STOCK TITAN

Auna (AUNA) grows Q2 sales while earnings slide

(Neutral)
(Neutral)
Form Type
6-K

Rhea-AI Filing Summary

AUNA S.A. (AUNA) reported 2Q26 results showing solid growth but weaker margins and earnings. Revenue rose 13% year over year to S/1,238 million (9% FX-neutral), with all three geographies (Mexico, Peru, Colombia) growing in local currency, led by Colombia’s 13% increase and Peru’s 8% gain.

Adjusted EBITDA declined 6% to S/227 million, and margin compressed to 18.4% from 22.1%, reflecting service mix, higher pharmacy, payroll and nursing costs, and accepted billing-related penalties in Peru. Net income dropped to S/33 million from 84 million, mainly due to a much smaller positive FX impact in finance costs; Adjusted Net Income fell to S/40 million from 89 million.

Cash generation was strong: year-to-date operating cash flow increased 76% to S/441 million, and free cash flow reached S/400 million versus 143 million a year earlier. Net debt declined to S/3,252 million and the leverage ratio remained at 3.6x, while management reaffirmed 2026 FX-neutral revenue growth guidance near 12% and expects Adjusted EBITDA growth at the low end of its 10–14% range, with capex around 4% of revenues.

Positive

  • Revenue up 13% YoY to S/1,238 million, with all three geographies growing in local currency and Colombia up 13%, indicating broad-based top-line expansion.
  • Operating cash flow up 76% YoY to S/441 million and free cash flow up 181% to S/400 million, driven by stronger working capital management and collections.
  • Net debt reduced to S/3,252 million and leverage ratio held at 3.6x, while management targets sub‑3.0x medium term, supported by robust free cash flow.
  • Company reaffirmed 2026 guidance, expecting FX-neutral revenue growth near 12% and Adjusted EBITDA growth within the 10–14% range, signaling confidence in its outlook.

Negative

  • Adjusted EBITDA fell 6% YoY to S/227 million, with margin down to 18.4% from 22.1%, reflecting cost pressures and less favorable service mix.
  • Net income declined 61% YoY to S/33 million and Adjusted Net Income dropped to S/40 million from 89 million, largely due to weaker FX-related gains in finance costs.
  • Mexico and Colombia saw segment Adjusted EBITDA declines of 16% and 12% in local currency in 2Q26, indicating ongoing margin pressure in these operations.

Filing Explained

Auna is adding treatment capacity while post-refinancing gross debt stood at S/3,730 million at June 30, 2026.

The August 18, 2026 Form 6-K, an interim report used by a foreign private issuer to furnish material home-market information, supplies Auna’s second-quarter results and interim financial statements. The results are preliminary and remain subject to year-end audit.

The operating footprint is expanding: Auna reactivated 18 adult ICU beds and added 24 hospitalization beds at IMAT Oncomedica in Montería in July, opened a dedicated oncology, orthopedic and neurological operating room in August, and expects 18 more hospitalization beds and a 12-stretcher VIP emergency area in September.

The company says much of the Montería capacity was already available and required minimal incremental CapEx. It also began mobilizing Auna Lima Sur in July; that asset-light facility is expected to open between late 2027 and early 2028 with an operating room, chemotherapy bays and 30 inpatient beds. A Versius robotic system is expected to become operational at Clínica Delgado in August.

The debt table provides a new maturity detail: gross debt was S/3,730 million at June 30, 2026; the schedule excludes interest and reflects post-refinancing figures. The specified milestones to monitor are the September Montería additions, the September Monterrey radiotherapy equipment startup, and the later Lima Sur opening, alongside the eventual audit of these preliminary results.

2Q26 Revenue S/1,238 million Total revenue for the quarter, up 13% year over year
2Q26 Adjusted EBITDA S/227 million Quarterly Adjusted EBITDA, down 6% year over year; 18.4% margin
2Q26 Net Income S/33 million Quarterly net income compared with S/84 million in 2Q25
YTD 2026 Operating Cash Flow S/441 million Net cash from operating activities for six months ended June 30, 2026
YTD 2026 Free Cash Flow S/400 million Free cash flow for six months ended June 30, 2026, up from S/143 million
Net Debt S/3,252 million Net debt balance as of June 30, 2026
Leverage Ratio 3.6x Net debt divided by Adjusted LTM EBITDA as of June 30, 2026
Oncosalud Plan Memberships 1,472,019 Oncosalud Peru plan memberships at 2Q26, up 6% year over year
Adjusted EBITDA financial
"We expect Adjusted EBITDA growth toward the low end of that range"
Adjusted EBITDA is a way companies measure how much money they make from their core operations, like running a business, by removing certain costs or income that aren’t part of regular business activities. It helps investors see how well a company is doing without distractions from unusual expenses or gains, making it easier to compare companies or track performance over time.
FX Neutral financial
"results are presented in an FX neutral basis (“FXN”) for consolidated revenues"
FX neutral means financial results or forecasts have been adjusted to remove the effects of changes in currency exchange rates, so performance reflects only underlying business activity. For investors, it’s useful because it lets you compare true operational performance across periods or regions without the ‘noise’ of exchange-rate swings—like comparing two stores using the same price scale rather than changing currencies mid-comparison.
Medical loss ratio financial
"Oncosalud’s MLR remained stable increasing 1.0 p.p. to 55.9%"
Medical loss ratio is the share of health insurance premiums that a plan spends on patient care and activities that improve care quality, rather than on administration, marketing, or profit. Think of it like a household budget showing how much of your paycheck goes to groceries versus overhead and discretionary items; a higher ratio means more money is going to care. For investors, the metric signals an insurer’s cost efficiency, pricing pressure and potential regulatory or rebate risk, all of which affect profitability and future cash flow.
PGP contracts financial
"due to the sustained expansion of risk-sharing (“PGP”) contracts"
Leverage Ratio financial
"Leverage Ratio was 3.6x at the end of 2Q26"
Leverage ratio measures how much a company relies on borrowed money compared with its own funds or assets, typically expressed as debt relative to equity or total assets. Like a homeowner with a mortgage, higher leverage can amplify returns when business is strong but also raises the chance of big losses or default if revenue falls, so investors use it to judge financial risk and resilience.
Free Cash Flow financial
"Free Cash Flow is calculated by adding Net Cash Flows from Operations"
Free cash flow is the amount of money a company has left over after paying all its expenses and investing in its business, like buying equipment or updating facilities. It shows how much cash is available to reward shareholders, pay down debt, or save for future growth. This helps investors understand if a company is financially healthy and able to grow.

FAQ

How did AUNA (AUNA) perform financially in 2Q26 on revenue and profit?

AUNA’s 2Q26 revenue rose 13% year over year to S/1,238 million, but profitability weakened. Net income fell to S/33 million from 84 million, and Adjusted EBITDA decreased 6% to S/227 million with margin falling to 18.4%.

What were AUNA (AUNA)’s 2Q26 Adjusted EBITDA and margin, and how did they change?

In 2Q26 AUNA reported Adjusted EBITDA of S/227 million with an 18.4% margin. Adjusted EBITDA declined 6% year over year, and margin compressed by 3.7 percentage points, mainly from higher pharmacy, payroll, and Peru billing-penalty impacts.

How strong was AUNA (AUNA)’s cash flow and leverage position in 1H26?

For the first half of 2026, AUNA generated S/441 million in operating cash flow, up 76% year over year, and S/400 million in free cash flow. Net debt was S/3,252 million and the leverage ratio remained 3.6x Adjusted LTM EBITDA.

What 2026 guidance did AUNA (AUNA) reaffirm for revenue and EBITDA?

AUNA reaffirmed 2026 FX-neutral revenue growth guidance, expecting growth near 12%, the midpoint of its 10%–14% range. It anticipates Adjusted EBITDA growth toward the low end of that range and maintains capex guidance at about 4% of revenues.

How are AUNA (AUNA)’s main country segments performing in 2Q26?

In 2Q26, revenue in local currency grew 4% in Mexico, 8% in Peru, and 13% in Colombia. However, segment Adjusted EBITDA in local currency declined 16% in Mexico and 12% in Colombia, while remaining flat in Peru, reflecting margin pressure.

What are AUNA (AUNA)’s key operating scale metrics as of 2Q26?

As of June 30, 2026, AUNA operated 31 healthcare facilities with 2,337 beds and had 1.5 million healthcare plans. Oncosalud Peru recorded 1.472 million plan memberships, with average monthly revenue per member of S/63.35.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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UNITED STATES 

SECURITIES AND EXCHANGE COMMISSION 

Washington, D.C. 20549

 

FORM 6-K

 

REPORT OF FOREIGN PRIVATE ISSUER PURSUANT TO RULE 13a-16

OR 15d-16 UNDER THE SECURITIES EXCHANGE ACT OF 1934

 

For the month of August 2026 

Commission File Number: 001-41982

 

Auna S.A. 

(Exact name of registrant as specified in its charter)

 

‎ 6, rue Jean Monnet 

L-2180 Luxembourg 

Grand Duchy of Luxembourg 

‎+51 1-205-3500 

(Address of principal executive office)

 

Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F:

 

Form 20-F

X

  Form 40-F  

 

 

 

TABLE OF CONTENTS

 

EXHIBIT  
99.1 Press release dated August 18, 2026 — Auna announces 2Q26 Financial Results
99.2 Condensed Consolidated Interim Financial Statements as of and for the six months ended June 30, 2026

 

 

 

SIGNATURE

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

 

  Auna S.A.
       
       
  By: /s/ Gisele Remy
    Name: Gisele Remy
    Title: Chief Financial Officer

 

Date: August 18, 2026

 

 

 

Exhibit 99.1

 

Auna Announces 2Q26 Financial Results

 

A consecutive quarter of strong top-line growth and cash flow performance;

Consolidated Adjusted EBITDA impacted by service mix across the segments

 

 

Luxembourg, August 18, 2026 – Auna (NYSE: AUNA) (“Auna” or the “Company”), a leading healthcare platform in Latin America with operations in Mexico, Peru, and Colombia, announced today financial results for the second quarter ended June 30, 2026 (“Second quarter 2026” or “2Q26”). Financial results are expressed in Peruvian Soles (“S/” or “PEN” or “Soles”) and are presented in accordance with International Financial Reporting Standards (“IFRS”), unless otherwise noted.

 

2Q’26 Consolidated Highlights

 

Revenue increased 9% FXN, or 13% YoY on a reported basis, to S/1,238 million

 

Adjusted EBITDA was S/227 million, a decrease of 9% YoY FXN or 6% YoY on a reported basis, and an increase of 3% FXN from 1Q26

  

Adjusted EBITDA Margin of 18.4%, slightly up from 1Q26

 

Operating Cash Flow and Free Cash Flow increased 45% YoY and 181% YoY, respectively

 

Leverage Ratio improved to 3.6x

 

Oncology MLR remained stable at 50.1%

 

Number of surgeries increased 5.2% YoY to 21,912

 

Number of days hospitalized increased 5% YoY to 135,107

 

Number of chemotherapy and radiotherapy sessions increased 15% YoY

 

 

Recent Developments

 

1.Capacity expansion in Colombia

 

Colombia’s new administration has defined and begun implementing an Emergency Stabilization Plan aimed at improving liquidity throughout the healthcare system, including across EPSs and hospitals, by addressing near-term debt and cash-flow bottlenecks. The plan also prioritizes supply-chain continuity, the delivery of delayed prescription drugs, and reducing backlogs in medical appointments and surgeries. We view these measures as a constructive development that could support greater stability across the sector.

 

Against this backdrop, Auna has expanded capacity at its IMAT Oncomedica facilities in Montería to meet growing demand for high-complexity care. In July, we reactivated

 

 

 

18 adult ICU beds and added 24 hospitalization beds. In August, we opened an operating room dedicated to private-segment oncology, orthopedic and neurological procedures. In September, we expect to add 18 hospitalization beds and a 12-stretcher VIP emergency area for private and out-of-pocket patients.

 

Much of this capacity was already available for operation and required minimal incremental CapEx. We expect the expansion to be accretive through the remainder of the year and see additional opportunities to grow through similarly capital-efficient initiatives.

 

2.Linear accelerator in Monterrey

 

As part of our commitment to expand Auna’s radiation-treatment capabilities and providing state-of-the-art, high-complexity care, we are enhancing our high-precision, AI-powered adaptive radiotherapy (ART) offering within existing treatment slots. The Elekta EVO linear accelerator is expected to become operational in Monterrey in September. It represents the most advanced radiation-treatment technology and will strengthen our clinical capabilities, support operating efficiency and help redefine our standard of care.

