6-K
AUNA S.A. (AUNA)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 6-K
REPORT OF FOREIGNPRIVATE ISSUER PURSUANT TO RULE 13a-16 OR 15d-16 UNDER THE SECURITIES EXCHANGE ACT OF 1934
For the month of August 2024
Commission File Number: 001-41982
Auna S.A.
(Exact name of registrant as specified in itscharter)
6, rue Jean Monnet
L-2180 Luxembourg
Grand Duchy of Luxembourg
+51 1-205-3500
(Address of principal executive office)
Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F:
| Form 20-F | X | Form 40-F |
|---|
TABLE OF CONTENTS
SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
| Auna S.A. | ||
|---|---|---|
| By: | /s/ Gisele Remy | |
| Name: | Gisele Remy | |
| Title: | Chief Financial Officer |
Date: August 21, 2024
Exhibit 99.1
AunaAnnounces 2Q24 Financial Results
Adjusted EBITDA increases 31%YoY, consolidating strong results
OncoMexico launched in Monterrey
Luxembourg, August 21, 2024 – Auna (NYSE:AUNA) (“Auna” or the “Company”), a leading healthcare platform in Latin America with operations in Mexico, Colombia and Peru, today announced unaudited financial results for the second quarter ended June 30, 2024 (“second quarter 2024” or “2Q24”). Financial results are expressed in Peruvian Soles (“S/” or PEN”) and are presented in accordance with International Financial Reporting Standards (“IFRS”), unless otherwise noted.
2Q24 Consolidated Highlights
| ● | Consolidated Revenue increased 18% YoY to S/1,120 million |
|---|---|
| ● | Operating profit increased 34% YoY to S/183 million |
| --- | --- |
| ● | Adjusted EBITDA increased 31% YoY to S/248 million, equivalent to 25% FXN (Foreign Exchange Neutral) |
| --- | --- |
| ● | Adjusted EBITDA Margin of 22.1%, up 2.0 p.p. YoY and 0.5 p.p. YTD |
| --- | --- |
| ● | Leverage ratio improved to 4.13x from 4.46x in 1Q24 and 4.89x in 2Q23 |
| --- | --- |
Recent Event
On July 1, 2024, Auna announced the launch of OncoMexico, the country’s first integrated oncology insurance, in Monterrey. The pilot phase during 2024 will develop and confirm the capabilities needed for full deployment in 2025. OncoMexico offers access to prevention, early detection, and treatment of cancer, the third leading cause of death in Mexico. OncoMexico is the first step toward replicating in Mexico the vertically integrated healthcare model that Auna successfully operates in Peru.
Message from Auna’s Executive Chairman and President
Second quarter results affirm again the effectiveness of our business model and how increased scale and maturity drive incremental value throughout our platforms of care. During the quarter we gained momentum, with Adjusted EBITDA increasing 31% YoY, or 25% FXN YoY, and keeping us on track to deliver at least 20% FXN Adjusted EBITDA growth this year. Our strong quarterly performance was achieved despite additional investments made to implement the AunaWay in Monterrey, where we continue to make headway recruiting the right physicians and expanding our delivery of high-complexity care. As more physicians recognize the many distinct advantages of the AunaWay and join our team, we are beginning to see increases in doctor productivity. New physician
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recruitment and compensation models are producing growth in a number of high-complexity services. During the remainder of the year and into 2025 we expect to harvest our efforts to raise occupancy levels in Mexico, particularly occupancy related to high-complexity care. All of this is a deliberate and gradual process that results from fostering our unique culture of patient care in Monterrey.
Both our Peruvian and Colombian operations continued to perform well during the quarter, further validating our scalable business model and growth strategy. Given the increasing predictability of our diversified regional platform’s performance, we remain confident in our plan to achieve similar performance levels in Mexico.
Our payors are also integral to succeeding in Mexico, many of which are already familiar with Auna’s high standards of care. We are offering them tailored products and bundled services similar to those in Peru and Colombia, where we have forged many win-win partnerships.
We are very proud to have launched OncoMexico. Leveraging our 35 years of experience in integrated oncological services and AunaSeguros’ (previously Dentegra) strong and extensive distribution platform in Mexico, we will gradually roll out OncoMexico, the country’s first integrated cancer insurance plan. We intend to replicate our past success, including the goal of operating with the same long-term Medical Loss Ratio (“MLR”) and high standards of OncoSalud. During the rest of this year, we will establish the necessary capabilities to roll-out OncoMexico at scale in 2025, including commercial, clinical and risk-underwriting operations, among others.
Looking ahead, we remain excited about Auna’s near and long-term growth opportunities, particularly given that we are in the relatively early stages of penetrating Spanish-speaking Latin America’s fragmented and underserved healthcare market. Through our unique operating model and scalable regional platform, we will continue to disrupt, modernize, and increase access to integrated healthcare in the region, always with the aim of providing high value to our patients, their families, Auna staff, and shareholders.
Overview of 2Q24 Consolidated Results
Consolidated revenues increased 18% YoY to S/1,120 million, or 12.5% FXN, as a result of Auna’s business mix, with revenues increasing 15% and 18% FXN in Peru and Colombia, respectively. In Mexico, revenues increased 3% FXN, reflecting an improved service mix through the implementation of the AunaWay.
Auna’s Peruvian operation continues to outperform, demonstrating again the success of the Company’s vertically integrated business model when operating at scale.
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Adjusted EBITDA increased 31% YoY, or S/58 million, to S/248 million, or 25% on an FXN basis, with the corresponding margin expanding to 22.1% on solid revenue growth and increasing efficiencies across local and regional levels as the Company continues to capture synergies and streamline processes. Operating profit increased 34% YoY, mainly due to a 19% increase in gross profit.
Net finance costs were S/182 million. When excluding FX effects, net interest expenses would have been S/133 million, an increase of 5% versus 2Q23. These FX effects include a negative non-cash accounting FX expense of S/49 million, corresponding mainly to the movement of the Peruvian Sol below the floor of USD/PEN hedges.
Net Income was S/8 million in 2Q24, compared to a Net loss of S/8 million in 1Q24 and Net income of S/23 million in 2Q23. The increases in Operating profit and deferred tax benefits versus 2Q23 were offset by the abovementioned negative FX effect.
Adjusted Net Income was S/13 million in 2Q24, lower than S/36 million in 2Q23 and S/22 million in 1Q24, mainly due to the negative non-cash FX effect explained above. On a quarterly per share basis, Auna reported Net Income of S/0.05 and Adjusted Net Income of S/0.12, both based on a weighted average number of outstanding shares of 73,970,299, which includes a stock-based payment for 52,722 shares granted but not yet issued.
Business performance
HEALTHCARE SERVICESMEXICO
(Explanations of variances arein local currency)
Auna′s Healthcare Services and AunaSeguros operations in Mexico accounted for 27% of consolidated revenues and 40% of Adjusted EBITDA.
(Figures in millions of Solesand millions of US Dollars, unless expressed otherwise)
| Δ 2Q'24 vs 2Q'23 | Δ YTD'24 vs YTD'23 | |||||||
|---|---|---|---|---|---|---|---|---|
| Healthcare Services MexicoKey Operating Metrics | 2Q'24 (USD) | 2Q'24 | YTD'24 | As Reported | Local Currency | As Reported | Local Currency | |
| Beds | # | 708 | 708 | 0% | 0% | |||
| Surgeries | # (000) | 5 | 10 | 6% | 2% | |||
| Emergency treatments | # (000) | 9 | 19 | -9% | -1% | |||
| Occupancy (operating capacity) | % | 62.1% | -1.4 p.p. | |||||
| Occupancy (total capacity) | % | 41.3% | -1.0 p.p. | |||||
| Key Financial Metrics | ||||||||
| Revenue | 79 | 302 | 611 | 7% | 3% | 11% | 4% | |
| Segment Adjusted EBITDA | 26 | 100 | 204 | 4% | 0% | -3% | -8% | |
| Segment Adjusted EBITDA margin | % | 33.1% | 33.4% | -1.2 p.p. | -4.5 p.p. |
Revenue
Revenue in Mexico increased 3% YoY, primarily driven by an increase in the number of surgeries, aligned with the Company’s plans to grow high-complexity procedures.
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Auna remains focused on increasing growth and profitability in Mexico by raising occupancy levels and further increasing the delivery of high-complexity services. To achieve these goals, the Company is making progress with two parallel initiatives: (i) a physician relationship and incentive model focused on recruiting doctors in higher-complexity specialties, and on retaining current doctors and improving their productivity by offering them competitive incentives, and; (ii) tailor-made products and programs for payors, that are aimed at increasing referrals to Auna’s network.
These initiatives are expected to have a greater impact on Mexico′s revenue and profitability in the second half of 2024 and in 2025. However, the Company is already experiencing increases in doctor productivity under the new physician relationship and incentive model, with higher volumes of certain high-complexity services, mainly surgeries, in 2Q24.
Adjusted EBITDA
Adjusted EBITDA in Mexico was flat YoY with a healthy margin of 33.1% despite YoY increases in operating costs and SG&A incurred to strengthen local and regional capabilities.
PERU OPERATIONS: HEALTHCARESERVICES PERU AND ONCOSALUD PERU
Auna′s Healthcare Services and OncoSalud Peru (Auna’s Healthcare plans in Peru) accounted for 39% of consolidated revenues and 38% of Adjusted EBITDA.
(Figures in millions of Solesand millions of US Dollars, unless expressed otherwise)
| Healthcare Services Peru and Oncosalud PeruKey Financial Metrics | 2Q'24 (USD) | 2Q'24 | YTD'24 | Δ 2Q'24 vs 2Q'23 | Δ YTD'24 vs YTD'23 | |
|---|---|---|---|---|---|---|
| Revenue | 115 | 441 | 859 | 15% | 14% | |
| Healthcare Services Peru | 67 | 255 | 496 | 18% | 16% | |
| Oncosalud Peru | 70 | 269 | 522 | 17% | 16% | |
| Holding and Eliminations (*) | (83) | (159) | 30% | 26% | ||
| Consolidated Peru Adjusted EBITDA | 24 | 93 | 179 | 96% | 65% | |
| Healthcare Services Peru | 10 | 40 | 77 | 318% | 146% | |
| Oncosalud Peru | 14 | 54 | 102 | 40% | 32% | |
| Consolidated Peru Adj. EBITDA margin | % | 21.2% | 20.8% | 8.7 p.p. | 6.4 p.p. | |
| Healthcare Services Peru | 15.6% | 15.5% | 11.2 p.p. | 8.2 p.p. | ||
| Oncosalud Peru | 19.9% | 19.5% | 3.3 p.p. | 2.4 p.p. | ||
| (*) Relates to intersegment revenue elimination. |
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| Healthcare Services PeruKey Operating Metrics | 2Q'24 (USD) | 2Q'24 | YTD'24 | Δ 2Q'24 vs 2Q'23 | Δ YTD'24 vs YTD'23 | |
|---|---|---|---|---|---|---|
| Beds | # | 375 | 375 | 0% | 0% | |
| Surgeries | # (000) | 5 | 10 | 1% | 2% | |
| Emergency treatments | # (000) | 47 | 86 | -9% | -4% | |
| Occupancy (operating capacity) | % | 82.2% | 5.9 p.p. | |||
| Occupancy (total capacity) | % | 71.9% | 5.8 p.p. | |||
| Key Financial Metrics | ||||||
| Revenue | 67 | 255 | 496 | 18% | 16% | |
| External revenues | 48 | 183 | 357 | 12% | 11% | |
| Intercompany revenue | 19 | 72 | 139 | 35% | 31% | |
| Segment Adjusted EBITDA | 10 | 40 | 77 | 318% | 146% | |
| Segment Adjusted EBITDA margin | % | 15.6% | 15.5% | 11.2 p.p. | 8.2 p.p. | |
| Healthcare Plans PeruKey Operating Metrics | 2Q'24 (USD) | 2Q'24 | YTD'24 | Δ 2Q'24 vs 2Q'23 | Δ YTD'24 vs YTD'23 | |
| --- | --- | --- | --- | --- | --- | --- |
| Plan memberships | # (000) | 1,263 | 1,263 | 5% | 5% | |
| Oncological Plans | # (000) | 972 | 972 | 3% | 3% | |
| Average monthly revenue per plan membership | 15.57 | 60.60 | 59.64 | 2% | 3% | |
| Preventive check-ups | # (000) | 25 | 52 | -24% | -23% | |
| Patients treated | # (000) | 13 | 45 | -3% | 3% | |
| MLR | % | 58.6% | 7.4 p.p. | |||
| Oncological Plans | % | 54.7% | 5.2 p.p. | |||
| Key Financial Metrics | ||||||
| Revenue | 70 | 269 | 522 | 17% | 16% | |
| External revenues | 67 | 258 | 502 | 17% | 16% | |
| Intercompany revenue | 3 | 11 | 20 | 7% | 2% | |
| Segment Adjusted EBITDA | 14 | 54 | 102 | 40% | 32% | |
| Segment Adjusted EBITDA margin | % | 19.9% | 19.5% | 3.3 p.p. | 2.4 p.p. |
Consolidated Revenue from Peru increased 15% YoY, or S/57 million, to S/441 million. This growth was mainly due to a 5% increase in memberships in the Healthcare Plans business and an 18% revenue increase in the Healthcare Services business, mainly due to higher occupancy and an improvement in the mix of services and specialties as the Company continues to focus on high-complexity care.
