Strategic Review

Driving Long-Term Value

Our Corporate Strategy

Over more than twenty-five years, SMC was established with a clear ambition: to be among the leading private-sector healthcare providers in the Kingdom. Today, SMC operates two multi-specialty tertiary hospitals in Riyadh and provides patients with access to a broad network of inpatient and outpatient services, clinical departments and supporting medical functions.

This scale and breadth are supported by an experienced workforce of more than 3,000 full-time and part-time employees and more than 300 outpatient clinics spanning general and specialized disciplines. Our strategy is designed to build on this foundation and ensure that SMC continues to deliver high-quality healthcare services in a safe, integrated and sustainable manner as the organization grows.

In addition to our two hospitals in Riyadh, the Company intends to establish three additional hospitals in the north and northwest areas of Riyadh as part of its strategic growth plan, which includes a new multi-specialty hospital currently under development on the Northern Ring Road and two additional hospitals planned; one on Prince Faisal Bin Bandar Street in the Khuzam suburb and the second in the Al Malqa district. These developments reflect our long-term commitment to expanding capacity and geographic coverage while maintaining integration, quality and operational discipline.

SMC's Strategy is Anchored in Four Core Pillars
Patient Safety

Patient safety is at the center of all the clinical and non-clinical activities performed in SMC. All these activities are guided by the national and international healthcare standards.

SMC has seen significant improvements in organizational culture over the last eight years with the adoption of the "Patient Safety First" approach, a major lever in engaging frontline staff in making patient safety and quality improvements. To sustain this momentum moving forward, SMC have adopted the national and international patient safety initiative to address the Essential Safety Requirements (ESRs), and World Health Organization's Nine Patient Safety Solutions.

As SMC expands its network and services, patient safety remains consistent across locations. Standardized protocols, continuous staff training, and regular audits that ensure that patients receive the same level of care regardless of hospital, specialty or service line. This commitment allows patients and their families to place confidence in SMC, knowing that safety, quality and accountability are embedded into every aspect of care delivery.

Our Business Model

SMC operates an integrated healthcare delivery model centered on two multi-specialty tertiary hospitals in Riyadh. The model is designed to provide comprehensive care across a broad range of specialties, supported by integrated ancillary services that enable end-to-end patient pathways. Our business model is built on scale, breadth of services, and operational integration, which allows patients to access primary and advanced healthcare services within a unified system.

SMC Integrated Healthcare Business Model
Vision 2030

Our Alignment with Vision 2030

Saudi Vision 2030 represents a comprehensive national transformation agenda aimed at strengthening economic diversification, improving quality of life and building resilient public and private sector institutions. Healthcare is a central pillar of this vision, with the Kingdom undertaking wide-ranging reforms to expand capacity, improve access, enhance quality of care and promote private sector participation across the health ecosystem.

SMC's long-term strategy and operating model are closely aligned with these national priorities. As a private healthcare provider with an established presence in Riyadh, SMC plays an active role in supporting the Kingdom's objectives by expanding healthcare capacity, investing in clinical quality, strengthening workforce capability and partnering with public institutions to meet growing demand for specialized and high-quality healthcare services.

Riyadh Skyline
Key Initiatives and SMC Contribution
A snapshot of how SMC's actions map to Vision 2030 health sector priorities
National Objective

Supporting Healthcare Capacity And Access

Address growing demand

The Kingdom continues to invest significantly in healthcare infrastructure, with demand for healthcare services expected to grow steadily through 2030. SMC contributes directly to this objective by expanding access to healthcare services while helping to reduce pressure on public sector facilities.

SMC's Contribution

Expansion of hospital and clinic capacity in Riyadh

Expansion Plans

Expansion Plans & Future Outlooks

SMC's expansion plans and forward-looking strategy are anchored in a clear assessment of the long-term structural growth of healthcare demand in the Kingdom of Saudi Arabia, and particularly within Riyadh. Over the coming decade, demand for healthcare services is expected to increase materially, driven by sustained population growth, rising life expectancy, increasing prevalence of non-communicable diseases and a gradual shift toward more complex and specialized patterns of care. These trends are occurring alongside broader economic reforms and investment-led growth that continue to attract both Saudi nationals and expatriate populations to key urban centers.

SMC's future outlook is defined by a disciplined and phased growth strategy designed to expand capacity where demand is greatest, while maintaining consistent standards of quality, patient safety and operational efficiency across its platform.

