Almoosa Health Co. · TADAWUL:4018
Almoosa Health — Q1 2026 Earnings Presentation
42 slides from Almoosa Health's earnings presentation, May 2026
Slide 1: Earnings Presentation Q1 2026
Earnings Presentation Q1 2026 May 2026
Slide 2: Disclaimer
Disclaimer This presentation has been prepared by Almoosa Health (the “Company”) for general use only and is not necessarily comprehensive as it has not been independently verified, nor is it considered or constitutes part of any invitation or inducement to engage in any investment activity, nor doe
Slide 3: Presenters & Agenda
Presenters & Agenda Malek Almoosa Chief Executive Officer 01 Business overview Shailesh Chander Chief Financial Officer 02 Financial review 03 Summary and outlook Yousef Investor Relations Alyousef Officer 04 Q&A 3
Slide 4: Business Overview
Gussall jwgall LY, Almoosa Health XY
Slide 5: Q1 2026 Highlights: broad-based and diversified performance
Q1 2026 Highlights: broad-based and diversified performance Revenue No. of Clinics No. of Beds Out-patients In-patients Dividends 1 348.3 MN 365 730 340.6 K 9.6 K The Board has approved cash dividend of 1 0.25 +7.8% YoY 19.0% YoY 0.6% YoY per share, amounting to 1 11.1 million, for the first quarter
Slide 6: Almoosa Health resilience & continuity of care framework
Almoosa Health resilience & continuity of care framework Supply & Logistics Infrastructure & Security • Critical stocks increased • Power and ambulance • Vendor routing and readiness reviewed alternatives prepared • Access controls reinforced • Fuel supply secured Workforce Readiness IT & Cybersecur
Slide 7: A leading comprehensive healthcare system in Eastern region
A leading comprehensive healthcare system in Eastern region, providing service across the care continuum Pillars of Medical Centers Rehab and LTC Cutting-edge exceptional supporting Home Health care Care Clinic technologies Patient-centered care principle State-of-the-Art Electronic health records T
Slide 8: Comprehensive healthcare network
Comprehensive healthcare network Almoosa offers a world-class integrated health system that fosters wellness and healing across the care Existing inpatient and Estimated inpatient and continuum, enabled by innovation and transformation outpatient flows outpatient flows Existing assets Upcoming asset
Slide 9: Delivering on our growth strategy: Medical Centers & Hospitals pipeline update
Delivering on our growth strategy: Medical Centers & Hospitals pipeline update Total Incurred Projects in progress cost till Q1 20261 1 847.6 MN Sulmaniyah Medical Center Jubail Medical Center Specialist Hospital Specialist Hospital Al-Ahsa Q2 2026 Jubail Industrial City Q4 2026 Al-Hofuf Q2 2027 Al-
Slide 10: Sulmaniyah Medical Center Al-Ahsa
Sulmaniyah Medical Center Al-Ahsa 66 clinics Q2 2026 Construction completion Specializations’ list: Pediatrics Dermatology Neurology Endocrinology 16,500 Built-up area m² OBS/GYN Ophthalmology ENT Orthopedic Pulmonary Otolaryngology One-day surgery Emergency Current Status Actual 70.1% Variance Ahea
Slide 11: Sulmaniyah Medical Center Al-Ahsa
Sulmaniyah Medical Center Al-Ahsa 11
Slide 12: Almoosa Medical Center Jubail Industrial City
Almoosa Medical Center Jubail Industrial City Q4, 2026 72 Specializations’ list: Construction completion clinics Diagnostics & Lab One Day Surgery Current Status: 18,000 Built-up area m² Endoscopy Physiotherapy Hyperbaric 100% Design 85% Structure and shell Sleep Lab 12
Slide 13: Almoosa Medical Center Abqaiq
Almoosa Medical Center Abqaiq ~30 Specializations’ list: clinics Urgent Care/ED Diagnostic/Radiology 5,000 Built-up area m² Physiotherapy Rehabilitation Q1 2027 Construction completion 13
