auna Research by SuperAGI

Auna S.A. Company Profile

Background

Auna S.A. is a leading healthcare provider operating in Mexico, Peru, and Colombia. Established in 1989, the company has developed one of Latin America's largest modern healthcare platforms, comprising a horizontally integrated network of healthcare facilities and a vertically integrated portfolio of oncological and general healthcare plans. Auna's mission is to transform healthcare by providing access to a highly integrated healthcare offering in the underpenetrated markets of Spanish-speaking Latin America. As of June 30, 2024, Auna's network included 31 healthcare facilities, consisting of hospitals, outpatient centers, and wellness facilities, with a total of 2,308 beds, serving approximately 1.3 million healthcare plan members.

Key Strategic Focus

Auna's strategic focus centers on expanding access to healthcare in underserved regions of Spanish-speaking Latin America. The company emphasizes a patient-centric and value-based care model, integrating prevention and treatment services to address high-complexity diseases that contribute significantly to healthcare expenditures. Auna's operations are characterized by:

Horizontal Integration: A network of hospitals, clinics, and outpatient facilities offering a comprehensive range of medical services.

Vertical Integration: A portfolio of oncological and general healthcare plans, including mono-risk oncology plans and general healthcare plans that cover a range of basic healthcare needs.

Geographic Expansion: Growth through strategic acquisitions and organic development in Mexico, Peru, and Colombia.

Financial Performance: In 2023, Auna reported revenues of US$1.05 billion and an adjusted EBITDA of US$223 million, reflecting increases of 58% and 90%, respectively, compared to 2022.

Financials and Funding

Auna has undertaken several significant financing initiatives to strengthen its financial position:

Initial Public Offering (IPO): On March 22, 2024, Auna debuted on the New York Stock Exchange under the ticker symbol "AUNA," raising US$360 million in gross proceeds by issuing 30 million Class A shares at US$12.00 per share.

Debt Refinancing: In November 2025, Auna completed a US$765 million debt refinancing, extending debt maturities and reducing interest expenses. This included the issuance of US$365 million in 8.75% Senior Secured Notes due 2032 and a new US$400 million equivalent MXN Term Loan due October 15, 2030.

Additional Financing: In March 2023, Auna entered into a note purchase agreement for US$505 million of senior secured notes due 2028, with proceeds used to repay existing debt and for general corporate purposes.

Pipeline Development

Auna's pipeline development focuses on expanding its healthcare services and facilities:

Mexico Expansion: In 2022, Auna expanded into Mexico by acquiring Grupo OCA, a private healthcare group operating three high-complexity hospitals in Monterrey.

Public-Private Partnership in Peru: Auna announced progress on the TRECA public-private partnership in Peru, with a building permit authorized and construction expected to start in early 2026. This project is projected to generate over $200 million in annual sales once scaled.

Technological Platform and Innovation

Auna leverages several technological platforms and innovations to enhance its healthcare services:

Integrated Healthcare Platform: Combines hospitals, outpatient facilities, and insurance plans into a seamless ecosystem, facilitating efficient patient care and management.

Value-Based Care Model: Focuses on patient outcomes and cost-effectiveness, incentivizing prevention and efficient treatment of high-complexity diseases.

Digital Health Initiatives: Invests in telemedicine and electronic health records to improve patient access and care coordination.

Leadership Team

Auna's leadership team comprises experienced professionals dedicated to the company's mission:

Suso Zamora: Executive Chairman and President, leading the company's strategic direction and operations.

Pedro Castillo: Chief Financial Officer, overseeing financial operations and strategic financial planning.

Gisele Remy: Executive Vice President of Finance, responsible for financial operations, with experience in corporate finance and investment banking.

Sven Boes: Executive Vice President leading Regional Hospital Operations and Mexico, focusing on hospital operations and expansion in Mexico.

Andres Angel: Executive Vice President leading Regional Performance and Colombia, overseeing performance and growth in Colombia.

Marco Roca: Executive Vice President leading Regional Insurance Plans and Peru, managing insurance plans and operations in Peru.

Competitor Profile

Auna operates in a competitive landscape with several key players:

Ardent Health Services: A healthcare provider with a diverse portfolio of hospitals and outpatient facilities.

Teladoc Health: A telemedicine company offering virtual healthcare services globally.

Castlight Health: Provides health navigation and benefits management solutions.

CareDx: Specializes in transplant diagnostics and monitoring solutions.

Auna differentiates itself through its integrated healthcare model, extensive regional presence, and focus on high-complexity diseases.

Strategic Collaborations and Partnerships

Auna has engaged in strategic collaborations to enhance its market position:

Partnership with Sojitz Corporation of America: Announced in November 2025, this collaboration aims to expand healthcare access in Latin America, with an initial focus on Mexico, combining Auna's healthcare expertise with Sojitz's investment capabilities.

Operational Insights

Auna's operational strategy includes:

Geographic Diversification: Expanding operations across Mexico, Peru, and Colombia to mitigate regional risks and leverage growth opportunities.

Service Integration: Combining healthcare facilities with insurance plans to provide comprehensive care and improve patient outcomes.

Financial Management: Implementing debt refinancing and strategic financing to strengthen the balance sheet and support expansion initiatives.

Strategic Opportunities and Future Directions

Auna's strategic roadmap focuses on:

Expansion in Mexico: Leveraging the partnership with Sojitz to invest approximately US$500 million over the next three to five years, aiming for significant top-line and EBITDA growth.