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Auna S.A. Class A (AUNA)
:AUNA
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Auna S.A. Class A (AUNA) AI Stock Analysis

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AUNA

Auna S.A. Class A

(NYSE:AUNA)

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Neutral 58 (OpenAI - 4o)
Rating:58Neutral
Price Target:
$5.00
▲(4.60% Upside)
Auna S.A. Class A's overall stock score is primarily influenced by its stable financial performance and undervaluation, despite technical indicators suggesting a bearish trend. The earnings call highlighted regional strengths but also significant challenges, particularly in Mexico. The lack of corporate events further emphasizes the need for strategic improvements to enhance investor confidence.
Positive Factors
Strategic Partnership
The partnership with Sojitz aims to leverage expertise and resources, potentially enhancing Auna's market position and growth in Mexico.
Debt Refinancing
Successful refinancing improves financial flexibility and reduces interest expenses, supporting long-term strategic growth initiatives.
Cash Flow Generation
Strong cash flow generation enhances Auna's ability to invest in growth opportunities and maintain financial stability.
Negative Factors
Revenue Decline in Mexico
Declining revenue and EBITDA in Mexico highlight operational challenges that could impact overall profitability and growth.
High Leverage
High leverage poses financial risk, potentially limiting the company's ability to invest in growth and weather economic downturns.
System Integration Issues
System integration issues can disrupt operations and cash flow, affecting customer satisfaction and financial performance.

Auna S.A. Class A (AUNA) vs. SPDR S&P 500 ETF (SPY)

Auna S.A. Class A Business Overview & Revenue Model

Company DescriptionAuna S.A., a healthcare service provider, operates hospitals and clinics in Mexico, Peru, and Colombia. The company provides prepaid healthcare plans in Peru; and dental and vision plans in Mexico. The company was founded in 1989 and is based in Luxembourg, Luxembourg.
How the Company Makes MoneyAuna S.A. generates revenue through multiple channels, primarily by offering subscription-based services for broadband internet, television, and telephony to residential and business clients. The company charges monthly fees for its service packages, which often include bundled offerings to attract customers. Additionally, AUNA earns revenue from advertising on its media platforms and through partnerships with content providers for premium programming. Strategic collaborations with technology firms also enable AUNA to enhance its service capabilities and expand its market reach, contributing to a steady growth in earnings.

Auna S.A. Class A Earnings Call Summary

Earnings Call Date:Nov 20, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Mar 16, 2026
Earnings Call Sentiment Neutral
The earnings call presented a mixed picture with strong performances in Peru and Colombia, successful debt refinancing, and positive developments in Mexico's oncology and cardiology services. However, these were offset by significant challenges in Mexico, including a decline in revenue and difficulties in system integration, as well as ongoing political and economic challenges in Colombia.
Q3-2025 Updates
Positive Updates
Strong Performance in Peru and Colombia
Peru's revenue grew by 9% and adjusted EBITDA increased by 15%, with a margin increase of 1.1 percentage points to 22.7%. Colombia's revenue grew by 5%, and adjusted EBITDA increased by 18% with a margin expansion of 1.7 percentage points.
Successful Debt Refinancing
Auna completed a $765 million debt refinancing, extending maturities, reducing financing costs, and enhancing liquidity. This included $365 million of senior secured notes and a $400 million equivalent term loan in Mexican pesos, saving 125 basis points in interest rates.
Growth in Oncology and Cardiology Services in Mexico
Oncology and cardiology services in Mexico increased 48% versus the second quarter of 2025, accounting for 15% of Mexico's revenues. Revenues from Opción Oncología increased by 21% over the previous quarter.
Strategic Partnership with Sojitz
Auna announced a Memorandum of Understanding with Sojitz Corporation of America to accelerate growth in Mexico, aiming to leverage Sojitz's expertise and resources.
Expansion Plans in Mexico
Auna plans to increase out-of-pocket revenue in Mexico from 8% to 20% by the end of next year, with a 15% increase in the third quarter. The company is also working on expanding its payer network and rolling out new service packages.
Negative Updates
Decline in Revenue and EBITDA in Mexico
Mexico's revenue decreased by 12%, and total adjusted EBITDA declined by 5% due to slower-than-expected recovery in volumes, issues with doctor-supplier relationships, and problems with new ERP system implementation.
Capacity Utilization Challenges
Capacity utilization decreased by 3 percentage points to 64%, with Mexico experiencing a 4.4 percentage point decrease year-over-year due to decreased surgery volumes and emergency visits.
Impact of System Integration in Mexico
The migration to new information and ERP systems at Doctors Hospital in Mexico affected billings and resulted in delayed accounts receivable.
Political and Economic Challenges in Colombia
The political environment in Colombia is expected to remain challenging, impacting the flow of payments and potentially delaying improvements in the health care sector.
Company Guidance
During the third quarter of 2025, Auna reported a 5% year-over-year decline in total adjusted EBITDA, primarily due to weaker performance in its Mexican operations. Despite this, Peru and Colombia showed robust financial results, with Peru's local currency top line growing 9% and Colombia's by 4%. Capacity utilization across the company fell by 3 percentage points to 64%. In Mexico, the quarter was marked by slower recovery from legacy doctor volumes and challenges with implementing new hospital information systems. However, surgery volumes increased for the second consecutive quarter, and oncology and cardiology services grew by 48%. The company reported adjusted net income of PEN 58 million and maintained an unchanged leverage ratio due to reduced gross debt. Auna anticipates a full recovery in Mexico by 2026, supported by a new leadership team and strategic partnerships, such as the collaboration with Sojitz Corporation, to accelerate growth while maintaining a target leverage ratio below 3x.

