Is Universal Health Services (NYSE:UHS) a Risky Investment?

3 min read | November 27, 2024 09:40 AM PST | By Team Kalkine Media

 Highlights

-UHS reduced debt from U$ 4.92B to US $ 4.66B.

-Debt-to-EBITDA ratio of 2.1 reflects responsible management.

-32% EBIT growth improves debt outlook.

Universal Health Services, a major NYSE Healthcare Stocks company, utilizes debt as part of its business strategy. While debt can be a useful tool for growth and expansion, it also carries risk. Understanding how the company manages its debt relative to its earnings is crucial in evaluating its financial health and stability.

What’s at Stake?

As of September 2024, Universal Health Services Inc (NYSE:UHS) held a total debt of approximately US$4.66 billion, slightly down from US$4.92 billion over the past year. Despite this reduction, the company’s net debt stands at around US$4.55 billion, given its available cash of US$106.1 million. In addition to this debt, the company has current liabilities of US$2.01 billion and longer-term liabilities of US$5.66 billion. While these numbers may seem high, they are balanced against the company’s substantial market capitalization of US$13.1 billion, indicating it could potentially raise capital if needed.

Debt-to-EBITDA and Interest Coverage

A closer look at Universal Health Services' balance sheet reveals key insights into its ability to manage debt. The company’s debt-to-EBITDA ratio stands at 2.1, which suggests a moderate level of debt. This ratio is a critical indicator of how easily a company can service its debt with earnings. The higher the number, the more difficult it could be to pay off debt without further financing.

Furthermore, the company's EBIT (Earnings Before Interest and Taxes) was 7.8 times its interest expenses, which indicates a strong ability to cover interest payments with earnings. Over the last 12 months, EBIT has grown by an impressive 32%, which further strengthens Universal Health Services' position in managing its debt.

Cash Flow Considerations

Despite these positive indicators, Universal Health Services’ ability to convert earnings into cash remains a point of concern. The company has generated free cash flow equivalent to just 43% of its EBIT over the past three years. A lower cash conversion ratio makes it more challenging for the company to manage its debt obligations effectively. Free cash flow is critical for paying down debt and reinvesting in the business, and a weaker cash flow conversion could strain debt management in the long run.

The Final Takeaway

Universal Health Services has demonstrated solid EBIT growth and a good interest coverage ratio, which indicates it can manage its debt comfortably for now. Healthcare companies like Universal Health Services often rely on debt to fund their operations and expansion, and the company’s use of debt appears to be relatively responsible. However, the weak cash conversion ratio is something to watch closely, as it can impact the company’s ability to meet debt obligations in the future.


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