Almoosa Health Co. · TADAWUL:4018
Almoosa Health — Q2 2026 Earnings Presentation
56 slides from Almoosa Health's earnings presentation, August 2026
Slide 1: Q2 2026 Earnings Call Presentation
Q2 2026 Earnings Call Presentation August 2026
Slide 2: Disclaimer
Disclaimer This presentation has been prepared by Almoosa Health (the “Company”) for general use only and is not necessarily comprehensiveas 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 does
Slide 3: Presenters & Agenda
Presenters & Agenda Malek Almoosa Chief Executive Officer 01 Business overview 02 Financial review Shailesh Chander Chief Financial Officer 03 Summary and outlook Yousef Alyousef 04 Q&A Investor Relations Officer 03
Slide 4: Business overview
01 02 03 04 Business Financial Outlook Q&A overview review 04
Slide 5: Q2/H1 2026 Highlights
Q2/H1 2026 Highlights Continued robust performance Revenue MN Outpatients Q2 2026 H1 2026 Q2 2026 H1 2026 405.6 753.9 397.1 k 737.6 k +16.2% +12.2% +27.0% +23.2% EBITDA¹ MN Net Profit MN Earnings Per Share Q2 H1 Q2 H1 Q2 H1 78.8 146.4 38.5 62.1 0.87 1.4 -0.3% -4.3% -43.3% -54.1% -43.9% -54.4% In-pat
Slide 6: Maximizing Existing Capacity to Support Sustainable Volume Growth
Maximizing Existing Capacity to Support Sustainable Volume Growth Enhancing patient throughput and optimizing capacity utilization to support sustained volume growth Leveraging Available Capacity in Existing Facilities Improving Throughput Through ALOS Optimization 76.6% Average Length of Stay Trend
Slide 7: Q2/H1 2026 Highlights: Awards and Accreditation
Q2/H1 2026 Highlights Awards and Accreditation Environmental Exceptional Accreditation Achievement Excellence Recognition IPO of the Year 2025 106% Exceptional Almoosa Health received the Gold Initiative Almoosa Health Group received the Accreditation Certification and achieved the Platinum Level “I
Slide 8: Comprehensive healthcare network
Comprehensive healthcare network class integrated health system that fosters wellness and healing across the care A Hub & Spoke Healthcare Network 2027 Al-Nakheel Medical Center Almoosa Specialist Hospital Al-Hofuf Al-Sulmaniyah Medical Center 2026 Al Dammam jubail Al Khobar Almoosa Specialist Hospi
Slide 9: Delivering on our growth strategy
Delivering on our growth strategy Medical Centers & Hospitals pipeline update Total incurred cost till H1 2026 Projects in progress 1,145.6 MN Sulmaniyah Medical Center Abqaiq Medical Center Medical Centers Al-Ahsa Abqaiq Al-Dammam IMG IMG Q3 2026 Q4 2026 Q1 2027 Q2 2027 Q4 2027 Q1 2028 Jubail Medic
Slide 10: Sulmaniyah Medical Center
Sulmaniyah Medical Center Al-Ahsa 66 Q3 2026 Construction completion Clinics 16,500 m Commissioning Built-up area (Pending licensing) Completation Status Specializations' list Pediatrics Neurology Structure 100% Dermatology Endocrinology OBS/GYN Orthopedic Overall Project 100% Ophthalmology Pulmonar
Slide 11: Sulmaniyah Medical Center: Construction Progress 2025
Sulmaniyah Medical Center Al-Ahsa Construction Progress as of 2025 11
Slide 12: Sulmaniyah Medical Center: Construction Progress Q1 2026
Sulmaniyah Medical Center Al-Ahsa Construction Progress as of Q1 2026 12
Slide 13: Sulmaniyah Medical Center: Construction Progress Q2 2026
Sulmaniyah Medical Center Al-Ahsa Construction Progress as of Q2 2026 13
