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Aesthetic Medical International Holdings Group (PAIYY)
OTHER OTC:PAIYY

Aesthetic Medical International Holdings Group (PAIYY) AI Stock Analysis

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PAIYY

Aesthetic Medical International Holdings Group

(OTC:PAIYY)

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Neutral 45 (OpenAI - 5.2)
Rating:45Neutral
Price Target:
$0.13
▼(-54.83% Downside)
The score is primarily weighed down by financial risk: despite improving operating losses and stronger free cash flow, the company remains unprofitable and highly leveraged. Technicals add modest pressure as the stock trades below key longer-term averages with negative MACD, while valuation cannot be meaningfully assessed due to missing P/E and dividend data.
Positive Factors
Revenue and EBIT improvement
Double-digit revenue growth alongside a material narrowing of EBIT losses indicates strengthening demand and improving operational leverage. Sustained top-line expansion and reduced operating losses provide a clearer pathway to recurring profitability over the next several quarters if trends continue.
Cash generation improving
Conversion of earnings into cash has improved, with free cash flow turning positive and operating cash flow exceeding net income. Stronger cash generation enhances liquidity and reduces reliance on external funding, supporting investment in clinics and R&D over the medium term.
Balance sheet improvements
Noted gains in equity and better asset management signal strengthening financial discipline. Gradual repair of the balance sheet improves solvency metrics and investor confidence, which supports expansion or partnership opportunities over the coming quarters if management sustains these actions.
Negative Factors
High leverage / low equity ratio
A very low equity ratio and heavy debt reliance constrain financial flexibility and increase refinancing and interest-rate risks. High leverage magnifies downside from revenue shocks and limits the company’s ability to fund capex or strategic initiatives without raising costly capital.
Ongoing negative profitability
Despite operating improvements, net profitability is still negative, indicating the company has not yet reached sustainable earnings. Persistent net losses can erode equity, necessitate continual external funding, and delay returns to investors until structural profitability is achieved.
Need for continued cost control
The path to durable profitability depends on sustained cost discipline; one-off improvements in EBIT are insufficient without ongoing margin control. Failure to consistently manage operating costs could reverse progress and extend the timeline to profitability and free-cash-flow sustainability.

Aesthetic Medical International Holdings Group (PAIYY) vs. SPDR S&P 500 ETF (SPY)

Aesthetic Medical International Holdings Group Business Overview & Revenue Model

Company DescriptionAesthetic Medical International Holdings Group (PAIYY) is a leading provider of aesthetic medical services and products in China. The company operates a network of outpatient clinics that offer a wide range of non-surgical aesthetic procedures, including skin rejuvenation, body contouring, and cosmetic injections. PAIYY also engages in the research, development, and distribution of aesthetic medical devices and products, catering to the growing demand for cosmetic enhancements in the region.
How the Company Makes MoneyThe company generates revenue primarily through its aesthetic medical services offered at its clinics. This includes fees from various non-invasive procedures and treatments that clients seek for cosmetic enhancements. Additionally, PAIYY earns income from the sale of aesthetic medical devices and products, which are either developed in-house or sourced from partnerships with other manufacturers. The company may also benefit from strategic alliances or collaborations with other healthcare providers, enhancing its service offerings and expanding its market reach. Through these diversified revenue streams, PAIYY capitalizes on the increasing consumer interest in aesthetic treatments, contributing significantly to its overall earnings.

Aesthetic Medical International Holdings Group Financial Statement Overview

Summary
Aesthetic Medical International Holdings Group is making strides towards improvement, with notable revenue growth and better cash flow management. Nevertheless, profitability remains elusive, and the balance sheet's leverage presents risks. Continued focus on reducing debt and enhancing profitability is essential for future stability.
Income Statement
The company has shown improvement in reducing its operating losses, with EBIT rising from -48.81 million to -4.04 million. Revenue growth is evident with a 10.7% increase from the previous year. However, the net profit margin remains negative, indicating ongoing challenges in achieving profitability. Continued focus on cost management is needed.
Balance Sheet
The company's financial stability is concerning, with a high debt-to-equity ratio due to significant liabilities overshadowing the small equity base. The equity ratio is low at 6.3%, indicating heavy reliance on debt financing. However, there have been improvements in stockholders' equity and asset management, which is a positive sign.
Cash Flow
The cash flow situation has improved, with a positive free cash flow growing significantly from the previous year. The operating cash flow is healthy and exceeds net income, indicating strong cash generation capabilities despite net losses. Continued improvement in free cash flow sustainability is crucial.
BreakdownDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue755.67M682.59M670.09M645.59M901.57M
Gross Profit337.79M322.05M355.59M269.50M544.78M
EBITDA73.33M25.31M-11.05M-554.95M-123.90M
Net Income-19.95M-37.43M-76.25M-586.62M-235.48M
Balance Sheet
Total Assets486.22M560.66M546.37M576.94M1.04B
Cash, Cash Equivalents and Short-Term Investments42.84M62.34M12.16M39.29M44.38M
Total Debt179.30M244.55M393.10M405.91M460.79M
Total Liabilities476.88M527.03M672.25M763.36M612.35M
Stockholders Equity30.46M48.89M-113.66M-156.67M390.90M
Cash Flow
Free Cash Flow48.88M18.83M-76.80M17.65M-46.01M
Operating Cash Flow79.67M74.29M-75.13M51.09M-843.00K
Investing Cash Flow-30.32M-52.25M3.11M-11.53M-127.37M
Financing Cash Flow-68.55M29.06M45.55M-45.23M17.70M

Aesthetic Medical International Holdings Group Technical Analysis

Technical Analysis Sentiment
Negative
Last Price0.29
Price Trends
50DMA
0.15
Negative
100DMA
0.17
Negative
200DMA
0.19
Negative
Market Momentum
MACD
-0.01
Negative
RSI
45.68
Neutral
STOCH
42.00
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For PAIYY, the sentiment is Negative. The current price of 0.29 is above the 20-day moving average (MA) of 0.11, above the 50-day MA of 0.15, and above the 200-day MA of 0.19, indicating a bearish trend. The MACD of -0.01 indicates Negative momentum. The RSI at 45.68 is Neutral, neither overbought nor oversold. The STOCH value of 42.00 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for PAIYY.

Aesthetic Medical International Holdings Group Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
46
Neutral
$13.73M-0.02-179.40%94.52%
46
Neutral
$10.07M-0.44-220.42%-41.03%35.71%
45
Neutral
$6.57M-76.57%
38
Underperform
$5.93M-0.03-164.27%4.59%-920.35%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
PAIYY
Aesthetic Medical International Holdings Group
0.10
-0.18
-64.10%
NCNA
Nucana
3.53
-212.49
-98.37%
CELZ
Creative Medical Technology Holdings
1.82
-0.32
-14.95%
HSCS
Heart Test Laboratories, Inc.
3.03
-0.32
-9.55%
TNMG
TNL Mediagene
2.21
-71.79
-97.01%
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: Jan 13, 2026