UnitedHealth Group stock (NYSE: UNH), with -3% returns for the reason that starting of 2024, has underperformed the broader S&P500 index, up 28%. This could primarily be attributed to rising medical prices, weighing on the corporate’s profitability. Even when we have a look at a barely longer interval, UNH inventory hasn’t fared nicely, transferring from ranges of round $515 in early 2023 to $500 now. This may be attributed to:
- a 25% rise within the firm’s adjusted earnings from $22.19 in 2022 to $27.66 now; largely offset by,
- a 22% fall within the firm’s trailing P/E ratio from 23x to 18x over this era.
UNH inventory has been an underperformer these days. However, if are in search of an upside with a smoother trip than a person inventory, take into account the High-Quality portfolio, which has outperformed the S&P, and clocked >91% returns since inception.
Picture by Jan from Pixabay
What Drove UnitedHealth Group’s Earnings Development?
UnitedHealth’s revenue progress was primarily attributable to the substantial enlargement of its OptumHealth enterprise section, which gives healthcare providers via affiliated medical teams. OptumHealth’s income elevated by 48% between 2022 and 2024, markedly exceeding the corporate’s total income progress of 23%. This sturdy efficiency is correlated with a rise in affected person quantity below value-based care preparations, inclusive of at-home providers. UnitedHealth’s insurance coverage enterprise noticed gross sales progress of over 20% in each the Medicaid and Medicare segments between 2022 and 2024, fueled by elevated buyer enrollment.
Whereas UnitedHealth skilled income progress, its working margin declined barely, from 8.8% in 2022 to the present 8.1%. This contraction is partly attributed to rising medical prices, which elevated by 25% over the identical interval. The corporate’s profitability was additionally negatively affected by a cyberattack final 12 months. Regardless of a slight decline in working margins, UnitedHealth achieved a 25% enhance in earnings per share, rising from $22.19 to $27.66. This progress barely exceeded income progress, primarily as a consequence of a 3% discount within the variety of excellent shares, facilitated by $24 billion in share repurchases.
What’s Behind The Falling Valuation A number of?
UNH inventory has confronted investor strain as a consequence of rising medical prices, which have pushed the medical care ratio up from 82% in 2022 to 85.5% in 2024. Moreover, current quarterly gross sales figures fell wanting road estimates, and the corporate’s 2025 EPS outlook of $30 (on the excessive finish of the vary), given the elevated medical prices, did not reassure traders. These elements have contributed to a decrease P/E ratio for UNH.
Turning to UNH inventory, aside from its underperformance, it has been risky. The modifications in UNH inventory over the past four-year interval have been removed from constant and has largely been as risky because the S&P 500. Returns for the inventory have been 45% in 2021, 7% in 2022, 1% in 2023, and -2% in 2024.
In distinction, the Trefis Excessive High quality (HQ) Portfolio, with a group of 30 shares, is much less risky. And it has comfortably outperformed the S&P 500 over the past four-year interval. Why is that? As a gaggle, HQ Portfolio shares supplied higher returns with much less threat versus the benchmark index; much less of a roller-coaster trip, as evident in HQ Portfolio efficiency metrics.
Given the present unsure macroeconomic atmosphere round price cuts and ongoing commerce wars, may UNH face an analogous scenario because it did in 2023 and 2024 and underperform the S&P over the following 12 months — or will it see a robust soar? Now, from a valuation perspective, we expect UNH inventory has ample room for progress.
We estimate UnitedHealth Group’s Valuation to be $606 per share, reflecting round 20% upside from its present ranges of $500. UNH inventory is at present buying and selling at a price-to-earnings ratio of 18x, in comparison with its four-year common of 22x. Whereas some downward adjustment to the valuation a number of is warranted as a consequence of considerations about excessive medical prices, we consider the present value dip presents a lovely entry level for traders looking for long-term progress.
Whereas UNH inventory seems to be prefer it has room for progress, it’s useful to see how UnitedHealth Group Friends fare on metrics that matter. You will discover different helpful comparisons for firms throughout industries at Peer Comparisons.
Returns | Feb 2025 MTD [1] |
Since begin of 2024 [1] |
2017-25 Complete [2] |
UNH Return | -8% | -3% | 252% |
S&P 500 Return | 1% | 28% | 173% |
Trefis Strengthened Worth Portfolio | -2% | 21% | 719% |
[1] Returns as of two/19/2025
[2] Cumulative complete returns for the reason that finish of 2016
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The views and opinions expressed herein are the views and opinions of the writer and don’t essentially replicate these of Nasdaq, Inc.