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Consolidated Adjusted EBITDA in Peru almost doubled YoY, growing from S/46 million to S/93 million, with the margin expanding 8.7 p.p. to 21.2%. Since 2021, Auna has implemented several initiatives to improve the profitability of its operations in Peru, which continue to positively impact performance. These measures have resulted in sustained growth in plan memberships, occupancy at the Company’s healthcare facilities, and high-complexity services. The continuous implementation of an effective pricing strategy across services and segments also contributed to improved profitability. In addition to revenue growth, improved efficiencies reduced SG&A by 6% YoY. The oncological MLR of the Healthcare Plans business in Peru was 54.7% as of June 30, 2024. MLR increased mainly due to an increase in intercompany fees between Auna’s OncoSalud insurance company and its integrated oncology hospitals.
HEALTHCARE SERVICES COLOMBIA
(variance explanations are inlocal currency)
Auna′s Healthcare services operations in Colombia accounted for 34% of consolidated revenues and 23% of Adjusted EBITDA.
(Figures in millions of Solesand millions of US Dollars, unless expressed otherwise)
| Δ 2Q'24 vs 2Q'23 | Δ YTD'24 vs YTD'23 | |||||||
|---|---|---|---|---|---|---|---|---|
| Healthcare Services ColombiaKey Operating Metrics | 2Q'24 (USD) | 2Q'24 | YTD'24 | As Reported | Local Currency | As Reported | Local Currency | |
| Beds | # | 1,116 | 1,116 | 1% | 1% | |||
| Surgeries | # (000) | 12 | 24 | -2% | -1% | |||
| Emergency treatments | # (000) | 34 | 71 | 17% | 4% | |||
| Occupancy (operating capacity) | % | 87.2% | 2.1 p.p | |||||
| Occupancy (total capacity) | % | 80.6% | 6.0 p.p | |||||
| Key Financial Metrics | ||||||||
| Revenue | 99 | 378 | 727 | 34% | 18% | 36% | 17% | |
| Segment Adjusted EBITDA | 15 | 58 | 108 | 25% | 10% | 31% | 13% | |
| Segment Adjusted EBITDA margin | % | 15.3% | 14.8% | -1.1 p.p | -0.5 p.p. |
Revenue
Revenue increased 18% YoY, primarily driven by an improvement in the revenue mix as well as an increase in occupancy.
Adjusted EBITDA
Adjusted EBITDA in Colombia increased 10% YoY, with a margin decrease of 1.1 p.p. to 15.3%, mainly attributable to an increase in the impairment for doubtful accounts, given the current market environment in Colombia.
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Balance Sheet & Cash Flow
Consolidated Debt
(Figures in millions of Solesand millions of US Dollars, unless expressed otherwise)
| Jun-24 (USD) | Jun-24 | Dec-23 | Jun-23 | Δ Jun-24 vs | ||
|---|---|---|---|---|---|---|
| Dec-23 | Jun-23 | |||||
| (+) Loans and borrowings | 987 | 3,780 | 3,762 | 3,410 | 0% | 11% |
| Short term debt | 135 | 516 | 385 | 379 | 34% | 36% |
| Long term debt | 852 | 3,263 | 3,376 | 3,031 | -3% | 8% |
| (+) Lease Liabilities | 38 | 147 | 158 | 154 | -7% | -4% |
| Gross Debt | 1,025 | 3,927 | 3,920 | 3,564 | 0% | 10% |
| (-) Cash and cash equivalents / marketable securities | 41 | 158 | 241 | 259 | -35% | -39% |
| Net Debt | 984 | 3,769 | 3,678 | 3,306 | 2.5% | 14.0% |
| Leverage Ratio | 4.13x | 4.46x | 4.89x | -0.33x | -0.76x |
Gross Debt at the close of 2Q24 increased 10% YoY, or S/363 million, to S/3,927 million, due to: (i) a S/211 million increase related to previously reported refinancing activities in 2023, including the 2029 bond exchange premium, and; (ii) a S/152 million FX accounting effect. Compared to 4Q23, gross debt remained flat, with a small increase of S/7 million.
Debt Leverage decreased to 4.13x at the end of 2Q24 from 4.46x at year-end 2023 and 4.86x at the end of 2Q23, consistent with the Company's deleveraging plan, the medium-term target of which is 3.0x Net Debt-to-Adjusted LTM EBITDA.
Consolidated DebtAmortization Profile
(Figures in millions of Soles,unless expressed otherwise)
| Total | Leases | Y1 | Y2 | Y3 | Y4 | Y5 | Y6+ | |
|---|---|---|---|---|---|---|---|---|
| Loans and Borrowings | 3,780 | 0 | 516 | 601 | 416 | 553 | 721 | 972 |
| Financial Leases | 67 | 0 | 20 | 16 | 12 | 5 | 5 | 9 |
| Operating Leases | 81 | 81 | 0 | 0 | 0 | 0 | 0 | 0 |
| Gross Debt | 3,927 | 81 | 536 | 618 | 428 | 557 | 726 | 981 |
As of 2Q24. Excludes interest. Reflects figures post-refinancing. Y1 = July 2024 to June 2025, Y2 = July 2025 to June 2026, Y3 = July 2026 to June 2027, Y4 = July 2027 to June 2028, Y5 = July 2028 to June 2029, and Y6+ = July 2029 to September 2035.
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Cashflow and CashConversion Cycle
(Figures in millions of Solesand millions of US Dollars, unless expressed otherwise)
| YTD'24 (USD) | YTD'24 | YTD'23 | Δ YTD'24 vs YTD'23 | |
|---|---|---|---|---|
| Net cash from operating activities | 71 | 271 | 269 | 1% |
| Net cash used in investing activities | (30) | (116) | (56) | 107% |
| Net cash used in from financing activities | (61) | (232) | (146) | 59% |
| Cash and cash equivalents at the end of the period | 41 | 158 | 259 | -39% |
| LTM Jun-23 | LTM Mar-24 | LTM Jun-24 | ||
| Days Sales Outstanding | 79 | 86 | 87 | |
| Days Inventory Outstanding | 56 | 64 | 64 | |
| Days Payable Outstanding | 104 | 119 | 124 | |
| Cash Conversion Cycle | 31 | 31 | 27 | |
| *Measured on an average basis according to last twelve months results. |
Net cash from operating activities increased 1.0% YoY, or S/2 million, to S/271 million during the six months ended June 30, 2024. Operating cash flow was impacted by a S/38 million increase in tax payments in Mexico and Peru, due to higher profits and lower tax credits.
Net cash used in investing activities increased 107% YoY, or S/60 million, to S/116 million during the six months ended June 30, 2024, mainly due to non-recurring impacts related to investments in both periods. During the first six months of 2023, net cash used in extraordinary inorganic activity resulted in a positive YoY impact of S/13 million. In addition, during the same period in 2023, Auna paid for the acquisition of AunaSeguros and made a partial payment of the IMAT Oncomedica earnout obligation, although these payments were offset by a positive impact related to an IMAT Oncomedica escrow account release and to the compensation of the advance payment made for the acquisition of the Monterrey healthcare business. During the six months ended June, 2024, investing activities included the extraordinary inorganic impact of a S/47 million payment for the IMAT Oncomedica earnout obligation, with no offset during the period. The balance of investments during 2Q24 was mainly maintenance of CapEx across the three geographies and AunaSeguro’s reserve requirements, which remained relatively flat versus the comparable period in 2023.
Net cash used in financing activities during the six months ended 2024 was S/232 million, or an increase of S/86 million versus the comparable period in 2023, mainly due net inflows corresponding to refinancing activities in 2Q23, reducing financing cashflow consumption in 2Q23.
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About AUNA
Auna is a leading healthcare platform in Latin American healthcare company with operations in Mexico, Peru and Colombia, prioritizing prevention and concentrating on high-complexity diseases that contribute the most to healthcare expenditures. Our mission is to transform healthcare by providing access to a highly integrated healthcare offering in the underpenetrated markets of Spanish-Speaking Americas. Founded in 1989, Auna has built one of Latin America′s largest modern healthcare platforms that consists of a horizontally integrated network of healthcare facilities and a vertically integrated portfolio of oncological plans and selected general healthcare plans. As of June 30, 2024, Auna’s network included 31 healthcare network facilities, consisting of hospitals, outpatient, prevention and wellness facilities with a total of 2,308 beds, and 1.3 million healthcare plans.
For more information visit www.aunainvestors.com
Conference Call Details
When: 5:00 p.m. Eastern time, August 21st, 2024
Who: Mr. Suso Zamora, Executive Chairman of the Board and President; Mrs. Gisele Remy, Chief Financial Officer and Executive Vice President;
Ms. Ana Maria Mora, Head of Investor Relations
Dial-in: +1 888 596 4144 (U.S. domestic), +1 646 968 2525 (International)
Passcode: 3884034
To access Auna′s financial results call via telephone, callers need to press # to be connected to an operator.
**Webcast:**click here
Definitions and Concepts
Figures in US dollars (US$ or USD) for 2Q24 are presented for indicative purposes and were calculated using an FX rate of US$1= S/3.831. All comparisons in this announcement are year-over-year (“YoY”), unless otherwise noted; additionally, results are presented in an FX neutral basis (“FXN”) for consolidated revenues, consolidated cost of sales and services, consolidated selling and administrative expenses and consolidated adjusted EBITDA, as well as, in local currency for the Mexico and Colombia segments, to eliminate the effect of foreign exchange, or “FX,” volatility between the comparison periods.
Financial results are preliminary and subject to year-end audit and adjustments for the year ended, December 31, 2024.
Use of Non-IFRS Financial Measures
This release includes financial measures defined as “non-IFRS financial measures” by the SEC, including: EBITDA, Segment EBITDA, Adjusted EBITDA, Adjusted Net Income, FX Neutral, EBITDA Margin, Adjusted EBITDA Margin, Adjusted Net Income Margin and
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Leverage Ratio because we believe they assist investors and analysts in comparing our operating performance across reporting periods on a consistent basis by excluding items that we do not believe are indicative of our core operating performance.
In addition, management and our board of directors use these non-IFRS financial measures to assess our financial performance and believe they are helpful in highlighting trends in our core operating performance, while other measures can differ significantly depending on long-term strategic decisions regarding the growth of our business. These are not measures of operating performance under IFRS and have limitations as analytical tools. You should not consider such measures either in isolation or as substitutes for analyzing our results as reported under IFRS. Additionally, our calculations of EBITDA, Segment EBITDA, Adjusted EBITDA, Adjusted Net Income, EBITDA Margin, Adjusted EBITDA Margin, Adjusted Net Income Margin, FX Neutral and Leverage Ratio may be different from the calculations used by other companies for similarly titled measures, including our competitors, and therefore may not be comparable to those of other companies.