 

3.Lima Sur Expansion and Technology Update in Peru

 

In July 2026, Auna took possession of the site and began mobilization for a new clinical facility in Lima, to be named Auna Lima Sur. The project will expand capacity through an asset-light, cost-efficient model and is expected to become operational between late 2027 and early 2028. Auna Lima Sur will include an operating room, chemotherapy bays and capacity for 30 inpatient beds.

 

Also in Peru, Auna acquired a Versius SP4 robotic system from CMR Surgical. The modular platform is designed to support minimally invasive procedures through independent robotic arms and a laparoscopic approach, with enhanced precision enabled by 3D 4K visualization. The system is expected to become operational at Clínica Delgado in August, further strengthening Auna’s high-complexity surgical capabilities and commitment to high-quality, value-based care.

 

4.Management update

 

On August 3, 2026, Abraham Galán joined Auna as Chief Technology Officer. He brings extensive experience in technology across the healthcare and insurance sectors and will be based in Monterrey.

 

 

 

Message from Auna’s Executive Chairman and President

 

The second quarter of 2026 demonstrated sustained commercial momentum across our markets and progress in the operational initiatives that support our growth strategy. Revenue increased by 9% FXN, while Adjusted EBITDA declined 9% FXN. This reflects service mix and temporary margin pressure in Mexico and Colombia, as well as pharmacy and payroll costs, along with the impact of accepted penalties primarily related to billing matters in the reconciliation of prior years' receivables in Peru.

 

In Peru, our integrated model continues to deliver strong results, Peru achieved an 8% revenue growth, driven by new B2B memberships at Oncosalud and increased volumes in high-complexity procedures within our healthcare network. Oncosalud expanded its B2B membership base, while higher occupancy in the healthcare network underscored our focus on growing in high complexity. Adjusted EBITDA reflects increased pharmacy, physician and payroll expenses required to accommodate the surge in patient volumes, as well as accepted penalties primarily attributable to previous years’ billing matters.

 

In Mexico, patient volume recovery continued throughout the quarter. Improved tier classifications with key payors, improved pricing for high-complexity services, and the ongoing expansion of our oncology offering contributed to stronger volumes, particularly in June. This momentum drove 4% year-over-year revenue growth in local currency, while revenue and Adjusted EBITDA increased by 5% and 3%, respectively, compared to the first quarter of 2026, in local currency. Although service mix and talent investments continued to affect margins year over year, both Adjusted EBITDA and margin improved sequentially, indicating progress in the initiatives underway in Monterrey and positioning the network for sustained volume growth in the second half.

 

In Colombia, revenue increased by 13% in local currency, primarily due to the sustained expansion of risk-sharing (“PGP”) contracts, which accounted for 24% of segment revenue. Additionally, reduced exposure to intervened payors, which constituted 12% of revenue, and enhanced payment agreements contributed to the strengthening of the quality and predictability of our payor mix. First-half margins reflected the variable costs of stabilizing our new PGP contracts, alongside statutory wage increases and planned SG&A investments. Contractual price adjustments scheduled for the second half of the year are expected to drive improved profitability in the coming quarters.

 

Consolidated Cash flow generation continued to be a key highlight in the second quarter of 2026. Operating cash flow increased by 45% year-over-year, while free cash flow grew by 181%, driven by disciplined working capital management and improved payor collections. Despite initial margin pressure, our leverage ratio improved to 3.6x, underscoring the resilience of our business model and supporting our progress toward a medium-term target of below 3.0x.

 

The recent elections in Peru and Colombia have so far generally been viewed as a positive development for private-sector participation and long-term healthcare

 

 

 

investment. This could create a more favorable environment for our industry and provides greater visibility into our strategic path forward.

 

Looking ahead, given the recovery in volumes in Mexico and our projected performance for the remainder of the year, we reaffirm our full-year 2026 revenue guidance. We anticipate revenue growth near the midpoint of our 10% to 14% FX-neutral range, or approximately 12%. We expect Adjusted EBITDA growth toward the low end of that range, reflecting temporary cost pressures across our three geographies as the business scales. The Adjusted EBITDA outlook excludes the impacts of accepted penalties primarily related to billing matters in the reconciliation of prior years' receivables in Peru.

 

Capital expenditures guidance remains unchanged at approximately 4% of revenues. Although we did not provide formal free cash flow guidance, we expect it to exceed our original internal expectations, supported by strong working capital management and improved collections, further supporting our deleveraging path.

 

 

Overview of 2Q26 Consolidated Results

 

Revenues in 2Q26 increased 9% FXN and 13% YoY on a reported basis to S/1,238 million, with revenues in local currency (“LC”) increasing across all segments: 4% in Mexico, 8% in Peru and 13% in Colombia. In Mexico, the Healthcare network sustained higher surgery and oncology volumes, reflecting the continued benefits of the improved tier classifications with key payors implemented in prior periods, as well as growth in packages and out-of-pocket revenues. In Peru, Oncosalud increased revenues through additional B2B memberships, while the healthcare network benefited from higher volumes of high-complexity surgeries. In Colombia, volumes continued to grow across PGP services in cardiovascular, ambulatory and oncology care, supported by the ongoing scaling of risk-sharing models and diversification away from intervened payors.

 

Adjusted EBITDA in 2Q26 decreased 9% FXN, or 6% YoY on a reported basis, to S/227 million, with an Adjusted EBITDA Margin of 18.4%. In LC, Segment Adjusted EBITDA decreased 16% in Mexico and 12% in Colombia, while remaining flat in Peru. In Mexico, Segment Adjusted EBITDA decreased versus 2Q25, due to a lower contribution margin from the current mix of services and specialties, as well as higher SG&A expenses related to talent investments that impacted payroll. On a sequential basis, however, Segment Adjusted EBITDA grew 3% versus 1Q26 mostly from improved gross profit. Consolidated Peru Adjusted EBITDA growth was impacted by accepted penalties primarily related to billing matters in the reconciliation of prior years' receivables and by pharmacy and medical talent costs related to supporting increased patient volumes at the healthcare network and Oncosalud. In Colombia, Segment Adjusted EBITDA sustained a strong top line, partially offset by lower margins from a higher proportion of PGP contracts and from increased oncology services.

 

 

 

Reported results were impacted by foreign exchange fluctuations, specifically, a 5% appreciation of the Mexican Peso (“MXN”) and a 9% appreciation of the Colombian Peso (“COP”) against the PEN.

 

Net finance costs for 2Q26 were S/105 million, compared to S/46 million in 2Q25. Excluding foreign exchange effects, net finance costs totaled S/113 million in 2Q26, compared to S/115 million in 2Q25, reflecting a YoY decrease of S/2 million, or 1%. When also excluding the non-cash impact related to the future purchase obligation for IMAT Oncomedica, which began affecting finance expenses in 3Q25, net finance costs decreased by S/4 million. The increase in reported net finance costs primarily reflected lower non-cash FX gain of S/8 million, compared to a non-cash gain of S/68 million in 2Q25.

 

Net Income for 2Q26 was S/33 million compared to S/84 million in 2Q25. The decline was primarily driven by a S/61 million decrease in positive non-cash FX impact on net finance costs compared to the prior-year period. On a per-share basis, Net Income was S/0.40, based on a weighted average of 74,237,368 basic and diluted shares.

 

Adjusted Net Income for 2Q26 was S/40 million, compared to S/89 million in 2Q25. The decline reflects the same FX-driven variance on the net finance costs described above. As mentioned in previous quarters, the FX volatility has been reduced by resetting the levels on USD PEN hedges after the refinancing exercise at the end of 2025. On a per-share basis, Adjusted Net Income was S/0.50, based on a weighted average of 74,237,368 basic and diluted shares.

 

 

Business performance

 

HEALTHCARE SERVICES MEXICO

 

(Explanations of variances are in local currency unless expressed otherwise)

 

Auna’s Healthcare Services and Auna Seguros’ operations in Mexico accounted for 24% of consolidated revenues and 34% of consolidated Adjusted EBITDA in the quarter.

 

(Figures in millions of Soles and millions of US Dollars, unless expressed otherwise)

 

 

 

              Δ 2Q'26 vs
2Q'25
Δ 2Q'26 vs
1Q'26
Δ YTD 26 vs
YTD 25
Healthcare Services Mexico
Key Operating Metrics
    2Q'26 (USD) 2Q'26 YTD 26   As Reported L.C. As Reported L.C. As Reported L.C.
Beds #     708 708   0%   0%   0%  
Surgeries # (000)     5 10   6%   7%   5%  
Emergency treatments # (000)     8 16   -3%   0%   -3%  
Radiotherapy & Chemotherapy # (000)     5 9   86%   20%   82%  
Total number of days hospitalized # (000)     25 50   1%   0%   0%  
Operating capacity utilization %     49.9% 50.1%   6.0 p.p.   1.5 p.p.   5.5 p.p.  
Total capacity utilization %     39.0% 39.2%   0.6 p.p.   -0.4 p.p.   0.1 p.p.  
Key Financial Metrics                        
Segment Revenue     88 300 579   10% 4% 8% 5% 12% 6%
Segment Adjusted EBITDA     23 78 151   -11% -16% 6% 3% -10% -15%
Segment Adjusted EBITDA margin %     25.9% 26.1%   -6.1 p.p.   -0.5 p.p.   -6.5 p.p.  


 

 

Segment revenue from Mexico increased 4%, with the Mexico Healthcare Services Network increasing 7%, partially offset with Auna Seguro’s non-recurring revenues from 2Q25. Sequentially, Segment revenue from Mexico increased 5% from 1Q26, with Healthcare Services driving the growth. The Mexico Healthcare Services growth was driven by higher surgery volumes, oncology services and out-of-pocket payments, despite significantly lower activity in April due to the Easter holidays.

 

Auna continued to benefit from the more favorable tier classifications with two payors at Doctors Hospital (“DH”), our largest healthcare facility, with patient volumes increasing 20% and revenues increasing 33% YoY. The renewal of the ISSSTELEON B2B agreement, at pricing that better reflects the complexity of services provided, drove a 9% YoY increase in related revenues. Packages and out-of-pocket revenues represented 9% of Mexico segment revenues.

 

Surgery revenues increased 5% on higher volumes at DH. In oncology services, revenues from radiotherapy and chemotherapy increased 6% from 1Q26 and 2.1x from 2Q25, representing 11% of Mexico’s network revenues in 2Q26, up from 6% in 2Q25, while the number of oncology patients increased 2.2x since 2Q25. In addition, private revenues from out-of-pocket payments increased 21% versus 2Q25 and surgical and hemodynamic packages increased 4.2x since 2Q25.

 

During the quarter, approximately 59% of the network’s productive physicians increased their service volumes, while nursing staffing coverage and retention improved compared with 2025. The network also implemented more stringent physician-onboarding criteria focused on productivity. Under these criteria, Auna onboarded 22 additional physicians who treated patients for at least two months during the quarter and met a defined minimum billing threshold. These physicians were recruited in key specialties, including traumatology, cardiology and general medicine.

 

 

 

Higher volumes in surgeries, hospitalization and ICU services resulted in total capacity utilization increasing 0.6 p.p. from 2Q25 to 39.0%. The capacity utilization in April was low given the Easter holidays, finishing in June with 42% capacity utilization.

 

Auna Seguros contributed 11% of revenues in 2Q26 compared to 12% in 2Q25.

 

Segment Adjusted EBITDA decreased 16% YoY in 2Q26, with a Segment Adjusted EBITDA Margin of 25.9%. Within the segment, Healthcare Services was more resilient, recording a smaller Adjusted EBITDA decline while maintaining a strong margin. The Healthcare Network’s contribution margin was primarily affected by higher pharmacy costs associated with the period’s service mix, while talent investments increased payroll within SG&A. Sequentially, Segment Adjusted EBITDA increased 3% versus 1Q26, led by a 7% increase in Healthcare Services Adjusted EBITDA.

 

 

PERU OPERATIONS: HEALTHCARE SERVICES PERU AND ONCOSALUD PERU

 

Auna’s Healthcare Services and Oncosalud Peru accounted for 41% of consolidated revenues and 45% of consolidated Adjusted EBITDA in the quarter.

