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Auna S.A.

AUNA
51
Medical - Care Facilities · Healthcare
Price
$5.26
+0.01 (+0.19%)
Market Cap
$389.4M
Exchange
New York Stock Exchange
Winston Score
51
Winston is curious
Mixed quality — meaningful strengths and weaknesses.
Data as of Aug 23, 2026 · filings through Mar 31, 2026
How the score breaks down
Quality
Mixed
Growth
Mixed
Cash Flow
Strong
Stability
Weak
Valuation
Strong

Share count falling — buybacks

37.2% over 4y

The company has reduced its share count over this period, returning value to shareholders through buybacks.

Diluted shares outstanding: 47.9M (2021) → 30.1M (2025)

Winston Score History

The full picture

Auna S.A. is a healthcare company that runs hospitals, clinics, and cancer treatment centers in Latin America. It serves regular patients who need medical care, from routine checkups to complex cancer treatments. Auna operates primarily in Peru, Mexico, and Colombia, making it one of the larger private healthcare networks in the region.

Auna makes money by charging patients and insurance companies for medical services, including hospital stays, outpatient visits, and specialized oncology care. The company has built a network of facilities across three countries, giving it scale that smaller local providers cannot easily match. With a market cap around $0.4 billion, it is a mid-sized player in a fragmented market where growing middle-class populations and rising demand for private healthcare are the main growth drivers — though the company also carries meaningful debt from expanding its network, which remains a key financial risk.

Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

+13.0% YoY

YoY Growth Rate

Steady revenue growth

EPS Growth

-81.3% YoY

YoY Growth Rate

Earnings declining

R&D Spend

0 PEN/ year

0.0% of revenue

Below sector average (18%)

Research and development spending

Insider Activity

24.1%ownership

Insiders own a meaningful stake in the company

Cash Position

Cash flow positive

461M PEN cash & investments

Quarterly Free Cash Flow

→ Burn rate stable

Company generates more cash than it spends — no dilution risk from fundraising

Growth + cash flow

Auna S.A. is a rare growth stock that's already generating positive cash flow while growing at 13%. The Winston Score doesn't fully credit this transition from "burner" to "earner."

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

Every number that matters to educated investors.

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Quality

Profit per sale
Gross Margin
36.6%
Modest — 36.6% gross margin
Profit after running costs
Operating Margin
13.1%
Healthy — 13.1% operating margin
Return on the money invested
ROCE
11.7%
Below par — 11.7% return on capital

ROIC between 5% and 15%. They earn 5 to 15 cents back per year on every dollar invested.

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Growth

Sales growth
Sales YoY
+3.9%
Slow sales growth (+3.9% YoY)
Profit growth
EPS YoY
-112.5%
Earnings shrinking (-112.5% YoY)

Earnings per share down more than 10%. Either a bad year, or a real decline.

How steady the profit is
EPS Consistency
5/8 quarters
Mixed — about half the quarters showed growth

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Cash Flow

Profit that turns into cash
Cash Conversion
882%
Turns 882% of profit into real cash
Spare cash per sale
FCF Margin
10.9%
Modest free cash flow (10.9%)

FCF margin between 10% and 20%. Every $100 in sales becomes $10 to $20 in real cash.

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Stability

What it owes vs what it owns
Debt / Equity
2.12
Heavy debt load (2.12)
Covers its interest
Interest Cover
1.55x
Dangerous — barely covers interest (1.6x)

Interest coverage between 1 and 3. Profits cover interest, but with little room to spare.

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Valuation

Price vs profit
P/E Ratio (TTM)
19.1x
Fair value — P/E 19.1

P/E in the normal range. Price is roughly $15 for every $1 of yearly profit.

Cheaper or dearer next year
P/E vs Forward
+18.0
GROWING
Earnings expected to grow meaningfully — cheaper on forward P/E (19.1 → 1.1)

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Dividends

Not applicable for this business.
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