Document:

EX-10.5

 Exhibit 10.5 

Certain confidential information contained in this document, marked by [**] has been omitted because the registrant has determined that the information
(i) is not material and (ii) would likely cause competitive harm to the registrant if publicly disclosed. 
 ATTESTATION 

NUMBER: TWELVE THOUSAND FOUR HUNDRED TWENTY-ONE 

MINUTES: TWELVE THOUSAND ONE HUNDRED TWO 

KR-406719 

LEASE 
 ENTERED
INTO ON THE ONE PART BY PROMOTORA ASISTENCIAL S.A.C. 
 CLINICA LIMATAMBO AND ON THE OTHER PART BY ONCOCENTER PERU S.A.C. 

INTRODUCTION: 
 IN THE CITY OF LIMA ON THE TWENTY-EIGHTH
(28) DAY OF THE MONTH OF AUGUST OF THE YEAR TWO THOUSAND NINETEEN (2019), BEFORE ME, ALFREDO PAINO SCARPATI, NOTARY PUBLIC OF LIMA 
 THE FOLLOWING
PERSONS APPEARED: 
 MR. EDGARDO BERTILO MALPARTIDA FANTINI, WHO STATES THAT HE IS OF PERUVIAN NATIONALITY, CIVIL STATUS: MARRIED,
PROFESSION OR OCCUPATION: BUSINESSMAN, AND A RESIDENT OF THIS CAPITAL CITY, DULY IDENTIFIED BY MEANS OF NATIONAL IDENTIFICATION DOCUMENT NUMBER: 08190815 (ZERO EIGHT ONE NINE ZERO EIGHT ONE FIVE). WHO IN THIS ACT DECLARES THAT HE ACTS ON BEHALF AND
IN REPRESENTATION OF PROMOTORA ASISTENCIAL S.A.C. CLINICA LIMATAMBO, WITH SOLE TAXPAYER REGISTRY NUMBER: 20101098681 (TWO ZERO ONE ZERO ONE ZERO NINE EIGHT SIX EIGHT ONE), WHOSE ADDRESS IS AT AVENIDA REPUBLICA DE PANAMA NUMBER 3606
(THREE SIX ZERO SIX), DISTRICT OF SAN ISIDRO, PROVINCE AND DEPARTMENT OF LIMA, AND WHO SAYS THAT HE IS DULY EMPOWERED, AS SHOWN ON THE POWERS OF ATTORNEY RECORDED ON CERTIFICATE NUMBER 00918946 (ZERO ZERO NINE ONE EIGHT NINE FOUR SIX) OF THE
REGISTRY OF LEGAL ENTITIES OF LIMA. 
 MR. LUIS FELIPE PINILLOS CASABONNE, WHO STATES THAT HE IS OF PERUVIAN NATIONALITY, CIVIL STATUS:
MARRIED, PROFESSION OR OCCUPATION: BUSINESSMAN, AND A RESIDENT OF THIS CAPITAL CITY, DULY IDENTIFIED BY MEANS OF NATIONAL IDENTIFICATION DOCUMENT NUMBER: 10610449 (ONE ZERO SIX ONE ZERO FOUR FOUR NINE). 

MR. JESÚS ANTONIO ZAMORA LEON, WHO STATES THAT HE IS OF PERUVIAN NATIONALITY, CIVIL STATUS: MARRIED, PROFESSION OR OCCUPATION:
BUSINESSMAN, AND A RESIDENT OF THIS CAPITAL CITY, DULY IDENTIFIED BY MEANS OF NATIONAL IDENTIFICATION DOCUMENT NUMBER: 06505966 (ZERO SIX FIVE ZERO FIVE NINE SIX SIX). 

PERSONS WHO, IN THIS ACT, DECLARE THAT THEY ACT ON BEHALF AND IN REPRESENTATION OF ONCOCENTER PERU S.A.C., WITH SOLE TAXPAYER REGISTRY NUMBER:
20381170412 
 [vertical text in left-hand margin:] Alfredo Paino Scarpati, Notary Public of Lima 

 

					
	 Av. Aramburú 668, Lima 34, Peru
 Main
Phone: 618-5151
	  	 ALFREDO@NOTARIAPAINO.COM.PE

WWW.NOTARIAPAINO.COM.PE
	  	

 (TWO ZERO THREE EIGHT ONE ONE SEVEN ZERO FOUR ONE TWO), AND WHOSE ADDRESS IS AT AVENIDA GUARDIA CIVIL NUMBER
585 (FIVE HUNDRED EIGHTY-FIVE), DISTRICT OF SAN BORJA, PROVINCE AND DEPARTMENT OF LIMA, AND WHO SAY THAT THEY ARE DULY EMPOWERED, AS SHOWN ON THE POWERS OF ATTORNEY RECORDED ON ELECTRONIC ITEM NUMBER 11022491 (ONE ONE ZERO TWO TWO FOUR NINE ONE) OF
THE REGISTRY OF LEGAL ENTITIES OF LIMA. 
 I ATTEST TO HAVING IDENTIFIED THE PERSONS APPEARING, WHO ACT WITH THE CAPACITY, FREEDOM, AND KNOWLEDGE SUFFICIENT
FOR THE ACT THEY ARE CARRYING OUT AND WHO ARE SKILLED WITH THE SPANISH LANGUAGE. IN ADDITION, I ATTEST TO HAVING USED THE MECHANISM FOR THE BIOMETRIC COMPARISON OF FINGERPRINTS AND THE RENIEC ONLINE SEARCH, COMPLYING WITH WHAT IS SET FORTH IN
SUBPARAGRAPH D) OF ARTICLE 54 AND ARTICLE 55 OF LEGISLATIVE DECREE NO. 1049 OF THE NOTARY PUBLIC LAW, MODIFIED BY LEGISLATIVE DECREE NO. 1350 AND 1232, RESPECTIVELY, RECORDING THE MINUTES, WHICH ARE SIGNED AND AUTHORIZED, AS A PUBLIC DOCUMENT AND
THAT I FILE IN ITS CORRESPONDING FOLDER AND WHOSE WORDS ARE AS FOLLOWS: 
 MINUTES: 

TO THE NOTARY PUBLIC: 
 PLEASE ISSUE A PUBLIC DOCUMENT IN YOUR
REGISTRY OF PUBLIC DOCUMENTS SHOWING THE REAL ESTATE LEASE AGREEMENT (HEREINAFTER, THE “AGREEMENT”) ENTERED INTO BY THE FOLLOWING PARTIES: 
  

	•	 	 PROMOTORA ASISTENCIAL S.A.C. CLINICA LIMATAMBO, IDENTIFIED BY SOLE TAXPAYER REGISTRY [RUC] NO. 20101098681 (TWO
ZERO ONE ZERO ONE ZERO NINE EIGHT SIX EIGHT ONE), WHOSE ADDRESS FOR THESE PURPOSES IS AT AVENIDA REPUBLICA DE PANAMA NO. 3606, DISTRICT OF SAN ISIDRO, PROVINCE AND DEPARTMENT OF LIMA, DULY REPRESENTED BY EDGARDO BERTILO MALPARTIDA FANTINI,
IDENTIFIED BY MEANS OF NATIONAL IDENTIFICATION DOCUMENT (DNI) NO.: 08190815 (ZERO EIGHT ONE NINE ZERO EIGHT ONE FIVE), ACCORDING TO POWERS OF ATTORNEY RECORDED ON CERTIFICATE NO. 00918946 (ZERO ZERO NINE ONE EIGHT NINE FOUR SIX) OF THE REGISTRY OF
LEGAL ENTITIES OF LIMA (HEREINAFTER, THE “LANDLORD”). 

  

	•	 	 ONCOCENTER PERU S.A.C., IDENTIFIED BY SOLE TAXPAYER REGISTRY [RUC] NO. 20381170412 (TWO ZERO THREE EIGHT ONE ONE
SEVEN ZERO FOUR ONE TWO), WHOSE ADDRESS FOR THESE PURPOSES IS AT AVENIDA GUARDIA CIVIL NO. 585, DISTRICT OF SAN BORJA, PROVINCE AND DEPARTMENT OF LIMA, DULY REPRESENTED BY LUIS FELIPE PINILLOS CASABONNE, IDENTIFIED BY MEANS OF NATIONAL
IDENTIFICATION DOCUMENT [DNI] NO. 10610449 (ONE ZERO SIX ONE ZERO FOUR FOUR NINE) AND JESÚS ANTONIO ZAMORA LEON, IDENTIFIED BY MEANS OF NATIONAL IDENTIFICATION DOCUMENT [DNI] NO. 06505966 (ZERO SIX FIVE ZERO FIVE NINE SIX SIX), ACCORDING TO
POWERS OF ATTORNEY RECORDED ON ITEM NUMBER 11022491 (ONE ONE ZERO TWO TWO FOUR NINE ONE) OF THE REGISTRY OF LEGAL ENTITIES OF LIMA (HEREINAFTER, THE “TENANT”). 

THE LANDLORD AND THE TENANT WILL JOINTLY BE CALLED THE “PARTIES.” 

THIS AGREEMENT IS ENTERED INTO BY THE PARTIES ACCORDING TO THE TERMS AND CONDITIONS CONTAINED IN THE FOLLOWING CLAUSES: 

  
 Certain confidential information
contained in this document, marked by [**] has been omitted because the registrant has determined that the information (i) is not material and (ii) would likely cause competitive harm to the registrant if publicly disclosed. 

 ATTESTATION 

ONE. 
 BACKGROUND. 

1.1. THE LANDLORD IS A PRIVATE LAW LEGAL ENTITY ESTABLISHED UNDER THE REGIME OF A CORPORATION, WHOSE CORPORATE OBJECT, AMONG OTHERS, IS THE PROVIDING OF
HEALTHCARE SERVICES AND THE CONSTRUCTION OF BUILDINGS. 
 1.2. THE LANDLORD IS THE SOLE AND EXCLUSIVE OWNER OF THE FOLLOWING PROPERTIES (HEREINAFTER,
JOINTLY CALLED THE “PROPERTIES”): 
 (I) A PROPERTY LOCATED AT AV. GUARDIA CIVIL NO. 368, CORPAC SUBDIVISION, DISTRICT OF SAN ISIDRO, PROVINCE AND
DEPARTMENT OF LIMA, WHOSE SURFACE AREA, BOUNDARIES, PERIMETER MEASUREMENTS, OTHER CHARACTERISTICS, AND OWNERSHIP ARE RECORDED IN ITEM NO. 12133397 OF THE REGISTER OF PROPERTIES OF LIMA (HEREINAFTER, THE “GUARDIA CIVIL PROPERTY”). 

ON THE GUARDIA CIVIL PROPERTY, THE LANDLORD HAS CONSTRUCTED A BUILDING INTENDED FOR A HEALTHCARE ESTABLISHMENT, CONSISTING OF SEVEN FLOORS, ONE ROOFTOP
TERRACE, FIVE BASEMENTS, AND ONE HALF BASEMENT IN COMPLIANCE WITH BUILDING PERMITS NO.
0342-14-12.1.0-SOP-GACU/MSI, DATED AUGUST 22, 2014; NO. 0204-17-12.1.0-SLA-GACU/MSI, DATED AUGUST 4, 2014; AND NO.
0118-19-12.1.0-SOPRI-GACU/MSI, DATED APRIL 15, 2019. 

(II) A PROPERTY LOCATED FACING CALLE SEIS NO. 265-273, CORPAC SUBDIVISION, DISTRICT OF SAN ISIDRO, PROVINCE AND
DEPARTMENT OF LIMA, WHOSE SURFACE AREA, BOUNDARIES, PERIMETER MEASUREMENTS, OTHER CHARACTERISTICS, AND OWNERSHIP ARE RECORDED IN ITEM NO. 07069664 OF THE REGISTER OF PROPERTIES OF LIMA (HEREINAFTER, THE “CALLE SEIS PROPERTY”). 

THE LANDLORD DECLARES THAT THE CALLE SEIS PROPERTY HAS A LAND SURFACE AREA OF 397.2 M2 (THREE HUNDRED NINETY-SEVEN POINT TWO SQUARE METERS) ON WHICH A TWO-STORY HOUSE IS BUILT. 
 1.3. THE GUARDIA CIVIL PROPERTY HAS BUSINESS LICENSE NO. 000532-2018-12.3.0-SDE-GACU/MSI, DATED JUNE 8, 2018 AND BUILDING SAFETY TECHNICAL INSPECTION CERTIFICATE NO. 0036-2018-SDE-GACU/MSI, DATED JUNE 8, 2018. 
 1.4. THE TENANT IS A PRIVATE LAW LEGAL ENTITY ESTABLISHED UNDER
THE REGIME OF A CORPORATION, ENGAGED IN PROVIDING SERVICES AS A HEALTHCARE ESTABLISHMENT, AS WELL AS ENGAGING IN OTHER ASSOCIATED ACTIVITIES. 
 1.5. THE
LANDLORD HAS TOLD THE TENANT OF ITS INTEREST IN PROVIDING THE PROPERTIES IN A LEASE, AS WELL AS TRANSFERRING THE BUSINESS LICENSE OF THE GUARDIA CIVIL PROPERTY. FOR ITS PART, THE TENANT HAS TOLD THE LANDLORD OF ITS INTEREST IN ACCEPTING THE
PROPERTIES IN A LEASE, AS WELL AS USING THE BUSINESS LICENSE OF AN INDETERMINATE NATURE AND THE BUILDING SAFETY TECHNICAL INSPECTION CERTIFICATE DESCRIBED IN PRECEDING PARAGRAPH 1.3, WHILE THEY ARE IN FORCE, TO USE THE GUARDIA CIVIL PROPERTY AS A
HEALTHCARE ESTABLISHMENT, AS WELL AS FOR SIMULTANEOUS AND ADDITIONAL ACTIVITIES OF A SIMILAR OR COMPLEMENTARY NATURE. 
 IT IS HEREBY SET FORTH THAT THE
TENANT WILL BE RESPONSIBLE FOR RENEWING THE AFOREMENTIONED BUILDING SAFETY TECHNICAL INSPECTION CERTIFICATE, WHEN REQUIRED, 
 [vertical text in left-hand
margin:] Alfredo Paino Scarpati, Notary Public of Lima 
  

					
	 Av. Aramburú 668, Lima 34, Peru
 Main
Phone: 618-5151
	  	 ALFREDO@NOTARIAPAINO.COM.PE

WWW.NOTARIAPAINO.COM.PE
	  	

  
 Certain confidential information
contained in this document, marked by [**] has been omitted because the registrant has determined that the information (i) is not material and (ii) would likely cause competitive harm to the registrant if publicly disclosed. 

 ACCORDING TO THE REGULATIONS ON THE SUBJECT. 

TWO. 
 OBJECT OF THE AGREEMENT. 

2.1. BY MEANS OF THIS DOCUMENT AND ACCORDING TO THE TERMS AND CONDITIONS INCLUDED IN IT, THE LANDLORD GIVES THE PROPERTIES IN LEASE TO THE TENANT, TOTALLY
VACANT, TO USE THEM FOR THE OPERATION OF A HEALTHCARE ESTABLISHMENT FOR HOSPITALIZATION AND SIMULTANEOUS AND ADDITIONAL SIMILAR OR COMPLEMENTARY ACTIVITIES, INCLUDING BUT NOT LIMITED TO PRIVATE CLINICS, PARKING LOTS, CAFETERIAS, AND GIFTSHOPS. IN
ADDITION, THE TENANT AGREES TO PAY THE LANDLORD THE RENT AGREED TO AS A CONTRACTUAL AMOUNT IN CLAUSE FOUR. 
 IT IS AN ESSENTIAL CONDITION OF THE AGREEMENT
FOR THE PROPERTIES TO BE DELIVERED TOTALLY VACANT, BEING ABLE TO BE IMPLEMENTED AND BEING OPERATED AS A HEALTHCARE ESTABLISHMENT DURING THE LIFE OF THE AGREEMENT. 

2.2. THIS AGREEMENT IS SUBJECT TO THE SUSPENSIVE CONDITION OF EACH AND EVERY ONE OF THE CONDITIONS PROVIDED FOR IN CLAUSE TWELVE BEING VERIFIED AND
ACCREDITED. 
 THE PARTIES HEREBY DECLARE, UNDERSTAND, AND AGREE THAT, UNTIL EACH AND EVERY ONE OF THE CONDITIONS PROVIDED FOR IN CLAUSE TWELVE OF THIS
AGREEMENT IS MET, NONE OF THE OBLIGATIONS OF THIS AGREEMENT WILL BE ENFORCEABLE. 
 2.3. THE PARTIES HEREBY DECLARE, UNDERSTAND, AND AGREE THAT IF THE
PROPERTIES ARE ACCUMULATED INTO A SINGLE PROPERTY, THIS AGREEMENT IS APPLICABLE TO THE PROPERTY RESULTING FROM SUCH AN ACCUMULATION. 
 IT IS ALSO
UNDERSTOOD THAT THE BUSINESS LICENSE ONLY REFERS TO THE GUARDIA CIVIL PROPERTY AND THAT EVENTUALLY OBTAINING A BUSINESS LICENSE FOR THE CALLE SEIS PROPERTY WILL BE THE EXCLUSIVE DECISION AND RESPONSIBILITY OF THE TENANT. 

THREE. 
 AGREEMENT PERIOD. 

3.1. THIS AGREEMENT WILL HAVE A DURATION OF 10 (TEN) YEARS, COUNTING FROM THE DATE OF SIGNING THE PUBLIC DOCUMENT RESULTING FROM THESE MINUTES, WHICH PERIOD IS
MANDATORY FOR THE PARTIES. 
 3.2. AT THE END OF THE AGREEMENT PERIOD, THE TENANT MUST PROCEED WITH TOTALLY VACATING AND DELIVERING POSSESSION OF THE
PROPERTIES TO THE LANDLORD, WITHOUT THE NEED OF A JUDICIAL OR EXTRAJUDICIAL NOTIFICATION OF ANY KIND FROM THE LANDLORD. 
 FOUR. 

MONTHLY RENT. 
 4.1. ONCE THE PRIOR CONDITIONS STIPULATED
IN CLAUSE TWELVE OF THIS AGREEMENT ARE COMPLIED WITH AND THE SAME HAS BECOME EFFECTIVE AFTER SIGNING THE CORRESPONDING PUBLIC DOCUMENT, AS REMUNERATION FOR LEASE OF THE PROPERTIES, THE TENANT MUST PAY THE LANDLORD A MONTHLY RENT, WITHOUT INCLUDING
THE GENERAL SALES TAX (IGV), IN U.S. DOLLARS, NEEDING TO MAKE PAYMENT, IN ADVANCE, WITHIN TEN (10) BUSINESS DAYS OF EACH 

  
 Certain confidential information
contained in this document, marked by [**] has been omitted because the registrant has determined that the information (i) is not material and (ii) would likely cause competitive harm to the registrant if publicly disclosed. 

 ATTESTATION 

MONTH (HEREINAFTER, THE “RENT”), AS FOLLOWS: 
  

			
	AGREEMENT PERIOD	  	RENT FOR THE PROPERTIES (WITHOUT IGV)
	FROM MONTH 1 TO MONTH 6	  	[**]
	FROM MONTH 7 TO MONTH 12	  	[**]
	FROM MONTH 13 TO MONTH 18	  	[**]
	FROM MONTH 19 TO MONTH 24	  	[**]
	FROM MONTH 25 TO MONTH 30	  	[**]
	FROM MONTH 31 TO MONTH 36	  	[**]
	FROM MONTH 37 TO MONTH 120	  	[**]
	BEGINNING ON MONTH 37, [**]	  	

 4.2. THE PARTIES DECLARE, UNDERSTAND, AND ACCEPT THAT THE RENT CONSTITUTES THE TOTAL AND INTEGRAL AMOUNT THAT THE LANDLORD HAS
A RIGHT TO AS COMPENSATION FOR THIS AGREEMENT AND, CONSEQUENTLY, THERE WILL BE NO OTHER RECOGNIZED CHARGES OR EXPENDITURES IN ADDITION TO THE RENT. 
 4.3.
THE LANDLORD MUST SEND THE CORRESPONDING PAYMENT RECEIPT CONTAINING ALL OF THE LEGAL REQUIREMENTS TO THE TENANT’S ADDRESS WITHIN THE FIRST FIVE (5) WORKING DAYS OF EACH MONTH FOR THE MONTH CORRESPONDING TO PAY THE RENT SPECIFIED IN THE
HEADING OF THIS AGREEMENT, WITH A COPY SENT BY EMAIL TO THE FOLLOWING ADDRESS: CONTABILIDAD.SERVICIOS@AUNA.PE, UNLESS THE TENANT NOTIFIES THE LANDLORD SOMETHING ELSE IN THAT REGARD, WHENEVER THE NEW ADDRESS IS IN LIMA. 

4.4. THE RENT FOR EACH CALENDAR MONTH MUST BE PAID BY THE TENANT WITHIN 10 (TEN) WORKING DAYS FOLLOWING THE TENANT’S RECEIVING THE PAYMENT INVOICE.
PAYMENT MUST BE MADE TO ACCOUNT NO. 193-1807466-1-41, WHICH THE LANDLORD KEEPS OPEN IN BANCO DE CREDITO DEL PERU, UNLESS THE
LANDLORD INDICATES SOME OTHER FORM OF PAYMENT, IN WRITING, AT LEAST 15 (FIFTEEN) WORKING DAYS IN ADVANCE. 
 4.5. A WARNING WILL NOT BE REQUIRED IN THE
EVENT OF A DELINQUENCY IN PAYMENT OF THE RENT. SOLELY DUE TO A BREACH OF PAYMENT OF THE RENT WITHIN THE AFOREMENTIONED PERIOD OF TIME, THE TENANT WILL BE OBLIGATED TO RECOGNIZE AND PAY THE USUAL LATE FEES, WHICH WILL BE CALCULATED ACCORDING TO [**].

 FIVE. 
 ADVANCE PAYMENT OF THE RENT.

 [vertical text in left-hand margin:] Alfredo Paino Scarpati, Notary Public of Lima 

 

					
	 Av. Aramburú 668, Lima 34, Peru
 Main
Phone: 618-5151
	  	 ALFREDO@NOTARIAPAINO.COM.PE

WWW.NOTARIAPAINO.COM.PE
	  	

  
 Certain confidential information
contained in this document, marked by [**] has been omitted because the registrant has determined that the information (i) is not material and (ii) would likely cause competitive harm to the registrant if publicly disclosed. 

 5.1. THE PARTIES AGREE THAT, WHEN SIGNING THE MINUTES OF THIS AGREEMENT, THE TENANT WILL LEAVE A
CASHIER’S CHECK FOR THE SUM OF [**] IN THE CUSTODY OF THE NOTARY PUBLIC IN CHARGE OF THE FILING OF THE PUBLIC DOCUMENT THAT THESE MINUTES RESULT IN AT THAT MOMENT. OF THAT AMOUNT, [**] CORRESPONDS TO AN ADVANCE PAYMENT OF THE AGREED-TO RENT AND [**] CORRESPONDS TO THE IGV. 
 THE [**] CORRESPONDING TO THE ADVANCE PAYMENT OF THE AGREED-TO RENT WILL NOT ACCRUE ANY INTEREST AND WILL BE ALLOCATED TO PAYMENT OF THE RENT, ACCORDING TO THE FOLLOWING SCHEDULE: 

(I) [**] TO THE RENT CORRESPONDING TO MONTH 1 OF THE AGREEMENT. 

(II) [**] TO THE RENT CORRESPONDING TO MONTH 2 OF THE AGREEMENT. 

(III) [**] TO THE RENT CORRESPONDING TO MONTH 3 OF THE AGREEMENT. 

(IV) [**] TO THE RENT CORRESPONDING TO MONTH 4 OF THE AGREEMENT. THE REMAINING [**] CORRESPONDING TO THAT MONTH WILL BE PAID BY THE TENANT, ACCORDING TO THE
PAYMENT PROCEDURE PROVIDED IN CLAUSE FOUR. 
 (V) [**] TO THE RENT CORRESPONDING TO MONTH 12 OF THE AGREEMENT. 

(VI) [**] TO THE RENT CORRESPONDING TO MONTH 24 OF THE AGREEMENT. 

(VII) [**] TO THE RENT CORRESPONDING TO MONTH 36 OF THE AGREEMENT. 

THE CHECK FOR THE SUM OF [**] THAT WILL BE KEPT IN THE CUSTODY OF THE NOTARY PUBLIC WILL BE DELIVERED TO THE LANDLORD AT THE TIME OF SIGNING THE PUBLIC
DOCUMENT THAT THESE MINUTES RESULT IN, SO LONG AS WHAT IS PROVIDED FOR IN CLAUSE TWELVE OF THIS AGREEMENT IS COMPLIED WITH. 
 FOR PURPOSES OF DELIVERY OF
THE CHECK, THE LANDLORD MUST ISSUE AN ELECTRONIC INVOICE CONTAINING THE DESCRIPTION “ADVANCE PAYMENT OF RENT, IN ACCORDANCE WITH CLAUSE FIVE OF THE LEASE AGREEMENT,” WHICH WILL BE DELIVERED TO THE TENANT. 

SIX. 
 DELIVERY OF THE PROPERTIES. 

THE LANDLORD AGREES TO DELIVER THE PROPERTIES IN A PROPER STATE OF MAINTENANCE AND WITH ALL OF THEIR SERVICES IN A PROPER STATE OF OPERATION. THE TENANT’S
ACCEPTANCE OF THE DELIVERY OF THE PROPERTIES WILL BE CERTIFIED IN A CERTIFICATE, WHICH MUST BE SIGNED BY THE PARTIES. 

  
 Certain confidential information
contained in this document, marked by [**] has been omitted because the registrant has determined that the information (i) is not material and (ii) would likely cause competitive harm to the registrant if publicly disclosed. 

 ATTESTATION 

 

 SEVEN. 

DECLARATIONS AND OBLIGATIONS OF THE LANDLORD. 
 WITHOUT
PREJUDICE TO THE OBLIGATIONS SHOWN IN THE REST OF THE CLAUSES OF THIS AGREEMENT, THE LANDLORD HEREBY DECLARES, AGREES, AND GUARANTEES THE FOLLOWING TO THE TENANT: 

7.1. THAT THE LANDLORD IS THE SOLE AND EXCLUSIVE OWNER OF THE PROPERTIES AND HOLDS THE POSSESSION AND TENANCY OVER THE SAME FREELY AND QUIETLY. 

7.2. THAT THE LANDLORD HAS THE NECESSARY AND SUFFICIENT CORPORATE POWER OF ATTORNEY AND AUTHORIZATIONS AND THAT IT IS NOT SUBJECT TO ANY KIND OF RESTRICTION
FOR PROVIDING THE PROPERTY UNDER THE TITLE OF A LEASE AND AGREES TO THE REST OF THE STIPULATIONS PROVIDED FOR IN THE TERMS OF THIS AGREEMENT, AS WELL AS TO FULFILL THE OBLIGATIONS ARISING FROM THE SAME, THE OBLIGATIONS ASSUMED BEING VALID, BINDING,
AND ENFORCEABLE. 
 7.3. THAT THE LANDLORD HAS A FIRM AND LEGAL TITLE TO THE PROPERTIES, HAVING ACQUIRED OWNERSHIP OF THE SAME BY MEANS OF A VALID LEGAL
TRANSACTION AND HAS FULL LEGAL EFFECTS. IN ADDITION, THE PROPERTIES HAVE NOT BEEN ACQUIRED OR ANY CONSTRUCTION FINANCED WITH ILLICIT RESOURCES FOR THE PURPOSE OF GIVING THOSE RESOURCES THE APPEARANCE OF LEGITIMACY. 

7.4. THAT THE PROPERTIES ARE FREE FROM CONTINGENCIES, SUPERPOSITIONS, ENCUMBRANCES, CHARGES, MORTGAGES, SEIZURES, OR
IN-COURT OR OUT-OF-COURT MEASURES THAT RESTRICT OR LIMIT THEIR OWNERSHIP AND FULL DISPOSITION OVER THE PROPERTIES OR THAT MAY
LIMIT OR RESTRICT IT IN THE FUTURE, EXCEPT FOR THE FOLLOWING: 
 (I) GUARDIA CIVIL PROPERTY 

A. A MORTGAGE PAYABLE TO BANCO DE CREDITO DEL PERU IN THE AMOUNT OF [**] RECORDED IN ENTRY NO. D00003, INCREASED IN ENTRY NO. D00007, AND WITH THE
GRANTING OF THE PREFERENTIAL RANGE TO IT IN ENTRY NO. D00008 OF ITEM NO. 12133397 OF THE REGISTRY OF PROPERTIES OF LIMA. 
 B. A MORTGAGE PAYABLE
TO MARITZA NORMA MALPARTIDA FANTINI, MARRIED, AND NORMA CLARA MALPARTIDA FANTINI, MARRIED, IN THE AMOUNT OF[**] RECORDED IN ENTRY NO. D00004 AND WITH THE GRANTING OF THE PREFERENTIAL RANGE IN ENTRY NO. D00008 OF ITEM NO. 12133397 OF THE REGISTRY OF
PROPERTIES OF LIMA. 
 (II) CALLE SEIS PROPERTY 
 A. A
MORTGAGE PAYABLE TO BANCO DE CREDITO DEL PERU IN THE AMOUNT OF [**] RECORDED IN ENTRY NO. D00003 OF ITEM NO. 07069664 OF THE REGISTRY OF PROPERTIES OF LIMA. 

THE DESCRIPTION OF THE MORTGAGES AND RANGES COULD VARY AS AN EFFECT OF THE ACCUMULATION OF BOTH PROPERTIES. 

7.5. THERE IS NO LITIGATION, MISUNDERSTANDING, OR DISPUTE THAT COULD AFFECT THE PROPERTIES IN THE FUTURE. 

7.6. NO ESTABLISHMENT OR MAINTENANCE OF ANY KIND OF JUDICIAL MEASURE, LIEN, CHARGE, 

  
 [vertical text in left-hand margin:]
Alfredo Paino Scarpati, Notary Public of Lima 
  

					
	 Av. Aramburú 668, Lima 34, Peru
 Main
Phone: 618-5151
	  	 ALFREDO@NOTARIAPAINO.COM.PE

WWW.NOTARIAPAINO.COM.PE
	  	

 Certain confidential information contained in this document, marked by [**] has been omitted because the
registrant has determined that the information (i) is not material and (ii) would likely cause competitive harm to the registrant if publicly disclosed. 