 

(Figures in millions of Soles and millions of US Dollars, unless expressed otherwise)

  

Healthcare Services Peru and
Oncosalud Peru
Key Financial Metrics
    2Q'26 (USD) 2Q'26 YTD 26   Δ 2Q'26 vs 2Q'25 Δ 2Q'26 vs 1Q'26 Δ YTD 26 vs YTD 25
Consolidated Revenue     150 512     1,012   8% 2% 8%
Healthcare Services Peru     87 296 578   10% 5% 8%
Oncosalud Peru     93 317 631   11% 1% 11%
Holding and Eliminations (*)       (101) (196)   25% 6% 19%
Consolidated Peru Adjusted EBITDA     30 101 200   0% 2% -1%
Healthcare Services Peru     10 35 65   2% 13% -14%
Oncosalud Peru     20 67 135   0% -2% 6%
Consolidated Peru Adj. EBITDA margin %     19.8% 19.8%   -1.5 p.p. 0.0 p.p. -1.9 p.p.
Healthcare Services Peru       11.7% 11.3%   -0.9 p.p. 0.8 p.p. -2.9 p.p.
Oncosalud Peru       21.0% 21.4%   -2.4 p.p. -0.8 p.p. -1.0 p.p.
                   
(*) Relates to intersegment revenue elimination.            

 

 

 

Healthcare Services Peru
Key Operating Metrics
    2Q'26 (USD) 2Q'26 YTD 26   Δ 2Q'26 vs 2Q'25 Δ 2Q'26 vs 1Q'26 Δ YTD 26 vs YTD 25
Beds #     389 389   1% 0% 1%
Surgeries # (000)     6 11   2% -5% 6%
Emergency treatments # (000)     52 97   9% 14% 14%
Chemotherapies & Radiotherapies # (000)     13 26   -4% -3% 0%
Total number of days hospitalized # (000)     28 55   10% 7% 8%
Operating capacity utilization %     83.2% 80.8%   7.6 p.p. 4.9 p.p. 6.0 p.p.
Total capacity utilization %     80.2% 77.9%   6.6 p.p. 4.7 p.p. 5.0 p.p.
Key Financial Metrics                  
Revenue     87 296 578   10% 5% 8%
External revenues     61 208 409   4% 4% 5%
Intercompany revenue     26 88 169   27% 9% 16%
Segment Adjusted EBITDA     10 35 65   2% 13% -14%
Segment Adjusted EBITDA margin %     11.7% 11.3%   -0.9 p.p. 0.8 p.p. -2.9 p.p.

 

 

Oncosalud Peru
Key Operating Metrics
    2Q'26 (USD) 2Q'26 YTD 26   Δ 2Q'26 vs 2Q'25 Δ 2Q'26 vs 1Q'26 Δ YTD 26 vs YTD 25
Plan memberships # (000)     1,472 1,472   6% 2% 6%
Oncological Plans  # (000)     1,005 1,005   1% 1% 1%
Average monthly revenue per plan membership     18.58 63.35 62.79   4% 1% 4%
Preventive check-ups # (000)     26 57   -16% -15% -12%
Patients treated # (000)     51 97   27% 10% 25%
MLR %       55.9%       1.0 p.p.
Oncological Plans %       50.1%       0.3 p.p.
Key Financial  Metrics                  
Revenue     93 317 631   11% 1% 11%
External revenues     89 304 604   11% 2% 10%
Intercompany revenue     4 13 27   10% -7% 37%
Segment Adjusted EBITDA     20 67 135   0% -2% 6%
Segment Adjusted EBITDA margin %     21.0% 21.4%   -2.4 p.p. -0.8 p.p. -1.0 p.p.

 

 

Total revenue from Peru increased 8% YoY to S/512 million in 2Q26.

 

The Healthcare Services segment increased revenues by 10% YoY, resulting from an increase in emergency visits and surgery volumes.

 

Emergencies increased 9% as a result of commercial initiatives with corporate accounts, while surgeries increased 2% as a result of ticket increases to prioritize high complexity procedures in the network. In addition, total bed capacity increased from 2Q25 adding 4 ICU beds. Accordingly, hospitalization days increased 10% from 2Q25 and operating capacity utilization in 2Q26 was 83.2%, while total capacity utilization was 80.2%, both increasing versus 2Q25 and 1Q26.

 

The 11% YoY increase in revenues at the Oncosalud Peru segment reflects annual pricing updates and a 6% increase in total plan memberships, including approximately seven

 

 

 

thousand new members as part of a new B2B group policy for Lima’s water and sewer utility company (SEDAPAL) awarded in 2Q26.

 

Preventive check-ups declined 16% YoY and 15% QoQ as the segment continues to deliver more targeted screenings focused on members with a high risk of developing breast, colorectal, cervical and prostate cancer.

 

Commercial initiatives to grow the B2B segments and value-added initiatives, which deliver tangible value to plan members, continue being implemented to strengthen sales quality and retention in the segment.

 

Oncosalud’s MLR remained stable increasing 1.0 p.p. to 55.9%, while the Oncology MLR increased 0.3 p.p. to 50.1%. The MLR increase was driven by higher patient treatments from Oncosalud’s Oncology and Healthcare plans reflecting the initial higher average MLR from newly onboarded B2B accounts.

 

 

Consolidated Adjusted EBITDA in 2Q26 was S/101 million, remaining flat YoY. Higher pharmacy costs associated with the onboarding of new B2B contracts affected results as these members continue transitioning into the Auna Network. Adjusted EBITDA also reflected higher nursing-staffing and overtime costs required to support growing hospitalization and emergency volumes across the healthcare network, including patients treated through Oncosalud. In addition, the Adjusted EBITDA also included the impacts of accepted penalties primarily related to billing matters in the reconciliation of prior years' receivables.

 

 

HEALTHCARE SERVICES COLOMBIA

 

(Explanations of variances are in local currency unless expressed otherwise)

 

Auna’s Healthcare services operations in Colombia accounted for 34% of consolidated revenues and 25% of consolidated Adjusted EBITDA in the quarter.

 

(Figures in millions of Soles and millions of US Dollars, unless expressed otherwise)

 

 

 

 

              Δ 2Q'26 vs     2Q'25 Δ 2Q'26 vs    1Q'26 Δ YTD 26 vs            YTD 25
Healthcare Services Colombia
Key Operating Metrics
    2Q'26 (USD) 2Q'26 YTD 26   As Reported L.C. As Reported L.C. As Reported L.C.
Beds #     1,131 1,131   0%   0%   0%  
Protected Lives # (000)     3,144 3,144   26%   3%   26%  
Surgeries # (000)     11 22   7%   2%   4%  
Emergency treatments # (000)     38 76   6%   0%   5%  
Chemotherapies & Radiotherapies # (000)     40 76   17%   8%   8%  
Total number of days hospitalized # (000)     82 162   4%   1%   3%  
Operating capacity utilization %     88.8% 88.9%   3.0 p.p   -0.1 p.p   3.1 p.p  
Total capacity utilization %     79.2% 79.3%   2.9 p.p   -0.1 p.p   2.7 p.p  
Key Financial Metrics                        
Revenue     125 427 827   23% 13% 7% 3% 21% 13%
Segment Adjusted EBITDA     16 56 101   -4% -12% 22% 18% 2% -4%
Segment Adjusted EBITDA margin %     13.1% 12.3%   -3.7 p.p   1.7 p.p   -2.2 p.p.  

 

Segment revenue from Colombia in 2Q26 grew 13% YoY, due to a higher proportion of revenues from PGP contracts in Antioquia for cardiovascular, ambulatory, and oncology services. Total PGP revenues accounted for 24% of Colombia’s total revenues in 2Q26, increasing from 14% in 2Q25, and covering 3.1 million lives through risk-sharing agreements by quarter-end 2Q26, benefitting cash conversion and cash predictability of these models. In addition, total revenues from private payors also contributed to revenue growth, increasing 17% from 2Q25 and contributing 18% of total segment revenues.

 

Auna continued to diversify its payor base in Colombia, further reducing its exposure to government-intervened payors. In 2Q26, revenues from intervened payors represented 12% of Colombia revenues, down from 18% in 2Q25. Revenues from a payor relationship established in 2025 doubled compared with 2Q25 and represented 14% of Colombia revenues, up from 5% in 2Q25, more than offsetting the reduction in revenues from the largest intervened payor. Nueva EPS revenues continued to decline, representing 11% of Colombia revenues in 2Q26, compared with 14% in 2Q25 and 21% in 1Q24, when the interventions began. Revenues in Barranquilla and Montería also increased significantly from 2Q25, with key payors representing 23% of revenues during this quarter.

 

Chemotherapy and radiotherapy volumes increased 8% from 1Q26 on services provided in Antioquia.

 

In 2Q26 total capacity utilization increased 2.9 p.p. versus 2Q25, returning to 2024 levels prior to Nueva EPS’s intervention.

 

 

Segment Adjusted EBITDA decreased 12% in 2Q26, with a Segment Adjusted EBITDA Margin of 13.1%. The decline reflected costs associated with increased surgery and chemotherapy volumes and, to a lesser extent, higher salary and minimum-wage costs. Sequentially, Adjusted EBITDA increased 18%, while the margin improved 1.7 p.p. We

 

 

 

expect Adjusted EBITDA growth to resume during the remainder of the year as newly implemented risk-sharing models mature and contractual price increases take full effect.

 

 

Balance Sheet & Cash Flow

 

Consolidated Debt

 

(Figures in millions of Soles and millions of US Dollars, unless expressed otherwise)

 

    Jun-26 (USD) Jun-26 Dec-25 Jun-25   Δ Jun-26 vs
      Jun-25 Dec-25
(+) Loans and borrowings   1,058 3,606 3,533 3,574   1% 2%
Short term debt   117 399 316 598   -33% 26%
Long term debt   941 3,207 3,216 2,976   8% 0%
(+) Lease Liabilities   36 124 124 129   -4% 0%
Gross Debt    1,094 3,730 3,656 3,702   1% 2%
(-) Cash and cash equivalents / marketable securities   140 478 335 175   174% 42%
Net Debt   954 3,252 3,321 3,528   -7.8% -2.1%
Leverage Ratio     3.6x 3.6x 3.6x   0.0x 0.0x

 

Gross Debt at the close of 2Q26 increased 2%, or S/74 million, versus 4Q25, to S/3,730 million, mainly driven by: (i) a negative non-cash effect of S/117 million associated with the depreciation of the PEN against the MXN and USD of 4% and 1%, respectively; and (ii) higher accrued interest of S/10 million related to the Term Loan maturing 2030. These effects were partially offset by (iii) a S/31 million reduction in short-term debt; (iv) an S/18 million decrease in long-term debt; and (v) a S/5 million net decrease in financial and operating leases.

 

Leverage Ratio was 3.6x at the end of 2Q26. This reflects an increase in cash at the end of the period, offset by higher gross debt and lower Adjusted LTM EBITDA. The leverage ratio improved from 1Q26 due to an increase in cash and lower gross debt. Auna remains committed to a medium-term leverage target of less than 3.0x.

 

 

 

Consolidated Debt Amortization Profile

 

(Figures in millions of Soles, unless expressed otherwise)

   

  Total Leases Y1 Y2 Y3 Y4 Y5 Y6+
Loans and Borrowings 3,606   399 262 323 761 578 1,284
Financial Leases 48   16 10 6 9 3 4
Operating Leases 75 75            
Gross Debt 3,730 75 415 271 329 770 581 1,288

 

As of 2Q26. Excludes interest. Reflects figures post-refinancing. Y1 = July 2026 to June 2027, Y2 = July 2027 to June 2028, Y3 = July 2028 to June 2029, Y4 = July 2029 to June 2030, Y5 = July 2030 to June 2031, and Y6+ = July 2031 to September 2035.

 

 

Cashflow and Cash Conversion Cycle

 

(Figures in millions of Soles and millions of US Dollars, unless expressed otherwise)

 

    YTD 26 (USD) YTD 26 YTD 25   Δ YTD 26 vs YTD 25
Net cash from operating activities             129             441             251   76%
Net cash used in investing activities             (12)             (41)           (109)   -63%
Net cash used in financing activities             (80)           (271)           (209)   30%
Cash and cash equivalents at the end of the period             140             478             175   174%

  

    LTM Jun-25 LTM Mar-26 LTM Jun-26
Days Sales Outstanding   89 90 89
Days Inventory Outstanding 41 43 41
Days Payable Outstanding   142 140 141
Cash Conversion Cycle   -13 -7 -10
*Measured on an average basis according to last twelve months results.

 

Net cash from operating activities was S/441 million for the six months ended June 30, 2026 versus S/251 million in the six months ended June 30, 2025, and included a S/156 million increase in cash generated from operating activities and S/34 million in lower tax payments in Peru, Colombia and Mexico.

 

Net cash used in investing activities for the six months ended June 30, 2026 was S/41 million, a decrease of 63% YoY, or S/68 million versus the comparable period last year.

