UAE's largest healthcare provider NMC considers re-entering Saudi market after ‘painful decision’ to exit

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Updated 11 April 2022
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UAE's largest healthcare provider NMC considers re-entering Saudi market after ‘painful decision’ to exit

  • CEO says ‘still personally very interested in the success of the Saudi portfolio’

RIYADH: NMC Healthcare CEO Michael Davis deals with the patients’ pain all the time. And now he himself feels the pain in many good ways.

The UAE’s largest private health care provider is taking a series of painful choices to restructure the business starting with its exit from Saudi Arabia.

“Exiting Saudi Arabia was a very difficult and painful decision for me personally and for the organization,” he told Arab News in an exclusive interview.

“Since I’ve moved to the UAE 10 years ago, I’ve been to Saudi Arabia more than a hundred times. I’ve probably been to areas of Saudi Arabia that other Saudis may not have been to,” he added

Davis said that the company may consider re-entering the Saudi market after selling its stake to Saudi Medical Care Group.

“When we exited the Saudi joint venture, we knew that it was in the best interest of NMC as a whole,” he said, reiterating his belief that Saudi Arabia is still a crucial market for his company. 




NMC’s 34 assets have been transferred to a new holding company and this means that NMC Healthcare is in a better and stronger position, says its CEO. (File)

“I’m still personally very interested in the success of the Saudi portfolio that we have exited. I can also see under this new board of directors and under our growth plan, an opportunity later to re-enter into Saudi, but probably not into the multi-specialty hospital space. Perhaps in one of the subspecialty spaces, like long-term care, in vitro fertilization, or cosmetics and aesthetics,” Davis said.

Painful restructuring

NMC has agreed to the sale of its 53 percent stake in SMGC, offloading the last of its international businesses as part of a creditor-approved restructuring.

Davis also revealed that NMC has achieved the best financial results since it was founded 47 years thanks to the board of directors’ restructuring program and despite the scandal incident.

“In 2020 and 2021, we’ve posted the best operational and financial results the company has ever seen in its 47 year history. None of us can forget all of this occurred on the precipice of the worst pandemic the world has seen in over 100 years. So, over the last two years, the company has battled fraud. We’ve successfully managed administration.

We’ve successfully managed and contributed to the battle against COVID-19 here in the UAE and Oman, and we’ve come out of this in a much better place,” Davis added.

“After entered administration, we received around $375 million worth of financing from our investors. I think this along with the support of 95-percent of our creditors is a vote of confidence that basically said, ‘we believe in this company,’” he added.

Davis voiced full confidence in the ability of NMC to overcome all financial difficulties.

“We believe that what we are doing is relevant, not only from a clinical and a social perspective but also from a financial perspective. This is a business that did over $1.2 billion worth of top line in 2021 and $206 million worth of adjusted EBITDA. So, when you look at those results, this is a very, very strong business with five-and-a-half million individual patient encounters per year. It’s an attractive business for any investor,” he noted.

He added that NMC’s 34 assets have been transferred to a new holding company and this means that NMC Healthcare is in a better and stronger position and is now more transparent.

A new business plan

He revealed that part of the board of directors’ three-year plan was to seek new buyers or investors.

“So, part of our business plan is we feel like within the next three years, we’ll have the business well positioned to take out for sale. At that point, we could be looking at a financial investor, a health care centric, private equity group. It could be someone local, someone international. It could also be a strategic health care investor,” Davis explained. 




NMC’s 34 assets have been transferred to a new holding company and this means that NMC Healthcare is in a better and stronger position, says its CEO. (File)

He added that there are a lot of people that could be involved in this investment.

“Currently what we’re doing is focusing specifically on the continuity and the stability of the business and ensuring that we are providing the best value to all of our stakeholders,” Davis said.

He noted that the plan includes the company’s new owners, their patients, their employees, and the community who supported NMC over the last two years.

“It’s important for all of us to understand that even over the last two years, we have seen an average of between five and six million patients, both in 2020 and 2021 and 60 percent of the patients that come to NMC Healthcare facilities are repeat patients. That is a significant vote of confidence,” Davis said.

Protecting the brand

He reminded that NMC has multi-specialty hospitals and clinics.

“We have the largest integrated in vitro fertilization business in the Middle East doing almost 5,500 cycles IVF cycles per year in the UAE. We have a very large cosmetics and aesthetic surgery business with 19 cosmetic and aesthetic surgery centers across the UAE and Oman,” Davis noted.

The first thing Davis did as CEO of NMC was to create a firewall between what was occurring at the corporate office and the legal and restructuring issues that were going through and what was happening at the bedside and all across the UAE and Oman, noting that his health care company has 12,000 employees, 2,000 of whom are doctors.