EBITDA: is calculated as profit (loss) before tax for the period plus net finance cost and depreciation and amortization. EBITDA is a key metric used by management and our board of directors to assess our financial performance.
EBITDA Margin: is calculated as EBITDA divided by total revenue from contracts with customers.
Adjusted EBITDA: is calculated as profit (loss) before tax for the period plus net finance cost, depreciation and amortization, pre-operating expenses for projects under construction, business development (income) expenses for expansion into new markets, change in fair value of earn-out liabilities, stock-based consideration and personnel non-recurring compensation.
Adjusted EBITDA Margin: is calculated as Adjusted EBITDA divided by total revenue from contracts with customers.
Adjusted Last Twelve Month (“LTM”)EBITDA: is calculated by adding the last four quarters beginning with the corresponding period.
Segment EBITDA: is calculated as segment profit before tax plus net finance cost and depreciation and amortization.
Segment EBITDA Margin: is calculated as segment EBITDA divided by total segment revenue from contracts with customers.
Segment Adjusted EBITDA: is calculated as segment profit (loss) before tax for the period plus net finance cost, depreciation and amortization, pre-operating expenses for projects under construction, business development (income) expenses for expansion into new markets, change in fair value of earn-out liabilities, stock-based consideration and personnel non-recurring compensation.
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Segment Adjusted EBITDA Margin: is calculated as segment Adjusted EBITDA divided by total Segment revenue from contracts with customers.
(Figures in millions of Solesand millions of US Dollars, unless expressed otherwise)
| Δ 2Q'24 vs | Δ YTD'24 vs | |||||
|---|---|---|---|---|---|---|
| 2Q'24 (USD) | 2Q'24 | YTD'24 | 1Q'24 | 2Q'23 | YTD'23 | |
| Profit (Loss) before Tax | 1 | 3 | 19 | -82% | -93% | -71% |
| (+) Net Finance Cost | 48 | 182 | 350 | 8% | 90% | 61% |
| (+) Depreciation and Amortization | 15 | 56 | 112 | -1% | -1% | -7% |
| (=) EBITDA | 63 | 241 | 482 | 0% | 24% | 19% |
| (+) Adjustments | 1.9 | 7.1 | 7.8 | |||
| Pre-operating expenses | 0.5 | 1.8 | 2.2 | |||
| Business development expenses | 0.4 | 1.4 | 1.4 | |||
| Change in fair value of earn-out liabilities | 0.0 | 0.0 | 0.0 | |||
| Stock-based consideration | 0.1 | 0.3 | 0.6 | |||
| Personnel non-recurring compensation | 0.9 | 3.6 | 3.6 | |||
| (=) Adjusted EBITDA | 65 | 248 | 489 | 3% | 31% | 22% |
| Adjusted EBITDA Margin | 22.1% | 20.7% | -0.3 p.p. | 2.0 p.p. | -0.1 p.p. |
(a) Pre-operating expenses consist of legal and administrative expenses incurred in connection with medical facilities under construction, such as Clínica Chiclayo, costs relating to the Torre Trecca PPP, and legal and administrative expenses incurred in connection with the acquisition of land banks for future facilities.
(b) Business development expenses consist of expenses incurred in connection with projects to expand into new markets, including through greenfield projects and M&A activity.
(c) Change in fair value of earn-out liabilities related to the acquisition of IMAT Oncomedica.
(d) Stock-based consideration includes share-based payments plans for non-executive members of the Board of Directors
(e) Personnel non-recurring compensation related to the implementation of an efficiency program across business units aimed at streamlining processes and capturing synergies on the local and regional levels.
At the segment level, 2Q24 adjustments include i) Pre-operating expenses of S/1.6 million in Healthcare Services Mexico and S/.2 million in Holdings and eliminations; ii) Business development expenses of S/1.4 million in Healthcare Services Mexico; iii) Stock based consideration of S/.3 million in Holdings and eliminations, and iv) Personnel non-recurring compensation of S/2 million in Healthcare Services Mexico and S/1.6 million in Healthcare Services Peru.
In 2Q23 adjustments include i) Pre-operating expenses of S/.3 million in Holdings and eliminations; and ii) Change in fair value of earn out liabilities of S/-4.1 million in Healthcare Services Colombia.
Consolidated Peru Adjusted EBITDA: is calculated by adding Healthcare Services Peru segment Adjusted EBITDA plus Oncosalud Peru segment Adjusted EBITDA.
Consolidated Peru Adjusted EBITDA margin: is calculated as Healthcare Services Peru segment Adjusted EBITDA plus Oncosalud Peru segment Adjusted EBITDA, divided by total revenues from Healthcare Services Peru Segment plus total revenues from Oncosalud Peru segment.
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Adjusted Net Income: is calculated as profit (loss) for the period plus adjustments as described below.
(Figures in millions of Solesand millions of US Dollars, unless expressed otherwise)
| 2Q'24 (USD) | 2Q'24 | 2Q'23 | YTD'24 | YTD'23 | |
|---|---|---|---|---|---|
| Net Income (Loss) | 2 | 8 | 23 | (0) | 23 |
| (+) Pre-operating expenses | 0.5 | 1.8 | 0.3 | 2.2 | 0.3 |
| (+) Business development expenses | 0.4 | 1.4 | 0.0 | 1.4 | 0.6 |
| (+) Change in fair value of earn-out liabilities | 0.0 | 0.0 | -4.1 | 0.0 | -4.1 |
| (+) Stock-based consideration | 0.1 | 0.3 | 0.0 | 0.6 | 0.0 |
| (+) Personnel non-recurring compensation | 0.9 | 3.6 | 0.0 | 3.6 | 0.0 |
| (+) Non-cash and extraordinary financial costs | 0.0 | 0.0 | 18.6 | 29.6 | 18.6 |
| (+) Allocated tax effects | (0.6) | (2.1) | (1.1) | (2.3) | (1.3) |
| (=) Adjusted Net Income | 3 | 13 | 36 | 35 | 37 |
(a) Pre-operating expenses consist of legal and administrative expenses incurred in connection with medical facilities under construction, such as Clínica Chiclayo, costs relating to the Torre Trecca PPP, and legal and administrative expenses incurred in connection with the acquisition of land banks for future facilities.
(b) Business development expenses consist of expenses incurred in connection with projects to expand into new markets, including through greenfield projects and M&A activity.
(c) Change in fair value of earn-out liabilities related to the acquisition of IMAT Oncomedica.
(d) Stock-based consideration includes share-based payments plans for non-executive members of the Board of Directors.
(e) Personnel non-recurring compensation related to the implementation of an efficiency program across business units aimed at streamlining processes and capturing synergies on the local and regional levels.
(f) Non-cash and extraordinary financial costs include; 1) one-time extraordinary costs of refinancing activities; ii) non-cash derivative costs related to mark to market of legacy derivatives related to extinguished financings; and iii) non-cash effects related to early extinguishment of financings.
(g) Allocated tax effects neutralize the tax shield that the items considered as adjustment have generated in the taxable profit.
Basic and Diluted Earnings per Share: Basic and Diluted Earnings per Share is calculated by dividing the profit attributable to owners of the Company by the weighted average number of ordinary shares outstanding during the period, which excludes treasury shares.
**Adjusted Basic and Diluted Earnings per Share:**Adjusted Basic and Diluted Earnings per Share is calculated by dividing profit attributable to owners of Adjusted Net Income of the Company by the weighted average number of ordinary shares outstanding during the period, which excludes treasury shares.
| 2Q'24 (USD) | 2Q'24 | 2Q'23 | YTD'24 | YTD'23 | |
|---|---|---|---|---|---|
| Net Income (Loss) | 2 | 8 | 23 | (0) | 23 |
| Income (Loss) attributable to Owner of the company | 1 | 4 | 2 | (10) | (2) |
| Weighted average number of ordinary shares at June 30 | 74.0 | 43.9 | 60.6 | 43.9 | |
| Basic and diluted earnings per share | 0.01 | 0.05 | 0.04 | (0.16) | (0.05) |
| Adjusted Net Income (Loss) | 3 | 13 | 36 | 35 | 37 |
| Income (Loss) attributable to owners of Adjusted Net Income | 2 | 9 | 15 | 25 | 12 |
| Weighted average number of ordinary shares at June 30 | 74.0 | 43.9 | 60.6 | 43.9 | |
| Adjusted Basic and Diluted Earnings per Share | 0.03 | 0.12 | 0.35 | 0.42 | 0.27 |
12
Leverage Ratio: We calculate Leverage Ratio as (i) current and non-current loans and borrowings plus current and non-current lease liabilities minus (ii) cash and cash equivalents, divided by (iii) Last twelve months Adjusted EBITDA.
| Jun-23 | Dec-23 | Jun-24 | |
|---|---|---|---|
| Current and non-current loans & borrowings | 3,410 | 3,762 | 3,780 |
| Current and non-current lease liabilities | 154 | 158 | 147 |
| Cash and cash equivalents | 259 | 241 | 158 |
| Net Debt | 3,306 | 3,678 | 3,769 |
| Adjusted LTM EBITDA | 676 | 825 | 913 |
| Leverage Ratio | 4.89x | 4.46x | 4.13x |
Net Debt: We calculate Net Debt as Gross Debt minus Cash and cash equivalents.
| Jun-23 | Dec-23 | Jun-24 | |
|---|---|---|---|
| (+) Loans and borrowings | 3,410 | 3,762 | 3,780 |
| Short term debt | 379 | 385 | 516 |
| Long term debt | 3,031 | 3,376 | 3,263 |
| (+) Lease Liabilities | 154 | 158 | 147 |
| Gross Debt | 3,564 | 3,920 | 3,927 |
| (-) Cash and cash equivalents | 259 | 241 | 158 |
| Net Debt | 3,306 | 3,678 | 3,769 |
FX Neutral: FX Neutral (“FXN”) measures are prepared and presented to eliminate the effect of foreign exchange, or “FX,” volatility between the comparison periods, allowing management and investors to evaluate financial performance despite variations in foreign currency exchange rates, which may not be indicative of core operating results and business outlook.
FX Neutral measures are presented because management believes that these non-IFRS financial measures can provide useful information to investors, securities analysts and the public in their review of operating and financial performance, although they are not calculated in accordance with IFRS or any other generally accepted accounting principles and should not be considered as a measure of performance in isolation.
The FX Neutral measures were calculated to present what such measures in preceding periods would have been had exchange rates remained stable from these preceding periods until the date of the Company's most recent financial information.
The FX Neutral measures for the three months ended June 30, 2023 were calculated by multiplying the as reported amounts of Revenue, Adjusted EBITDA and the key business metrics for such period by the average Mexican pesos / Peruvian soles exchange rate for the three months ended June 30, 2023 (MXN 4.7747 to PEN 1.00) and the average Colombian pesos / Peruvian soles exchange rate for the three months ended June 30,
13
2023 (COP 1,189.3388 to PEN 1.00); then using such results to re-translate the corresponding amounts back to Peruvian soles by dividing them by the average Mexican pesos / Peruvian soles and Colombian pesos / Peruvian soles exchange rate for the three months ended June 30, 2024 (MXN 4.5975 to PEN 1.00 / COP 1,048.4972 to PEN 1.00), so as to present what certain of statement of profit and loss amounts and key business metrics would have been had exchange rates remained stable from this past period until the three months ended June 30, 2024.
Safe Harbor Statement
This press release contains forward-looking statements. Forward-looking statements convey our current expectations or forecasts of future events. These statements involve known and unknown risks, uncertainties and other factors which may cause our actual results, performance or achievements to differ materially from the forward-looking statements that we make. Forward-looking statements typically are identified by words or phrases such as “may,” “will,” “expect,” “anticipate,” “aim,” ”estimate,” “intend,” “project,” “plan,” “believe,” “potential,” “continue,” “is/are likely to, ”or other similar expressions. Forward-looking statements that appear in a number of places in this press release include, but are not limited to, statements regarding the intent, belief or current expectations, regarding various matters, including, our expected 2024 Adjusted EBITDA growth, the expected impact on revenues and profitability of certain initiatives we are pursuing in Mexico and our target leverage level. Any or all of our forward-looking statements in this press release may turn out to be inaccurate. Our actual results could differ materially from those contained in forward-looking statements due to a number of factors.
