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FX losses pressure Auna (NYSE: AUNA) 1Q26 profit despite double-digit revenue growth

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(Neutral)
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(Neutral)
Form Type
6-K

Rhea-AI Filing Summary

Auna S.A. reported first-quarter 2026 results with solid revenue growth but weaker profitability. Total revenue rose 13% year over year to S/1,178 million, driven by local-currency growth of 8% in Mexico, 9% in Peru, and 14% in Colombia.

Adjusted EBITDA slipped 2% to S/217 million, and margin narrowed to 18.4%, as Peru absorbed unusually high revenue adjustments and delayed pharmacy rebates while Mexico invested in talent and shifted its service mix. Net income fell to S/9 million from S/38 million, mainly due to a non-cash foreign-exchange loss of S/26 million that reversed a prior-year FX gain.

Cash generation strengthened: operating cash flow rose to S/175 million from S/106 million and organic free cash flow grew 2.6x, helping keep the leverage ratio broadly stable at 3.7x net debt to adjusted LTM EBITDA. Management highlighted rapid oncology and volume growth in Mexico, continued margin discipline at Oncosalud Peru, and expanding risk-sharing contracts in Colombia, and reaffirmed full-year revenue and Adjusted EBITDA guidance.

Positive

  • None.

Negative

  • None.
Revenue S/1,178 million Three months ended March 31, 2026; up 13% year over year
Adjusted EBITDA S/217 million 1Q26 consolidated; down 2% year over year, margin 18.4%
Net income S/9 million 1Q26 consolidated; down from S/38 million in 1Q25
Operating cash flow S/175 million Three months ended March 31, 2026; up from S/106 million in 1Q25
Net debt S/3,407 million As of March 31, 2026; leverage ratio 3.7x Adjusted LTM EBITDA
Mexico segment revenue S/279 million 1Q26; up 8% in local currency year over year
Oncosalud Peru revenue S/314 million 1Q26; 12% year-over-year increase
Colombia PGP revenue share 21% Share of Healthcare Services Colombia revenues in 1Q26 from PGP contracts
Adjusted EBITDA financial
"Adjusted EBITDA in 1Q26 decreased 5% FXN, or 2% YoY on a reported basis, to S/217 million"
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.
PGP risk-sharing contracts financial
"PGP risk-sharing contracts now represent 21% of total revenues"
Medical loss ratio financial
"Oncosalud's MLR of 49.6% in the quarter is consistent with our pricing"
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.
Leverage Ratio financial
"The Leverage Ratio of 3.7x at quarter end remained stable but was impacted by non-cash FX effects"
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.
Non-IFRS financial measures regulatory
"This release includes financial measures defined as “non-IFRS financial measures” by the SEC"
Non-IFRS financial measures are company-reported numbers that modify or exclude items from standard accounting results so management can highlight what it sees as underlying business performance—common examples are adjusted EBITDA or adjusted earnings per share. They matter to investors because they can make trends clearer by removing unusual or noncash items, like cleaning lens smudges off a camera, but they require scrutiny since companies decide what to exclude and comparisons across firms may not be uniform.
Revenue S/1,178 million +13% YoY
Adjusted EBITDA S/217 million -2% YoY
Net income S/9 million down from S/38 million in 1Q25
Operating cash flow S/175 million +65% YoY vs S/106 million
Guidance

Management reaffirmed full-year revenue and Adjusted EBITDA guidance.

 

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 May 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 May 19, 2026 — Auna announces 1Q26 Financial Results
99.2 Condensed Consolidated Interim Financial Statements as of and for the three months ended March 31, 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: May 19, 2026

 

 

 

Exhibit 99.1

 

Auna Announces 1Q26 Financial Results

 

Strong top-line growth and cash flow performance;  

Consolidated Adjusted EBITDA impacted by revenue adjustments;

Mexico volumes and revenues growing rapidly, with Segment Adjusted EBITDA increasing 19% QoQ

 

Luxembourg, May 19, 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 first quarter ended March 31, 2026 (“first quarter 2026” or “1Q26”). 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.

 

1Q’26 Consolidated Highlights

 

Revenue increased 10% FXN, or 13% YoY on a reported basis, to S/1,178 million

 

Mexico Revenue increased 15% YoY on a reported basis, to S/ 279 million

 

Adjusted EBITDA was S/217 million, a decrease of 2% YoY

 

Adjusted EBITDA Margin of 18.4%, down 2.9 p.p. YoY from 21.4% in 1Q25

 

Operating Cash Flow and Free Cash Flow increased 48% YoY and 2.6x YoY, respectively

 

Leverage Ratio was stable at 3.7x

 

Oncology MLR decreased 2.0 p.p. YoY to 49.6%

 

Number of surgeries increased 4.4% YoY to 21,610

 

Number of days hospitalized increased 2.9% YoY to 132,266

 

Message from Auna’s Executive Chairman and President

 

Auna began 2026 with strong commercial momentum across all three of our markets. First quarter revenues grew 10% FXN, reflecting the impact of the strategic and structural decisions implemented throughout 2025 and further validating the strength of our integrated platform. The AunaWay model continues driving sustainable growth across our markets, with positive underlying operating trends, despite short-term Adjusted EBITDA impacts in Peru and Mexico.

 

 

 

In Peru, our integrated healthcare model continued to perform well at scale, delivering solid top-line growth of 9% in local currency, with strong volume increases across hospitals, emergency services, and oncology. Oncosalud maintained its growth trajectory, adding new members and securing a group policy for the nation’s judiciary — a new and prestigious institutional relationship representing nearly 20,000 lives, and contributing to a total of 1.4 million Oncosalud members. While the underlying business dynamic and margin contributions remain stable in Peru, Adjusted EBITDA was impacted in the healthcare services business by delays in pharmacy rebates and revenue adjustments related to certain payors. Oncosalud's MLR of 49.6% in the quarter is consistent with our pricing and MLR management discipline.

 

In Mexico, our healthcare network continues showing strong signs of recovery and our oncology and high-complexity footprint is growing. Sequential Adjusted EBITDA increased 19% from 4Q25 and margins improved 3.5 p.p. The healthcare network delivered 8% year-over-year revenue growth in local currency and the Monterrey operational initiatives gained further traction. Patient volumes increased 13% quarter-over-quarter, as our growing relationships with payors and our commitment to contain costs for them, while improving patient experiences and medical resolutions are producing higher revenues across service lines. Our oncology business grew 32% from 4Q25 representing 11% of Mexico network revenues, up from 4% one year ago. These trends reflect the impact of the growth initiatives implemented under our new Monterrey leadership team and are delivering clear results.

 

In Colombia, revenue grew 14% in local currency, PGP risk-sharing contracts now represent 21% of total revenues, and revenues from intervened payors have decreased from 19% to 14% versus the first quarter of 2025, reflecting significant progress in diversifying our payor mix. Adjusted EBITDA grew 7%, demonstrating that disciplined growth and revenue diversification can advance in tandem. Overall, Colombia continues to demonstrate the resilience and cash-generating capacity of Auna’s integrated model.

 

Our cash flow performance was a standout in the quarter and a key proof point of our model’s strength. Operating Cash Flow grew 48% year-over-year while Organic Free Cash Flow grew 2.6x, supported by consistent working capital discipline and supplier financing initiatives across all three geographies. This performance validates the underlying robustness of Auna's regional platform and keeps us on track to reach our medium-term leverage target of below 3.0x. The Leverage Ratio of 3.7x at quarter end remained stable but was impacted by non-cash FX effects.

