NYSE:AUNA Auna Q2 2026 Earnings Report $5.40 +0.18 (+3.45%) As of 03:56 PM Eastern ProfileEarnings HistoryForecast Auna EPS ResultsActual EPS$0.15Consensus EPS $0.26Beat/MissMissed by -$0.12One Year Ago EPSN/AAuna Revenue ResultsActual Revenue$362.85 millionExpected Revenue$357.39 millionBeat/MissBeat by +$5.46 millionYoY Revenue GrowthN/AAuna Announcement DetailsQuarterQ2 2026Date8/18/2026TimeAfter Market ClosesConference Call DateWednesday, August 19, 2026Conference Call Time8:00AM ETUpcoming EarningsAuna's Q3 2026 earnings is estimated for Thursday, November 19, 2026, based on past reporting schedules, with a conference call scheduled on Friday, November 20, 2026 at 8:00 AM ET. Check back for transcripts, audio, and key financial metrics as they become available.Conference Call ResourcesConference Call AudioConference Call TranscriptSlide DeckPress Release (6-K)Earnings HistoryCompany ProfileSlide DeckFull Screen Slide DeckPowered by Auna Q2 2026 Earnings Call TranscriptProvided by QuartrAugust 19, 2026ShareShareShare This ReportLink copied to clipboard.Key Takeaways Positive Sentiment: Revenue increased 9% year over year, driven by volume growth and a higher mix of complex services across Mexico, Peru, and Colombia. Capacity utilization rose 2.3 percentage points year to date to 66%. Negative Sentiment: Consolidated adjusted EBITDA declined 9% on an FX-neutral basis, pressured by talent investments and temporary margin issues in Mexico and Colombia, as well as billing-related penalties and higher onboarding costs in Peru. Positive Sentiment: Cash generation strengthened materially, with first-half operating cash flow up 45% and free cash flow up 181% year over year. Cash increased 43% from year-end 2025, reducing leverage to 3.6x and moving the company closer to its medium-term target of below 3x net debt to EBITDA. Positive Sentiment: Management reaffirmed 2026 revenue growth guidance of approximately 12% on an FX-neutral basis and expects adjusted EBITDA growth toward the low end of its 10%–14% range, excluding Peru’s accepted prior-period billing penalties. Neutral Sentiment: Management expects sequential improvement in the second half, supported by Mexico’s recovering patient volumes, Colombian contractual price increases and stabilization of risk-sharing contracts, and normalization of new B2B onboarding costs in Peru. However, Peru’s prior-period billing reconciliations remain subject to open negotiations during 2026. AI Generated. May Contain Errors.Conference Call Audio Live Call not available Earnings Conference CallAuna Q2 202600:00 / 00:00Speed:1x1.25x1.5x2xTranscript SectionsPresentationParticipantsPresentationSkip to Participants Operator00:00:00Good 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 MarÃa Mora, Head of Investor Relations. Ma'am, please go ahead. Ana MarÃa MoraHead of Investor Relations at Auna00:00:24Thank 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. Ana MarÃa MoraHead of Investor Relations at Auna00:00:57Let's move to slide two. 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. Ana MarÃa MoraHead of Investor Relations at Auna00:01:29Non-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. Ana MarÃa MoraHead of Investor Relations at Auna00:02:05These 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 Torre Trecca once built, the execution of our strategic plan, including the recovery of our growth levels and the rollout of The AunaWay in Mexico, our planned investment, our expected revenue growth and adjusted EBITDA growth, our revenue and adjusted EBITDA guidance, and the creation of further growth and sustainable value for all stakeholders. Ana MarÃa MoraHead of Investor Relations at Auna00:02:42For 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 three, please. On today's call, we have Suso Zamora, our Executive Chairman and President, Gisele Remy, our Chief Financial Officer and Executive Vice President, and Lorenzo Massart, our Executive Vice President of Strategy and Equity Capital Markets. They will discuss Auna's 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. Suso, please go ahead. Suso ZamoraExecutive Chairman and President at Auna00:03:26Thanks, Annie. Great. Let's turn to slide four, please. Our second quarter results demonstrate sustained commercial momentum across Auna's regional healthcare platform and substantial progress in the operational enhancements we implemented last year, particularly in Mexico. Despite encountering margin pressures across each of our markets during the quarter, the underlying performance of the business remains robust, and we continue to see strong demand across the platform. Suso ZamoraExecutive Chairman and President at Auna00:03:58Consolidated revenue experienced a 9% increase during the quarter, primarily attributed to volume growth and an improved mix of higher complexity services across all three of our markets. Consolidated adjusted EBITDA decreased 9% on an FX neutral basis. This decline was attributed to temporary margin pressures in Mexico and Colombia, as well as the impacts of accepted penalties related to billing matters, primarily in the reconciliation of prior years' receivables in Peru. Suso ZamoraExecutive Chairman and President at Auna00:04:38In Mexico, the recovery in volumes accelerated during the quarter, with surgeries increasing 7% and oncology chemotherapies and radiotherapies increasing by 20% compared to the first quarter of 2026. This growth was attributed to the continued benefits of the improved tier classifications secured with major insurers and from the expansion of Auna's oncology offerings. Favorable pricing in high complexity care and the improved economics of our new ISSSTE León contract also contributed to a 4% increase in revenues. Suso ZamoraExecutive Chairman and President at Auna00:05:17Peru achieved 8% revenue growth, primarily attributed to a higher average ticket and sustained membership expansion. Aligned with Auna's business model, growth of high complexity surgeries also supported increases in the quarter, in conjunction with an increasing penetration of the B2B market. In Colombia, volumes and capacity utilization experienced a second consecutive quarter of growth, contributing to an 18% sequential increase in adjusted EBITDA. Suso ZamoraExecutive Chairman and President at Auna00:05:50Our leverage decreased to 3.6x from the first quarter of 2026, supported by the cash generation of the business. Additionally, we strengthened our cash position once again this quarter. Cash increased 43% against year-end 2025. And free cash flow increased 181% year-over-year, reflecting the disciplined cash management we continue to maintain across Auna's regional platform, including improved collections in Colombia. Suso ZamoraExecutive Chairman and President at Auna00:06:20Let's move to slide 5. Despite our platform's robust revenue growth and positive cash flow, consolidated adjusted EBITDA experienced a decline, primarily reflecting our investments in Mexico's medical and leadership talent to facilitate growth, as well as the billing reconciliations in Peru. As illustrated in the lower portion of the slide, capacity utilization across our healthcare services witnessed a 2.3 percentage points year-to-date increase to 66%, and a sequential increase of 2.8 percentage points. Suso ZamoraExecutive Chairman and President at Auna00:06:56On the insurance side of Auna's platform, memberships continue to expand, experiencing a 6% increase