The forward-looking statements in this press release represent our expectations and forecasts as of the date of this press release. Except as required by law, we undertake no obligation to update or revise publicly any forward-looking statements, whether as a result of new information, future events or otherwise, after the date of this press release. For a discussion of the risks facing the Company which could affect whether these forward-looking statements are realized, see our Form F-1 filing with the U.S. Securities and Exchange Commission.
2024 Financial Guidance Disclaimer
Auna′s guidance is based on management’s current performance outlook and expected macroeconomic and regulatory conditions in the three countries where the Company operates. Any changes in these conditions could have an impact on the guidance provided.
The 2024 financial guidance reflects management’s current assumptions regarding numerous evolving factors that are difficult to accurately predict, including those discussed in the Risk Factors set forth in the Company’s Form F-1 filed with the United States Securities and Exchange Commission (the “SEC”). Reconciliations of forward-looking non-IFRS measures, specifically the 2024 EBITDA guidance, to the relevant forward-looking IFRS measures are not being provided, as the Company does not currently have sufficient data to accurately estimate the variables and individual adjustments for such guidance and reconciliations. Due to this uncertainty, the Company cannot reconcile projected EBITDA to projected net income without unreasonable effort.
14
The 2024 financial guidance constitutes forward-looking statements. For more information, see the “Forward-Looking Statements” section in this release.
IR Contact
Email: contact@aunainvestors.com
- Financial Tables Follow –
15
Balance Sheet
(Figures in millions of Solesand millions of US Dollars, unless expressed otherwise)
| Jun-24 (USD) | Jun-24 | Dec-23 | Δ Jun-24 vs Dec-23 | |
|---|---|---|---|---|
| Assets | ||||
| Current assets | ||||
| Cash and cash equivalents | 41 | 158 | 241 | (83) |
| Trade accounts receivable | 255 | 976 | 861 | 115 |
| Other assets | 60 | 231 | 223 | 9 |
| Inventories | 32 | 123 | 131 | (7) |
| Derivative financial instruments | - | - | 1 | (1) |
| Other investments | 27 | 102 | 93 | 9 |
| Total current assets | 415 | 1,591 | 1,549 | 42 |
| Non-current assets | ||||
| Trade accounts receivable | 0 | 1 | 0 | 0 |
| Other assets | 6 | 23 | 22 | 1 |
| Investments in associates and joint venture | 6 | 22 | 21 | 2 |
| Property furniture and equipment | 645 | 2,470 | 2,573 | (103) |
| Intangible assets | 779 | 2,984 | 3,129 | (145) |
| Right-of-use assets | 33 | 128 | 139 | (12) |
| Investment properties | 2 | 7 | 7 | (0) |
| Derivative financial instruments | 17 | 66 | 81 | (15) |
| Deferred tax assets | 53 | 201 | 167 | 34 |
| Other investments | 0 | 0 | 0 | (0) |
| Total non-current assets | 1,541 | 5,902 | 6,140 | (239) |
| Total assets | 1,956 | 7,492 | 7,690 | (197) |
| Liabilities | ||||
| Current liabilities | ||||
| Loans and borrowings | 135 | 516 | 385 | 131 |
| Lease liabilities | 8 | 31 | 32 | (1) |
| Trade accounts payable | 220 | 843 | 749 | 94 |
| Other accounts payable | 127 | 485 | 464 | 22 |
| Provisions | 4 | 17 | 19 | (2) |
| Insurance contract liabilities | 12 | 45 | 40 | 5 |
| Deferred income | 0 | 0 | 0 | (0) |
| Total current liabilities | 506 | 1,938 | 1,689 | 248 |
| Non-current liabilities | ||||
| Loans and borrowings | 852 | 3,263 | 3,376 | (113) |
| Lease liabilities | 30 | 116 | 126 | (10) |
| Trade accounts payable | 1 | 4 | 4 | (0) |
| Other accounts payable | 23 | 88 | 221 | (133) |
| Derivative financial instruments | 11 | 42 | - | 42 |
| Deferred tax liabilities | 106 | 407 | 496 | (89) |
| Deferred income | 0 | 0 | 0 | (0) |
| Total non-current liabilities | 1,023 | 3,920 | 4,224 | (304) |
| Total liabilities | 1,529 | 5,858 | 5,913 | (55) |
| Total Equity | 427 | 1,635 | 1,777 | (142) |
| Total liabilities and equity | 1,956 | 7,492 | 7,690 | (197) |
16
Income Statement
(Figures in millions of Solesand millions of US Dollars, unless expressed otherwise)
| 2Q'24 (USD) | 2Q'24 | 2Q'23 | YTD'24 | YTD'23 | Δ 2Q'24 vs | Δ YTD'24 vs | |
|---|---|---|---|---|---|---|---|
| 2Q'23 | YTD'23 | ||||||
| Revenue | |||||||
| Healthcare Services Mexico | 79 | 302 | 281 | 611 | 552 | 7% | 11% |
| Healthcare Services Colombia | 99 | 378 | 282 | 727 | 534 | 34% | 36% |
| Healthcare Services Peru & Oncosalud Peru | 115 | 441 | 383 | 859 | 754 | 15% | 14% |
| - Healthcare Services Peru | 67 | 255 | 217 | 496 | 429 | 18% | 16% |
| - Oncosalud Peru | 70 | 269 | 230 | 522 | 451 | 17% | 16% |
| - Holding and eliminations | (22) | (83) | (64) | (159) | (126) | 30% | 26% |
| Total Revenue | 292 | 1,120 | 946 | 2,197 | 1,840 | 18% | 19% |
| Cost of sales and services | (181) | (693) | (586) | (1,355) | (1,152) | 18% | 18% |
| Gross profit | 112 | 427 | 360 | 842 | 688 | 19% | 22% |
| Gross margin | 38.1% | 38.0% | 38.3% | 37.4% | 0.1 p.p. | 0.9 p.p. | |
| Selling expenses | (12) | (48) | (51) | (101) | (97) | -7% | 4% |
| Administrative expenses | (53) | (202) | (191) | (392) | (335) | 5% | 17% |
| (Loss) reversal for impairment of trade receivables | (1) | (3) | (2) | (3) | (3) | 88% | 2% |
| Other income and expenses, net | 2 | 8 | 20 | 19 | 28 | -63% | -32% |
| Operating profit | 48 | 183 | 136 | 365 | 281 | 34% | 30% |
| Finance income | 2 | 7 | 33 | 15 | 51 | -80% | -70% |
| Finance costs | (49) | (189) | (129) | (365) | (268) | 46% | 36% |
| Net finance cost | (48) | (182) | (96) | (350) | (217) | 90% | 61% |
| Share of profit of equity accounted investees | 1 | 2 | 2 | 5 | 3 | 36% | 60% |
| Profit (loss) before tax | 1 | 3 | 42 | 19 | 66 | -93% | -71% |
| Income tax expense (benefit) | 1 | 5 | (19) | (19) | (43) | -126% | -55% |
| Net Income (Loss) | 2 | 8 | 23 | (0) | 23 | -65% | -102% |
| EBITDA | |||||||
| Healthcare Services Mexico | 25 | 95 | 96 | 199 | 209 | -1% | -5% |
| Healthcare Services Colombia | 15 | 58 | 50 | 108 | 86 | 15% | 25% |
| Healthcare Services Peru & Oncosalud Peru | 24 | 92 | 48 | 177 | 109 | 92% | 63% |
| - Healthcare Services Peru | 10 | 38 | 10 | 75 | 31 | 302% | 141% |
| - Oncosalud Peru | 14 | 54 | 38 | 102 | 77 | 40% | 32% |
| - Holding and eliminations | (1) | (4) | (1) | (2) | 0 | ||
| Total EBITDA | 63 | 241 | 194 | 482 | 404 | 24% | 19% |
| Adjusted EBITDA | |||||||
| Healthcare Services Mexico | 26 | 100 | 96 | 204 | 209 | 4% | -3% |
| Healthcare Services Colombia | 15 | 58 | 46 | 108 | 82 | 25% | 31% |
| Healthcare Services Peru & Oncosalud Peru | 24 | 93 | 48 | 179 | 109 | 96% | 65% |
| - Healthcare Services Peru | 10 | 40 | 10 | 77 | 31 | 318% | 146% |
| - Oncosalud Peru | 14 | 54 | 38 | 102 | 77 | 40% | 32% |
| - Holding and eliminations | (1) | (3) | (1) | (1) | 1 | ||
| Total Adjusted EBITDA | 65 | 248 | 190 | 489 | 401 | 31% | 22% |
| Adjusted EBITDA Margin | |||||||
| Healthcare Services Mexico | 33.1% | 34.3% | 33.4% | 37.9% | -1.2 p.p. | -4.5 p.p. | |
| Healthcare Services Colombia | 15.3% | 16.5% | 14.8% | 15.4% | -1.1 p.p. | -0.5 p.p. | |
| Healthcare Services Peru & Oncosalud Peru | 21.2% | 12.5% | 20.8% | 14.4% | 8.7 p.p. | 6.4 p.p. | |
| - Healthcare Services Peru | 15.6% | 4.4% | 15.5% | 7.3% | 11.2 p.p. | 8.2 p.p. | |
| - Oncosalud Peru | 19.9% | 16.6% | 19.5% | 17.2% | 3.3 p.p. | 2.4 p.p. | |
| Adjusted EBITDA Margin | 22.1% | 20.1% | 22.3% | 21.8% | 2.0 p.p. | 0.5 p.p. |
17
Statement of Cash Flows
(Figures in millions of Solesand millions of US Dollars, unless expressed otherwise)
| Jun-24 (USD) | YTD'24 | YTD'23 | Δ YTD'24 vs YTD'23 | |
|---|---|---|---|---|
| Cash flows from operating activities | ||||
| (Loss) profit for the period | (0) | (0) | 23 | (23) |
| Adjustments for: | ||||
| Depreciation | 16 | 60 | 70 | (10) |
| Depreciation of right-of-use assets | 4 | 14 | 12 | 1 |
| Amortization | 10 | 39 | 38 | 1 |
| (Gain) loss for Impairment of inventories | (1) | (2) | (0) | (2) |
| Equity-settled share-based payment transactions | 0 | 1 | - | 1 |
| Gain (loss) on disposal of property furniture and equipment | 0 | 1 | 1 | (0) |
| Loss on disposal of right-of-use assets net of leases | 0 | 0 | (0) | 0 |
| Loss on disposal of intangibles | 0 | 1 | 0 | 1 |
| Other income for reversal of contingent consideration | - | - | (4) | 4 |
| (Gain) loss for impairment of trade receivables | 1 | 3 | 3 | 0 |
| Share of profit of equity-accounted investees | (1) | (5) | (3) | (2) |
| Technical provisions and other provisions | 0 | 0 | 0 | 0 |
| Finance income | (4) | (15) | (51) | 36 |
| Finance costs | 95 | 365 | 268 | 97 |
| Income tax expense | 5 | 19 | 43 | (24) |
| Net changes in assets and liabilities | ||||
| Trade accounts receivable and other assets | (55) | (212) | (130) | (81) |
| Inventories | 2 | 7 | 1 | 6 |
| Trade accounts payable and other accounts payable | 24 | 92 | 45 | 47 |
| Provisions | (1) | (2) | (1) | (1) |
| Insurance contract liabilities | 2 | 6 | 20 | (14) |
| Cash generated from operating activities | 97 | 371 | 335 | 36 |
| Income tax paid | (29) | (111) | (73) | (38) |
| Interest received | 3 | 12 | 7 | 5 |
| Net cash from operating activities | 71 | 271 | 269 | 3 |
18
| Jun-24 (USD) | YTD'24 | YTD'23 | Δ YTD'24 vs YTD'23 | |
|---|---|---|---|---|
| Cash flows from investing activities | ||||
| Acquisition of subsidiary net of cash acquired | - | - | (60) | 60 |
| Purchase of properties furniture and equipment | (9) | (35) | (40) | 5 |
| Purchase of intangibles | (6) | (22) | (15) | (7) |
| Dividends from equity-accounted investees | 0 | 1 | - | 1 |
| Other assets (Trust funds) | - | - | 95 | (95) |
| Purchase of other investments net of sales | (3) | (13) | (15) | 2 |
| Proceeds from sale of property furniture and equipment | 0 | 0 | 1 | (0) |
| Payment for contingent consideration | (12) | (47) | (33) | (14) |
| Proceeds from advance payment for purchase of shares | - | - | 12 | (12) |
| Net cash used in investing activities | (30) | (116) | (56) | (60) |
| Financing activities | ||||
| Proceeds from issuance of common stock in initial public offering, net of issuance costs | 331 | 1,268 | - | 1,268 |
| Payments of initial public offering costs | (4) | (16) | - | (16) |
| Proceeds from loans and borrowings | 124 | 475 | 2,261 | (1,786) |
| Payment for loans and borrowings | (114) | (437) | (2,112) | 1,674 |
| Payment for lease liabilities | (6) | (23) | (20) | (2) |
| Payment for costs of Extinguishment of debt | (4) | (17) | - | (17) |
| Payment for derivatives premiums | (9) | (35) | (15) | (20) |
| Interest paid | (60) | (229) | (253) | 24 |
| Dividends paid | - | - | (7) | 7 |
| Acquisition of non-controlling interest | (318) | (1,218) | - | (1,218) |
| Net cash used in financing activities | (61) | (232) | (146) | (86) |