 

 

 

Organic maintenance CapEx remained relatively flat year-over-year, as finance leases in YTD 2026 funded a larger share of acquisitions than in YTD 2025. In YTD 2026 organic maintenance CapEx was S/65 million and included (i) S/37 million in investments for infrastructure refurbishments and acquisition of medical equipment; (ii) S/25 million in Hospital Information systems and ERP implementations, and (iii) a S/2 million payment to the Opción Oncología doctors for the brand acquisition. Other cash used in investing activities during YTD 2026 also included (iv) S/29 million in cash and cash equivalent inflows from Auna Seguros portfolio rebalancing of investments toward liquid securities, and (v) a S/ 6 million earnout payment to IMAT Oncomedica shareholders.

 

In the six months ended June 30, 2025, investing activities included: S/82 million in organic maintenance CapEx, including (i) S/48 million in investments for infrastructure refurbishments and acquisition of medical equipment; (ii) S/27 million in Hospital Information systems and ERP implementations; and (iii) S/8 million payment to the Opción Oncología doctors for the brand acquisition. Other cash from investing activities included (iv) S/8 million in cash and cash equivalent outflows from Auna Seguros portfolio rebalancing of investments toward liquid securities, (v) a S/15 million payment to former OCA shareholders for holdback obligations, and (vi) a S/6 million earnout payment to IMAT Oncomedica shareholders.

 

Net cash used in financing activities was S/271 million, an increase of 30% or S/63 million, for the six months ended June 30, 2026 versus the comparable period last year. Cash used in financing activities during the period included: (i) S/179 million in interest payments and hedge premium payments, (ii) S/22 million in interest payments for working capital facilities, and (iii) a S/70 million decrease in working capital borrowings. For the comparable six months ended June 30, 2025, cash used in financing included: (i) S/193 million in interest and hedge premium payments, (ii) S/30 million in interest payments for working capital facilities, and (iii) a S/14 million increase in working capital borrowings.

 

 

About AUNA

 

Auna is a leading healthcare platform in Latin America with operations in Mexico, Peru, and Colombia, prioritizing prevention and concentrating on high-complexity diseases that contribute the most to healthcare expenditures. Our mission is to transform healthcare by providing access to a highly integrated healthcare offering in the underpenetrated markets of Spanish-Speaking Americas. Founded in 1989, Auna has built one of Latin America′s largest modern healthcare platforms that consists of a horizontally integrated network of healthcare facilities and a vertically integrated portfolio of oncological plans and selected general healthcare plans. As of June 30, 2026, Auna’s network included 31 healthcare network facilities, consisting of hospitals, outpatient, prevention and wellness facilities with a total of 2,337 beds, and 1.5 million healthcare plans.

 

For more information visit www.aunainvestors.com

 

 

 

Conference Call Details

 

When: 8:00 a.m. Eastern time, August 19, 2026

 

Who: Mr. Suso Zamora, Executive Chairman of the Board and President; Mrs. Gisele Remy, Chief Financial Officer and Executive Vice President; Mr. Lorenzo Massart, Executive Vice President of Strategy and Equity Capital Markets.

 

Dial-in: +1 888 596 4144 (U.S. domestic), +1 646 968 2525 (International)
Passcode: 3884034

 

To access Auna′s financial results call via telephone, callers need to press # to be connected to an operator.

 

Webcast: click here

 

 

Definitions and Concepts

 

Figures in US dollars (US$ or USD) for 2Q26 are presented for indicative purposes and were calculated using an FX rate of US$1= S/3.4100. All comparisons in this announcement are year-over-year (“YoY”), unless otherwise noted; additionally, results are presented in an FX neutral basis (“FXN”) for consolidated revenues, consolidated cost of sales and services, consolidated selling and administrative expenses and consolidated adjusted EBITDA, as well as, in local currency for the Mexico and Colombia segments, to eliminate the effect of foreign exchange, or “FX,” volatility between the comparison periods.

 

Financial results are preliminary and subject to year-end audit.

 

 

Use of Non-IFRS Financial Measures

 

This release includes “non-IFRS financial measures”, including: EBITDA, EBITDA Margin, Adjusted EBITDA, Adjusted EBITDA Margin, Adjusted LTM EBITDA, Segment EBITDA, Segment EBITDA Margin, Segment Adjusted EBITDA, Segment Adjusted EBITDA Margin, Consolidated Peru Adjusted EBITDA, Consolidated Peru Adjusted EBITDA Margin, Adjusted Net Income, Adjusted Basic and Diluted EPS, Leverage Ratio, Free Cash Flow, and FX Neutral because we believe they assist investors and analysts in comparing our operating performance across reporting periods on a consistent basis by excluding items that we do not believe are indicative of our core operating performance.

 

In addition, management and our board of directors use these non-IFRS financial measures to assess our financial performance and believe they are helpful in highlighting trends in our core operating performance, while other measures can differ significantly depending on long-term strategic decisions regarding the growth of our business. These are not measurements of operating performance under IFRS and have limitations as analytical tools. You should not consider such measures either in isolation or as substitutes for analyzing our results as reported under IFRS. Additionally, our calculations of EBITDA, Segment EBITDA, Adjusted EBITDA, Adjusted Net Income, EBITDA Margin, Adjusted EBITDA Margin, Adjusted Net Income Margin, FX Neutral and Leverage Ratio may be different

 

 

 

from the calculations used by other companies for similarly titled measures, including our competitors, and therefore may not be comparable to those of other companies.

 

EBITDA: is calculated as profit (loss) before tax for the period plus net finance cost and depreciation and amortization. EBITDA is a key metric used by management and our board of directors to assess our financial performance.

 

EBITDA Margin: is calculated as EBITDA divided by total revenue from contracts with customers.

 

Adjusted EBITDA: is calculated as profit (loss) before tax for the period plus net finance cost, depreciation and amortization, pre-operating expenses for projects under construction, business development (income) expenses for expansion into new markets, change in fair value of earn-out liabilities, stock-based consideration and personnel non-recurring compensation.

 

Adjusted EBITDA Margin: is calculated as Adjusted EBITDA divided by total revenue from contracts with customers.

 

Adjusted Last Twelve Month (“LTM”) EBITDA: is calculated by adding the last four quarters beginning with the corresponding period.

 

Segment EBITDA: is calculated as segment profit before tax plus net finance cost and depreciation and amortization.

 

Segment EBITDA Margin: is calculated as segment EBITDA divided by total segment revenue from contracts with customers.

 

Segment Adjusted EBITDA: is calculated as segment profit (loss) before tax for the period plus net finance cost, depreciation and amortization, pre-operating expenses for projects under construction, business development (income) expenses for expansion into new markets, change in fair value of earn-out liabilities, stock-based consideration and personnel non-recurring compensation.

 

Segment Adjusted EBITDA Margin: is calculated as segment Adjusted EBITDA divided by total Segment revenue from contracts with customers.

 

 

 

(Figures in millions of Soles and millions of US Dollars, unless expressed otherwise) 

   

Segment Adjusted EBITDA Margin                    
    2Q'26 (USD)         Δ 2Q'26 vs    Δ YTD 26 vs
    2Q'26   YTD 26   2Q'25 1Q'26   YTD 25
Revenues   363 1,238   2,416   13% 5%   13%
Profit (Loss) before Tax   17 59   76   -55% 259%   -61%
(+) Net Finance Cost   31 105   246   127% -25%   94%
(+) Depreciation and Amortization   17 59   116   6% 2%   7%
(=) EBITDA   65 223   438   -5% 4%   2%
(+) Adjustments   1.2 4.0   6.1          
(a) Pre-operating expenses   0.0 0.2   0.4          
(b) Business development expenses   0.3 0.9   0.9          
(c) Stock-based consideration   0.9 2.9   4.9          
(d) Personnel non-recurring compensation   0.0 0.0   0.0          
(=) Adjusted EBITDA   67 227   444   -6% 5%   -4%
Adjusted EBITDA Margin     18.4%   18.4%   -3.7 p.p. -0.1 p.p.   -3.3 p.p.

 

(a) Pre-operating expenses consist of legal and administrative expenses incurred in connection with medical facilities under construction, such as Clínica Chiclayo, costs relating to the Centro Ambulatorio Trecca PPP, and legal and administrative expenses incurred in connection with the acquisition of land banks for future facilities.

(b) Business development expenses consist of expenses incurred in connection with projects and payments to sellers to expand into new markets, including through greenfield projects and M&A activity.

(c) Stock-based consideration includes share-based payments plans for non-executive members of the Board of Directors and other Auna management including executives and employees.

(d) Personnel non-recurring compensation related to the implementation of an efficiency program across business units aimed at streamlining processes and capturing synergies on the local and regional levels.

 

For the three months ended June 30, 2026          
    Healthcare Services Mexico Healthcare Services Peru Oncosalud Peru Healthcare Services Colombia Holding and eliminations Consolidated Reportable Segments
Revenues   300 296 317 427 (103) 1,238
Profit (Loss) before Tax   7 20 53 46 (66) 59
(+) Net Finance Cost   45 4 3 (2) 56 105
(+) Depreciation and Amortization   23 11 10 12 3 59
(=) Segment EBITDA   75 34 66 56 (8) 223
(+) Adjustments   2.8 0.2 0.2 0.1 0.7 4.0
Pre-operating expenses   0.0 0.0 0.0 0.0 0.2 0.2
Business development expenses   0.9 0.0 0.0 0.0 0.0 0.9
Stock-based consideration   1.9 0.2 0.2 0.1 0.6 2.9
Personnel non-recurring compensation   0.0 0.0 0.0 0.0 0.0 0.0
(=) Segment Adjusted EBITDA   78 35 67 56 -8 227
Adjusted EBITDA Margin   25.9% 11.7% 21.0% 13.1%   18.4%

 

 

 

 

For the three months ended June 30, 2025          
    Healthcare Services Mexico Healthcare Services Peru Oncosalud Peru Healthcare Services Colombia Holding and eliminations Consolidated Reportable Segments
Revenues   274 269 286 346 (81) 1,094
Profit (Loss) before Tax   34 12 54 40 (8) 132
(+) Net Finance Cost   26 10 4 8 (1) 46
(+) Depreciation and Amortization   22 12 9 10 3 55
(=) Segment EBITDA   82 34 67 58 (6) 234
(+) Adjustments   5.7 0.2 0.2 0.0 1.0 7.2
Pre-operating expenses   0.0 0.0 0.0 0.0 0.5 0.5
Business development expenses   3.9 0.0 0.0 0.0 0.0 3.9
Stock-based consideration   1.7 0.2 0.2 0.0 0.6 2.6
Personnel non-recurring compensation   0.1 0.0 0.0 0.0 0.0 0.1
(=) Segment Adjusted EBITDA   88 34 67 58 (5) 241
Adjusted EBITDA Margin   32.0% 12.6% 23.4% 16.7%   22.1%

 

Year to date June 30, 2026              
    Healthcare Services Mexico Healthcare Services Peru Oncosalud Peru Healthcare Services Colombia Holding and eliminations Consolidated Reportable Segments
Revenues   579 578 631 827 (199) 2,416
Profit (Loss) before Tax   11 33 101 65 (135) 76
(+) Net Finance Cost   90 11 13 14 120 246
(+) Depreciation and Amortization   46 21 21 23 5 116
(=) Segment EBITDA   147 65 135 101 (10) 438
(+) Adjustments   4.4 0.0 0.2 0.1 1.5 6.1
Pre-operating expenses   0.0 0.0 0.0 0.0 0.4 0.4
Business development expenses   0.9 0.0 0.0 0.0 0.0 0.9
Stock-based consideration   3.5 0.0 0.2 0.1 1.2 4.9
Personnel non-recurring compensation   0.0 0.0 0.0 0.0 0.0 0.0
(=) Segment Adjusted EBITDA   151 65 135 101 -9 444
Adjusted EBITDA Margin   26.1% 11.3% 21.4% 12.3%   18.4%

 

Year to date June 30, 2025              
    Healthcare Services Mexico Healthcare Services Peru Oncosalud Peru Healthcare Services Colombia Holding and eliminations Consolidated Reportable Segments
Revenues   517 532 567 685 (165) 2,136
Profit (Loss) before Tax   21 34 99 72 (32) 194
(+) Net Finance Cost   73 18 11 7 18 127
(+) Depreciation and Amortization   43 24 17 20 5 109
(=) Segment EBITDA   137 75 127 99 (8) 429
(+) Adjustments   31.6 0.3 0.3 0.1 1.9 34.3
Pre-operating expenses   0.0 0.0 0.0 0.0 0.7 0.7
Business development expenses   27.6 0.0 0.0 0.0 0.0 27.6
Stock-based consideration   3.4 0.3 0.3 0.1 1.2 5.3
Personnel non-recurring compensation   0.6 0.0 0.0 0.0 0.0 0.6
(=) Segment Adjusted EBITDA   168 76 127 99 -6 464
Adjusted EBITDA Margin   32.6% 14.2% 22.4% 14.5%   21.7%

 

Consolidated Peru Adjusted EBITDA: is calculated by adding Healthcare Services Peru segment Adjusted EBITDA plus Oncosalud Peru segment Adjusted EBITDA.