 

We enter the remainder of 2026 with improving trends across all three markets and a clear line of sight to achieve our annual targets. We are reaffirming our full-year revenue and Adjusted EBITDA guidance supported by our revenue growth and cash flow momentum, and Mexico’s improving trends, revenue normalization in Peru, and the performance of Colombia. Our Adjusted EBITDA guidance contemplated a softer first half of the year, with limited growth expected in the first and second quarters. Against that backdrop, our first quarter performance gives us confidence in our ability to deliver our full-year Adjusted EBITDA range. Auna's integrated healthcare model and the structural market opportunity that remains in our three markets position us to deliver on 2026 and build toward higher levels of sustained growth and profitability.

 

2 

 

Overview of 1Q26 Consolidated Results

 

Revenues in 1Q26 increased 10% FXN and 13% YoY on a reported basis to S/1,178 million, with revenues in local currency (“LC”) increasing across all segments: 8% in Mexico, 9% in Peru and 14% in Colombia. The Healthcare network in Mexico delivered higher volumes as a result of improved tier classifications with payors, better ISSSTELEON pricing for high complexity services and increased packages and out-of-pocket revenues. In Peru, Oncosalud increased revenues from pricing adjustments and additional B2B memberships, while the healthcare network experienced higher volumes from commercial initiatives and higher conversion rates in surgeries. Colombia increased volumes across its services, having successfully implemented risk sharing models to diversify its payor mix away from intervened payors.

 

Adjusted EBITDA in 1Q26 decreased 5% FXN, or 2% YoY on a reported basis, to S/217 million, with an Adjusted EBITDA Margin of 18.4%. In LC, Segment Adjusted EBITDA decreased 14% in Mexico and 3% in Peru, while increasing 7% in Colombia YoY. In Mexico, Segment Adjusted EBITDA decreased versus 1Q25, mainly 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 a healthy 19% versus 4Q25, driving a 3.5 p.p. increase in Segment Adjusted EBITDA Margin. Consolidated Peru Adjusted EBITDA was impacted by delayed rebate benefits and revenue adjustments. In Colombia, Segment Adjusted EBITDA increased, sustained by a strong top line, partially offset by lower margins from a higher proportion of PGP contracts that prioritize cashflow over revenues.

 

Reported results were impacted by foreign exchange fluctuations, specifically, a 7% appreciation of the Mexican Peso (“MXN”) and a 4% appreciation of the Colombian Peso (“COP”) against the PEN.

 

Net finance costs for 1Q26 were S/141 million, compared to S/80 million in 1Q25. Excluding foreign exchange effects, net finance costs totaled S/115 million in 1Q26, compared to S/118 million in 1Q25, reflecting a YoY decrease of S/3 million, or 3%. When also excluding the non-cash impact related to the future purchase obligation for IMAT Oncomedica, which began affecting finance expense in 3Q25, net finance costs decreased by S/5 million. The increase in reported net finance costs was primarily driven by a non-cash FX loss of S/26 million, mainly due to the depreciation of the Peruvian Sol below the protection range of Auna’s new hedging structure, compared to a non-cash gain of S/37 million in 1Q25. At the end of 2025, we reset our call-spread levels to better align them with the prevailing USD/PEN exchange rate and reduce future P&L volatility. As a result, the loss recorded in 1Q26 would have been larger had the reset not been completed in 2025.

 

Net Income for 1Q26 was S/9 million compared to S/38 million in 1Q25. The decline was primarily driven by the negative non-cash FX impact on net finance costs in 1Q26, compared to a positive effect in the prior-year period. On a per-share basis, Net Income was S/0.09, based on a weighted average of 74,238,842 basic and diluted shares.

 

3 

 

Adjusted Net Income for 1Q26 was S/16 million, compared to S/55 million in 1Q25. The decline reflects the same FX-driven impact on net finance costs, with underlying operating performance remaining consistent with the trends described above. On a per-share basis, Adjusted Net Income was S/0.18, based on a weighted average of 74,238,842 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 1Q'26 vs       1Q'25 Δ 1Q'26 vs     4Q'25
Healthcare Services Mexico
Key Operating Metrics
    1Q'26 (USD) 1Q'26   As Reported L.C. As Reported L.C.
Beds #     708   0%   0%  
Surgeries # (000)     5   4%   15%  
Emergency treatments # (000)     8   -2%   -2%  
Radiotherapy & Chemotherapy # (000)     4   78%   4%  
Total number of days hospitalized # (000)     25   -1%   4%  
Operating capacity utilization %     48.4%   2.9 p.p.   3.0 p.p.  
Total capacity utilization %     39.4%   -0.3 p.p.   2.3 p.p.  
Key Financial Metrics                  
Segment Revenue     80 279   15% 8% 8% 3%
Segment Adjusted EBITDA     21 74   -9% -14% 25% 19%
Segment Adjusted EBITDA margin %     26.4%   -6.9 p.p.   3.5 p.p.  


 

Segment revenue from Mexico increased 8% due to higher surgery volumes, oncology services and out of pocket payments.

 

Auna’s more favorable tier classifications with two payors in Auna’s largest healthcare facility increased volumes by 11% and revenues by 20% YoY; the renewal of the ISSSTELEON B2B agreement at pricing that better reflects high-complexity services, increased revenues by 18% YoY, and packages and out-of-pocket revenues, represented 10% of revenues.

 

4 

 

Surgery revenues increased 3% on higher volumes at Auna’s three facilities. In oncology services, revenues from radiotherapy and chemotherapy increased 32% from 4Q25 and 2.7x from 1Q25, representing 11% of Mexico’s network revenues, up from 9% in 4Q25 and 4% in 1Q25. The number of oncology patients increased 37.6% from 4Q25 and 5x from 1Q25. In addition, private revenues from out-of-pocket payments increased 25% versus 1Q25 and surgical and hemodynamic packages increased 4x since 1Q25.

 

During the quarter, approximately 60% of the network´s productive physicians have increased their service volume, while staffing coverage and retention among nursing staff improved from 2025. Notably, the network onboarded an additional 170 doctors in key specialties including oncology, pulmonology and general health who performed procedures within the Monterrey network during the quarter.

 

Higher volumes in oncology services, surgeries and hospitalizations resulted in total capacity utilization increasing 2.3 p.p. from 4Q25 to 39.4%.

 

Auna Seguros contributed 11% of revenues in 1Q26, up from 10% in 1Q25.

 

Segment Adjusted EBITDA decreased 14% YoY in 1Q26, with a 1Q26 Segment Adjusted EBITDA Margin of 26.4%. Notably, Segment Adjusted EBITDA increased 19% and Segment Adjusted EBITDA Margin increased 3.5 p.p. versus 4Q25 due to a 3% increase in revenue, a 9p.p. improvement in the contribution margin related to the ISSSTELEON agreement and several administrative cost efficiency initiatives implemented across the network. Segment Adjusted EBITDA in 1Q26 decreased versus 1Q25, mainly due to the lower contribution margin of the current mix of services and specialties, as well as increases in SG&A related to investments in talent impacting payroll.

 

PERU OPERATIONS: HEALTHCARE SERVICES PERU AND ONCOSALUD PERU

 

Auna’s Healthcare Services and Oncosalud Peru accounted for 42% of consolidated revenues and 46% 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
    1Q'26 (USD) 1Q'26   Δ 1Q'26 vs 1Q'25 Δ 1Q'26 vs 4Q'25
Consolidated Revenue     143 500   9% 2%
Healthcare Services Peru     81 281   7% 3%
Oncosalud Peru     90 314   12% 3%
Holding and Eliminations (*)       (95)   13% 9%
Consolidated Peru Adjusted EBITDA     28 99   -3% -10%
Healthcare Services Peru     9 31   -26% 8%
Oncosalud Peru     20 68   13% -16%
Consolidated Peru Adj. EBITDA margin %     19.8%   -2.3 p.p. -2.6 p.p.
Healthcare Services Peru       10.9%   -4.9 p.p. 0.4 p.p.
Oncosalud Peru       21.8%   0.3 p.p. -4.9 p.p.
               