 
OR OTHER REAL OR PERSONAL RIGHT HAS BEEN AGREED TO, PERMITTED, OR PROVIDED UNDER ANY TITLE, EITHER BY ACTION OR OMISSION ON THE PROPERTIES (OTHER THAN THOSE SPECIFIED IN PRECEDING PARAGRAPH 7.4)
OR ON ANY INTEGRAL OR ACCESSORY PART THAT AFFECTS THE PROPERTIES OR THE LANDLORD IN ITS CAPACITY AS OWNER OF THE PROPERTIES. 
 7.7. WHEN ENTERING INTO THIS
AGREEMENT OR EXECUTING ITS OBLIGATIONS IN ADHERENCE TO THE TERMS OF THE SAME, IT DOES NOT INFRINGE, BREACH, OR VIOLATE OR WILL INFRINGE OR WILL VIOLATE ANY OTHER AGREEMENT, CONTRACT, OR LEGAL OBLIGATION. IN ADDITION, THAT THE RENT WILL NOT BE USED
FOR ILLICIT PURPOSES, BEING UNDERSTOOD AS INTENDING FUNDS FOR ILLICIT PRACTICES, SUCH AS (INCLUDING BUT NOT LIMITED TO) CORRUPTION, MONEY LAUNDERING, OR THE FINANCING OF TERRORISM, NEITHER FOR THE PURPOSE OF OBTAINING FAVORABLE DECISIONS FROM ANY
PUBLIC OFFICIAL OR PUBLIC SERVANT, EITHER IN A PERUVIAN OR INTERNATIONAL JURISDICTION. 
 7.8. THAT THE LANDLORD HAS NOT ENTERED INTO ANY AGREEMENT OR
CONTRACT (EITHER PRELIMINARY OR FINAL), DIRECTLY OR INDIRECTLY, THAT IN ANY MANNER IMPEDES OR IS INCOMPATIBLE WITH COMPLIANCE WITH ITS OBLIGATIONS ACCORDING TO THIS AGREEMENT. 

7.9. THE LANDLORD DECLARES THAT IT HAS VERIFIED AND NOT FOUND ANY FAILURE, IMPERFECTION, DETERIORATION, MALFUNCTION, OR DAMAGE TO THE PROPERTIES PRIOR TO
SIGNING THE DELIVERY CONFORMITY CERTIFICATE FOR THE PROPERTIES FOR THE TENANT. 
 7.10. TO NOT ENCUMBER OR IN ANY OTHER WAY AFFECT THE PROPERTIES OR EXECUTE
WORK OR CONSTRUCTION ON THE SAME, EITHER DIRECTLY OR INDIRECTLY, WITHOUT THE PRIOR EXPRESS AND WRITTEN CONSENT OF THE TENANT. 
 7.11. TO NOTIFY THE TENANT
ABOUT ANY INCIDENT OR CIRCUMSTANCE THAT COULD AFFECT ANY OF THE FOLLOWING, WITHIN 48 (FORTY-EIGHT) HOURS OF HAVING OCCURRED OR FROM THE TIME THE LANDLORD HAS BECOME AWARE OF IT, WHICHEVER HAPPENS FIRST: (I) THOSE AFFECTING THE PROPERTIES,
(II) THOSE AFFECTING THE RIGHTS AND AUTHORIZATIONS OF THE TENANT OVER THE PROPERTY, AND (III) THOSE AFFECTING THE VALIDITY OF THE DECLARATIONS AND GUARANTEES CONTAINED IN THIS CLAUSE OR THAT INVOLVE A BREACH OF THE OBLIGATIONS ASSUMED BY
THE LANDLORD IN THIS AGREEMENT. 
 7.12. TO GRANT ANY DOCUMENTATION THAT IS NECESSARY TO FORMALIZE THIS AGREEMENT, INCLUDING SIGNING IT THE SAME DAY AS THE
SIGNING OF THESE MINUTES, THE PUBLIC DOCUMENT RESULTING FROM THIS ACT, AS WELL AS ALL OF THE PUBLIC AND/OR PRIVATE DOCUMENTS NECESSARY FOR PURPOSES OF RECORDING THIS AGREEMENT ON THE CERTIFICATE OF THE PROPERTIES. 

7.13. WITHIN THE LEGAL PERIOD OF TIME, TO OBJECT TO ANY PRECAUTIONARY MEASURE, INJUNCTION, EXECUTION MEASURE, SEIZURE MEASURES, EMBARGO, OR ANY OTHER MEASURE,
EITHER IN COURT OR OUT OF COURT, THAT AFFECT THE PROPERTIES OR ANY OF THE PROPERTIES FORMING A PART OF IT, BRINGING TO THE KNOWLEDGE OF THE JUDGE OR PERTINENT AUTHORITY AND TO THE INTERESTED PARTIES ABOUT THE EXISTENCE OF THIS AGREEMENT. WITHOUT
PREJUDICE TO IT, THE LANDLORD MUST INFORM THE TENANT IN WRITING ABOUT ANY OF THOSE EVENTS TAKING PLACE WITHIN 48 (FORTY-EIGHT) HOURS OF HAVING BEEN NOTIFIED OF THE SAME. 

7.14. TO ALLOW THE TENANT TO HAVE THE POSSESSION, USE, AND ENJOYMENT OF THE PROPERTIES DURING THE PERIOD OF THIS AGREEMENT, AGREEING TO NOT DISTURB THE SAME
EITHER DIRECTLY OR INDIRECTLY, AS WELL AS TO OPPOSE ANY DISTURBANCE BY ANY THIRD PARTY REGARDING THE POSSESSION, USE, AND ENJOYMENT OF THE PROPERTIES BY THE TENANT. 

  
 Certain confidential information
contained in this document, marked by [**] has been omitted because the registrant has determined that the information (i) is not material and (ii) would likely cause competitive harm to the registrant if publicly disclosed. 

 ATTESTATION 
  

 7.15. THAT IT IS UP TO DATE IN THE PAYMENT OF TAXES – PROPERTY TAX AND MUNICIPAL ASSESSMENTS, IF
APPLICABLE – AND WITH ALL OF THE UTILITY CONSUMPTION RELATED TO THE PROPERTIES PAID, AS APPLICABLE. 
 7.16. TO PAY THE PROPERTY TAX AND ANY OTHER TAX
CORRESPONDING TO IT AS OWNER OF THE PROPERTIES. 
 7.17. TO CONTINUE THE PROCESS AND OBTAIN THE CONSTRUCTION CERTIFICATE STATEMENT FOR THE PROPERTIES AND
RECORD THEM IN THE REGISTRY OF PROPERTY. 
 7.18. TO SIGN ALL DOCUMENTS, LETTERS, DECLARATIONS, AND APPLICATIONS, AMONG OTHERS, THAT THE TENANT NEEDS TO
PROCESS AND OBTAIN ANY PERMITS THAT ARE NEEDED TO START THE BUSINESS ACTIVITIES IN THE PROPERTIES, SUCH AS THE BUILDING LICENSE, BUILDING SAFETY TECHNICAL INSPECTION CERTIFICATE, AND THE BUSINESS LICENSE, AS APPLICABLE. 

7.19. THAT THE GUARDIA CIVIL PROPERTY HAS BUSINESS LICENSE NO. 000532-2018-12.3.0-SDE-GACU/MSI, DATED JUNE 8, 2018, AND BUILDING SAFETY TECHNICAL INSPECTION CERTIFICATE NO.
0036-2018-SDE-GACU/MSI, DATED JUNE 8, 2018. 
 7.20. TO IMPLEMENT
AND/OR MAINTAIN, DURING THE LIFE OF THE AGREEMENT, ANY INTERNAL MEASURES NECESSARY FOR THE ADEQUATE MANAGEMENT OF RISKS ASSOCIATED WITH CORRUPT PRACTICES, MONEY LAUNDERING, AND THE FINANCING OF TERRORISM THAT IT COULD BE ACCUSED OF AS A CONSEQUENCE
OF THE LEASE. 
 7.21. TO HOLD THE TENANT AND ITS DIRECTORS, OFFICERS, REPRESENTATIVES, AND EMPLOYEES HARMLESS AND FREE FROM ANY COST, CLAIM, LAWSUIT,
LITIGATION, IN-COURT OR OUT-OF-COURT ACTION, REVINDICATION, AND RULING OF ANY NATURE AND KIND DIRECTLY ASSOCIATED WITH THE USE OF
THE PROPERTIES. IN ADDITION, WITHOUT IT LIMITING THIS GENERAL OBLIGATION TO HOLD HARMLESS, THE LANDLORD AGREES, IN A SPECIAL MANNER, TO HOLD THE TENANT AND ANY REPRESENTATIVE OF THE SAME HARMLESS AND EXEMPT FROM LIABILITY AGAINST (I) ANY TYPE
OF CLAIM FILED DUE TO THE USE OF THE NAME OF THE BUILDING, EITHER FOR VIOLATIONS OF TRADEMARK, BRAND NAME, BETTER RIGHT ON THE TRADEMARK, AS WELL AS THE LOGO AND LETTERS INSTALLED ON THE FAÇADE; (II) EMPLOYMENT CONTRACTS AT THE TIME OF
IMPLEMENTING AND ENTERING INTO THE OPERATION OF THE BMT CLINIC; AND (III) LOAN, CONCESSION, AND SHARES ASSOCIATION CONTRACTS THAT THE LANDLORD HAS ENTERED INTO. 

THE LANDLORD MUST MAINTAIN THE DECLARATION AND GUARANTEES IN FORCE, AS WELL AS COMPLY WITH THE OBLIGATIONS ASSUMED IN THIS CLAUSE WITH REGARD TO THE TENANT
DURING THE ENTIRE EFFECTIVE PERIOD OF THE AGREEMENT. 
 EIGHT. 

OBLIGATIONS OF THE TENANT 
 WITHOUT PREJUDICE TO THE
OBLIGATIONS SHOWN IN THE REST OF THE CLAUSES OF THIS AGREEMENT, THE TENANT DECLARES THAT IT AGREES AND GUARANTEES THE FOLLOWING TO THE LANDLORD: 

  
 [vertical text in left-hand margin:]
Alfredo Paino Scarpati, Notary Public of Lima 
  

					
	 Av. Aramburú 668, Lima 34, Peru
 Main
Phone: 618-5151
	  	 ALFREDO@NOTARIAPAINO.COM.PE

WWW.NOTARIAPAINO.COM.PE
	  	

 Certain confidential information contained in this document, marked by [**] has been omitted because the
registrant has determined that the information (i) is not material and (ii) would likely cause competitive harm to the registrant if publicly disclosed. 

 8.1. TO PAY THE RENT WITHIN THE PERIOD AND IN THE WAY SET FORTH IN CLAUSE FOUR OF THE AGREEMENT. 

8.2. TO PAY THE EXISTING MUNICIPAL ASSESSMENTS OR THOSE THAT MAY BE CREATED IN THE FUTURE. 

8.3. TO PAY THE UTILITIES OF LIGHTS AND WATER, AS WELL AS CABLE, INTERNET, AND LAND-BASED PHONE SERVICES FOR THE PROPERTIES IN A TIMELY WAY, IN THE EVENT
THOSE SERVICES ARE INSTALLED. IN THE EVENT THE TENANT CONTRACTS FOR ADDITIONAL SERVICES, SUCH LAND-BASED OR MOBILE PHONE, CABLE, AND INTERNET SERVICES, ETC., THE TENANT MUST NOTIFY THE COMPANIES PROVIDING THOSE SERVICE IN A TIMELY WAY WHEN ENDING
THE CONTRACTING OF THOSE SERVICES, IF APPLICABLE. 
 8.4. TO MAINTAIN THE PROPERTIES WITH ALL OF THEIR SERVICES AND INSTALLATIONS COMPLETE AND IN THE SAME
CONDITIONS IT RECEIVED THEM IN, EXCEPT FOR DETERIORATION THAT IS CAUSED BY NORMAL USE AND THE PASSING OF TIME UNTIL THE END OF THE PERIOD FOR THIS AGREEMENT, IT BEING OBLIGATED TO REIMBURSE THE LANDLORD FOR ANY DAMAGES OR IMPERFECTIONS THAT THE
PROPERTIES SUFFER WHEN IT HAS OCCURRED DUE TO HAVING BEEN CAUSED BY ACTS OR OMISSIONS THAT ARE ITS ENTIRE RESPONSIBILITY. THE TENANT IS FREE AND COMPLETELY AUTONOMOUS IN ITS CHOICE OF PERSONNEL, CONTRACTORS, AND OTHER PERSONS AND ENTITIES THAT IT
CHOOSES TO CARRY OUT THE ACTIVITIES AND THE WORK OF MAINTENANCE, WHENEVER IT DOES SO THROUGH THE REPRESENTATIVES OF THE CORRESPONDING BRANDS AND FOR THE DURATION OF THE CORRESPONDING GUARANTEES. 

8.5. THAT THE PROPERTIES WILL NOT BE USED FOR ILLICIT PURPOSES, SUCH BEING UNDERSTOOD THAT THE FUNDS RESULTING FROM ITS ECONOMIC ACTIVITIES WILL NOT BE
INTENDED FOR ILLICIT PRACTICES, SUCH AS BUT NOT LIMITED TO CORRUPTION, MONEY LAUNDERING, OR THE FINANCING OF TERRORISM, AS WELL AS FOR OBTAINING FAVORABLE DECISIONS FROM ANY OFFICIAL OR PUBLIC SERVANT, EITHER IN A PERUVIAN OR INTERNATIONAL
JURISDICTION. 
 8.6. UPON COMPLETING THE AGREEMENT, TO RETURN THE PROPERTIES IN THE SAME CONDITION IT RECEIVED THEM IN (WITHOUT PREJUDICE TO THE
IMPROVEMENTS THAT HAVE BEEN INTRODUCED INTO THE PROPERTIES, IN ACCORDANCE WITH WHAT IS PROVIDED FOR IN THE FOLLOWING CLAUSE NINE) WITHOUT ANY MORE DETERIORATION THAN WHAT IS CAUSED BY NORMAL USE AND THE PASSING OF TIME, WHICH WILL BE SHOWN IN THE
CERTIFICATE WHEN RETURNING THE PROPERTIES. 
 8.7. TO USE THE PROPERTIES FOR THE OPERATION OF A HEALTHCARE ESTABLISHMENT, WHICH ALLOWS SIMULTANEOUS AND
ADDITIONAL OR COMPLEMENTARY ACTIVITIES, SUCH AS PRIVATE CLINICS, PARKING LOTS, CAFETERIAS, AND GIFTSHOPS, WITHOUT BEING LIMITED TO THOSE FACILITIES. 
 8.8.
TO ALLOW AND PROVIDE ENTRY INTO ALL OF THE FACILITIES BY THE PERSONS DESIGNATED BY THE LANDLORD IN THE EVENT IT IS REQUIRED FOR THEM TO INSPECT THE CONDITION OF THE PROPERTIES, WHENEVER (I) THE LANDLORD NOTIFIES THE TENANT OF THE INTENTION TO
CARRY OUT AN INSPECTION AT LEAST THREE (3) WORKING DAYS IN ADVANCE; (II) INSPECTIONS ARE CARRIED OUT DURING THE TENANT’S REGULAR OFFICE HOURS; AND (III) THEY ARE MADE WITH A REASONABLE FREQUENCY, THAT IS, ONE (1) INSPECTION
EVERY SIX (6) MONTHS, EXCEPT FOR DULY JUSTIFIED REASONS, IN SUCH A WAY THAT THEY DO NOT AFFECT THE TENANT’S USUAL ACTIVITIES. 

  
 Certain confidential information
contained in this document, marked by [**] has been omitted because the registrant has determined that the information (i) is not material and (ii) would likely cause competitive harm to the registrant if publicly disclosed. 

 ATTESTATION 
  

 8.9. TO MAINTAIN AN ALL-RISK INSURANCE POLICY DURING THE ENTIRE
EFFECTIVE PERIOD OF THE AGREEMENT AND THAT IT INCLUDE BUILDINGS AND POTENTIAL DAMAGES TO THE PROPERTIES THAT ARE THE SUBJECT OF THIS AGREEMENT. 
 8.10. TO
IMPLEMENT AND/OR MAINTAIN, DURING THE LIFE OF THE AGREEMENT, ANY INTERNAL MEASURES NECESSARY FOR PROPER MANAGEMENT OF THE RISKS ASSOCIATED WITH THE PRACTICES OF CORRUPTION, MONEY LAUNDERING, AND THE FINANCING OF TERRORISM THAT MAY ARISE AS A
CONSEQUENCE OF THE LEASE. 
 NINE. 
 REGIME OF
REPAIRS, IMPROVEMENTS, AND CHANGES 
 9.1. THE TENANT MAY IMPLEMENT ANY WORK INVOLVING ADAPTATION, ALTERATION, AND/OR IMPROVEMENTS IN THE PROPERTIES THAT
ARE REQUIRED FOR BETTER OPERATION OF ITS ACTIVITIES, INCLUDING PARTIAL OR TOTAL DEMOLITION AND CONSTRUCTION IN THE CALLE SEIS PROPERTY. 
 IN THAT REGARD,
BY MEANS OF THIS AGREEMENT, THE LANDLORD AUTHORIZES THE TENANT TO SIGN AND PRESENT ANY CORRESPONDING PLANS, FORMS, AND/OR DOCUMENTS TO ANY ADMINISTRATIVE AUTHORITY DIRECTLY IN A PROJECT, ON BEHALF OF THE TENANT AND UNDER THE LATTER’S ENTIRE
RESPONSIBILITY, EXPENSE, COST, AND RISK FOR THE TENANT TO OBTAIN THE CORRESPONDING AUTHORIZATION. 
 9.2. THE TENANT WILL CARRY OUT ANY ORDINARY REPAIRS OR
MODIFICATIONS THAT ARE REQUIRED TO MAINTAIN THE PROPERTIES, INSTALLATIONS, AND SERVICES IN A GOOD STATE OF CONSERVATION AND OPERATION, AT ITS OWN EXPENSE AND RESPONSIBILITY. 

9.3. ANY NECESSARY REPAIRS (INCLUDING THOSE DUE TO STRUCTURAL DEFECTS THAT ARE NOT CAUSED BY THE IMPROPER USE OR MISUSE OF THE PROPERTIES) WILL BE AT THE
LANDLORD’S EXPENSE AND MAY BE EXECUTED DIRECTLY BY THE TENANT. IN THOSE CASES, THE TENANT MUST NOTIFY THE LANDLORD BY MEANS OF WRITTEN COMMUNICATION WITHIN FIVE (5) CALENDAR DAYS OF HAVING DETECTED THE DEFECT AND WILL INDICATE THAT IT IS
PROCEEDING WITH THE REPAIR, IT NEEDING TO PRESENT THE CORRESPONDING SUPPORTING DOCUMENTS. 
 IN THE EVENT THE LANDLORD ADMITS THE EXTRAORDINARY NATURE OF
THE REPAIR AND ITS ORIGIN NOT BEING ATTRIBUTABLE TO THE TENANT, THE PROPERLY SUPPORTED COST MAY BE DEDUCTED FROM THE RENT FOR THE MONTH FOLLOWING THE MONTH THAT THE EXPENSE WAS INCURRED IN. IN THE CASE OF A DISCREPANCY, THE PARTIES MUST RESORT TO
THE PROCEDURE FOR SOLVING DISPUTES SET FORTH IN CLAUSE TWENTY-ONE OF THIS AGREEMENT. ONLY AFTER THE DISPUTE IS RESOLVED, IF SUCH IS THE CASE, WILL THE EXPENSE BE ABLE TO BE DEDUCTED FROM THE RENT. 

IN THE EVENT THE TENANT CHOOSES TO NOT CARRY OUT EXTRAORDINARY REPAIRS DIRECTLY, IT MUST NOTIFY THE LANDLORD BY MEANS OF WRITTEN COMMUNICATION WITHIN FIVE
(5) CALENDAR DAYS OF HAVING DETECTED THE DEFECT, AND THE LANDLORD MUST CARRY OUT THE REPAIR WITHIN A PERIOD OF NOT MORE THAN 15 (FIFTEEN) CALENDAR DAYS. IN THOSE CASES, THE CONTRACTOR DESIGNATED BY THE LANDLORD MUST BE AUTHORIZED BY THE TENANT
OR, ALTERNATELY, THE TENANT MUST STATE THAT IT HAS NO OBJECTION WITH REGARD TO THE CONTRACTOR. IN ANY CASE, THE WORK MUST BE CARRIED OUT IN ACCORDANCE WITH A WORK SCHEDULE APPROVED BY THE TENANT. 

  
 [vertical text in left-hand margin:]
Alfredo Paino Scarpati, Notary Public of Lima 
  

					
	 Av. Aramburú 668, Lima 34, Peru
 Main
Phone: 618-5151
	  	 ALFREDO@NOTARIAPAINO.COM.PE

WWW.NOTARIAPAINO.COM.PE
	  	

 Certain confidential information contained in this document, marked by [**] has been omitted because the
registrant has determined that the information (i) is not material and (ii) would likely cause competitive harm to the registrant if publicly disclosed. 

 9.4. IT IS HEREBY CERTIFIED THAT ALL EXPENSES GENERATED DUE TO ADAPTATION, ALTERATION, AND/OR IMPROVEMENTS
THAT ARE REQUIRED TO BE CARRIED OUT IN THE PROPERTIES, AS WELL AS OBTAINING THE LICENSES FROM THE CORRESPONDING AUTHORITIES, WILL BE AT THE TENANT’S EXPENSE. 

9.5. THE PARTIES HEREBY SET FORTH THAT ANY ADAPTATION, ALTERATION, AND/OR IMPROVEMENTS THAT ARE REQUIRED WILL REMAIN TO THE BENEFIT OF THE PROPERTIES, NOT
NEEDING TO BE REIMBURSED BY THE LANDLORD UNLESS THE PARTIES EXPRESSLY AGREE OTHERWISE IN WRITING BEFORE CARRYING OUT THE CORRESPONDING ADAPTATION, ALTERATION, AND/OR IMPROVEMENT. 

9.6. THE PARTIES AGREE THAT ANY IMPROVEMENTS THAT ARE ABLE TO BE SEPARATED FROM THE PROPERTIES WITHOUT CAUSING DAMAGE TO THE LATTER, MAY BE REMOVED BY THE
TENANT WITHOUT THE PRIOR AUTHORIZATION OF THE LANDLORD. 
 9.7. THE PARTIES ARE AWARE AND DECLARE THAT THERE IS THE NEED TO INSTALL TWO (2) ELEVATORS
OF THE MITSUBISHI BRAND IN THE GUARDIA CIVIL PROPERTY, WHICH WILL BE INSTALLED BY THE TENANT AT THE TIME THAT IT DEEMS APPROPRIATE, SAID INSTALLATION BEING AUTHORIZED BEGINNING NOW. THE COST OF THE TWO (2) ELEVATORS AND INSTALLATION WILL BE
FINANCED BY THE TENANT, AND THE AMOUNT WILL BE COMPENSATED WITH THE COST OF THE ENERGY SAVINGS USAGE SYSTEM ALREADY INSTALLED IN THE GUARDIA CIVIL PROPERTY AND VALUED AT [**]. THE DIFFERENCE COMPARED TO THE ACTUAL COST OF THE ELEVATORS WILL BE
COMPENSATED FROM THE MONTHLY PAYMENT FOR THE RENT CORRESPONDING TO THE MONTH FOLLOWING THE MONTH THAT THE EXPENSE WAS CREDITED TO, AND FROM THIS MOMENT FORWARD, THE LANDLORD AGREES TO THE CONDITIONS AND COSTS OF PURCHASING THE ELEVATORS AND
INSTALLING THEM. 
 9.8. THE PARTIES HEREBY DECLARE, UNDERSTAND, AND AGREE THAT THE TENANT IS FREE AND FULLY AUTONOMOUS IN CHOOSING PERSONNEL, CONTRACTORS,
AND OTHER PERSONS IT CHOOSES TO CARRY OUT ANY WORK, ORDINARY AND EXTRAORDINARY REPAIRS, ADAPTATIONS, ALTERATIONS, IMPROVEMENTS, AND, IN GENERAL, ANY WORK THAT THE TENANT DOES ACCORDING TO THIS AGREEMENT, WHENEVER IT DOES SO THROUGH THE
REPRESENTATIVES OF THE CORRESPONDING BRANDS DURING THE LIFE OF THE CORRESPONDING GUARANTEES. IN THE CASE OF THE ELEVATORS, THE TENANT MUST ALWAYS HAVE MAINTENANCE SERVICES PERFORMED BY THE REPRESENTATIVE OF THE BRAND. 

TEN. 
 SYMBOLS, ANNOUNCEMENTS, AND LICENSES

 10.1. THE LANDLORD GRANTS THE TENANT THE EXCLUSIVE RIGHT TO DESIGN AND INSTALL THE FOLLOWING IN THE PROPERTIES, AT ITS SOLE DISCRETION: NOTICES,
ANNOUNCEMENTS, POSTERS, GRAPHICS, SIGNS, DISTINCTIVE SYMBOLS, ADVERTISING, AND REPORTS (HEREINAFTER, THE “SIGNS”) ON THE ROOFTOP TERRACES, FAÇADE, FRONT, SIDES, OR BACK OF THE PROPERTIES, SUBJECT TO THE APPLICABLE MUNICIPAL
REGULATIONS, AND WITH THE RESPONSIBILITY OF OBTAINING ANY PERMITS THAT MAY BE REQUIRED. 
 IN THAT REGARD, WITHOUT THIS LIST BEING CONSIDERED LIMITED, THE
TENANT MAY, WITH REGARD TO THE SIGNS, DECIDE THE FONT, SIZE, PLACEMENT, STYLE, AND FORM AND WHETHER THEY ARE LIGHTED OR NOT. 
 10.2. THE LANDLORD EXPRESSLY
AUTHORIZES THE TENANT TO DISASSEMBLE AND REMOVE THE CURRENT SIGNS ON THE GUARDIA CIVIL PROPERTY, READING “BMT CLINICA,” THE SAME BEING DELIVERED TO THE LANDLORD. 

  
 Certain confidential information
contained in this document, marked by [**] has been omitted because the registrant has determined that the information (i) is not material and (ii) would likely cause competitive harm to the registrant if publicly disclosed. 

 ATTESTATION 
  

 THE TENANT AGREES TO USE THE INITIALS “BMT” ON THE FAÇADE OF THE GUARDIA CIVIL PROPERTY FOR
THE DURATION OF THE LEASE. AS SUCH, WHAT IS PROVIDED FOR IN PRECEDING PARAGRAPH 10.1 WILL BE APPLICABLE FOR PURPOSES OF THE DESIGN AND INSTALLATION. 
 IN
ADDITION, THE TENANT AGREES TO REMOVE ALL SIGNS, UPON TERMINATION OF THIS AGREEMENT, AT ITS OWN EXPENSE AND RISK. 
 10.3. WITHOUT PREJUDICE TO THE SIGNING
OF OTHER DOCUMENTS THAT ARE NECESSARY DUE TO THIS AGREEMENT, THE LANDLORD TRANSFERS TO THE TENANT OWNERSHIP OF BUSINESS LICENSE NO.
000532-2018-12.3.0-SDE-GACU/MSI, DATED JUNE 8, 2018 AND, CONSEQUENTLY, THAT OF BUILDING SAFETY TECHNICAL INSPECTION
CERTIFICATE NO. 0036-2018-SDE-GACU/MSI, DATED JUNE 8, 2018, AS WELL AS ALL OTHER LICENSES REFERRING TO THE PROPERTIES THAT ARE SUBJECT TO ASSIGNMENT. 

ONCE THE PRIOR CONDITIONS THAT ARE CONTRACTED FOR DUE TO CLAUSE TWELVE ARE MET, AND SIMULTANEOUSLY THE SIGNING OF THE PUBLIC DOCUMENT THAT WILL BE GENERATED
BY THESE MINUTES, THE DOCUMENTS NECESSARY TO FORMALIZE TRANSFER OF OWNERSHIP OF THE BUSINESS LICENSE AND BEING ABLE TO MAKE IT EFFECTIVE WITH THE MUNICIPAL AUTHORITIES WILL BE SIGNED. 

ELEVEN. 
 CLEANING. 

11.1. THE LANDLORD HEREBY DECLARES, ASSERTS, GUARANTEES, AND PROMISES THE TENANT THAT IT ALLOWS IT TOTAL AND COMPLETE ENJOYMENT AND TENANCY OF THE PROPERTIES
AND GUARANTEES AND AGREES TO THE FOLLOWING: DURING THE ENTIRE DURATION OF THIS AGREEMENT, THE PROPERTIES WILL BE FREE FROM ENCUMBRANCES, CHARGES, EMBARGOES, REAL OR PERSONAL RIGHTS, CONDITIONS OR LIMITATIONS TO THE RIGHT OF PROPERTY, DISPOSITION,
POSSESSION, OR USE OR OTHER CHARGE THAT COULD LIMIT THE FULL ENJOYMENT, USE, TENANCY, AUTHORIZATION, OR ACCESS, EXCEPT FOR THOSE MENTIONED IN THE PRECEDING CLAUSE SEVEN. 

11.1. THE LANDLORD AGREES TO DELIVER A COPY OF THE DOCUMENTATION ACCREDITING THE LANDLORD’S PAYMENT OF AMOUNTS THAT ARE DUE AND SUBJECT TO DEMAND
CORRESPONDING TO THE OBLIGATION GUARANTEED WITH ANY ENCUMBRANCE ESTABLISHED ON THE PROPERTIES TO THE TENANT WHEN THE LATTER REQUIRES IT. 

TWELVE. 
 THE SUSPENSIVE CONDITION OF THE
AGREEMENT. 
 12.1. THE PARTIES AGREE THAT THIS AGREEMENT IS SUBJECT TO THE SUSPENSIVE CONDITIONS THAT THE PREVIOUS CONDITIONS SHOWN IN A SEPARATE
AGREEMENT THAT IS PRIOR TO THIS AGREEMENT (CALLED THE “FRAMEWORK AGREEMENT”) IS VERIFIED AND ACCREDITED 
 12.2. THE SIGNING OF THE PUBLIC
DOCUMENT RESULTING FROM THESE MINUTES WILL IMPLY AN EXPRESS RECOGNITION BY THE PARTIES OF COMPLIANCE WITH THE PRIOR CONDITIONS CONTAINED IN THE FRAMEWORK AGREEMENT REFERRED TO IN THE PRECEDING PARAGRAPH AND, THEREFORE, THIS AGREEMENT BECOMING
EFFECTIVE. 

  
 [vertical text in left-hand margin:]
Alfredo Paino Scarpati, Notary Public of Lima 
  

					
	 Av. Aramburú 668, Lima 34, Peru
 Main
Phone: 618-5151
	  	 ALFREDO@NOTARIAPAINO.COM.PE

WWW.NOTARIAPAINO.COM.PE
	  	

 Certain confidential information contained in this document, marked by [**] has been omitted because the
registrant has determined that the information (i) is not material and (ii) would likely cause competitive harm to the registrant if publicly disclosed. 

 THIRTEEN. 

EARLY TERMINATION OF THE AGREEMENT. 
 13.1. THE PARTIES
AGREE THAT THE TENANT MAY TERMINATE THIS AGREEMENT UNILATERALLY AND WITHOUT STATING THE CAUSE. IN SUCH AN EVENT, THE TENANT MUST PAY THE LANDLORD THE FOLLOWING SUMS IN U.S. DOLLARS AS A PENALTY (BEING UNDERSTOOD AS COMPENSATING ALL DAMAGES AND HARM
THAT THE LANDLORD MAY SUFFER DUE TO THE TERMINATION OF THE AGREEMENT, ULTERIOR DAMAGE NOT BEING APPLICABLE). 
  

