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

• Market Cap: $380.43M
• Dividend Yield: N/A
• Average Volume (3M): 125.67K
• Price to Earnings (P/E): 7.4
• Beta (1Y): 0.91
• Revenue Growth: 2.14%
• EPS Growth: N/A
• Country: US
• Employees: 14,605
• Sector: Healthcare
• Sector Strength: 45
• Industry: Medical - Care Facilities
• EPS (TTM): 0.21
• Shares Outstanding: 30,095,388
• 10 Day Avg. Volume: 91,276
• 30 Day Avg. Volume: 125,671
• PEG Ratio: -0.12
• Price to Book (P/B): 1.18
• Price to Sales (P/S): 0.40
• P/FCF Ratio: 3.03
• Enterprise Value/Market Cap: 12.49
• Enterprise Value/Revenue: 1.13
• Enterprise Value/Gross Profit: 2.91
• Enterprise Value/Ebitda: 4.75
• 1Y Price Target: $7.95
• Price Target Upside: 59.32% Upside
• Rating Consensus: Moderate Buy
• Number of Analyst Covering: 2
• EPS Forecast (FY): N/A
• Revenue Forecast (FY): N/A

• Rating: 58 Neutral
• Price Target: $5.50 ▲(10.22% Upside)
• Action: Reiterated Date: 11/23/25
• Date: Action: Reiterated 11/23/25

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

Free Cash Flow Strength

Sustained free cash flow growth indicates durable internal funding for capex, network upgrades and debt reduction. Strong cash conversion supports strategic investments and provides flexibility to absorb cyclical downturns without immediate external financing.

Debt Refinancing

The large refinancing that extends maturities and lowers interest costs materially reduces near-term refinancing risk and interest burden. This structural improvement enhances liquidity and gives management time to execute operational fixes and growth initiatives.

Regional Revenue Diversification

Consistent growth and margin expansion in Peru and Colombia create resilient revenue streams outside Mexico. Geographic diversification lowers concentration risk, stabilizes consolidated cash flow, and provides a platform to fund expansion while Mexico recovers.

Negative Factors

High Leverage

A high debt-to-equity ratio signals elevated financial risk and limits strategic flexibility. Even with refinancing, carry and covenant constraints can restrict investment choices, increase sensitivity to interest rate shocks, and slow deleveraging absent sustained cash generation.

Mexico Operational Issues

Significant revenue and EBITDA declines in Mexico reflect persistent operational problems, slower volume recovery and strained provider relationships. Given Mexico's scale, prolonged underperformance and ERP integration delays risk long recovery timelines and pressure consolidated margins.

Low Net Profit Conversion

A low net margin despite healthy gross margins suggests cost structure and SG&A pressures limiting profitability. The sharp revenue decline erodes operating leverage, reducing self-funding capacity for growth and making sustained margin improvement critical to long-term financial health.

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

Company Description

Auna 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 Money

Auna 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 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

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

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

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.

Breakdown	TTM	Dec 2024	Dec 2023	Dec 2022	Dec 2021	Dec 2020
Income Statement
Total Revenue	4.22B	4.40B	3.85B	2.44B	1.97B	1.49B
Gross Profit	1.63B	1.64B	1.33B	836.88M	682.26M	527.74M
EBITDA	1.00B	928.12M	723.50M	301.35M	175.09M	115.44M
Net Income	182.50M	110.72M	-252.04M	-85.24M	-27.09M	-7.32M
Balance Sheet
Total Assets	7.28B	7.08B	7.69B	6.59B	2.82B	2.65B
Cash, Cash Equivalents and Short-Term Investments	325.40M	335.97M	334.26M	208.69M	138.77M	343.45M
Total Debt	3.70B	3.77B	3.92B	3.51B	1.49B	1.35B
Total Liabilities	5.47B	5.46B	5.91B	5.04B	2.28B	2.00B
Stockholders Equity	1.66B	1.48B	1.47B	1.06B	495.82M	600.93M
Cash Flow
Free Cash Flow	499.74M	577.64M	417.25M	10.67M	-106.03M	27.38M
Operating Cash Flow	633.32M	668.50M	582.41M	162.64M	183.34M	156.30M
Investing Cash Flow	-183.01M	-236.82M	-173.15M	-3.21B	-291.99M	-125.93M
Financing Cash Flow	-426.35M	-418.12M	-370.00M	3.13B	-102.13M	272.70M

Auna S.A. Class A Technical Analysis

• Technical Analysis Sentiment: Positive
• Last Price: 4.99
• 50DMA: Positive
• 100DMA: Negative
• 200DMA: Negative
• MACD: Negative
• RSI: Neutral
• STOCH: Negative

Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For AUNA, the sentiment is Positive. The current price of 4.99 is above the 20-day moving average (MA) of 4.95, above the 50-day MA of 4.85, and below the 200-day MA of 5.84, indicating a neutral trend. The MACD of 0.04 indicates Negative momentum. The RSI at 55.69 is Neutral, neither overbought nor oversold. The STOCH value of 84.02 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for AUNA.

Auna S.A. Class A Peers Comparison

Name	Overall Rating	Market Cap	P/E Ratio	ROE	Dividend Yield	Revenue Growth	EPS Growth
TALK	64 Neutral	$747.11M	99.56	6.65%	―	18.37%	―
CYH	60 Neutral	$483.80M	0.93	―	―	0.74%	―
AUNA	58 Neutral	$380.43M	7.40	11.61%	―	2.14%	―
SNDA	54 Neutral	$657.50M	-12.23	-44.33%	―	34.99%	-68.73%
Sector *	51 Neutral	$7.86B	-0.30	-43.30%	2.27%	22.53%	-2.21%
CCRN	48 Neutral	$286.32M	-18.10	-3.76%	―	-22.14%	-787.87%
AIRS	46 Neutral	$107.70M	-5.80	-21.85%	―	-16.54%	-119.56%

Auna S.A. Class A Corporate Events

Auna S.A. Reports Mixed 3Q25 Results Amid Regional Challenges

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.

The most recent analyst rating on (AUNA) stock is a Hold with a $6.00 price target. To see the full list of analyst forecasts on Auna S.A. Class A stock, see the AUNA Stock Forecast page.

Auna S.A. Partners with Sojitz to Boost Healthcare in Latin America

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.

The most recent analyst rating on (AUNA) stock is a Hold with a $6.00 price target. To see the full list of analyst forecasts on Auna S.A. Class A stock, see the AUNA Stock Forecast page.

Auna S.A. Completes $765 Million Debt Refinancing to Boost Growth

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.

The most recent analyst rating on (AUNA) stock is a Hold with a $6.00 price target. To see the full list of analyst forecasts on Auna S.A. Class A stock, see the AUNA Stock Forecast page.

Auna S.A. Successfully Prices $365M Senior Secured Notes

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.

The most recent analyst rating on (AUNA) stock is a Hold with a $6.00 price target. To see the full list of analyst forecasts on Auna S.A. Class A stock, see the AUNA Stock Forecast page.