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Universal Health at 9.6X Earnings: A Rare Discount in Hospital Stocks?

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Key Takeaways

  • UHS trades at a 9.62X forward P/E, below its five-year median and cheaper than major peers.
  • UHS sees rising admissions and patient days, supporting revenue growth across segments.
  • It has expanded margins, generated strong FCF and repurchased 36% of shares since 2019.

Universal Health Services, Inc. (UHS - Free Report) currently stands out as a compelling value play within the medical facilities space. The stock trades at a forward earnings multiple of 9.62X, below its five-year median of 11.70X and the industry average of 10.84X. Relative to peers, the valuation gap is even clearer. Tenet Healthcare Corporation (THC - Free Report) and HCA Healthcare, Inc. (HCA - Free Report) trade at forward 12-month P/E ratios of 11.71X and 15.95X, respectively, positioning UHS as the more attractively priced option for investors seeking value in the hospital space.

This discounted valuation is further supported by a Value Score of A, reinforcing the stock’s appeal to valuation-conscious investors.

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Share Price Gains

UHS has also delivered solid share price performance. Over the past year, the stock has advanced 26.7%, outperforming the industry’s growth of 22.1% and the S&P 500’s 16.3% rise. While its returns trail those of Tenet and HCA during the same period, UHS has still generated meaningful gains, reflecting improving fundamentals and investor confidence.

Price Performance – UHS, THC, HCA, Industry & S&P 500

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Given this combination of discounted valuation and respectable price appreciation, a closer look at UHS’ growth drivers is warranted to assess whether the stock offers an attractive opportunity at current levels.

Volume Growth Continues

Operational momentum remains a key tailwind. UHS continues to post steady revenue growth across both its Acute Care Hospital Services and Behavioral Health Care Services segments, supported by rising volumes. Adjusted admissions in the Acute Care segment increased 6.5% in 2023, followed by growth of 3.8% in 2024 and 4.6% during the first nine months of 2025. Meanwhile, adjusted patient days in the Behavioral Health segment rose 1.7% in 2023 and 1.6% in 2024, remaining rather stable through the first three quarters of 2025. These trends highlight sustained demand across UHS’ core service offerings.

To capitalize on this demand, the company pursues a disciplined acquisition strategy. Profitability has also strengthened, supported by higher occupancy rates, improved pricing from favorable managed care contracts and easing labor cost pressures. Adjusted net margins expanded from 5.2% in 2023 to 7.1% in 2024 and further to 8.1% in the third quarter of 2025, underscoring operational leverage.

Robust Financial Position

Strong cash generation provides additional flexibility. UHS generated $525 million in free cash flow in 2023, followed by $1.1 billion in 2024 and $537 million during the first nine months of 2025. Its balance sheet remains conservative, with a long-term debt-to-capital ratio of 35.7%, well below the industry’s average of 74.9%. This financial strength enhances resilience while supporting growth initiatives.

Robust cash flows have also enabled significant shareholder returns. Since 2019, UHS has repurchased around 36% of its outstanding shares. Buybacks totaled $525 million in 2023, $598.5 million in 2024 and $565.8 million through the first nine months of 2025. In October 2025, the company expanded its repurchase authorization by $1.5 billion, leaving approximately $1.8 billion available.

UHS’ Earnings Estimates & Surprise History

Earnings visibility remains favorable. The Zacks Consensus Estimate for 2025 adjusted earnings stands at $21.83 per share, indicating year-over-year growth of 31.4%, followed by a projected 7.4% increase in 2026. Both witnessed one upward estimate revision over the past month, against no downward movement. Revenue estimates imply growth of 9.7% in 2025 and 5.2% in 2026.

UHS has exceeded earnings expectations in each of the past four quarters, delivering an average surprise of 15.2%.

Analysts See Clear Upside Ahead

Finally, analyst sentiment points to additional upside. UHS shares trade below the average price target of $252.18, suggesting potential upside of roughly 12.1%. While target estimates range widely from $190 to $302, reflecting varying risk assumptions, the overall outlook remains constructive.

Conclusion

Universal Health appears well positioned for investors seeking value with improving fundamentals. The stock’s discounted valuation, consistent volume growth across segments, expanding margins and strong free cash flow generation provide a solid base. A conservative balance sheet and aggressive share repurchase program further enhance shareholder returns. With earnings estimates moving higher, a strong track record of positive surprises and analysts pointing to double-digit upside, UHS looks favorable at current levels. It has a Zacks Rank #2 (Buy) at present, making it an attractive option for investors focused on durable growth and valuation support. You can see the complete list of today’s Zacks #1 Rank (Strong Buy) stocks here.


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