Auna S.A. Class A Financial Statement Overview

Summary
Auna S.A. Class A demonstrates strengths in operational efficiency and cash flow generation. However, the company faces challenges with declining revenue growth and high leverage. The financial health is stable but requires attention to improve profitability and reduce financial risk.
Income Statement
65
Positive
Auna S.A. Class A shows a mixed performance in its income statement. The company has a strong gross profit margin of 38.68% in TTM, indicating efficient cost management. However, the net profit margin is relatively low at 4.34%, suggesting challenges in converting revenue into profit. The revenue growth rate has declined by 22.5% in TTM, which is a concern. EBIT and EBITDA margins are healthy, reflecting good operational efficiency.
Balance Sheet
58
Neutral
The balance sheet reveals a high debt-to-equity ratio of 2.23 in TTM, indicating significant leverage and potential financial risk. Return on equity is moderate at 11.91%, showing reasonable profitability for shareholders. The equity ratio stands at 22.76%, suggesting a balanced asset structure but with room for improvement in reducing debt levels.
Cash Flow
70
Positive
Cash flow analysis shows a positive trend with a free cash flow growth rate of 51.3% in TTM, indicating strong cash generation capabilities. The operating cash flow to net income ratio is 0.31, and the free cash flow to net income ratio is 0.79, both reflecting efficient cash conversion from earnings. Overall, cash flow management appears robust.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue4.22B4.40B3.85B2.44B1.97B1.49B
Gross Profit1.63B1.64B1.33B836.88M682.26M527.74M
EBITDA1.00B928.12M723.50M301.35M175.09M115.44M
Net Income182.50M110.72M-252.04M-85.24M-27.09M-7.32M
Balance Sheet
Total Assets7.28B7.08B7.69B6.59B2.82B2.65B
Cash, Cash Equivalents and Short-Term Investments325.40M335.97M334.26M208.69M138.77M343.45M
Total Debt3.70B3.77B3.92B3.51B1.49B1.35B
Total Liabilities5.47B5.46B5.91B5.04B2.28B2.00B
Stockholders Equity1.66B1.48B1.47B1.06B495.82M600.93M
Cash Flow
Free Cash Flow499.74M577.64M417.25M10.67M-106.03M27.38M
Operating Cash Flow633.32M668.50M582.41M162.64M183.34M156.30M
Investing Cash Flow-183.01M-236.82M-173.15M-3.21B-291.99M-125.93M
Financing Cash Flow-426.35M-418.12M-370.00M3.13B-102.13M272.70M

Auna S.A. Class A Technical Analysis

Technical Analysis Sentiment
Neutral
Last Price4.78
Price Trends
50DMA
5.80
Negative
100DMA
6.05
Negative
200DMA
6.48
Negative
Market Momentum
MACD
-0.27
Negative
RSI
42.22
Neutral
STOCH
69.06
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For AUNA, the sentiment is Neutral. The current price of 4.78 is below the 20-day moving average (MA) of 4.98, below the 50-day MA of 5.80, and below the 200-day MA of 6.48, indicating a bearish trend. The MACD of -0.27 indicates Negative momentum. The RSI at 42.22 is Neutral, neither overbought nor oversold. The STOCH value of 69.06 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Neutral sentiment for AUNA.

Auna S.A. Class A Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
61
Neutral
$525.13M129.923.74%18.37%
58
Neutral
$367.10M7.1311.61%2.14%
58
Neutral
$586.00M-44.33%34.99%-68.73%
56
Neutral
$502.83M1.500.74%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
46
Neutral
$394.76M-46.54-3.76%-22.14%-787.87%
43
Neutral
$214.78M-21.85%-16.54%-119.56%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
AUNA
Auna S.A. Class A
4.96
-2.06
-29.34%
SNDA
Sonida Senior Living
30.30
5.79
23.62%
CYH
Community Health
3.63
0.16
4.61%
CCRN
Cross Country Healthcare
7.53
-10.55
-58.35%
TALK
Talkspace
3.17
-0.32
-9.17%
AIRS
Airsculpt Technologies
3.36
-3.12
-48.15%

Auna S.A. Class A Corporate Events

Auna S.A. Reports Mixed 3Q25 Results Amid Regional Challenges
Nov 20, 2025

On November 20, 2025, Auna S.A. announced its financial results for the third quarter of 2025, highlighting a mixed performance across its operations in Peru, Colombia, and Mexico. While the company saw growth in Peru and Colombia, with increased revenues and profitability in local currencies, Mexico faced challenges with declining revenues and profitability due to legacy issues and system migrations. Despite these challenges, Auna maintained a stable leverage ratio and completed a significant debt refinancing, positioning itself for future growth and operational improvements.