 

 

 

Consolidated Peru Adjusted EBITDA Margin: is calculated as Healthcare Services Peru segment Adjusted EBITDA plus Oncosalud Peru segment Adjusted EBITDA, divided by total revenues from Healthcare Services Peru Segment plus total revenues from Oncosalud Peru segment.

 

Adjusted Net Income: is calculated as profit (loss) for the period plus adjustments as described below.

 

(Figures in millions of Soles and millions of US Dollars, unless expressed otherwise)

 

    2Q'26 (USD) 2Q'26 2Q'25 YTD 26 YTD 25
Net Income (Loss)    10 33 84 42 122
(a) Pre-operating expenses   0.0 0.2 0.5 0.4 0.7
(b) Business development expenses   0.3 0.9 3.9 0.9 27.6
(c) Stock-based consideration   0.9 2.9 2.6 4.9 5.3
(d) Personnel non-recurring compensation   0.0 0.0 0.1 0.0 0.6
(e) Non-cash and non-recurring financial costs    1.6 5.5 0.0 10.8 0.0
(f) Allocated tax effects   (0.5) (1.8) (2.6) (2.7) (13.0)
(=) Adjusted Net Income   12 40 89 56 143

 

(a) Pre-operating expenses consist of legal and administrative expenses incurred in connection with medical facilities under construction, such as Clínica Chiclayo, costs relating to the Centro Ambulatorio Trecca PPP, and legal and administrative expenses incurred in connection with the acquisition of land banks for future facilities.

 

(b) Business development expenses consist of expenses incurred in connection with projects and payments to sellers to expand into new markets, including through greenfield projects and M&A activity.

 

(c) Stock-based consideration includes share-based payments plans for non-executive members of the Board of Directors and other Auna management including executives and employees.

 

(d) Personnel non-recurring compensation related to the implementation of an efficiency program across business units aimed at streamlining processes and capturing synergies on the local and regional levels.

 

(e) Non-cash and non-recurring financial costs include: 1) non-cash effects related to the accounting impact of changes in the fair value of the liability for mandatory purchase of shares from IMAT; and 2) withholding tax expenses associated with financing and refinancing activities.

 

(f) Allocated tax effects neutralize the tax shield that the items considered as adjustment have generated in the taxable profit.

 

Basic and Diluted Earnings per Share: Basic and Diluted Earnings per Share is calculated by dividing the profit attributable to owners of the Company by the weighted average number of basic and diluted shares outstanding during the period, which excludes treasury shares.

 

Adjusted Basic and Diluted Earnings per Share: Adjusted Basic and Diluted Earnings per Share is calculated by dividing profit attributable to owners of Adjusted Net Income of the Company by the weighted average number of basic and diluted shares outstanding during the period, which excludes treasury shares.

 

 

 

(Figures in millions of Soles and millions of US Dollars, unless expressed otherwise)

  

  2Q'26 (USD) 2Q'26 2Q'25 YTD 26 YTD 25
Net Income (Loss)  10 33 84 42 122
Income (Loss) attributable to Owner of the company 9 29 82 36 117
Weighted average number of basic and diluted shares at June 30   74.2 74.2 74.2 74.2
Basic and diluted earnings per share 0.12 0.40 1.10 0.48 1.58
Adjusted Net Income (Loss) 12 40 89 56 143
Income (Loss) attributable to owners of Adjusted Net Income 11 37 87 50 139
Weighted average number of basic and diluted shares at June 30   74.2 74.2 74.2 74.2
Adjusted Basic and Diluted Earnings per Share 0.15 0.50 1.17 0.68 1.87

 

Leverage Ratio: We calculate Leverage Ratio as (i) current and non-current loans and borrowings plus current and non-current lease liabilities minus (ii) cash and cash equivalents, divided by (iii) Adjusted Last Twelve Months EBITDA.

 

(Figures in millions of Soles, unless expressed otherwise)

   

  Jun-25 Dec-25 Jun-26
 
Current and non-current loans & borrowings 3,574 3,533 3,606
Current and non-current lease liabilities 129 124 124
Cash and cash equivalents 175 335 478
Net Debt 3,528 3,321 3,252
Adjusted LTM EBITDA 968 917 897
Leverage Ratio 3.6x 3.6x 3.6x

 

 

Net Debt: We calculate Net Debt as Gross Debt minus Cash and cash equivalents.

 

 

 

(Figures in millions of Soles, unless expressed otherwise)

 

   

    Jun-25 Dec-25 Jun-26
   
(+) Loans and borrowings   3,574 3,533 3,606
Short term debt   598 316 399
Long term debt   2,976 3,216 3,207
(+) Lease Liabilities   129 124 124
Gross Debt    3,702 3,656 3,730
(-) Cash and cash equivalents   175 335 478
Net Debt   3,528 3,321 3,252

 

 

Free Cash Flow: is calculated by adding Net Cash Flows from Operations and Net Cash Flows used in Investing activities.

 

(Figures in millions of Soles, unless expressed otherwise)

 

    Jun-25 Jun-26
   
Cash generated from operating activities   351 507
(-) Income tax    109 75
(+) Interest received   9 8
Net cash from operating activities   251 441
Net cash used in investing activities   (109) (41)
Free Cash Flow   143 400

 

FX Neutral: FX Neutral (“FXN”) measures are prepared and presented to eliminate the effect of foreign exchange, or “FX,” volatility between the comparison periods, allowing management and investors to evaluate financial performance despite variations in foreign currency exchange rates, which may not be indicative of core operating results and business outlook.

 

FX Neutral measures are presented because management believes that these non-IFRS financial measures can provide useful information to investors, securities analysts and the public in their review of operating and financial performance, although they are not calculated in accordance with IFRS or any other generally accepted accounting principles and should not be considered as a measure of performance in isolation.

 

The FX Neutral measures were calculated to present what such measures in preceding periods would have been had exchange rates remained stable from these preceding periods until the date of the Company's most recent financial information.

 

The FX Neutral measures for the three months ended June 30, 2025 were calculated by multiplying the as reported amounts of Revenue, Adjusted EBITDA and the key business metrics for such period by the average Mexican pesos / Peruvian soles exchange rate

 

 

 

for the three months ended June 30, 2025 (MXN 5.3316 to PEN 1.00) and the average Colombian pesos / Peruvian soles exchange rate for the three months ended June 30, 2025 (COP 1,146.7466 to PEN 1.00); then using such results to re-translate the corresponding amounts back to Peruvian soles by dividing them by the average Mexican pesos / Peruvian soles and Colombian pesos / Peruvian soles exchange rate for the three months ended June 30, 2026 (MXN 5.0668 to PEN 1.00 / COP 1,050.8726 to PEN 1.00), so as to present what certain of statement of profit and loss amounts and key business metrics would have been had exchange rates remained stable from this past period until the three months ended June 30, 2026.

 

Safe Harbor Statement

 

This press release contains forward-looking statements. Forward-looking statements convey our current expectations or forecasts of future events. These statements involve known and unknown risks, uncertainties and other factors which may cause our actual results, performance or achievements to differ materially from the forward-looking statements that we make. Forward-looking statements typically are identified by words or phrases such as “may,” “will,” “expect,” “anticipate,” “aim,” “estimate,” “intend,” “project,” “plan,” “believe,” “potential,” “continue,” “is/are likely to,” or other similar expressions. Forward-looking statements that appear in a number of places in this press release include, but are not limited to, statements regarding the intent, belief or current expectations, regarding various matters, including, our target Leverage Ratio, the results of the key initiatives we are implementing in Mexico, Colombia and Peru, the execution of our strategic plan, including the recovery of our growth levels and the roll-out of the AunaWay in Mexico, our planned investments, our revenue, Adjusted EBITDA and capital expenditure guidance, our expectation for revenue and Adjusted EBITDA growth, policy expectations regarding the newly elected administrations in Colombia and Peru, expectations for the Elekta EVO linear accelerator to become operational, mobilization of Auna Lima Sur and the creation of further growth and sustainable value for all stakeholders. Any or all of our forward-looking statements in this press release may turn out to be inaccurate. Our actual results could differ materially from those contained in forward-looking statements due to a number of factors.

 

The forward-looking statements in this press release represent our expectations and forecasts as of the date of this press release. Except as required by law, we undertake no obligation to update or revise publicly any forward-looking statements, whether as a result of new information, future events or otherwise, after the date of this press release. For a discussion of the risks facing the Company which could affect whether these forward-looking statements are realized, see our Form 20-F filing with the U.S. Securities and Exchange Commission (the “SEC”).

 

Financial Guidance Disclaimer

 

Auna′s guidance is based on management’s current performance outlook and expected macroeconomic and regulatory conditions in the three countries where the Company operates. Any changes in these conditions could have an impact on the guidance provided.

 

 

 

Auna’s  financial guidance reflects management’s current assumptions regarding numerous evolving factors that are difficult to accurately predict, including those discussed in the Risk Factors set forth in the Company’s Form 20-F filed with the SEC. Reconciliations of forward-looking non-IFRS measures, specifically the Leverage Ratio target and Adjusted EBITDA guidance, to the relevant forward-looking IFRS measures are not being provided, as the Company does not currently have sufficient data to accurately estimate the variables and individual adjustments for such guidance and reconciliations. Due to this uncertainty, the Company cannot reconcile projected Adjusted EBITDA to projected net income without unreasonable effort. The financial guidance constitutes forward-looking statements. For more information, see the “Safe Harbor Statement” section in this release.

 

IR Contact

 

Email: contact@aunainvestors.com

 

 

- Financial Tables Follow –

 

 

 

Balance Sheet (1/2)

 

(Figures in millions of Soles and millions of US Dollars, unless expressed otherwise)

 

  Jun-26 (USD) Jun-26 Dec-25   Δ Jun-26 vs Dec-25
Assets          
Current assets          
Cash and cash equivalents            140           478           335               142
Trade accounts receivable            333        1,137        1,043                 94
Other assets              78           266           259                    8
Inventories              44           149           165               (16)
Insurance contract assets                2               8             13                  (5)
Other investments                1               3             30               (27)
Total current assets            599        2,042        1,845               197
Non-current assets          
Trade accounts receivable                0               0               0                  (0)
Other assets                8             28             27                    1
Investments in associates and joint venture              10             34             30                    4
Property furniture and equipment            702        2,394        2,287               107
Intangible assets            837        2,855        2,704               151
Right-of-use assets              33           114           113                    0
Investment properties                2               7               6                    0
Derivative financial instruments              16             54             54                  (0)
Deferred tax assets              79           268           231                 37
Other investments                0               0               1                  (0)
Total non-current assets         1,687        5,754        5,454               300
Total assets         2,286        7,796        7,298               498

 

 

 

Balance Sheet (2/2)

 

(Figures in millions of Soles and millions of US Dollars, unless expressed otherwise)

 

  Jun-26 (USD) Jun-26 Dec-25   Δ Jun-26 vs Dec-25
           
Liabilities          
Current liabilities          
Loans and borrowings            117           399           316                 83
Lease liabilities                9             31             29                    2
Trade accounts payable            336        1,147        1,053                 94
Other accounts payable              76           259           225                 33
Provisions                3             12             10                    1
Derivative financial instruments              10             35             23                 12
Insurance contract liabilities                5             15               9                    6
Deferred income                0               0               0                    0
Total current liabilities            557        1,898        1,667               231
Non-current liabilities          
Loans and borrowings            941        3,207        3,216                  (9)
Lease liabilities              27             92             94                  (2)
Trade accounts payable                0               1               1                  (1)
Other accounts payable              67           230           222                    8
Derivative financial instruments                9             31             40                  (9)
Deferred tax liabilities              83           284           291                  (7)
Deferred income                0               0               0                  (0)
Total non-current liabilities         1,128        3,846        3,865               (19)
Total liabilities         1,684        5,744        5,532               212
           
Total equity            602        2,052        1,766               286
Total liabilities and equity         2,286        7,796        7,298               498

