Auna S.A. (NYSE: AUNA)

Sector: Healthcare Industry: Medical Care Facilities CIK: 0001799207
Market Cap 368.97 Mn
P/B 0.93
P/E 6.85
P/S 0.30
ROIC (Qtr) 0.00
Div Yield % 0.00
Rev 1y % (Qtr) 5.69
Total Debt (Qtr) 0.00
Debt/Equity (Qtr) 0.00
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About

Investment thesis

Bull case

  • Operating cash flow of 233.16M provides exceptional 71.66x coverage of minority interest expenses 3.25M, showing strong core operations.
  • Operating cash flow of 233.16M provides strong 72.41x coverage of stock compensation 3.22M, indicating sustainable incentive practices.
  • Robust free cash flow of 206.51M exceeds capital expenditure of 26.65M by 7.75x, indicating strong organic growth funding capability.
  • Operating cash flow of 233.16M provides strong 18.52x coverage of operating expenses 12.59M, showing operational efficiency.
  • Free cash flow of 206.51M provides solid 16.41x coverage of operating expenses 12.59M, showing operational efficiency.

Bear case

  • Operating cash flow of 233.16M barely covers its investment activities of (52.59M), with a coverage ratio of -4.43, indicating heavy reliance on external financing for growth which may not be sustainable in a tighter credit environment.
  • Cash reserves of 0 provide limited coverage of acquisition spending of (9.36M), which is -0x, suggesting aggressive expansion might strain liquidity if market conditions deteriorate.
  • R&D investment of 0 represents just 0x of SG&A expenses of 287.49M, indicating potential underinvestment in innovation relative to administrative overhead.
  • Interest expense of 128.72M consumes 0.59x of operating earnings 219.68M, suggesting concerning debt service burden relative to operational performance.
  • R&D spending of 0 represents just 0x of capital expenditure 26.65M, indicating potential underinvestment in innovation relative to physical assets.

Segments [axis] Breakdown of Revenue (2024)

Segments [axis] Breakdown of Revenue (2024)

Peer comparison

Companies in the Medical Care Facilities
S.No. Ticker Company Market Cap P/E P/S Total Debt (Qtr)
1 HCA HCA Healthcare, Inc. 126.41 Bn 18.63 1.67 48.35 Bn
2 UHS Universal Health Services Inc 23.26 Bn 34.22 2.61 5.11 Bn
3 THC Tenet Healthcare Corp 21.11 Bn 15.01 0.99 13.17 Bn
4 FMS Fresenius Medical Care AG 14.42 Bn 17.06 0.62 14.98 Bn
5 EHC Encompass Health Corp 13.38 Bn 30.01 2.91 2.66 Bn
6 ENSG Ensign Group, Inc 12.18 Bn 35.41 2.41 2.21 Bn
7 DVA Davita Inc. 11.17 Bn 14.95 0.82 12.87 Bn
8 CHE Chemed Corp 8.11 Bn 81.70 5.57 0.14 Bn

Industry comparisons

Current Valuation Value Ind Avg Percentile
EV to Assets EV to Assets 0.00 1.24
EV to Cash from Ops. EV/CFO 1.26 15.08
EV to Debt EV to Debt 0.00 11.01
EV to EBIT EV/EBIT 1.33 15.96
EV to EBITDA EV/EBITDA 1.21 11.44
EV to Free Cash Flow [EV/FCF] EV/FCF 1.42 21.76
EV to Market Cap EV to Market Cap 0.79 619.57
EV to Revenue EV/Rev 0.24 2.71
Price to Book Value [P/B] P/B 0.93 -6.00
Price to Earnings [P/E] P/E 6.85 12.61
Dividend Metrics Value Ind Avg Percentile
Dividend Coverage Ratio Div Coverage (Qtr) 0.00 0.14
Dividend Payout Ratio % Div Payout % (Qtr) 0.00 -13.46
Dividend per Basic Share Div per Share (Qtr) 0.00 0.27
FCF Dividend Payout Ratio % FCF Div Payout % (Qtr) 0.00 5.42
Interest Coverage Int. cover (Qtr) 1.71 -94.29
Growth Metrics Value Ind Avg Percentile
Capex Growth (1y) % Capex 1y % (Qtr) -9.27 -116.62
Cash and Equivalents Growth (1y) % Cash & Equiv 1y % (Qtr) 0.00 46.03
Dividend Growth (1y) % Dividend Growth (1y) % 0.00 0.98
EBIAT Growth (1y) % EBIAT 1y % (Qtr) -86.25 -42.57
EBITDA Growth (1y) % EBITDA 1y % (Qtr) 4.34 91.55
EBIT Growth (1y) % EBIT 1y % (Qtr) 6.22 -56.79
EBT Growth (1y) % EBT 1y % (Qtr) 1,355.37 -111.80
EPS Growth (1y) % EPS 1y % (Qtr) 172.22 -19.28
FCF Growth (1y) % FCF 1y % (Qtr) 11.30 188.37
Gross Profit Growth (1y) % Gross Profit 1y % (Qtr) 6.76 20.14
Liquidity Ratios Value Ind Avg Percentile
Asset Utilization Ratio Asset Util Ratio (Qtr) 0.00 1.02
Cash Payout Ratio Cash Payout (Qtr) 0.00 0.04
Cash Ratio Cash Ratio (Qtr) 0.00 0.40
Current Ratio Curr Ratio (Qtr) 0.00 1.36
Debt to Equity Ratio Debt/Equity (Qtr) 0.00 -13.23
Interest Cover Ratio Int Coverage (Qtr) 1.71 -94.29
Times Interest Earned Times Interest Earned (Qtr) 1.71 -94.29
Profitability Value Ind Avg Percentile
EBITDA Margin % EBITDA Margin % (Qtr) 22.80 -75.46
EBIT Margin % EBIT Margin % (Qtr) 61.65 -74.60
EBT Margin % EBT Margin % (Qtr) 7.33 -85.12
Gross Margin % Gross Margin % (Qtr) 38.70 23.17
Net Profit Margin % Net Margin % (Qtr) 4.30 -85.79