in the quarter. Additionally, MLR remains stable around 50%. Let's move to slide seven to take a closer look at Mexico's performance. In Mexico, the sequential increase in patient volumes was once again concentrated in high complexity areas, particularly surgeries and oncology, resulting in a 7% and 20% increase respectively. Oncology continued to perform exceptionally well, with revenues increasing by 110% from the first quarter of 2025, and 6% sequentially. In September, Auna will be inaugurating an Elekta Evo linear accelerator in MonterÃa. Suso ZamoraExecutive Chairman and President at Auna00:07:47The most advanced linear accelerators available for radiology on the market to provide the best-in-class treatment for our patients. Increased physician onboarding and productivity also contributed to growth during the quarter. Other growth drivers included our ISSSTE León B2G agreement, surgical and hemodynamics packages, and out-of-pocket revenues, which collectively helped Mexico achieve 4% revenue growth. Revenue also increased 5% sequentially, while adjusted EBITDA increased 3%. On a year-over-year basis, adjusted EBITDA declined 16%, primarily due to our continued investments in medical and leadership talent. Suso ZamoraExecutive Chairman and President at Auna00:08:33The growth during the quarter was impacted by the Easter holidays in April and the impact of the new value-added tax on insurance in Mexico. We observed a noticeable increase in volumes and revenue in May and June, and we expect stronger year-over-year growth in the latter half of the year. Auna is also committed to enhancing variable cost efficiencies in Mexico. Beyond the margin benefit, this strengthens our value proposition with the country's largest insurers and remains a significant competitive advantage for Auna. Suso ZamoraExecutive Chairman and President at Auna00:09:03Slide eight, please. In Peru, both Oncosalud and healthcare services contributed to revenue growth during the quarter. Oncosalud's revenue increased 11%, driven by annual price adjustments and improved service mix and 6% membership growth. Membership growth was also supported by a new B2B plan covering 7,000 SEDAPAL employees, reflecting the progress we made in strengthening our commercial execution in the large corporate segment. Suso ZamoraExecutive Chairman and President at Auna00:09:35We are also witnessing positive momentum in healthcare services. New commercial initiatives targeting corporate policy holders contributed to a 9% increase in emergency treatments during the quarter, and by 14% from the first quarter of 2026. Capacity utilization reached 83%. Despite Peru's revenue growth and higher capacity utilization, adjusted EBITDA was flat year-over-year, in part due to the accepted penalties related to billing matters, primarily in the reconciliation of prior years' receivables. Suso ZamoraExecutive Chairman and President at Auna00:10:11Underlying profitability was also affected by higher B2B onboarding costs at Oncosalud, physician retention incentives, overtime expenses, and pharmacy costs. Following the quarter's close, we took possession of a new clinical facility that will expand our capacity in the south of Lima. The project will expand surgeries and chemotherapies and add 30 beds through an asset-light, cost-efficient model, and is expected to become operational between the end of 2027 and the beginning of 2028. Suso ZamoraExecutive Chairman and President at Auna00:10:46We also acquired a Versius SP4 robotic system designed to support minimally invasive procedures through independent robotic arms and a laparoscopic approach, strengthening Auna's high complexity surgical capabilities. Let's move to slide nine. In Colombia, we continue to make significant progress in diversifying our payer base and expanding risk-sharing agreements. These contracts now constitute 24% of our revenue, up from 14% a year ago, and cover more than 3 million lives. Suso ZamoraExecutive Chairman and President at Auna00:11:22They were a crucial contributor to our 13% revenue growth and are also enhancing cash conversion and predictability. Simultaneously, intervening payers declined to 12% of revenue from 18% last year, with growth from private payers more than offsetting that reduction. Higher volumes also continue to improve capacity utilization to 79.2% from the same period last year, which has now been above pre-Nueva EPS intervention levels. Suso ZamoraExecutive Chairman and President at Auna00:11:55Adjusted EBITDA declined 12% year-over-year, reflecting higher costs associated with greater complexity, the minimum wage increase, talent investment, and the growing mix of risk-sharing agreements. However, we observed a clear sequential improvement, with adjusted EBITDA increasing 18% and margins expanding 1.7 percentage points. We anticipate that contractual price increases in the second half to largely offset these cost pressures and support stronger EBITDA growth. Suso ZamoraExecutive Chairman and President at Auna00:12:31Finally, after being deliberately cautious with growth capital in Colombia over the past two years, with the recent elections and the plans of the new administration, we are beginning to invest selectively again. We are identifying attractive opportunities emerging in the market and intend to position ourselves to capture them. Suso ZamoraExecutive Chairman and President at Auna00:12:51Following the quarter end, in light of the new government emergency stabilization plan, we expanded operating capacity at our IMAT Oncomédica facilities in MonterÃa, adding 18 adult ICU beds and 24 hospitalization beds. This capacity was largely ready for operation, thus necessitating minimal incremental CapEx, and we anticipate it to be highly accretive throughout the remainder of the year. We identify additional opportunities to continue expanding capacity in a similarly capital-efficient manner. With that, I will turn the call over to Gisele, who will review our results in a greater detail. Gisele RemyCFO and EVP at Auna00:13:32Thanks, Suso. My review begins with slide 11, which summarizes the main revenue drivers during the second quarter. In Mexico, growth was primarily driven by high complexity volumes, with surgery volumes increasing 6% and chemotherapy and radiotherapy volumes expanding 86% year-over-year. Peru's top-line growth was driven by new memberships, including the 7,000 SEDAPAL employees that Suso highlighted earlier. Gisele RemyCFO and EVP at Auna00:14:07Another significant driver was commercial initiatives that drove higher patient volumes within our healthcare network, as well as a greater mix of high-complexity surgeries. In Colombia, new relationships with private payers, as well as risk-sharing models, have replaced the revenue from the intervene payers that we have been gradually moving away from. Revenues from private payers grew 17% year-over-year and accounted for 18% of Colombia's revenues in the second quarter. Additionally, revenue from risk-sharing contracts now represents 24% of total revenue in Colombia. Gisele RemyCFO and EVP at Auna00:14:53Let's now turn to the EBITDA bridge on slide 12. The decrease in adjusted EBITDA reflects the lower contribution margins related to Mexico's service mix and our growth investments in talent. In Colombia, it reflects the variable costs of stabilizing our new risk-sharing contracts alongside statutory wage increases. We also experienced higher pharmacy costs associated with