“And while we at the corporate office were worried with banks and creditors and lawyers and litigation, all of those things surrounding administration, those 12,000 employees were getting up every day and putting on their lab coats and their scrubs and donning their stethoscopes and going into the hospitals and clinics and, day-in and day-out, taking great care of patients,” Davis said.

For Davis, there are important lessons to be learned from pandemic that swept the world.

“I think the biggest lesson I learned from COVID is to believe in science, listen to the scientists, listen to the experts, trust our instincts, and I never want to be the last person to implement change. If you look at what Saudi Arabia and the UAE did through the pandemic, we performed so much better than the rest of the world in many ways,” he concluded.

NMC CEO Michael Davis on post-COVID world
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Global markets: Shares rise on China-US trade hopes, dollar on the back foot

Updated 27 June 2025
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Global markets: Shares rise on China-US trade hopes, dollar on the back foot

PARIS: Global shares rallied on Friday, helped by signs of progress in US-China trade talks, while the dollar held close to its lowest levels in more than three years.

World stock markets have rallied to record highs this week, as traders took confidence from a ceasefire between Iran and Israel and markets stepped up bets for US rate cuts.

A trade agreement between the US and China on Thursday on how to expedite rare earth shipments to the US was also seen by markets as a positive sign, amid efforts to end the tariff war between the world’s two biggest economies.

Asian shares hit their highest in more than three years in early trading, and US stock futures pointed to a firm start for Wall Street shares.

The pan-European STOXX 600 index was up 0.8 percent on the day, set for a 1.1 percent weekly gain — its best week since mid-May.

London’s FTSE 100 was up 0.5 percent and Germany’s DAX gained 0.6 percent.

The MSCI World Equity Index touched a fresh record high and was set for a weekly gain of 2.8 percent.

The S&P 500 index is up just 4.4 percent this year overall, following a volatile first half of the year, dominated by US President Donald Trump’s “Liberation Day” tariff announcement on April 2, which sent stocks plunging.

“What we are having right now is potentially some optimism about some trade deals,” said Vasileios Gkionakis, senior economist and strategist at Aviva Investors.

“We have ... come from quite low levels in the aftermath of the Liberation Day in April. To a certain extent we have also had some mini-selloff on the back of the events in the Middle East, and in that sense we’re rebounding.”

Trump has set July 9 as the deadline for the EU and other countries to reach a deal to reduce tariffs.

Mark Haefele, chief investment officer at UBS Global Wealth Management said that in the near-term, the firm saw greater upside potential in US and emerging markets than in Europe.

Dollar drop

The dollar remained on the backfoot, hovering near its lowest level in 3-1/2 years against the euro and sterling.

The dollar index was down a touch on the day at 97.269 , holding near its lowest in more than three years. The euro was at $1.1708, getting a lift after data showed French consumer prices rose more than expected in June.

It held near multi-year peaks hit a day earlier.

“We see the US dollar as unattractive,” said Haefele at UBS Wealth Management.

Markets are focused on US monetary policy, as traders weigh up the possibility of Trump announcing a new, more dovish chair of the Federal Reserve.

Traders have stepped up their bets on US rate cuts, and are now pricing in 64 basis points (bps) of easing this year versus 46 bps expected on Friday.

The dollar is having its worst start to a year since the era of free-floating currencies began in the early 1970s.

“I don’t think it’s just the repricing of the Fed, I think there is a broader issue here of some tarnishing of US exceptionalism,” Aviva Investors’ Gkionakis said.

Core PCE price data, the US central bank’s preferred measure of inflation, is due later in the session.

German 30-year government bond yields were on track for their biggest weekly increase in nearly four months after rising this week on expectations of increased borrowing by Germany’s government.

 


PIF embraces ‘precision finance’ with diversified debt strategy, says Global SWF

Updated 27 June 2025
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PIF embraces ‘precision finance’ with diversified debt strategy, says Global SWF

RIYADH: Saudi Arabia’s Public Investment Fund is embracing a calibrated, multi-instrument approach to debt issuance described by Global SWF as a model of “precision finance.”

According to the research firm, the purpose — following the issuance of the commercial paper program in June — is to align PIF’s funding tools with investment timelines, liquidity needs, and investor targeting, while reinforcing financial discipline across its expanding portfolio.

In its report, Global SWF noted that PIF is moving away from a singular focus on long-term mega-bond issuances and toward a more agile debt framework that includes commercial paper, sukuk, green bonds, and multi-tranche conventional bonds.

This strategy is designed not just to raise capital, but to do so with precision, which is matching maturities to project lifecycles and diversifying funding sources across global markets.

Global SWF highlighted that PIF’s latest move, completes a full-spectrum debt portfolio that now includes ultra-short to ultra-long maturity instruments.