| Net increase in cash and cash equivalents | (20) | (77) | 67 | (143) |
| Cash and cash equivalents at January 1 | 63 | 241 | 209 | 32 |
| Exchange difference on cash and cash equivalents for the period | (2) | (7) | (17) | 10 |
| Cash and cash equivalents at the end of the period | 41 | 158 | 259 | (101) |
19
Historical Financial Metrics
(Figures in millions of Solesand millions of US Dollars, unless expressed otherwise)
| 2Q'22 | 3Q'22 | 4Q'22 | 1Q'23 | 2Q'23 | 3Q'23 | 4Q'23 | 1Q'24 | 2Q'24 | |
|---|---|---|---|---|---|---|---|---|---|
| Revenue | |||||||||
| Oncosalud Peru | 199 | 204 | 215 | 221 | 230 | 237 | 244 | 253 | 269 |
| Healthcare Services Peru | 179 | 193 | 190 | 212 | 217 | 230 | 225 | 241 | 255 |
| Healthcare Services Colombia | 239 | 254 | 237 | 252 | 282 | 324 | 335 | 349 | 378 |
| Healthcare Services Mexico | 0 | 0 | 216 | 271 | 281 | 294 | 284 | 308 | 302 |
| Holding and eliminations | (52) | (54) | (54) | (62) | (64) | (69) | (67) | (76) | (83) |
| Total revenue from contracts with customers | 566 | 597 | 804 | 894 | 946 | 1,015 | 1,021 | 1,076 | 1,120 |
| Cost of sales and services | (358) | (380) | (525) | (566) | (586) | (643) | (645) | (662) | (693) |
| Gross profit | 208 | 217 | 279 | 328 | 360 | 372 | 376 | 414 | 427 |
| Selling expenses | (45) | (44) | (39) | (46) | (51) | (55) | (42) | (53) | (48) |
| Administrative expenses | (115) | (114) | (153) | (144) | (191) | (177) | (193) | (191) | (202) |
| Impairment losses on trade receivables | 1 | 1 | (2) | (1) | (2) | (1) | (2) | 0 | (3) |
| Other expenses | 0 | 0 | (1) | 0 | 0 | 0 | (21) | 0 | 0 |
| Other income | 9 | 5 | 6 | 8 | 20 | 10 | 13 | 11 | 8 |
| Operating profit | 59 | 66 | 90 | 145 | 136 | 149 | 130 | 182 | 183 |
| Finance income | 1 | 1 | (2) | 18 | 33 | 3 | 39 | 9 | 7 |
| Finance costs | (73) | (83) | (124) | (139) | (129) | (175) | (340) | (177) | (189) |
| Net finance cost | (72) | (82) | (126) | (122) | (96) | (172) | (302) | (168) | (182) |
| Share of profit of equity-accounted investees | 1 | 1 | 1 | 1 | 2 | 2 | 1 | 2 | 2 |
| Profit (loss) before tax | (12) | (16) | (36) | 24 | 42 | (20) | (170) | 16 | 3 |
| Income tax (expense) benefit | (5) | 17 | (37) | (24) | (19) | 3 | (50) | (25) | 5 |
| Net Income | (17) | 1 | (73) | 0 | 23 | (18) | (219) | (8) | 8 |
| EBITDA | 86 | 94 | 155 | 210 | 194 | 210 | 188 | 241 | 241 |
| EBITDA Adjustments | |||||||||
| Net Income | (17) | 1 | (73) | 0 | 23 | (18) | (219) | (8) | 8 |
| Income tax expense | 5 | (17) | 37 | 24 | 19 | (3) | 50 | 25 | (5) |
| Net finance cost | 72 | 82 | 126 | 122 | 96 | 172 | 302 | 168 | 182 |
| Depreciation and amortization | 25 | 27 | 64 | 65 | 56 | 59 | 56 | 56 | 56 |
| Pre-operating expenses | 9 | 4 | 21 | 0 | 0 | 1 | 0 | 0 | 2 |
| Business development expenses | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 1 |
| Change in fair value of earn-out liabilities | 0 | 0 | 0 | 0 | (4) | 0 | 21 | 0 | 0 |
| Stock-based consideration | 0 | 0 | 0 | 0 | 0 | 0 | 4 | 0 | 0 |
| Personnel non-recurring compensation | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4 |
| Adjusted EBITDA | 95 | 98 | 177 | 211 | 190 | 211 | 213 | 241 | 248 |
20
Key Operating Metrics
| YTD'24 | YTD'23 | % Change | |
|---|---|---|---|
| Oncosalud Peru | |||
| Plan memberships ^(1) (2)^ | 1,263,495 | 1,204,040 | 4.9% |
| Average monthly revenue per plan member ^(3)^ | S/ 59.64 | S/ 57.97 | 2.9% |
| Preventive check-ups ^(4)^ | 51,909 | 67,577 | -23.2% |
| Patients treated ^(5)^ | 44,581 | 43,218 | 3.2% |
| Medical loss ratio ^(6)^ | 58.6% | 51.2% | 7.4 p.p |
| Healthcare Services | |||
| Total bed capacity ^(1)^ | 2,199 | 2,192 | 0.3% |
| Surgeries ^(7)^ | 44,119 | 43,908 | 0.5% |
| Emergency treatments ^(8)^ | 175,188 | 176,719 | -0.9% |
| Occupancy (operating capacity) ^(9)^ | 79.9% | 77.7% | 2.1 p.p |
| Occupancy (total capacity) ^(10)^ | 66.5% | 62.7% | 3.7 p.p |
| 1) | As of period end and as reported to the National Superintendence of Health Susalud. Includes Oncology<br>plans and Health plans. | ||
| --- | --- | ||
| 2) | Includes active plan members and inactive members. Inactive members are defined as those plan members<br>that have not paid monthly fees due for up to three months. As of June 30, 2024, we had 1,155,041 active members and 108,454 inactive<br>members. | ||
| --- | --- | ||
| 3) | Total revenue for the period corresponding to insurance revenue in the OncoSalud Peru segment divided<br>by the average number of plan members during the period, divided by the number of months in the period. | ||
| --- | --- | ||
| 4) | Preventive check-ups consider Oncology check-ups at the Centro de Bienestar Ambulatorio – CBA (wellness<br>center) in Lima, Peru. The number of Healthcare checkups is negligent. | ||
| --- | --- | ||
| 5) | Number of individual plan members receiving treatment for cancer during the period, which may include<br>multiple instances of treatment per plan member. | ||
| --- | --- | ||
| 6) | MLR is calculated as (i) claims for medical treatment generated by our prepaid oncology and general healthcare<br>plans plus (ii) technical reserves relating to plan members treated pursuant to such plans, whether at our facilities or third-party facilities,<br>divided by revenue generated by our prepaid oncology and general healthcare plans. | ||
| --- | --- | ||
| 7) | Number of surgeries includes surgeries outpatient surgeries and cesarean sections | ||
| --- | --- | ||
| 8) | Emergency care includes the number of visits in the emergency room and may include several visits per<br>patient. | ||
| --- | --- | ||
| 9) | Occupancy (operating capacity) is calculated as (i) (x) total number of days in which any of our beds<br>had a hospitalized patient during the period divided by (y) total number of operating beds, times (ii) total number of days during the<br>period. | ||
| --- | --- | ||
| 10) | Occupancy (total capacity) is calculated as (i) (x) total number of days in which any of our beds had<br>a hospitalized patient during the period divided by (y) total number of beds, times (ii) total number of days during the period. | ||
| --- | --- |
21
Exhibit 99.2
Auna S.A. and Subsidiaries
Condensed Consolidated Interim Financial Statements
June 30, 2024
Auna S.A. and Subsidiaries
Condensed Consolidated Interim Financial Statements
June 30, 2024
| Contents | Page | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Condensed Consolidated Interim Statement of Financial Position | 1 | ||||||||||
| Condensed Consolidated Interim Statement of Income and Other | |||||||||||
| Comprehensive Income (Loss) | 2 | ||||||||||
| Condensed Consolidated Interim Statement of Changes in Equity | 3 | ||||||||||
| Condensed Consolidated Interim Statement of Cash Flows | 4 | ||||||||||
| Operating Segments | 5 - 10 | ||||||||||
| Auna S.A. and Subsidiaries | |||||||||||
| --- | |||||||||||
| Condensed Consolidated Interim Statement of Financial Position | |||||||||||
| As of June 30, 2024 and December 31, 2023 | |||||||||||
| In thousands of soles | June 30, 2024 | December 31, 2023 | In thousands of soles | June 30, 2024 | December 31, 2023 | ||||||
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| Assets | Liabilities | ||||||||||
| Current assets | Current liabilities | ||||||||||
| Cash and cash equivalents | 157,729 | 241,133 | Loans and borrowings | 516,417 | 385,300 | ||||||
| Trade accounts receivable | 976,381 | 860,916 | Lease liabilities | 31,363 | 31,867 | ||||||
| Other assets | 231,284 | 222,728 | Trade accounts payable | 843,101 | 749,349 | ||||||
| Inventories | 123,058 | 130,521 | Other accounts payable | 485,238 | 463,600 | ||||||
| Derivative financial instruments | — | 721 | Provisions | 16,677 | 19,074 | ||||||
| Other investments | 102,292 | 93,132 | Insurance contract liabilities | 44,702 | 39,853 | ||||||
| Total current assets | 1,590,744 | 1,549,151 | Deferred income | 204 | 267 | ||||||
| Total current liabilities | 1,937,702 | 1,689,310 | |||||||||
| Non-current assets | |||||||||||
| Trade accounts receivable | 512 | 420 | Non-current liabilities | ||||||||
| Other assets | 22,592 | 21,573 | Loans and borrowings | 3,263,415 | 3,376,282 | ||||||
| Investments in associates and joint venture | 22,261 | 20,584 | Lease liabilities | 115,821 | 126,178 | ||||||
| Other investments | 282 | 289 | Trade accounts payable | 3,599 | 3,906 | ||||||
| Property, furniture, and equipment | 2,469,691 | 2,573,140 | Other accounts payable | 87,780 | 221,132 | ||||||
| Intangible assets | 2,984,030 | 3,129,187 | Deferred tax liabilities | 406,977 | 495,826 | ||||||
| Right-of-use assets | 127,768 | 139,386 | Deferred income | 252 | 352 | ||||||
| Investment properties | 6,662 | 6,959 | Derivative financial instruments | 42,218 | — | ||||||
| Derivative financial instruments | 66,491 | 81,492 | Total non-current liabilities | 3,920,062 | 4,223,676 | ||||||
| Deferred tax assets | 201,457 | 167,371 | Total liabilities | 5,857,764 | 5,912,986 | ||||||
| Total non-current assets | 5,901,746 | 6,140,401 | |||||||||
| Equity | |||||||||||
| Share capital | 17,385 | 8,820 | |||||||||
| Share premium | 1,207,515 | — | |||||||||
| Reserves | 631,128 | 1,823,364 | |||||||||
| Retained losses | (375,914 | ) | (366,899 | ) | |||||||
| Equity attributable to the owner of the Company | 1,480,114 | 1,465,285 | |||||||||
| Non-controlling interest | 154,612 | 311,281 | |||||||||
| Total equity | 1,634,726 | 1,776,566 | |||||||||
| Total assets | 7,492,490 | 7,689,552 | Total liabilities and equity | 7,492,490 | 7,689,552 |
1
| Auna S.A. and Subsidiaries | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Condensed Consolidated Interim Statement of Income and Other Comprehensive Income (Loss) | ||||||||||||
| For the three and six months ended June 30, 2024 and 2023 | ||||||||||||
| Three-month period<br><br><br><br>ended June 30 | Six-month period<br><br><br><br>ended June 30 | |||||||||||
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| In thousands of soles | 2024 | 2023 | 2024 | 2023 | ||||||||
| Revenue | ||||||||||||
| Insurance revenue | 256,336 | 177,858 | 508,532 | 391,584 | ||||||||
| Healthcare services revenue | 784,082 | 702,499 | 1,535,260 | 1,320,246 | ||||||||
| Sale of medicines | 80,066 | 65,529 | 152,721 | 128,002 | ||||||||
| Total revenue from contracts with customers | 1,120,484 | 945,886 | 2,196,513 | 1,839,832 | ||||||||
| Cost of sales and services | (693,124 | ) | (586,183 | ) | (1,354,758 | ) | (1,152,218 | ) | ||||
| Gross profit | 427,360 | 359,703 | 841,755 | 687,614 | ||||||||
| Selling expenses | (47,652 | ) | (51,108 | ) | (100,903 | ) | (96,771 | ) | ||||
| Administrative expenses | (201,559 | ) | (191,489 | ) | (392,486 | ) | (335,461 | ) | ||||
| Loss for impairment of trade receivables | (3,031 | ) | (1,615 | ) | (2,835 | ) | (2,775 | ) | ||||