			
	YEAR AGREEMENT IS TERMINATED	  	PENALTY AMOUNT
	BETWEEN THE FIRST AND THIRD EFFECTIVE YEAR	  	[**]
	BETWEEN THE FOURTH AND SIXTH EFFECTIVE YEAR	  	[**]
	BETWEEN THE SEVENTH AND NINTH EFFECTIVE YEAR	  	[**]

 13.2. THE LANDLORD DECLARES, RECOGNIZES, AND AGREES THAT THE SUMS OF MONEY THAT THE TENANT IS OBLIGATED TO PAY UNDER THIS
PROVISION TOTALLY AND FULLY REPAIRS THE DAMAGES AND HARM THAT IT SUFFERS OR MAY SUFFER AS A RESULT OF AN EARLY TERMINATION OF THE AGREEMENT. THEREFORE, AND WITHOUT IT RESTRICTING THE GENERAL NATURE OF THE PRECEDING, THE LANDLORD WILL REFRAIN FROM
CLAIMING ANY INDEMNITY, COMPENSATION, REPAIR, AND/OR, IN GENERAL, ANY PAYMENT FOR OR DUE TO AN EARLY TERMINATION OF THE AGREEMENT. 
 13.3. IN THE EVENT THE
TENANT DECIDES TO UNILATERALLY TERMINATE THE AGREEMENT, IT MUST PROVIDE NOTICE, BY MEANS OF A WRITTEN LETTER SENT TO THE LANDLORD, OF ITS INTENTION TO TAKE ADVANTAGE OF A UNILATERAL EARLY TERMINATION, WITHOUT STATING THE CAUSE, 180 (ONE HUNDRED
EIGHTY) CALENDAR DAYS PRIOR TO THE TERMINATION DATE, WITHOUT PREJUDICE TO RECOGNIZING THE PENALTY INDICATED IN PRECEDING PARAGRAPH 13.1 BEING OWED TO THE LANDLORD AND CONTINUING TO PAY THE RENT UNTIL THE TERMINATION DATE. IT IS UNDERSTOOD THAT, AS
AN ESSENTIAL CONDITION FOR THE TERMINATION TO BE VALID, THE TENANT MUST PAY AND THE LANDLORD MUST ACCEPT THE AGREED-TO PENALTY 

13.4. THE PARTIES AGREE THAT THE TENANT WILL BE EXEMPT FROM PAYING ANY PENALTY OR ANY KIND OF COMPENSATION DUE TO A UNILATERAL AND EARLY TERMINATION OF THE
AGREEMENT, IN ACCORDANCE WITH WHAT IS SPECIFIED IN PRECEDING PARAGRAPH 13.1 IN THE EVENT THE SAME OCCURS DURING THE TENTH (10) EFFECTIVE YEAR OF THE AGREEMENT, IN SUCH A CASE ONLY NEEDING TO COMPLY WITH THE REQUIREMENT TO NOTIFY THE LANDLORD OF
ITS DECISION TO TERMINATE THE AGREEMENT AT LEAST 180 (ONE HUNDRED EIGHTY) CALENDAR DAYS IN ADVANCE. 
 FOURTEEN. 

TERMINATION CLAUSE. 
 14.1. THE TENANT MAY TERMINATE THE
AGREEMENT IN FULL LEGAL RIGHT AND WITHOUT AN OBLIGATION TO PAY ANY PENALTY OR COMPENSATION, IN ACCORDANCE WITH ARTICLE 1430 OF THE CIVIL CODE, IN THE CASES SPECIFIED BELOW. FOR THAT PURPOSE, IT WILL BE ENOUGH FOR A NOTARY PUBLIC LETTER TO BE SENT TO
THE LANDLORD, NOTIFYING IT OF THE INTENTION TO TAKE ADVANTAGE OF THIS CLAUSE. 

  
 Certain confidential information
contained in this document, marked by [**] has been omitted because the registrant has determined that the information (i) is not material and (ii) would likely cause competitive harm to the registrant if publicly disclosed. 

 ATTESTATION 
  

 A) THE LANDLORD DOES NOT COMPLY WITH ANY ONE OR MORE OF THE OBLIGATIONS SHOWN IN CLAUSES SIX AND SEVEN OF
THIS AGREEMENT. 
 B) A FAILURE TO APPROVE THE WORK AND BUILDING LICENSE FOR THE PROPERTIES AND/OR THEIR BEING RECORDED IN THE REGISTRY IMPEDES, AFFECTS, OR
UNDERMINES THE USE OF THE PROPERTIES BY THE TENANT. 
 14.2. THE LANDLORD MAY TERMINATE THE AGREEMENT IN FULL LEGAL RIGHT, IN ACCORDANCE WITH ARTICLE 1429
OF THE CIVIL CODE, WHENEVER THERE IS A FAILURE TO PAY THE RENT ACCORDING TO WHAT IS AGREED TO IN CLAUSE FOUR OF THIS AGREEMENT FOR THREE (3) CONSECUTIVE MONTHS AND, IN ADDITION, MORE THAN 15 (FIFTEEN) CALENDAR DAYS HAVE PASSED WITHOUT THE
PAYMENT OF THE CORRESPONDING RENT HAVING BEEN MADE. 
 14.3. IN THE EVENT THAT A TERMINATION OF THE AGREEMENT IS DUE TO A BREACH OF ANY OBLIGATION OR
DECLARATION OF THE LANDLORD PROVIDED FOR IN THIS AGREEMENT, THE LANDLORD MUST MAINTAIN AND HOLD THE TENANT HARMLESS AND REIMBURSE IT FOR ANY COST OR EXPENSE THAT IT HAS INCURRED WITHIN A PERIOD OF 60 (SIXTY) CALENDAR DAYS FROM THE DATE OF
NOTIFICATION OF THE TERMINATION OF THE AGREEMENT. THOSE EXPENSES INCLUDE, AMONG OTHERS, THE FOLLOWING ITEMS: 
 A) ALL OF THE COSTS AND EXPENSES INCURRED
DUE TO THE IMPROVEMENTS AND MODIFICATIONS CARRIED OUT BY THE TENANT. 
 B) THE COST OF TRANSPORTATION AND STORAGE THAT THE TENANT HAS INCURRED IN MOVING TO
THE PROPERTIES. 
 C) THE ADMINISTRATIVE COSTS ASSOCIATED WAS SEARCHING FOR A NEW PROPERTY TO LEASE. 

D) ALL OTHER COSTS AND EXPENSES INCURRED BY THE TENANT. 

FIFTEEN. 
 PENALTY CLAUSE. 

15.1. UPON COMPLETING THE AGREEMENT, IN THE EVENT THE TENANT DOES NOT RETURN THE PROPERTIES, IT WILL BE OBLIGATED TO PAY THE LANDLORD A DAILY PENALTY EQUAL TO
[**]. 
 SIXTEEN. 
 ASSIGNMENT OR SUBLEASING
AND RENEWAL. 
 16.1. IT IS EXPRESSLY PROHIBITED FOR THE TENANT TO TOTALLY SUBLEASE AND/OR ASSIGN THE PROPERTIES OR TO ASSIGN THIS AGREEMENT WITHOUT THE
PRIOR WRITTEN CONSENT OF THE LANDLORD. HOWEVER, THE TENANT MAY SUBLEASE AND/OR ASSIGN THE PROPERTIES, EITHER TOTALLY OR PARTIALLY, AS WELL AS ASSIGN ITS CONTRACTUAL POSITION OR THE RIGHTS DERIVED FROM THIS AGREEMENT TO ANY OF ITS AFFILIATED OR
SUBSIDIARY COMPANIES OR TO ANY OF THE COMPANIES FROM THE AUNA GROUP WITHOUT THE PRIOR CONSENT OF THE LANDLORD. FOR THAT PURPOSE, THE LANDLORD GRANTS ITS PRIOR AND EXPRESS CONSENT AND AUTHORIZATION BY SIMPLY SIGNING THIS AGREEMENT. 

  
 [vertical text in left-hand margin:]
Alfredo Paino Scarpati, Notary Public of Lima 
  

					
	 Av. Aramburú 668, Lima 34, Peru
 Main
Phone: 618-5151
	  	 ALFREDO@NOTARIAPAINO.COM.PE

WWW.NOTARIAPAINO.COM.PE
	  	

 Certain confidential information contained in this document, marked by [**] has been omitted because the
registrant has determined that the information (i) is not material and (ii) would likely cause competitive harm to the registrant if publicly disclosed. 

 16.2. THE TENANT IS EXPRESSLY AUTHORIZED TO PARTIALLY SUBLEASE AND/OR ASSIGN THE PROPERTIES FOR ENGAGING IN
ACTIVITIES THAT ARE CONNECTED AND COMPLEMENTARY TO THE OPERATION OF A HEALTHCARE ESTABLISHMENT, SUCH AS BUT NOT LIMITED TO PRIVATE CLINICS, PARKING LOTS, CAFETERIAS, AND GIFTSHOPS. FOR THAT PURPOSE, THE LANDLORD GRANTS ITS PRIOR AND EXPRESS CONSENT
AND AUTHORIZATION BY SIMPLY SIGNING THIS AGREEMENT. 
 16.3. IN THE EVENT THE PARTIES DECIDE TO RENEW THE AGREEMENT FOR ANOTHER PERIOD OF TIME, THE RENEWAL
MUST BE ENTERED INTO AT LEAST TWO (2) YEARS PRIOR TO THE EXPIRATION OF THE CURRENT AGREEMENT PERIOD, THE SAME TERMS AND CONDITIONS AS THIS AGREEMENT BEING APPLICABLE, INCLUDING THE AUTOMATIC ANNUAL READJUSTMENT OF THE RENT ACCORDING TO THE
CONSUMER PRICE INDEX OF METROPOLITAN LIMA PUBLISHED BY THE INEI [NATIONAL INSTITUTE OF STATISTICS AND INFORMATICS]. 
 SEVENTEEN. 

EXPENSES. 
 17.1. THE PARTIES AGREE THAT THE EXPENSES
ARISING FROM FORMALIZING AND RECORDING THIS AGREEMENT WILL BE ASSUMED BY THE TENANT. 
 EIGHTEEN. 

NOTIFICATIONS. 
 18.1. FOR ALL LEGAL PURPOSES OF THIS
AGREEMENT, THE PARTIES SPECIFY AS THEIR ADDRESSES, THOSE SHOWN IN THE INTRODUCTORY PART OF THIS DOCUMENT WHERE ALL NECESSARY COMMUNICATIONS AND NOTIFICATIONS MUST BE DELIVERED. IN THE CASE OF CHANGING AN ADDRESS, THE PARTIES AGREE TO NOTIFY THE
OTHER PARTY OF THE NEW ADDRESS BY MEANS OF A NOTARY PUBLIC LETTER AT LEAST 15 (FIFTEEN) CALENDAR DAYS PRIOR TO THE EFFECTIVE DATE OF CHANGING THE ADDRESS AND ALWAYS WITHIN THE URBAN PERIMETER OF THE CITY OF LIMA. IF THIS FORMALITY IS NOT COMPLIED
WITH, ANY COMMUNICATIONS THAT ARE RECEIVED AT THE ADDRESSES INDICATED IN THE INTRODUCTION OF THIS AGREEMENT WILL HAVE FULL LEGAL EFFECT. 

NINETEEN. 
 POTENTIAL FUTURE EVICTION CLAUSE.

 19.1. THE PARTIES EXPRESSLY SUBMIT TO WHAT IS SET FORTH IN LAW NO. 30933 FOR THE RESTITUTION OF LEASED PROPERTIES DUE TO THE AGREEMENT PERIOD HAVING
EXPIRED OR A TERMINATION OF THE LEASE DUE TO THE AGREEMENT PERIOD EXPIRING OR THE TERMINATION OF THE LEASE DUE TO A FAILURE TO PAY THE RENT. IN CONSEQUENCE, IN THE EVENT OF ANY OF THE AFOREMENTIONED CAUSES FOR EVICTION TAKING PLACE, THE PARTIES
SUBMIT THEMSELVES TO THE COMPETENCE OF THE NOTARY PUBLIC FOR CERTIFICATION OF THE CAUSE AND EXECUTION OF THE EVICTION BY AN AUTHORIZED JUSTICE OF THE PEACE, IN ACCORDANCE WITH THE SPECIAL PROCEDURE FOR EVICTION WITH NOTARY PUBLIC INTERVENTION. 

TWENTY. 
 PREFERENTIAL PURCHASE OPTION. 

20.1. THE LANDLORD IRREVOCABLY GRANTS THE TENANT A PREFERENTIAL PURCHASE OPTION ON THE PROPERTIES (THIS REFERENCE ALSO BEING UNDERSTOOD AS ANY PROPERTY
RESULTING FROM THE ACCUMULATION OF THE GUARDIA CIVIL PROPERTY AND CALLE SEIS PROPERTY), WHICH MAY ONLY BE EXERCISED DURING THE EFFECTIVE PERIOD OF THIS AGREEMENT AND IS COVERED BY THE PROVISIONS SET FORTH IN THIS CLAUSE. 

  
 Certain confidential information
contained in this document, marked by [**] has been omitted because the registrant has determined that the information (i) is not material and (ii) would likely cause competitive harm to the registrant if publicly disclosed. 

 ATTESTATION 
  

 20.2. IN THE EVENT THE LANDLORD DECIDES TO TRANSFER OWNERSHIP OF THE PROPERTIES, WHETHER DUE TO ITS OWN
INTENTION OR DUE TO HAVING RECEIVED AN OFFER FROM A THIRD PARTY OR THIRD PARTIES, THE LANDLORD MUST IMMEDIATELY NOTIFY THE TENANT, BY MEANS OF A WRITTEN LETTER THROUGH A NOTARY PUBLIC, COMMUNICATING ITS DECISION TO ENTER INTO SUCH A CONTRACT,
ATTACHING A COPY OF THE OFFER RECEIVED TO THE LETTER OR STATING THE INTENDED OFFER, INCLUDING BUT NOT LIMITED TO INDICATING THE TRANSFER PRICE AND THE FORM OF PAYMENT. 

20.3. WITHIN 30 (THIRTY) DAYS AFTER HAVING RECEIVED NOTIFICATION, THE TENANT MUST STATE ITS DECISION TO EXERCISE THE OPTION, EITHER MEETING OR EXCEEDING THE
OFFER RECEIVED BY THE LANDLORD OR ACCEPTING ANY OFFER MADE BY THE LANDLORD. IN THE EVENT THE TENANT DOES NOT STATE ITS INTENTION WITHIN THE 30 (THIRTY) DAYS STATED, IT WILL BE UNDERSTOOD AS HAVING DECLINED TO EXERCISE ITS OPTION. 

THIS PROCEDURE MUST BE REPEATED EVERY TIME THE LANDLORD DECIDES TO CONTRACT WITH ANY THIRD PARTY OR THIRD PARTIES IN TERMS AND CONDITIONS THAT ARE DIFFERENT
THAN THOSE PREVIOUSLY OFFERED TO THE TENANT. 
 20.4. IF THE TENANT DECIDES TO EXERCISE THE PURCHASE OPTION ACCORDING TO WHAT WAS STATED PREVIOUSLY IN THIS
CLAUSE, THE PARTIES WILL SIGN THE MINUTES OF THE TRANSFER AND THE CORRESPONDING PUBLIC DOCUMENT WITHIN THE SAME PERIOD OF TIME STIPULATED IN THE OFFER RECEIVED BY THE LANDLORD AND (IF THERE ARE NO THIRD PARTY OR THIRD PARTIES WHO HAVE MADE AN OFFER)
WITHIN 30 (THIRTY) DAYS OF THE DATE OF THE DECISION OF THE TENANT ABOUT EXERCISING THE OPTION HAS BEEN COMMUNICATED. 
 20.5. HAVING DECLINED TO EXERCISE
THE OPTION, EITHER EXPRESSLY OR DUE TO THE TERM OF 30 (THIRTY) DAYS HAVING PASSED WITHOUT THE TENANT COMMUNICATING ITS DECISION, THE LANDLORD WILL BE FREE TO ENTER INTO A CONTRACT FOR TRANSFERRING THE PROPERTIES TO A THIRD PARTY OR THIRD PARTIES,
WHENEVER THE OFFER IS WITHIN THE TERMS THAT ARE EQUAL TO OR BETTER THAN THE OFFER PREVIOUSLY MADE TO THE TENANT. 
 20.6. FOR THE PURPOSE OF ENSURING
COMPLIANCE WITH WHAT IS AGREED TO IN THIS AGREEMENT, THE LANDLORD AGREES TO INCLUDE IN THE CONTRACT(S) BY WHICH IT TRANSFERS THE OWNERSHIP RIGHTS OF THE PROPERTIES, A STIPULATION BY WHICH THE NEW OWNER(S) STATE THAT THEY ARE AWARE OF THIS AGREEMENT
AND AGREE TO RESPECT IT IN ALL OF ITS TERMS AND CONDITIONS, SUBROGATING ITSELF IN ALL OF THE ORIGINAL RIGHTS AND OBLIGATIONS THAT CORRESPONDED TO THE LANDLORD. 

20.7. THE LANDLORD AGREES TO PAY THE TENANT A PENALTY EQUAL TO [**] IN THE EVENT OF BREACHING THE TERMS OF THIS CLAUSE, WITHOUT PREJUDICE TO REIMBURSEMENT OF
ANY ULTERIOR DAMAGE THAT THE BREACH MAY CAUSE THE TENANT. 
 TWENTY-ONE. 

APPLICABLE LAW AND RESOLUTION OF DISPUTES. 
 21.1. FOR
EVERYTHING NOT PROVIDED FOR IN THIS AGREEMENT, THE PARTIES AGREE THAT THE APPROPRIATE REGULATIONS OF THE PERUVIAN CIVIL CODE WILL BE FULLY APPLICABLE. 

  
 [vertical text in left-hand margin:]
Alfredo Paino Scarpati, Notary Public of Lima 
  

					
	 Av. Aramburú 668, Lima 34, Peru
 Main
Phone: 618-5151
	  	 ALFREDO@NOTARIAPAINO.COM.PE

WWW.NOTARIAPAINO.COM.PE
	  	

 Certain confidential information contained in this document, marked by [**] has been omitted because the
registrant has determined that the information (i) is not material and (ii) would likely cause competitive harm to the registrant if publicly disclosed. 

 21.2. THE PARTIES AGREE THAT ALL DISPUTES OR DISAGREEMENTS ARISING FROM THIS AGREEMENT OR THAT ARE RELATED
TO IT, INCLUDING THOSE RELATED TO ITS EXISTENCE, VALIDITY, BREACH, OR TERMINATION, AS WELL AS THOSE ASSOCIATED WITH THIS ARBITRATION CLAUSE MUST BE FIRST ATTEMPT TO BE RESOLVED BY THE PARTIES DEALING DIRECTLY WITH EACH OTHER IN GOOD FAITH. IF AN
AGREEMENT IS NOT ABLE TO BE REACHED WITHIN A PERIOD OF 15 (FIFTEEN) CALENDAR DAYS, IT WILL BE MADE BY MEANS OF BINDING ARBITRATION, ORGANIZED AND ADMINISTERED BY THE ARBITRATION CENTER OF THE CHAMBER OF COMMERCE OF LIMA AND IN ACCORDANCE WITH ITS
BYLAWS, REGULATIONS, AND CONSIDERING APPLICABLE PERUVIAN LAW, WHICH THE PARTIES UNCONDITIONALLY SUBMIT THEMSELVES TO. ANY ARBITRATION RULING WILL BE FINAL AND NOT SUBJECT TO APPEAL. IN THAT REGARD, ANY DISPUTE, UNCERTAINTY, CLAIM, OR CONFLICT
ARISING WILL BE SUBMITTED TO THE JURISDICTION AND KNOWLEDGE OF A COURT OF ARBITRATION FORMED BY THREE (3) ARBITRATORS WHO MUST NECESSARILY BE PROFESSIONAL ATTORNEYS ADMITTED TO THE BAR, AND WHO WILL RENDER A DECISION ON THE DISPUTE, IN
ACCORDANCE TO LAW (ARBITRATION LAW). 
 THE COSTS AND EXPENSES CORRESPONDING TO ARBITRATION WILL BE ASSUMED BY THE WINNING PARTY. IN THE CASE OF A COURT OF
ARBITRATION NOT DETERMINING A WINNING PARTY, EXPENSES INCURRED FOR THE ARBITRATION WILL BE THE RESPONSIBILITY OF THE PARTIES IN WHATEVER PROPORTIONS THE COURT OF ARBITRATION SPECIFIES, AND IF SUCH A DETERMINATION IS NOT MADE, IN EQUAL PARTS FOR EACH
OF THE PARTIES. TO THE NOTARY PUBLIC: PLEASE RECORD THESE MINUTES AS A PUBLIC DOCUMENT, ADDING THE CORRESPONDING CLAUSES AND OTHER INSERTS REQUIRED BY LAW AND FORWARD A COPY TO THE CORRESPONDING PARTIES AND TO THE REGISTRY OF PROPERTY OF LIMA, SO
THAT THIS AGREEMENT MAY BE RECORDED. 
 LIMA, JUNE 27, 2019. 

FOLLOWED BY THREE ILLEGIBLE SIGNATURES. 
 THESE MINUTES
AUTHORIZED BY DR. ADRIAN PASTOR TORRES, ATTORNEY, REGISTERED IN THE COLLEGE OF ATTORNEYS OF LIMA UNDER NUMBER 34,749 (THIRTY-FOUR THOUSAND SEVEN HUNDRED FORTY-NINE). AN ILLEGIBLE SIGNATURE. 

ADDITIONAL CLAUSE. 
 DURATION OF THE AGREEMENT AND
COMPLETE VACATING OF THE BMT CLINIC 
 BACKGROUND. 
 1.
IN CLAUSE 2.1 OF THIS AGREEMENT, IT IS SET FORTH THAT IT IS AN ESSENTIAL CONDITION OF THE AGREEMENT FOR THE PROPERTIES TO BE DELIVERED TOTALLY UNOCCUPIED AND BEING ABLE TO BE USED FOR THE OPERATION OF A HEALTHCARE ESTABLISHMENT, INCLUDING
HOSPITALIZATION AND SIMULTANEOUS AND ADDITIONAL ACTIVITIES FOR SIMILAR OR COMPLEMENTARY ACTIVITIES, SUCH AS BUT NOT LIMITED TO PRIVATE CLINICS, PARKING LOTS, CAFETERIAS, AND GIFTSHOPS. 

2. FOR THE PURPOSE OF THE LANDLORD BEING ABLE TO DELIVER THE PROPERTIES FREE OF ALL TYPES OF CONTINGENCIES AND/OR CHARGES THAT COULD AFFECT THE USEFULNESS OF
THE AGREEMENT, THE EFFECTIVE NATURE OF THE AGREEMENT WAS CONDITIONED ON THE SUSPENSIVE CONDITION THAT EACH AND EVERY ONE OF THE CONDITIONS PREVIOUSLY SET FORTH IN THE FRAMEWORK AGREEMENT, SIGNED UNDER CLAUSE 12 OF THIS AGREEMENT, ARE FULFILLED
AND/OR SATISFIED. 
 3. IN CLAUSE 12 OF THE AGREEMENT, IT WAS SET FORTH THAT THE SIGNING OF THE PUBLIC DOCUMENT FOR THE AGREEMENT IMPLIED AN EXPRESS
RECOGNITION BY THE PARTIES OF COMPLIANCE WITH THE PRIOR CONDITIONS CONTAINED IN THE FRAMEWORK AGREEMENT. NEVERTHELESS, BY THIS ADDITIONAL CLAUSE, IT IS EXPRESSLY CERTIFIED THAT ONE OF THE 

  
 Certain confidential information
contained in this document, marked by [**] has been omitted because the registrant has determined that the information (i) is not material and (ii) would likely cause competitive harm to the registrant if publicly disclosed. 

 ATTESTATION 
  

 
CONDITIONS HAS NOT BEEN COMPLIED WITH OR SATISFIED ACCORDING TO THE FRAMEWORK AGREEMENT. AS SUCH, THE PARTIES HAVE ESTABLISHED A DIFFERENT WAY OF SATISFYING THAT CONDITION, WHICH NO LONGER
CREATES A CONDITION FOR THE AGREEMENT BECOMING EFFECTIVE. 
 4. THE PRIOR CONDITION THAT HAS NOT BEEN COMPLIED WITH OR SATISFIED CORRESPONDS TO THE
FOLLOWING: “THE DELIVERY OF THE GUARDIA CIVIL PROPERTY TOTALLY UNOCCUPIED,” SPECIFIED IN CLAUSE 2.1 OF THE AGREEMENT. THIS IS DUE TO THE CLINIC LOCATED ON THE FOURTH FLOOR, SIDE A, IDENTIFIED BY THE NUMBER 410, WHICH IS CURRENTLY OCCUPIED
BY OFTALMOLOGOS ESPECIALISTAS, S.A.C. (HEREINAFTER, “CLINIC 410”). 
 AGREEMENT BECOMING EFFECTIVE. 

5. THE SIGNING OF THE PUBLIC DOCUMENT FOR THIS AGREEMENT THAT CONTAINS THIS ADDITIONAL CLAUSE IS A SIGN OF THIS AGREEMENT BECOMING EFFECTIVE. 

6. THE PARTIES AGREE TO COMPLETE DELIVERY OF THE PROPERTIES, DESPITE CLINIC 410 NOT BEING VACANT AND FREE OF INSTRUMENTS AND FURNITURE. 

7. THE LANDLORD DECLARES THAT IT HAS ALL OF THE LEGAL FACILITIES TO TOTALLY DELIVER POSSESSION OF THE PROPERTIES, EXPRESSLY REITERATING THAT IT HOLDS THE
TENANT HARMLESS. 
 8. GIVEN THAT POSSESSION OF THE PROPERTIES HAS BEEN DELIVERED BUT THE VACATING OF CLINIC 410 IS STILL PENDING, THE LANDLORD AGREES TO
VACATE IT AND DELIVER IT COMPLETELY FREE AND CLEAR. 
 9. IN EFFECT, THE LANDLORD ASSUMES ALL RISK OF LOSS, DETERIORATION, AND/OR UNDERMINING OF THE
INSTRUMENTS AND FURNITURE THAT ARE LOCATED IN CLINIC 410, WHICH HAS NOT BEEN VACATED, UNTIL TOTALLY VACATED AND DELIVERED TO THE TENANT BY MEANS OF A DELIVERY CERTIFICATE. 

10. THE LANDLORD AGREES TO NEGOTIATE WITH THE OCCUPANT OF CLINIC 410, SO AS TO COMPLY WITH THE DELIVERY OF THE AFOREMENTIONED CLINIC TO THE TENANT COMPLETELY
UNOCCUPIED WITHIN A MAXIMUM PERIOD OF 60 (SIXTY) CALENDAR DAYS COUNTING FROM THE SIGNING OF THIS PUBLIC DOCUMENT FOR THE AGREEMENT. 
 11. IN THE
HYPOTHETICAL CASE THAT THE LANDLORD DOES NOT FULFILL ITS OBLIGATION TO FULLY VACATE CLINIC 410 IN A MAXIMUM PERIOD OF 60 (SIXTY) CALENDAR DAYS COUNTING FROM THE SIGNING OF THIS PUBLIC DOCUMENT FOR THE LEASE AGREEMENT, THE TENANT IS AUTHORIZED TO
NEGOTIATE THE VACATING OF CLINIC 410 AND PAYING UP TO A TOTAL AMOUNT OF [**] ON BEHALF OF THE LANDLORD. 
 12. THE TENANT WILL CARRY OUT THE COLLECTION OF
THE PAYMENT THAT IT MAKES ON BEHALF OF THE LANDLORD, CONTRIBUTING [**] PER MONTH TO PAYMENTS OF THE RENT FOR THE FIFTH, SIXTH, AND SEVENTH MONTHS. BY MEANS OF THIS DOCUMENT, THE LANDLORD GIVES ITS EXPRESS PERMISSION IN ADVANCE TO PAY THE
AFOREMENTIONED COMPENSATION, WITHOUT REQUIRING ANY ADDITIONAL AUTHORIZATION FROM THE LANDLORD. 
 13. EXCEPT FOR ANY MODIFICATIONS MADE UNDER THIS
ADDITIONAL CLAUSE, ALL OF THE OTHER STIPULATIONS CONTAINED IN THE AGREEMENT MAINTAIN THE SAME TERMS AND CONDITIONS. 

  
 [vertical text in left-hand margin:]
Alfredo Paino Scarpati, Notary Public of Lima 
  

					
	 Av. Aramburú 668, Lima 34, Peru
 Main
Phone: 618-5151
	  	 ALFREDO@NOTARIAPAINO.COM.PE

WWW.NOTARIAPAINO.COM.PE
	  	

 Certain confidential information contained in this document, marked by [**] has been omitted because the
registrant has determined that the information (i) is not material and (ii) would likely cause competitive harm to the registrant if publicly disclosed. 

 LIMA, AUGUST 26, 2019. 

THREE ILLEGIBLE SIGNATURES FOLLOW. 
 THIS DOCUMENT IS HEREBY
AUTHORIZED BY DR. ADRIAN PASTOR TORRES, ATTORNEY, REGISTERED IN THE COLLEGE OF ATTORNEYS OF LIMA UNDER NUMBER 34,749 (THIRTY-FOUR THOUSAND SEVEN HUNDRED FORTY-NINE). AN ILLEGIBLE SIGNATURE. 

CONCLUSION. 
 THIS PUBLIC DOCUMENT STARTS ON FOLIO
NUMBER 9242471 AND ENDS ON FOLIO NUMBER 9242481. 
 THIS DOCUMENT HAVING BEEN FORMALIZED, AND IN ACCORDANCE WITH ARTICLE 27 OF LEGISLATIVE DECREE NUMBER
1049, THE NOTARY PUBLIC LAW, I HEREBY CERTIFY THAT THE INTERESTED PARTIES WERE WARNED ABOUT THE LEGAL EFFECTS OF THIS DOCUMENT. THE PERSONS APPEARING READ IT, AFTER WHICH THEY AFFIRMED IT AND RATIFIED ITS CONTENTS, SIGNING IT, AND DECLARING THAT IT
IS A MATTER OF A VALID AND NOT A SIMULATED ACT, LIKEWISE MANIFESTING THAT THEY ARE AWARE OF THE BACKGROUND AND/OR THE TITLES THAT RESULTED IN THIS DOCUMENT, AND THEY RECOGNIZE THE SIGNATURES ON THE MINUTES THAT GAVE RISE TO THIS DOCUMENT AS THEIR
OWN. IN THIS ACT AND IN MY PRESENCE, THE LANDLORD, THROUGH ITS REPRESENTATIVE, DECLARES THAT IT HAS RECEIVED [**] FROM THE TENANT, IN A NONNEGOTIABLE CASHIER’S CHECK FROM BANCO DE CREDITO DEL PERU, NUMBER 13071086 6, PAYABLE TO PROMOTORA
ASISTENCIAL S.A.C., ACCORDING TO WHAT WAS AGREED TO IN CLAUSE FIVE OF THE MINUTES TRANSCRIBED ABOVE, GRANTING IT A FULL LEGAL RECEIPT. 
 CERTIFICATE OF
MEANS OF PAYMENT LAW S.D. 28194, F.E. 047-2004. 
 CURRENCY: U.S. DOLLARS. 

TOTAL AMOUNT OF PREPAYMENT OF RENT AND IGV: [**]. 
 TOTAL AMOUNT
OF PREPAYMENT OF RENT AND IGV PAID WITH MEANS OF PAYMENT: [**]. 
 NUMBER OF CHECKS: 1 

FOR: [**] 
 TYPE: NONNEGOTIABLE CHECK. 

SUNAT CODE: 007. 
 CHECK NUMBER: 13071086 6. 