Slide 14: Almoosa Medical Center, Jubail Industrial City
Almoosa Medical Center Jubail Industrial City 72 Specializations' list Diagnostics & Lab Clinics One Day Surgery 18,000 Endoscopy m Physiotherapy 2 Built - up area Hyperbaric Sleep Lab Q4 2026 Construction completion 14
Slide 15: Jubail Medical Center: Construction Progress Q1 2026
Almoosa Medical Center Jubail Industrial City Construction Progress as of Q1 2026 15
Slide 16: Jubail Medical Center: Construction Progress Q2 2026
Almoosa Medical Center Jubail Industrial City Construction Progress as of Q2 2026 16 Design Pictures and not actual
Slide 17: Almoosa Medical Center, Abqaiq
Almoosa Medical Center Abqaiq ~30 Specializations' list Urgent Care/ED Clinics Diagnostic/Radiology 5,000 Physiotherapy m Rehabilitation 2 Built - up area Q1 2027 Construction completion 17
Slide 18: Abqaiq Medical Center: Construction Progress Q2 2026
Almoosa Medical Center Abqaiq Construction Progress as of Q2 2026 18 Design Pictures and not actual
Slide 19: Almoosa Medical Center, Al-Dammam
Almoosa Medical Center Al-Dammam ~50 Specializations' list Urgent Care/ED Clinics Diagnostic/Radiology 15,000 One Day Surgery m Endoscopy Built - up area Q4 2027 Construction completion 19
Slide 20: Al-Dammam Medical Center: Construction Progress Q2 2026
Almoosa Medical Center Al-Dammam Construction Progress as of Q2 2026 20
Slide 21: Almoosa Specialist Hospital, Al-Hofuf
Almoosa Specialist Hospital Al-Hofuf 245 Q2 2027 Construction completion Clinics Tracking 300 ahead of plan Beds Completation Status 100% 160,000 m Structure Built-up area Overall project 44% 21
Slide 22: Al-Hofuf Hospital: Construction Progress 2025
Almoosa Specialist Hospital Al-Hofuf Construction Progress as of 2025 22
Slide 23: Al-Hofuf Hospital: Construction Progress Q1 2026
Almoosa Specialist Hospital Al-Hofuf Construction Progress as of Q1 2026 23
Slide 24: Al-Hofuf Hospital: Construction Progress Q2 2026
Almoosa Specialist Hospital Al-Hofuf Construction Progress as of Q2 2026 24
Slide 25: Al-Hofuf Hospital: Concrete Works Completion Ceremony
Almoosa Specialist Hospital Al-Hofuf Concrete Works Completion Ceremony 25
Slide 26: Almoosa Specialist Hospital, Al-Khobar
Almoosa Specialist Hospital Al-Khobar Q1 2028 360 Construction completion clinics Tracking 400 ahead of plan beds Structure Completation Status 300,000 m Actual 43.5% Built - up area Plan 40.9% 26
Slide 27: Al-Khobar Hospital: Construction Progress 2025
Almoosa Specialist Hospital Al-Khobar Construction Progress as of 2025 27
Slide 28: Al-Khobar Hospital: Construction Progress Q1 2026
Almoosa Specialist Hospital Al-Khobar Construction Progress as of Q1 2026 28
Slide 29: Al-Khobar Hospital: Construction Progress Q2 2026
Almoosa Specialist Hospital Al-Khobar Construction Progress as of Q2 2026 29
Slide 30: Al-Khobar Hospital: Construction Progress Q2 2026
Almoosa Specialist Hospital Al-Khobar Construction Progress as of Q2 2026 30
Slide 31: Financial review
01 02 03 04 Business Financial Outlook Q&A overview review 31
Slide 32: Q2 2026 Financial Highlights
Q2 2026 Financial Highlights Continued robust performance MN Q2 2025 Q2 2026 Net Revenue 349.0 +16.2% 405.6 Gross Profit 112.1 +18.2% 132.5 (margin) 32.1% 0.6 pp. 32.7% EBITDA 79.1 -0.3% 78.8 (margin) 22.7% -3.3 pp. 19.4% Net Profit 68.0 -43.3% 38.5 (margin) 19.5% -10.0 pp. 9.5% Adjusted Net Profit