SMC's expansion strategy is focused on strengthening its geographic coverage and increasing healthcare capacity within Riyadh through a combination of hospital development and outpatient network growth.

Today, SMC operates two multi-specialty tertiary hospitals in Riyadh, which together form the backbone of the Company's clinical offering. However, demographic growth, rising disease burden and increased utilization driven by expanding insurance coverage are expected to place sustained pressure on existing capacity over time. In response, SMC has established a clear roadmap for the development of three additional hospitals: SMC 3 – Northern Ring Road, SMC 4 – Khuzam Suburb, and SMC 5 – Al Malqa District, which are all located in Riyadh.

Each facility forms part of a broader network strategy designed to support population growth in rapidly developing districts and to complement SMC's existing hospitals through coordinated service delivery and referral pathways.

SMC Clinics – Al Malqa – Opened in January of 2026, and is SMC's first standalone Outpatient Clinic facility. This clinic will support the growing demand for primary care services, enabling SMC to support the rapidly growing community in this area.

SMC 3 – Northern Ring Road, planned for completion in 2028, represents the next major phase of SMC's expansion and will meaningfully increase tertiary care capacity within Riyadh. The facility is expected to support growing demand for specialized services and to enhance SMC's ability to serve patients in areas experiencing rapid residential and commercial development.

SMC 4 in the Khuzam suburb is planned for completion in 2028, will further extend the Company's hospital network and reinforce its ability to meet rising demand across core medical and surgical specialties. As Riyadh's population continues to expand and healthcare utilization increases, SMC 4 – Khuzam Suburb is expected to play a key role in ensuring timely access to inpatient and surgical services.

SMC 5 in the Al Malqa district is planned for completion in 2029, to complete SMC's major phase of network expansion.

Together, SMC Clinics – Al Malqa, SMC 3 – Northern Ring Road, SMC 4 – Khuzam Suburb, and SMC 5 – Al Malqa District are intended to transform SMC from a two-hospital platform into a broader, integrated Riyadh-based healthcare network capable of supporting long-term growth through 2030 and beyond.

This phased approach allows SMC to align infrastructure development with workforce planning, clinical readiness and operational integration, ensuring that expansion is sustainable and value-accretive over time.

In parallel with hospital expansion, SMC continues to invest in outpatient capacity as a critical component of its long-term growth strategy. Outpatient services play an increasingly important role in improving access, managing chronic conditions, supporting early diagnosis and reducing unnecessary pressure on emergency departments and inpatient beds.

In January 2026, SMC achieved a significant milestone in this strategy with the inauguration of SMC Clinics - Al Malqa, the Company's first standalone outpatient clinic center in Riyadh, which represents an important step in extending SMC's presence into high-growth residential areas, enhancing access for patients.

SMC Clinics - Al Malqa comprises of 35 outpatient clinics covering a wide range of medical services and is supported by key enabling functions, including urgent and emergency capability, as well as laboratory and radiology services and other associated outpatient support services. The center has been designed to operate as a high-throughput outpatient platform, supporting efficient patient flow and timely access to specialists, diagnostics and follow-up care.

Success Story

Medical Academic Affairs - Building the Next Generation of Saudi Clinicians

SMC has continued to strengthen its position not only as a leading private healthcare provider, but also as an accredited academic and training institution contributing directly to the long-term development of the Kingdom's healthcare workforce. Through its Medical Academic Affairs (MAA) Department, SMC plays an active role in advancing medical education, clinical research and professional development in alignment with the objectives of Saudi Vision 2030 and the Health Sector Transformation Program.

At SMC, we have made a fundamental commitment: to treat medical education not merely as a supporting function, but as a core strategic responsibility. Our investment in training, research, and faculty development is a direct investment in the sustainability of healthcare for the Kingdom. It is how we ensure the next generation of Saudi clinicians is prepared to lead with confidence, competence, and compassion.

Dr. Lina Faisal El Kibbi
Director of Medical Academic Affairs
Dr. Lina Faisal El Kibbi

A Structured Academic Platform Aligned with National Priorities

SMC's Medical Academic Affairs function operates under a clearly defined mission to promote evidence-based clinical practice and raise the standard of medical education across the organization. Its academic framework encompasses internship training, Saudi Board residency programs, continuing medical education & professional development (CME & PD) and faculty development initiatives, all delivered in close coordination with national regulatory and accreditation bodies SCFHS.