PAYABLE TO PROMOTORA ASISTENCIAL S.A.C. 
 ENTITY: BANCO DE
CREDITO DEL PERU. 
 DATE: JUNE 28, 2019. THE PERSONS GRANTING THIS DOCUMENT GIVE THEIR EXPRESS CONSENT FOR THE HANDLING OF THEIR PERSONAL INFORMATION
AND THE PURPOSES IT WILL BE USED FOR, IN ACCORDANCE WITH WHAT IS SET FORTH BY LAW 29733 AND ITS REGULATIONS. I HEREBY CERTIFY THAT, UPON GRANTING THIS PUBLIC DOCUMENT, ALL CONTROL MEASURES AND DILIGENCE HAVE BEEN TAKEN ON THE SUBJECT OF PREVENTING
MONEY LAUNDERING, IN ACCORDANCE WITH SUBPARAGRAPH K) OF ARTICLE 59 OF LEGISLATIVE DECREE NO. 1049 OF THE NOTARY PUBLIC LAW, MODIFIED BY MEANS OF LEGISLATIVE DECREE NO. 1232, ALL OF WHICH I ATTEST. 

  
 Certain confidential information
contained in this document, marked by [**] has been omitted because the registrant has determined that the information (i) is not material and (ii) would likely cause competitive harm to the registrant if publicly disclosed. 

 ATTESTATION 
  

 IN ACCORDANCE WITH SUBPARAGRAPH B) OF ARTICLE 59 OF LEGISLATIVE DECREE NO. 1049, THE PARTIES DECLARE THAT, AS
OF THE DATE OF SIGNING THIS DOCUMENT, THE PROPERTIES RECORDED ON ITEMS NO. 12133397 AND 07069664, INDICATED IN THE TRANSCRIBED MINUTES, ARE ACCUMULATED ON ITEM NO. 14344384 OF THE REGISTER OF PROPERTIES OF LIMA. THEREFORE, THE PROPERTY THAT IS THE
SUBJECT OF THE LEASE IS RECORDED ON THE AFOREMENTIONED ITEM, WHICH I ATTEST. MALPARTIDA FANTINI, EDGARDO BERTILO SIGNS AS REPRESENTATIVE OF PROMOTORA ASISTENCIAL S.A.C. CLINICA LIMATAMBO ON THE TWENTY-EIGHTH OF AUGUST OF TWO THOUSAND NINETEEN. A
FINGERPRINT. PINILLOS CASABONNE, LUIS FELIPE SIGNS AS REPRESENTATIVE OF ONCOCENTER PERU S.A.C., ON THE SECOND OF SEPTEMBER OF TWO THOUSAND NINETEEN. A FINGERPRINT. ZAMORA LEON, JESÚS ANTONIO SIGNS AS REPRESENTATIVE OF ONCOCENTER PERU S.A.C.,
ON THE SECOND OF SEPTEMBER OF TWO THOUSAND NINETEEN. A FINGERPRINT. THE PROCESS OF SIGNATURES HAVING BEEN CONCLUDED, I HEREBY SIGN THIS DOCUMENT ON THE SECOND OF SEPTEMBER OF TWO THOUSAND NINETEEN. ALFREDO PAINO SCARPATI, NOTARY PUBLIC OF LIMA. 

THIS IS A COPY OF THE PUBLIC DOCUMENT HELD IN MY REGISTRY AND DATED AUGUST 28, 2019, ON FOLIOS 115471 – 115481, AND AT THE REQUEST OF THE INTERESTED
PARTY, I ISSUE THIS COPY, IN ACCORDANCE TO LAW, AND INITIAL ON EACH OF ITS PAGES, SEAL, INITIAL, AND SIGNED IN LIMA ON THE NINTH DAY OF THE MONTH OF OCTOBER OF 2019. 

[stamp:] Alfredo Paino Scarpati 

      Notary Public of Lima 

[notary public seal without text] 

  
 [vertical text in left-hand margin:]
Alfredo Paino Scarpati, Notary Public of Lima 
  

					
	 Av. Aramburú 668, Lima 34, Peru
 Main
Phone: 618-5151
	  	 ALFREDO@NOTARIAPAINO.COM.PE

WWW.NOTARIAPAINO.COM.PE
	  	

 Certain confidential information contained in this document, marked by [**] has been omitted because the
registrant has determined that the information (i) is not material and (ii) would likely cause competitive harm to the registrant if publicly disclosed. 

 THIS SIDE OF THE PAGE IS BLANK 

ANY TEXT APPEARING HERE HAS NO VALUE 

  
 Certain confidential information
contained in this document, marked by [**] has been omitted because the registrant has determined that the information (i) is not material and (ii) would likely cause competitive harm to the registrant if publicly disclosed.EX-10.6

 Exhibit 10.6 

 

	
	
[stamp:]

	
LAOS DE LAMA NOTARY PUBLIC OFFICE

	
KARDEX No.:............................................................

	
NOTE No.:..................................................................

	
ISSUED ON PAGES:.................................................

	
DATE:.........................................................................

	
CLERK:......................................................................

 

  
  

 
 FIRST COMPREHENSIVE AMENDMENT TO
THE CREDITAGREEMENT 
 dated June 30, 2016 

entered by and between 

SCOTIABANK PERÚ S.A.A. as Lender 

Oncosalud S.A.C. as Borrower 

and 
 SCOTIABANK
PERÚ S.A.A. as Administrative Agent 
 December 26, 2018 

 
  

 
  
  

			
		 	 [stamp:] SCOTIABANK PERÚ S.A.A.

Approved
 [signature]

Commercial and Regulatory Legal Advisor

  
 Page 1 of 109 

 Dear Mr. Notary Public, 

Please issue a document in your Registry of Public Instruments consisting of the First Comprehensive Amendment to the Credit Agreement (hereinafter, the
“Comprehensive Amendment”) that is entered by, as party of the first part: 
 SCOTIABANK PERÚ S.A.A., with Unique Taxpayer
Registration No. 20100043140 and registered address at Dionisio Derteano No. 102, District of San Isidro, Province and Department of Lima, a company registered under Electronic Record No. 11008578 of the Registry of Legal Entities of
Lima, duly represented by Mr. Carlos Alberto Correa Belaúnde, identified with National Identity Document No. 10219196, and by Jose Ignacio Valdez Mantero, identified with National Identity Document No. 40699491, according to power-of-attorneys registered as Entries C002266 and C00281, respectively, of the record indicated above (hereinafter, the “Bank”); 

ONCOSALUD S.A.C., with Unique Taxpayer Registration No. 20101039910 and registered address at Av. Guardia Civil 571, Córpac Subdivision,
district of San Borja, province and department of Lima, a company registered under Electronic Record No. 00558907 of the Registry of Legal Entities of Lima, duly represented by Mr. Juan Rafael Serván Rocha, identified with National
Identity Document No. 08202257, according to powers granted in a General Meeting of Shareholders dated December 13, 2018, which you could, Mr. Notary Public, please insert in the public instrument originating these minutes
(hereinafter, the “Borrower”); and 
 SCOTIABANK PERÚ S.A.A., with Unique Taxpayer Registration No. 20100043140 and
registered address at Dionisio Derteano No. 102, District of San Isidro, Province and Department of Lima, represented by Ms. Lorena Guiulfo Vera, identified with National Identity Document No. 09341477, and by Claudia Quiroz Chavez,
identified with National Identity Document No. 10302710, authorized for such purpose according to power-of-attorneys registered as Entries C00169 and C00060,
respectively, of Record N. 11008578 of the Registry of Legal Entities of Lima (hereinafter, the “Administrative Agent”); 
 Under this
Comprehensive Amendment, the Credit Agreement is to read as per the terms and conditions described in the following clauses: 
 FIRST SECTION 

GENERAL INFORMATION 
 CLAUSE 1.1.
Definitions. The capitalized terms used in this Comprehensive Amendment will have the meaning established below: 

  
 Page 2 of 109 

 “Secured Creditors” are the Creditor Banks and International Secured
Creditors. 
 “International Secured Creditors” are Persons with the condition of Lender or Hedge Provider under the
International Loan Documents. 
 “Assets” are those defined as “Entrusted Assets” in the Asset Trust Agreement.

 “Completion Agreements” are the agreements for completing Promissory Notes and Endorsements, the form for which is in
Annex C-2 to this Comprehensive Amendment. 
 “Subordination Agreements” are
the contracts that creditors of the Permitted Subordinated Debt must sign, based on the templates provided in Annex A-1 (applicable to the Borrower) and Annex
A-2 (applicable to each of the Guarantors) to this Comprehensive Amendment. 

“Acquisition” means the acquisition, either through one single transaction or a series of related transactions, of
(a) the majority of stocks with a right to vote or other mechanism granting control over another Person (including the purchase of options, warrants, convertible bonds or other similar instruments, in order to acquire such control on the date
when said instrument can be enforced by its holder), either through the purchase of stocks or a mechanism that grants control, or as a consequence of exercising an option, warrant or convertible bond, or other similar instrument, or (b) assets
of another Person that constitute all or almost all of the assets held by that Person, or a division, line of business or business unit of that Person. 

“PMLA Acquisition” is the acquisition by Auna Colombia of a number of stocks no less than 97.32% of all stocks with a right
to vote representing the equity of PMLA. 
 “Affiliate” with respect to a legal entity (for purposes of this definition,
the “Legal Person”) will mean: (i) its Subsidiaries; (ii) any Person that exercises Control over the Legal Person and the legal entities over which the Legal Person exercises Control; (iii) any
legal entity that is under the Control of a Person who also exercises Control over the Legal Person; and (iv) Subsidiaries of the entities indicated in items (ii) and (iii). 

“Administrative Agent” is Scotiabank Perú S.A.A., in its capacity as administrative agent, under this Comprehensive
Amendment. 
 “NY Administrative Agent” is Citibank del Perú S.A., acting in its capacity as administrative agent
under the International Credit Agreement. 

  
 Page 3 of 109 

 “Peruvian Guaranties Agent” is Scotiabank Perú S.A.A., or the Person
that may replace it according to the Intercreditor Agreement, who will sign the amendment to the Asset Trust Agreement, the amendment to the Monetary Receivables Trust Agreement, the Mortgage Agreement and the Mortgage Agreement for Additional
Properties. 
 “Colombian Guaranties Agent” is Fiduciaria Colpatria S.A. or the Person that may replace it according to the
responsible trustee according to Colombian Law, who will sign the Colombia Bond Agreement and the Stock Guaranty Contract. 

“Consolidated Installments” means that for any period, for Auna and its Subsidiaries, a consolidated total of (a) all
principal payments scheduled for Auna and its Subsidiaries in relation to loans, related to the payment for the deferred price of the asset purchase, with indebtedness (as the term “Indebtedness” is defined in the International Credit
Agreement) for the acquisition of assets, with direct financial obligations under letters of credit (commercial or stand-by) and bond letters, and (b) the portion representing a principal repayment for
Auna and its Subsidiaries during said period under financial leasing. 
 “Auna” is Grupo Salud del Perú S.A.C. 

“Auna Colombia” is Auna Colombia S.A.S., who shall have the capacity of borrower under the International Loan Documents. 

“Governmental Authority” is any authority with jurisdiction in the Republic of Peru, the Republic of Colombia and/or any
authority that may have jurisdiction over the Borrower, the Guarantors and Mortgage Guarantors, or the activities they may pursue, including any entity that exercises executive, legislative, regulatory, judicial or administrative functions for, or
that may correspond to, the respective government. 
 “Creditor Banks” are the Bank and all other Authorized Assignees that
may take on the condition of creditor under this Comprehensive Amendment, after signing an Adhesion Contract. 
 “Change of
Control” means any event or series of events through which: (a) any Person Controlled directly or indirectly by (i) Enfoca SAAFI or Enfoca Discovery 2 G.P., LP, or (ii) any other Person Controlled or administered directly or
indirectly by Enfoca Discovery 2 G.P., LP or Jesús Antonio Zamora León (for purposes of this definition, the “Authorized Holders”), either individually or as a whole, is no longer the final beneficiary of more than
66.6% of stock in Auna; or (b) the Authorized Holders, individually or as a whole, cease Control of Auna for any reason; or (c) the Authorized Holders, individually or as a whole, stop being the final beneficiary of 66% of stock in
Oncocenter; (d) the Authorized Holders, individually or as a whole, stop being final beneficiaries of less than 99.9% of Medic Ser; or (e) any other situation described under the definition of Change of Control in the International Credit
Agreement. 

  
 Page 4 of 109 

 “Authorized Assignee” means any Person who takes over the contractual
position, rights or obligations of a Creditor Bank, either in full or in part, according to Clause 7.1 of this comprehensive Amendment; as long as they have signed an Adhesion Contract. Record is hereby made that neither the Borrower nor any of its
Affiliates may become Authorized Assignees. 
 “Certificate of Compliance” has the meaning assigned in Clause 5.1 item
(g) of this Comprehensive Amendment. 
 “Civil Code” is the Peruvian Civil Code, as it has been or may be modified.

 “Cofide” is Corporación Financiera de Desarrollo S.A. 

“Amendment Fee” is the commission that the Borrower is obligated to pay to Creditor Banks for structuring the Loan, as agreed
upon in a private document signed with the Bank. This commission will be charged and paid on the Disbursement Date. 
 “Early Payoff
Fee” means, for any early payment of the Loan pursuant to Clause 2.7, an amount equivalent to (i) if the early payment is made at any time during the period beginning on the Closing Date and ending on the second anniversary of said
Closing Date, 3.00% of the principal amount of the Loan to be paid off early; (ii) if said early payment is made at any time during the period beginning on the date immediately following the second anniversary of the Closing Date and ending on
the third anniversary of the Closing Date, 2.00% of the principal amount of the Loan to be paid off early; and (iii) if said early payment is made at any time during the period beginning on the date immediately following the third anniversary
of the Closing Date and ending on the fourth anniversary of the Closing Date, 1.00% of the principal amount of the Loan to be paid off early. If IGV (Impuesto General a las Ventas [Sales Tax]) is charged for said fee pursuant to the
Applicable Laws, the Borrower is obligated to pay the corresponding IGV in addition to the fee. The Early Payoff Fee will be distributed by the Administrative Agent between the Creditor Banks according to their share in the Loan principal. 

“Knowledge” is the actual knowledge acquired by the Borrower through the managing director or the officer who serves as such,
even when it may be temporary, that it should have acquired through due diligence in exercise of its functions. 

  
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 “Adhesion Contract” is each of the contracts under which an Authorized
Assignee takes on the condition of Bank Creditor by adhering to the Comprehensive Amendment, in terms similar to the template contained in either Annex E-1 or Annex
E-2. 
 “Cofide Channeling Contract” is the resource channeling contract signed
June 30, 2016, between the Bank and Cofide, under which Cofide is obligated to channel a portion of the funds for the Loan to the Bank, as well as its first amendment, signed on the same Closing Date. 

“Bond Agreements” are the joint bond agreements signed on the same Closing Date between Medic Ser, Oncocenter Perú
S.A.C., the Borrower and the Administrative Agent, under which (i) Medic Ser and Oncocenter Perú S.A.C., in the first, and (ii) Medic Ser, Oncocenter Perú S.A.C. and the Borrower, in the second, will grant a joint and
several, absolute, irrevocable, unconditional, and automatically and immediately enforceable bond with no excussion benefits to the Administrative Agent as a guaranty on the Secured Obligations, as they may be modified over time, which are to
replace and void the Bond Agreement dated June 30, 2016, signed between Auna with some of its Affiliates and the Bank. 

“Colombia Bond Agreement” is the bond agreement to be signed by Auna Colombia and the Colombian Guaranties Agent, under which
Auna Colombia will grant a joint and several, absolute, irrevocable, unconditional, and automatically and immediately enforceable bond with no excussion benefits to Colombian Guaranties Agent, as it may be modified over time. 

“NY Bond Agreements” are the Guaranty and Security Agreement[s] under New York laws signed on the same Closing Date between
Medic Ser, Oncocenter Perú S.A.C. and the Borrower, under which (i) Medic Ser and Oncocenter Perú S.A.C., in the first, and (ii) Medic Ser, Oncocenter Perú S.A.C. and the Borrower, in the second, have granted a
guaranty under the laws of New York to the NY Administrative Agent, as it may be modified over time. 
 “Asset Trust
Agreement” is the secured trust agreement originally signed on June 30, 2016, between the Borrower, GSP Holding S.A.C. and Medic Ser, as trustors, the Bank as beneficiary, and La Fiduciaria S.A. as trustee, under which the Assets were
transferred under possession in trust to La Fiduciaria S.A., and its first amendment was signed on the same Closing Date between the Borrower, GSP Holding S.A.C., Medic Ser, La Fiduciaria S.A., the Bank and the Peruvian Guaranties Agent, as a
guaranty on the Secured Obligations, as they may be modified over time. 
 “Monetary Receivables Trust Agreement” is the
trust agreement for administration and guaranty originally signed on June 30, 2016, between the 

  
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 Borrower as trustee, the Bank as beneficiary and La Fiduciaria S.A. as trustor, and its first amendment
signed on the same Closing Date between the Borrower, the Bank, La Fiduciaria S.A. and the Peruvian Guaranties Agent, under which the Monetary Receivables will continue to be channeled through the trust to secure payment of the Guaranteed
Obligations, as it may be modified over time. 
 “Stock Guaranty Contract” is the intangible guaranty contract with
possession subject to Colombian law that is to be signed within two (2) Business Days after the Disbursement Date by the Colombian Guaranties Agent and Auna Colombia, under which an intangible guaranty will be established on all stocks that
will be acquired by Auna Colombia in PMLA, in order to guarantee compliance with the Secured Obligations, as it may be modified over time. 

“Mortgage Agreement” is the mortgage agreement signed on the same Closing Date between La Fiduciaria and the Peruvian
Guaranties Agent, with the involvement of Medic Ser, under which La Fiduciaria grants a mortgage on the Surface Rights for the purpose of guaranteeing compliance with the Secured Obligations, which will have first and preferential status once the
mortgage in favor of the Bank with the current lien on the Surface Rights is released. 
 “Mortgage Agreement for Additional
Properties” is the mortgage agreement(s) signed on the same Closing Date (with the exception of the mortgage for Properties in Reorganization and the Leasing Properties, whose contracts will be signed before the deadline given in Clause
5.1. (c*)) between the Peruvian Guaranties Agent and the Mortgage Guarantors, under which a mortgage with first and preferential status is granted, or obligated to be granted, on the properties listed in Annex F, in order to guarantee
compliance with the Secured Obligations. 
 “Credit Agreement” is the credit agreement signed on June 30, 2016,
between the Borrower and the Bank, which has been comprehensively modified under this comprehensive Amendment. 
 “Surface Rights
Agreement” is the agreement establishing Surface Rights signed between Medic Ser and the Red Cross, with the involvement of Auna, by means of a public instrument granted June 9, 2009, before Notary Public of Lima Doctor Luis Dannon
Brender, as well as its modifications. 
 “Security Agreements” are, as a whole, the Bond Agreements, the Colombia Bond
Agreement, the NY Bond agreement, the Asset Trust Agreement, the Monetary Receivables Trust Agreement, the Mortgage Agreement, the Mortgage Agreement for Additional Properties and the Stock Guaranty Agreement. 

  
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 “Control” (including the terms “Controlled by” and
“Under the Control of” and “Controlling”) means direct or indirect possession of the power to direct or impact the direction of management or policies for a Person, through the capacity to exercise a right to vote,
either in a contract or otherwise. 
 “Payment Schedule” is the schedule attached for reference as Annex B to this
Comprehensive Amendment, which will be supplemented with the final schedule, to be updated on the Disbursement Date in order to include the Payment Dates and amounts to be paid on each Payment Date. 

“Red Cross” is the Peruvian Red Cross Society. 

“Payment Account” is the bank account opened by the Administrative Agent with the Bank, which will be shared with the
Borrower, into which the Borrower must deposit the funds corresponding to its payment obligations under this Comprehensive Amendment. 

“Disbursement Account” is the bank account held by the Borrower into which the new Disbursement will be deposited, as
established in the Disbursement Request. 
 “Representations and Warranties” are the representations and warranties of the
Borrower contained in Clause 4.1 of this Comprehensive Amendment, as well as the representations and warranties of the Borrower, the Guarantors, GSP and/or the Mortgage Guarantors, as applicable, contained in (i) the Eight Clause of the Bond
Agreements; (ii) Clause VII of the Colombia Bond Agreement; (iii) Clause 10 of the NY Bond Agreements; (iv) the Fifth Clause of the Asset Trust Agreement; (v) the Fifth Clause of the Monetary Receivables Trust Agreement;
(vi) the Fifth Clause of the Mortgage Agreement; (vii) the Fifth Clause of the Mortgage Agreement for Additional Properties; and (viii) Clause 6 of the Stock Guaranty Agreement. 

“Surface Rights” are the surface rights in rem originally established in favor of Medic Ser on the Delgado Clinic Property
after having conferred it to the Red Cross under the Surface Rights Agreement, and which is currently transferred under possession in trust to La Fiduciaria under the Asset Trust Agreement. The Surface Rights grant Medic Ser ownership rights to the
improvements made on and under the Delgado Clinic Property and the right to operate the Delgado Clinic, with the Delgado Clinic Property remaining property of the Red Cross. The Surface Rights are recorded as Electronic Record No. 12716489 of
the Registry of Real Property of the Registry Office of Lima and Callao. 
 “Attributable Debt” means, as of any date,
(a) with respect to a Financial Leasing Obligation of any Person, the portion of the principal that 

  
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 would appear on the general balance sheet for that Person, prepared as of said date according to IFRS, and
(b) with respect to any Synthetic Leasing Obligation, the capitalized portion of pending payments under the respective contract that would appear on the general balance sheet for that person, prepared as of said date according to IFRS, if said
contract is reported as a financial leasing. 
 “Net Consolidated Financial Debt” means, at any given time, consolidated
for Auna and its Subsidiaries, (A) the sum of (a) principal pending payment of all obligations, either current or long-term (including Secured Obligations) and all payment obligations undertaken in bonds, debentures, notes, credit
agreements or similar instruments, (b) indebtedness (as the term “Indebtedness” is defined in the International Credit Agreement) for the acquisition of assets, (c) direct financial obligations under letters of credit (commercial
or stand-by) and bond letters, (d) obligations relating to payment for the deferred price for the acquisition of properties or services (except for commercial accounts in the ordinary course of business),
(e) Attributable debt, (f) without duplication, all guaranties granted with respect to the type of indebtedness (as the term “Indebtedness” is defined in the International Credit Agreement) described in items (a) through (e)
originated by Persons other than Auna and its Subsidiaries, and (g) all types of indebtedness (as the term “Indebtedness” is defined in the International Credit Agreement) as described in items (a) through (f) originated by any
partnership or joint venture (except joint ventures which are themselves a corporation or limited liability company) in which Auna or a Subsidiary is a general partner or joint venture, except when said indebtedness is expressly agreed upon without
any recourse against Auna or a Subsidiary; less (B) the aggregate total in cash and cash equivalents (as the term “Cash Equivalents” is defined in the International Credit Agreement) for Auna Colombia and its Subsidiaries,
consolidated and determined pursuant to IFRS, taking into consideration that cash and cash equivalents granted as part of the Loan Documents will be considered unencumbered cash and cash equivalents for purposes of this definition. 

“Collateralizable Debt”: is (i) the indebtedness of a Person that becomes a Subsidiary; provided that (A) said
indebtedness has existed at the time that Person became a Subsidiary and it has not been created in anticipation of this; and (B) said indebtedness is not secured by the Borrower or its Subsidiaries (except the Person who becomes its
Subsidiary), and (ii) any Permitted Refinancing of any indebtedness under point (i). 
 “Permitted Subordinate Debt”
is any account payable for credits from stockholders, directors, managers, administrators, Affiliates or Subsidiaries of the Borrower or the Guarantors that is subordinate as far as ranking but not as far as payment for the payment of Secured
Obligations, and said subordination is documented in a Subordination Agreement duly signed by said stockholders (to 

  
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 the satisfaction of the Administrative Agent). With respect to subordinate debt existing and current as of
the Closing Date, the corresponding Subordination Agreements must be signed on the Closing Date (to the satisfaction of the Administrative Agent), with the purpose of qualifying as Permitted Subordinate Debt. 

“Business Day” means any day that is not Saturday, Sunday or any other day on which commercial banks are authorized to close
under the laws of, or are in fact closed in, Lima, Peru, New York, United States of America, Toronto, Canada, Madrid, Spain, and Bogotá, Colombia. 

“Loan Documents” are the agreements and documents that are described below, as they could be modified over time, and that
will be regulated in the respective documents and instruments: 
  

	 	(i)	 the Comprehensive Amendment; 

 

	 	(ii)	 the Promissory Notes and Endorsements, as well as the Completion Agreements; 

 

	 	(iii)	 the Bond Agreements; 

 

	 	(iv)	 the Colombia Bond Agreement; 

 

	 	(v)	 the NY Bond Agreements; 

 

	 	(vi)	 the Asset Trust Agreement; 

 

	 	(vii)	 the Monetary Receivables Trust Agreement; 

 

	 	(viii)	 the Mortgage Agreement; 

 

	 	(ix)	 the Mortgage Agreement for Additional Properties; 

 

	 	(x)	 the Stock Guaranty Agreement; 

 

	 	(xi)	 the Subordination Agreements; 

 

	 	(xii)	 the Intercreditor Agreement; 

 

	 	(xiii)	 and the Disbursement Request. 

“International Loan Documents” are the contracts and documents that form part of the definition for “Loan
Documents” under the International Credit Agreement. 

  
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 “Dollars” and the code “USD” will mean, interchangeably,
the legal tender for the United States of America. 
 “Consolidated EBITDA” means, for any period, consolidated for Auna
and its Subsidiaries, an amount equivalent to the Net Consolidated Profit for said period plus (a) the following items: (i) Net Financial Expenses for said period, (ii) losses on exchange differences, (iii) allowances for the
payment of income tax by Auna and its Subsidiaries to federal, state, local and foreign authorities in said period, (iv) amortization and depreciation expenses, (v) any unpaid cash expense, loss or collection made during said period
(including but not limited to any remuneration based on stocks that has not been made in cash for said period), (vi) net losses deriving from discontinued operations during said period, (vii) accumulated costs and expenses (provided that said
accumulated costs and expenses for all periods (or their equivalent in Dollars) do not exceed USD 2,000,000.00 [sic]) actually paid by Auna Colombia in relation to the documents for the PMLA Acquisition, and (viii) accumulated costs
and expenses (provided that said accumulated costs and expenses (or their equivalent in Dollars) do not exceed PEN 35,000,000.00) actually paid by Auna or any of its Subsidiaries during the period beginning on the
start-up date for the pre-operative phase of the PPP Project and ending on the operations start date of the PPP Project, less (b) the following items: the sum of
(i) tax losses for Auna and its Subsidiaries with any federal, state, local or foreign authority linked to the payment of income tax during said period, (ii) items that are not in cash and that increase the Net Consolidated Profit for said
period, (iii) all net earnings on discontinued operations for said period, and (iv) earnings on exchange differences. When used in relation to another person that is not Auna, the term “EBITDA” will have a similar meaning as the
above (with each reference to Auna in the definition of “consolidated EBITDA” being considered a reference to said Person and with each reference to Auna subsidiaries being considered a reference to the Subsidiaries of said Person). 

“Substantial Adverse Effect” means any substantial adverse change in, or substantial adverse effect on, the operations,
business, property or financial position of the Borrower, Guarantors and their respective Subsidiaries, taken as a group; (b) a substantial impediment for the Borrower or Guarantors to fulfill their obligations under any of the Loan Documents
they are party to; (c) a substantial adverse effect on the legality, efficacy, validity or enforceability against the Borrower or Guarantors of any of the Loan Documents they are party to; or (d) a substantial adverse effect on the
validity or priority of any of the Guaranties granted to the Peruvian Guaranties Agent or the Colombian Guaranties Agent under the Security Agreements. 

  
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 “Legal Entity” has the meaning assigned to such term in the Regulation on
Indirect Ownership, Affiliation and Economic Groups approved by SMV (Superintendencia del Mercado de Valores [Superintendence of the Securities Market]) Resolution No. 019-2015-SMV-01. 
 “Financial Statements” are, as a whole, the following
financial statements: (i) the audited consolidated financial statements for Auna and its Subsidiaries as at December 31, 2015, December 31, 2016, and December 31, 2017; (ii) the audited consolidated financial statements for Medic
Ser and Oncocenter Perú S.A.C. and its Subsidiaries as at December 31, 2015, December 31, 2016, and December 31, 2017; (iii) the audited individual financial statements for the Borrower and Medic Ser as at December 31,
2017; and (iv) the unaudited quarterly financial statements for the Borrower, Medic Ser and Oncocenter Perú S.A.C. as at September 30, 2018. 

“Non-Compliance Events” are the events of
non-compliance described in clause 6.1. 
 “Substantial Adverse Event” means an
event that, at the reasonable discretion of the Creditor Banks, acting through the Administrative Agent, substantially and adversely changes the capital and/or national or international financial market conditions and/or the financial, political,
economic, legal, securities exchange, banking, local and/or international conditions, and/or the political and/or economic situation of the Republic Peru and/or the Republic of Colombia, such that it affects the capacity and/or modifies the
financial conditions of the Creditor Banks to obtain the funds necessary to grant the Loan under the terms established in the Loan Documents. 

“Existing Facility” is the financing granted to the Borrower by the Bank under the original conditions agreed-upon in the
Credit Agreement signed on June 30, 2016. 
 “Closing Date” is the date on which all of the conditions set in order to
close, indicated in Clause 3.1 of this Comprehensive Amendment, are met at the satisfaction of the Administrative Agent, and as a consequence of which this the Comprehensive Amendment and other Loan Documents are signed. 

“Disbursement Date” is the date on which the Loan disbursement is made after having received the Disbursement request,
properly signed and having verified and met the conditions established in Clause 3.2 of this Comprehensive Amendment at the satisfaction of the Administrative Agent, on which the Creditor Banks will proceed to make the New Disbursement. 

“Effective Date” is the date on which, after having met the conditions established in Clause 3.2 of this Comprehensive
Amendment at the satisfaction of the Administrative Agent, the restructuring of the Existing Facility will take effect. The Effective Date will take place on the same day as the Disbursement Date. 

  
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 “Payment Date” is each of the dates on which the Borrower must pay
compensatory interest and/or principal for the Loan, according to the Payment Schedule. If the Payment Date is not a Business Day, it will be extended to the following Business Day. 

“Guarantors” are the following companies: Oncocenter Perú S.A.C., Medic Ser and Auna Colombia. 

“Asset Trust” is the trust established under the Asset Trust Agreement. 

“Monetary Receivables Trust” is the trust established under the Monetary Receivables Trust Agreement. 

“Monetary Receivables” are the economic rights and collection rights corresponding to one hundred percent (100%) of all
earnings by the Borrower for payments made to said entity with its Visa credit and debit cards, which will form part of the Monetary Receivables Trust as set forth in the Monetary Receivables Trust Agreement. 

“Permitted Merger” means the merger between Auna Colombia and PMLA in a transaction where PMLA would be the surviving entity.

 “Guaranties” are the guaranties contained in the following documents: 

 

	 	(i)	 the Bond Agreements; 

 

	 	(ii)	 the Colombia Bond Agreement; 

 

	 	(iii)	 the NY Bond Agreements; 

 

	 	(iv)	 the Asset Trust Agreement; 

 

	 	(v)	 the Monetary Receivables Trust Agreement; 

 

	 	(vi)	 the Mortgage Agreement; 

 

	 	(vii)	 the Mortgage Agreement for Additional Properties; and 

 

	 	(viii)	 the Stock Guaranty Contract. 

