Full Press Release Details
Announces 1Q24 Financial Results
Revenue increases 20% YoY to
S/1,076 million, with operating profit increasing 26% to S/182 million
Adjusted EBITDA margin of 20.4%
in Peruvian operations
Luxembourg, May 22, 2024 - Auna (NYSE:
AUNA) ("Auna" or the "Company"), one of the largest and most recognized company in Latin America's healthcare
industry with operations in Mexico, Colombia and Peru, today announced unaudited financial results for the three months ended March 31,
2024 ("first quarter 2024" or "1Q24").
Financial results are expressed in Peruvian Soles
("S/" or PEN") and are presented in accordance with International Financial Reporting Standards ("IFRS"),
unless otherwise noted. Figures in US dollars (US$ or USD) for 1Q24 are presented for indicative purposes and were calculated using an
FX rate of US$1= S/3.718. 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.
1Q24 Consolidated Financial Highlights
Message from Auna's Executive
Chairman and President
"Guided by strong leadership in our clinical,
technology and business teams across Auna, our regional, horizontally and vertically integrated healthcare platform delivered strong results
in the first quarter. Our 20% consolidated revenue growth was the main driver of the 26% YoY increase in our operating profit and 14%
increase in Adjusted EBITDA.
Importantly, Peru reached our target Adjusted EBITDA
of 20%. As our continued success in Peru makes clear, we are capable of generating substantial returns as our capacity utilization rises.
This strengthens our conviction in Mexico, where we are committed to deploying the same integrated business model. Accordingly, we continue
to invest in bringing our operations in Monterrey up to AunaWay standards and in hiring top talent, both essential to expanding our high-complexity
services and ramping up capacity utilization in Monterrey's fast-growing market. Our recent performance at our OCA network in Monterrey
is encouraging, with Adjusted EBITDA increasing 34% versus Q423 in local currency. We are also investing in the planned launch of OncoMexico
later this year, with the intention of fully leveraging the nationwide insurance license and extensive distribution network that we gained
through the acquisition of Dentegra last year.
As we continue to build our capabilities in Mexico,
we expect returns to strengthen in the latter half of the year, giving us the ability to improve our financial position by reducing absolute
debt levels and our leverage ratio.
To expand on our outlook for the remainder of 2024,
we expect Adjusted EBITDA to increase 20% or more versus 2023. We remain confident in our ability to disrupt, modernize and integrate
healthcare in Spanish Speaking Latin America, delivering strong value creation for Auna's stakeholders. Of course, that would not
be possible without the many doctors, nurses, technicians, managers and other colleagues dedicated to our mission of transforming healthcare
Key Financial and Operating Metrics
(Figures in millions of Soles
and millions of US Dollars, unless expressed otherwise)
| 1Q'24 (USD) | 1Q'24 vs | |||||||
| Key Financial Metrics | 1Q'24 | 4Q'23 | 1Q'23 | 4Q'23 | 1Q'23 | |||
| Healthcare Services Mexico | 83 | 308 | 284 | 271 | 9% | 14% | ||
| Healthcare Services Colombia | 94 | 349 | 335 | 252 | 4% | 38% | ||
| Healthcare Services Peru & Oncosalud | 113 | 419 | 402 | 371 | 4% | 13% | ||
| Healthcare Services Peru | 65 | 241 | 225 | 212 | 7% | 14% | ||
| Oncosalud | 68 | 253 | 244 | 221 | 4% | 15% | ||
| Holding and Eliminations | (20) | (76) | (67) | (62) | 13% | 22% | ||
| Total Revenue | 289 | 1,076 | 1,021 | 894 | 5% | 20% | ||
| Cost of sales and services | (178) | (662) | (645) | (566) | 3% | 17% | ||
| Gross Profit | 111 | 414 | 376 | 328 | 10% | 26% | ||
| Gross Margin | 38.5% | 36.8% | 36.7% | 1.6 p.p. | 1.8 p.p. | |||
| SG&A | (66) | (244) | (235) | (190) | 4% | 29% | ||
| Operating Profit | 49 | 182 | 130 | 145 | 40% | 26% | ||
| Operating Margin | 16.9% | 12.7% | 16.2% | 4.2 p.p. | 0.7 p.p. | |||
| Net Finance costs | (45) | (168) | (302) | (122) | -44% | 38% | ||
| Net Income (Loss) | (2) | (8) | (219) | 0 | ||||
| Healthcare Services Mexico | 28 | 104 | 82 | 113 | 26% | -8% | ||
| Healthcare Services Colombia | 13 | 50 | 58 | 36 | -14% | 40% | ||
| HC Serv. Peru & Oncosalud | 24 | 85 | 72 | 61 | 19% | 40% | ||
| Healthcare Services Peru | 10 | 37 | 17 | 22 | 113% | 70% | ||
| Oncosalud | 13 | 48 | 55 | 39 | -12% | 24% | ||
| Holding & Eliminations | 1 | 2 | 1 | 2 | ||||
| Adjusted EBITDA | 65 | 241 | 213 | 211 | 13% | 14% | ||
| Adjusted EBITDA Margin | 22.4% | 20.9% | 23.6% | 1.5 p.p. | -1.2 p.p. | |||
| Leverage Ratio | 4.29x | 4.46x | 4.80x | -0.17x | -0.52x | |||
| Adjusted Net Income (Loss) | 6 | 22 | (6) | 1 | ||||
| Basic and Diluted Earnings per Share | (0.28) | (4.81) | (0.09) | |||||
| Adjusted Basic and Diluted Earnings per Share | 0.36 | (0.08) | (0.08) | |||||
| Key Operating Metrics | ||||||||
| Healthcare Services | ||||||||
| Total bed capacity | 2,199 | 2,199 | 2,192 | 0% | 0% | |||
| Occupancy (total capacity) | 65% | 64% | 63% | 1.3 p.p. | 2.5 p.p. | |||
| Average revenue per patient | 787 | 2,928 | 3,317 | 2,374 | -12% | 23% | ||
| Healthcare Plans | ||||||||
| Plan memberships | 1,237 | 1,271 | 1,171 | -3% | 6% | |||
| Average monthly revenue per plan member | 16.0 | 59.3 | 58.3 | 57.6 | 2% | 3% | ||
| MLR | 55.1% | 53.8% | 53.3% | 1.3 p.p. | 1.8 p.p. | |||
| Oncological Plans | 51.5% | 50.6% | 52.1% | 0.9 p.p. | -0.6 p.p. |
2024 Financial Guidance
Guidance: For full-year 2024, the Company
expects consolidated Adjusted EBITDA to increase at least 20% YoY on an FX-neutral basis.