This integrated approach directly supports the Kingdom's objectives to increase local clinical capacity, reduce reliance on foreign medical professionals and ensure a steady pipeline of highly trained Saudi physicians across priority specialties.

Internship Training and University Affiliation

Since 2016, SMC has been formally affiliated with Alfaisal University, one of the Kingdom's leading medical schools, under successive long-term agreements. This partnership has enabled SMC to serve as a major clinical training facility for undergraduate medical students, while simultaneously strengthening its own academic faculty base.

Between 2016 and 2025, SMC accepted a cumulative total of 2,755 medical interns, including 253 interns who completed clinical rotations across SMC facilities during 2025. This sustained intake reflects both the scale of SMC's clinical operations and the depth of its teaching capacity, positioning the Company as one of the most active private-sector contributors to medical internship training in the Kingdom.

SMC clinicians have progressively attained recognized academic appointments in Alfaisal University, including Adjunct Assistant Professor, Adjunct Associate Professor, Senior Lecturer and Lecturer roles. As at 2025, 30 academic titles were formally approved, reinforcing SMC's credibility as a teaching institution and supporting a culture of structured mentorship and academic supervision within its hospitals.

Saudi Board Residency Programs: Building National Clinical Capacity

A cornerstone of SMC's academic contribution is its participation in Saudi Board residency training programs, delivered in collaboration with the Saudi Commission for Health Specialties (SCFHS). These programs address critical national workforce gaps, particularly in internal medicine, general surgery, obstetrics and gynecology, adult critical care and pediatrics.

From 2017 to 2025, 68 Saudi Board residents were accepted into SMC training programs, with structured rotations, supervision and assessment conducted in line with national accreditation standards. Over the same period, 24 residents successfully graduated, forming a growing alumni base of Saudi-trained specialists now contributing to the Kingdom's healthcare system.

Research, CME and Continuous Professional Development

Beyond undergraduate and residency training, SMC's MAA program places strong emphasis on lifelong learning, clinical research, and professional development. The Company has been operating an Institutional Review Board since 2015 to support ethical clinical research and encourages faculty and trainees to contribute to peer-reviewed publications and applied clinical studies.

SMC has also established a robust CME platform, with 60 SFCHS-accredited CME hours delivered in 2025 alone, often accommodating up to 300 participants per activity. These initiatives cover critical areas such as patient safety, infection prevention, procedural sedation, leadership skills, clinical research and quality improvement and other topics.

Strategic Impact and Long-Term Value Creation

SMC's Medical Academic Affairs department delivers tangible long-term value by strengthening clinical quality, enhancing staff retention and supporting national workforce localization objectives. As the Kingdom continues to experience rising demand for complex and specialized healthcare services, the availability of well-trained Saudi physicians will remain a critical success factor for both the public and private sectors.

By embedding education and training within its operating model, SMC has positioned itself not only as a provider of healthcare services, but as a contributor to the Kingdom's healthcare ecosystem aligning commercial growth with national development priorities and reinforcing its role as a trusted partner in Saudi Arabia's healthcare transformation.

SMC Healthcare's Contribution to the PCT National Program: Advancing Saudi Healthcare Talent

At SMC Healthcare, we are guided by our commitment to excellence and aligned with Saudi Vision 2030. The Corporate Nursing Office, Nursing professional Development continues to invest in building a compassionate, skilled, and future-ready national workforce through the Patient Care Technician (PCT) National Program.

In strong collaboration with the Saudi Health Academy, SMC Healthcare maintains an ongoing commitment to national workforce development. In 2025, a group of students commenced their training under the PCT track, with graduation expected in 2026, further strengthening the pipeline of qualified Saudi healthcare professionals.

We are currently progressing through the 5th cycle of the program, with an anticipated 30 graduates this year, each prepared to deliver safe, patient-centered care and to become an integral part of the SMC care journey.

Looking ahead, and in alignment with our expansion strategy, SMC Healthcare is exploring participation in the 6th cycle, with a planned intake of 50 candidates across the organization. This upcoming group, expected to graduate by mid-2027 to early 2028, reflects our forward-looking approach to workforce planning, further reinforcing our commitment to sustainable growth and operational readiness.