  
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 “Mortgage Guarantors” are Laboratorio Clínica Inmunologico Cantella
S.A.C., GSP Trujillo S.A.C., Medic Ser S.A.C., Oncocenter Peru S.A.C., Servimédicos S.A.C., Clínica Bellavista S.A.C., Clínica Miraflores S.A. and Inversiones Mercurio S.A. 

“Net Financial Expenses” means, for any period, consolidated for Auna and its Subsidiaries, the sum of (a) all related
interest, premium payments, discounts for debts, fees, charges and expenses for Auna and its Subsidiaries in relation to loans obtained (including capitalized interest), indirect credits (including bond letters, letters of credit and endorsements),
and other financial products, and/or in relation to the payment for the deferred price of the asset purchase, in each case to the extent that said items are treated as financial expenses under the IFRS and (b) the portion of rent expenses for
Auna and its Subsidiaries during said period under financial lease that, pursuant to IFRS, are treated as financial expenses, less (c) financial income, according to the corresponding financial statements. 

“GSP” is GSP Holding S.A.C. 

“IGV” is the General Sales Tax and the Municipal Promotion Tax, regulated by the Law on General Income Tax and Selective
Consumption Tax, the Consolidated Text of which was approved by Supreme Decree No. 055-99-EF and its implementing regulations, as well as their modifying standards and
those that replace them. 
 “Consolidated Leverage Index” means, for any date of measurement, the quotient from dividing
(a) Net Consolidated Financial Debt as of said debt, by (b) Consolidated EBITDA for the Measurement Period ending on said date (and if said date is not the last day in a fiscal quarter for Auna, the Measurement Period ending on the fiscal
quarter for Auna that is one closest to said date). 
 “Consolidated Coverage Index for Debt Servicing” means, on any
calculation date, the quotient from dividing (a) Consolidated EBITDA for the Measurement Period ending on said date (and if said date is not the last day in a fiscal quarter for Auna, the Measurement Period ending on the fiscal quarter for the
Borrower that is closest to said date) (for purposes of this definition, the “reference period”) by (b) the sum of (i) Net Financial Expenses for the Measurement Period or the reference period ((x) plus the financial income
according to the corresponding financial statements, less (y) for debt refinancing, the amount resulting from reinvesting the deferment of fees and expenses that were incurred to obtain the debt that is being refinanced, and less (z) the
fees associated with the indirect credits (including bond letters, letters of credit and endorsements) and other financial products), as applicable, plus (ii) the Consolidated Installments for the 12 months following the date of quarterly
measurement. 

  
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 “Intercreditor Agreement” is the Intercreditor and Collateral Agency
Agreement entered on the Closing Date between Auna Colombia, the Administrative Agent, the NY Administrative Agent, the Guarantors, the Borrower and the Peruvian Guaranties Agent. 

“Income Tax” is the income tax regulated by the Consolidated Text of the Income Tax Law, approved by Supreme Decree No. 179-2004-EF, and its implementing regulations, as well as their modifying standards and those that replace them. 

“Delgado Clinic Property” is the property located at Avenida Angamos Oeste No. 490, El Fundo Surquillo Subdivision,
district of Miraflores, province and department of Lima, recorded as Electronic Record No. 11655944 of the Registry of Real Property of the Registry Office of Lima and Callao, on which the Delgado Clinic operates and with respect to which La
Fiduciaria holds possession in trust to the Surface Rights under the Asset Trust. 
 “Properties [sic] in
Reorganization” is the property located at Av. Alfredo Benavides No. 2525, Tulipanes Subdivision, Miraflores, recorded as Electronic Record No. 41339810 on the tax Map Registry of the Registry of Real Property – Registry Zone
IX – Lima Headquarters, Lima Registry Office. 
 “Applicable Laws” are the laws, legal standards, regulations or
decrees in the Republic of Peru, the Republic of Colombia and/or any jurisdiction that may be applicable to the Borrower, the Guarantors and the Mortgage Guarantors or the activities that they develop, which are in force as of the signature date of
this Comprehensive Amendment, as they may be modified, replaced or interpreted in the future by Governmental Authorities with jurisdiction. 

“Anti-Corruption Laws” means all laws, standards, regulations and requirements of the United States of America, Colombia and
Peru to which the Borrower and the Guarantors are subject, which address matters concerning or related to bribery or corruption, including but not limited to the Foreign Corrupt Practices Act (FCPA), laws 1474 of 2011 and 1778 of 2016 of Colombia;
External Circular 100-000003 of July 26, 2016, issued by the Superintendence of Companies in Colombia), the sections of the Colombian Penal Code referring to anti-corruption, any circular approved by the
Financial Superintendence of Colombia referring to anti-corruption practices, and articles 397, 397-A and 398 of Title XVIII, Chapter II, Section IV of the Peruvian Civil Code, approved by Legislative Decree
No. 16,385; Law No. 30,424 (as it has been modified by Legislative Decree No. 1352 and Law No. 30,835) and Legislative Decree No. 1385 (Legislative Decree whereby articles 241-A and 241-B sanctioning corruption acts among private parties are incorporated to the Penal Code). 

  
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 “Anti-Laundering Laws” means all laws, standards, regulations and
requirements of the United State of America, Colombia and Peru to which the Borrower and Guarantors are subject, which address matters concerning or related to asset laundering and the financing of terrorism, including but not limited to the
Currency and Financial Transactions Reporting Act of 1970, as was modified by Title III of the USA [sic: US] Patriot Act, the Money Laundering Control Act of 1986, another piece legislation whose legislative framework is commonly known in the
United States as the “Bank Secrety [sic: Secrecy] Act”; Colombian Law 599 of 2000 (Colombian Penal Code), Law 1121 of 2006 of Colombia, and regulations issued by the Peruvian Superintendence of Banking, Insurance and Private Pension
Fund Administrators and the Peruvian Superintendence of the Securities Market referring or related to the financing of terrorism or asset laundering, and all regulations and norms that implement these laws, as they may be modified over time. 

“General Law” is the General Law on the Financial System and the Insurance System, and the Organic Law on the Superintendence
of Banking and Insurance and AFP (Administradoras de Fondos de Pensiones [Pension Fund Administrators]) enacted by Law No. 26,702, and its modifying standards or those that may replace it. 

“Medic Ser” is Medic Ser S.A.C. 

“Loan Amount” is the amount of PEN 185,000,000.00 (one hundred eighty-five million and 00/100 Soles). 

“IFRS” are the International Financial Reporting Standards in force internationally, issued by the International Accounting
Standards Board (IASB). 
 “New Disbursement” is the new disbursement made in favor of the Borrower under this
Comprehensive Amendment, with a total amount of PEN 57,812,500.00 (fifty-seven million eight hundred twelve thousand five hundred and 00/100 Soles). 

“Financial Leasing Obligation” means, with respect to any person, the amount of capital corresponding to the obligation of
said Person to pay rent or other amounts under any lease (or other models that grant the right to use) for movable or immovable properties, or a combination of both, which require being classified and accounted for as financial leases on the general
balance sheet of said Person pursuant to IFRS. 
 “Synthetic Leasing Obligation” means the obligation of a Person to make
payments under (a) a synthetic lease, an off-balance sheet or tax retention lease, or (b) an agreement for the use and possession of property that creates obligations that do not appear on the
general balance sheet for said Person but that, in a scenario of said Person in insolvency or bankruptcy, will be characterized as liabilities for said Person (regardless of treatment for accounting purposes). 

  
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 “Secured Obligations” are those obligations covered under the definition
for “Secured Obligations” as established in the Intercreditor Agreement. 
 “Promissory Notes and Endorsements”
are the two (2) incomplete securities, pursuant to article 10 of Law No. 27,287 – Law on Securities, to be signed and issued by the Borrower in favor of the Bank, endorsed by Medic Ser and Oncocenter Peru S.A.C. and delivered to the
Bank on the Closing Date as established in clause 2.3 of this Comprehensive Amendment. The Promissory Notes and Endorsements, as well as the Completion Agreements, will be prepared according to the forms contained in Annex C-1 and Annex C-2, respectively, to this Comprehensive Amendment. 

“Parties” means the Creditor Banks and the Borrower, as well as the Persons that validly acquire the contractual position for
one of them. 
 “Measurement Period” means, with respect to any fiscal quarter of the Borrower, said fiscal quarter and the
three fiscal quarters immediately prior to it, considered as a single accounting period. 
 “GAAP” are the generally
accepted accounting principles in Peru, which correspond to the IFRS approved by the National Public Bookkeeping Office through resolutions issued by the Accounting Oversight Board. 

“Person” is any natural or legal entity, association in law or in practice, trust, Legal Entity, Governmental Authority or
similar. 
 “Indemnifiable Person” is, with respect to Creditor Banks and/or their successors or authorized Assignees, any
of their Affiliates and/or linked parties, as well as their respective officers, directors, employees, representatives and agents. 

“Availability Period” is the period of fifteen (15) calendar days counted from the Closing Date during which the
Borrower may request the New Disbursement and restructuring of the Existing Facility from the Bank, according to the terms of this Comprehensive Amendment. 

“Interest Period” means the periods of three (3) months counted from the Disbursement Date (including the Disbursement
Date) during which compensatory interest will be calculated and paid on the outstanding Loan Amount. 
 “Loan Term” is the
period of five (5) years counted from the Disbursement Date. 

  
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 “PMLA” is Promotora Médica Las Américas S.A., a company
incorporated pursuant to the laws of the Republic of Colombia. 
 “Loan” means the financing to be granted by the Bank to
the Borrower, pursuant to this Comprehensive Amendment, up to the Loan Amount. 
 “International Loan” means the financing
to be granted under the International Loan Documents. 
 “Borrower” is Oncosalud S.A.C. 

“PPP Project” means the public-private association between Consorcio Trecca S.A.C. and Social Health Insurance – EsSalud
for the establishment, development, construction and administration of the Trecca Tower. 
 “Permitted Refinancing” means,
with respect to the indebtedness (as the term “Indebtedness” is defined in the International Credit Agreement) of any Person, any modification, refinancing, restructuring, renewal or extension of said indebtedness; as long as (a) the
principal amount does not exceed the total (i) principal pending payment for the indebtedness that is being modified, refinanced, restructured, renewed or extended, plus (ii) early payoff fees and common and reasonable fees incurred
because of said modification, refinancing, restructuring, renewal or extension, (b) said modification, refinancing, restructuring, renewal or extension has (i) a final payment date equal to or greater than the final payment date of the
indebtedness that is being modified, refinanced, restructured, renewed or extended, and (ii) the average term until repayment (as the term “Weighted Average Life to Maturity” is defined in the International Credit Agreement) is equal
to or greater than the nearest average term until repayment of the indebtedness that is being modified, refinanced, restructured, renewed or extended; (c) the direct and contingent obligations of obliges under said indebtedness do not change as
a result of or in connection with said modification, refinancing, restructuring, renewal or extension, (d) if the indebtedness that is being modified, refinanced, restructured, renewed or extended is subordinate to the Secured Obligations or is
secured by Guaranties with a status inferior to those created in the Loan Documents, said modification, refinancing, restructuring, renewal or extension is in at least equally beneficial terms for the Secured Creditors as the terms included in the
documents that regulate the indebtedness being modified, refinanced, restructured, renewed or extended, and (e) at the time of said modification, refinancing, restructuring, renewal or extension there has not been any Non-Compliance Event. 
 “Soles” or “PEN” is the legal tender in the
Republic of Peru. 

  
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 “Disbursement Request” is the document that the Borrower must send to the
Bank requesting the New Disbursement and the entry into force of the restructuring of the Existing Facility, pursuant to Annex D to this Comprehensive Amendment. 

“Subsidiary,” with respect to a legal entity, is (i) any legal entity that owns the stock representing its equity
or shares in full or at a percentage greater than 50% (fifty percent), either directly or through another Subsidiary; and (ii) any legal entity on which it exercises Control, as well as its Subsidiaries. 

“Compensatory Interest Rate” is the fixed annual interest rate in Soles equivalent to eight percent (8.00%) calculated on the
Loan Amount over one year of three hundred sixty (360) days. 
 “Default Interest Rate” is the annual interest rate of
two percent (2.00%) that will be automatically applied in addition to the Compensatory Interest Rate, for the occurrence of any Non-Compliance Event and as long as it continues. 

“Third Parties” means, for the purposes of Clause 5.2 to this Comprehensive Amendment, those natural or legal entities that
are not the Borrower or Guarantors. 
 “Taxes” are all those taxes, rates, contributions and provisions (qualifying as
taxes under Applicable Laws), as well as all potential deductions and/or withholdings in the present or future for such items, as well as any liability related to such items. 

“Net Consolidated Profit” means, for any period, consolidated for Auna and its Subsidiaries, the net profit (or loss) for
Auna and its Subsidiaries over said period, pursuant to IFRS. 
 CLAUSE 1.2. Interpretation. Except when expressly indicated
otherwise or when the context so requires, the following rules must be observed in the interpretation of this Comprehensive Amendment: 
  

	(a)	 The singular form includes the plural and vice versa; 

 

	(b)	 Reference to either gender includes the other; 

 

	(c)	 Reference to any contract (including this Comprehensive Amendment and its Annexes), document or instrument is
understood as made to such contract, document or instrument as it may be modified or regulated over time according to the terms contained in each one and, when applicable, according to the terms contained in this Comprehensive Amendment;

  
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	(d)	 Except when the context demands an interpretation to the contrary, reference to any clause, number, letter,
section or annex means that clause, number, letter, section or annex for this Comprehensive Amendment. References in this Comprehensive Amendment to a clause include all numbers, letters, paragraphs and sections within said clause, and references to
a number include all paragraphs and letters within it; 

  

	(e)	 “Including” (and, consequently, “includes,” “included” or “inclusive”)
means that it covers whatever is indicated next, without being limited to the general nature of the description preceding the use of said term; 

  

	(f)	 Any reference to “Party” or “Parties” in this Comprehensive Amendment must be understood as
made to a party or the parties in this Comprehensive Amendment, as the case may be; 

  

	(g)	 Any enumeration or list of items where there is a disjunctive “or” conjunction covers one, some or
all elements of the enumeration or list; and any enumeration or list of items where there is a copulative “and” conjunction includes each and every element of such enumeration or list; 

 

	(h)	 The headings and titles for each clause, number, section or letter used in this Comprehensive Amendment and in
the other Loan Documents are solely for reference and will not define or limit the content of the same; 

  

	(i)	 All provisions in this Comprehensive Amendment and the other Loan Documents must be interpreted such that they
are effective and valid under Applicable Laws, but if any part or all of any provision in this Comprehensive Amendment or the other Loan Documents were to be prohibited or invalidated under the Applicable Laws, the affected provision will only be
invalid as it relates to said prohibition or invalidity, without voiding the rest of said provision or the remaining provisions in this Comprehensive Amendment or the other Loan Documents; 

 

	(j)	 This Comprehensive Amendment should be interpreted pursuant to the standards and principles for interpretation
contained in the Applicable Laws, considering that it is the will of the Parties that in no case shall the application of such interpretation rules be able to limit, in any way, the rights granted to the Creditor Banks or the Borrower, as
applicable, in the Comprehensive Amendment; 

  

	(k)	 In all of the situations contained in this Comprehensive Amendment where reference is made to the consent of
the Creditor Bans or the Administrative Agent, except when stipulated otherwise, it is clearly established that the same could be granted at their sole discretion, without their approval to grant, or denial, entailing any type of liability for any
of them, except in cases of fraud or serious fault, as is declared by an unappealable sentence in the last instance. 

  
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	(l)	 In the unlikely case of an apparent contradiction between the provisions referring to one and the same matter
in the Loan Documents, the interpretation that allows for both provisions to subsist will reasonably be sought, provided that, in addition to being reasonable, said interpretation preserves the practical effects desired by the Parties and routine
for an operation of this type, and said interpretation may not, in any case, restrict the rights of one of the Parties. 

  

	(m)	 In an unlikely situation of an impassable contradiction between the provisions referring to one and the same
matter in the Loan Documents, the provisions of the Comprehensive Amendment will prevail. 

 CLAUSE 1.3. Background
Information. By means of a public instrument dated June 30, 2016, granted before Notary Public of Lima Dr. Alfredo Paino Scarpati, the Bank and the Borrower signed the Credit Agreement under which the Bank granted a facility
to the Borrower in the amount of PEN 185,000,000.00 (one hundred eighty-five million and 00/100 Soles). 
 It is the intention of the Parties to sign
this comprehensive amendment to the Credit Agreement for purposes of setting forth the terms and conditions agreed upon for the restructuring of the outstanding principal under the Credit Agreement and to make the New Disbursement to the Borrower.

 SECOND SECTION 
 ON
THE LOAN 
 CLAUSE 2.1. Purpose and general conditions. Subject to the terms and conditions contained in this Comprehensive
Amendment, the Creditor Banks, accepting the request made by the Borrower, agree to: 
  

	 	(i)	 Restructure the outstanding principal balance corresponding to the Existing Facility, in the amount of PEN
127,187,500.00 (one hundred twenty-seven million one hundred eighty-seven thousand five hundred and 00/100 Soles), which will take place on the Effective Date; and, 

 

	 	(ii)	 Make the New Disbursement to the Borrower in the amount of PEN 57,812,500.00 (fifty-seven million eight hundred
twelve thousand five hundred and 00/100 Soles) on the Disbursement Date. The Borrower is obligated to allocate said sum to the restructuring of short-term debts and for general corporate uses within the course of business for activities in Peru.

  
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 In this way, after the Disbursement Date and the Effective Date, which will occur on the same day, the total
amount of the Loan issued in favor of the Borrower will be the Loan Amount. 
 The Borrower declares that it knows that the portion of outstanding principal
under the Credit Agreement was financed by the Bank with Cofide resources, under the Cofide Channeling Contract. The Parties acknowledge that Cofide holds the same share in the portion of the Loan that is the subject of restructuring under the Loan
regulated in this Comprehensive Amendment, with the New Disbursement being fully made by the Bank with its own resources. The Bank and Cofide have signed an amendment to the Cofide Channeling Contract for purposes of aligning installment payments
and other terms in said document to those established in this Comprehensive Amendment. The Borrower is obligated to collaborate with the Bank and with Cofide as is reasonably necessary to make the referenced operation viable and perfect, and for
adequate protection of the rights of Cofide under the Cofide Channeling Contract, as long as it does not harm the Borrower, and for adequate protection of the rights of Cofide under the Cofide Channeling Contract. 

The Loan is granted for a term of five (5) years counted from the Disbursement Date. 

The Borrower is obligated to amortize the principal and pay compensatory interest and, if applicable, default interest, expenses, fees and Taxes that this may
generate under the terms and conditions established in this Comprehensive Amendment. 
 CLAUSE 2.2. Disbursements and Restructuring the
Existing Facility. The New Disbursement for the Loan will be made in one single disbursement on the Disbursement Date, and the restructuring of the Existing Facility will occur automatically on the Effective Date; for which the
Borrower must comply with the conditions set for disbursement established in Clause 3.2 of this Comprehensive Amendment, which will be verified by the Administrative Agent, including delivery of the Disbursement Request to the Administrative Agent.

 The Parties certify that the Disbursement Request will be irrevocable and binding for the Borrower. In such sense, the Borrower will indemnify the Bank
for any damages that execution of any change made by the Borrower in the instructions given in the Disbursement Request may cause it, except when derived from inexcusable fraud or fault of the Bank. 

CLAUSE 2.3. Promissory Notes and Endorsements. The promissory notes signed on June 30, 2016, will be returned to the Borrower
within five (5) Business Days following the Closing Date and will be understood as replaced by new promissory notes as established in this clause. The obligations derived from the Loan granted under this Comprehensive Amendment will be executed
by the Borrower issuing two (2) Promissory Notes and Endorsements, which will be delivered to the Bank with blank maturity dates and amounts. 

  
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 Said Promissory Notes and Endorsements will be completed by the Creditor Banks according to the following
rules and pursuant to the respective Completion Agreements that will be signed on the Closing Date: 
  

	(a)	 The Borrower will issue two (2) blank promissory notes in favor of the Bank, pursuant to article 10 of Law
No. 27,287, Law on Securities, and will sign the Completion Agreement for each one according to the templates contained in Annex C to this Comprehensive Amendment. 

 

	(b)	 Compliance with the obligations that each promissory note represents will be fully backed by the endorsement
from the Guarantors, in adherence with articles 56 and 59 of Law No. 27,287, Law on Securities. 

  

	(c)	 The Promissory Notes and Endorsements will be issued with a “no protest” clause. Notwithstanding the
same, the holder may protest them, with the Borrower assuming all expenses for said process. 

  

	(d)	 The issue date of the Promissory Notes and Endorsements will be the Closing date. the Bank will add the date
the maturity for the Promissory Notes and Endorsements as the declared expiration date of the terms referenced in point g) below. 

  

	(e)	 On the Closing Date, the Borrower will deliver a copy of each Promissory Note and Endorsement, and the signed
Completion Agreements, to the Bank. 

  

	(f)	 The Borrower authorizes the Bank and any successor or Authorized Assignee to complete each of the Promissory
Notes and Endorsements as set forth in the Completion Agreements and, additionally, in SBS (Superintendencia de Banca, Seguros y AFP [Superintendence of Banking, Insurance and AFPs]) Circular No.
G-0090-2001, or the standards that may replace it, and in the Law on Securities, in the situation that the Administrative Agent, if applicable due to a Non-Compliance
Event having been configured and declared, declares all terms covered in the Comprehensive Amendment expired pursuant to Clause 6.2. When the Creditor Banks make partial assignments of rights, contractual provision or the other acts set forth in
Clause 7.1, the Borrower is obligated to issue new blank promissory notes (endorsed by the guarantors) and sign the corresponding completion agreements within the five (5) Business Days following the request made by the Administrative Agent,
using the forms in Annex C, so that they can be delivered to the respective Authorized Assignees by the Creditor Banks, who will be authorized to complete said promissory notes as established herein. 

 

	(g)	 The amounts of the Promissory Notes and Endorsements will be completed by the Creditor Banks with the total
amount documented in the debtor settlement balance, described in Clause 6.2., which will correspond to the total amount of obligations derived from 

  
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 the Comprehensive Amendment and the other Loan Documents that the Borrower owes to the
Creditor Banks under the Comprehensive Amendment on the date the Administrative [Agent] declares all terms covered in the Comprehensive Amendment terminated after a Non-Compliance Event has been configured and
declared. The settlement mentioned will cover the amount of principal, compensatory interest, default interest, all fees owed under the Comprehensive Amendment and any other expense or amount that the Borrower owes to the Creditor Banks under the
Comprehensive Amendment and all other Loan Documents. The maturity dates for the Promissory Notes and Endorsements that the Creditor Banks must complete on each of the Promissory Note and Endorsements will be the date that the Administrative Agent
terminates all of the terms in the Comprehensive Amendment. 
  

	(h)	 The Borrower agrees that after the maturity date on each Promissory Note and Endorsement, until effective
payment, the amount listed on the same will accrue compensatory interest and default interest at the rates agreed upon and the amounts established in this Comprehensive Amendment. Default will not be necessary for payment of default interest; this
will be automatic. 

  

	(i)	 The Promissory Notes and Endorsements may be transferred when the contractual position is assigned or rights
are assigned in adherence with Clause 7.1 of this Comprehensive Amendment, with the Borrower waiving the right to add any clause that prevents or limits the negotiation of the Promissory Notes or Endorsements. 

 

	(j)	 The Borrower accepts and considers all renewals and/or full and partial extensions noted in the respective
Promissory Notes and Endorsements as valid, even when they are not signed by the same. The Creditor Bank will communicate to the Borrower as to the renewals and/or extensions that are made to each Promissory Note and Endorsement.

 The issuance, renewal or other accessory change for the Promissory Notes and Endorsements under the terms of this clause, including
their substitution or replacement with other similar documents, pursuant to article 1279 of the Civil Code, will not entail the novation or suspension of obligations undertaken by the Borrower with the Creditor Banks, or modification of any of the
terms under which they were agreed. 
 The Parties, in use of the authority granted to them in article 1233 of the Civil Code, expressly agree that the
delivery or issuance of Promissory Notes and endorsements, or any other security that establishes an order or promise to pay, shall in no case extinguish the primitive obligation, even when they may have been injured in any case, which establishes a
pact contradicting the provisions of article 1233 of the Civil Code. 

  
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 CLAUSE 2.4. Amortization of principal. The amortization of the Loan principal
will be made through payment of twenty (20) quarterly installments and a balloon payment, according to the Payment Schedule, which (along with the final schedule that will be delivered on the Disbursement Date), forms an integral part of this
Comprehensive Amendment. The Loan principal will be amortized at the following percentages: (i) ten percent (10%) for the first four (4) quarterly installments; (ii) twelve percent (12%) for the next twelve (12) quarterly
installments, amortizing a total of thirty-six percent (26%) over said period of three (3) years; (iii) fourteen percent (14%) for the next four (4) quarterly installments; and (iv) a final
balloon payment equivalent to 40% of the principal amount of the Loan, which will be paid in the final installment. All payments that the Borrower must make to the Creditor Banks under this Comprehensive Amendment will be made in Soles and with
funds having immediate availability on each payment Date, for which reason the Borrower will make sufficient funds available to the Administrative Agent to fully complete the payment for each installment, so that it can distribute this to the
Creditor Banks, pro-rated at their respective shares in the Loan principal. 
 Notwithstanding the provisions of
Clause 7.5 below, if the funds indicated below are not sufficient to cover the outstanding obligations, the Administrative Agent will communicate said fact to the Creditor Banks and proceed to distribute the available funds among them, pro-rated at their respective shares in the Loan principal. 
 Notwithstanding the foregoing, each Creditor Bank will have
the right to charge any of the accounts the Borrower holds or may hold with the respective Creditor Bank, in any currency, as well as withhold and apply any sum, deposit or value of any nature that the Creditor Bank may have in its possession for
any reason, and which is destined to be credited or delivered to the borrower, and apply it to the amortization or cancellation of Borrower obligations with said Creditor Bank. Creditor Banks do not assume any liability should they decide to use the
authority granted to them in this clause or not. In these cases, the Creditor Bank that has applied the referenced funds to payment of obligations that the Borrower maintains with it must compensate all other Creditor Banks proportionally, such that
the outstanding balances with the Creditor Banks maintain their respective shares in the Loan principal. 
 Should the Creditor Bank directly receive any
payment for the Loan from the Borrower, it must inform said fact to the Administrative Agent and all other Creditor Banks and it will transfer—no later than the third Business Day after having received said payment—the full amount received
to the Administrative Agent, so that it can proceed to apply and distribute said funds as established in this Clause. 

  
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 For the purposes of applying any of the funds that the Administrative Agent and/or the Creditor Banks may
receive (except pre-payments made under Clause 2.7), these will be applied in the following order: (i) reimbursement for outstanding expenses owed by the Borrower to Creditor Banks pursuant to the Loan
Documents, (ii) payment for the fees established in the Comprehensive Amendment and the other Loan Documents, (iii) payment for default interest that the Loan may have accrued under the Comprehensive Amendment, with said payment being
distributed among each Creditor Bank according to their respective shares in the Loan principal, (iv) payment for all compensatory interest that the Loan has accrued under the Comprehensive Amendment, with said payment being distributed among
each Creditor Bank according to their respective shares in the Loan Principal, and (v) payment for the Loan principal, with said payment being distributed among each Creditor Bank according to their respective shares in the Loan principal. 

CLAUSE 2.5. Compensatory interest. The Loan will accrue, starting on the Disbursement Date, compensatory interest at the
Compensatory Interest Rate, which will be calculated for each Interest Period on the principal owed to Creditor Banks. The compensatory interest will be in addition to any reimbursement for expenses, fees, services or Taxes that may arise. 

The compensatory interest and other expenses, fees, services and Taxes that may arise will be paid by the Borrower on the Payment dates. To calculate the
compensatory interest payable, three hundred sixty (360) calendar days will be used as the basis for the year, and the number of days actually transpired, including the first day but excluding the last of the respective Interest Period, will be
considered. The determination made by the Administrative Agent about any outstanding amount under this Comprehensive Amendment, including interest accrued, will be considered conclusive and mandatory for all purposes, except when made in error. 

CLAUSE 2.6. Default interest. Non-compliance by the Borrower in the payment of the Loan,
either for amortization of principal or payment of compensatory interest, or any other amount that accrues as enforceable pursuant to the Loan documents on the dates of their respective maturities or the date that they become enforceable for any
other reason, will generate the obligation of the Borrower to pay, in addition to the compensatory interest, default interest at the Default Interest Rate. The default interest will be in addition to any payment or reimbursement for expenses, fees,
services or Taxes that may arise. 
 For purposes of the above paragraph, and pursuant to the provisions of item 1 of Article 1333 of the Civil Code, the
Borrower will incur in automatic default without the need for any requirement or warning. 

  
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 CLAUSE 2.7. Early payments. The Borrower has the right to make early payments on
the outstanding Loan balance either in full or in part, with the subsequent settlement of interest on the prepayment date. To such end, the Borrower must necessarily meet the following conditions: 

 

	(a)	 If the Borrower has the intention to prepay the Loan, in part or in full, it must send written notice to the
Administrative Agent no less than three (3) Business Days in advance of the effective prepayment date, communicating its intention to prepay. 

  

	(b)	 Prepayments may be made on any date and for a minimum amount of PEN 2,000,000.00 (two million and 00/100
Soles), or for amounts that exceed said amount in a full multiple of the same, or for the total outstanding amount. 

  

	(c)	 The prepayment may be made on any ate. In such case, the Creditor Banks must inform the Borrower in advance, no
less than two (2) Business Days prior to the date the prepayment will be made, as informed by the Borrower, all exit costs, if applicable, that the prepayment to be made could generate, duly supported, which must be assumed by the Borrower on
the date prepayment of the Loan is made. 

  

	(d)	 It is established that in any case where the Borrower makes a Loan prepayment, it must pay the Administrative
Agent the Early Payoff Fee corresponding to the prepayment made, which will be charged on the corresponding prepayment date and distributed by the Administrative Agent among the Creditor Banks according to their respective shares in the Loan
principal. 

 The Early Payoff Fee will not apply if (i) [sic] the amount to prepay originates from financing or
issuing capital on the market which the Bank and Cofide (or any of their respective Affiliates have had a role in restructuring, listing or any other similar role). 

If payment of the Early Payoff Fee is required and there is a Creditor Bank other than the Bank, the Borrower must pay the Early Payoff Fee
directly to said Creditor Bank proportionally to their share in the Loan. 
 Early payments will be applied by the Administrative Agent to reduce the
outstanding principal and they must include the corresponding compensatory interest accrued on the amount to prepay, until the corresponding prepayment date. Early payments will be applied proportionally to all outstanding Loan installments. Early
payments should not be understood as acts that exempt or release the Borrower from compliance with all other obligations undertaken pursuant to the Loan Documents, except in the case of full prepayment. 

  
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 The Lender [sic: Borrower] may make voluntary early payments, in full [or] in part, on the outstanding
amounts under the Credit Agreement without having to make pro-rated payments under the International Credit Agreement, and it may make voluntary early payments under the International Credit Agreement without
having to make pro-rated payments under this Credit Agreement, as long as a Non-Compliance Event has not been produced or maintained. 

