Almoosa Health Co. · TADAWUL:4018
Almoosa Health — FY2025 Earnings Presentation
43 slides from Almoosa Health's earnings presentation, March 2026
Slide 1: Almoosa Health FY 2025 Earnings Presentation
Almoosa Health FY 2025 Earnings Presentation March 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 Chief Executive Almoosa Officer 01 Business overview Shailesh Chief Financial 02 Financial review Chander Officer 03 Summary and outlook Yousef Investor Relations Alyousef Officer 04 Q&A 3
Slide 4: Business Overview
Business Overview Almoosa Health
Slide 5: 2025 Highlights: Multiplying the Growth Opportunities
2025 Highlights: Multiplying the Growth Opportunities Revenue Earnings per Share Number of Average length Available Beds of stay (ALOS) 2.0 days 1,416.3 MN 4.5 730 Total Patient Volume 1343.5 M +17.8% YoY +68.1% YoY +20.2% YoY EBITDA1 Net Number Dividends Profit of Clinics The Board has recommended
Slide 6: 2025 Highlights: Multiplying the Growth Opportunities
2025 Highlights: Multiplying the Growth Opportunities 2 new Medical Centers opened +75 clinics YoY Rafah Mental Health Center opened at ARH Including programs for anxiety and mood disorders, family therapy, geriatric psychiatry, and child and adolescent psychiatry. These programs are designed to pro
Slide 7: 2025 Highlights: A year of growth, success and advancement
2025 Highlights: A year of growth, success and advancement Advancing healthcare Launch of diabetic A state-of-the-art knowledge through Foot & Ankle center IVF clinic opening conferences, accredited specialized multi- at Almoosa Specialist programs, and engaging disciplinary care Hospital in collabo
Slide 8: 2025 Highlights: Academic Affairs
2025 Highlights: Academic Affairs Residencies and Fellowships Health Academy Programs Accredited by SCFHS since 2016, Almoosa In 2025, Internal Medicine Almoosa Health supported the Kingdom’s vision Health offers specialized fellowship and and Radiology board review by empowering individuals with em
Slide 9: A leader in comprehensive healthcare
A leader in comprehensive healthcare Almoosa offers a world-class integrated health system that fosters wellness Existing Estimated and healing across the care continuum, enabled by innovation and transformation inpatient and outpatient flows inpatient and outpatient flows Q2-2027 A Hub & Spoke Exis
Slide 10: A leading comprehensive healthcare system in Eastern region
A leading comprehensive healthcare system in Eastern region, providing service across the care continuum Acute Care Hospital Medical Centers Rehab and LTC Home Health Care Clinic State-of-the-Art Facilities and Services Almoosa Health provides seamless patient experience, encompassing all the primar
Slide 11: Digital Solutions
Digital Solutions Almoosa Health puts patients, their experience of our services, and the security of their data at the heart of its digitalization strategy Transformation for Efficiency Mobile App Cybersecurity • Full automation of outpatient The Medical Informatics • Full medical records access vi
Slide 12: Key awards and accreditations of 2025
Key awards and accreditations of 2025 Lantern Award Acquired Project of the Year 2025 (Almoosa Specialist Hospital) 1st in KSA (Planned Almoosa Specialist 3rd outside USA Hospital, Al-Khobar) Reaccreditation Sustainable Initiative of the Year Laboratory accreditation Almoosa Rehabilitation Hospital
Slide 13: Delivering on our growth strategy: Medical Centers & Hospitals pipeline update
Delivering on our growth strategy: Medical Centers & Hospitals pipeline update Projects Projects Total Incurred completed in progress cost till Q41 560.9 MN Aziziya Nakheel Sulmaniyah Specialist Specialist Medical Center Medical Center Medical Center Hospital Hospital Al-Khobar Q3 2025 Al-Ahsa Q3 20
Slide 14: Sulmaniyah Medical Center