 

 

 

Income Statement

 

(Figures in millions of Soles and millions of US Dollars, unless expressed otherwise)

 

  2Q'26 (USD) 2Q'26 YTD 26   Δ 2Q'26 vs Δ YTD 26 vs
    2Q'25 YTD 25
Revenue            
Healthcare Services Mexico          88      300      579   10% 12%
Healthcare Services Colombia        125      426      824   23% 20%
- Healthcare Services Colombia        125      427      827   23% 21%
- Holding and eliminations          (0)        (1)         (3)   - -
Healthcare Services Peru & Oncosalud Peru        150      512   1,012   8% 8%
- Healthcare Services Peru          87      296      578   10% 8%
- Oncosalud Peru          93      317      631   11% 11%
- Holding and eliminations        (30)    (101)    (196)   25% 19%
Total Revenue 363 1,238 2,416   13% 13%
Cost of sales and services (233) (796) (1,542)   21% 17%
Gross profit 130 442 873   2% 7%
Gross margin   35.7% 36.2%   -4.0 p.p. -2.1 p.p.
Selling expenses        (18)      (62)    (124)   14% 15%
Administrative expenses        (68)    (232)    (446)   11% 14%
(Loss) reversal for impairment of trade receivables            0          0         (8)   -1.1x -66%
Other income and expenses, net            4        13        21   5% 0%
Operating profit 48      162      317   -8% 0%
Finance income            1          5           8   -16% -25%
Finance income from exchange difference           -            -             -      -100% -100%
Finance costs        (35)    (118)    (236)   -2% -3%
Finance costs from exchange difference            2          8      (19)   - -
Net finance cost        (31)    (105)    (246)   1.3x 94%
Share of profit of equity accounted investees            1 2 5   3% -3%
Profit (loss) before tax 17        59        76   -55% -61%
Income tax expense (benefit)          (8)      (26)      (33)   -45% -54%
Net Income (Loss)          10        33        42   -61% -65%
EBITDA            
Healthcare Services Mexico 22        75      147   -8% 7%
Healthcare Services Colombia 16        56      101   -4% 2%
Healthcare Services Peru & Oncosalud Peru 30      101      200   0% -1%
- Healthcare Services Peru 10        34        65   2% -13%
- Oncosalud Peru 19        66      135   0% 6%
Holding and eliminations          (2)        (8)      (10)      
Total EBITDA          65      223      438   -5% 2%
Adjusted EBITDA            
Healthcare Services Mexico 23        78      151   -11% -10%
Healthcare Services Colombia 16        56      101   -4% 2%
Healthcare Services Peru & Oncosalud Peru 30      101      200   0% -1%
- Healthcare Services Peru 10       35        65   2% -14%
- Oncosalud Peru 20       67     135   0% 6%
Holding and eliminations          (2)        (8)         (9)      
Total Adjusted EBITDA          67      227      444   -6% -4%
Adjusted EBITDA Margin            
Healthcare Services Mexico   25.9% 26.1%   -6.1 p.p. -6.5 p.p.
Healthcare Services Colombia   13.1% 12.3%   -3.7 p.p. -2.2 p.p.
Healthcare Services Peru & Oncosalud Peru   19.8% 19.8%   -1.5 p.p. -1.9 p.p.
- Healthcare Services Peru   11.7% 11.3%   -0.9 p.p. -2.9 p.p.
- Oncosalud Peru   21.0% 21.4%   -2.4 p.p. -1.0 p.p.
Adjusted EBITDA Margin   18.4% 18.4%   -3.7 p.p. -3.3 p.p.

 

 

 

Statement of Cash Flows (1/2)

 

(Figures in millions of Soles and millions of US Dollars, unless expressed otherwise)

 

   

  YTD 26 (USD) YTD 26 YTD 25   Δ YTD 26 vs YTD 25
Cash flows from operating activities          
(Loss) profit for the period             12          42        122              (80)
Adjustments for:          
Depreciation             18          60          57                 3
Depreciation of right-of-use assets               4          14          14                 0
Amortization             12          42          38                 4
(Reversal) Impairment of inventories               0            0           0                 0
Equity-settled share-based payment transactions               1            5           5                (1)
Gain (loss) on disposal of property furniture and equipment               0            0           0                (0)
(Reversal) loss for impairment of trade receivables               2            8          23              (15)
Share of profit of equity-accounted investees              (1)          (5)          (5)                 0
Technical provisions and other provisions               1            2           1                 1
Finance income              (2)          (8)       (117)              108
Finance costs             75        255        244               11
Tax expense             10          33          72              (38)
Net changes in assets and liabilities          
Trade accounts receivable and other assets              (8)         (29)        (83)               55
Inventories               7          25           7               19
Trade accounts payable and other accounts payable             15          52        (24)               77
Provisions and employee benefits              (0)          (1)          (3)                 2
Insurance contract liabilities               3          11           1               10
Cash generated from operating activities            149        507        351              156
Income tax paid            (22)         (75)       (109)               34
Interest received               2            8           9                (1)
Net cash from operating activities            129        441        251              190

 

 

 

 

Statement of Cash Flows (2/2)

 

(Figures in millions of Soles and millions of US Dollars, unless expressed otherwise)

 

  YTD 26 (USD) YTD 26 YTD 25   Δ YTD 26 vs YTD 25
Cash flows from investing activities          
Payment for accounts payables to former shareholder              (2)          (6)        (21)               15
Purchase of properties furniture and equipment            (11)         (37)        (48)               11
Purchase of intangibles              (8)         (27)        (34)                 7
Dividends from equity-accounted investees               0            2           2                (1)
Purchase of other investments, net of sales               8          29          (8)               37
Proceeds from sale of property furniture and equipment               0            0           0                (0)
Net cash used in investing activities            (12)        (41)      (109)               68
Cash flows from financing activities          
Proceeds from settlement of derivatives - interest rate swaps              (3)         (11)          (3)                (8)
Proceeds from loans and borrowings             59        201        822            (621)
Payment for loans and borrowings            (73)       (250)       (785)              535
Payment for lease liabilities              (6)         (21)        (22)                 1
Penalty paid for debt prepayment              (0)          (0)          (0)                (0)
Payment for derivatives premiums              (4)         (15)        (15)                (0)
Interest paid            (51)       (175)       (205)               30
Net cash used in financing activities            (80)       (271)      (209)              (63)
Net (decrease) increase in cash and cash equivalents             38        129        (66)              195
Cash and cash equivalents at January 1             98        335        236              100
 Effect of movements in exchange rates on cash held                4          13           5                 8
 Cash and cash equivalents at the end of the period             140        478        175              303

 

 

 

Historical Financial Metrics

 

(Figures in millions of Soles and millions of US Dollars, unless expressed otherwise)

 

                 
  3Q'24 4Q'24 1Q'25 2Q'25 3Q'25 4Q'25 1Q'26 2Q'26
Revenue                
Oncosalud Peru 273 276 281 286 294 304 314 317
Healthcare Services Peru 255 245 263 269 279 273 281 296
Healthcare Services Colombia 363 353 339 346 369 387 400 427
Healthcare Services Mexico 316 268 243 274 264 258 279 300
Holding and eliminations (80) (79) (84) (81) (88) (89) (96) (103)
Total revenue from contracts with customers 1,127 1,063 1,042 1,094 1,117 1,133 1,178 1,238
Cost of sales and services (677) (629) (660) (660) (698) (704) (747) (796)
Gross profit 449 434 382 434 419 429 431 442
Selling expenses (55) (42) (54) (54) (59) (54) (62) (62)
Administrative expenses (195) (201) (182) (208) (200) (222) (214) (232)
Impairment losses on trade receivables (25) (13) (16) (8) (5) (19) (9) 0
Other expenses 0 (2) 0 0 0 0 0 0
Other income 54 14 9 12 11 11 9 13
Operating profit 229 190 139 176 166 144 155 162
Finance income 6 7 6 5 4 6 4 5
Finance income from exchange difference 28 (31) 37 68 40 48 0 0
Finance costs (138) (138) (123) (120) (116) (292) (118) (118)
Finance costs from exchange difference 0 8 0 0 0 0 (26) 8
Net finance cost (103) (155) (80) (46) (72) (238) (141) (105)
Share of profit of equity-accounted investees 2 2 3 2 3 2 3 2
Profit (loss) before tax 127 37 62 132 97 (91) 16 59
Income tax (expense) benefit (27) (13) (24) (48) (44) 27 (7) (26)
Net Income  101 24 38 84 53 (64) 9 33
EBITDA 286 244 195 234 226 203 215 223
EBITDA Adjustments                
Net Income 101 24 38 84 53 (64) 9 33
Income tax expense  27 13 24 48 44 (27) 7 26
Net finance cost  103 155 80 46 72 238 141 105
Depreciation and amortization  55 52 53 55 57 56 57 59
(a) Pre-operating expenses 0 0 0 0 (0) 0 0 0
(b) Business development expenses (44) 3 24 4 4 10 0 1
(c) Change in fair value of earn-out liabilities 0 0 0 0 0 0 0 0
(d) Stock-based consideration 6 3 3 3 3 3 2 3
(e) Personnel non-recurring compensation 2 5 0 0 0 5 0 0
(f) Change in fair value of investment properties 0 0 0 0 0 0 0 0
Adjusted EBITDA 250 254 222 241 232 220 217 227

 

 


 

 

Key Operating Metrics

 

         
  2Q'26 YTD 26 Δ 2Q'26 vs 2Q'25 Δ YTD 26 vs YTD 25
Oncosalud Peru        
Plan memberships (1) (2)     1,472,019       1,472,019 6% 6%
Average monthly revenue per plan member (3)  S/      63.35  S/        62.79 4% 4%
Preventive check-ups (4) 26,105 56,799 -16% -12%
Patients treated (5) 50,991 97,498 27% 25%
Medical loss ratio (6) 55.9% 55.9% 1.0 p.p 1.0 p.p
         
Healthcare Services         
Total bed capacity (1)(7)           2,228             2,228 0% 0%
Protected Lives (8)     3,143,694       3,143,694 26% 26%
Surgeries (9)         21,912           43,522 5% 5%
Emergency treatments (10)         97,857         189,283 7% 9%
Chemotherapies & Radiotherapies (11)         57,579         111,731 15% 9%
Total number of days hospitalized (12)        135,107         267,373 5% 4%
Operating capacity utilization (13) 76.6% 76.2% 5.8 p.p 5.2 p.p
Total capacity utilization (14) 66.6% 66.3% 2.8 p.p 2.3 p.p

  

 

1)As of period end.

2)As reported to the National Superintendence of Health Susalud. Includes Oncology plans and Health plans. Includes active plan members and inactive members. Inactive members are defined as those plan members that have not paid monthly fees due for up to three months. As of June, 30, 2026, we had 1,362,625 active members and 109,394 inactive members.

3)Total revenue for the period corresponding to insurance revenue in the Oncosalud Peru segment divided by the average number of plan members during the period, divided by the number of months in the period.

4)Preventive check-ups consider Oncosalud and Healthcare plan check-ups, including for Auna Corporate plans, receiving check-ups at the Centro de Bienestar Ambulatorio – CBA (Wellness Center) in Lima and at other facilities in Peru.

5)Number of individual plan members in Oncosalud and Healthcare plans, including Auna Corporate plans, receiving treatment during the period in Peru. Each plan member is counted once for a trimester, however, might have received multiple instances of treatment throughout the year.

6)MLR is calculated as (i) claims for medical treatment generated by our prepaid oncology and general healthcare plans plus (ii) technical reserves relating to plan members treated pursuant to such plans, whether at our facilities or third-party facilities, divided by revenue generated by our prepaid oncology and general healthcare plans.

7)Includes all beds within the Healthcare Network and excludes 109 Oncology beds.

8)Insured population assigned to Auna under risk-sharing agreements in Colombia.

9)Number of surgeries includes surgeries, outpatient surgeries and cesarean sections.

10)Emergency care includes the number of visits in the emergency room and may include several visits per patient.

 

 

 

11)Intravenous chemotherapy and radiotherapy infusions in both inpatient and outpatient care; excludes oral treatments. In Peru, includes sessions across the Healthcare Services Network and Oncosalud Segments.

12)Total number of days during which any of Auna's beds were occupied by a hospitalized patient during the period, including ICU.

13)Operating capacity utilization (Occupancy) is calculated as (i) (x) total number of days in which any of our beds had a hospitalized patient during the period divided by (y) total number of operating beds, times (ii) total number of days during the period.