CLAUSE 2.8. Guaranties. As a guarantee of compliance with the Secured Obligations, the Borrower and the Guarantors, as applicable,
have established or will constitute the Guaranties, pursuant to the Loan Documents and the International Credit Documents. 
 The Borrower will assume the
cost of perfecting and recording the registerable Guaranties and/or their modifications, as applicable. 
 CLAUSE 2.9. Fees. The
Borrower agrees to pay the Amendment Fee to the Creditor Banks on the Disbursement Date. If IGV is charged for said fee pursuant to the Applicable Laws, the Borrower is obligated to pay the corresponding IGV in addition to the fee. 

THIRD SECTION 

CONDITIONS RELATED TO CLOSING AND DISBURSEMENT 

CLAUSE 3.1. Conditions set for closing. The following are the conditions set for the Closing Date of this Comprehensive Amendment,
compliance with which will be verified by the Administrative Agent: 
  

	(a)	 Due Diligence: The Creditor Banks, at their sole discretion, agree with the results of the
(i) updated legal due diligence dated June 30, 2016, made for the Borrower, Medic Ser, Oncocenter Perú S.A.C., Auna and GSP Holding S.A.C.; (ii) due diligence carried out on the properties for which the mortgage will be established
under the Mortgage Agreement for Additional Properties; and (iii) due diligence carried out with respect to PMLA and Auna Colombia. 

  

	(b)	 Credit Approval: The necessary internal credit approval has been obtained from the Bank to grant the
Loan. Also, the Creditor Banks have satisfactorily completed the “Know your customer” process and the Borrower has remitted the information that the Bank has requested for such purpose in a timely manner. 

  
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	(c)	 Signature of Contracts: That the Loan Documents (except for the Stock Guaranty Agreement and the
Colombia Bond Agreement) and the International Loan Documents that are to be signed prior to or on the Closing Date have been signed by all parties that must sign them, at the same time of signing this Comprehensive Amendment. 

 

	(d)	 Cofide Approval: COFIDE has obtained the necessary corporate authorizations to allow it to continue
maintaining its share in the Loan and it has signed an amendment to the Cofide Channeling Contract for purposes of aligning the installment payments and other terms of said document to those established in the Comprehensive Amendment.

  

	(e)	 Delivery of Promissory Notes and Endorsements: The Borrower has delivered the two (2) Promissory
Noes and Endorsements to the Bank, and a copy signed by the Borrower of the Completion Agreement corresponding to each Promissory Note and Endorsement, pursuant to Clause 2.3 of the Comprehensive Amendment. 

 

	(f)	 Delivery of Documents: The Borrower has delivered the following documents to the Administrative Agent:

  

	 	(i)	 Copy of the current bylaws for the Borrower and the Guarantors. 

 

	 	(ii)	 Copies of the minutes documenting the agreements of the General Meetings of Shareholders for the Borrower,
Medic Ser, Oncocenter Perú S.A.C. and GSP Holding S.A.C., wherein they approve, according to their respective shares: (a) the restructuring of the Existing Facility and granting the Loan; (b) the signature of the Loan Documents; and
(c) conveyance of sufficient powers to sign all documents and enforce all minutes referenced in items (a) and (b) above. 

  

	 	(iii)	 Copies of the minutes documenting the agreements of the General Meetings of Shareholders for the Mortgage
Guarantors if the mortgage is granted, representing fifty percent (50%) or more of the equity of the respective Mortgage Guarantor. 

  

	 	(iv)	 Certificates of powers issued by the registry offices with jurisdiction within thirty (30) days prior to
the Closing Date, showing that the representatives who will sign the Loan Documents in representation of the Borrower, GSP and the Mortgage Guarantors have current and sufficient powers to sign said documents and to bind the companies that granted
them said powers with validity. 

  

	 	(v)	 A copy of the following: (i) Financial Statements, (ii) consolidated financial statements for PMLA
ended at December 31, 2015, December 31, 2016, and December 31, 2017, and (iii) consolidated quarterly statements as at September 30, 2018 for PMLA [and] its Subsidiaries, for the nine-month period ended on said date and for the
comparable period for the previous fiscal year, for PMLA and its Subsidiaries. 

  
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	 	(vi)	 Legal opinion from the Rodrigo, Elías & Medrano Firm, in its capacity as external legal counsel
for the Borrower, as to the celebration, validity and enforceability of the Loan Documents subject to the laws of the Republic of Peru. 

  

	 	(vii)	 Legal opinion from the Payet, Rey, Cauvi, Peréz Abogados Firm, in its capacity as external legal counsel
for the Bank and the Administrative Agent, as to the celebration, validity and enforceability of the Loan Documents subject to the laws of the Republic of Peru. 

 

	 	(viii)	 Legal opinion from the Gómez Pinzón Abogados Firm, in its capacity as external legal counsel for
the Secured Creditors, as to the celebration, validity and enforceability of the International Loan Documents subject to the laws of the Republic of Colombia and the Colombian Bond Agreement. 

 

	 	(ix)	 Legal opinion from the Skadden, Arps, Siate, Meagher & Flom Firm, in its capacity as external legal
counsel for the Secured Creditors, as to the celebration, validity and enforceability of the International Loan Documents subject to the laws of the State of New York, United States of America, and the NY Bond Agreement. 

 

	(g)	 Taxes and Expenses: All expenses and Taxes originating with signing this Comprehensive Amendment, except
those that are to be paid on the Disbursement Date, have been paid. 

  

	(h)	 Non-Existence of a Substantial Adverse Effect: As of the Closing
Date, there is no Substantial Adverse Effect at the reasonable discretion of the Bank, which is confirmed upon signing this Comprehensive Amendment on the Closing Date. 

 

	(i)	 Non-Existence of a Substantial Adverse Event: As of the Closing
Date, there is no Substantial Adverse Event at the reasonable discretion of the Bank, which is confirmed upon signing this Comprehensive Amendment on the Closing Date. 

 

	(j)	 Non-Existence of Lawsuits: The Borrower and the Guarantors have
not been served with any suit, dispute or legal, arbitration or administrative proceeding in an amount exceeding PEN 10,000,000.00 (ten million and 00/100 Soles) or its equivalent in foreign currency, or where the adverse result would or could have
a Substantial Adverse Effect, except those described in Annex 3.1(j), which is confirmed upon signing this Comprehensive Amendment on the Closing Date. 

  
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	(k)	 Subordination Agreements. The current creditors of the Permitted Subordinate Debt have signed the
corresponding Subordination Agreements under the terms and conditions covered in Annex A to this Comprehensive Amendment. 

CLAUSE 3.2. Pre-existing conditions for the New Disbursement and restructuring of the Existing
Facility. The New Disbursement and the restructuring of the Existing Facility, as well as all commitments and obligations assumed or to be assumed by the Creditor Banks under the Loan in the terms set forth in the Comprehensive
Amendment are subject to compliance, in no less than three (3) Business Days prior to the disbursement date proposed in the Disbursement Request, with the following pre-existing conditions, to the
satisfaction of the Administrative Agent: 
  

	(a)	 Non-Occurrence of a
Non-Compliance Event: No event has occurred or been maintained that constitutes a Non-Compliance Event, and the signature of the Loan Documents do not generate any Non-Compliance Event, nor has any other event occurred that, with the sole act of having been notified or with the sole passage of time, or both, will constitute a
Non-Compliance Event. 

  

	(b)	 Compliance with Obligations: The Borrower is compliant with all obligations established in the
Comprehensive Amendment and all other Loan Documents that must be complied with prior to making the New Disbursement and the restructuring of the Existing Facility, and the Borrower has complied with paying the Bank, the Peruvian Guaranties Agent
and the Colombian Guaranties Agent all fees or other amounts that must be paid before the Disbursement Date. 

  

	(c)	 Non-Existence of Lawsuits: The Borrower and the Guarantors have
not been served with any suit, dispute or legal, arbitration or administrative proceeding in an amount exceeding PEN 10,000,000.00 (ten million and 00/100 Soles) or its equivalent in foreign currency, or where the adverse result would or could have
a Substantial Adverse Effect, except those described in Annex 3.1(j), which is confirmed upon signing this Comprehensive Amendment on the Closing Date. 

  

	(d)	 Effectiveness and Validity of Representations and Warranties: The Representations and Warranties, to the
extent they have been qualified by materiality or in reference to the existence of a Substantial Adverse Effect, remain effective and accurate pursuant to said qualification and, to the extent they have not been qualified, remain effective and
accurate, as well as on the Closing Date, except for any Declaration or Warrant expressly made with respect to a specific date, in which case said Declaration or Warrant will be accurate as of said date. 

  
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	(e)	 Disbursement Request. The Borrower has remitted the Disbursement request using the form included in
Annex D to this Comprehensive Amendment, and the Disbursement Date proposed is within the Availability Period, it being understood that compliance with the pre-existing conditions set forth in Clause
3.2 must be verified on or before the Disbursement Date. 

  

	(f)	 Opening the Disbursement Account: The Disbursement Account is open. 

 

	(g)	 Compliance with Conditions Set for Closing: At the satisfaction of the Administrative Agent, compliance
with the pre-existing conditions established in Clause 3.1., where applicable, is maintained. 

  

	(h)	 Guaranties. The records to register the Asset Trust Agreement, the Monetary Receivables Trust Agreement,
the Mortgage Agreement and the Mortgage Agreement for Additional Properties have been filed with the Public Registry of Lima (for real properties located in the province, to later be transferred to the corresponding Public Registry), with the
exception of the letters rogatory on the Properties in Reorganization and the Leasing Properties. 

  

	(i)	 The procedure for disbursement under the International Loan has initiated according to the disbursement
mechanism agreed upon in the International Loan Documents and no non-compliance event has occurred under the International Loan. 

The Parties agree that the Administrative Agent, acting under instruction from the Creditor Banks, has the right to determine compliance with the conditions
set for the New Disbursement and the restructuring of the Existing Facility. If the Administrative Agent, acting under instruction from the Creditor Banks, determines that any condition has not been met, the Creditor Banks will not have any
obligation or liability to the Borrower to make the New Disbursement or restructure the Existing Facility, a situation that the Borrower explicitly accepts. 

If, within thirty (30) calendar days following the Closing Date, all pre-existing conditions indicated in this
Clause 3.2 have not been met (or the Bank has not waived them), the Bank may unilaterally terminate the Comprehensive Amendment in full right under article 1430 of the Civil Code; or grant the Borrower a grace period to comply with said pre-existing conditions, at its sole discretion. 

  
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 FOURTH SECTION 

REPRESENTATIONS AND WARRANTIES OF THE BORROWER 

CLAUSE 4.1. Representations and Warranties of the Borrower. The Borrower represents and warrants to the Administrative Agent that
as of the Closing Date: 
  

	(a)	 Organization and Qualification: The Borrower, the Guarantors, Auna Colombia, GSP and the Mortgage
Guarantors are corporations established and existing under the Applicable Laws, and are authorized to own their assets and carry out their ordinary activities. 

 

	(b)	 Powers and Authorizations: The Borrower, the Guarantors, GSP and the Mortgage Guarantors hold and have
granted their representatives all powers and authorizations necessary to sign this Comprehensive Amendment and all other Loan Documents, as applicable, as well as to comply with the obligations assumed in said documents. The signature and execution
of this Comprehensive Amendment and all other Loan Documents by the Borrower, the Guarantors and the Mortgage Guarantors, as applicable, falls within their respective corporate authorities, and for the case of the Borrower, GSP [and] Medic Ser, they
have been specifically approved by the General Meetings of Shareholders for said companies. 

  

	(c)	 Enforceable Compliance and Valid Legal Act: This Comprehensive Amendment, the other Loan Documents and
obligations derived from the same constitute valid and legally enforceable and executable obligations pursuant to their terms with enforceable compliance for the Borrower, the Guarantors and the Mortgage Guarantors, as applicable, except that
(i) mortgage rights in rem generated under the Mortgage Agreement and the Mortgage Agreement for Additional Properties will be valid and enforceable once they are recorded in the corresponding public registries, (ii) the Asset Trust
Agreement and the Monetary Receivables Trust Agreement will take effect on the Disbursement Date and the Effective Date; and (iii) the Stock Guaranty Agreement may be contested by third parties once it is recorded by the Colombian Guaranties
Agent in the Colombia Securities Registry and the PMLA Shareholder Book). 

  

	(d)	 Authorizations: Except when expressly set forth in the Loan Documents and the International Loan
Documents, including recordation of the Stock Guaranty Agreement with the Colombia Securities Registry, recordation of the Stock Guaranty Agreement in the PMLA Shareholder Book, report on external indebtedness, and enforcement of guaranties by Auna
Colombia with the Central Bank for the Republic of Colombia (Banco de la República) and authorization from the Colombia Superintendence of Health related to the enforcement of 

  
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	 	the Guaranty granted under the Stock Guaranty Agreement, no authorization, approval, dispensation, waiver, exception and/or notice to any Person is required for proper celebration and compliance by the Borrower, the
Guarantors and the Mortgage Guarantors of the Loan Documents in which they participate, or for the assumption of obligations derived from the same. 

The Borrower and Guarantors have all legal and regulatory authorizations for the normal course of their activities. 

 

	(e)	 Non-Existence of Conflicts: The signature and execution of this
Comprehensive Amendment and all other Loan Documents by the Borrower, the Guarantors and the Mortgage Guarantors, does not conflict or create a situation of non-compliance with respect to (i) the
terms, conditions or stipulations of the corporate bylaws and other incorporation documents of the Borrower, the Guarantors and the Mortgage Guarantors, (ii) the Applicable Laws, or any ruling, award, resolution, legal order or decree
from any court or Governmental Authority, or (iii) any agreement, convention or contract in which the Borrower, the Guarantors or the Mortgage Guarantors are parties or are obligated; to the extent that said conflict or situation of non-compliance could reasonably result in a Substantial Adverse Effect or Non-Compliance Event. 

Likewise, there is no greater right, encumbrance, restriction, limitation and/or impediment of any type to in any way hinder, prohibit, limit
and/or restrict (i) the authorities and rights of the Borrower, the Guarantors or the Mortgage Guarantors in signing the Loan Documents they participate in, or (ii) the authorities and rights of the Bank derived from the Loan
Documents. 
  

	(f)	 Legal Situation: The Borrower, the Guarantors and the Mortgage Guarantors are not in any situation of non-compliance with Applicable Laws or any ruling, award, judicial or administrative mandate, or decree from any court or Governmental Authority where non-compliance would
generate a Substantial Adverse Effect. 

  

	(g)	 Contractual Position: The Borrower, the Guarantors and the Mortgage Guarantors are not in any situation
of non-compliance with any contract, convention or agreement in which they are a party or have intervened where non-compliance could reasonably generate a Substantial
Adverse Effect. 

  

	(h)	 Financial Statements: (a) the Financial Statements (i) were prepared in conformance with IFRS,
consistently applied during the covered period, except when indicated in the same; (ii) adequately represent, in all material aspects, the financial position of Auna, Medic Ser and Oncocenter Perú, S.A.C. and their respective
Subsidiaries as of the date of the same, and the outcomes of their operations for the period covered therein in conformance 

  
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 IFRS, consistently applied during the covered period, except as indicated in the same; and
(iii) substantially show all indebtedness of Auna and its Subsidiaries on the date of the same, including obligations for substantial taxes and substantial obligations, and (b) the unaudited consolidated general balance sheet for Auna,
Medic Ser and Oncocenter Perú S.A.C. and their respective Subsidiaries at September 30, 2018, and the consolidated profit/loss, cash flow and changes in equity statements for the nine-month period ended on said date and for the
equivalent period in the prior fiscal year for Auna (i) were prepared in conformance with IFRS, consistently applied during the covered period except as indicated in the same; and (ii) adequately represent, in all material aspects, the
financial position of Auna and its Subsidiaries on the date of the same, and the outcomes of their operations for the period covered therein, subject, in cases (i) and (ii) above, to the absence of footnotes and the usual accounting adjustments
made at the end of the period. 
 Between December 31, 2017, and the Closing Date, no substantial changes have been recorded that could
have a Substantial Adverse Effect for the Borrower and/or any of the other companies whose financial positions are reflected in the Financial Statements. 
  

	(i)	 Judicial, Arbitration and/or Administrative Proceedings: As of the Closing date, no notice has been
given of any action, investigation, grievance, judicial, arbitration and/or administrative procedure, either pending or in process against the Borrower or any of the Guarantors involving amounts equivalent to or individually exceeding the amount of
PEN 10,000,000.00 (ten million and 00/100 Soles) or its equivalent in foreign currency, except those described in Annex 3.1(j). 

  

	(j)	 Accuracy and Coverage of the Information Provided: As of the Closing Date, the Representations and
Warranties contained in the Loan Documents do not include any false declarations made about any event, nor do they omit any relevant event that could cause the information provided to lead the Bank to error. In the same way, the Borrower declares it
has provided complete and accurate information to the Bank. 

  

	(k)	 Non-Existence of Unforeseen Events or Force Majeure: The
businesses and properties of the Borrower and the Guarantors, and in the case of the Mortgage Guarantors, those that comprise the Guaranties, have not been affected, nor do they remain affected by fire, explosion, accident, strike, forced shutdowns,
seizures, other precautionary measures, or any other similar circumstance that causes or may cause a Substantial Adverse Effect. 

  

	(l)	 Taxes: The Borrower and the Guarantors have met their formal and substantial tax obligations, except
those for which they have filed instruments of appeal pursuant to the Applicable Laws, and that cannot reasonably generate a Substantial Adverse Event, having made all adequate accounting allowances for such purpose pursuant to GAAP or other
enforceable accounting principles. 

  
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	(m)	 Immunity: The Borrower, the Guarantors and the Mortgage Guarantors are subject to the general legal
framework, and have no type of immunity or special privilege to be able to appeal to agencies with jurisdiction. 

  

	(n)	 Utilization of Funds: The funds obtained in the New Disbursement will solely be used for the purposes
specified in Clause 2.1 of this Comprehensive Amendment. The Borrower has given and provided the Bank with all information that is related to any other contract, agreement or operation, event and/or circumstance linked to the allocation of the funds
obtained under the Credit. 

  

	(o)	 Subordination: The payment obligation for this Credit is not subordinate in priority, range or payment
of any other debt or obligation undertaken by the Borrower before or after the date the Comprehensive Amendment is signed, except what is set forth by the Applicable Laws. 

 

	(p)	 Dissolution, liquidation, insolvency and others: The Borrower, the Guarantors and the Mortgage
Guarantors are not involved, nor does the Borrower anticipate being involved, in any of the causes for dissolution, liquidation, restructuring or other special regime for restructuring the equity or bankruptcy covered in the Applicable Laws.

 Likewise, the Borrower, the Guarantors and the Mortgage Guarantors have not requested, nor does the Borrower anticipate
requesting, that any creditor of the Borrower, the Guarantors and the Mortgage Guarantors requests a declaration of insolvency or initiation of any procedure that entails legal protection over the equity of the Borrower, the Guarantors or the
Mortgage Guarantors, or the suspension of payments or global restructuring or refinancing of any of their liabilities, according to Applicable Laws. Likewise, the Borrower, the Guarantors and the Mortgage Guarantors have not entered, nor does the
Borrower anticipate entering with its creditors, contracts or agreements to restructure obligations that would involve non-compliance, extension or suspension of its obligations under the Loan Documents. 

 

	(q)	 Employment Situation: The Borrower declares that as for itself and the Guarantors, any procurement of
staff, outsourced services or work charged to complementary service companies is substantially adapted to the Applicable Laws. 

  
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 In general, the Borrower and the Guarantors are not in a situation of non-compliance with Applicable Laws regarding social security, employment regime and/or pensions that could generate a Substantial Adverse Effect. 

 

	(r)	 Non-Compliance Event: The Borrower, the Guarantors, GSP and the
Mortgage Guarantors are not involved in any event, act or situation that does or could configure a Non-Compliance Event. 

 

	(s)	 Insurance: The Borrower and the Guarantor have all insurance policies required under Applicable Laws (in
the case of Auna Colombia, the laws applicable in the Republic of Colombia) and the standards for their industry to pursue their respective activities. The Mortgage Guarantors have insurance policies on the property conveyed in the mortgage.

  

	(t)	 Operations with linked companies, Affiliates or Subsidiaries: The Borrower declares that the commercial
operations the Borrower and Guarantors have to date with other Affiliates and/or Subsidiaries have been carried out at market prices and conditions. 

  

	(u)	 International Loan: Auna Colombia is compliant with representations and warranties corresponding to it,
as established in Article V of the International Credit Agreement. 

  

	(v)	 Anti-Corruption: Neither the Borrower nor its stockholders, partners, Guarantors, directors, managers,
employees, or any other person or agent acting on behalf or in the interest of the Borrower (under instructions from either of the above), nor any of its Affiliates to the knowledge of the Borrower (hereinafter, “Representatives”), have
taken any action constituting a violation by said Person of Anti-Corruption Laws or Anti-Laundering Laws. The Borrower has implemented and maintains policies and procedures reasonably designed to comply with Anti-Corruption Laws and Anti-Laundering
Laws, as applicable. Neither the Borrower nor its Representatives have incurred in any of the situations described below: 

  

	 	(i)	 Participate in acts of corruption and/or bribery with respect to any national or foreign authority, or any
third party (in the public or private realm), and/or grant or offer, or have attempted to grant or offer payments, gifts, promises to pay, personal benefits or other similar benefits contradicting the Applicable Laws to any public official or person
linked to or who could influence a public official or third party (in the public or private realm) that could generate a benefit for the Borrower or its Representatives. 

  
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	 	(ii)	 Have been or be formally accused or civilly or criminally sentenced, suspended and disqualified in any of its
functions, or administratively sanctioned, for having participated in the acts described in item (i) above, in Peru or abroad. 

  

	 	(iii)	 Be mentioned within the scope of Law No. 30,737 or any standard, in its broadest sense, that regulates,
modifies, expands or replaces the mentioned Law No. 30,737, whether or not they are specifically included in the list published by the Ministry of Justice and Human Rights (in application of the above standard) or the entity that may replace
it. 

  

	 	(iv)	 Have admitted to or acknowledged the commission of those crimes mentioned in section i) with any national or
foreign authority having jurisdiction. 

  

	(w)	 Subordination Agreements: As of the Closing Date, there is no Permitted Subordinate Dent other than that
subject to the subordination agreement signed on the Closing Date. 

  

	(x)	 Delgado Clinic: (i) in the event of separation for improvements on the land adjacent to the Delgado
Clinic, the clinic will continue to meet the necessary requirements for maintaining or obtaining an operating license similar to the current one, and (ii) improvements on the Surface Rights does not invade the airspace of the lot adjacent to
the Delgado Clinic. 

 Each of the Representations and Warranties made by the Borrower is correct and accurate on the Closing Date and
will be understood as ratified on the Disbursement Date. 
 FIFTH SECTION 

OBLIGATIONS OF THE BORROWER 
 CLAUSE
5.1. Obligations. The Borrower is obligated to the Creditor Banks, throughout the term of the Comprehensive Amendment, to comply with the following and/or as applicable, to ensure that Guarantors and Mortgage Guarantors, as
applicable, comply with the following: 
  

	(a)	 Pay the Creditor Banks, through the Administrative Agent and within the periods established in the
Comprehensive Amendment, each and every sum owed under the Credit pursuant to the Comprehensive Amendment, as well as pay any sum for expenses, interest (both compensatory and default, if applicable) fees or others owed to the Creditor Banks or the
Administrative Agent in conformance with the Loan Documents. 

  

	(b)	 Utilize the funds expected under the New Disbursement solely for the purposes established in Clause 2.1 of this
Comprehensive Amendment. 

  
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	(c)	 Maintain the course of businesses for the Borrower and the Guarantors, and ensure they abstain from directly or
indirectly being involved in any activity outside the regular course of business (except when specifically set forth in the Loan Documents and/or the International Loan Documents in force as of the Closing Date, or as they have been amended with
approval from the Administrative Agent). 

  

	(d)	 Provide or ensure timely provision to the Administrative Agent, with a copy to Cofide, of all complete,
accurate and reasonably relevant information to follow up on the Credit that the Administrative Agent may request of the Borrower, in relation to it or the Guarantors. Likewise, at least once per calendar year, give the Administrative Agent and its
advisers (and, if required, Cofide and its advisers) access to the records and archives of the Borrower at its facilities, so that the Administrative Agent can verify, during the normal business hours of the Borrower, compliance with the obligations
undertaken in the Loan Documents, as long as a written request is sent by the Administrative Agent at least three (3) Business Days prior to making the corresponding visit. If a Non-Compliance event has
been configured and maintained, the number of visits that the Creditor Banks deem necessary can be made. Likewise, the Creditor Banks can make additional visits even when a Non-Compliance Event has not been
configured, if they assume the cost of the same. 

  

	(e)	 Keep its accounting books and records, and ensure the Guarantors keep their accounting books and records,
according to GAAP or applicable accounting principles. The annual financial statements must be audited by one of the external auditing firms with international prestige listed in Annex 5.1 (e) to this Comprehensive Amendment.

  

	(f)	 Deliver a copy of the audited consolidated annual financial statements for Auna and Auna Colombia to the
Administrative Agent (with a copy to Cofide) as soon as possible, but always within one hundred twenty (120) calendar days following the end of the fiscal year starting with (and including) fiscal year 2018. Likewise, it must deliver a copy of
the unaudited consolidated quarterly financial statements for Auna and Auna Colombia to the Administrative Agent (with a copy to Cofide) within sixty (60) calendar days following the end of the respective quarter. 

The copies of the unaudited financial statements mentioned in this item (f) must be signed by the general accountant, the managing
director or the manager of administration and finance for the respective companies. 
 The Borrower must ensure that the following are
delivered to the Administrative Agent (with a copy to Cofide): (i) audited individual annual financial statements for the 

  
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 Borrower; (ii) the audited individual annual financial statements for Medic Ser
within one hundred twenty (120) calendar days following the close of each fiscal year; and (iii) the unaudited individual quarterly financial statements for Medic Ser Perú S.A.C. within forty-five (45) calendar days
following the end of the respective quarter. 
 Financial statements to be delivered pursuant to item f) must include the following:
(i) comprehensive profit/loss statements; (ii) statements of financial position; (iii) statements of changes in net equity; and (iv) cash flow statements. 
  

	(g)	 Deliver a certificate of compliance to the Administrative Agent (with a copy to Cofide), together with the
copies of the financial statements referenced in item f) above, signed by the managing director, the manager of administration or the finance manager of the Borrower as an affidavit (the “Certificate of Compliance”), indicating the
following: (i) that the Borrower, the Guarantors and the Mortgage Guarantors, as the case may be, are faithfully complying with and observing the obligations that they have assumed under the Comprehensive Amendment and the other Loan
Documents; (ii) that no Non-Compliance Events have occurred; (iii) revealing any event or circumstance hat has occurred or is maintained, entailing a deviation from the Representations
and Warranties made by each of them as of the Disbursement Date (it being understood that the occurrence of a deviation from the Representations and Warranties will not in and of itself generate a
Non-Compliance Event, having to analyze whether the particular event or circumstance suggests a Non-Compliance Event at the reasonable discretion of the Creditor Banks);
(iv) the details of the calculation for financial obligations established in Clause 5.3 of the Comprehensive Amendment; and (v) the details on the channeling of Monetary Receivables as indicated in Clause 5.1 (q) of the
Comprehensive Amendment. In the case of the Certificate of Compliance that the Borrower must deliver together with the audited annual financial statements, it must also include the total appraisal on the properties comprising the Guaranties,
according to the most recent appraisal reports that have been required under the Asset Trust Agreement, the Mortgage Agreement and the Mortgage Agreement for Additional Properties. The Certificate of Compliance must follow the format contained in
Annex 5.1 (g) to this Comprehensive Amendment. 

  

	(h)	 Inform the Administrative Agent (with a copy to Cofide) about the occurrence or notification of any non-compliance event under the International Loan Documents within five (5) Business Days following the date that Knowledge of said occurrence has been given or said notification has been received.

  

	(i)	 Report, and ensure that the Guarantors and Mortgage Guarantors report, the Administrative Agent, with a copy to
COFIDE, any event or circumstance that could reasonably constitute or generate a Non-Compliance Event or a Substantial Adverse Effect, within five (5) Business Days following Knowledge of the event or
circumstance. 

  
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	(j)	 Inform the Administrative Agent (with a copy to Cofide), within two (2) Business Days following the date
the respective notification is received, if any bankruptcy proceedings continue or are initiated for the Borrower or any of the Guarantors or the Mortgage Guarantors, in conformance with the Applicable Laws. 

 

	(k)	 Inform, and ensure that the Guarantors inform, the Administrative Agent (with a copy to Cofide), within five
(5) Business Days following the date the respective notification is received, of any resolutions that order the seizure, confiscation or any other precautionary measure originating from arbitration, judicial, administrative or coactive
procedures of any nature, involving any of the assets of the Borrower or the Guarantors, as applicable, with an adverse result that would or could reasonably have a Substantial Adverse Effect. This obligation will also apply to the Mortgage
Guarantors with respect to the assets comprising the Guaranties. 

  

	(l)	 Comply, and ensure that the Guarantors comply, with (i) the Applicable Laws where non-compliance could generate, at the reasonable discretion of the Creditor Banks, a Substantial Adverse Effect; (ii) the requirements of all Governmental Authorities referring to licenses, certificates,
permits and other authorizations necessary to conduct their business where non-compliance could generate, at the reasonable discretion of the Creditor Banks, a Substantial Adverse Effect; and
(iii) obtaining and keeping all permits, licenses and authorizations from Governmental Authorities in force that may be necessary to conduct their respective business according to Applicable Laws, when not obtaining or keeping them in force
could generate, at the reasonable discretion of the Creditor Banks, a Substantial Adverse Effect. 

  

	(m)	 Carry out, and ensure that the Guarantors carry out, operations with Subsidiaries and Affiliates only
(i) under market conditions as if they were carried out with a Person who is not an Affiliate; or (ii) under terms consistent with those established in the transfer price report obtained by the Borrower and Guarantors, and applicable to
said operations. 

  

	(n)	 Preserve and maintain, and ensure that the Guarantors preserve and maintain, their respective corporate
existences, except for transactions permitted under Clause 5.2 below or the International Loan Documents in force as of the Closing Date, or as they have been modified with approval from the Administrative Agent. 

 

	(o)	 Maintain, and ensure that the Guarantors maintain, (i) their assets (either owned or leased, or under any
other title, 

  
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 particularly those comprising the Guaranties) in a good state of preservation, except for
the usual product wear from use, and (ii) insurance policies with any of the first-class insurance companies listed in Annex 5.1 (o) that cover their substantial assets (particularly those comprising the Guaranties) against all risks,
under terms and with coverage typical of companies that operate in Peru and have assets and businesses similar to those of the Borrower and the Guarantors. If any of the insurance companies listed in Annex 5.1 (o) or they all cease to
operate, the Borrower will propose to the Administrative Agent the insurance companies that grant the policies required, and prior approval from the Administrative Agent for the Borrower to contract with them will be required. This obligation will
also apply to the Mortgage Guarantors with respect to the properties comprising the Guaranties. 
  

	(p)	 The Borrower undertakes to consider the Bank, for purposes of the national banking services and operations that
the Borrower requires of financial companies in the national financial system, as long as the terms and rates of the Bank are competitive, at the reasonable discretion of the Borrower. 