Sulmaniyah Medical Center Al-Ahsa 66 clinics Q2, 2026 Construction completion 16,800 m² Current Status: Built-up area 100% Design & Enabling 100% Cavity Probing 100% Structure & Shell 20% MEP & Finishing 0% Façade & Landscaping Specializations’ list: Pediatrics Neurology Dermatology Endocrinology OB
Slide 15: Almoosa Medical Center Jubail
Almoosa Medical Center Jubail Industrial City 72 clinics Q4, 2026 Construction 18,000 m² completion Built-up area Current Status: 80% Design & Enabling 80% Cavity Probing 85% Structure 0% MEP 0% Finishing Specializations’ list: Diagnostics & Lab One Day Surgery Endoscopy Physiotherapy Hyperbaric Sle
Slide 16: Almoosa Medical Center Abqaiq
Almoosa Medical Center Abqaiq ~30 clinics 5,000 m² Built-up area Q1, 2027 Construction completion Specializations’ list: Urgent Care/ED Diagnostic/Radiology Physiotherapy Rehabilitation 16
Slide 17: Almoosa Medical Center Al-Dammam
Almoosa Medical Center Al-Dammam ~50 clinics 15,000 m² Built-up area Q4, 2027 Construction completion Specializations’ list: Urgent Care/ED Diagnostic/Radiology One Day Surgery Endoscopy 17
Slide 18: Almoosa Specialist Hospital Al-Hofuf
Almoosa Specialist Hospital Al-Hofuf 200 clinics 300 beds 160,000 m² Q2 2027 Built-up area Construction completion Current Status: Project Contractor 100% Design 100% Enabling 68% Structure 5% MEP & Finishing MAG Construction Company Project Project Designer Consultant Supervision 18
Slide 19: Almoosa Specialist Hospital Al-Hofuf
Almoosa Specialist Hospital Al-Hofuf 19
Slide 20: Almoosa Specialist Hospital Al-Hofuf
Almoosa Specialist Hospital Al-Hofuf 20
Slide 21: Almoosa Specialist Hospital Al-Khobar
Almoosa Specialist Hospital Al-Khobar 300 clinics 400 beds 300,000 m² Q1 2028 Built-up area Construction completion Current Status: Project Contractor 100% Design 100% Enabling 9% Structure BEC Arabia 0% MEP & Finishing Construction Company Project Project Enabling package Designer & Consultant Supe
Slide 22: Almoosa Specialist Hospital Al-Khobar
Almoosa Specialist Hospital Al-Khobar 22
Slide 23: Almoosa Specialist Hospital Al-Khobar
Almoosa Specialist Hospital Al-Khobar 23
Slide 24: Financial Review
Financial Review Almoosa Health
Slide 25: FY 2025 Financial Highlights
FY 2025 Financial Highlights 1 Resilient revenue +17.8% FY 2024 Δ% FY 2025 growth across 1,416.3 MN MN segments YoY +17.8% Net Revenue 1,202.3 1,416.3 2 Robust EBITDA increase +19.1% 322.0 MN YoY +19.1% EBITDA1 270.3 0.2 pp. 322.0 3 Strong Net Profit increase +112.3% 200.4 MN (margin) 22.5% 22.7% Yo
Slide 26: All segments continue driving solid performance fueled by well-balanced payer mix
All segments continue driving solid performance fueled by well-balanced payer mix Revenue by segment ( MN / %) Medical Services 258.2 825.6 317.9 917.5 % Change YoY 21.5% 68.7% 22.4% 64.8% Rehabilitation +11.1% Pharmaceuticals 118.5 FY 2024 +17.8% FY 2025 +52.6% 9.9% 180.9 +23.1% 12.8% Revenue by pa
Slide 27: Strong profits and gradual margin increase supported by operational excellence
Strong profits and gradual margin increase supported by operational excellence and low leverage capital structure Gross Profit / Margin ( MN / %) Operating Profit1 / Margin ( MN / %) EBITDA1 / Margin ( MN / %) Net Profit / Margin ( MN / %) 30.9% 31.7% 22.5% 22.7% 7.9% 14.2% 15.6% 15.5% +19.1% +20.7%
Slide 28: Enhanced capital structure and debt optimization driving financial resilience
Enhanced capital structure and debt optimization driving financial resilience Shareholder Equity / Loan Balance Ratio FY 2024 FY 2025 Shareholder Equity 73.2% 26.8% Loan 65.1% 34.9% Net Debt / EBITDA 4.8x 2.1x December, 31 December, 31 2025 2024 Net Debt / Equity 1.8x 0.3x Source: Company's Financia
Slide 29: Outlook
Outlook Almoosa Health
Slide 30: 2026 & Medium-term guidance
2026 & Medium-term guidance 2025 2026 Medium-term1 Bed count # of Hospitals # of Medical Centers Revenue growth 1,430 beds 4 hospitals 6 Medical Centers 25%-30% 730 beds 2 hospitals 4 Medical Centers 15%-20% 730 beds 2 hospitals 2 Medical Center 17.8% EBITDA margin Capex Leverage 25%-30% 3,100MN2 c.