Slide 33: Q2/H1 2026 Financial Highlights
Q2/H1 2026 Financial Highlights Continued robust performance MN Q1 2026 Q2 2026 H1 2025 H1 2026 Net Revenue 348.3 +16.4% 405.6 671.9 +12.2% 753.9 Gross Profit 97.0 +36.5% 132.5 210.9 +8.8% 229.5 (margin) 27.9% 4.8 pp. 32.7% 31.4% -0.9 pp. 30.4% EBITDA 67.6 +16.6% 78.8 153.0 -4.3% 146.4 (margin) 19.4
Slide 34: Net profit reconciliation
Net profit reconciliation H1 2026 vs H1 2025 Particulars H1 2025 H1 2026 Change Δ% Net Profit 135.2 62.1 -73.1 - 54.1% MTM Adjustments Gain / (loss) on derivative financial instruments 32.3 22.3 54.7 -169.1% Adjusted Net Profit 102.9 84.4 -18.5 -18.0% Statutory vs adjusted net profit H1 2026 vs H1 2
Slide 35: All segments delivered stable performance (service mix)
All segments delivered stable performance supported by a well-balanced and diversified service mix Revenue by segment ( MN / %) Medical Services Rehabilitation 262.0 Pharmaceuticals 229.6 78.1 65.8% 90.6 64.6% 22.4% 22.3% % Change YoY +14.1% Q2 Q2 +16.2% +28.1% 41.3 2025 52.9 2026 11.8% 13.1% +16.1%
Slide 36: All segments delivered stable performance (payer mix)
All segments delivered stable performance supported by a well-balanced and diversified payer mix Revenue by segment ( MN / %) Insurance and corporates Government 22.4 27.5 Cash 294.4 345.8 32.1 6.4% 84.4% 32.3 6.8% 85.2% 9.2% 8.0% % Change YoY +17.5% Q2 Q2 +16.2% +0.4% 2025 2026 +22.5% 44.1 569.7 50
Slide 37: Robust Earnings and Margins Supported by Efficient Capital Structure
Robust Earnings and Margins Supported by Efficient Capital Structure Gross Profit / Margin ( MN / %) Operating Profit / Margin ( MN / %) EBITDA¹ / Margin ( MN / %) Adjusted Net Profit / Margin ( MN / %) 32.1% 32.7% 31.4% 30.4% 16.1% 12.9% 16.0% 12.2% 22.7% 19.4% 22.8% 19.4% 14.8% 11.7% 15.3% 11.2% +
Slide 38: Operating and Financial Performance Highlights
Operating and Financial Performance Highlights Record 2Q 2026 revenues driven by higher patient volumes and ramp-up of new medical centers Revenue 2Q 2026 1H 2026: SAR 754 mn +12.2% YoY +16.2% year-on-year 388 406 332 349 356 348 308 323 277 285 1Q24 2Q24 3Q24 4Q24 1Q25 2Q25 3Q25 4Q25 1Q26 2Q26 EBIT
Slide 39: Balance Sheet Highlight
Balance Sheet Highlight Total assets in H1-25 3,055.6 vs 3,993.0 in H1 26 ( ( MN Assets Liabilities & Equity 3,055.6 3,993.0 Current Ratio Receivables Days 3,055.6 3,993.0 H1-2025 H1-2026 H1-2025 H1-2026 651.2 767.7 436.2 (14.3%) 508.6 (12.8%) 2.1x 1.9x 156 163 Account (21.3%) (19.2%) Current Receiv
Slide 40: Enhanced capital structure and debt optimization
Enhanced capital structure and debt optimization driving financial resilience Shareholder Equity / Loan Balance Ratio Net Debt / EBITDA Shareholder Equity Loan H1 2025 H1 2026 June 30, 2025 1.7x 4.3x 76.2% 23.8% Net Debt / Equity June 30, 2026 H1 2025 H1 2026 60.6% 39.4% 0.3x 0.6x Source: Company's
Slide 41: Outlook
01 02 03 04 Business Financial Outlook Q&A overview review 41
Slide 42: 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 -30%% 17.8%15.0%-20.0 % 25.0 %%-30.0 beds beds beds hospitals hospitals hospitals Medical Medical Medical Center Centers Centers GP margin EBITDA Margin Capex 2 3
Slide 43: Q&A
