Auna SA Refinances $825M Debt as Q4 Net Income Jumps to 136M Soles
Auna SA’s Q4 adjusted net income surged to 136 million soles from 36 million year-over-year, supported by an $825 million debt refinancing that extends maturities and reduces interest expenses. However, full-year adjusted EBITDA declined 14% FX-neutral, driven by a 36% quarterly drop in Mexico and a 2.3-point capacity use dip.
1. Q4 Earnings and Profitability
Auna SA posted consolidated adjusted net income of 136 million soles in Q4 2025, up from 36 million a year ago, reflecting strong top-line momentum in Peru and improved cash flow in Colombia.
2. EBITDA Decline
Full-year adjusted EBITDA declined 14% on an FX-neutral basis, driven by a 36% quarterly drop in Mexico profitability and a 2.3-point reduction in healthcare services capacity utilization to 64%.
3. Regional Performance
Peru delivered robust results with favorable pricing mix and record-low medical loss ratio, while Mexico stabilized operations and Colombia grew cash flow via higher risk-sharing contracts despite last year’s extraordinary comparatives.
4. Capital Structure and Growth Pipeline
Auna completed an $825 million debt refinancing to extend maturities and reduce interest costs, and plans to open the Torre Treca ambulatory center in 2H2028, targeting 3 million services and 20–25% of Peru business at maturity.