14)Total capacity utilization (Occupancy) is calculated as (i) (x) total number of days in which any of our beds had a hospitalized patient during the period divided by (y) total number of beds, times (ii) total number of days during the period.

 

 

 

 

 

Exhibit 99.2

 

 

   
 

Auna S.A. and
Subsidiaries

Condensed Consolidated Interim
Financial Statements

 

June 30, 2026

 

 

 

Auna S.A. and Subsidiaries

 

Condensed Consolidated
Interim Financial Statements

 

June 30, 2026

 

 

Contents Page
Condensed Consolidated Interim Statement of Financial Position 1
Condensed Consolidated Interim Statement of Profit or Loss and Other Comprehensive Income 2
Condensed Consolidated Interim Statement of Changes in Equity 3
Condensed Consolidated Interim Statement of Cash Flows 4
Operating Segments 5 - 10

 

 

 

Auna S.A. and Subsidiaries
Condensed Consolidated Interim Statement of Financial Position
As of June 30, 2026 and December 31, 2025

 

 

In thousands of soles June 30,
2026
December 31,
2025
  In thousands of soles June 30,
2026
December 31,
2025
Assets       Liabilities    
Current assets       Current liabilities    
Cash and cash equivalents 477,866 335,441   Loans and borrowings 398,958 316,339
Trade accounts receivable 1,137,072 1042,792   Lease liabilities 31,371 29,282
Other assets 266,068 258,511   Trade accounts payable 1,147,115 1,053,395
Inventories 149,293 164,798   Other accounts payable 258,605 225,465
Other investments 3,458 30,237   Provisions 11,618 10,161
Insurance contract assets 7,964 12,778   Derivative financial instruments 34,568 22,903
Total current assets 2,041,721 1,844,557   Insurance contract liabilities 15,462 9,447
        Deferred income 109 98
Non-current assets       Total current liabilities 1,897,806 1,667,090
Trade accounts receivable 456 486        
Other assets 27,888 26,910   Non-current liabilities    
Investments in associates and joint venture 33,838 29,848   Loans and borrowings 3,207,240 3,216,171
Property, furniture, and equipment 2,394,084 2,287,002   Lease liabilities 92,432 94,237
Intangible assets 2,855,144 2,704,351   Trade accounts payable 825 1,450
Right-of-use assets 113,513 113,116   Other accounts payable 230,080 221,940
Investment properties 6,764 6,340   Derivative financial instruments 30,916 39,647
Derivative financial instruments 53,833 54,036   Deferred tax liabilities 284,299 291,086
Deferred tax assets 267,954 230,716   Deferred income 56 87
Other investments 497 702   Total non-current liabilities 3,845,848 3,864,618
Total non-current assets 5,753,971 5,453,507   Total liabilities 5,743,654 5,531,708
             
        Equity    
        Share capital 17,390 17,389
        Share premium 1,210,778 1,209,715
        Reserves 790,139 566,271
        Retained losses (158,889) (192,615)
        Equity attributable to the owner of the Company 1,859,418 1,600,760
        Non-controlling interest 192,620 165,596
        Total equity 2,052,038 1,766,356
Total assets 7,795,692 7,298,064   Total liabilities and equity 7,795,692 7,298,064

 

1

 

Auna S.A. and Subsidiaries
Condensed Consolidated Interim Statement of Profit or Loss and Other Comprehensive Income

For the three and six months ended June 30, 2026 and 2025

 

 

In thousands of soles

Three-month period

ended June 30

Six-month period 

ended June 30

2026 2025 2026 2025
Revenue        
Insurance revenue 305,305 284,075 602,139 552,202
Healthcare services revenue 846,555 724,583 1,645,205 1,419,059
Sale of medicines 86,314 85,280 168,406 164,546
Total revenue from contracts with customers 1,238,174 1,093,938 2,415,750 2,135,807
Cost of sales and services (795,908) (659,540) (1,542,425) (1,319,788)
Gross profit 442,266 434,398 873,325 816,019
Selling expenses (61,701) (54,221) (123,970) (107,827)
Administrative expenses (231,600) (208,180) (445,714) (390,632)
(Loss) reversal for impairment of trade receivables 467 (7,693) (8,048) (23,344)
Other income 12,623 12,056 21,321 21,318
Operating profit 162,055 176,360 316,914 315,534
Finance income 4,540 5,374 8,260 11,087
Finance income from exchange difference - 68,419 - 105,516
Finance costs (117,878) (120,273) (236,109) (243,502)
Finance costs from exchange difference 7,911 - (18,514) -
Net finance cost (105,427) (46,480) (246,363) (126,899)
Share of profit of equity-accounted investees 2,474 2,402 5,013 5,174
Profit before tax 59,102 132,282 75,564 193,809
 Income tax expense (26,409) (48,260) (33,384) (71,824)
Profit for the period 32,693 84,022 42,180 121,985
Other comprehensive income        
Items that are or may be reclassified subsequently to profit or loss        
Cash flow hedges 11,954 (14,115) 3,223 (31,494)
Foreign operations – foreign currency translation differences 88,422 48,714 236,502 67,243
Other investments at FVOCI – net change in fair value 54 (158) (185) 626
Income tax (2,401) 3,775 (932) 9,262
Other comprehensive income for the period, net of tax 98,029 38,216 238,608 45,637
Total comprehensive income for the period 130,722 122,238 280,788 167,622
Income attributable to:        
Owner of the Company 29,434 81,981 35,982 117,407
Non-controlling interest 3,259 2,041 6,198 4,578
  32,693 84,022 42,180 121,985
Total comprehensive income attributable to:        
Owner of the Company 117,908 121,697 253,764 160,524
Non-controlling interest 12,814 541 27,024 7,098
  130,722 122,238 280,788 167,622
Earnings per share        
Basic earnings per share 0.40 1.11 0.49 1.59
Diluted earnings per share 0.40 1.10 0.48 1.58

 

2

 

Auna S.A. and Subsidiaries
Condensed Consolidated Interim Statement of Changes in Equity
For the six months ended June 30, 2026 and 2025

 

    Equity attributable to the owner of the Company      
In thousands of soles

Share

capital

Share

premium

Other
capital
reserve
Translation reserve

Cost of
hedging

reserve

Hedging

reserve

Merger

and other reserves

Share-
based
payment reserve

Retained earnings

(losses)

Total Non-
controlling
interest

Total

equity

Balances as of December 31, 2024 17,387 1,208,586 93,012 (232,770) 15,392 (36,494) 676,491 9,145 (273,533) 1,477,216 145,724 1,622,940
Balances as of January 1, 2025 17,387 1,208,586 93,012 (232,770) 15,392 (36,494) 676,491 9,145 (273,533) 1,477,216 145,724 1,622,940
Profit for the period - - - - - - - - 117,407 117,407 4,578 121,985
Other comprehensive income for the period - - - 64,723 (32,691) 10,459 626 - - 43,117 2,520 45,637
Total comprehensive income for the period - - - 64,723 (32,691) 10,459 626 - 117,407 160,524 7,098 167,622
Issuance of shares 2 1,129 - - - - - (1,131) - - - -
Equity-settled share-based payment - - - - - - - 5,452 - 5,452 - 5,452
Total transactions with the owner of the Company 2 1,129 - - - - - 4,321 - 5,452 - 5,452
Balances as of June 30, 2025 17,389 1,209,715 93,012 (168,047) (17,299) (26,035) 677,117 13,466 (156,126) 1,643,192 152,822 1,796,014
Balances as of December 31, 2025 17,389 1,209,715 109,708 (148,652) (21,146) - 607,155 19,206 (192,615) 1,600,760 165,596 1,766,356
Profit for the period - - - - - - - - 35,982 35,982 6,198 42,180
Other comprehensive income for the period - - - 215,676 6,729 (4,438) (185) -   217,782 20,826 238,608
Total comprehensive income for the period - - - 215,676 6,729 (4,438) (185) - 35,982 253,764 27,024 280,788
Issuance of shares 1 1,063 - - - - - (1,064) -   - -
Equity-settled share-based payment - - - - - - - 4,894 - 4,894 - 4,894
Transfer to legal reserve - - 2,256 - - - -   (2,256) - - -
Total transactions with the owner of the Company 1 1,063 2,256 - - - - 3,830 (2,256) 4,894 - 4,894
Balances as of June 30, 2026 17,390 1,210,778 111,964 67,024 (14,417) (4,438) 606,970 23,036 (158,889) 1,859,418 192,620 2,052,038

 

3

 

Auna S.A. and Subsidiaries
Condensed Consolidated Interim Statement of Cash Flows
For the six months ended June 30, 2026 and 2025

 

  Six-month period ended
June 30
In thousands of soles 2026 2025
Cash flows from operating activities    
Profit for the period 42,180 121,985
Adjustments for:    
Depreciation 59,808 57,014
Depreciation of right-of-use assets 14,152 13,855
Amortization 42,241 37,818
Impairment of inventories 446 120
Equity-settled share-based payment transactions 4,894 5,452
Gain on disposal of property, furniture, and equipment 246 301
Impairment of trade receivables 8,048 23,344
Share of profit of equity-accounted investees (5,013) (5,174)
Provisions 2,286 1,050
Finance income (8,260) (116,603)
Finance costs 254,623 243,502
Tax expense 33,384 71,824
Net changes in assets and liabilities:    
Trade accounts receivable and other assets (28,608) (83,491)
Inventories 25,210 6,655
Trade accounts payable and other accounts payable 52,130 (24,493)
Provisions and other reserves (1,430) (3,401)
Insurance contract liabilities, net 10,945 1,184
Cash generated from operating activities 507,282 350,942
Income tax paid (74,528) (108,656)
Interest received 8,279 8,937
Net cash from operating activities 441,033 251,223
Cash flows from investing activities    
Payment for accounts payable to former shareholder (5,985) (20,539)
Purchase of properties, furniture, and equipment (37,415) (47,957)
Proceeds from sale of property, furniture, and equipment 2 72
Purchase of intangibles (27,287) (34,337)
Dividends from equity-accounted investees 1,626 2,147
Purchase of other investments, net of sales 28,504 (8,095)
Net cash used in investing activities (40,555) (108,709)
Cash flows from financing activities    
Proceeds from loans and borrowings 200,643 821,530
Payment for loans and borrowings (249,804) (784,875)
Payment for lease liabilities (21,261) (22,411)
Penalty paid for debt prepayment (163) (81)
Payment for derivatives premiums (14,913) (14,898)
Interest paid (174,527) (204,576)
Proceeds from settlement of derivatives - interest rate swaps (11,339) (3,482)
Net cash used in financing activities (271,364) (208,793)
Net increase (decrease) in cash and cash equivalents 129,114 (66,279)
Cash and cash equivalents at January 1 335,441 235,745
Effect of movements in exchange rates on cash held 13,311 5,195
Cash and cash equivalents at June 30 477,866 174,661
Transactions not representing cash flows    
Assets acquired through finance lease and other financing 10,496 774
Assets acquired from suppliers in installments 669 (11,230)

 

4

 

Auna S.A. and Subsidiaries
Notes to the Condensed Consolidated Interim Financial Statements
June 30, 2026

 

Operating Segments

 

A.Basis for segmentation

 

The Group has determined four reportable segments. These operating segments are components of a company about which separate financial information is available that is regularly evaluated by the Board of Directors (Chief operating decision maker) in deciding how to allocate resources and assess performance.

 

The following summary describes the operations of each reportable segment.

 

Reportable segments Operations
Oncosalud Peru Including our prepaid oncologic healthcare plans and healthcare services related to the treatment of cancer.
Healthcare services in Peru Corresponds to medical services within the network of clinics and health centers in Peru.
Healthcare services in Colombia Corresponds to medical services within the network of clinics and health centers in Colombia.
Healthcare services in Mexico Corresponds to medical services within the network of clinics and health centers, and the insurance business in Mexico.

 

B.Information about reportable segments

 

Information related to each reportable segment is set out below. Segment profit (loss) before tax is used to measure performance because the chief operating decision maker believes that this information is the most relevant for the Group.