| Other income | 7,600 | 20,371 | 19,064 | 27,999 | ||||||||
| Operating profit | 182,718 | 135,862 | 364,595 | 280,606 | ||||||||
| Finance income | 6,580 | 33,090 | 15,319 | 50,825 | ||||||||
| Finance costs | (188,700 | ) | (128,844 | ) | (365,375 | ) | (268,239 | ) | ||||
| Net finance cost | (182,120 | ) | (95,754 | ) | (350,056 | ) | (217,414 | ) | ||||
| Share of profit of equity-accounted investees | 2,277 | 1,669 | 4,516 | 2,831 | ||||||||
| Profit before tax | 2,875 | 41,777 | 19,055 | 66,023 | ||||||||
| Income tax expense | 5,049 | (19,276 | ) | (19,467 | ) | (43,392 | ) | |||||
| (Loss) profit for the period | 7,924 | 22,501 | (412 | ) | 22,631 | |||||||
| Other comprehensive loss | ||||||||||||
| Items that are or may be reclassified subsequently to profit or loss | ||||||||||||
| Cash flow hedges | (6,543 | ) | 41,995 | (15,921 | ) | 41,652 | ||||||
| Foreign operations – foreign currency translation differences | (164,986 | ) | 94,759 | (116,174 | ) | 205,641 | ||||||
| Equity-accounted investees – share of OCI | — | 39 | — | — | ||||||||
| Changes in fair value of Put and Call liability | 2,405 | 49,748 | — | 45,724 | ||||||||
| Other investments at FVOCI – net change in fair value | 559 | — | 559 | — | ||||||||
| Income tax (expense) benefit | 1,321 | (12,493 | ) | 3,308 | (12,392 | ) | ||||||
| Other comprehensive (loss) income for the period, net of tax | (167,244 | ) | 174,048 | (128,228 | ) | 280,625 | ||||||
| Total comprehensive (loss) income for the period | (159,320 | ) | 196,549 | (128,640 | ) | 303,256 | ||||||
| (Loss) income attributable to: | ||||||||||||
| Owner of the Company | 3,753 | 1,747 | (9,582 | ) | (2,077 | ) | ||||||
| Non-controlling interest | 4,171 | 20,754 | 9,170 | 24,708 | ||||||||
| 7,924 | 22,501 | (412 | ) | 22,631 | ||||||||
| Total comprehensive (loss) income attributable to: | ||||||||||||
| Owner of the Company | (155,205 | ) | 119,548 | (131,881 | ) | 218,786 | ||||||
| Non-controlling interest | (4,115 | ) | 77,001 | 3,241 | 84,470 | |||||||
| (159,320 | ) | 196,549 | (128,640 | ) | 303,256 | |||||||
| Earnings per share | ||||||||||||
| Basic and diluted earnings per share | 0.05 | 0.04 | (0.16 | ) | (0.05 | ) |
2
| Auna S.A. and Subsidiaries | ||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Condensed Consolidated Interim Statement of Changes in Equity | ||||||||||||||||||||||||||||||||
| For the six months ended June 30, 2024 and 2023 | ||||||||||||||||||||||||||||||||
| Equity attributable to the owner of the Company | ||||||||||||||||||||||||||||||||
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| In thousands of soles | Share<br> <br>capital | Share<br> <br>premium | Other <br> capital <br> reserve | Translation reserve | Cost of hedging<br> <br>reserve | Hedging<br> <br>reserve | Fair value reserve | Merger<br> <br>and other reserves | Retained (losses) earnings | Total | Non-<br> controlling <br> interest | Total<br> <br>equity | ||||||||||||||||||||
| Balances as of December 31, 2022 | 236,547 | 386,045 | 56,314 | (190,389 | ) | (15,133 | ) | (16,756 | ) | — | 699,333 | (90,982 | ) | 1,064,979 | 493,082 | 1,558,061 | ||||||||||||||||
| Balances as of January 1, 2023 | 236,547 | 386,045 | 56,314 | (190,389 | ) | (15,133 | ) | (16,756 | ) | — | 699,333 | (90,982 | ) | 1,064,979 | 493,082 | 1,558,061 | ||||||||||||||||
| Profit for the period | — | — | — | — | — | — | — | — | (2,077 | ) | (2,077 | ) | 24,708 | 22,631 | ||||||||||||||||||
| Other comprehensive income for the period | — | — | — | 158,688 | (29,802 | ) | 55,946 | — | 36,031 | — | 220,863 | 59,762 | 280,625 | |||||||||||||||||||
| Total comprehensive income for the period | — | — | — | 158,688 | (29,802 | ) | 55,946 | — | 36,031 | (2,077 | ) | 218,786 | 84,470 | 303,256 | ||||||||||||||||||
| Dividend distribution | — | — | — | — | — | — | — | — | — | — | (6,841 | ) | (6,841 | ) | ||||||||||||||||||
| Transfer to legal reserve | — | — | 16,807 | — | — | — | — | — | (16,807 | ) | — | — | — | |||||||||||||||||||
| Contributions from non-controlling <br>Shareholders | — | — | — | — | — | — | — | (1,016 | ) | — | (1,016 | ) | 1,032 | 16 | ||||||||||||||||||
| Total transactions with the owner of the Company | — | — | 16,807 | — | — | — | — | (1,016 | ) | (16,807 | ) | (1,016 | ) | (5,809 | ) | (6,825 | ) | |||||||||||||||
| Balances as of June 30, 2023 | 236,547 | 386,045 | 73,121 | (31,701 | ) | (44,935 | ) | 39,190 | — | 734,348 | (109,866 | ) | 1,282,749 | 571,743 | 1,854,492 | |||||||||||||||||
| Balances as of December 31, 2023 | 8,820 | — | 79,782 | 140,066 | 6,422 | (29,548 | ) | 231 | 1,626,411 | (366,899 | ) | 1,465,285 | 311,281 | 1,776,566 | ||||||||||||||||||
| Loss for the period | — | — | — | — | — | — | — | — | (9,582 | ) | (9,582 | ) | 9,170 | (412 | ) | |||||||||||||||||
| Other comprehensive loss for the period | — | — | — | (110,245 | ) | 7,653 | (20,266 | ) | 559 | — | — | (122,299 | ) | (5,929 | ) | (128,228 | ) | |||||||||||||||
| Total comprehensive loss for the period | — | — | — | (110,245 | ) | 7,653 | (20,266 | ) | 559 | — | (9,582 | ) | (131,881 | ) | 3,241 | (128,640 | ) | |||||||||||||||
| Issuance of common stock, net of issuance costs | 1,112 | 1,207,515 | — | — | — | — | — | — | — | 1,208,627 | — | 1,208,627 | ||||||||||||||||||||
| Capitalization of merger reserve | 7,453 | — | — | — | — | — | — | (7,453 | ) | — | — | — | — | |||||||||||||||||||
| Acquisition of non-controlling interest | — | — | — | 18,909 | — | — | — | (1,076,628 | ) | — | (1,057,719 | ) | (159,910 | ) | (1,217,629 | ) | ||||||||||||||||
| Change in fair value of put and call liability | — | — | — | — | — | — | — | (4,765 | ) | — | (4,765 | ) | — | (4,765 | ) | |||||||||||||||||
| Equity-settled share-based payment | — | — | — | — | — | — | — | — | 567 | 567 | — | 567 | ||||||||||||||||||||
| Total transactions with the owner of the Company | 8,565 | 1,207,515 | — | 18,909 | — | — | — | (1,088,846 | ) | 567 | 146,710 | (159,910 | ) | (13,200 | ) | |||||||||||||||||
| Balances as of June 30, 2024 | 17,385 | 1,207,515 | 79,782 | 48,730 | 14,075 | (49,814 | ) | 790 | 537,565 | (375,914 | ) | 1,480,114 | 154,612 | 1,634,726 |
3
| Auna S.A. and Subsidiaries | ||||||
|---|---|---|---|---|---|---|
| Condensed Consolidated Interim Statement of Cash Flows | ||||||
| For the six months ended June 30, 2024 and 2023 | ||||||
| Six-month period ended June 30 | ||||||
| --- | --- | --- | --- | --- | --- | --- |
| In thousands of soles | 2024 | 2023 | ||||
| Cash flows from operating activities | ||||||
| (Loss) profit for the period | (412 | ) | 22,631 | |||
| Adjustments for: | ||||||
| Depreciation | 59,840 | 70,239 | ||||
| Depreciation of right-of-use assets | 13,608 | 12,364 | ||||
| Amortization | 38,947 | 38,230 | ||||
| (Reversal) Impairment of inventories | (2,194 | ) | (456 | ) | ||
| Equity-settled share-based payment transactions | 567 | — | ||||
| Loss on disposal of property, furniture, and equipment | 813 | 1,234 | ||||
| Loss (Gain) on disposal of right-of-use assets net of leases liabilities | 60 | (6 | ) | |||
| Loss on disposal of intangibles | 1,168 | 3 | ||||
| Loss for impairment of trade receivables | 2,835 | 2,775 | ||||
| Share of profit of equity-accounted investees | (4,516 | ) | (2,831 | ) | ||
| Technical provisions and other provisions | 440 | 200 | ||||
| Other income for reversal of contingent consideration | — | (4,095 | ) | |||
| Finance income | (15,319 | ) | (50,825 | ) | ||
| Finance costs | 365,375 | 268,239 | ||||
| Income tax expense | 19,467 | 43,392 | ||||
| Net changes in assets and liabilities: | ||||||
| Trade accounts receivable and other assets | (211,635 | ) | (130,329 | ) | ||
| Inventories | 6,505 | 573 | ||||
| Trade accounts payable and other accounts payable | 91,516 | 44,664 | ||||
| Provisions | (2,146 | ) | (1,258 | ) | ||
| Insurance contract liabilities | 5,834 | 20,148 | ||||
| Cash from operating activities | 370,753 | 334,892 | ||||
| Income tax paid | (111,496 | ) | (73,296 | ) | ||
| Interest received | 12,137 | 7,186 | ||||
| Net cash from operating activities | 271,394 | 268,782 | ||||
| Cash flows from investing activities | ||||||
| Acquisition of subsidiary, net of cash acquired | — | (59,994 | ) | |||
| Purchase of properties, furniture, and equipment | (34,880 | ) | (40,134 | ) | ||
| Proceeds from sale of property, furniture, and equipment | 127 | 522 | ||||
| Purchase of intangibles | (22,010 | ) | (14,676 | ) | ||
| Dividends from equity-accounted investees | 622 | — | ||||
| Other assets (Trust funds) | — | 94,539 | ||||
| Purchase of other investments | (12,819 | ) | (14,691 | ) | ||
| Proceeds from advance payment for purchase of shares | — | 11,592 | ||||
| Payment for contingent consideration | (46,991 | ) | (33,210 | ) | ||
| Net cash used in investing activities | (115,951 | ) | (56,052 | ) | ||
| Cash flows from financing activities | ||||||
| Proceeds from issuance of common stock in initial public offering, net of issuance costs | 1,267,794 | — | ||||
| Payments of initial public offering costs | (15,842 | ) | — | |||
| Proceeds from loans and borrowings | 474,540 | 2,261,000 | ||||
| Payment of loans and borrowings | (437,446 | ) | (2,111,504 | ) | ||
| Payment of lease liabilities | (22,607 | ) | (20,403 | ) | ||
| Payment for derivatives premiums | (35,328 | ) | (15,044 | ) | ||
| Contributions from non-controlling shareholders | — | 16 | ||||
| Payment for costs of Extinguishment of debt | (16,607 | ) | — | |||
| Interest paid | (229,067 | ) | (253,325 | ) | ||
| Dividend paid | — | (6,841 | ) | |||
| Acquisition of non-controlling interest | (1,217,629 | ) | — | |||
| Net cash used in financing activities | (232,192 | ) | (146,101 | ) | ||
| Net (decrease) increase in cash and cash equivalents | (76,749 | ) | 66,629 | |||
| Cash and cash equivalents at January 1 | 241,133 | 208,694 | ||||
| Exchange difference on cash and cash equivalents for the period | (6,655 | ) | (16,537 | ) | ||
| Cash and cash equivalents at June 30 | 157,729 | 258,786 | ||||
| Transactions not representing cash flows | ||||||
| Assets acquired through finance lease and other financing | 4,653 | 4,601 | ||||
| Assets acquired from suppliers in installments | 137 | 9,470 |
4
| Auna S.A. and Subsidiaries |
|---|
| Notes to the Condensed Consolidated Interim Financial Statements |
| June 30, 2024 |
Operating Segments
| A. | Basis for segmentation |
|---|
The Group has determined four reportable segments. These operating segments are components of a company about which separate financial information is available that is regularly evaluated by the Board of Directors (Chief operating decision maker) in deciding how to allocate resources and assess performance.