01 02 03 04 Business Financial Outlook Q&A overview review 43
Slide 44: Q&A
&ouoll cuugall :\ Almoosa Health Q&A
Slide 45: Appendix
&ouoll cuugall :\ Almoosa Health Appendix
Slide 46: Growing and underpenetrated healthcare sector relative to global benchmarks
Growing and underpenetrated healthcare sector relative to global benchmarks Projected Saudi Arabia's population growth over the Expected expansion of KSA people aged 65 and older Projected increase in KSA's life expectancy at birth next 25 years 35.3 MN 37.4 MN 47.7 MN 6.5 MN 14 MN 75.8 years 80.0 y
Slide 47: An integrated, patient-centered health system
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 48: Building a healthier future
Building a healthier future Environmental Commitment to sustainability is delivered via environmentally responsible operations and energy efficiency 4.6% 12.9% x2.9 increase in electricity consumption decline in energy intensity per patient escalation of fuel consumption Causes higer home care visit
Slide 49: Team's well-being and development H1 2026 update
Team’s well-being and development H1 2026 update Social Environmental Workforce Expansion Commitment to Diversity & Talent Development & Inclusion Staff Satisfaction 82.0% physicians and residents headcount 595 Almoosa is committed to nurturing medical talent, securing a steady and sustainable pipel
Slide 50: Q2/H1 2026 Highlights: Social
Q2/H1 2026 Highlights Social Environmental School Health Outreach Strategic Community Partnerships Community Health Education 15 +600 +2000 participants Delivered health schools students Expanded Almoosa Health’s community partnership education and awareness network through agreements with Sawaed pr
Slide 51: Fostering balanced leadership and strategic insight
Fostering balanced leadership and s trategic insight Governance Commitment to legal and ethical compliance (CMA, Saudi Law, Global Governance) and ERM Framework for comprehensive risk manage Governance Overview Business Ethics and Compliance Risk Management New approved amendments Implemented strict
Slide 52: 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 Chairman Hassan Abdulrahman Dr. Zainab Abdulaziz Bashar Abdulaziz Abdullah Al Afaliq Abdullah Almoo
Slide 53: Income statement
Income statement MN Q2 2026 Q2 2026 H1 2025 H1 2026 Revenue 349.0 405.6 671.9 753.9 Cost of revenue -236.9 -273.1 -461.1 -524.4 Gross profit 112.1 132.5 210.9 229.5 General and administrative expenses -49.7 -67.8 -93.0 -120.8 Selling and distribution expense -7.4 -7.7 -13.9 -15.0 Provision / (revers
Slide 54: Balance sheet
Balance sheet MN FY 2025 H1 2026 Property & equipment 2,364.6 2,871.6 Intangible assets 9.6 11.8 Investments 40.0 40.0 Derivative financial instruments 2.1 2.4 Equity accounted investee 9.5 12.6 Right of use assets 87.7 89.9 Total Non-Current Assets 2,513.6 3,028.2 Total Current Assets 799.5 964.8 T
Slide 55: Cash flow statement
Cash flow statement MN H1 2025 H1 2026 Net cash from operating activities 17.2 -1.2 Net cash used in investing activities -329.0 -522.4 Net cash from financing activities 346.7 508.7 Net change in cash and cash equivalents 35.0 -14.9 Cash and cash equivalents at beginning of the period 38.2 38.3 Cas
Slide 56: Thank You
Thank Ayrrall Guugall (7, Almoosa Health “7