 

	(q)	 Subject to the above paragraph, to ensure that the monthly Monetary Receivables flows that enter the Monetary
Receivables Trust every month are at least equivalent to 50% of total sales obtained by the Borrower in the corresponding month. 

If, in any given month, the stipulations of the paragraph above are not met, (i) the Borrower must inform the Administrative Agent (with a
copy to Cofide) of this, attaching the corresponding support, within thirty (30) calendar days counted from the last calendar day of the corresponding month, and (ii) the obligation indicated in the above paragraph will be considered unmet
if, in the immediately following month, the monetary receivables entering the Monetary Receivables Trust also do not represent at least 50% of the total monthly sales obtained by the Borrower, except when the latter has offered to include monetary
receivables for an additional intermediate payment in the Monetary Receivables Trust, at the reasonable satisfaction of the Administrative Agent, which would allow the monetary receivables entering the Monetary Receivables Trust to thereafter
represent less than 50% or more of the total monthly sales obtained by the Borrower, and it has signed the documentation necessary to incorporate said additional monetary receivables into the Monetary Receivables Trust. If the Parties have added the
monetary receivables corresponding to an intermediate payment in addition to the Monetary Receivables Trust and, for two (2) consecutive months, the monetary receivables derived from Visa debit or credit card sales are equal to or greater than
50% of the monthly sales for the Borrower, the Borrower will have the right to release the monetary receivables corresponding to the additional intermediate payment added to the Monetary Receivables Trust. 

  
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 The following must be indicated in each Certificate of Compliance that the Borrower delivers
to the Administrative Agent (with a copy to Cofide) in adherence with Clause 5.1 (g) of this Comprehensive Amendment: (i) the total amount of Monetary Receivables that have entered the collection account for the Monetary Receivables
Trust during the immediately prior quarter; and (ii) the total sales for the Borrower during the same immediately prior quarter, reflected in the corresponding quarterly financial statements of the Borrower. 

 

	(r)	 Ensure that within forty-five (45) Business Days following the date filed with the corresponding Registry
(in the case of the Mortgage Agreements, for each property), the Mortgage Agreements, the Mortgage Agreement for Additional Properties (with the exception of the mortgage on the Properties in Reorganization and the Leasing Properties), the Monetary
Receivables Trust Agreement and the Asset Trust Agreement are recorded. 

 The periods given above will be automatically
extended one single time for an additional period of forty-five (45) Business Days, should registry observations be presented. The Borrower must inform the Administrative Agent about any processes being completed to remedy the registry
observations that may be pending. 
  

	(s)	 Comply with and ensure that the Guarantors and Mortgage Guarantors comply with the obligations that have been
assumed under the Loan Documents in which they are a party. 

  

	(t)	 Subordinate, and ensure that the Guarantors subordinate, all loans, debts or financial obligations with
stockholders, directors, managers, administrators, Affiliates or Subsidiaries of the Borrower or the Guarantors, as applicable, to the obligations assumed under the Loan Documents by signing the corresponding Subordination Agreements to qualify as
Permitted Subordinated Debt. 

  

	(u)	 At least maintain a pari-passu status for the Credit in relation to any debt or financial obligation of the
Borrower and/or any of the Guarantors, including debt under the International Loan Documents. 

  

	(v)	 Keep the rights and obligations with third Persons current and fully effective, and ensure the Guarantors keep
them current and fully effective, with whom the Borrower or any of the Guarantors may have any type of contractual and/or legal connection, and when loss of this does or could generate a Substantial Adverse Effect. 

  
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	(w)	 To the extent necessary, as agreed upon in the Monetary Receivables Trust Agreement, deposit the reserve
amount, equivalent at all times to the amount of interest on the Credit to be paid in the following three (3) months, to the reserve account under the Monetary Receivables Trust Agreement. 

 

	(x)	 Send the Administrative Agent (with a copy to Cofide), and ensure that the Guarantors send the Administrative
Agent (with a copy to Cofide), within fifteen (15) calendar days following the end of each quarter, a copy of the minutes from the General Meeting of Shareholders or Board Meeting of the Borrower and the Guarantors, as applicable, that may have
been held during the prior quarter and, if a General Meeting of Shareholders or Board Meeting of the Borrower or the Guarantors is held, as applicable, wherein substantial agreements are made, send the Administrative Agent (with a copy to Cofide) a
copy of the minutes from the corresponding General Meeting of Shareholders or Board Meeting within fifteen (15) Business Days counted from the date said General Meeting of Shareholders or Board Meeting is held. 

 

	(y)	 Send, or ensure that Medic Ser sends, within the Business Day following the Closing Date, a written notice to
the Red Cross informing it that an amendment has been made to the Asset Trust Agreement. 

  

	(z)	 Ensure that the Guaranties or guarantees that replace them, in a manner and substance reasonably acceptable for
the Creditor Banks pursuant to the Loan Documents, remain in force and enforceable for the effective period of the Comprehensive Amendment taking into account that (i) mortgage rights in rem generated under the Mortgage Agreement and the
Mortgage Agreement for Additional Properties will be valid and enforceable once they are recorded in the corresponding public registries, (ii) the Asset Trust Agreement and the Monetary Receivables Trust Agreement will take effect on the
Disbursement Date and the Effective Date; and (iii) the Stock Guaranty Agreement may be contested by third parties once it is recorded by the Colombian Guaranties Agent in the Colombia Securities Registry and the PMLA Shareholder Book).

  

	(a*)	 Ensure compliance with the value of the property guaranties established under the Guaranty Agreements (without
duplicating the value of the Surface Rights and the improvements constructed thereon) is equal to or exceeds USD 135,000,000.00 (one hundred thirty-five million and 00/100 Dollars) according to the most recent appraisal reports that the Borrower
provides according to the Asset Trust Agreement, the Mortgage Agreement and the Mortgage Agreement for Additional Properties. If the Administrative Agent warns that the value of the property guaranties is less than USD 135,000,000.00 (one hundred
thirty-five and 00/100 Dollars), as the Borrower has declared it as such in the Certificate of Compliance or in any 

  
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 other way, the Borrower will be obligated – at the sole requirement of the
Administrative Agent, as the Creditor Banks may request – to incorporate other properties with the Asset Trust Agreement and/or establish a mortgage on the same (as the Creditor Banks may Agree), such that the total value of the property
conveyed as collateral is equal to or exceeds USD 135,000,000.00 (one hundred thirty-five million and 00/100 Dollars). The incorporation of said properties to the Guaranties must take place within thirty (30) days following the date on which
the Administrative Agent has informed the Borrower that the total value of the property collateral is less than USD 135,000,000.00 (one hundred thirty-five million and 00/100 Dollars). For purposes of making the incorporation of additional
properties to the Asset Trust and/or establishment of a mortgage on the same viable and perfect, the Borrower is obligated to sign, and ensure that the Mortgage Guarantors (as necessary) sign, the public and/or private documents that may be
necessary. The registration to incorporate the properties as entrusted assets under the Asset Trust Agreement and/or establishment of a mortgage must be obtained by the Borrower with periods similar to those established in item (r) of this
Clause 5.1. 
  

	(b*)	 Inform the Administrative Agent, with a copy to COFIDE, within five (5) Business Days after having been
notified or given Knowledge of any adverse change in the physical-legal position of the properties comprising the Guaranties, or any situation that prevents their use for the activities carried out on the same at the time they are incorporated to
the Guaranties. If the circumstances indicated above determine that the appraised value of said properties is reduced to less than USD 135,000,000.00 (one hundred thirty-five million and 00/100 Dollars), the stipulations of item (a*) above will
apply. 

  

	(c*)	 Sign the documents necessary (including the respective Public Instrument) to grant the (i) mortgage on the
Properties in Reorganization within no more than thirty (30) Business Days counted from the Closing Date, as well as ensure recordation of said mortgage within forty-five (45) Business Days following the date the corresponding public
instrument is signed; and (ii) mortgage on the Leasing Properties within no more than 45 (forty-five) Business Days counted from the Closing Date, as well as ensure recordation of said mortgages within thirty (30) Business Days following
the date of their conveyance. 

 The periods given above will be extended with prior authorization from the Administrative
Agent acting under instructions from the Creditor Banks, one single time for an additional period up to thirty (30) Business Days, if registry observations are observed. Said authorization will not be denied as long as the Borrower reasonably
demonstrates that it is completing the processes necessary to remedy the registry observations that may be pending. 

  
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	(d*)	 Ensure that Medic Ser records the manufacturing declaration for the building constructed on the Surface Rights
and the Adjacent Property, in the Electronic Records corresponding to the Registry of Real Property of the Registry Office of Lima and Callao, within no more than four months of the Closing Date. 

 

	(e*)	 Shareholder Registry: Record the signature of the Asset Trust Agreement in the shareholder registry of the
Borrower, and deliver a certified copy of stocks issued by the Borrower in favor of La Fiduciaria S.A. with a record of having signed the amendment to the Administrative Agent within the business day following the Disbursement Date.

  

	(f*)	 Ensure that the Stock Guaranty Agreement and the Colombia Bond Agreement are signed within two
(2) Business Days after the Disbursement Date. 

 CLAUSE 5.2. Restrictions. The Borrower is obligated to
the Creditor Banks, during the entire effective period of the Comprehensive Amendment, to comply with the following restrictions and/or to ensure that the Guarantors and the Mortgage Guarantors, as applicable, comply with the following restrictions:

  

	(a)	 Not assign its contractual position, or assign or transfer, in full or in part, all or some of its rights or
obligations derived from the Loan Documents in which it is a party, without prior written consent from the Administrative Agent. Likewise, to ensure that the Guarantors do not assign their contractual position, or assign or transfer, in full or in
part, all or some of their rights or obligations derived from the Loan Documents in which each one is involved, without prior and written consent from the Administrative Agent or except when set forth in the Loan Documents. 

 

	(b)	 Not distribute dividends, reduce capital or carry out any act equivalent to the distribution of profits if they
exist and a Non-Compliance Event is maintained. Likewise, the Borrower is obligated to ensure that Guarantors do not distribute dividends, reduce their respective equities or carry out any act equivalent to
the distribution of profits if they exist, and a Non-Compliance Event is maintained or, if as a consequence of said acts, a Non-Compliance Event could be generated.

  

	(c)	 Without prior written authorization from the Administrative Agent, abstain from, and ensure that the Guarantors
abstain from: granting collateral to Third Parties, either as a guarantee of its own obligations, of companies economically linked to it, 

  
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Affiliates, Subsidiaries or Third Parties, when it involves amounts exceeding USD 5,000,000.00 (five million and 00/100 Dollars), as long as a
Non-Compliance Event is not or could not be generated as a consequence of said acts or, at the reasonable discretion of the Creditor Banks, a Substantial Adverse Effect, except when related to
(i) guaranties under any Loan Document or the International Loan Document; (ii) guaranties in the framework of any Permitted refinancing (as long as (a) for secured loans, the total coverage value of the collateral granted does not
increase over the coverage of collateral for the Creditor Banks on the measurement date; and (b) for unsecured loans, new guaranties are not granted over the coverage of guaranties for the Creditor Banks on the measurement date), (iii)
guaranties existing as of November 30, 2018, according to the list included in Annex 5.2(c)(i) to this Comprehensive Amendment, and any extension or renewal of the same, provide that (a) the property granted as collateral does not
change, (b) the amount guaranteed does not increase, except when permitted by the Loan Documents or the International Loan Documents in force as of the Closing Date, or as they have been modified with approval from the Administrative Agent,
(c) the direct or indirect obligee does not change; and (d) any renewal, refinancing, restructuring or extension is not prohibited by the Loan Document or the International Loan Document; (iv) guaranties backed by Securable Debt;
(v) guaranties on the assets listed in Annex 5.2(c)(ii) and on any asset that is not currently the property of the Borrower or the Guarantors and is acquired after the Closing Date; (vi) any other guarantee in an aggregate amount
that does not exceed USD 10,000,000.00 (ten million and 00/100 Dollars) (or its equivalent in Soles), as long as a Non-Compliance Event has not occurred and been maintained, and the same cannot reasonably
be generated as a consequence of granting said guaranty calculated pro forma; and (vii) any other guaranty that is permitted under the International Credit Agreements. 

 

	(d)	 Without prior written authorization from the Administrative Agent, abstain from, and ensure that the Guarantors
abstain from, making investments (as the term “Investments” is defined in the International Credit Agreement) in Third Parties, except when for (i) investments held by the Borrower or its Subsidiaries in cash equivalents in Peru;
(ii) investments existing as of November 30, 2018, according to the list included in Annex 5.2(d) to this Comprehensive Amendment; (iii) the PMLA Acquisition; (iv) investments associated with the PPP Project that do not
exceed a total aggregate sum of PEN 35,000,000.00; (v) to the extent that it constitutes an investment in a Third Party, acquisition of a stock package from the Borrower owned directly or indirectly by the Victor Hugo González Estate, as long
as they do not exceed a total aggregate sum of USD 22,000,000.00 (twenty-two [million] and 00/100 Dollars) (or its equivalent in Soles); (vi) investments in any Third Party that becomes a Guarantor;
(vi) any Acquisition, as long as a Non-Compliance Event has not occurred or been maintained 

  
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or the same could occur after completing said Acquisition and that, considering the pro forma effect of said Acquisition, the Borrower is compliant with all financial obligations considered in
number 5.3 of this Comprehensive Amendment for the most recent fiscal quarter for which the Borrower has been obligated to present financial statements pursuant to Number 5.2(f); (viii) loans among Affiliates domiciled in Peru for an aggregate
amount that does not exceed PEN 200,000,000.00 (two hundred million and 00/100 Soles), (xix) other investments that do not exceed the sum of USD 10,000,000.00 (ten million and 00/100 Dollars) (or its equivalent in Soles) in the aggregate
for a given fiscal year; and (x) other investments and loans that are permitted under the International Loan Documents in force as of the Closing Date or as they have been modified with approval from the Administrative Agent. 

 

	(e)	 Abstain from, and ensure that Guarantors abstain from, making significant changes in the principal course and
nature of their business, and abstain from directly or through any vehicle, incurring in any activity not related to its normal course of business without authorization from the Administrative Agent. 

 

	(f)	 Ensure that no Change of Control takes place with respect to the Guarantors. 

 

	(g)	 Abstain from participating, and ensure that Guarantors do not participate, in any transformation process,
corporate reorganization, merger or split with Third Parties, unless (i) it has prior written authorization from the Administrative Agent and the latter agrees with the text of the documents for the operation in question; and (ii) for a
Permitted Merger, as long as the Administrative Agent has received the documentation to prove that immediately prior to and after the Permitted Merger takes effect, the Colombian Guaranties Agent will have, to the benefit and in the interest of the
Secured Creditors, a first-range guaranty on the PMLA stock. Any transformation process, corporate reorganization, merger or split between the Borrower, its Affiliates and the Guarantors may be made without the need for prior authorization from the
Creditor Banks, acting through the Administrative Agent, as long as the product of said operations does not breach any financial obligations considered in Clause 5.3 of this Comprehensive Amendment, does not affect the validity, efficacy or
enforceability of the Guaranties and, in general, does not and could not generate, at the reasonable discretion of the Creditor Banks, a Substantial Adverse Effect or Non-Compliance Event.

  

	(h)	 Not subordinate or promise to subordinate payment of the obligations considered in this Comprehensive Amendment
to any other present or future indebtedness of the Borrower or the Guarantors, including any financing obtained with stockholders, Affiliates or other national or international financial institutions. 

  
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	(i)	 The Borrower must abstain from reimbursing, and ensure that the Guarantors abstain from reimbursing loans or
paying for financial obligations of any nature to its stockholders as individuals, directors or administrators when a Non-Compliance Event or a Substantial Adverse Effect has been produced and maintained, or
if, as a consequence of said reimbursement, a Non-Compliance Event or, at the reasonable discretion of the Creditor Banks, a Substantial Adverse Effect is configured or generated, or could be configured or
generated. 

  

	(j)	 The Borrower must abstain from reimbursing, and ensure that the Guarantors abstain from reimbursing loans or
paying for financial obligations of any nature to its Affiliates and Subsidiaries when a Non-Compliance Event has been produced and maintained. 

 

	(k)	 Abstain from paying, and ensure that the Guarantors abstain from paying, for extraordinary benefits or similar
items to administrators or other officials or employees of the Borrower or Guarantors (except remuneration or per diems to the workers and directors under market terms) when a Non-Compliance Event has been
produced and maintained, or if, as a consequence of said payment, a Non-Compliance Event has or could be reasonably configured or generated. 

 

	(l)	 Ensure that the Surface Rights Agreement remains in force throughout the effective period of the Comprehensive
Amendment. In that sense, the Borrower is obligated to ensure that the Surface Rights Agreement is not modified, that the rights or contractual position under the Surface Rights Agreement are not assigned, and that no correspondence is sent to the
Red Cross that could constitute or involve (or be interpreted as) a modification of the Surface Rights Agreement, or the exercise or waiver of the rights of Medic Ser under the Surface Rights Agreement without it having been approved by the General
Meeting of Shareholders for Medic Ser, in conformance with the requirements and procedure established in the Asset Trust Agreement. 

  

	(m)	 Make sure not to incur any cause for termination or revocation of the Surface Rights Agreement.

  

	(n)	 Make sure not to encumber or establish any type of encumbrance on the trade name “Delgado Clinic” or
any element of intellectual property linked to said trade name. 

 CLAUSE 5.3. Financial Obligations. 

 

	5.3.1.	 The Borrower is obligated to the Creditor Banks, starting on the Closing Date and as long as the comprehensive
Amendment remains in force, to comply with the following financial protections, which will be measured quarterly based 

  
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on the consolidated financial statements for Auna at the close of each quarter (which will be March 31st, June 30th, September 30th and December 31st of each year, each of aid dates being a
“Quarterly Measurement Date”): 

  

	 	(a)	 Keep a Consolidated Coverage Index for Debt Servicing equal or greater than 1.20 times. 

 

	 	(b)	 Maintain a Consolidated Leverage index (i) less than or equal to 4.75 times, on the Quarterly Measurement
Dates that pass between the Disbursement Date and December 31, 2020, (ii) less than or equal to 4.50 times on the Quarterly Measurement Dates that pass between January 1, 2021, and December 31, 2021, and (iii) less than or equal
to 3.50 times on the Quarterly Measurement Dates that pass between January 1, 2022, and December 31, 2022, and (iv) less than or equal to 2.50 times on the Quarterly Measurement Dates that pass between January 1, 2023,
thereafter. 

  

	5.3.2.	 The financial protections that are to be measured on each Quarterly Measurement date and the corresponding
calculations must be described and sent to the Administrative Agent (with a copy to Cofide) at the same times that the Borrower sends the financial statements and Certificates of Compliance to the Administrative Agent (with a copy to Cofide)
pursuant to items (f) and (g) of Clause 5.1 of this Comprehensive Amendment. 

  

	5.3.3.	 The Consolidated EBITDA to be considered for calculating the financial protections must be, for each Quarterly
Measurement Date, the cumulative total for the twelve (12) months prior to said Quarterly Measurement Date. 

SIXTH SECTION 
 NON-COMPLIANCE 
 CLAUSE 6.1. Non-Compliance Events.
If one or more of the events or situations mentioned above should occur, the Administrative Agent will have the right to take the corresponding actions established in Clause 6.2. below: 

 

	(a)	 Failure to Pay. Failure to make timely payment of any amount corresponding to principal or interest, or
any commission, Tax, honorarium, expenses, service or any other amount owed and that the Borrower or Guarantor must pay or reimburse pursuant to the Loan Documents. 

 

	(b)	 False Representations or Warranties. If, at the reasonable discretion of the Creditor Banks, for any of
the Representations or Warranties set forth in the Comprehensive Amendment: (i) if said Representation or Warranty is qualified with respect to its materiality or by reference as a Substantial

  
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Adverse Effect, and it is false or inaccurate with respect to the scope of said qualification, or (ii) if said Representation or Warranty is not qualified, and it is false or inaccurate in
its substance as of the Closing Date or the Disbursement Date, the Borrower will have the right to verify, reliably and without reasonable doubt the truthfulness or accuracy of the Representations and Warranties. 

Likewise, if the Borrower does not comply with disclosure in a Certificate of Compliance of any deviation of the Representations and Warranties
as they were made on the Disbursement Date, as long as this generates or may reasonably be expected to generate, a Substantial Adverse Effect. 
  

	(c)	 Insolvency, etc. Written acknowledgement by the Borrower or any of the Guarantors of their inability to
pay debts, or general assignment; or if: 

  

	 	(i)	 The Borrower and/or any of the Guarantors enter bankruptcy proceedings at their own request.

  

	 	(ii)	 A Governmental Authority or other agency (including the National Institute for the Defense of Competition and
the Protection of Intellectual Property, INDECOPI [Instituto Nacional de Defensa de la Competencia y de la Protección de la Propiedad Intelectual], and its decentralized offices) that may have jurisdiction over the Borrower and/or the
Guarantors, or their respective assets, files an ordinary or preventive bankruptcy proceeding with respect to the Borrower and/or any of the Guarantors or their respective assets or takes any action under any legislation involving bankruptcy,
capital restructuring, dissolution, liquidation, receivership, insolvency, encumbrance of assets, suspension of payments or other similar legislation regulating the operations of the Borrower and/or the Guarantors that would render it impossible for
them to fulfill the obligations they assume under the Loan Documents when they have been enforced, and said proceeding and/or said action has not been invalidated within forty-five (45) calendar days after the Borrower and/or the respective
Guarantor were notified of the initiation of the procedure or the action taken, which may be extended once for the same period of time, at the choice of the Creditor Banks, acting through the Administrative Agent, if there is a reasonable and duly
justified request for extension made by the Borrower or respective guarantor. 

  

	 	(iii)	 An ordinary, involuntary bankruptcy proceeding is initiated with respect to the Borrower and/or any of the
Guarantors, or their respective assets, by a person other than a Governmental Authority or agency with jurisdiction over the Borrower and/or the Guarantors, or their respective assets, and said proceeding has not been invalidated within

  
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forty-five (45) calendar days after the Borrower and/or the respective Guarantor were notified, which may be extended once for the same period of time, at the choice of the Creditor Banks,
acting through the Administrative Agent, if there is a reasonable and duly justified request for extension made by the Borrower. 

  

	 	(iv)	 Dissolution and liquidation proceedings are initiated with respect to the Borrower and/or any of the
Guarantors. 

  

	(d)	 Signature of Public Instruments: If the Borrower, the Guarantors, GSP or the Mortgage Guarantors do not
complete the signature of public instruments corresponding to the Comprehensive Amendment and the Guaranty Agreements (with the exception of the Stock Guaranty Agreements, the Colombia Bond Agreement and the NY Bond Agreement) before the
Disbursement Date. 

  

	(e)	 Non-Compliance with Guaranties. If the Borrower, the Guarantors,
GSP or the Mortgage Guarantors do not establish or cause the establishment, registration or perfection of Guaranties in favor of the Peruvian Guaranties Agent or the Colombian Guaranties Agent, as applicable, at the times and under the stipulations
established in the Loan Documents. 

  

	(f)	 Loss of validity or first range of the Guaranties. If any of the Guaranties, or the guaranties that may
replace them, with a reasonably acceptable form and substance for the Creditor Banks in conformance with the Loan Documents, cease to be effective or lose the first range and preference of the Peruvian Guaranties Agent or the Colombian Guaranties
Agent, as applicable, or if any of the Guaranties are declared void or voidable, invalid or ineffective. 

  

	(g)	 Other non-compliance with the Loan Documents. Non-compliance with (i) the obligations set forth in Clause 5.1 of this Comprehensive Amendment (non-compliance with obligations set forth in items (c), (d), (e),
(f), (g), (m), (o), (p), (q), (z) and (a*) of Clause 5.1 may be remedied within thirty (30) calendar days following the date the corresponding notice of non-compliance is received from the Administrative
Agent, (ii) the restrictions set forth in Clause 5.2 of this Comprehensive Amendment, (iii) the obligations and financial protections set forth in Clause 5.3 of this Comprehensive Amendment, and/or (iv) the obligations
or restrictions set forth in the Guaranty Agreements1; and (e) any stipulation that may affect the terms of subordination pursuant to the Subordination Agreements that may be signed.

  
  

	1 	 Note: Subject to definition in final text of guaranty agreements 

  
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	(h)	 False statements in documents provided. If the existence of false information or documents provided to
the Creditor Banks, the Administrative Agent, the Peruvian Guaranties Agent or the Colombian Guaranties Agent by the Borrower within the framework of the operation related to the Loan is verified. 

 

	(i)	 Non-compliance with obligations to third parties. If the
Borrower or any of the Guarantors were to fail to comply, after the corresponding remediation periods have passed, with any obligation assumed under any other contract, agreement and/or accord they have entered with third parties (cross default) for
amounts that individually or jointly exceed USD 7,000,000.00 (seven million and 00/100 Dollars), or its equivalent in another currency. 

Likewise, a Non-Compliance Event will be considered if the payment obligations under any contract,
agreement and/or accord that the Borrower or any of the Guarantors has entered with third parties for amounts that individually or jointly exceed USD 7,000,000.00 (seven million and 00/100 Dollars), or its equivalent in another currency, are
accelerated in full, and all amounts under the same will become fully enforceable (cross acceleration). 
  

	(j)	 Non-compliance with the obligations considered in other contracts
with the Bank. If, after the remediation periods have passed, the Borrower and/or any of the Guarantors fail to comply with any of the payment obligations assumed with the Creditor Banks and/or Cofide, by virtue of any financial debt agreement
(other than this Comprehensive Amendment) and said non-compliance could originate in the resolution or early termination of the period given for compliance with obligations of the Borrower and/or the
Guarantors derived from said financial debt agreement. 

  

	(k)	 Loss of Preference. If the obligations derived from this Comprehensive Amendment cease to have, in terms
of preference, at least pari-passu status, with respect to any current or future obligation of the Borrower and/or the Guarantors. 

  

	(l)	 Change of Control. If a Change of Control is produced in the Borrower or any of the Guarantors without
prior written consent from the Administrative Agent. 

  

	(m)	 Validity period and effectiveness of the Loan Documents. (i) If the Borrower and/or any of
the Guarantors file any legal or extralegal action aimed at obtaining a pronouncement of nullity, voidability, inefficacy, rescission or resolution of any of the Loan Documents; (ii) if a Governmental Authority initiates a process that
has the purpose of obtaining a pronouncement from a Governmental Authority as to the nullity, 

  
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voidability, unenforceability, inefficacy, rescission or resolution of any of the Loan Documents, and said process is not made ineffective within a period of thirty (30) calendar days after
the Borrower and/or the corresponding Guarantor or Mortgage Guarantor participating in the same is notified; (iii) if any Governmental Authority issues any type of resolution (be it appealable or not, including injunctions) that has the
effect of fully or partially derecognizing the validity, enforceability or efficacy of the Loan Documents and said resolution is not invalidated within thirty (30) calendar days after the Borrower and/or the corresponding Guarantor or Mortgage
Guarantor participating in the same is notified; or (iv) if, for any reason, the Loan Documents are or become null, void or ineffective. 

  

	(n)	 Deprivation of rights. If any act of a Governmental Authority that (i) results in the
deprivation of any of the rights of the Creditor Banks that, at its reasonable discretion, may be substantial under this Comprehensive Amendment and the other Loan Documents, and said situation is not remedied by the borrower within fifteen
(15) calendar days following receipt of the corresponding notice of non-compliance with the Administrative Agent; (ii) confiscates, expropriates or nationalizes the ownership or control of the
Borrower, the Guarantors or the Mortgage Guarantors on their property, stock, or assets or material rights of the Borrower, Mortgage Guarantors and/or the Guarantors, that produces a Substantial Adverse Effect; or (iii) entails the end
or replacement of functions of the board of directors or management of the Borrower or Guarantors, or limits their authority to conduct business. 

  

	(o)	 Unfavorable judgment, award or resolution. If the Borrower or the Guarantors fail to comply with any
final legal ruling, arbitration award or administrative resolution, with an adverse result that would have or could have a Substantial Adverse Effect, as long as the payment order is voided within the period granted in the ruling, award or
resolution for making the payment. 

  

	(p)	 Unauthorized assignment. If the Borrower [or] Guarantors carry out any act aimed at assigning their
contractual position or their rights in any of the Loan Documents, or transfer their obligations derived from the same, without prior written authorization from the Administrative Agent or the Colombian Guaranties Agent, as applicable.

  

	(q)	 Capital disposals. With the exception of transfers or liens established under the Guaranty Agreements,
if the Borrower, any of the Guarantors or Mortgage Guarantors (solely with respect to the assets given in the Guaranty): (i) sell, assign, lease, give in usufruct, encumber, dispose of, transfer or affect in any way, their respective assets

  
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(either fixed or intangible, particularly those that form part of the Guaranties), or assign rights to them under any title or modality, including securitizations and transfers in trustee
ownership; and/or (ii) sell, assign, lease, give in usufruct, encumber, dispose of or transfer their respective income or assign the rights to them under any title or modality, including securitizations and transfers in trustee
ownership. Non-compliance will not be considered to have occurred in the terms described in sections (i) and (ii) of this item (p) when they are acts that: (A) are made as part of the ordinary
course of business of the Borrower or corresponding Guarantor; (B) are made in market terms (arms length); (C) are permitted under Clause 5.2, (D) are authorized by Loan Documents or International Loan Documents in force as of the Closing Date,
or as they have been modified with approval from the Administrative Agent; or (E) if the requisites given in (A), (B) and (C) are not verified, equity disposals do not or could not generate a
Non-Compliance Event or a Substantial Adverse Effect. 

  

	(r)	 Tax Obligations. If the Borrower and/or any of the Guarantors fail to comply with any of their tax
obligations, the result of which would or could reasonably have a Substantial Adverse Effect, if (i) the corresponding periods for appeal established in the Applicable Laws have transpired without the corresponding appeal having been
filed; or (ii) if the appeal has been filed in good faith, and it has been rejected by the tax authority and said decision has no other recourse of appeal in the administrative route. 

 

	(s)	 Injunctions. If a seizure, confiscation or other injunction is decreed on (i) any of the assets
forming part of the Guaranties or (ii) any of the properties or assets of the Borrower and/or any of the Guarantors, as long as it generates a Substantial Adverse Effect, even when it is not one of those considered in the Guaranties, and said
seizure, confiscation or other injunction is not invalidated within a period of thirty (30) calendar days following the date the Administrative Agent has notified the Borrower. 

 

	(t)	 Non-Compliance with International Loan Documents. If there is an
Event of Default, as said term is defined in the International Credit Agreement. 

  

	(u)	 Manufacturing Declaration. It is established that non-compliance
with the obligation contained in Section 5.1., item (d*), will only be considered a Non-Compliance Event to the extent that the Borrower is not taking all actions reasonably required to achieve compliance
with the same or to the extent that said non-compliance generates a Substantial Adverse Effect. 

  
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	(v)	 If the Creditor Banks acknowledge that the Borrower or its Representatives have incurred in any of the
situations described in number 4.1.v) prior to or after the Closing Date. 