 

5

 

Auna S.A. and Subsidiaries
Notes to the Condensed Consolidated Interim Financial Statements
June 30, 2026

 

For the three months period ended June 30, 2026:

 

In thousands of soles Reportable segments    

Oncosalud

Peru

Healthcare services in Peru Healthcare services in Colombia Healthcare services in Mexico Total reportable segments Holding and eliminations Total
2026              
External revenues      304,375      207,987      425,738      300,074   1,238,174                -     1,238,174
Inter-segment revenue (i)        13,120        88,049          1,366                -        102,535     (102,535)                -  
Segment revenue      317,495      296,036      427,104      300,074   1,340,709     (102,535)   1,238,174
External cost of service       (91,952)     (201,404)     (324,922)     (177,630)     (795,908)                -       (795,908)
Inter-segment cost of service (i)       (84,065)       (12,127)                -                  -         (96,192)        96,192                -  
Segment cost of service     (176,017)     (213,531)     (324,922)     (177,630)     (892,100)        96,192     (795,908)
Gross profit      141,478        82,505      102,182      122,444      448,609         (6,343)      442,266
External selling expenses       (49,905)         (6,874)         (1,355)         (3,662)       (61,796)               95       (61,701)
Segment selling expenses       (49,905)         (6,874)         (1,355)         (3,662)       (61,796)               95       (61,701)
External administrative expenses (19,813) (33,806) (62,936)       (72,712) (189,267)                -   (189,267)
Inter-segment administrative expenses         (1,081)         (726)                -                  -           (1,807)          1,807                -  
Corporate expenses (19,208) (16,231) (4,561)         (3,184) (43,184) 851 (42,333)
Segment administrative expenses (40,102) (50,763)       (67,497)       (75,896) (234,258) 2,658     (231,600)
Impairment losses on trade receivables            (489)         (3,315)          4,662            (390)             468                (1)             467
Other income             654          1,954          4,417          9,112        16,137         (3,514)        12,623
Inter-segment other income          3,420             245                -                  -            3,665         (3,665)                -  
Other income          4,074          2,199          4,417          9,112        19,802         (7,179)        12,623
Segment operating profit (loss) 55,056 23,752        42,409        51,608 172,825 (10,770)      162,055
Share of profit of equity accounted investees, net of taxes             867                -            1,607                -            2,474                -            2,474
Exchange difference, net             381             582        28,273         (1,143)        28,093       (20,182)          7,911
Interest expense, net         (3,762)         (4,631)       (25,970)       (43,441)       (77,804)       (35,534)     (113,338)
Segment profit (loss) before tax 52,542 19,703        46,319          7,024 125,588 (66,486)        59,102
Other disclosures              
Depreciation and amortization (10,488) (10,718) (11,635) (23,353) (56,194) (2,515) (58,709)
Capital expenditure (4,896) (9,649) (7,833) (13,065) (35,443) (5,227) (40,670)
Segment assets        42,489          7,583      155,826          7,737      213,635     (105,734)      107,901
Segment liabilities          5,694         (2,897)        63,100 3,854 69,751 (95,535)       (25,784)

 

6

 

Auna S.A. and Subsidiaries
Notes to the Condensed Consolidated Interim Financial Statements
June 30, 2026

 

For the three months period ended June 30, 2025:

 

In thousands of soles Reportable segments    

Oncosalud

Peru

Healthcare services in Peru Healthcare services in Colombia Healthcare services in Mexico Total reportable segments Holding and eliminations Total
2025              
External revenues 274,166 199,896 346,223 273,653 1,093,938 - 1,093,938
Inter-segment revenue (i) 11,884 69,099 - - 80,983 (80,983) -
Segment revenue 286,050 268,995 346,223 273,653 1,174,921 (80,983) 1,093,938
External cost of service (74,535) (183,134) (247,731) (154,140) (659,540) - (659,540)
Inter-segment cost of service (i) (72,328) (7,562) - - (79,890) 79,890 -
Segment cost of service (146,863) (190,696) (247,731) (154,140) (739,430) 79,890 (659,540)
Gross profit 139,187 78,299 98,492 119,513 435,491 (1,093) 434,398
External selling expenses (46,431) (4,839) (1,408) (2,543) (55,221) 1,000 (54,221)
Segment selling expenses (46,431) (4,839) (1,408) (2,543) (55,221) 1,000 (54,221)
External administrative expenses (18,742) (29,472) (50,277) (60,424) (158,915) - (158,915)
Inter-segment administrative expenses (2,330) (1,849) - - (4,179) 4,179 -
Corporate expenses (17,824) (17,446) (2,878) (1,715) (39,863) (9,402) (49,265)
Segment administrative expenses (38,896) (48,767) (53,155) (62,139) (202,957) (5,223) (208,180)
Impairment losses on trade receivables (701) (4,653) (2,049) (408) (7,811) 118 (7,693)
Other income (2,242) 1,211 4,435 5,615 9,019 3,037 12,056
Inter-segment other income 6,262 470 - - 6,732 (6,732) -
Other income 4,020 1,681 4,435 5,615 15,751 (3,695) 12,056
Segment operating profit (loss) 57,179 21,721 46,315 60,038 185,253 (8,893) 176,360
Share of profit of equity accounted investees, net of taxes 819 - 1,583 - 2,402 - 2,402
Exchange difference, net 597 1,410 15,299 14128 31,434 36,985 68,419
Interest expense, net (4,438) (11,047) (23,449) (39,988) (78,922) (35,977) (114,899)
Segment profit (loss) before tax 54,157 12,084 39,748 34,178 140,167 (7,885) 132,282
Other disclosures              
Depreciation and amortization (8,689) (12,050) (10,014) (21,849) (52,602) (2,701) (55,303)
Capital expenditure (4,799) (7,505) (5,204) (11,766) (29,274) (2,321) (31,595)
Segment assets 26,989 6,960 (6,462) 141,502 168,989 (72,273) 96,716
Segment liabilities (9,097) 18,253 (121,411) 65,370 (46,885) 18,636 (28,249)

 

7

 

Auna S.A. and Subsidiaries
Notes to the Condensed Consolidated Interim Financial Statements
June 30, 2026

 

For the six months period ended June 30, 2026:

 

In thousands of soles Reportable segments    

Oncosalud

Peru

Healthcare services in Peru Healthcare services in Colombia Healthcare services in Mexico Total reportable segments Holding and eliminations Total
2026              
External revenues        603,799        408,538        824,321        579,092     2,415,750     2,415,750
Inter-segment revenue (i)          27,223        168,968            2,788                  -          198,979       (198,979)                  -  
Segment revenue        631,022        577,506        827,109        579,092     2,614,729       (198,979)     2,415,750
External cost of service       (179,528)       (395,233)       (628,096)       (339,568)    (1,542,425)    (1,542,425)
Inter-segment cost of service (i)       (165,632)         (25,231)                  -         (190,863)        190,863                  -  
Segment cost of service       (345,160)       (420,464)       (628,096)       (339,568)    (1,733,288)        190,863    (1,542,425)
Gross profit        285,862        157,042        199,013        239,524        881,441           (8,116)        873,325
External selling expenses       (103,724)         (12,622)           (2,533)           (5,989)       (124,868)               898       (123,970)
Segment selling expenses       (103,724)         (12,622)           (2,533)           (5,989)       (124,868)               898       (123,970)
External administrative expenses (38,610) (66,136) (117,875) (140,012) (362,633) (362,633)
Inter-segment administrative expenses           (1,982)           (2,790)                  -             (4,772)            4,772                  -  
Corporate expenses (36,610) (31,063) (8,056)           (6,355) (82,084) (997) (83,081)
Segment administrative expenses (77,202) (99,989) (125,931)       (146,367) (449,489) 3,775       (445,714)
Impairment losses on trade receivables              (672)           (4,299)           (1,168)           (1,909)           (8,048)                  -             (8,048)
Other income            1,090            3,323            5,914          15,499          25,826           (4,505)          21,321
Inter-segment other income            6,754               464                  -                    -              7,218           (7,218)                  -  
Other income            7,844            3,787            5,914          15,499          33,044         (11,723)          21,321
Segment operating profit (loss) 112,108 43,919 75,295 100,758 332,080 (15,166)        316,914
Share of profit of equity accounted investees, net of taxes            1,596                  -              3,417                  -              5,013                  -              5,013
Exchange difference, net           (3,616)              (708)          38,285           (1,110)          32,851         (51,365)         (18,514)
Interest expense, net           (9,067)         (10,196)         (51,874)         (88,511)       (159,648)         (68,201)       (227,849)
Segment profit (loss) before tax 101,021 33,015          65,123          11,137 210,296 (134,732)          75,564
Other disclosures              
Depreciation and amortization         (21,011)         (21,431)         (22,554)         (46,137)       (111,133)           (5,068)       (116,201)
Capital expenditure         (13,479)         (15,789)         (11,866)         (24,807)         (65,941)           (8,588)         (74,529)
Segment assets     2,449,683     1,037,933     2,810,575     3,284,929     9,583,120    (1,787,428)     7,795,692
Segment liabilities     1,086,386        605,728     1,528,683          2,033,905     5,254,702     488,952     5,743,654

 

8

 

Auna S.A. and Subsidiaries
Notes to the Condensed Consolidated Interim Financial Statements
June 30, 2026

 

For the six months period ended June 30, 2025:

 

In thousands of soles Reportable segments    

Oncosalud

Peru

Healthcare services in Peru Healthcare services in Colombia Healthcare services in Mexico Total reportable segments Holding and eliminations Total
2025              
External revenues 546,989 387,273 685,016 516,529 2,135,807 - 2,135,807
Inter-segment revenue (i) 19,837 145,142 - - 164,979 (164,979) -
Segment revenue 566,826 532,415 685,016 516,529 2,300,786 (164,979) 2,135,807
External cost of service (152,822) (355,430) (498,866) (312,670) (1,319,788) - (1,319,788)
Inter-segment cost of service (i) (147,228) (15,185) - - (162,413) 162,413 -
Segment cost of service (300,050) (370,615) (498,866) (312,670) (1,482,201) 162,413 (1,319,788)
Gross profit 266,776 161,800 186,150 203,859 818,585 (2,566) 816,019
External selling expenses (91,422) (9,987) (2,667) (4,733) (108,809) 982 (107,827)
Segment selling expenses (91,422) (9,987) (2,667) (4,733) (108,809) 982 (107,827)
External administrative expenses (38,247) (57,778) (95,746) (112,077) (303,848) - (303,848)
Inter-segment administrative expenses (2,433) (3,498) - - (5,931) 5,931 -
Corporate expenses (33,499) (32,811) (5,754) (3,450) (75,514) (11,270) (86,784)
Segment administrative expenses (74,179) (94,087) (101,500) (115,527) (385,293) (5,339) (390,632)
Impairment losses on trade receivables (1,108) (9,649) (11,653) (919) (23,329) (15) (23,344)
Other income 1,091 3,101 5,636 11,380 21,208 110 21,318
Inter-segment other income 6,262 470 - - 6,732 (6,732) -
Other income 7,353 3,571 5,636 11,380 27,940 (6,622) 21,318
Segment operating profit (loss) 107,420 51,648 75,966 94,060 329,094 (13,560) 315,534
Share of profit of equity accounted investees, net of taxes 1,928 - 3,246 - 5,174 - 5,174
Exchange difference, net (311) 3,066 40,917 13,285 56,957 48,559 105,516
Interest expense, net (10,468) (20,995) (47,891) (86,467) (165,821) (66,594) (232,415)
Segment profit (loss) before tax 98,569 33,719 72,238 20,878 225,404 (31,595) 193,809
Other disclosures              
Depreciation and amortization (17,348) (23,572) (19,822) (42,626) (103,368) (5,319) (108,687)
Capital expenditure (8,885) (24,085) (7,830) (26,774) (67,574) (4,264) (71,838)
Segment assets 2,304,874 1,048,309 2,334,779 3,122,367 8,810,329 (1,643,202) 7,167,127
Segment liabilities 1,086,999 656,296 1,231,932 1,890,495 4,865,722 505,391 5,371,113

 

9

 

Auna S.A. and Subsidiaries
Notes to the Condensed Consolidated Interim Financial Statements
June 30, 2026

 

(i)Inter-segment cost of service (claims expense) from the Oncosalud Peru segment and intersegment revenue from our Healthcare Services in Peru segment are presented on a gross basis by adding the corresponding profit margin markup by our Healthcare Services in Peru segment and vice versa. Likewise, our Oncosalud Peru segment consolidates Oncocenter Peru S.A.C., a subsidiary providing healthcare services related to the exclusive treatment of cancer. In the separate financial statements of Oncocenter Peru S.A.C., the revenue mainly consists of the insurance claims expense recorded as cost of sales in the separate financial statements of Oncosalud S.A.C., our insurance subsidiary that is also consolidated in Oncosalud Peru segment. In the segment consolidation process the related revenues from such healthcare services are eliminated with the corresponding claims expense of our insurance subsidiary Oncosalud S.A.C., while the external cost (third parties) of services incurred by Oncocenter Peru S.A.C. remains.

 

10

Filing Exhibits & Attachments

2 documents