the period service mix in Mexico and the onboarding of new B2B contracts in Peru. Gisele RemyCFO and EVP at Auna00:15:35Another factor was the billing impacts in Peru, primarily related to prior year billing matters. We are actively compressing our internal billing cycle to minimize these impacts going forward and also expect to close all open negotiations related to reconciliations of previous years during 2026. During the second half of this year, we expect adjusted EBITDA to continue improving sequentially. This will be driven by increasing volumes and operational progress in Mexico, contractual price adjustments taking full effect to improve profitability in Colombia, and the stabilization of new risk-sharing contracts in Colombia, as well as new B2B contracts in Oncosalud, Peru. Gisele RemyCFO and EVP at Auna00:16:29Let's now move on to adjusted net income on slide 13. Adjusted net income was PEN 40 million in the second quarter. The variation versus the comparable period of last year was primarily impacted by a decrease of PEN 61 million in FX gains as a result of resetting the levels of our FX hedges related to our debt at the end of 2025, which will help reduce FX volatility going forward. While operating profit declined, this was more than offset by income taxes falling in a greater proportion. Let's now move to slide 14, please. Cash flow generation continued to be a key highlight for the quarter. Gisele RemyCFO and EVP at Auna00:17:20Net cash from operating activities reached PEN 441 million for the first six months of the year, representing a 45% increase year-over-year, while free cash flow grew by 181%. The strong growth in cash flow primarily stems from improved working capital management, higher collections recoveries, various supply chain financing initiatives that we have implemented across Auna's regional platform, and finally, the utilization of tax credits. Gisele RemyCFO and EVP at Auna00:17:59Our cash position also increased substantially, growing 43% since year-end 2025. While organic maintenance CapEx remained relatively flat year-over-year, cash used in the period for payments of maintenance CapEx dropped slightly versus year-to-date 2025 as finance leases in year-to-date 2026 funded a larger portion of acquisitions. Let's now turn to slide 15, please. With the cash that we generated in the quarter, a lower level of net debt improved our leverage ratio sequentially. Gisele RemyCFO and EVP at Auna00:18:41This trend and the improving adjusted EBITDA that we are expecting for the second half of the year mean that we expect leverage to continue improving by the end of the year, getting us closer to our medium-term target of 3x net debt to EBITDA. I'd also like to point out that on an FX neutral basis across all currencies, our gross debt fell by PEN 43 million versus the end of 2025. However, due to the slight depreciation of the Peruvian sole, gross debt increased by PEN 74 million on a reported basis. At the end of the quarter, we had PEN 191 million in credit lines, of which PEN 125 million is still available for us to draw. Gisele RemyCFO and EVP at Auna00:19:35One final word on our debt structure. 56% of Auna's debt is in local currency. The balance of our debt is in U.S. dollars, of which 85% is hedged to the Peruvian sole. That concludes my review of the quarter. I'll now hand the call back to Suso, who has a few closing remarks before we open the call for questions. Suso ZamoraExecutive Chairman and President at Auna00:20:02Thanks, Gisele. Peru, the most mature market in our regional healthcare platform, continues to demonstrate the strength of our vertically integrated model. We remain focused on higher complexity care and expect profitability to improve as the initial onboarding costs associated with the new B2B accounts, including related pharmacy costs, normalize. In Colombia, we expect margins to continue improving over the coming quarters as contractual price increases take effect and offset higher operating costs, while our risk-sharing agreements continue to scale and provide greater predictability. Suso ZamoraExecutive Chairman and President at Auna00:20:39In Mexico, we expect a sequential improvement to continue, supported by the onboarding of high-productivity physicians, the improved tier classifications with major insurers, and continued growth in oncology and other high-complexity services. We are excited about our expansion in Lima Sur and our added capacity in MonterÃa, as well as our new linear accelerator in Mexico. We believe these will be accretive to our competitive advantage. Suso ZamoraExecutive Chairman and President at Auna00:21:10Looking ahead, we are reaffirming our full year 2026 revenue guidance of approximately 12% FX neutral growth. Based on the underlying performance of the business, we expect adjusted EBITDA growth toward the low end of our 10%-14% guidance range, excluding the impact of Peru's accepted billing penalties, primarily related to prior years' billing patterns. Suso ZamoraExecutive Chairman and President at Auna00:21:38We also expect to continue reducing leverage for the remainder of the year, moving closer to our target of less than 3x net debt to adjusted EBITDA, while free cash flow continues to exceed our original expectations. Our confidence in the underlying outlook is supported by a strong recovery in Mexico's patient volumes and the operational improvements we expect to continue seeing in Peru and Colombia. Thank you very much. Now let's open the questions-and-answer segment of the earnings call. Operator00:22:09At this time, we will open the floor for your questions. If you would like to ask a question over the phone, please press star one in your telephone keypad. As a reminder, you can also submit your questions online by using the Q&A function of the webcast platform. Your first question comes from the line of Mauricio Cepeda from Morgan Stanley. Please go ahead. Your line is open. Mauricio CepedaAnalyst at Morgan Stanley00:22:30Hi. Hello. Good morning. Good morning, Suso. Gisele. Thank you for the opportunity here. We have two questions. The first one about the working capital. We saw that the first half of the year cash conversion moved sharply. But, we also saw that much of the change came from receivables and payables. If we exclude any type of legacy receivable collection, how much of the remaining benefit came from the ordinary payment timing versus, let's say, supplier financing or other working capital financing mechanisms? What was the supplier financing balance at June? Mauricio CepedaAnalyst at Morgan Stanley00:23:16What would be the DPO if we exclude those programs, and what would be the underlying first half cash conversion, if we take this kind of adjustment? The second question is about the Peru revenue recognition. Both in Q1 and Q2, we recognize deductions related to prior periods billing reconciliation. Have you already changed the methodology and controls that you use to estimate these expected payer deductions? Like we've seen the Brazilian payers, the Brazilian providers, they use the term clause, when the revenue is initially recognized. What evidence gives you confidence that the 2026 receivables vintage will not require similar retrospective adjustments? Thank you. Suso ZamoraExecutive Chairman and President at Auna00:24:12Thank you, Mauricio. It's always good to have the first question from you. It's becoming a tradition. I appreciate that. Thank you. Gisele, I