Colombian EPS debts soar to COP 41.5 trillion in Q1 2026, report finds

A new report by Así Vamos en Salud reveals that EPS debts reached COP 41.5 trillion in the first quarter of 2026, with 92.6% of that amount overdue. This marks a sharp increase from COP 25.7 trillion in 2025. Source: infobaeSource: elcolombiano

Key findings

• Total accounts payable: COP 41.5 trillion, of which COP 38.4 trillion are overdue by more than 60 days. Source: elcolombiano
• 23.1 million affiliates (46% of the system) are in EPS under intervention; their total debt is COP 27.3 trillion, 97.6% overdue. Source: infobae
• Net equity of all EPS stood at -COP 18.22 trillion, reflecting liabilities far exceeding assets. Source: infobaeSource: elcolombiano

Concentration and loss ratio

• Five EPS (Coosalud, Famisanar, Sanitas, Emssanar, Asmet Salud) account for 74% of the negative equity. Source: elcolombiano
• The global loss ratio (siniestralidad) reached 105.6%, meaning EPS spent COP 105.6 for every COP 100 received; for intervened EPS it was 117.8%. Source: infobae