Through the PCT program, SMC Healthcare continues to:
  • Empower Saudi talent and contribute to national transformation
  • Strengthen frontline care delivery with highly trained professionals
  • Enhance patient experience through compassionate, competent care
  • Ensure sustainable growth aligned with our expansion across hospitals and clinics
SMC Healthcare's Contribution to the PCT National Program: Advancing Saudi Healthcare Talent

As we continue our journey of growth, the alignment of workforce planning with strategic priorities remains essential. Our teams play a vital role in shaping this future by proactively identifying their manpower needs, ensuring preparedness for the future expansion.

Digital Transformation & Innovation

A Patient-Centered Digital Strategy

Digital transformation is a core enabler of SMC's strategy to deliver accessible, efficient, and patient-centered healthcare. As healthcare demand in Riyadh continues to grow and patient expectations evolve, SMC has focused on leveraging digital solutions to simplify access to care, improve coordination across services, and enhance the overall patient experience.

As part of our commitment to patient led care, we believe that technology can remove barriers to care and enhance the patient experience. To achieve this, SMC has launched a 3-year IT strategy focused on integrating clinical, operational, and patient-facing systems into a unified digital ecosystem that supports both efficiency and transparency. This includes modernizing the foundational platforms that power patient access, strengthening data flows across facilities, and ensuring that digital tools are intuitive, reliable, and aligned with the realities of day-to-day clinical practice.

The SMC Mobile Application as a Core Access Channel

The SMC mobile application has become a central access point for patients across the Group's network. In 2025, digital adoption continued to increase, with online bookings representing a growing proportion of total appointments. By the end of 2025, approximately 65% of appointments were booked digitally, reflecting strong patient uptake and increasing reliance on self-service digital channels.

The mobile application enables patients to:

Book and manage outpatient appointments across specialties and facilities

Access services conveniently without the need for in-person scheduling

Navigate care pathways more efficiently, particularly for repeat visits and follow-up care

Access medical records, laboratory and imaging results in a seamless manner

Frictionless payment via an integrated payment platform and Apple Pay

This shift towards digital access supports reduced administrative friction, improved clinic utilization, and shorter waiting times, while giving patients greater control over their engagement with healthcare services.

SMC Mobile App

Enhancing Patient Understanding and Engagement

Beyond access and scheduling, SMC has continued to enhance the application's role in improving patient understanding and engagement. During 2025, the Group introduced AI-supported explanatory tools for laboratory results and radiology imagery within its digital ecosystem to help patients better understand aspects of their care and clinical information.

Since its introduction in March 2025, this functionality has been used approximately 3,500 times per day, indicating strong patient engagement and highlighting the growing importance of clear, accessible health information. These tools support informed decision-making and reinforce SMC's commitment to transparency, and patient empowerment.

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Advanced Medical Technology and Clinical Equipment

SMC's commitment to delivering high-quality, safe, and efficient healthcare is underpinned by continued investment in advanced medical technology across its hospitals. The Company utilizes globally recognized, high-quality medical equipment to support accurate diagnosis, effective treatment, and improved clinical outcomes across a wide range of specialties. This approach ensures that patients benefit from reliable and modern technologies while clinicians are supported by systems designed to enhance precision, efficiency, and safety.

Across its facilities, SMC deploys leading medical equipment brands, including Philips, GE, Siemens, Johnson & Johnson, Dräger, Hillrom, Medtronic, Roche Diagnostics, and Beckman Coulter, Getinge, Carl Zeiss Medtronic, Olympus, Fresenius, and Stryker reflecting a deliberate focus on quality, reliability, and alignment with international clinical standards. These technologies support critical services such as advanced diagnostic imaging, interventional procedures, intensive care, surgical services and patient monitoring, which enables clinicians to deliver timely and informed care across both inpatient and outpatient settings.

Advanced diagnostic capabilities play a particularly important role in supporting patient experience and clinical efficiency, reducing waiting times, and supporting faster clinical decision-making. This capability is complemented by integrated digital systems that allow patients to securely access imaging results, laboratory reports and medical records, reinforcing continuity of care and transparency throughout the patient journey.

As SMC continues to expand its hospital network and outpatient footprint, including the development of new facilities, the Company's technology strategy remains focused on deploying scalable, future-ready equipment that supports growth and enhances clinical standards.