Auna Announces Fulfillment of All Conditions Precedent for Construction of Centro Ambulatorio Trecca in Lima
Public-Private Partnership with EsSalud Enters Investment and Construction Phase
LUXEMBOURG, October 21, 2026--Auna S.A. ("Auna" or the "Company"), a leading healthcare services platform in Latin America with operations in Mexico, Peru and Colombia, today announced the fulfillment of all conditions precedent to the commencement of construction under its Public-Private Partnership ("PPP") agreement with EsSalud, Peru's Social Health Insurance agency.
Following formal confirmation from EsSalud, the Centro Ambulatorio Trecca project will enter its investment and construction phase, representing a significant execution milestone for Auna and a substantial increase in its addressable market in Peru.
Expanding Auna's Addressable Market
The PPP provides Auna with access to a new and largely untapped segment of Peru's healthcare market: the large EsSalud-insured population comprising approximately six million residents of Lima. This substantially expands Auna's addressable market beyond its current patient and payor base in Peru and will create a platform for the Company to apply its outpatient capabilities within the country's public healthcare system.
Centro Ambulatorio Trecca is designed as a 23-story outpatient facility with approximately 635,000 square feet, or 59,000 square meters, of built area; 145 consultation offices; and 43 treatment rooms. Once operational, the facility is expected to increase EsSalud's healthcare capacity in metropolitan Lima by approximately 20% and support more than three million patient visits annually, helping reduce waiting times for over six million insured Peruvians.
Following the fulfillment of the conditions precedent, Auna will formally notify the project's general contractor, HV SALFACORP S.A., enabling it to begin preparing the site for the refurbishment of the healthcare facility. Construction activities are expected to progress throughout the next two years, with the facility projected to begin operations in late 2028.
Long-Term and Capital-Light Contractual Structure
The Centro Ambulatorio Trecca project is structured through a dedicated project vehicle under a concession framework, with financing, assets and cash flows ring-fenced at the project level. The concession has an initial term of 20 years and may be extended for an additional 20 years.
The contractual structure separates the construction from the operational phase through distinct payment mechanisms. Once the healthcare facility is operational, EsSalud will make monthly payments to Auna based on a contractually guaranteed minimum volume of services. This is expected to provide Auna with a visible and predictable revenue profile over the life of the concession.