The commercial paper, issued in US dollar and euro denominations via offshore special-purpose vehicles, secured the highest short-term credit ratings available: Prime-1 from Moody’s and F1+ from Fitch.

These ratings reflect exceptional credit quality and grant PIF access to deep liquidity pools among institutional investors such as money market funds.

The commercial paper program is a critical addition to a borrowing strategy that also includes a $3 billion 100-year green bond issued in October 2022, a $5.5 billion green bond in February 2023, a $3.5 billion sukuk in October 2023, and a series of multi-tranche bonds and sukuk issued through early 2025. 

With each offering, PIF has tailored tenor, currency, and structure to match specific financial and investor objectives.

The evolution of PIF’s financial strategy is closely tied to its broader transformation under Vision 2030. Since 2016, the fund has grown its assets under management from $160 billion to $941.3 billion, according to the latest Vision 2030 Annual Report. It has now increased its 2030 AUM target to $2.67 trillion, reflecting its expanded mandate and rising international profile.

PIF’s investment strategy is balanced between domestic development and global positioning. About 40 percent of its assets are allocated to Saudi-based companies and projects, while the remaining 60 percent target international sectors such as technology, logistics, mining, and tourism.

According to the Vision 2030 report, PIF’s initiatives have helped create 1.1 million jobs, attracted over $37 billion in private capital, and grown the number of PIF-established companies from 45 in 2021 to 93 in 2024.

A strategic departure from Gulf norms

While other sovereign wealth funds such as Norway’s NBIM remain entirely debt-free, and Singapore’s Temasek or China Investment Corporation borrow sparingly, PIF has opted for a hybrid model, one that combines government equity injections with strategic use of debt instruments.

According to Global SWF, this is not a matter of opportunistic borrowing. Rather, PIF is practicing deliberate asset-liability matching which focuses on issuing long-dated bonds to support giga-projects like NEOM or The Line, while using short-term debt for working capital needs and market-timed investments.

Sukuk offerings help tap into regional Islamic finance liquidity, and green bonds target environmental, social, and governance-focused global capital.

This differentiated approach allows PIF to broaden its investor base while keeping funding costs aligned with the nature and duration of its projects.

Why ratings matter

The fund’s credibility is bolstered by strong long-term credit ratings: Aa3 from Moody’s and A+ from Fitch. This has allowed it to secure favorable terms on successive bond offerings and confirmed that PIF is regarded as an exceptionally low-risk short-term borrower, giving it seamless access to institutional liquidity globally.

Global SWF emphasized that the ratings, combined with diverse issuance formats, position PIF among a small group of sovereign wealth funds with the internal capability to manage complex, multi-layered debt programs.

Saudi Arabia is currently navigating a tighter fiscal environment, with a projected 2.3 percent budget deficit in 2025 and a more disciplined approach to public spending.

In this context, PIF’s access to capital markets is more than just financial, according to Global SWF, it serves as a strategic bridge that enables ongoing project execution without placing undue pressure on state reserves.

The firm noted that the fund’s recent bond and sukuk calendar illustrates a sequenced and diversified funding plan, rather than reliance on a single issuance type. This is especially important as global interest rates remain volatile and investors increasingly scrutinize sovereign debt sustainability.

Rather than treating debt as a one-off tool, the fund is deploying it systematically, by tenor, purpose, and investor group, to support a $2.6 trillion vision for economic diversification and global investment leadership.

As the Kingdom approaches the final stretch of Vision 2030 implementation, PIF’s capital strategy offers a case study in how sovereign wealth funds can combine financial discipline, market sophistication, and national ambition under a unified financing framework.


Safe-haven gold near a 1-month low as global tensions ebb

Updated 27 June 2025
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Safe-haven gold near a 1-month low as global tensions ebb

BENGALURU: Gold fell more than 1 percent to its lowest level in nearly a month on Friday due to easing geopolitical and trade tensions and as investors awaited US inflation data for clues on the future trajectory of interest rates.

Spot gold lost 1.4 percent to $3,282.68 per ounce by 1:55 p.m. Saudi time, its lowest since late May. Prices have fallen by over 2 percent this week and more than $200 from a record high scaled in April.

US gold futures fell 1.6 percent to $3,294.50.

The Iran-Israel ceasefire, brokered earlier this week by US President Donald Trump, is holding for now.

A White House official said on Thursday that the US has reached an agreement with China on how to expedite rare earths shipments to the US.

July 9 is the deadline for Trump’s “reciprocal” tariffs as nations rush to get an agreement.

“The loss of haven demand has meant that despite the latest leg down in the dollar, gold has not benefited from this at all,” said Fawad Razaqzada, market analyst at City Index and FOREX.com.

“A bit of a pullback would not be too bad an outcome as that will allow long-term technical overbought conditions on higher time frames to work off, allowing the metal to shine again when macro conditions are more favorable once more.”