(*) Relates to intersegment revenue elimination.

 

 

5 

 

Healthcare Services Peru
Key Operating Metrics
    1Q'26 (USD) 1Q'26   Δ 1Q'26 vs 1Q'25 Δ 1Q'26 vs 4Q'25
Beds #     389   4% 1%
Surgeries # (000)     6   9% 18%
Emergency treatments # (000)     45   20% -5%
Chemotherapies & Radiotherapies # (000)     13   4% 4%
Total number of days hospitalized # (000)     26   6% 0%
Operating capacity utilization %     78.3%   2.0 p.p. 1.9 p.p.
Total capacity utilization %     75.5%   1.4 p.p. 0.7 p.p.
Key Financial Metrics              
Revenue     81 281   7% 3%
External revenues     57 201   7% 2%
Intercompany revenue     23 81   6% 7%
Segment Adjusted EBITDA     9 31   -26% 8%
Segment Adjusted EBITDA margin %     10.9%   -4.9 p.p. 0.4 p.p.

 

Oncosalud Peru
Key Operating Metrics
    1Q'26 (USD) 1Q'26   Δ 1Q'26 vs 1Q'25 Δ 1Q'26 vs 4Q'25
Plan memberships # (000)     1,440   6% 1%
Oncological Plans # (000)     998   3% 1%
Average monthly revenue per plan membership     18.02 62.90   4% -1%
Preventive check-ups # (000)     31   -9% 13%
Patients treated # (000)     47   22% 7%
MLR %     54.4%   -2.2 p.p.  
Oncological Plans %     49.6%   -2.0 p.p.  
Key Financial  Metrics              
Revenue     90 314   12% 3%
External revenues     86 299   10% 3%
Intercompany revenue     4 14   77% 20%
Segment Adjusted EBITDA     20 68   13% -16%
Segment Adjusted EBITDA margin %     21.8%   0.3 p.p. -4.9 p.p.

 

Total revenue from Peru increased 9% YoY to S/500 million in 1Q26.

 

The Healthcare Services segment increased revenues by 7% YoY, resulting from an increase in surgery volumes, emergency visits and ambulatory care, including radiotherapy and chemotherapy services.

 

Emergencies increased 20% as a result of commercial initiatives with corporate accounts, while surgeries increased as a result of higher conversion rates in the network. Accordingly, hospitalization days increased 6% from 1Q25 and operating capacity utilization in 1Q26 was 78.3%, while total capacity utilization was 75.5%, both increasing versus 1Q25 and 4Q25.

 

6 

 

The 12% YoY increase in revenues at the Oncosalud Peru segment reflects annual pricing adjustments and a 6% increase in total plan memberships, including a 3% increase in oncology plans. Notably, the business added approximately 20,000 new members as part of a new B2B group policy for the Peruvian Judiciary awarded in 1Q26.

 

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 decreased 2.2 p.p. to 54.4%, led by the Oncology MLR, which decreased to 49.6%, or 2.0 p.p. The MLR decrease was driven by higher revenues from added plan memberships and remained within the Auna’s expected range.

 

Consolidated Peru revenues were impacted by S/14 million in revenue adjustments, compared to a normal recurring level of S/3 to S/4 million, primarily due to penalties applied by certain payors for delayed invoicing and settlement agreements still under negotiation. These impacts reflect a broader market trend in Peru, where payors implement more rigorous enforcement mechanisms across the healthcare services sector.

 

Consolidated Adjusted EBITDA in 1Q26 was S/99 million, down 3% from 1Q25, primarily due to the aforementioned revenue adjustments, postponed rebates on medicine purchases, and higher physician compensation related to retention incentives.

 

Excluding the revenue adjustments, the Consolidated Adjusted EBITDA in Peru would have been positive.

 

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 21% of consolidated Adjusted EBITDA in the quarter.

 

7 

 

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

 

 

            Δ 1Q'26 vs     1Q'25 Δ 1Q'26 vs    4Q'25
Healthcare Services Colombia
Key Operating Metrics
    1Q'26 (USD) 1Q'26   As Reported L.C. As Reported L.C.
Beds #     1,131   0%   0%  
Protected Lives # (000)     3,058   23%   1%  
Surgeries # (000)     11   2%   4%  
Emergency treatments # (000)     38   5%   8%  
Chemotherapies & Radiotherapies # (000)     37   -1%   2%  
Total number of days hospitalized # (000)     81   3%   2%  
Operating capacity utilization %     88.9%   2.9 p.p   2.8 p.p  
Total capacity utilization %     79.3%   2.4 p.p   3.0 p.p  
Key Financial Metrics                  
Segment Revenue     115 400   18% 14% 3% 0%
External revenues       399   18% 13% 3% 0%
Intercompany revenue       1   - - 16% 12%
Segment Adjusted EBITDA     13 46   11% 7% -10% -13%
Segment Adjusted EBITDA margin %     11.4%   -0.8 p.p   -1.7 p.p  

 

Segment revenue from Colombia in 1Q26 grew 14% YoY, due to a higher proportion of revenues from PGP contracts in Antioquia and Monteria, for cardiovascular, ambulatory, and oncology services. Total PGP revenues accounted for 21% of Colombia´s total revenues in 1Q26, increasing from 15% in 1Q25, and covering 3.1 million lives through risk-sharing agreements by quarter-end 1Q26, up from 4Q25 as well, benefitting cash conversion and cash predictability of these models.

 

Auna continues diversifying its payor base as part of its strategy to limit revenues and cashflows from government-intervened payors; in 1Q26, revenues from intervened payors represented 14% of total revenues, down from 19% in 1Q25. Specifically, revenues from a new payor relationship in 2025 increased 1.5x from 1Q25 and now represent 12% of Colombia’s revenues, up from 5% in 1Q25 and practically replacing revenues from the largest intervened payor. Nueva EPS revenues continued decreasing, reaching 12% of total revenues in 1Q26, down from 15% in 1Q25 and 21% in 1Q24 when the interventions began.

 

Oncology volumes increased 2% from 4Q25 on services provided in Antioquia.

 

In 1Q26 capacity utilization increased 2.4 p.p. versus 1Q25, returning to 2024 levels prior to Nueva EPS’s intervention.

 

Segment Adjusted EBITDA in 1Q26 increased 7%, with a Segment Adjusted EBITDA Margin of 11.4%. Segment Adjusted EBITDA in 1Q26 included increased variable costs related to higher surgery and chemotherapy volumes, as well as higher costs related to salary and minimum wage increases. The result also included provisions for impairment losses of S/6 million versus S/10 million in 1Q25, demonstrating further improvements in the management of payor mix.

 

8 

 

Balance Sheet & Cash Flow

 

Consolidated Debt

 

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

 

    Mar-26 (USD) Mar-26   Δ Mar-26 vs
      Mar-25 Dec-25
(+) Loans and borrowings   1,056 3,688   3% 4%
Short term debt   115 400   -48% 26%
Long term debt   942 3,288   16% 2%
(+) Lease Liabilities   36 127   -9% 3%
Gross Debt   1,093 3,815   2% 4%
(-) Cash and cash equivalents / marketable securities   117 409   103% 22%
Net Debt   976 3,407   -3.6% 2.6%
Leverage Ratio     3.7x   0.1x 0.1x

  

Gross Debt at the close of 1Q26 increased 4%, or S/159 million, versus 4Q25 to S/3,815 million mainly driven by a negative non-cash effect of S/138 million associated with a 4% depreciation of the PEN against the USD and MXN.