think both questions are more in your territory. Gisele RemyCFO and EVP at Auna00:24:25Yeah. Great, Suso. Thanks. Good morning, Mauricio. To tackle both parts of the question, first, from a working capital perspective, yes, you're correct. We've seen strong improvement in the first half of this year versus the comparable period last year. The majority of this on the accounts receivable side is due to the improvement in accounts receivable days. More specifically on the current portion, right, to your question, as if it's related to the current portion or the legacy portion. This has to do with both a reduction of the internal billing cycle in the case of Colombia and in the case of Peru. Gisele RemyCFO and EVP at Auna00:25:10Also, in the case of the complete billing cycle in Colombia, where we have a much higher proportion now of risk-sharing contracts that are paid much faster than the event model. Finally, as we've been streamlining the process end to end, we do see that these improvements are sustainable over time and will be conducive to sustaining the current level of accounts receivable rotation that we're seeing. We do see that sustainable. Gisele RemyCFO and EVP at Auna00:25:45In the case of accounts payable days, I just wanted to clarify that we've had gains over the last few quarters, as we've mentioned, particularly related to supply chain financing initiatives that we've structured with financial institutions. Those are also sustainable over time, given that we've onboarded several suppliers across the geographies, and that's permitting us to have this improvement in accounts payable days, which again, we're also seeing sustainable over time, and I don't think it's necessary to make any adjustments to that. Gisele RemyCFO and EVP at Auna00:26:22Finally, working capital is also benefited by VAT credits that we have used specifically in the case of Peru, and that has also helped working capital rotation. I think those are some of the points worth highlighting. We do see a good working capital rotation being sustained in the year to go. As far as the second part of the question around billing penalties, specifically in the case of Peru, yes, we have seen a higher level of billing penalties in Peru versus what we had seen in previous periods. Maybe to go over the factors, we have seen these revenue adjustments basically as a result of billing penalties, and they are higher than what we have seen historically, as we mentioned in last quarter's call. Gisele RemyCFO and EVP at Auna00:27:26This is obviously affected by a sector-wide situation where financial pressure across Peruvian payers has led them to tighten the enforcement of billing deadlines and settlement terms. We have been actively shortening our internal billing cycle for some time now and strengthening financial controls to eliminate future penalty exposure. Specifically, we expect any open and ongoing negotiations related to the settlements of billing matters from prior years to be finalized during this year. Gisele RemyCFO and EVP at Auna00:28:03That is why we do think it is a short-term impact that will impact 2026. But by next year going forward, we should have cleaned out conciliations from prior periods. That is why we are maintaining our guidance of adjusted EBITDA when we exclude that impact in 2026. Current negotiations related to prior periods do remain open, and that is why we are not including it within those numbers. Suso ZamoraExecutive Chairman and President at Auna00:28:37[inaudible] Mauricio CepedaAnalyst at Morgan Stanley00:28:42Just a follow-up question. Suso ZamoraExecutive Chairman and President at Auna00:28:42Go ahead, Mauricio. Mauricio CepedaAnalyst at Morgan Stanley00:28:44No, please, Suso. Suso ZamoraExecutive Chairman and President at Auna00:28:47No, I just wanted to add, to be clear, this has been like a reset, and we ourselves internally have also put a very high hurdle. No tolerance to services delivered where we are going to have a discussion on payment. The whole cycle of how we deliver services and bill services and collect services, we have changed dramatically. The sector has changed, and we ourselves have changed. I think this is not going to be a situation that is going to pass 2026. Mauricio CepedaAnalyst at Morgan Stanley00:29:28Thank you. Suso ZamoraExecutive Chairman and President at Auna00:29:28Thank you, Mauricio. Mauricio CepedaAnalyst at Morgan Stanley00:29:29Just a follow-up question on the working capital, about the supplier finance. I understand that the supplier finance, you said that you imported some suppliers there. So of course it benefits the cash, but does it come in at the expense of costs, and that's why we're seeing the margin impact there? Is one thing related to the other? Gisele RemyCFO and EVP at Auna00:29:50No, we don't see these supply chain financing initiatives impacting the cost structure, and obviously, they've been as a product of very close negotiations and onboarding with our suppliers. So no, we don't see it impacting costs. Mauricio CepedaAnalyst at Morgan Stanley00:30:09Okay. Thank you. Thank you again. Operator00:30:13Again, if you would like to ask a question, please press star one on your telephone keypad. As a reminder, you may also submit questions online via the Q&A function of the webcast platform. We will pause for just a moment. There are no more questions from the phone line, so I will now turn the call over to Ana MarÃa Mora from Auna, who will proceed with the questions from the webcast platform. Ana MarÃa MoraHead of Investor Relations at Auna00:30:41Thank you Operator. I am not seeing any questions from the webcast platform, so I will give them a minute to present their questions. At this point, I see no questions on the webcast, so I will proceed and pass the word on to Suso for his final remarks. Suso ZamoraExecutive Chairman and President at Auna00:31:43Thank you very much, Annie and Gisele. Thank you, everybody. I just want to finish with a couple ideas. While this quarter presented some headwinds, some headwinds that we have also seen in the past, our underlying business and model remain sound. Our track to growth is evident, and our strategic path is unchanged. We have taken decisive actions to address the near-term challenges we see today, and we are positioned for sustainable growth, I want to reiterate. Thank you for joining us today. Thank you for your support and following. Our investor relations team is available for any further questions. Again, have a great day. Operator00:32:32This concludes today's conference call. You may now disconnect.Read moreParticipantsExecutivesAna MarÃa MoraHead of Investor RelationsSuso ZamoraExecutive Chairman and PresidentGisele RemyCFO and EVPAnalystsMauricio CepedaAnalyst at Morgan StanleyPowered by Earnings DocumentsSlide DeckPress Release(6-K) Auna Earnings HeadlinesAnalysts Set Auna S.A. (NYSE:AUNA) Target Price at $6.97September 2 at 1:45 AM | americanbankingnews.comAuna (AUNA) Q2 2026 Earnings Call TranscriptAugust 27, 2026 | fool.comThe $15 Gold Fund That Pays Up to $1,152/MonthGold is hitting record highs, but most investors are leaving income on the table. A $15 fund is quietly paying out up to $1,152 a month to regular investors - no mining stocks, no options, no physical metal required. Chief Income Strategist Tim Plaehn calls it a breakthrough strategy that transforms gold's rally into reliable monthly payouts. The next distribution is just days away.September 