Assumptions: 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.
Disclaimer: 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. The 2024 financial guidance constitutes forward-looking statements.
For more information, see the "Forward-Looking Statements" section in this release.
Overview of 1Q24 Results
Factors Impacting YoY Comparability
The following factors should be considered when
comparing Auna s 1Q24 financial and operating results with those of 1Q23:
Consolidated revenues increased 20% YoY
to S/1,076 million, or 11% FXN. In Mexico, revenue increased 5% in FXN, reflecting 5% growth in the number of patients treated. In Colombia,
revenue increased 15% in FXN, reflecting a prioritization of higher-margin oncology services, resulting in a 22% increase in average ticket.
Overall, the growth was mainly driven by very strong performance of the Peruvian Healthcare Services and Oncosalud segments, which reported
revenue increases of 14% and 15%, respectively. The performance of Peruvian Healthcare Services reflects the ramp-up of facilities, including
expansions at Vallesur, Delgado and the organic development of Cl nica Chiclayo, an increased focus on high-complexity services,
and the rebalancing of medical specialties across Auna's facilities, while Oncosalud saw a 6% increase in healthcare plan members
and a 3.5% increase in average ticket per oncological membership.
Cost of Sales and Services increased S/96
million, or 17%, YoY to S/662 million. 1Q24 includes headcount reclassifications and depreciation effects in Mexico; excluding these effects
and the FX impact, the increase would have been 12% FXN, in line with FXN revenue growth. Growth in costs supported a higher volume of
high-complexity treatments in the Colombia and Peru Healthcare networks, and in Oncosalud, as well as salary adjustments to Auna's
Gross profit increased 26% YoY to S/414
million, with a 38.5% gross margin.
Selling, General & Administrative expenses
were S/244 million, an increase of 29% YoY. SG&A represented 23% of consolidated revenues versus 21% in 1Q23. The increase in SG&A
partially reflects the abovementioned headcount reclassification from cost of sales and services. When excluding this reclassification
and adjusting for FX impact, SG&A increased 15% FXN YoY. The remaining increase was mainly due to the expansion of regional capabilities
to deliver strategic growth in the medium to long term. Over the past year, Auna completed its transition to a regional structure, focused
both on strategic long-term capabilities in Healthcare Services and Access (our healthcare plans) as well as on regional, commercial and
operational capabilities. This transition, coupled with building local, operating and administrative capabilities in Mexico, is necessary
to fully implement the AunaWay in order to reach the standards required to deliver sustainable and profitable growth.
Operating Profit was S/182 million, an increase
of 26% YoY and 39% QoQ primarily the result of strong revenue growth in the Peru and Colombia segments and supporting variable costs related
to a greater mix of high-complexity services and expenses related to the implementation of strategic capabilities in Mexico.
Net finance cost increased 38% YoY, or S/46
million, to S/168 million.
In December 2023, the refinancing process not only
generated extraordinary impacts, as a result of prepayments, but also non-cash mark-to-market impacts of a USD/MXN derivative no longer
necessary, given the change from USD to direct local funding in MXN, going from USD 396.5 million to USD 125 million by 4Q 2023, and to
US$30 million by 1Q 2024.
In 4Q23, these extraordinary impacts totaled S/216
million and were related to pre-payment fees, transaction costs and mark-to-market derivative valuations.
For 1Q24, net finance cost increased 38% YoY, or
S/46 million, to S/168 million, and included an additional non-cash extraordinary financial cost of S/30 million related to the mark-to-market
of the above-mentioned derivative. Excluding this non-cash extraordinary item, net interest cost was S/ 138 million.
Net Income (loss) reflected a loss for 1Q24
of S/8 million, compared to a Net Loss of S/219 million in 4Q23 and breakeven in 1Q23. Operating profit of S/182 million, which increased