 

Leverage Ratio was 3.7x increasing from 4Q25 mainly due to negative non-cash FX impacts. 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 3,688   400 247 293 756 681 1,312
Financial Leases 50   14 22 4 3 3 5
Operating Leases 77 77 0 0 0 0 0 0
Gross Debt 3,815 77 414 268 296 758 684 1,317

 

As of 1Q26. Excludes interest. Reflects figures post-refinancing. Y1 = April 2026 to March 2027, Y2 = April 2027 to March 2028, Y3 = April 2028 to March 2029, Y4 = April 2029 to June 2030, Y5 = April 2030 to March 2031, and Y6+ = April 2031 to September 2035.

 

9 

 

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   50             175             106   65%
Net cash used in investing activities               (7)             (23)             (64)   -64%
Net cash used in financing activities             (25)             (88)             (78)   13%
Cash and cash equivalents at the end of the period   117             409             201   103%

 

    LTM Mar-25 LTM Dec-25 LTM Mar-26
Days Sales Outstanding   87 91 90
Days Inventory Outstanding 39 42 43
Days Payable Outstanding   140 140 140
Cash Conversion Cycle   -14 -6 -7
 
*Measured on an average basis according to last twelve months results.

 

Net cash from operating activities was S/175 million for the three months ended March 31, 2026 versus S/106 million in the three months ended March 31, 2025, and included a S/77 million increase in cash generated from operating activities.

 

Net cash used in investing activities decreased 64% YoY, or S/41 million, to S/23 million for the three months ended March 31, 2026 versus the comparable period last year, and included S/34 million in organic maintenance CapEx, including (i) S/20 million in investments for infrastructure refurbishments and acquisition of medical equipment; (ii) S/12 million in Hospital Information systems and ERP implementations, particularly in Mexico; and (iii) S/2 million payment to the Opción Oncología doctors for the brand acquisition. In addition, Auna Seguros continued rebalancing its portfolio of investments toward liquid securities, resulting in S/12 million in cash and cash equivalent inflows. In the three months ended March 31, 2025, investing activities included: (i) S/47 million in organic maintenance CapEx, including S/2 million payment to the Opción Oncología doctors for the brand acquisition; (ii) a S/5 million earnout payment to IMAT Oncomedica shareholders, and (iii) an S/11 million payment to OCA shareholders.

 

Net cash used in financing activities was S/88 million, an increase of 13% or S/10 million, for the three months ended March 31, 2026 versus the comparable period last year. Cash used in financing activities during the period included: (i) S/42 million in interest payments and hedge premium payments, (ii) S/12 million in interest payments for working capital facilities, and (iii) a S/34 million decrease in working capital borrowings. For the comparable three months ended March 31, 2025, cash used in financing included: (i) S/60 million in interest and hedge premium payments, (ii) S/16 million in interest payments for working capital facilities, and (iii) a S/2 million decrease in working capital borrowings.

 

10 

 

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 March 31, 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 1.4 million healthcare plans.

 

For more information visit www.aunainvestors.com

 

Conference Call Details

 

When: 8:00 a.m. Eastern time, May 20, 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 1Q26 are presented for indicative purposes and were calculated using an FX rate of US$1= S/3.4910. 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.

 

11 

 

Use of Non-IFRS Financial Measures

 

This release includes financial measures defined as “non-IFRS financial measures” by the SEC, 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 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 measures 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.

 

12 

 

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)

 

  

    1Q'26 (USD)         Δ 1Q'26 vs
    1Q'26 1Q'25     1Q'25 4Q'25
Revenues   337 1,178 1,042     13% 4%
Profit (Loss) before Tax   5 16 62     -73% -118%
(+) Net Finance Cost   40 141 80     75% -41%
(+) Depreciation and Amortization   16 57 53     8% 2%
(=) EBITDA   62 215 195     10% 6%
(+) Adjustments   0.6 2.1 27.1        
(a) Pre-operating expenses   0.1 0.2 0.2        
(b) Business development expenses   0.0 0.0 23.7        
(c) Stock-based consideration   0.6 1.9 2.7        
(d) Personnel non-recurring compensation   0.0 0.0 0.5        
(=) Adjusted EBITDA   62 217 222     -2% -2%
Adjusted EBITDA Margin     18.4% 21.4%     -2.9 p.p. -1.0 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.

 

13 

 

For the three months ended  March 31, 2026          
    Healthcare Services Mexico Healthcare Services Peru Oncosalud Peru Healthcare Services Colombia Holding and eliminations Consolidated Reportable Segments
Revenues   279 281 314 400 (96) 1,178
Profit (Loss) before Tax   4 13 48 19 (68) 16
(+) Net Finance Cost   45 7 9 16 64 141
(+) Depreciation and Amortization   23 11 11 11 3 57
(=) Segment EBITDA   72 31 68 46 (2) 215
(+) Adjustments   1.6 -0.2 0.0 0.0 0.8 2.1
Pre-operating expenses   0.0 0.0 0.0 0.0 0.2 0.2
Business development expenses   0.0 0.0 0.0 0.0 0.0 0.0
Stock-based consideration   1.6 -0.2 0.0 0.0 0.6 1.9
Personnel non-recurring compensation   0.0 0.0 0.0 0.0 0.0 0.0
(=) Segment Adjusted EBITDA   74 31 68 46 -1 217
Adjusted EBITDA Margin   26.4% 10.9% 21.8% 11.4%   18.4%

 

For the three months ended March 31, 2025          
    Healthcare Services Mexico Healthcare Services Peru Oncosalud Peru Healthcare Services Colombia Holding and eliminations Consolidated Reportable Segments
Revenues   243 263 281 339 (84) 1,042
Profit (Loss) before Tax   (13) 22 44 32 (24) 62
(+) Net Finance Cost   47 8 7 (1) 19 80
(+) Depreciation and Amortization   21 12 9 10 3 53
(=) Segment EBITDA   55 41 60 41 (2) 195
(+) Adjustments   25.9 0.2 0.2 0.0 0.9 27.1
Pre-operating expenses   0.0 0.0 0.0 0.0 0.2 0.2
Business development expenses   23.7 0.0 0.0 0.0 0.0 23.7
Stock-based consideration   1.7 0.2 0.2 0.0 0.6 2.7
Personnel non-recurring compensation   0.5 0.0 0.0 0.0 0.0 0.5
(=) Segment Adjusted EBITDA   81 42 60 41 (1) 222
Adjusted EBITDA Margin   33.2% 15.8% 21.4% 12.2%   21.4%

 

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.

 

14 

 

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

 

    1Q'26 (USD) 1Q'26 1Q'25 4Q'25
Net Income (Loss)   3 9 38 (64)
(a) Pre-operating expenses   0.1 0.2 0.2 0.0
(b) Business development expenses   0.0 0.0 23.7 9.6
(c) Stock-based consideration   0.6 1.9 2.7 2.9
(d) Personnel non-recurring compensation   0.0 0.0 0.5 5.0
(e) Non-cash and non-recurring financial costs   1.5 5.3 0.0 187.9
(f) Allocated tax effects   (0.3) (0.9) (10.4) (5.7)
(=) Adjusted Net Income   5 16 55 136

 

(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) one-time non-recurring costs of refinancing activities; 2) non-cash derivative costs related to mark to market of legacy derivatives related to extinguished financings; 3) non-cash effects related to early extinguishment of financings;  4) 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 5) 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.