3 at 1:00 AM | Investors Alley (Ad)Auna reaffirms ~12% 2026 revenue growth as it targets leverage below 3x and expects EBITDA growth near low end of 10%-14% rangeAugust 19, 2026 | seekingalpha.comAuna S.A. (AUNA) Q2 2026 Earnings Call TranscriptAugust 19, 2026 | seekingalpha.comAuna S.A. (AUNA) Stock Falls on Q2 2026 EarningsAugust 18, 2026 | quiverquant.comQSee More Auna Headlines Get Earnings Announcements in your inboxWant to stay updated on the latest earnings announcements and upcoming reports for companies like Auna? Sign up for Earnings360's daily newsletter to receive timely earnings updates on Auna and other key companies, straight to your email. Email Address About AunaAuna (NYSE:AUNA), listed on the New York Stock Exchange under the ticker symbol AUNA, is a Peruvian integrated healthcare services company headquartered in Lima. The firm operates a diversified care network that spans hospitals, outpatient medical centers, diagnostic imaging and laboratory facilities, as well as optical and dental clinics. Auna’s organizational structure is designed to support a continuum of care model, offering both general and specialized treatments across multiple touchpoints. The company delivers a broad range of clinical services, including emergency care, inpatient and outpatient surgery, obstetrics, cardiology, oncology, orthopedics, and other specialized disciplines. Its diagnostic division provides advanced imaging and laboratory testing, while its network of optical and dental clinics addresses routine and corrective needs. Auna also places an emphasis on patient experience, employing digital tools such as online appointment scheduling and telemedicine consultations to streamline access to care. Formed in 2018 through the consolidation of several regional healthcare operators, Auna has expanded its footprint throughout Peru’s major urban centers. Headquartered in Lima, the company continues to invest in facility upgrades and technology enhancements to meet growing demand for private healthcare services. Under its executive management team, Auna has prioritized the integration of healthcare delivery systems and the development of digital health platforms to support long-term growth and operational efficiency.View Auna ProfileRead more More Earnings Resources from MarketBeat Earnings Tools Today's Earnings Tomorrow's Earnings Next Week's Earnings Upcoming Earnings Calls Earnings Newsletter Earnings Call Transcripts Earnings Beats & Misses Corporate Guidance Earnings Screener Latest Articles AeroVironment’s $465 Million Army Laser Win Expands Its Counter-Drone OpportunityThe Path to $230 Billion: Broadcom Outlines the Next Phase of Its AI Growth StoryPalo Alto Networks Is Expensive—But Its Growth Is AcceleratingMongoDB’s Spending Fears Collide With a Much Stronger Growth StoryGitLab’s Earnings Beat Just Gave Software Bulls a New SaaSpocalypse TestWith the RSI at a Record Low, Is It Time to Go Bargain Hunting on Burlington?Enova’s Earnings Surge Meets a Valuation Test Upcoming Earnings Oracle (9/8/2026)Adobe (9/10/2026)FedEx (9/17/2026)Cintas (9/23/2026)Costco Wholesale (9/24/2026)Micron Technology (9/30/2026)NIKE (10/1/2026)Accenture (10/1/2026)PepsiCo (10/8/2026)Delta Air Lines (10/8/2026) Unlock superior investment research and tools. 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PresentationSkip to Participants Operator00:00:00Good 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 MarÃa Mora, Head of Investor Relations. Ma'am, please go ahead. Ana MarÃa MoraHead of Investor Relations at Auna00:00:24Thank 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. Ana MarÃa MoraHead of Investor Relations at Auna00:00:57Let's move to slide two. 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. Ana MarÃa MoraHead of Investor Relations at Auna00:01:29Non-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. Ana MarÃa MoraHead of Investor Relations at Auna00:02:05These 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 Torre Trecca once built, the execution of our strategic plan, including the recovery of our growth levels and the rollout of The AunaWay in Mexico, our planned investment, our expected revenue growth and adjusted EBITDA growth, our revenue and adjusted EBITDA guidance, and the creation of further growth and sustainable value for all stakeholders. Ana MarÃa MoraHead of Investor Relations at Auna00:02:42For 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 three, please. On today's call, we have Suso Zamora, our Executive Chairman and President, Gisele Remy, our Chief Financial Officer and Executive Vice President, and Lorenzo Massart, our Executive Vice President of Strategy and Equity Capital Markets. They will discuss Auna's 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. Suso, please go ahead. Suso ZamoraExecutive Chairman and President at Auna00:03:26Thanks, Annie. Great. Let's turn to slide four, please. Our second quarter results demonstrate sustained commercial momentum across Auna's regional healthcare platform and substantial progress in the operational enhancements we implemented last year, particularly in Mexico. Despite encountering margin pressures across each of our markets during the quarter, the underlying performance of the business remains robust, and we continue to see strong demand across the platform. Suso ZamoraExecutive Chairman and President at Auna00:03:58Consolidated revenue experienced a 9% increase during the quarter, primarily attributed to volume growth and an improved mix of higher complexity services across all three of our markets. Consolidated adjusted EBITDA decreased 9% on an FX neutral basis. This decline was attributed to temporary margin pressures in Mexico and Colombia, as well as the impacts of accepted penalties related to billing matters, primarily in the reconciliation of prior years' receivables in Peru. Suso ZamoraExecutive Chairman and President at Auna00:04:38In Mexico, the recovery in volumes accelerated during the quarter, with surgeries increasing 7% and oncology chemotherapies and radiotherapies increasing by 20% compared to the first quarter of 2026. This growth was attributed to the continued benefits of the improved tier classifications secured with major insurers and from the expansion of Auna's oncology offerings. Favorable pricing in high complexity care and the improved economics of our new ISSSTE León contract also contributed to a 4% increase in revenues. Suso ZamoraExecutive Chairman and President at Auna00:05:17Peru achieved 8% revenue growth, primarily attributed to a higher average ticket and sustained membership expansion. Aligned with Auna's business model, growth of high complexity surgeries also supported increases in the quarter, in conjunction with an increasing penetration of the B2B market. In Colombia, volumes and capacity utilization experienced a second consecutive quarter of growth, contributing to an 18% sequential increase in adjusted EBITDA. Suso ZamoraExecutive Chairman and President at Auna00:05:50Our leverage decreased to 3.6x from the first quarter of 2026, supported by the cash generation of the business. Additionally, we strengthened our cash position once again this quarter. Cash increased 43% against year-end 2025. And free cash flow increased 181% year-over-year, reflecting the disciplined cash management we continue to maintain across Auna's regional platform, including improved collections in Colombia. Suso ZamoraExecutive Chairman and President