Slide 31: Strategic Priorities 2026
Strategic Priorities 2026 Area of activity 2026 KPI(s) Completed in 2025 People Promoting Wellness Patient Safety and Quality Expand fellowship Increase Optimize workforce Improve staff Advance Launch Maintain all previous and residency enrollment utilization and productivity employee health wellnes
Slide 32: Q&A
Q&A Almoosa Health
Slide 33: Appendix
Appendix Almoosa Health
Slide 34: 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 35: 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 Care Primary Care Acute Care Centers of Post-acute Care Tele-health Services Services Services Excellence Serv
Slide 36: Building a healthier future
Building a healthier future Environmental Social Governance Promoting environmental responsibility and building a greener future, through eco-friendly facilities Pioneering Sustainable Almoosa Health was among the pioneers in introducing green buildings in the KSA Architecture in Healthcare Waste Ma
Slide 37: Strong social record and commitment
Strong social record and commitment Environmental Social Governance Committed to invest in the society of Al-Ahsa as regional leader in community-based initiatives Children’s Reading Community Wellness Outreach Chronic Disease Awareness Community Volunteering Program & Wellness Program Al-Ahsa Run e
Slide 38: Team's well-being and development: 2025 growth opportunities
Team’s well-being and development: 2025 growth opportunities 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 Tale
Slide 39: Fostering balanced leadership and strategic insight
Fostering balanced leadership and strategic insight Environmental Social Governance Diverse governance structure ensures inclusive and effective decision-making across the organization Board of Directors Reporting system Oversight Risk Management Ethics and Integrity Diverse board composition Clear,
Slide 40: Income statement
Income statement MN FY 2024 FY 2025 % Chg. Revenue 1,202.3 1,416.3 +17.8% Cost of revenue -830.6 -967.7 +16.5% Gross profit 371.7 448.6 +20.7% General and administrative expenses -173.7 -208.6 +20.1% Selling and distribution expense -24.9 -30.1 +20.9% Provision / (reversal) for impairment loss on ac
Slide 41: Balance sheet
Balance sheet MN FY 2024 FY 2025 Property & equipment 1,894.4 2,364.6 Right of use assets 16.6 87.7 Intangible assets 8.4 9.6 Equity accounted investee 9.0 9.5 Total Non-Current Assets 1,928.4 2,471.5 Total Current Assets 625.0 839.5 Total Assets 2,553.4 3,311.0 Total Current Liabilities 562.8 459.8
Slide 42: Cash flow statement
Cash flow statement MN FY 2024 FY 2025 Net cash from operating activities 183.7 210.7 Net cash used in investing activities -262.2 -646.9 Net cash from financing activities 100.9 436.3 Net change in cash and cash equivalents 22.4 0.1 Cash and cash equivalents at beginning of the period 15.8 38.2 Cas
Slide 43: Thank you
Thank you ir.almoosahealthgroup.org