 

15 

 

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

   

  1Q'26 (USD) 1Q'26 1Q'25 4Q'25
Net Income (Loss) 3 9 38 (64)
Income (Loss) attributable to Owner of the company 2 7 35 (68)
Weighted average number of basic and diluted shares at March 31   74.2 74.2 74.2
Basic and diluted earnings per share 0.03 0.09 0.48 (0.92)
Adjusted Net Income (Loss) 5 16 55 136
Income (Loss) attributable to owners of Adjusted Net Income 4 13 52 132
Weighted average number of basic and diluted shares at March 31   74.2 74.2 74.2
Adjusted Basic and Diluted Earnings per Share 0.05 0.18 0.70 1.78

 

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)

 

   

  Mar-25 Dec-25 Mar-26
 
Current and non-current loans & borrowings 3,595 3,533 3,688
Current and non-current lease liabilities 140 124 127
Cash and cash equivalents 201 335 409
Net Debt 3,534 3,321 3,407
Adjusted LTM EBITDA 974 917 911
Leverage Ratio 3.6x 3.6x 3.7x

  

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

 

16 

 

(Figures in millions of Soles, unless expressed otherwise)

    

    Mar-25 Dec-25 Mar-26
   
(+) Loans and borrowings   3,595 3,533 3,688
Short term debt   765 316 400
Long term debt   2,831 3,216 3,288
(+) Lease Liabilities   140 124 127
Gross Debt   3,735 3,656 3,815
(-) Cash and cash equivalents   201 335 409
Net Debt   3,534 3,321 3,407

  

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 March 31, 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 March 31, 2025 (MXN 5.5166 to PEN 1.00) and the average Colombian pesos / Peruvian soles exchange rate for the three months ended March 31, 2025 (COP 1,1130.1867 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 March 31, 2026 (MXN 5.1781 to PEN 1.00 / COP 1,088.7699 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 March 31, 2026.

 

17 

 

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 and Adjusted EBITDA guidance, our expectation for revenue and EBITDA growth 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 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 “Forward-Looking Statements” section in this release.

 

IR Contact

 

Email: contact@aunainvestors.com

 

- Financial Tables Follow –

 

18 

 

Balance Sheet (1/2)

 

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

 

  Mar-26 (USD) Mar-26 Dec-25   Δ Mar-26 vs Dec-25
Assets          
Current assets          
Cash and cash equivalents 117 409 335   73
Trade accounts receivable 321 1,121 1,043   78
Other assets 81 281 259   23
Inventories 46 159 165   (6)
Insurance contract assets 3 10 13   (2)
Other investments 6 20 30   (10)
Total current assets 573 2,001 1,845   156
Non-current assets          
Trade accounts receivable 0 1 0   0
Other assets 8 27 27   0
Investments in associates and joint venture 9 32 30   2
Property furniture and equipment 676 2,358 2,287   71
Intangible assets 807 2,817 2,704   113
Right-of-use assets 33 115 113   1
Investment properties 2 7 6   0
Derivative financial instruments 19 66 54   12
Deferred tax assets 76 265 231   34
Other investments 0 0 1   (0)
Total non-current assets 1,629 5,687 5,454   234
Total assets 2,202 7,688 7,298   390

 

19 

 

Balance Sheet (2/2)

 

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

 

Liabilities          
Current liabilities          
Loans and borrowings 115 400 316   84
Lease liabilities 9 31 29   2
Trade accounts payable 314 1,097 1,053   44
Other accounts payable 75 260 225   35
Provisions 3 11 10   1
Derivative financial instruments 8 27 23   4
Insurance contract liabilities 3 10 9   1
Deferred income 0 0 0   (0)
Total current liabilities 526 1,837 1,667   170
Non-current liabilities          
Loans and borrowings 942 3,288 3,216   72
Lease liabilities 28 97 94   2
Trade accounts payable 0 1 1   (0)
Other accounts payable 66 230 222   8
Derivative financial instruments 7 26 40   (14)
Deferred tax liabilities 83 291 291   (0)
Deferred income 0 0 0   (0)
Total non-current liabilities 1,126 3,932 3,865   68
Total liabilities 1,653 5,769 5,532   238
           
Total equity 550 1,918 1,766   152
Total liabilities and equity 2,202 7,688 7,298   390

 

20 

 

Income Statement

 

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

 

 

  1Q'26 (USD) 1Q'26 1Q'25   Δ 1Q'26 vs
    1Q'25 4Q'25
Revenue            
Healthcare Services Mexico 80 279 243   15% 8%
Healthcare Services Colombia 114 399 339   18% 3%
- Healthcare Services Colombia 115 400 339   18% 3%
- Holding and eliminations (0) (1) -   - 16%
Healthcare Services Peru & Oncosalud Peru 143 500 460   9% 2%
- Healthcare Services Peru 81 281 263   7% 3%
- Oncosalud Peru 90 314 281   12% 3%
- Holding and eliminations (27) (95) (84)   13% 9%
Total Revenue 337 1,178 1,042   13% 4%
Cost of sales and services (214) (747) (660)   13% 6%
Gross profit 123 431 382   13% 1%
Gross margin   36.6% 36.6%   0.0 p.p. -2.2 p.p.
Selling expenses (18) (62) (54)   16% 15%
Administrative expenses (61) (214) (182)   17% -4%
(Loss) reversal for impairment of trade receivables (2) (9) (16)   -46% -56%
Other income and expenses, net 2 9 9   -6% -20%
Operating profit 44 155 139   11% 7%
Finance income 1 4 6   -35% -43%
Finance income from exchange difference - - 37   -100% -100%
Finance costs (34) (118) (123)   -4% -60%
Finance costs from exchange difference (8) (26) -   - -
Net finance cost (40) (141) (80)   75% -41%
Share of profit of equity accounted investees 1 3 3   -8% 8%
Profit (loss) before tax 5 16 62   -73% -1.2x
Income tax expense (benefit) (2) (7) (24)   -70% -1.3x
Net Income (Loss) 3 9 38   -75% -1.1x
EBITDA            
Healthcare Services Mexico 21 72 55   31% 33%
Healthcare Services Colombia 13 46 41   11% -5%
Healthcare Services Peru & Oncosalud Peru 28 99 101   -2% 13%
- Healthcare Services Peru 9 31 41   -26% 36%
- Oncosalud Peru 20 68 60   14% 5%
Holding and eliminations (1) (2) (2)      
Total EBITDA 62 215 195   10% 6%
Adjusted EBITDA            
Healthcare Services Mexico 21 74 81   -9% 25%
Healthcare Services Colombia 13 46 41   11% -10%
Healthcare Services Peru & Oncosalud Peru 28 99 102   -3% -10%
- Healthcare Services Peru 9 31 42   -26% 8%
- Oncosalud Peru 20 68 60   13% -16%
Holding and eliminations (0) (1) (1)      
Total Adjusted EBITDA 62 217 222   -2% -2%
Adjusted EBITDA Margin   18.4% 21.4%   -2.9 p.p. -1.0 p.p.