Slide 14: Almoosa Medical Center Al-Dammam
Almoosa Medical Center Al-Dammam ~50 Specializations’ list: clinics Urgent Care/ED Diagnostic/Radiology 15,000 Built-up area m² One Day Surgery Endoscopy Q4 2027 Construction completion 14
Slide 15: Almoosa Specialist Hospital Al-Hofuf
Almoosa Specialist Hospital Al-Hofuf 200 300 clinics beds 160,000 Q2 2027 Built-up area m² Construction completion Current Status Actual 77.0% Variance Ahead of Plan +0.8 pp 76.2% Planned 15
Slide 16: Almoosa Specialist Hospital Al-Hofuf
Almoosa Specialist Hospital Al-Hofuf 16
Slide 17: Almoosa Specialist Hospital Al-Hofuf
Almoosa Specialist Hospital Al-Hofuf 17
Slide 18: Almoosa Specialist Hospital Al-Khobar
Almoosa Specialist Hospital Al-Khobar 300 400 clinics beds 300,000 Q1 2028 Built-up area m² Construction completion Current Status Actual 23.1% Variance Ahead of Plan +3.1 pp 20.0% Planned 18
Slide 19: Almoosa Specialist Hospital Al-Khobar
Almoosa Specialist Hospital Al-Khobar 19
Slide 20: Almoosa Specialist Hospital Al-Khobar
Almoosa Specialist Hospital Al-Khobar 20
Slide 21: Financial Review
Gussall jwgall LY, Almoosa Health XY Financial Review
Slide 22: Q1 2026 Financial Highlights
Q1 2026 Financial Highlights Q1 2025 Δ% Q1 2026 Main Reasons for +7.8% Steady, broad-based revenue Drop in Revenue and Net Revenue 323.0 348.3 growth across all business Increase in Costs segments Ramadan Calendar Shift (Primary Driver) EBITDA1 -8.5% Seasonal EBITDA (margin) 73.9 67.6 softness — ope
Slide 23: Net profit reconciliation – Q1 2026 vs Q1 2025
Net profit reconciliation – Q1 2026 vs Q1 2025 Particulars Q1 2025 Q1 2026 Change Δ% Net Profit 67,219,932 23,513,963 (43,705,969) -65.0% MTM Adjustments Gain / (loss) on derivative financial instruments (16,091,666) 13,292,562 29,384,228 +182.6% Adjusted Net Profit 51,128,266 36,804,525 (14,323,741
Slide 24: All segments delivered stable performance, well-balanced payer mix
All segments delivered stable performance, supported by a well-balanced and diversified payer mix Revenue by segment ( 1 MN / %) Medical Services 74.3 214.2 78.3 218.8 % Change YoY 23.0% 66.3% 22.5% 62.8% Rehabilitation +2.2% Pharmaceuticals 34.5 Q1 2025 +7.8% Q1 2026 +48.3% 10.7% 51.2 +5.4% 14.7% R
Slide 25: Stable profitability and margins with a positive outlook
Stable profitability and margins with a positive outlook for gradual improvement ahead Gross Profit / Margin ( 1 MN / %) Operating Profit / Margin ( 1 MN / %) EBITDA1 / Margin ( 1 MN / %) Net Profit2 / Margin ( 1 MN / %) 30.6% 27.9% 22.9% 19.4% 20.8% 6.8% 16.0% 11.5% -8.5% -1.8% -22.3% -65.0% 73.9 6
Slide 26: Enhanced capital structure and debt optimization driving financial resilience
Enhanced capital structure and debt optimization driving financial resilience Shareholder Equity / Loan Balance Ratio Q1 2025 Q1 2026 Shareholder Equity 68.7% 31.3% Loan Net Debt / 23.9% EBITDA 1.2x 3.1x March, 31 March, 31 76.1% 2026 2025 Net Debt / Equity 0.3x 0.5x Source: Company's Financial stat
Slide 27: Outlook
Outlook
Slide 28: 2026 & Medium-term guidance
2026 & Medium-term guidance 2025 2026 Medium-term1 Bed count # of Hospitals # of Medical Centers Revenue growth 730 730 1,430 2 2 4 2 4 6 17.8% 15%-20% 25%-30% beds beds beds hospitals hospitals hospitals Medical Medical Medical Center Centers Centers EBITDA margin Capex2 Leverage3 22.5% 22%-25% 25%
Slide 29: Q&A
Gssall _pwgoll Almoosa Health &A
Slide 30: Appendix
wall nugall Wi Almoosa Health WY Appendix
Slide 31: Growing and underpenetrated healthcare sector relative to global benchmarks
Growing and underpenetrated healthcare sector relative to global benchmarks Projected Saudi Arabia’s population Expected expansion of KSA Projected increase in KSA’s growth over the next 25 years people aged 45 and older life expectancy at birth 35.3 MN 37.4 MN 47.7 MN 6.5 MN 14 MN 75.8 years 80.0 y