at Auna00:06:20Let's move to slide 5. Despite our platform's robust revenue growth and positive cash flow, consolidated adjusted EBITDA experienced a decline, primarily reflecting our investments in Mexico's medical and leadership talent to facilitate growth, as well as the billing reconciliations in Peru. As illustrated in the lower portion of the slide, capacity utilization across our healthcare services witnessed a 2.3 percentage points year-to-date increase to 66%, and a sequential increase of 2.8 percentage points. Suso ZamoraExecutive Chairman and President at Auna00:06:56On the insurance side of Auna's platform, memberships continue to expand, experiencing a 6% increase in the quarter. Additionally, MLR remains stable around 50%. Let's move to slide seven to take a closer look at Mexico's performance. In Mexico, the sequential increase in patient volumes was once again concentrated in high complexity areas, particularly surgeries and oncology, resulting in a 7% and 20% increase respectively. Oncology continued to perform exceptionally well, with revenues increasing by 110% from the first quarter of 2025, and 6% sequentially. In September, Auna will be inaugurating an Elekta Evo linear accelerator in MonterÃa. Suso ZamoraExecutive Chairman and President at Auna00:07:47The most advanced linear accelerators available for radiology on the market to provide the best-in-class treatment for our patients. Increased physician onboarding and productivity also contributed to growth during the quarter. Other growth drivers included our ISSSTE León B2G agreement, surgical and hemodynamics packages, and out-of-pocket revenues, which collectively helped Mexico achieve 4% revenue growth. Revenue also increased 5% sequentially, while adjusted EBITDA increased 3%. On a year-over-year basis, adjusted EBITDA declined 16%, primarily due to our continued investments in medical and leadership talent. Suso ZamoraExecutive Chairman and President at Auna00:08:33The growth during the quarter was impacted by the Easter holidays in April and the impact of the new value-added tax on insurance in Mexico. We observed a noticeable increase in volumes and revenue in May and June, and we expect stronger year-over-year growth in the latter half of the year. Auna is also committed to enhancing variable cost efficiencies in Mexico. Beyond the margin benefit, this strengthens our value proposition with the country's largest insurers and remains a significant competitive advantage for Auna. Suso ZamoraExecutive Chairman and President at Auna00:09:03Slide eight, please. In Peru, both Oncosalud and healthcare services contributed to revenue growth during the quarter. Oncosalud's revenue increased 11%, driven by annual price adjustments and improved service mix and 6% membership growth. Membership growth was also supported by a new B2B plan covering 7,000 SEDAPAL employees, reflecting the progress we made in strengthening our commercial execution in the large corporate segment. Suso ZamoraExecutive Chairman and President at Auna00:09:35We are also witnessing positive momentum in healthcare services. New commercial initiatives targeting corporate policy holders contributed to a 9% increase in emergency treatments during the quarter, and by 14% from the first quarter of 2026. Capacity utilization reached 83%. Despite Peru's revenue growth and higher capacity utilization, adjusted EBITDA was flat year-over-year, in part due to the accepted penalties related to billing matters, primarily in the reconciliation of prior years' receivables. Suso ZamoraExecutive Chairman and President at Auna00:10:11Underlying profitability was also affected by higher B2B onboarding costs at Oncosalud, physician retention incentives, overtime expenses, and pharmacy costs. Following the quarter's close, we took possession of a new clinical facility that will expand our capacity in the south of Lima. The project will expand surgeries and chemotherapies and add 30 beds through an asset-light, cost-efficient model, and is expected to become operational between the end of 2027 and the beginning of 2028. Suso ZamoraExecutive Chairman and President at Auna00:10:46We also acquired a Versius SP4 robotic system designed to support minimally invasive procedures through independent robotic arms and a laparoscopic approach, strengthening Auna's high complexity surgical capabilities. Let's move to slide nine. In Colombia, we continue to make significant progress in diversifying our payer base and expanding risk-sharing agreements. These contracts now constitute 24% of our revenue, up from 14% a year ago, and cover more than 3 million lives. Suso ZamoraExecutive Chairman and President at Auna00:11:22They were a crucial contributor to our 13% revenue growth and are also enhancing cash conversion and predictability. Simultaneously, intervening payers declined to 12% of revenue from 18% last year, with growth from private payers more than offsetting that reduction. Higher volumes also continue to improve capacity utilization to 79.2% from the same period last year, which has now been above pre-Nueva EPS intervention levels. Suso ZamoraExecutive Chairman and President at Auna00:11:55Adjusted EBITDA declined 12% year-over-year, reflecting higher costs associated with greater complexity, the minimum wage increase, talent investment, and the growing mix of risk-sharing agreements. However, we observed a clear sequential improvement, with adjusted EBITDA increasing 18% and margins expanding 1.7 percentage points. We anticipate that contractual price increases in the second half to largely offset these cost pressures and support stronger EBITDA growth. Suso ZamoraExecutive Chairman and President at Auna00:12:31Finally, after being deliberately cautious with growth capital in Colombia over the past two years, with the recent elections and the plans of the new administration, we are beginning to invest selectively again. We are identifying attractive opportunities emerging in the market and intend to position ourselves to capture them. Suso ZamoraExecutive Chairman and President at Auna00:12:51Following the quarter end, in light of the new government emergency stabilization plan, we expanded operating capacity at our IMAT Oncomédica facilities in MonterÃa, adding 18 adult ICU beds and 24 hospitalization beds. This capacity was largely ready for operation, thus necessitating minimal incremental CapEx, and we anticipate it to be highly accretive throughout the remainder of the year. We identify additional opportunities to continue expanding capacity in a similarly capital-efficient manner. With that, I will turn the call over to Gisele, who will review our results in a greater detail. Gisele RemyCFO and EVP at Auna00:13:32Thanks, Suso. My review begins with slide 11, which summarizes the main revenue drivers during the second quarter. In Mexico, growth was primarily driven by high complexity volumes, with surgery volumes increasing 6% and chemotherapy and radiotherapy volumes expanding 86% year-over-year. Peru's top-line growth was driven by new memberships, including the 7,000 SEDAPAL employees that Suso highlighted earlier. Gisele RemyCFO and EVP at Auna00:14:07Another significant driver was commercial initiatives that drove higher patient volumes within our healthcare network, as well as a greater mix of high-complexity surgeries. In Colombia, new relationships with private payers, as well as risk-sharing models, have replaced the revenue from the intervene