Auna reports 9% Q2 revenue growth, 9% adjusted EBITDA decline

Auna (NYSE: AUNA ) released second-quarter financial results and hosted an earnings call on Wednesday.

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For comprehensive financial data and transcripts, visit Access the full call at Summary Auna reported a 9% increase in consolidated revenue for Q2 2026, driven by volume growth and an improved mix of services across Mexico, Colombia, and Peru.

Despite revenue growth, consolidated adjusted EBITDA decreased by 9% due to margin pressures and billing penalties in Peru.

In Mexico, patient volumes grew significantly, particularly in high-complexity areas like oncology, with revenue increasing by 4% and adjusted EBITDA by 3% sequentially.

Peru's revenue growth was supported by new memberships and higher complexity surgeries, though adjusted EBITDA remained flat due to billing penalties and onboarding costs.

Colombia saw a 13% revenue growth, with risk-sharing agreements now covering 24% of revenue, contributing to improved cash conversion and predictability.

The company improved its cash position significantly, with a 181% year-over-year increase in free cash flow, supported by better working capital management.

Auna expects 12% FX-neutral revenue growth for 2026 and adjusted EBITDA growth at the low end of the 10% to 14% guidance range, excluding billing penalties in Peru.

Debt leverage decreased to 3.6 times, with expectations for further improvement by year-end 2026.

Full Transcript Rob, OPERATOR Good morning and welcome to Auna's second quarter 2026 earnings conference call.

My name is Rob and I will be your operator for today's call.

At this time all participants are in listen-only mode, and please note that this call is being recorded.

There will be an opportunity for you to ask questions at the end of today's presentation.

Now I would like to turn the call over to Ana Maria Mora, Head of Investor Relations.

Please go ahead.

Ana Maria Mora, Head of Investor Relations Thank you, operator.

Hello everyone and welcome to Auna's conference call to review our second quarter results.

Please note that there is a webcast presentation to accompany the discussion during this call.

If you need a copy of the presentation, please go to our Investor Relations website or contact Auna's Investor Relations team.

Please note that when we discuss variances we will be doing so on a year-over-year basis and in FX-neutral or local currency terms with regard to Mexico and Colombia, unless we note otherwise.

Let's move to slide 2.

In addition to reporting unaudited financial results in accordance with International Financial Reporting Standards, we will discuss certain non-IFRS financial measures and operating metrics, including foreign exchange neutral calculations.

Investors should carefully read the definitions of these measures, the metrics and reconciliations included in our earnings press release published yesterday after market close to ensure that they understand them.

Non-IFRS financial measures and operating metrics should not be considered in isolation as a substitute for or superior to IFRS financial measures and are provided as supplemental information only.

Before we begin our remarks, please also note that certain statements made during the course of today's discussion may constitute forward-looking statements, which are based on management's current expectations and beliefs and which are subject to a number of risks and uncertainties that could cause actual results to materially differ, including factors that may be beyond the company's control.

These include, but are not limited to, our target leverage ratio, suppliers and information systems in Mexico, the results of key initiatives we're implementing in Mexico, Colombia and Peru, the expected capacity and market of storage once built, the execution of our strategic plan including the recovery of our growth levels and the rollout of the Auna Way in Mexico, our planned investment, our expected revenue growth and adjusted EBITDA growth, revenue and adjusted EBITDA guidance, and the creation of further growth and sustainable value for all stakeholders.

For a description of risks that may impact our forward-looking statements, please refer to our Form 20-F filing with the U.S.

Securities and Exchange Commission and our earnings press release.

Slide 3 please.

On today's call we have our Executive Chairman and President, Giselle Remi; our Chief Financial Officer and Executive Vice President; and Lorenzo Massar, our Executive Vice President of Strategy and Equity Capital Markets.

They will discuss the Auna consolidated and segment financial and operating results for the quarter as well as provide an update on our various strategic growth initiatives.

After that, we will open the call for your questions, so please go ahead.

Lorenzo Massar, EVP Strategy and Equity Capital Markets Thanks, Annie.

Great.