The following summary describes the operations of each reportable segment.
| Reportable segments | Operations |
|---|---|
| Oncosalud Peru | Including our prepaid oncologic healthcare plans and healthcare services related to the treatment of cancer. |
| Healthcare services in Peru | Corresponds to medical services within the network of clinics and health centers in Peru. |
| Healthcare services in Colombia | Corresponds to medical services within the network of clinics and health centers in Colombia. |
| Healthcare services in Mexico | Corresponds to medical services within the network of clinics and health centers, and the insurance business in Mexico. |
| B. | Information about reportable segments |
| --- | --- |
Information related to each reportable segment is set out below. Segment profit (loss) before tax is used to measure performance because the chief operating decision maker believes that this information is the most relevant for the Group.
5
| Auna S.A. and Subsidiaries |
|---|
| Notes to the Condensed Consolidated Interim Financial Statements |
| June 30, 2024 |
For the three months period ended June 30, 2024:
| Reportable segments | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| In thousands of soles | Oncosalud<br><br><br><br>Peru | Healthcare services in Peru | Healthcare services in Colombia | Healthcare services in Mexico | Total reportable segments | Holding and eliminations | Total | ||||||||||||||
| 2024 | |||||||||||||||||||||
| External revenues | 257,589 | 182,916 | 377,624 | 302,355 | 1,120,484 | — | 1,120,484 | ||||||||||||||
| Inter-segment revenue (i) | 10,952 | 72,077 | — | — | 83,029 | (83,029 | ) | — | |||||||||||||
| Segment revenue | 268,541 | 254,993 | 377,624 | 302,355 | 1,203,513 | (83,029 | ) | 1,120,484 | |||||||||||||
| External cost of service | (78,814 | ) | (170,403 | ) | (273,191 | ) | (170,716 | ) | (693,124 | ) | — | (693,124 | ) | ||||||||
| Inter-segment cost of service (i) | (72,215 | ) | (10,313 | ) | — | — | (82,528 | ) | 82,528 | — | |||||||||||
| Segment cost of service | (151,029 | ) | (180,716 | ) | (273,191 | ) | (170,716 | ) | (775,652 | ) | 82,528 | (693,124 | ) | ||||||||
| Gross profit | 117,512 | 74,277 | 104,433 | 131,639 | 427,861 | (501 | ) | 427,360 | |||||||||||||
| External selling expenses | (40,099 | ) | (5,688 | ) | (1,583 | ) | 18 | (47,352 | ) | (300 | ) | (47,652 | ) | ||||||||
| Segment selling expenses | (40,099 | ) | (5,688 | ) | (1,583 | ) | 18 | (47,352 | ) | (300 | ) | (47,652 | ) | ||||||||
| External administrative expenses | (19,522 | ) | (25,563 | ) | (52,312 | ) | (63,039 | ) | (160,436 | ) | — | (160,436 | ) | ||||||||
| Inter-segment administrative expenses | (94 | ) | (2,238 | ) | — | — | (2,332 | ) | 2,332 | — | |||||||||||
| Corporate expenses | (17,493 | ) | (14,908 | ) | (2,953 | ) | (2,232 | ) | (37,586 | ) | (3,537 | ) | (41,123 | ) | |||||||
| Segment administrative expenses | (37,109 | ) | (42,709 | ) | (55,265 | ) | (65,271 | ) | (200,354 | ) | (1,205 | ) | (201,559 | ) | |||||||
| Impairment losses on trade receivables | 17 | 162 | (2,995 | ) | (210 | ) | (3,026 | ) | (5 | ) | (3,031 | ) | |||||||||
| Other income | 591 | 1,324 | 1,094 | 4,342 | 7,351 | 249 | 7,600 | ||||||||||||||
| Inter-segment other income | 3,773 | 496 | — | — | 4,269 | (4,269 | ) | — | |||||||||||||
| Other income | 4,364 | 1,820 | 1,094 | 4,342 | 11,620 | (4,020 | ) | 7,600 | |||||||||||||
| Segment operating profit (loss) | 44,685 | 27,862 | 45,684 | 70,518 | 188,749 | (6,031 | ) | 182,718 | |||||||||||||
| Share of profit of equity accounted investees, net of taxes | 930 | — | 1,347 | — | 2,277 | — | 2,277 | ||||||||||||||
| Exchange difference, net | 173 | (3,733 | ) | (36,485 | ) | (19,005 | ) | (59,050 | ) | 9,557 | (49,493 | ) | |||||||||
| Interest expense, net | (4,206 | ) | (11,635 | ) | (28,301 | ) | (62,039 | ) | (106,181 | ) | (26,446 | ) | (132,627 | ) | |||||||
| Segment profit (loss) before tax | 41,582 | 12,494 | (17,755 | ) | (10,526 | ) | 25,795 | (22,920 | ) | 2,875 | |||||||||||
| Other disclosures | |||||||||||||||||||||
| Depreciation and amortization | (7,956 | ) | (10,473 | ) | (10,828 | ) | (24,504 | ) | (53,761 | ) | (2,200 | ) | (55,961 | ) | |||||||
| Capital expenditure | (4,416 | ) | (9,278 | ) | (12,863 | ) | (6,301 | ) | (32,858 | ) | (3,069 | ) | (35,927 | ) | |||||||
| Segment assets | 52,473 | 59,213 | (103,508 | ) | (358,346 | ) | (350,168 | ) | (57,748 | ) | (407,916 | ) | |||||||||
| Segment liabilities | 24,482 | 51,944 | (56,140 | ) | (186,564 | ) | (166,278 | ) | (76,860 | ) | (243,138 | ) |
6
| Auna S.A. and Subsidiaries |
|---|
| Notes to the Condensed Consolidated Interim Financial Statements |
| June 30, 2024 |
For the three months period ended June 30, 2023:
| Reportable segments | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| In thousands of soles | Oncosalud<br><br><br><br>Peru | Healthcare services in Peru | Healthcare services in Colombia | Healthcare services in Mexico | Total reportable segments | Holding and eliminations | Total | ||||||||||||||
| 2023 | |||||||||||||||||||||
| External revenues | 219,846 | 163,205 | 281,521 | 281,314 | 945,886 | — | 945,886 | ||||||||||||||
| Inter-segment revenue (i) | 10,257 | 53,561 | — | — | 63,818 | (63,818 | ) | — | |||||||||||||
| Segment revenue | 230,103 | 216,766 | 281,521 | 281,314 | 1,009,704 | (63,818 | ) | 945,886 | |||||||||||||
| External cost of service | (66,432 | ) | (160,121 | ) | (203,026 | ) | (156,604 | ) | (586,183 | ) | — | (586,183 | ) | ||||||||
| Inter-segment cost of service (i) | (52,854 | ) | (9,104 | ) | — | — | (61,958 | ) | 61,958 | — | |||||||||||
| Segment cost of service | (119,286 | ) | (169,225 | ) | (203,026 | ) | (156,604 | ) | (648,141 | ) | 61,958 | (586,183 | ) | ||||||||
| Gross profit | 110,817 | 47,541 | 78,495 | 124,710 | 361,563 | (1,860 | ) | 359,703 | |||||||||||||
| External selling expenses | (42,035 | ) | (4,426 | ) | (1,598 | ) | (2,893 | ) | (50,952 | ) | (156 | ) | (51,108 | ) | |||||||
| Segment selling expenses | (42,035 | ) | (4,426 | ) | (1,598 | ) | (2,893 | ) | (50,952 | ) | (156 | ) | (51,108 | ) | |||||||
| External administrative expenses | (19,516 | ) | (24,889 | ) | (46,382 | ) | (58,525 | ) | (149,312 | ) | — | (149,312 | ) | ||||||||
| Inter-segment administrative expenses | (230 | ) | (1,540 | ) | — | — | (1,770 | ) | 1,770 | — | |||||||||||
| Corporate expenses | (21,954 | ) | (19,053 | ) | (1,473 | ) | — | (42,480 | ) | 303 | (42,177 | ) | |||||||||
| Segment administrative expenses | (41,700 | ) | (45,482 | ) | (47,855 | ) | (58,525 | ) | (193,562 | ) | 2,073 | (191,489 | ) | ||||||||
| Impairment losses on trade receivables | 232 | (230 | ) | (1,140 | ) | (406 | ) | (1,544 | ) | (71 | ) | (1,615 | ) | ||||||||
| Other expenses | |||||||||||||||||||||
| Other income | 379 | 1,702 | 11,642 | 6,648 | 20,371 | — | 20,371 | ||||||||||||||
| Inter-segment other income | 2,765 | 287 | — | — | 3,052 | (3,052 | ) | — | |||||||||||||
| Other income | 3,144 | 1,989 | 11,642 | 6,648 | 23,423 | (3,052 | ) | 20,371 | |||||||||||||
| Segment operating profit (loss) | 30,458 | (608 | ) | 39,544 | 69,534 | 138,928 | (3,066 | ) | 135,862 | ||||||||||||
| Share of profit of equity accounted investees, net of taxes | 581 | — | 1,088 | — | 1,669 | — | 1,669 | ||||||||||||||
| Exchange difference, net | 1,996 | 1,222 | 53,943 | 14,448 | 71,609 | (41,647 | ) | 29,962 | |||||||||||||
| Interest expense, net | (5,767 | ) | (11,167 | ) | (22,037 | ) | (63,568 | ) | (102,539 | ) | (23,177 | ) | (125,716 | ) | |||||||
| Segment profit (loss) before tax | 27,268 | (10,553 | ) | 72,538 | 20,414 | 109,667 | (67,890 | ) | 41,777 | ||||||||||||
| Other disclosures | |||||||||||||||||||||
| Depreciation and amortization | (7,231 | ) | (10,144 | ) | (9,844 | ) | (26,843 | ) | (54,062 | ) | (2,267 | ) | (56,329 | ) | |||||||
| Capital expenditure | (4,820 | ) | (5,200 | ) | (16,161 | ) | 7,849 | (18,332 | ) | (2,736 | ) | (21,068 | ) | ||||||||
| Segment assets | 31,027 | 27,362 | 188,459 | 92,852 | 339,700 | (232,060 | ) | 107,640 | |||||||||||||
| Segment liabilities | (46,528 | ) | 32,042 | (34,811 | ) | 51,991 | 2,694 | (142,290 | ) | (139,596 | ) |
7
| Auna S.A. and Subsidiaries |
|---|
| Notes to the Condensed Consolidated Interim Financial Statements |
| June 30, 2024 |
