Auna (AUNA) Q1 2026 earnings summary

Executive summary

• Revenue grew 13% year-over-year to S/ 1,178 million in Q1 2026, with all segments contributing to growth across Mexico, Peru, and Colombia.

• Adjusted EBITDA declined 2% YoY to S/ 217 million, with margin down 2.9 percentage points to 18.4%, impacted by extraordinary items, payor adjustments, and higher payroll expenses.

• Free cash flow expanded 2.6x YoY to S/ 152 million, reflecting strong cash management and working capital discipline.

• Leverage ratio stable at 3.7x, mainly due to non-cash FX effects.

• Strategic focus on high-complexity services, risk-sharing contracts, and expanding plan memberships.

Financial highlights

• Consolidated revenue reached S/ 1,178 million, up 13% YoY and 10% in constant currency.

• Adjusted EBITDA margin contracted by 2.9 percentage points to 18.4%; operating profit rose 11% to PEN 155 million.

• Free cash flow reached S/ 152 million, up from S/ 42 million YoY, driven by 45% higher pre-tax operating cash flow.

• End-of-period cash rose 22% versus December 2025.

• Adjusted EPS was S/ 0.18, down from S/ 0.70 in Q1 2025.

Outlook and guidance

• Annual revenue and EBITDA guidance reaffirmed, expecting stronger growth in the second half of 2026.

• Margin improvement anticipated in Mexico and Colombia as scale and operating leverage increase.

• Initiatives underway to mitigate revenue adjustment impacts in Peru and optimize billing cycles.

• Mexico anticipated to continue recovery, leveraging higher volumes and cost efficiencies.

• Colombia to focus on balanced payor mix and reliable cash flows.