 

 

21 

 

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 3 9 38   (28)
Adjustments for:          
Depreciation 8 30 28   1
Depreciation of right-of-use assets 2 7 7   0
Amortization 6 21 18   3
(Reversal) Impairment of inventories 0 1 0   1
Equity-settled share-based payment transactions 1 2 3   (1)
Gain (loss) on disposal of property furniture and equipment 0 0 0   (0)
(Reversal) loss for impairment of trade receivables 2 9 16   (7)
Share of profit of equity-accounted investees (1) (3) (3)   0
Technical provisions and other provisions 0 1 0   1
Finance income (1) (4) (43)   39
Finance costs 41 145 123   21
Tax expense 2 7 24   (17)
Net changes in assets and liabilities          
Trade accounts receivable and other assets (8) (27) (64)   37
Inventories 3 11 25   (14)
Trade accounts payable and other accounts payable 7 25 (16)   41
Provisions and employee benefits (0) (1) (2)   1
Insurance contract liabilities 1 3 5   (1)
Cash generated from operating activities 68 237 160   77
Income tax paid (19) (65) (58)   (7)
Interest received 1 4 5   (1)
Net cash from operating activities 50 175 106   69

 

22 

 

Statement of Cash Flows (2/2)

 

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

 

Cash flows from investing activities          
Payment for accounts payables to former shareholder (0) (0) (11)   11
Purchase of properties furniture and equipment (6) (20) (32)   12
Purchase of intangibles (4) (14) (17)   2
Purchase of other investments, net of sales 3 12 2   10
Proceeds from sale of property furniture and equipment 0 0 0   (0)
Payment for contingent consideration - - (5)   5
Net cash used in investing activities (7) (23) (64)   41
Cash flows from financing activities          
Proceeds from settlement of derivatives - interest rate swaps (1) (4) 0   (5)
Proceeds from loans and borrowings 36 125 340   (215)
Payment for loans and borrowings (42) (148) (330)   182
Payment for lease liabilities (3) (10) (11)   1
Penalty paid for debt prepayment (0) (0) -   (0)
Payment for derivatives premiums - - (1)   1
Interest paid (14) (49) (75)   26
Net cash used in financing activities (25) (88) (78)   (10)
Net (decrease) increase in cash and cash equivalents 18 64 (36)   100
Cash and cash equivalents at January 1 96 335 236   100
 Effect of movements in exchange rates on cash held 3 9 1   8
 Cash and cash equivalents at the end of the period 117 409 201   208

 

23 

 

Historical Financial Metrics

 

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

 

  1Q'24 2Q'24 3Q'24 4Q'24 1Q'25 2Q'25 3Q'25 4Q'25 1Q'26
Revenue                  
Oncosalud Peru 253 269 273 276 281 286 294 304 314
Healthcare Services Peru 241 255 255 245 263 269 279 273 281
Healthcare Services Colombia 349 378 363 353 339 346 369 387 400
Healthcare Services Mexico 308 302 316 268 243 274 264 258 279
Holding and eliminations (76) (83) (80) (79) (84) (81) (88) (89) (96)
Total revenue from contracts with customers 1,076 1,120 1,127 1,063 1,042 1,094 1,117 1,133 1,178
Cost of sales and services (662) (693) (677) (629) (660) (660) (698) (704) (747)
Gross profit 414 427 449 434 382 434 419 429 431
Selling expenses (53) (48) (55) (42) (54) (54) (59) (54) (62)
Administrative expenses (191) (202) (195) (201) (182) (208) (200) (222) (214)
Impairment losses on trade receivables 0 (3) (25) (13) (16) (8) (5) (19) (9)
Other expenses 0 0 0 (2) 0 0 0 0 0
Other income 11 8 54 14 9 12 11 11 9
Operating profit 182 183 229 190 139 176 166 144 155
Finance income 6 7 6 7 6 5 4 6 4
Finance income from exchange difference 3 0 28 (31) 37 68 40 48 0
Finance costs (177) (139) (138) (138) (123) (120) (116) (292) (118)
Finance costs from exchange difference 0 (49) 0 8 0 0 0 0 (26)
Net finance cost (168) (182) (103) (155) (80) (46) (72) (238) (141)
Share of profit of equity-accounted investees 2 2 2 2 3 2 3 2 3
Profit (loss) before tax 16 3 127 37 62 132 97 (91) 16
Income tax (expense) benefit (25) 5 (27) (13) (24) (48) (44) 27 (7)
Net Income (8) 8 101 24 38 84 53 (64) 9
EBITDA 241 241 286 244 195 234 226 203 215
EBITDA Adjustments                  
Net Income (8) 8 101 24 38 84 53 (64) 9
Income tax expense 25 (5) 27 13 24 48 44 (27) 7
Net finance cost 168 182 103 155 80 46 72 238 141
Depreciation and amortization 56 56 55 52 53 55 57 56 57
(a) Pre-operating expenses 0 2 0 0 0 0 (0) 0 0
(b) Business development expenses 0 1 (44) 3 24 4 4 10 0
(c) Change in fair value of earn-out liabilities 0 0 0 0 0 0 0 0 0
(d) Stock-based consideration 0 0 6 3 3 3 3 3 2
(e) Personnel non-recurring compensation 0 4 2 5 0 0 0 5 0
(f) Change in fair value of investment properties 0 0 0 0 0 0 0 0 0
Adjusted EBITDA 241 248 250 254 222 241 232 220 217


 

24 

 

Key Operating Metrics

 

  

  1Q'26 1Q'25 Δ 1Q'26 vs 1Q'25
Oncosalud Peru      
Plan memberships (1) (2)         1,439,781         1,364,710 5.5%
Average monthly revenue per plan member (3)  S/          62.90  S/          60.63 3.7%
Preventive check-ups (4) 30,694 33,570 -8.6%
Patients treated (5) 46,507 38,038 22.3%
Medical loss ratio (6) 54.4% 56.6% -2.2 p.p
       
Healthcare Services      
Total bed capacity (1)(7)               2,228               2,214 0.6%
Protected Lives (8)         3,057,763         2,482,484 23.2%
Surgeries (9)              21,610              20,700 4.4%
Emergency treatments (10)              91,426              82,305 11.1%
Chemotherapies & Radiotherapies (11)              54,152              52,048 4.0%
Total number of days hospitalized (12)            132,266            128,588 2.9%
Operating capacity utilization (13) 74.9% 71.7% 3.3 p.p
Total capacity utilization (14) 66.0% 64.5% 1.4 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 March, 31, 2026, we had 1,346,101 active members and 93,680 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.

 

25 

 

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.

 

26 

 

Exhibit 99.2

 

   
 

Auna S.A. and
Subsidiaries

Condensed Consolidated Interim
Financial Statements

 

March 31, 2026

 

 

Auna S.A. and Subsidiaries

 

Condensed Consolidated Interim Financial Statements

 

March 31, 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 - 8

 

 

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

 

In thousands of soles March 31,
2026
December 31, 2025   In thousands of soles

March 31,

2026

December 31, 2025
Assets       Liabilities    
Current assets       Current liabilities    
Cash and cash equivalents 408,586 335,441   Loans and borrowings 399,999 316,339
Trade accounts receivable 1,120,926 1,042,792   Lease liabilities 30,907 29,282
Other assets 281,132 258,511   Trade accounts payable 1,097,326 1,053,395
Inventories 159,211 164,798   Other accounts payable 260,092 225,465
Other investments 20,331 30,237   Provisions 11,020 10,161
Insurance contract assets 10,367 12,778   Derivative financial instruments 27,188 22,903
Total current assets 2,000,553 1,844,557   Insurance contract liabilities 10,325 9,447
        Deferred income 96 98
Non-current assets       Total current liabilities 1,836,953 1,667,090
Trade accounts receivable 527 486        
Other assets 27,374 26,910   Non-current liabilities    
Investments in associates and joint venture 31,602 29,848   Loans and borrowings 3,287,836 3,216,171
Property, furniture, and equipment 2,358,261 2,287,002   Lease liabilities 96,506 94,237
Intangible assets 2,817,159 2,704,351   Trade accounts payable 1,168 1,450
Right-of-use assets 114,561 113,116   Other accounts payable 230,309 221,940
Investment properties 6,640 6,340   Derivative financial instruments 25,982 39,647
Derivative financial instruments 65,807 54,036   Deferred tax liabilities 290,612 291,086
Deferred tax assets 264,845 230,716   Deferred income 72 87
Other investments 462 702   Total non-current liabilities 3,932,485 3,864,618
Total non-current assets 5,687,238 5,453,507   Total liabilities 5,769,438 5,531,708
             