Auna S.A. Partners with Sojitz to Boost Healthcare in Latin America
Nov 20, 2025

On November 20, 2025, Auna S.A. announced a strategic collaboration with Sojitz Corporation of America to explore joint business opportunities in the healthcare sector across Latin America, initially focusing on Mexico. This partnership aims to leverage Auna’s healthcare expertise and Sojitz’s investment capabilities to develop scalable and accessible healthcare infrastructure in the region. Previously, on September 24, 2025, Auna declared its intention to invest approximately $500 million over the next three to five years to expand its healthcare platform in Mexico, marking a significant step in its strategy to enhance healthcare access in Latin America.

Auna S.A. Completes $765 Million Debt Refinancing to Boost Growth
Nov 7, 2025

On November 7, 2025, Auna S.A. announced the completion of a US$765 million debt refinancing, which strengthens its capital structure by extending debt maturities, reducing interest expenses, and enhancing liquidity. This refinancing involved issuing new Senior Secured 2032 Notes and a Term Loan, with significant participation from the International Finance Corporation. The transaction is expected to improve Auna’s financial position, aiding its strategic growth initiatives and expanding healthcare access in Latin America.

Auna S.A. Successfully Prices $365M Senior Secured Notes
Nov 4, 2025

On November 4, 2025, Auna S.A. announced the successful pricing of $365 million in 8.750% Senior Secured Notes due 2032. The issuance, co-led with Oncosalud S.A.C., aims to fund a tender offer for its existing 10.000% Senior Secured Notes due 2029 and to prepay certain debts. This strategic financial move is expected to optimize Auna’s capital structure and enhance its financial flexibility, potentially strengthening its position in the Latin American healthcare market.

Auna S.A. Reports Early Results of Cash Tender Offer for 2029 Notes
Nov 3, 2025

On November 3, 2025, Auna S.A. announced the early results of its cash tender offer and consent solicitation for its outstanding 10.000% senior secured notes due 2029. By October 31, 2025, approximately 73.39% of the notes had been validly tendered. The company has obtained the necessary consents to amend the indenture governing the notes, which will eliminate most restrictive covenants and certain default provisions. The early settlement date is expected around November 6, 2025, with the final settlement date anticipated by November 21, 2025. This move is part of Auna’s strategy to manage its debt obligations effectively.

Auna S.A. Announces Senior Secured Notes Offering
Oct 28, 2025

On October 28, 2025, Auna S.A. announced a proposed offering of senior secured notes due in 2032, in collaboration with Oncosalud S.A.C. The proceeds from this private offering will be used to fund a tender offer to purchase its existing 10% Senior Secured Notes due 2029 and to prepay other indebtedness. This strategic financial move aims to optimize the company’s debt structure and support its ongoing operations in the healthcare sector.

Auna S.A. Reports Financial and Operational Insights for H1 2025
Oct 28, 2025

On October 28, 2025, Auna S.A. released a report discussing its financial condition and results of operations for the first half of 2025. The company highlighted its commitment to expanding healthcare access and improving patient experiences through its unique ‘Auna Way’ operating model. This approach focuses on high-complexity care, leveraging technology, and strategic growth in key markets. The report also updated certain risk factors and disclosures from its previous annual report, reflecting Auna’s ongoing efforts to adapt to market demands and enhance its service offerings.

Auna S.A. Launches Tender Offer for 2029 Notes
Oct 21, 2025

On October 20, 2025, Auna S.A. announced the commencement of a cash tender offer and consent solicitation for its outstanding 10.000% Senior Secured Notes due 2029. This move is aimed at purchasing the notes and amending the indenture governing them to eliminate restrictive covenants and certain default events. The tender offer, which expires on November 18, 2025, is part of Auna’s strategy to optimize its financial structure, potentially impacting its market positioning and stakeholder interests.

Auna Expands OncoMexico Network with New Partnerships
Sep 25, 2025

On September 24, 2025, Auna S.A. announced the expansion of its OncoMexico network through partnerships with leading medical institutions across Mexico, enhancing its national presence. The company plans to invest approximately $500 million over the next three to five years to expand operations in Mexico’s principal cities, aiming to improve healthcare service integration and access. Auna is also exploring funding options to strengthen its capital structure, including potential debt and equity financings. Additionally, Auna’s recent listing on the Lima Stock Exchange has made it eligible for inclusion in three MSCI indices, although inclusion is not guaranteed.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Nov 23, 2025