Auna (AUNA) Q4 2025 earnings summary

Executive summary

• Stabilized Mexico operations in Q4 2025, setting the stage for top-line and EBITDA growth in 2026, despite earlier volume losses; Peru outperformed with strong pricing mix and record low medical loss ratio, while Colombia delivered growth and improved cash flow through risk-sharing contracts.

• Consolidated revenue for FY25 was S/4,385 million, flat year-over-year on a reported basis but up 4% FXN; Q4'25 revenue up 7% YoY to S/1,133 million, driven by strong growth in Peru and Colombia offsetting Mexico's challenges.

• Adjusted net income reached S/136 million in Q4, up from S/36 million YoY; full-year adjusted net income more than doubled to S/336 million.

• Free cash flow grew 35% YoY to S/582 million; year-end cash position up 42% to S/335 million, supporting liquidity.

• Completed US$825 million debt refinancing, improving maturity profile, reducing interest expense, and maintaining leverage ratio at 3.6x.

Financial highlights

• FY25 consolidated revenue: S/4,385 million (flat YoY reported, +4% FXN); Q4'25: S/1,133 million (+7% YoY); adjusted EBITDA for FY25: S/917 million (-8% YoY reported, -3% FXN); margin 20.9% (-1.7 p.p. YoY); Q4'25 adjusted EBITDA: S/220 million (-13% YoY), margin 19.5% (-4.5 p.p. YoY).

• Adjusted net income: S/336 million for FY25 (+130% YoY); S/136 million for Q4'25.

• Free cash flow: S/582 million (+35% YoY); end-of-period cash: S/335 million (+42% YoY).

• Net finance costs in FY25 S/436 million vs S/609 million in FY24; excluding extraordinary items, down 18.2%.

• Gross margin for FY25: 37.9% (-1.4 p.p. YoY).

Outlook and guidance

• 2026 revenue and adjusted EBITDA growth expected at 12% FXN, within a 10–14% range, driven by commercial momentum, operational execution, and disciplined cost management.

• CapEx expected to remain at approximately 4% of revenue, focused on maintenance, infrastructure, and IT investments.

• Guidance based on current macroeconomic and regulatory assumptions; subject to change if conditions shift.

• Mexico and Peru identified as primary growth engines over the next five years.