        Equity    
        Share capital 17,390 17,389
        Share premium 1,210,778 1,209,715
        Reserves 696,446 566,271
        Retained losses (186,067) (192,615)
        Equity attributable to the owner of the Company 1,738,547 1,600,760
        Non-controlling interest 179,806 165,596
        Total equity 1,918,353 1,766,356
Total assets 7,687,791 7,298,064   Total liabilities and equity 7,687,791 7,298,064

1 

 

Auna S.A. and Subsidiaries
Condensed Consolidated Interim Statement of Profit or Loss and Other Comprehensive Income
For the three months ended March 31, 2026 and 2025

 

 

Three-month period

ended March 31

In thousands of soles 2026 2025
Revenue    
Insurance revenue 296,834 268,127
Healthcare services revenue 798,650 694,476
Sale of medicines 82,092 79,266
Total revenue from contracts with customers 1,177,576 1,041,869
Cost of sales and services (746,517) (660,248)
Gross profit 431,059 381,621
Selling expenses (62,269) (53,606)
Administrative expenses (214,114) (182,452)
Loss for impairment of trade receivables (8,515) (15,651)
Other income 8,698 9,262
Operating profit 154,859 139,174
Finance income 3,720 5,713
Finance income from exchange difference - 37,097
Finance costs (118,231) (123,229)
Finance costs from exchange difference (26,425) -
Net finance cost (140,936) (80,419)
Share of profit of equity-accounted investees 2,539 2,772
Profit before tax 16,462 61,527
Income tax expense (6,975) (23,564)
Profit for the period 9,487 37,963
Other comprehensive income    
Items that are or may be reclassified subsequently to profit or loss    
Cash flow hedges (8,731) (17,379)
Foreign operations – foreign currency translation differences 148,080 18,529
Other investments at FVOCI – net change in fair value (239) 784
Income tax 1,469 5,487
Other comprehensive income for the period, net of tax 140,579 7,421
Total comprehensive income for the period 150,066 45,384
Income attributable to:    
Owner of the Company 6,548 35,426
Non-controlling interest 2,939 2,537
  9,487 37,963
Total comprehensive income attributable to:    
Owner of the Company 135,856 38,827
Non-controlling interest 14,210 6,557
  150,066 45,384
Earnings per share    
Basic and diluted earnings per share 0.09 0.48

2 

 

Auna S.A. and Subsidiaries
Condensed Consolidated Interim Statement of Changes in Equity
For the three months ended March 31, 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
Shared-
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   - - - - - - - - 35,426 35,426 2,537 37,963
Other comprehensive income for the period   - - - 14,509 (17,839) 5,947 784 - - 3,401 4,020 7,421
Total comprehensive income for the period   - - - 14,509 (17,839) 5,947 784 - 35,426 38,827 6,557 45,384
Issuance of shares   2 1,129 - - - - - (1,131) - - - -
Equity-settled share-based payment   - - - - - - - 2,725 - 2,725 - 2,725
Total transactions with the owner of the Company   2 1,129 - - - - - 1,594 - 2,725 - 2,725
Balances as of March 31, 2025   17,389 1,209,715 93,012 (218,261) (2,447) (30,547) 677,275 10,739 (238,107) 1,518,768 152,281 1,671,049
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   - - - - - - - - 6,548 6,548 2,939 9,487
Other comprehensive income for the period   - - - 136,809 20,849 (28,111) (239) - - 129,308 11,271 140,579
Total comprehensive income for the period   - - - 136,809 20,849 (28,111) (239) - 6,548 135,856 14,210 150,066
Issuance of shares   1 1,063 - - - - - (1,064) - - -  
Equity-settled share-based payment   - - - - - - - 1,931 - 1,931 - 1,931
Total transactions with the owner of the Company   1 1,063 - - - - - 867 - 1,931 - 1,931
Balances as of March 31, 2026   17,390 1,210,778 109,708 (11,843) (297) (28,111) 606,916 20,073 (186,067) 1,738,547 179,806 1,918,353

3 

 

Auna S.A. and Subsidiaries
Condensed Consolidated Interim Statement of Cash Flows
For the three months ended March 31, 2026 and 2025

 

  Three-month period ended
March 31
In thousands of soles 2026 2025
Cash flows from operating activities    
Profit for the period 9,487 37,963
Adjustments for:    
Depreciation 29,635 28,310
Depreciation of right-of-use assets 7,119 6,914
Amortization 20,738 18,160
Impairment of inventories 668 120
Equity-settled share-based payment transactions 1,931 2,725
Loss on disposal of property, furniture, and equipment 97 184
Loss for impairment of trade receivables 8,515 15,651
Share of profit of equity-accounted investees (2,539) (2,772)
Provisions 1,053 470
Finance income (3,720) (42,810)
Finance costs 144,656 123,229
Tax expense 6,975 23,564
Net changes in assets and liabilities:    
Trade accounts receivable and other assets (27,140) (64,073)
Inventories 11,184 25,163
Trade accounts payable and other accounts payable 25,264 (15,745)
Provisions and employee benefits (619) (1,675)
Insurance contract liabilities 3,417 4,597
Cash generated from operating activities 236,721 159,975
Income tax paid (65,427) (58,498)
Interest received 3,598 4,538
Net cash from operating activities 174,892 106,015
Cash flows from investing activities    
Payment for accounts payable to former shareholder (415) (11,193)
Purchase of properties, furniture, and equipment (19,648) (31,932)
Proceeds from sale of property, furniture, and equipment 12 72
Purchase of intangibles (14,343) (16,839)
Purchase of other investments, net of sales 11,619 1,612
Payment for contingent consideration -   (5,409)
Net cash used in investing activities (22,775) (63,689)
Cash flows from financing activities    
Proceeds from loans and borrowings 124,545 339,945
Payment for loans and borrowings (148,053) (330,223)
Payment for lease liabilities (10,294) (11,235)
Payment for derivatives premiums -   (1,208)
Penalty paid for debt prepayment (163) -
Interest paid (49,243) (75,294)
Proceeds from settlement of derivatives - interest rate swaps (4,494) 182
Net cash used in financing activities (87,702) (77,833)
Net increase (decrease) in cash and cash equivalents 64,415 (35,507)
Cash and cash equivalents at January 1 335,441 235,745
Effect of movements in exchange rates on cash held 8,730 779
Cash and cash equivalents at March 31 408,586 201,017
Transactions not representing cash flows    
Assets acquired through finance lease and other financing 6,273 742
Assets acquired from suppliers in installments 6,405 9,270

4 

 

Auna S.A. and Subsidiaries
Notes to the Condensed Consolidated Interim Financial Statements
March 31, 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
March 31, 2026

 

For the three months period ended March 31, 2026:

 