 CLAUSE 6.2. Actions derived from Non-Compliance Events. If any of the Non-Compliance Events described in Clause 6.1 above is produced, and the periods for remediation that may be applicable
have transpired, the Administrative Agent may declare the Comprehensive Amendment terminated in full right, pursuant to article 1430 of the Civil Code, and the First Additional Clause, by sending written communication through a notary public to the
Borrower, or the full or partial acceleration of the Loan, at its sole discretion, accompanying the settlement of the balance due as referenced in article 132, number 7, of the General Law, without the need for any other communication or formality,
ending all terms and demanding immediate payment of all outstanding amounts; in which case, the Peruvian Guaranties Agent or the Colombian Guaranties Agent, as applicable, will have the right to make a legal enforcement or claim to settle all
outstanding amounts, and claim the Guaranties as established in the Intercreditor Agreement. 
 Default on the part of the Administrative Agent, the
Peruvian Guaranties Agent and/or the Colombian Guaranties Agent, as applicable, in the exercise of their rights will not, in any case, signify a waiver of the same. 

If the situation described in the above paragraphs is produced, and the Secured Creditors do not collect the total amount owed to them by the Borrower
(including payment for penalties, commissions, expenses, professional honoraria, costs and court costs, collection costs, accrued or to be accrued), compensatory and default interest will be applicable to the referenced debt, at the rates
established in this Comprehensive Amendment. 
 Termination of this Comprehensive Amendment, as well as its novation, extension of any terms or modification
of the same, will [not] in any way be made in detriment to the Guaranties granted to the Secured Creditors, which will remain in full force and effect until total payment of the Secured Obligations is made. 

SEVENTH SECTION 
 OTHER
PROVISIONS 
 CLAUSE 7.1. Assignments. The Parties agree that the Creditor Banks may fully or partially assign their
contractual position or rights under this Comprehensive Amendment, or other Loan Documents, at any time to an Authorized Assignee without prior consent from the Borrower, as long as (i) the assignments

  
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do not result in any additional costs for the Borrower due to the nature of the assignee (except for IGV, which could be applicable to the Amendment Fee and/or future commissions); and
(ii) the contractual position or rights under this Comprehensive Amendment and other Loan Documents are not fully or partially assigned to Persons or entities that compete with, or that form part of the same economic group (as this term is
defined in the Regulation in Indirect Ownership, Affiliation and Economic Groups approved by Superintendencia Resolution No. 00019-2015) that includes Persons or entities competing with the Grupo Salud del Perú S.A.C. and/or its
Affiliates (the “Restricted Assignee”). 
 When the Authorized Assignee is an investment fund under the administration of the same Creditor
Bank, the Borrower agrees in advance that it may hold or make investments in debt for competitors of the Grupo Salud del Perú S.A.C. and its Affiliates, except when said Authorized Assignee qualifies as a Restricted Assignee. 

In that sense, the Borrower grants irrevocable consent and authorization in advance for the guaranties granted in favor of the assignor Creditor Bank to be
transferred and to secure the rights and/or obligations assigned to the Authorized Assignee, such that the Creditor Banks, the Administrative Agent and/or the Local and/or International Guaranties Agent, as the case may be, do not require later
consent from the Borrower to make such assignments. 
 In the case of an assignment of contractual position, the assignor Creditor Bank and the Authorized
Assignee must sign an Adhesion Contract and, once said contract is signed, it will be communicated by the Authorized Assignee to the Administrative Agent within the next five (5) Business Days. 

Once the Adhesion Contract is signed, the Administrative Agent will notify the other Creditor Banks and the Borrower of the assignment made. Likewise, the
Administrative Agent will proceed to modify the shares in the Loan in its books, taking into account the assignment made without requiring prior authorization from any of the Parties. 

If necessary or required by any of the Creditor Banks, the Borrower must sign and deliver one or more new Promissory Notes in exchange for the Promissory Note
held by the assignor Creditor Bank (which will be voided and returned to the Borrower, or destroyed pursuant to article 17.3 of Law No. 27,287, Law on Securities) payable to the corresponding Authorized Assignee for the amount of the Loan
assigned, and if the assignor Creditor Bank has withheld a portion of the Loan, a new Promissory Note payable to the assignor Creditor Bank in the amount equivalent to the amount withheld and outstanding. The new Promissory Notes will be issued by
the Borrower within five (5) Business Days after receipt of the pertinent request. Each new promissory note must adhere to the stipulations of Section 2.3 of the Agreement. 

  
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 Any assignment or contractual position will be effective between the assignor Creditor Bank and the
Authorized Assignee on the date the Adhesion Contract is signed by the assignor Creditor Bank and the Authorized Assignee. 
 Assignments made by any of the
Creditor Banks in adherence to what is set forth in this section will take effect with the Borrower at the same time they are communicated to the Borrower in a written communication. 

If the Borrower incurs in any Non-Compliance Event, the Creditor Banks may assign some or all of their rights or
obligations, or their contractual position under this Agreement, to any entity, even if the costs of the Loan increase. 
 The Parties agree that the
Borrower may not transfer or assign, under any title, the rights or obligations that correspond to it pursuant to this Comprehensive Amendment or the other Loan Documents, except with express written consent from the Administrative Agent. In any
case, the assignee must give an express and written commitment to be obligated to respect and faithfully comply with all terms and conditions set forth in this Comprehensive Amendment and in the Loan Documents. 

CLAUSE 7.2. Expenses and costs. The Borrower must pay all reasonable and properly supported costs and expenses incurred by the
Creditor Banks or that are generated in relation to this Comprehensive Amendment and the other Loan Documents, including but not limited honoraria and legal fees (including honoraria for external legal advisers), Taxes (except for income tax charged
to the respective Creditor Bank for the benefits it may obtain), honoraria and reasonable expenses for other advisers, costs for a certified copy for each Party of the public instruments for each of the Loan Documents, as well as expenses for
incorporation or modification of the Guaranties, until their respective recordation in the registry, will be exclusively charged to the Borrower. 

Likewise, the Borrower will be responsible for all expenses the Bank may incur in order to carry out: (i) assignments of contractual position, and rights
and obligations that the Bank may make to one or more Authorized Assignees, at most within fifteen (15) days following the Disbursement Date; and (ii) any assignment of contractual position, rights or obligations by any Creditor Bank, if a
Non-Compliance Event has occurred and remains in effect. The expenses covered include but are not limited to all items indicated in the paragraph immediately above. 

CLAUSE 7.3. Increased costs. If, because of a change in the Applicable Law (“Change in the Law”) occurs after
this Comprehensive Amendment is signed, there would be produced, as a consequence of making or maintaining the 

  
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Loan, any of the following events (each of them an “Event” or jointly the “Events”): (a) any increase in the costs for the money that may affect the
Creditor Banks in maintaining the Loan; (b) any major regulatory capital requirement on or based on the existence of the balance of the Loan pending payment; or (c) a reduction in the effective return rate for the Creditor
Banks on the Loan principal as a result of changes in the Applicable Law on taxes applicable to the Creditor Banks; thus the Creditor Banks may alternatively modify the Payment Schedule to request reimbursement of the major costs generated from the
Borrower as long as it is the stated purpose of the Parties to maintain the initial equivalence of benefits under the Comprehensive Amendment. 
 Given the
occurrence of any Event, or if the Creditor Banks have chosen to take any of the measures indicated in the above paragraph, the Administrative Agent must send a written communication to the Borrower: (i) with a description of the Event,
with details and reasonable support, along with the effective date of the same; (ii) the cost that said Event generates for the Creditor Banks; (iv) [sic] the calculation of the amount for which the Creditor Banks, as they
determine at their sole discretion, should be compensated for the cost of such Event and/or modification to the Payment Schedule. If the Creditor Banks have chosen to ask the Borrower for reimbursement of the major cost generated and the Borrower
does not comply with such request within ten (10) Business Days following receipt of the communication indicated above, the Creditor Banks will be authorized to charge the corresponding amounts to the accounts that the Borrower holds with each
of the Creditor Banks according to applicable standards. 
 Given these situations, the Borrower will have the right to
pre-pay the total amount owed (including but not limited to the major cost generated as a consequence of the Event) as of said date, together with the interest accrued; the Early Payoff Fee will not apply in
such case. 
 The Term “Change in the Law” includes any implementation of a legal standard including laws, regulations, resolutions, directives,
recommendations or decisions, or their modification, substitution or interpretation by any Governmental Authority or authority from any other country, as well as their respective jurisdictions, political divisions, either national, provincial,
state, territorial or local, or any agency, authority, institution, oversight entity, court, central bank, or any other entity exercising executive, legislative, judicial, fiscal, oversight or administrative powers, or functions linked to
government. 
 CLAUSE 7.4. Indemnification Clause. It is expressly, unconditionally and irrevocably agreed by the Parties that
the Borrower will indemnify and release the Creditor Banks, the Administrative Agent, the Peruvian Guaranties Agent and the Indemnifiable Persons from any injury, claim or damage, against any damage, claim, loss, injury, liability, debt or expense
(including reasonable honoraria and expenses for advisement) resulting directly from any 

  
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of the activities considered in this Comprehensive Amendment, except in the case of losses, claims, damage, injury and expenses that may be the direct result of action out of fraud or inexcusable
fault attributable to the Creditor Banks, the Administrative Agent, the Peruvian Guaranties Agent or an Indemnifiable Person, when this is proven by final decision that is not appealable through a court with competent jurisdiction. 

If the Creditor Banks, the Administrative Agent, the Peruvian Guaranties Agent or Indemnifiable Person is involved in any action, procedure or legal or
administrative investigation that results in the development of activities as set forth in this Comprehensive Amendment, the Borrower will reimburse the Creditor Banks, the Administrative Agent, the Peruvian Guaranties Agent and the Indemnifiable
Person for all reasonable and documented legal expenses that have been incurred to defend against such actions, procedures or investigations, except when such action, procedure or investigation is the consequence of inexcusable fault or fraud of
Creditor Banks, the Administrative Agent, the Peruvian Guaranties Agent or the Indemnifiable Persons, duly determined by final decision that is not appealable through a court with competent jurisdiction. 

This clause directly and irrevocably confers the right to Indemnifiable Persons other than the Creditor Banks to enforce this clause under an agreement for
rights in favor of third parties, as set forth in the Civil Code, notwithstanding each of the Creditor Banks being able to enforce this clause in favor of Indemnified Persons. 

CLAUSE 7.5. Offset Clause. Creditor Banks will have the right to offset any obligation that the respective Creditor Bank has with
the Borrower against obligations due, liquid and enforceable from it, deriving from the Loan Documents. 
 Starting on the due date for any of the payment
obligations originating from this Comprehensive Amendment and the other Loan Documents, if the Borrower has not made the corresponding payment and once the respective remediation period has ended without said
non-compliance being remedied, as the case may be, the respective Creditor Bank may apply the funds that it may hold payable to or deliverable to the Borrower for any reason, in this country or abroad, to
reduce such obligations, or to debit the amount of them from any of the accounts that the Borrower holds with the respective Creditor Bank, even when they do not have sufficient funds. It is expressly documented that exercising what is established
in this clause will not produce a novation nor will it release or extinguish the guaranties that may have been granted as security for the Loan, or otherwise restrict or prevent the exercise of all other rights granted by the Loan Documents. 

The Creditor Banks do not assume any liability should they decide to use the authority granted to them under this clause. 

  
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 When, for purposes of exercising the right to offset, set forth in this clause, the respective Creditor Bank
applies funds of the Borrower that are available in a currency other than the one used to disburse the Loan to the payment of any obligation enforceable under this Comprehensive Amendment or the Loan Documents, the corresponding offset of funds will
be made at the best sale exchange rate in force for the respective Creditor Bank, for making its exchange transactions on the date the conversion is made. 

CLAUSE 7.6. Confidentiality. The Parties commit and the Borrower guarantees and warrants to the Creditor Banks that the Borrower,
as well as any other Affiliate or Subsidiary, will protect the confidentiality of the Loan Documents, the information that the Parties have or will deliver to each other because of the negotiation, signature and execution thereof, except for
documentation or information in the public domain, or in cases where the Creditor Banks are obligated to reveal it by order of Applicable Law or any competent Governmental Authority, communicating to the respective counterpart in writing, without,
regarding obligations to report taxes to the respective Creditor Bank, such notice constituting or requiring authorization or a similar request. 
 The
Borrower will sign a confidentiality agreement with Cofide and, as the case may be, with the new Creditor Banks. It is established that the Bank does not assume the obligation for Cofide to maintain the confidentiality of the information received in
regard to the Comprehensive Amendment and to the Borrower and the Guarantors, and will not be held liable if Cofide fails to comply with its confidentiality obligations. 

CLAUSE 7.7. Legality. Regardless of any other provision contained in this Comprehensive Amendment, if the Creditor Banks and/or
the Administrative agent share with the Borrower that the enactment or a change in interpretation of the Applicable Laws makes disbursement of the Loan illegal; or if the Central Reserve Bank of Peru or any other Governmental Authority deems it
illegal for the Creditor Banks and/or the Administrative Agent to disburse the Loan, or provide funds or keep its commitment to disburse the Loan; disbursement of the Loan will be suspended until the Creditor Banks and/or the Administrative Agent
inform the Borrower that the circumstances that originated said suspension no longer exist. For purposes of this clause, communication from the Creditor Banks and/or the Administrative Agent must be accompanied by the opinion of two (2) studies
by attorneys with known prestige, to be elected by the Creditor Banks from among those mentioned in the list that forms part of Annex 7.7 to the Comprehensive Amendment. 

If the Creditor Banks deem it illegal to maintain the Loan through full amortization, the Administrative Agent must communicate this to the

  
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Borrower in writing, and it must be accompanied by the opinion of two (2) studies by attorneys selected from the list in Annex 7.7 to the Comprehensive Amendment. The Borrower must pre-pay the full amount of the Loan owed to date within thirty (30) calendar days following receipt of the communication from the Administrative Agent or, as the case may be, within the period ordered by the
Governmental Authority or Applicable Laws to do so (whichever is less), together with all compensatory interest accrued, without applying payment for the Early Payoff Fee, or any penalty or commission. 

CLAUSE 7.8. Taxes. All current and future Taxes, including interest, surcharges, fines and sanctions, from any jurisdiction, that
may be charged for the acts, contracts and operations to which the Creditor Banks are a party as a result of signing the Loan Documents will be exclusively charged to the Borrower, excluding Income Tax, or its equivalent according to applicable
jurisdiction, on all benefits received by the Creditor Banks, which will be charged to the latter. 
 The Borrower is obligated to reimburse the Creditor
Banks for any new Tax that the Creditor Banks must pay in relation to the loan, including interest, surcharges, fines and sanctions, except for Taxes charged on the income earned by the Creditor Banks, received under this Comprehensive Amendment.
Said reimbursement will be made within ten (10) Business Days following the date on which the respective Creditor Bank makes such request to the Borrower. 

All payments for principal, interest and expenses that the Borrower makes to the Creditor Banks under the Comprehensive Amendment will be made without any
deduction or withholding for existing or future Tax, or any other Taxes attributable in Peru or abroad, as the case may be. If the Borrower or the Creditor Banks have to make any withholding or deduction for Taxes, the amounts paid to the respective
Creditor Bank must be increased by the amounts necessary for the respective Creditor Bank to receive the total amount that would correspond to it if such Taxes did not exist. 

CLAUSE 7.9. Notifications. All notifications or communications must be made in writing and delivered personally (including by
courier or express mail service, or by fax) and must be addressed to the people indicated below: 
 The
Bank:    Scotiabank Perú S.A.A. 
 Recipient:    Yudiza Infantas and Analy León 

Address:      Avenida Camino Real 815 - San Isidro 

E-mail:        Yuvidza.Infantas@scotiabank.com.pe and
Analy.Leon@scotiabank.com.pe 

Fax:             211-6822 

With a copy to: 

  
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 Cofide 

Address: Calle Augusto Tamayo 160, San Isidro, Lima 

Recipient: Paola Campos and Manuel Maurial 

E-mails: pcampos@cofide.com.pe and jmontalban@cofide.com.pe and
negocios-infraestructura@cofide.com.pe 
 The Borrower: Oncosalud S.A.C. 

Attention: General Management / Finance, Control and Planning Management Office /      

Treasury / Legal Management Office 

Addresses: Av. Guardia Civil 109, 4th floor, San Borja, Lima; Calle Morelli 109, 4th     floor, San Borja, Lima; and Calle
Tarapacá 325, 2nd floor, Miraflores, Lima. 
 E-mails:
anunez@auna.pe    / pcastillo@auna.pe/csandovalp@auna.pe /apastor@auna.pe 

Administrative Agent:    Scotiabank Perú S.A.A. 

Attention: Ms. Gloria Barreda / Miss Ana Claudia Martínez / Mr. Enrique Suárez 

Address: Av. Dionisio Derteano 102, 3rd floor, San Isidro, Lima 

Telephone:    211-6000 / 211-6709 

E-mails: gloria.barreda@scoiabank.com.pe    /
ana.martinez@scotiabank.com.pe / enrique.suarez@scotiabank.com.pe 
 Any Party who wishes to modify any of the data indicated above must
communicate that decision to the other Party in writing by means of a letter signed by its duly authorized representative. Any modification will only take effect when it has been communicated in writing fifteen (15) calendar days in advance,
and its new domicile is in the city of Lima. 
 If any of the requisites indicated in the above paragraph are not met, the change will not produce any
effect and all communications sent pursuant to the terms indicated above will be considered valid and effective. 
 CLAUSE 7.10. Modifications
to the contract; no waiver. Any modification to the Comprehensive Amendment or any consent to exempt the Borrower from compliance with any obligation will be valid and effective only when said modification, exemption or consent is
granted in writing and signed by the Administrative Agent and, in the case of a modification to the Comprehensive Amendment, also signed by the Borrower. 

No failure on the part of the Creditor Banks to exercise, or any delay in exercising, any right, power or exemption under the Loan Documents may be considered
a waiver of such rights, powers or exemptions; and simple or partial execution of such rights, powers or exemptions may not be considered avoidance of exercising any other right, power or exemption. Exemptions granted are cumulative and not
exclusive to any other exemption granted by Applicable Law. 

  
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 Any waiver, exemption or release must be interpreted and executed with restriction and for the specific
purposes for which it was granted. 
 CLAUSE 7.11. Submission to jurisdiction and Applicable Legislation. In the situation where
any controversy, claim or conflict is generated as a consequence of the signature, execution or interpretation of this Comprehensive Amendment, the Parties hereby establish that they will be preferentially resolved amicably and directly between
them. 
 The Parties agree that any controversy, difference or discrepancy that may be arise between them because of the interpretation, execution,
compliance, termination, rescission, nullification, voidability, validity, efficacy or any other matter linked to this Comprehensive Amendment or any other Loan Document will be subject to the courts and tribunals in the judicial district of Greater
Lima. 
 It is agreed that, for purposes of the Comprehensive Amendment and the other Loan Documents, Applicable Laws will apply. Likewise, any reference to
specific legislation or standards covered in this Comprehensive Amendment or the other Loan Documents must be understood as referring to Applicable Laws. 

CLAUSE 7.12. Severability. The Parties hereby certify that the clauses and sections of the Comprehensive Amendment are severable
and that if one or more of them becomes void, the remainder will not be prevented from maintaining their essence in the Comprehensive Amendment. If any of the clauses or sections of the Comprehensive Amendment are declared void, the Parties will
take all reasonable effort to prepare and implement a legally valid solution that will achieve the result closest to that which it sought to obtain in the clause or section declared void. 

CLAUSE 7.13. Total Agreement. This Comprehensive Amendment constitutes the full agreement of the Parties with respect to the
purpose of the same and replaces all prior written or verbal agreements that may exist between them. 
 FIRST ADDITIONAL CLAUSE 

ADMINISTRATIVE AGENT 
 ADDITIONAL CLAUSE
1.1. The Administrative Agent. By signing this Comprehensive Amendment, the Administrative Agent assumes the functions established in this First Additional Clause. 

ADDITIONAL CLAUSE 1.2. Functions. The functions and obligations of the Administrative Agent are those expressly established in
this First Additional Clause. As a consequence, the Administrative Agent has no type of obligation to the Creditor Banks beyond those specified here, with no obligation whatsoever to the Borrower. 

  
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The functions of the Administrative Agent under this Comprehensive Amendment will be carried out under the direction of the Creditor Banks, pursuant to the procedure established herein, and will
not involve discretion on the part of the Administrative Agent; therefore, any statement of will expressed by the Administrative Agent within the framework of the Comprehensive Amendment will be understood as made on behalf and in representation of
the Creditor Banks. 
 The Administrative Agent will act based on the communications sent by the Creditor Banks pursuant to this First Additional Clause.
The Administrative Agent must also request instructions from the Creditor Banks and will be able to abstain from acting until receiving said instructions. Any action or abstention of the Administrative Agent will be fully justified if it is based on
instructions or a communication given by the Creditor Banks. 
 The Administrative Agent may ask the Creditor Banks for certain guaranties and
indemnifications before taking any action or abstaining from doing so, when there is justification to consider that taking said action or abstain from doing so could cause it to incur in liabilities that are not covered within its function as
Administrative Agent, and it will have the right to refuse to exercise such action or abstention until the Creditor Banks have provided it with such guaranties or indemnifications. 

ADDITIONAL CLAUSE 1.3. Powers. The Creditor Banks authorize the Administrative Agent so that, on their behalf, and in their
representation and benefit, he or she can take each and every act or action that corresponds to the Administrative Agent within the framework of the Comprehensive Amendment. In such sense, the Creditor Banks grant the powers listed below to the
Administrative Agent: 
  

	(a)	 Require and demand compliance by the Borrower with any of the obligations that may correspond to it under the
Comprehensive Amendment and the other Loan Documents, granting it the respective remediation period when applicable. 

  

	(b)	 Declare and communicate with the Borrower, after instruction from the Creditor Banks, conclusion of all terms
given for compliance with obligations under the Loan Documents. 

  

	(c)	 Communicate the existence of a Non-Compliance Event to the Guaranties
Agent and request execution of the guaranties as set forth in the Guaranty Agreements. 

 If, in order to exercise the powers granted by
the Creditor Banks to the Administrative Agent, it is necessary to grant special powers, the Administrative Agent and the Creditor Banks will make all arrangements and acts 

that may be necessary for purposes of granting the respective powers to the Administrative Agent; therefore, the Borrower hereby gives its authorization for
said powers to be granted. 

  
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 The Creditor Banks specifically state that the powers granted under this First Additional Clause must not be
interpreted with restriction, and the Administrative Agent may take all acts or actions necessary for compliance with its function after requesting authorization from the Creditor Banks. 

Pursuant to article 166 of the Peruvian Civil Code, the Creditor Banks expressly authorize the Administrative Agent to be able to enter any type of legal act
with itself, in compliance with its functions. In such sense, the Creditor Banks waive the right to request the voidability of legal acts in which the Administrative Agent signs with itself. 

The Parties agree that relations between the Borrower and the Creditor Banks under the Loan Documents will be carried out through the Administrative Agent,
who will be responsible without limitation for the following, among other things: 
  

	(a)	 Gather and receive all information, communications, notifications and any type of correspondence that may be
sent by the Borrower to the Creditor Banks and vice versa, in relation to the Loan Documents. 

  

	(b)	 Communicate the decision of the Creditor Banks to grant remediation periods to the Borrower, as the case may
be. 

  

	(c)	 Declare, under instruction from the Creditor Banks, early termination of the Loan, accelerating the terms
granted for payment of the same. 

  

	(d)	 Channel and execute decisions that the Creditor Banks may adopt with the Borrower in relation to the
Comprehensive Amendment and all other Loan Documents. 

 The Parties agree that relations between the Creditor Banks and the Peruvian
Guaranties Agent will be made through the Administrative Agent, who will be responsible for the following, among other things: 
  

	(a)	 Gather and receive all information, communications, notifications and any type of correspondence that may be
sent by the Peruvian Guaranties Agent to the Creditor Banks. 

  

	(b)	 Communicate any decision of the Creditor Banks to the Guaranties Agent. 

  
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	(c)	 Channel and execute decisions that the Creditor Banks may adopt in relation to the Comprehensive Amendment and
all other Loan Documents. 

 ADDITIONAL CLAUSE 1.4. Obligations and Responsibilities. The Administrative Agent
must notify the Creditor Banks about the occurrence of a Non-Compliance Event within two (2) Business Days after having become aware of it. 

The Administrative Agent will not be liable for any action it takes or stops taking in relation to the Comprehensive Amendment, as long as it as adopted or
stopped adoption of that measure within the terms set forth by said contact and/or pursuant to instructions from the Creditor Banks. The obligations of the Administrative Agent are on means, not results. 

The Administrative Agent will not be liable, nor will it have the duty to confirm, investigate or verify: (a) any claim, warranty or representation made
in relation to the Comprehensive Amendment, (b) compliance with or follow-up of any agreements made by the Borrower, (c) the accuracy of any of the Representations and Warranties of the Borrower, or
(d) the validity, effectiveness or authenticity of the Loan Documents, or any other instrument or document submitted in relation to the same. 
 The
Administrative Agent will not be liable for damages, injuries or losses, in general and without limitation, that the Creditor Banks may suffer as a consequence of any omission to act, on its part or in the acts that it executes or carries out in
compliance with any agreement made by the Creditor Banks, except when the Administrative Agent has acted (or incurred in omission) with inexcusable fault or fraud in its obligations under the Applicable Laws, and/or this First Additional Clause,
which must be determined by a final and definitive pronouncement from an arbitration court or the corresponding competent authority. 
 The Creditor Banks
agree to reimburse and/or hold harmless the Administrative Agent in proportion to the commitments they have assumed in the Loan, for any reasonable and properly documented cost or expense (including honoraria and disbursements for advisement),
claim, grievance, action or loss that may affect it or that it has had to pay within the exercise of its functions. 
 ADDITIONAL CLAUSE 1.5.
Resignation and removal. The Administrative Agent may resign from his or her position, without any liability, if it notifies the Creditor Banks of such decision with a copy to the Borrower at least thirty (30) Business
Days prior to the effective resignation date. 
 The Creditor Banks may also agree to remove the Administrative Agent, which will require a unanimous
agreement from the Creditor Banks. 

  
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 To such end, they must send a communication to the Administrative Agent specifying said removal will take
effect. 
 ADDITIONAL CLAUSE 1.6. Collective Action by the Creditor Banks. The Creditor Banks declare and agree that all of
their rights under this Comprehensive Amendment will be executed collectively through the Administrative Agent, as set forth in the First Additional Clause. Specifically, but as an example, none of the Creditor Banks acting individually may
individually adopt decisions that bind or are legally binding for the Borrower, nor may they be involved in communications or exercise collection actions, or declare the existence of Non-Compliance Events or
their remediation, or grant or extend terms, or grant exemptions, except when expressly established otherwise in this Comprehensive Amendment. 

ADDITIONAL CLAUSE 1.7. Agreements made by Creditor Banks All agreements, decisions, opinions and/or statements of will that require
adoption and/or expression by the Creditor Banks under this Comprehensive Amendment must be subject to the following: 
 Unanimous agreements.
Agreements, decisions, opinions and/or statements of will about the following matters will be unanimously adopted and/or expressed by the Creditor Banks: 
  

	(a)	 Any modification to the terms that regulate the payment period and/or the Loan Amount or Payment Schedule.

  

	(b)	 Any modification made to the Compensatory Interest Rate or the Default Interest Rate. 

 

	(c)	 Approval of any exemption, in the case of a Non-Compliance Event.

  

	(d)	 Approval of any decision in favor of not claiming the guaranties established under the Guaranty Agreements as a
consequence of a Non-Compliance Event. 

  

	(e)	 Approval to release any of the Guaranties. 

 

	(f)	 Removal of the Administrative Agent. 

 

	(g)	 Authorization for any Change in Control with respect to the Borrower or the Guarantors. 

 

	(h)	 Any modification to this number 1.7. 

  
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 Agreements by Majority. All agreements, decisions, opinions and/or statements of will
that must be adopted and/or expressed by the Creditor Banks in relation to this Comprehensive Amendment must be adopted and/or expressed by a majority of Creditor Banks, with the exception of: (a) those that specifically require a unanimous
vote by Creditor Banks according to this number 1.7., and (b) those referring to the termination of the Comprehensive Amendment pursuant to Clause 6.2 and at the request of claiming the guarantees as a consequence of a Non-Compliance Event, for which the agreement, decision, opinion and/or statement of will of at least one (1) of the Creditor Banks shall suffice. For purposes of this clause, majority will be understood as the
Creditor Bank or Creditor Banks that hold more than fifty percent (50%) of the Loan Amount pending amortization. If any of the Creditor Banks have entered a participation agreement with any Third Party (including but not limited to the channeling
contract signed between the Bank and Cofide), said Creditor Bank will vote: (i) for itself; and (ii) in representation of said Third Party, as it has been instructed to do by the latter. The percentage that corresponds to said Creditor
Bank and the Third Party based on their respective amounts pending amortization (direct and indirect) will be assigned to the votes, and it is hereby stated that such votes may be for different outcomes. The vote of said Third Party may be
validated, at the request of the other Creditor Banks, by any means, including but not limited to e-mail. 

Procedure for making agreements. For agreements adopted by the Creditor Banks, the following procedure will be followed: 

 

	(i)	 The Administrative Agent will send a notification to the Creditor Banks about the decision that the Creditor
Banks should adopt, as applicable. 

  

	(ii)	 Each of the Creditor Banks will have a term of ten (10) Business Days to make a pronouncement on the
notification sent by the Administrative Agent. Within the term indicated above, each Creditor Bank may request more information related to the notification, or send a communication to the Administrative Agent indicating their decision on the same,
as well as the amount pending amortization, which corresponds to the respective Creditor Bank on the date the communication is sent. 

  

	(iii)	 If any of the Creditor Banks do not state their decision within the established term, it will be considered
that said Creditor Bank is against the decision it is asked to adopt. 

  

	(iv)	 Within two (2) Business Days counted from the date on which the Administrative Agent has received
communications from all Creditor Banks, the Administrative Agent will determine the decision adopted by the Creditor Banks, taking into account the corresponding amount pending amortization. 

  
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	(v)	 Once the above is calculated, the Administrative Agent will send the decision adopted to the Creditor Banks and
proceed according to said adopted decision. 

 Please add, Mr. Notary Public, all other clauses required by law and record this note
as a public instrument. 
 Lima, December 26, 2018 

[signature pages to follow] 

  
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 For Scotiabank Perú S.A.A. 

 

			
	As Lender:	  	
                     
   [stamp:] SCOTIABANK PERÚ S.A.A.

                     
   Approved

                     
   [signature]

                     
   Commercial and Regulatory Legal Advisor

		
	 /s/ Carlos Alberto Correa Belaúnde
	  	 /s/ Jose Ignacio Valdez Mantero

	Carlos Alberto Correa Belaúnde	  	Jose Ignacio Valdez Mantero

  
 Page 71 of 109 

 For Scotiabank Perú S.A.A. 

 

			
	As Administrative Agent:	  	
                     
   

                     
   

                     
   

                     
   

		
	 /s/ Lorena Guiulfo Vera
	  	 /s/ Claudia Quiroz Chavez

	Lorena Guiulfo Vera	  	Claudia Quiroz Chavez

  

			
		  	
                     
                       [stamp:] Trust Department

                     
                       Approved

                     
                       [signature]

                     
                       Legal Advisor

                     
                       SCOTIABANK PERÚ S.A.A.

  
 Page 72 of 109 

 For Oncosalud S.A.C. 
  

			
	As Borrower:	  	
                     
   

                     
   

		
	 /s/ Juan Rafael Serván Rocha
	  	 
	Juan Rafael Serván Rocha	  	
		
		  	
	 /s/ Gina Chavarry

Rodríguez
 CAL
56793
	  	

  
 Page 73 of 109

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