total Assets. This yields a Cash-to-Assets Ratio of 9.7%

  UNH S&P 500
Current Debt-to-Equity Ratio 27.0% 21.0%
Current Cash-to-Assets Ratio 9.7% 7.0%

[5] Downturn Resilience Is Strong

UNH has been more resilient than the S&P 500 index during various economic downturns. We assess this based on both (a) how much the stock fell and, (b) how quickly it recovered.

2022 Inflation Shock

  • UNH stock fell 19.3% from a high of $555.15 on 31 October 2022 to $447.75 on 13 July 2023 vs. a peak-to-trough decline of 25.4% for the S&P 500.
  • However, the stock fully recovered to its pre-Crisis peak by 17 July 2024
  • Since then, the stock increased to a high of $625.25 on 11 November 2024 , and currently trades at $330.83

  UNH S&P 500
% Change from Pre-Recession Peak -19.3% -25.4%
Time to Full Recovery 370 days 464 days

 
2020 Covid Pandemic

  • UNH stock fell 36.2% from a high of $305.31 on 19 February 2020 to $194.86 on 23 March 2020 vs. a peak-to-trough decline of 33.9% for the S&P 500.
  • However, the stock fully recovered to its pre-Crisis peak by 1 June 2020

  UNH S&P 500
% Change from Pre-Recession Peak -36.2% -33.9%
Time to Full Recovery 70 days 148 days

 
2008 Global Financial Crisis

  • UNH stock fell 72.4% from a high of $58.99 on 21 December 2007 to $16.30 on 20 November 2008 vs. a peak-to-trough decline of 56.8% for the S&P 500.
  • However, the stock fully recovered to its pre-Crisis peak by 2 April 2012

  UNH S&P 500
% Change from Pre-Recession Peak -72.4% -56.8%
Time to Full Recovery 1229 days 1480 days

 

But the risk is not limited to major market crashes. Stocks fall even when markets are good – think events like earnings, business updates, outlook changes. Read UNH Dip Buyer Analyses to see how the stock has recovered from sharp dips in the past.

The Trefis High Quality (HQ) Portfolio, with a collection of 30 stocks, has a track record of comfortably outperforming its benchmark that includes all 3 – S&P 500, Russell, and S&P midcap. Why is that? As a group, HQ Portfolio stocks provided better returns with less risk versus the benchmark index; less of a roller-coaster ride, as evident in HQ Portfolio performance metrics.