  Reportable segments    
In thousands of soles

Oncosalud

Peru

Healthcare services in Peru Healthcare services in Colombia Healthcare services in Mexico Total reportable segments Holding and eliminations Total
2026              
External revenues 299,424 200,551 398,583 279,018 1,177,576 1,177,576
Inter-segment revenue (i) 14,103 80,919 1,422 - 96,444 (96,444) -
Segment revenue 313,527 281,470 400,005 279,018 1,274,020 (96,444) 1,177,576
External cost of service (87,576) (193,829) (303,174) (161,938) (746,517) (746,517)
Inter-segment cost of service (i) (81,567) (13,104) - (94,671) 94,671 -
Segment cost of service (169,143) (206,933) (303,174) (161,938) (841,188) 94,671 (746,517)
Gross profit 144,384 74,537 96,831 117,080 432,832 (1,773) 431,059
External selling expenses (53,819) (5,748) (1,178) (2,327) (63,072) 803 (62,269)
Segment selling expenses (53,819) (5,748) (1,178) (2,327) (63,072) 803 (62,269)
External administrative expenses (18,797) (32,330) (54,939) (67,300) (173,366) (173,366)
Inter-segment administrative expenses (901) (2,064)  - - (2,965) 2,965 -
Corporate expenses (17,402) (14,832) (3,495) (3,171) (38,900) (1,848) (40,748)
Segment administrative expenses (37,100) (49,226) (58,434) (70,471) (215,231) 1,117 (214,114)
Impairment losses on trade receivables (183) (984) (5,830) (1,519) (8,516) 1 (8,515)
Other income 436 1,369 1,497 6,387 9,689 (991) 8,698
Inter-segment other income 3,334 219 - - 3,553 (3,553) -
Other income 3,770 1,588 1,497 6,387 13,242 (4,544) 8,698
Segment operating profit (loss) 57,052 20,167 32,886 49,150 159,255 (4,396) 154,859
Share of profit of equity accounted investees, net of taxes 729 - 1,810 - 2,539 - 2,539
Exchange difference, net (3,997) (1,290) 10,012 33 4,758 (31,183) (26,425)
Interest expense, net (5,305) (5,565) (25,904) (45,070) (81,844) (32,667) (114,511)
Segment profit (loss) before tax 48,479 13,312 18,804 4,113 84,708 (68,246) 16,462
Other disclosures              
Depreciation and amortization (10,523) (10,713) (10,919) (22,784) (54,939) (2,553) (57,492)
Capital expenditure (8,583) (6,140) (4,033) (11,742) (30,498) (3,361) (33,859)
Segment assets 2,407,194 1,030,350 2,654,749 3,277,192 9,369,485 (1,681,694) 7,687,791
Segment liabilities 1,080,692 608,625 1,465,583 2,030,051 5,184,951 584,487 5,769,438

6 

 

Auna S.A. and Subsidiaries
Notes to the Condensed Consolidated Interim Financial Statements
March 31, 2026

 

For the three months period ended March 31, 2025:

 

  Reportable segments    
In thousands of soles

Oncosalud

Peru

Healthcare services in Peru Healthcare services in Colombia Healthcare services in Mexico Total reportable segments Holding and eliminations Total
2025              
External revenues 272,823 187,377 338,793 242,876 1,041,869 - 1,041,869
Inter-segment revenue (i) 7,953 76,043 - - 83,996 (83,996) -
Segment revenue 280,776 263,420 338,793 242,876 1,125,865 (83,996) 1,041,869
External cost of service (78,287) (172,296) (251,135) (158,530) (660,248) - (660,248)
Inter-segment cost of service (i) (74,900) (7,623) - - (82,523) 82,523 -
Segment cost of service (153,187) (179,919) (251,135) (158,530) (742,771) 82,523 (660,248)
Gross profit 127,589 83,501 87,658 84,346 383,094 (1,473) 381,621
External selling expenses (44,991) (5,148) (1,259) (2,190) (53,588) (18) (53,606)
Segment selling expenses (44,991) (5,148) (1,259) (2,190) (53,588) (18) (53,606)
External administrative expenses (19,505) (28,306) (45,469) (51,653) (144,933) - (144,933)
Inter-segment administrative expenses (103) (1,649) - - (1,752) 1,752 -
Corporate expenses (15,675) (15,365) (2,876) (1,735) (35,651) (1,868) (37,519)
Segment administrative expenses (35,283) (45,320) (48,345) (53,388) (182,336) (116) (182,452)
Impairment losses on trade receivables (407) (4,996) (9,604) (511) (15,518) (133) (15,651)
Other income 3,333 1,890 1,201 5,765 12,189 (2,927) 9,262
Inter-segment other income - - - - - - -
Other income 3,333 1,890 1,201 5,765 12,189 (2,927) 9,262
Segment operating profit (loss) 50,241 29,927 29,651 34,022 143,841 (4,667) 139,174
Share of profit of equity accounted investees, net of taxes 1,109 - 1,663 - 2,772 - 2,772
Exchange difference, net (908) 1,656 25,618 (843) 25,523 11,574 37,097
Interest expense, net (6,030) (9,948) (24,442) (46,479) (86,899) (30,617) (117,516)
Segment profit (loss) before tax 44,412 21,635 32,490 (13,300) 85,237 (23,710) 61,527
Other disclosures              
Depreciation and amortization (8,659) (11,522) (9,808) (20,777) (50,766) (2,618) (53,384)
Capital expenditure (4,086) (16,580) (2,626) (15,008) (38,300) (1,943) (40,243)
Segment assets 2,277,885 1,041,349 2,341,241 2,980,865 8,641,340 (1,570,929) 7,070,411
Segment liabilities 1,096,096 638,043 1,353,343 1,825,125 4,912,607 486,755 5,399,362

7 

 

Auna S.A. and Subsidiaries
Notes to the Condensed Consolidated Interim Financial Statements
March 31, 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.

 

8 

FAQ

How did Auna (AUNA) perform financially in 1Q26?

Auna delivered higher revenue but lower profit in 1Q26. Total revenue reached S/1,178 million, up 13% year over year, while Adjusted EBITDA declined 2% to S/217 million and net income dropped to S/9 million, mainly from non-cash FX losses.

What drove Auna (AUNA) revenue growth across Mexico, Peru, and Colombia in 1Q26?

Revenue growth was broad-based across all markets. Local-currency revenues increased 8% in Mexico, 9% in Peru, and 14% in Colombia, helped by higher surgery and oncology volumes, new B2B contracts, and expanded risk-sharing payor agreements.

Why did Auna’s (AUNA) Adjusted EBITDA margin decline in 1Q26?

Adjusted EBITDA margin fell to 18.4% from 21.4%. The decline reflected revenue adjustments and delayed rebates in Peru, a lower contribution margin mix and higher SG&A from talent investments in Mexico, partially offset by a 7% Segment Adjusted EBITDA increase in Colombia.

How were Auna’s (AUNA) cash flow and leverage in 1Q26?

Auna’s cash generation improved meaningfully. Net cash from operating activities rose to S/175 million from S/106 million, while net debt stood at S/3,407 million and the leverage ratio at 3.7x Adjusted LTM EBITDA, broadly stable versus prior periods.

How did Oncosalud Peru and Auna’s insurance plans perform in 1Q26?

Oncosalud Peru continued to grow memberships and maintain discipline. Revenue rose 12% to S/314 million, plan memberships increased 5.5% to about 1.44 million, and the overall medical loss ratio improved to 54.4%, with oncology plans at 49.6%.

What risk-sharing and payor mix changes occurred in Auna’s Colombia operations in 1Q26?

Colombia deepened its shift toward risk-sharing contracts. PGP contracts represented 21% of segment revenue and covered about 3.1 million lives, while revenues from government-intervened payors fell to 14% of total, down from 19% a year earlier.

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