payers that we have been gradually moving away from. Revenues from private payers grew 17% year-over-year and accounted for 18% of Colombia's revenues in the second quarter. Additionally, revenue from risk-sharing contracts now represents 24% of total revenue in Colombia. Gisele RemyCFO and EVP at Auna00:14:53Let's now turn to the EBITDA bridge on slide 12. The decrease in adjusted EBITDA reflects the lower contribution margins related to Mexico's service mix and our growth investments in talent. In Colombia, it reflects the variable costs of stabilizing our new risk-sharing contracts alongside statutory wage increases. We also experienced higher pharmacy costs associated with the period service mix in Mexico and the onboarding of new B2B contracts in Peru. Gisele RemyCFO and EVP at Auna00:15:35Another factor was the billing impacts in Peru, primarily related to prior year billing matters. We are actively compressing our internal billing cycle to minimize these impacts going forward and also expect to close all open negotiations related to reconciliations of previous years during 2026. During the second half of this year, we expect adjusted EBITDA to continue improving sequentially. This will be driven by increasing volumes and operational progress in Mexico, contractual price adjustments taking full effect to improve profitability in Colombia, and the stabilization of new risk-sharing contracts in Colombia, as well as new B2B contracts in Oncosalud, Peru. Gisele RemyCFO and EVP at Auna00:16:29Let's now move on to adjusted net income on slide 13. Adjusted net income was PEN 40 million in the second quarter. The variation versus the comparable period of last year was primarily impacted by a decrease of PEN 61 million in FX gains as a result of resetting the levels of our FX hedges related to our debt at the end of 2025, which will help reduce FX volatility going forward. While operating profit declined, this was more than offset by income taxes falling in a greater proportion. Let's now move to slide 14, please. Cash flow generation continued to be a key highlight for the quarter. Gisele RemyCFO and EVP at Auna00:17:20Net cash from operating activities reached PEN 441 million for the first six months of the year, representing a 45% increase year-over-year, while free cash flow grew by 181%. The strong growth in cash flow primarily stems from improved working capital management, higher collections recoveries, various supply chain financing initiatives that we have implemented across Auna's regional platform, and finally, the utilization of tax credits. Gisele RemyCFO and EVP at Auna00:17:59Our cash position also increased substantially, growing 43% since year-end 2025. While organic maintenance CapEx remained relatively flat year-over-year, cash used in the period for payments of maintenance CapEx dropped slightly versus year-to-date 2025 as finance leases in year-to-date 2026 funded a larger portion of acquisitions. Let's now turn to slide 15, please. With the cash that we generated in the quarter, a lower level of net debt improved our leverage ratio sequentially. Gisele RemyCFO and EVP at Auna00:18:41This trend and the improving adjusted EBITDA that we are expecting for the second half of the year mean that we expect leverage to continue improving by the end of the year, getting us closer to our medium-term target of 3x net debt to EBITDA. I'd also like to point out that on an FX neutral basis across all currencies, our gross debt fell by PEN 43 million versus the end of 2025. However, due to the slight depreciation of the Peruvian sole, gross debt increased by PEN 74 million on a reported basis. At the end of the quarter, we had PEN 191 million in credit lines, of which PEN 125 million is still available for us to draw. Gisele RemyCFO and EVP at Auna00:19:35One final word on our debt structure. 56% of Auna's debt is in local currency. The balance of our debt is in U.S. dollars, of which 85% is hedged to the Peruvian sole. That concludes my review of the quarter. I'll now hand the call back to Suso, who has a few closing remarks before we open the call for questions. Suso ZamoraExecutive Chairman and President at Auna00:20:02Thanks, Gisele. Peru, the most mature market in our regional healthcare platform, continues to demonstrate the strength of our vertically integrated model. We remain focused on higher complexity care and expect profitability to improve as the initial onboarding costs associated with the new B2B accounts, including related pharmacy costs, normalize. In Colombia, we expect margins to continue improving over the coming quarters as contractual price increases take effect and offset higher operating costs, while our risk-sharing agreements continue to scale and provide greater predictability. Suso ZamoraExecutive Chairman and President at Auna00:20:39In Mexico, we expect a sequential improvement to continue, supported by the onboarding of high-productivity physicians, the improved tier classifications with major insurers, and continued growth in oncology and other high-complexity services. We are excited about our expansion in Lima Sur and our added capacity in MonterÃa, as well as our new linear accelerator in Mexico. We believe these will be accretive to our competitive advantage. Suso ZamoraExecutive Chairman and President at Auna00:21:10Looking ahead, we are reaffirming our full year 2026 revenue guidance of approximately 12% FX neutral growth. Based on the underlying performance of the business, we expect adjusted EBITDA growth toward the low end of our 10%-14% guidance range, excluding the impact of Peru's accepted billing penalties, primarily related to prior years' billing patterns. Suso ZamoraExecutive Chairman and President at Auna00:21:38We also expect to continue reducing leverage for the remainder of the year, moving closer to our target of less than 3x net debt to adjusted EBITDA, while free cash flow continues to exceed our original expectations. Our confidence in the underlying outlook is supported by a strong recovery in Mexico's patient volumes and the operational improvements we expect to continue seeing in Peru and Colombia. Thank you very much. Now let's open the questions-and-answer segment of the earnings call. Operator00:22:09At this time, we will open the floor for your questions. If you would like to ask a question over the phone, please press star one in your telephone keypad. As a reminder, you can also submit your questions online by using the Q&A function of the webcast platform. Your first question comes from the line of Mauricio Cepeda from Morgan Stanley. Please go ahead. Your line is open. Mauricio CepedaAnalyst at Morgan Stanley00:22:30Hi. Hello. Good morning. Good morning, Suso. Gisele. Thank you for the opportunity here. We have two questions. The first one about the working capital. We saw that the first half of the year cash conversion moved sharply. But, we also saw that much of the change came from receivables and payables. If we exclude any type of legacy receivable collection, how much of the remaining benefit came from the ordinary payment timing versus, let's say, supplier financing or other working capital financing mechanisms? What was the supplier financing balance at June? Mauricio CepedaAnalyst at Morgan Stanley00:23:16What would be the DPO if we exclude those programs, and what would be the underlying first half cash conversion, if we take this kind of adjustment? The second question is about the Peru