This report does not constitute a rating action. MEXICO CITY (S&P Global Ratings) May 8, 2025--S&P Global Ratings today said it views Auna S.A. 's $62.1 million add-on to its $310.8 million 10.0% senior secured notes due 2029 as neutral for Auna?s leverage. The Latin American health care company will use the proceeds from this transaction to partially prepay debt under its syndicated credit agreement that amortize this year. The add-on has the same terms and conditions as the existing bonds and brings the aggregate outstanding amount to $372.9 million due 2029. In our view, the transaction alleviates short-term liquidity pressure for Auna. Yet the company will still have to attend to quarterly principal amortizations of its syndicated term loan