Spot silver fell 1.8 percent to $35.96.

Platinum dropped 5.9 percent to $1,334.63, after hitting its highest since 2014. Palladium fell 1.2 percent to $1,117.96.

The main reason for the price increase in platinum was likely to be the high discount to gold, which is apparently considered too expensive, said Commerzbank in a note. 


Oil Updates — crude set for steepest weekly decline in two years as risk subsides

Updated 27 June 2025
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Oil Updates — crude set for steepest weekly decline in two years as risk subsides

  • Brent, WTI down 12 percent this week, most since March 2023
  • No major supply disruption from Mid-East crisis, analysts say

LONDON: Oil prices rose on Friday though were set for their steepest weekly decline since March 2023, as the absence of significant supply disruption from the Iran-Israel conflict saw any risk premium evaporate.

Brent crude futures were up 51 cents, or 0.75 percent, to $68.24 a barrel at 3:02 p.m. Saudi time, while US West Texas Intermediate crude was up 51 cents, or nearly 0.8 percent, to $65.75.

During the 12-day war that started after Israel targeted Iran’s nuclear facilities on June 13, Brent prices rose briefly to above $80 a barrel before slumping to $67 a barrel after US President Donald Trump announced an Iran-Israel ceasefire.

That put both contracts on course for a weekly fall of about 12 percent.

“The market has almost entirely shrugged off the geopolitical risk premiums from almost a week ago as we return to a fundamentals-driven market,” said Rystad analyst Janiv Shah.

“The market also has to keep eyes on the OPEC+ meeting – we do expect room for one more month of an accelerated unwinding basis balances and structure, but the key question is how strong the summer demand indicators are showing up to be.”

The OPEC+ members will meet on July 6 to decide on August production levels.

Prices were also being supported by multiple oil inventory reports that showed strong draws in the middle distillates, said Tamas Varga, a PVM Oil Associates analyst.

Data from the US Energy Information Administration on Wednesday showed crude oil and fuel inventories fell a week earlier, with refining activity and demand rising.

Meanwhile, data on Thursday showed that the independently held gasoil stocks at the Amsterdam-Rotterdam-Antwerp refining and storage hub fell to their lowest in over a year, while Singapore’s middle distillates inventories declined as net exports climbed week on week.

Additionally, China’s Iranian oil imports surged in June as shipments accelerated before the conflict and demand from independent refineries improved, analysts said.

China is the world’s top oil importer and biggest buyer of Iranian crude. It bought more than 1.8 million barrels per day of Iranian crude from June 1-20, according to ship-tracker Vortexa, a record high based on the firm’s data. 


Pakistani stocks decline by 715 points over profit-taking after two days of gains

Updated 26 June 2025
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Pakistani stocks decline by 715 points over profit-taking after two days of gains

  • KSE-100 Index closes at 122,046.46 points, witnessing a decline of 0.58 percent, as per stock market data
  • Profit-taking driven by fiscal year-end considerations, short-term portfolio rebalancing, says financial analyst

ISLAMABAD: The Pakistan Stock Exchange (PSX) witnessed a bearish trend on Thursday after two days of gains, losing 715.18 points to close at 122,046.46 points, which a financial analyst attributed to profit-taking driven by fiscal year-end considerations.

The PSX closed at 122,046.46 points when trading ended on Thursday, witnessing a negative change of 0.58 percent. The KSE-100 had closed at 122,761.64 points on Wednesday and before that on Tuesday, it surged by 6,079 points or 5.23 percent to close at 122,246 points. Analysts attributed the surge on Tuesday to the ceasefire announcement between Iran and Israel.

As many as 473 companies transacted their shares in the stock market on Thursday, with 200 of them recording gains and 237 sustaining losses, state-run Associated Press of Pakistan (APP) said, adding that the share price of 36 companies remained unchanged.

“After two consecutive sessions of strong gains, the local bourse witnessed a round of profit-taking today, driven by fiscal year-end considerations and short-term portfolio rebalancing,” Maaz Mulla, the vice president of equity sales at Topline Securities Limited, said in a statement.

Mulla said the benchmark KSE-100 index saw a “volatile ride“— climbing 656 points intraday before losing 715 points at close of business. He said the closing figure of 122,046 points reflected “a cautious investor mood” as the quarter draws to a close.

He said despite the decline at the end of the day, the overall market activity remained “vibrant.”

“Total traded volume clocked in at 750 million shares, with a traded value of PKR 29.8 billion,” Mulla said.

APP reported that the three top trading companies on Thursday were Pak Int. Bulk with 37,503,501 shares traded at Rs 8.52 per share, WorldCall Telecom with 33,285,442 shares at Rs 1.45 per share and Pervez Ahmed Co. with 32,962,174 shares at Rs 3.29 per share.