revenue recognition. Both in Q1 and Q2, we recognize deductions related to prior periods billing reconciliation. Have you already changed the methodology and controls that you use to estimate these expected payer deductions? Like we've seen the Brazilian payers, the Brazilian providers, they use the term clause, when the revenue is initially recognized. What evidence gives you confidence that the 2026 receivables vintage will not require similar retrospective adjustments? Thank you. Suso ZamoraExecutive Chairman and President at Auna00:24:12Thank you, Mauricio. It's always good to have the first question from you. It's becoming a tradition. I appreciate that. Thank you. Gisele, I think both questions are more in your territory. Gisele RemyCFO and EVP at Auna00:24:25Yeah. Great, Suso. Thanks. Good morning, Mauricio. To tackle both parts of the question, first, from a working capital perspective, yes, you're correct. We've seen strong improvement in the first half of this year versus the comparable period last year. The majority of this on the accounts receivable side is due to the improvement in accounts receivable days. More specifically on the current portion, right, to your question, as if it's related to the current portion or the legacy portion. This has to do with both a reduction of the internal billing cycle in the case of Colombia and in the case of Peru. Gisele RemyCFO and EVP at Auna00:25:10Also, in the case of the complete billing cycle in Colombia, where we have a much higher proportion now of risk-sharing contracts that are paid much faster than the event model. Finally, as we've been streamlining the process end to end, we do see that these improvements are sustainable over time and will be conducive to sustaining the current level of accounts receivable rotation that we're seeing. We do see that sustainable. Gisele RemyCFO and EVP at Auna00:25:45In the case of accounts payable days, I just wanted to clarify that we've had gains over the last few quarters, as we've mentioned, particularly related to supply chain financing initiatives that we've structured with financial institutions. Those are also sustainable over time, given that we've onboarded several suppliers across the geographies, and that's permitting us to have this improvement in accounts payable days, which again, we're also seeing sustainable over time, and I don't think it's necessary to make any adjustments to that. Gisele RemyCFO and EVP at Auna00:26:22Finally, working capital is also benefited by VAT credits that we have used specifically in the case of Peru, and that has also helped working capital rotation. I think those are some of the points worth highlighting. We do see a good working capital rotation being sustained in the year to go. As far as the second part of the question around billing penalties, specifically in the case of Peru, yes, we have seen a higher level of billing penalties in Peru versus what we had seen in previous periods. Maybe to go over the factors, we have seen these revenue adjustments basically as a result of billing penalties, and they are higher than what we have seen historically, as we mentioned in last quarter's call. Gisele RemyCFO and EVP at Auna00:27:26This is obviously affected by a sector-wide situation where financial pressure across Peruvian payers has led them to tighten the enforcement of billing deadlines and settlement terms. We have been actively shortening our internal billing cycle for some time now and strengthening financial controls to eliminate future penalty exposure. Specifically, we expect any open and ongoing negotiations related to the settlements of billing matters from prior years to be finalized during this year. Gisele RemyCFO and EVP at Auna00:28:03That is why we do think it is a short-term impact that will impact 2026. But by next year going forward, we should have cleaned out conciliations from prior periods. That is why we are maintaining our guidance of adjusted EBITDA when we exclude that impact in 2026. Current negotiations related to prior periods do remain open, and that is why we are not including it within those numbers. Suso ZamoraExecutive Chairman and President at Auna00:28:37[inaudible] Mauricio CepedaAnalyst at Morgan Stanley00:28:42Just a follow-up question. Suso ZamoraExecutive Chairman and President at Auna00:28:42Go ahead, Mauricio. Mauricio CepedaAnalyst at Morgan Stanley00:28:44No, please, Suso. Suso ZamoraExecutive Chairman and President at Auna00:28:47No, I just wanted to add, to be clear, this has been like a reset, and we ourselves internally have also put a very high hurdle. No tolerance to services delivered where we are going to have a discussion on payment. The whole cycle of how we deliver services and bill services and collect services, we have changed dramatically. The sector has changed, and we ourselves have changed. I think this is not going to be a situation that is going to pass 2026. Mauricio CepedaAnalyst at Morgan Stanley00:29:28Thank you. Suso ZamoraExecutive Chairman and President at Auna00:29:28Thank you, Mauricio. Mauricio CepedaAnalyst at Morgan Stanley00:29:29Just a follow-up question on the working capital, about the supplier finance. I understand that the supplier finance, you said that you imported some suppliers there. So of course it benefits the cash, but does it come in at the expense of costs, and that's why we're seeing the margin impact there? Is one thing related to the other? Gisele RemyCFO and EVP at Auna00:29:50No, we don't see these supply chain financing initiatives impacting the cost structure, and obviously, they've been as a product of very close negotiations and onboarding with our suppliers. So no, we don't see it impacting costs. Mauricio CepedaAnalyst at Morgan Stanley00:30:09Okay. Thank you. Thank you again. Operator00:30:13Again, if you would like to ask a question, please press star one on your telephone keypad. As a reminder, you may also submit questions online via the Q&A function of the webcast platform. We will pause for just a moment. There are no more questions from the phone line, so I will now turn the call over to Ana MarÃa Mora from Auna, who will proceed with the questions from the webcast platform. Ana MarÃa MoraHead of Investor Relations at Auna00:30:41Thank you Operator. I am not seeing any questions from the webcast platform, so I will give them a minute to present their questions. At this point, I see no questions on the webcast, so I will proceed and pass the word on to Suso for his final remarks. Suso ZamoraExecutive Chairman and President at Auna00:31:43Thank you very much, Annie and Gisele. Thank you, everybody. I just want to finish with a couple ideas. While this quarter presented some headwinds, some headwinds that we have also seen in the past, our underlying business and model remain sound. Our track to growth is evident, and our strategic path is unchanged. We have taken decisive actions to address the near-term challenges we see today, and we are positioned for sustainable growth, I want to reiterate. Thank you for joining us today. Thank you for your support and following. Our investor relations team is available for any further questions. Again, have a great day. Operator00:32:32This concludes today's conference call. You may now disconnect.Read moreParticipantsExecutivesAna MarÃa MoraHead of Investor RelationsSuso ZamoraExecutive Chairman and PresidentGisele RemyCFO and EVPAnalystsMauricio CepedaAnalyst at Morgan StanleyPowered by