Slide 32: An integrated, patient-centered health system delivering continuity of care
An integrated, patient-centered health system delivering continuity of care Integrated Healthcare Ecosystem Preventative Primary Secondary Tertiary Post- Acute Care Tele-health Preventative Primary Acute Centers of Post-acute Tele-health Care Services Care Services Care Services Excellence Care Serv
Slide 33: Building a healthier future
Building a healthier future Environmental Social Governance Commitment to sustainability is delivered via environmentally responsible operations and energy efficiency Climate Change Energy Efficiency1 Risks Mitigation measures Heat-related • high-efficiency air- • limited outdoor work Despite the ri
Slide 34: Strong social record and commitment (1/2)
Strong social record and commitment (1/2) Environmental Social Governance Committed to invest in the society of Eastern province as regional leader in community-based initiatives Community Engagement & Public Health Impact Al Ahsa Run 2026 – 8th Edition Educational Blood Donation School Health Visit
Slide 35: Strong social record and commitment (2/2)
Strong social record and commitment (2/2) Environmental Social Governance Committed to invest in the society of Eastern province as regional leader in community-based initiatives Strategic Partnerships Sponsorships Institutional & Institutional Collaboration & Community Presence Recognition & Awards
Slide 36: Team's well-being and development: Q1 2026 update
Team’s well-being and development: Q1 2026 update Environmental Social Governance Almoosa Health invests in its people, ensuring a broad, skilled, and expanding team to deliver exceptional healthcare Workforce Expansion Commitment to Diversity & Inclusion Training and Development and Talent Developm
Slide 37: Fostering balanced leadership and strategic insight
Fostering balanced leadership and strategic insight Environmental Social Governance Commitment to legal and ethical compliance (CMA, Saudi Law, Global Governance) and ERM Framework for comprehensive risk management Governance Overview Business Ethics and Compliance Risk Management New approved amend
Slide 38: Diversed Board of Directors
Diversed Board of Directors Non-Executives Executives Independents H. E. Abdullatif Ahmad Malek Abdulaziz Patrick Anthony Abdullah Al-Othman Abdullah Almoosa Charmel Chairman Managing Director and CEO Director Hassan Abdulrahman Dr. Zainab Abdulaziz Bashar Abdulaziz Abdullah Al Afaliq Abdullah Almoo
Slide 39: Income statement
Income statement 1 MN Q1 2025 Q1 2026 Revenue 323.0 348.3 Cost of revenue -224.2 -251.3 Gross profit 98.8 97.0 General and administrative expenses -43.3 -53.0 Selling and distribution expense -6.5 -7.3 Provision / (reversal) for impairment loss on accounts receivable -0.9 -1.4 Other income 4.7 4.8 O
Slide 40: Balance sheet
Balance sheet 1 MN FY 2025 Q1 2026 Property & equipment 2,364.6 2,542.4 Intangible assets 9.6 12.0 Investments 40.0 40.0 Derivative financial instruments 2.1 0.7 Equity accounted investee 9.5 9.6 Right of use assets 87.7 92.9 Total Non-Current Assets 2,513.6 2,697.7 Total Current Assets 799.5 891.5
Slide 41: Cash flow statement
Cash flow statement 1 MN Q1 2025 Q1 2026 Net cash from operating activities 4.1 15.8 Net cash used in investing activities -211.6 -170.9 Net cash from financing activities 406.0 149.2 Net change in cash and cash equivalents 198.5 -5.8 Cash and cash equivalents at beginning of the period 38.2 38.3 Ca
Slide 42: Thank you
Thank you ir.almoosahealthgroup.org