For the six months period ended June 30, 2024:
| Reportable segments | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| In thousands of soles | Oncosalud<br><br><br><br>Peru | Healthcare services in Peru | Healthcare services in Colombia | Healthcare services in Mexico | Total reportable segments | Holding and eliminations | Total | ||||||||||||||
| 2024 | |||||||||||||||||||||
| External revenues | 502,430 | 356,775 | 726,510 | 610,798 | 2,196,513 | — | 2,196,513 | ||||||||||||||
| Inter-segment revenue (i) | 19,547 | 139,144 | — | — | 158,691 | (158,691 | ) | — | |||||||||||||
| Segment revenue | 521,977 | 495,919 | 726,510 | 610,798 | 2,355,204 | (158,691 | ) | 2,196,513 | |||||||||||||
| External cost of service | (154,523 | ) | (332,413 | ) | (533,038 | ) | (334,784 | ) | (1,354,758 | ) | — | (1,354,758 | ) | ||||||||
| Inter-segment cost of service (i) | (139,406 | ) | (18,283 | ) | — | — | (157,689 | ) | 157,689 | — | |||||||||||
| Segment cost of service | (293,929 | ) | (350,696 | ) | (533,038 | ) | (334,784 | ) | (1,512,447 | ) | 157,689 | (1,354,758 | ) | ||||||||
| Gross profit | 228,048 | 145,223 | 193,472 | 276,014 | 842,757 | (1,002 | ) | 841,755 | |||||||||||||
| External selling expenses | (81,247 | ) | (10,200 | ) | (3,314 | ) | (5,682 | ) | (100,443 | ) | (460 | ) | (100,903 | ) | |||||||
| Segment selling expenses | (81,247 | ) | (10,200 | ) | (3,314 | ) | (5,682 | ) | (100,443 | ) | (460 | ) | (100,903 | ) | |||||||
| External administrative expenses | (36,971 | ) | (51,233 | ) | (100,602 | ) | (129,450 | ) | (318,256 | ) | — | (318,256 | ) | ||||||||
| Inter-segment administrative expenses | (171 | ) | (2,737 | ) | — | — | (2,908 | ) | 2,908 | — | |||||||||||
| Corporate expenses | (32,333 | ) | (29,984 | ) | (5,905 | ) | (4,462 | ) | (72,684 | ) | (1,546 | ) | (74,230 | ) | |||||||
| Segment administrative expenses | (69,475 | ) | (83,954 | ) | (106,507 | ) | (133,912 | ) | (393,848 | ) | 1,362 | (392,486 | ) | ||||||||
| Impairment losses on trade receivables | 102 | 404 | (2,998 | ) | (415 | ) | (2,907 | ) | 72 | (2,835 | ) | ||||||||||
| Other income | 1,191 | 2,807 | 2,778 | 12,439 | 19,215 | (151 | ) | 19,064 | |||||||||||||
| Inter-segment other income | 5,505 | 501 | — | — | 6,006 | (6,006 | ) | — | |||||||||||||
| Other income | 6,696 | 3,308 | 2,778 | 12,439 | 25,221 | (6,157 | ) | 19,064 | |||||||||||||
| Segment operating profit (loss) | 84,124 | 54,781 | 83,431 | 148,444 | 370,780 | (6,185 | ) | 364,595 | |||||||||||||
| Share of profit of equity accounted investees, net of taxes | 1,943 | — | 2,573 | — | 4,516 | — | 4,516 | ||||||||||||||
| Exchange difference, net | (1,432 | ) | (5,155 | ) | (37,707 | ) | (12,206 | ) | (56,500 | ) | 9,921 | (46,579 | ) | ||||||||
| Interest expense, net | (10,448 | ) | (23,171 | ) | (57,786 | ) | (158,310 | ) | (249,715 | ) | (53,762 | ) | (303,477 | ) | |||||||
| Segment profit (loss) before tax | 74,187 | 26,455 | (9,489 | ) | (22,072 | ) | 69,081 | (50,026 | ) | 19,055 | |||||||||||
| Other disclosures | |||||||||||||||||||||
| Depreciation and amortization | (15,764 | ) | (20,713 | ) | (21,499 | ) | (50,067 | ) | (108,043 | ) | (4,352 | ) | (112,395 | ) | |||||||
| Capital expenditure | (7,946 | ) | (15,844 | ) | (21,862 | ) | (10,408 | ) | (56,060 | ) | (5,620 | ) | (61,680 | ) | |||||||
| Segment assets | 2,200,846 | 970,690 | 2,372,301 | 3,508,279 | 9,052,116 | (1,559,626 | ) | 7,492,490 | |||||||||||||
| Segment liabilities | 1,107,415 | 629,106 | 1,488,024 | 2,239,121 | 5,463,666 | 394,098 | 5,857,764 |
8
| Auna S.A. and Subsidiaries |
|---|
| Notes to the Condensed Consolidated Interim Financial Statements |
| June 30, 2024 |
For the six months period ended June 30, 2023:
| Reportable segments | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| In thousands of soles | Oncosalud<br><br><br><br>Peru | Healthcare services in Peru | Healthcare services in Colombia | Healthcare services in Mexico | Total reportable segments | Holding and eliminations | Total | ||||||||||||||
| 2023 | |||||||||||||||||||||
| External revenues | 431,608 | 322,188 | 533,812 | 552,224 | 1,839,832 | — | 1,839,832 | ||||||||||||||
| Inter-segment revenue (i) | 19,104 | 106,590 | — | — | 125,694 | (125,694 | ) | — | |||||||||||||
| Segment revenue | 450,712 | 428,778 | 533,812 | 552,224 | 1,965,526 | (125,694 | ) | 1,839,832 | |||||||||||||
| External cost of service | (134,614 | ) | (313,297 | ) | (384,414 | ) | (319,893 | ) | (1,152,218 | ) | — | (1,152,218 | ) | ||||||||
| Inter-segment cost of service (i) | (105,862 | ) | (17,441 | ) | — | — | (123,303 | ) | 123,303 | — | |||||||||||
| Segment cost of service | (240,476 | ) | (330,738 | ) | (384,414 | ) | (319,893 | ) | (1,275,521 | ) | 123,303 | (1,152,218 | ) | ||||||||
| Gross profit | 210,236 | 98,040 | 149,398 | 232,331 | 690,005 | (2,391 | ) | 687,614 | |||||||||||||
| External selling expenses | (79,581 | ) | (9,464 | ) | (2,928 | ) | (4,528 | ) | (96,501 | ) | (270 | ) | (96,771 | ) | |||||||
| Segment selling expenses | (79,581 | ) | (9,464 | ) | (2,928 | ) | (4,528 | ) | (96,501 | ) | (270 | ) | (96,771 | ) | |||||||
| External administrative expenses | (36,285 | ) | (45,743 | ) | (87,660 | ) | (92,392 | ) | (262,080 | ) | — | (262,080 | ) | ||||||||
| Inter-segment administrative expenses | (405 | ) | (2,676 | ) | — | — | (3,081 | ) | 3,081 | — | |||||||||||
| Corporate expenses | (38,279 | ) | (33,220 | ) | (2,946 | ) | — | (74,445 | ) | 1,064 | (73,381 | ) | |||||||||
| Segment administrative expenses | (74,969 | ) | (81,639 | ) | (90,606 | ) | (92,392 | ) | (339,606 | ) | 4,145 | (335,461 | ) | ||||||||
| Impairment losses on trade receivables | 388 | 1,085 | (3,356 | ) | (767 | ) | (2,650 | ) | (125 | ) | (2,775 | ) | |||||||||
| Other expenses | |||||||||||||||||||||
| Other income | 518 | 2,580 | 12,876 | 12,024 | 27,998 | 1 | 27,999 | ||||||||||||||
| Inter-segment other income | 5,150 | 497 | — | — | 5,647 | (5,647 | ) | — | |||||||||||||
| Other income | 5,668 | 3,077 | 12,876 | 12,024 | 33,645 | (5,646 | ) | 27,999 | |||||||||||||
| Segment operating profit (loss) | 61,742 | 11,099 | 65,384 | 146,668 | 284,893 | (4,287 | ) | 280,606 | |||||||||||||
| Share of profit of equity accounted investees, net of taxes | 1,047 | — | 1,784 | — | 2,831 | — | 2,831 | ||||||||||||||
| Exchange difference, net | 1,476 | 1,723 | 76,365 | 17,556 | 97,120 | (53,858 | ) | 43,262 | |||||||||||||
| Interest expense, net | (13,569 | ) | (20,942 | ) | (43,494 | ) | (136,623 | ) | (214,628 | ) | (46,048 | ) | (260,676 | ) | |||||||
| Segment profit (loss) before tax | 50,696 | (8,120 | ) | 100,039 | 27,601 | 170,216 | (104,193 | ) | 66,023 | ||||||||||||
| Other disclosures | |||||||||||||||||||||
| Depreciation and amortization | (14,524 | ) | (20,258 | ) | (18,865 | ) | (62,648 | ) | (116,295 | ) | (4,538 | ) | (120,833 | ) | |||||||
| Capital expenditure | (7,436 | ) | (7,141 | ) | (39,474 | ) | (10,197 | ) | (64,248 | ) | (4,633 | ) | (68,881 | ) | |||||||
| Segment assets | 2,016,170 | 880,518 | 2,100,475 | 3,716,132 | 8,713,295 | (1,526,330 | ) | 7,186,965 | |||||||||||||
| Segment liabilities | 982,079 | 593,995 | 1,363,770 | 2,272,997 | 5,212,841 | 119,632 | 5,332,473 | ||||||||||||||
| (i) | Inter-segment cost of service (claims expense)<br> from the Oncosalud Peru segment and intersegment revenue from our Healthcare Services in<br> Peru segment are presented on a gross basis by adding the corresponding profit margin markup<br> by our Healthcare Services in Peru segment and vice versa. Likewise, our Oncosalud Peru segment<br> consolidates Oncocenter Peru S.A.C., a subsidiary providing healthcare services related to<br> the exclusive treatment of cancer. In the separate financial statements of Oncocenter Peru<br> S.A.C., the revenue mainly consists of the insurance claims expense recorded as cost of sales<br> in the separate financial statements of Oncosalud S.A.C., our insurance subsidiary that is<br> also consolidated in Oncosalud Peru segment. In the segment consolidation process the related<br> revenues from such healthcare services are eliminated with the corresponding claims expense<br> of our insurance subsidiary Oncosalud S.A.C., while the external cost (third parties) of<br> services incurred by Oncocenter Peru S.A.C. remains. | ||||||||||||||||||||
| --- | --- |
9