Ramsay Générale de Santé (GDS) investor relations material

Strategic vision and roadmap

• Launched Connecting Care 2030, a multi-year plan focused on profitable growth, medical excellence, digital transformation, and integrated care across Europe, building on prior diversification and innovation.

• Five strategic pillars: integrated healthcare, digital transformation, active portfolio management, cost initiatives, and new revenue streams.

• Emphasis on leveraging medical excellence, people, data/AI, brand, sustainability, customer centricity, and IT infrastructure as core capabilities.

• Outpatient and digital patient growth prioritized, with internal referrals fueling a significant share of patient volume.

• Expansion in primary care, imaging, and mental health, leveraging cross-country innovation and digital tools.

Financial performance and guidance

• Revenue reached €5.4 billion in FY2026, with a 3.9% CAGR over the last two years; EBITDA margin improved to 11.9%.

• Guidance for 2027–2029: 2–3% average annual revenue growth, stable then gradually improving EBITDA margin, gross CapEx at 4% of revenue, and net debt/EBITDA target below 4x.

• Growth is predominantly volume-driven, with limited reliance on M&A; margin improvement expected from operational efficiency and portfolio optimization.

• Capital expenditures focus on high-value segments, digital innovation, and medical equipment, with real estate policy stabilizing at 20% owned, 80% leased.

• Deleveraging supported by margin gains, disciplined capital allocation, and working capital improvements.

Market positioning and operational strengths

• Pan-European leader with operations in five countries, serving 13 million patients annually, and holding top market positions in France, Sweden, and Denmark.

• High barriers to entry due to regulation, certifications, and medical expertise, especially in France and Sweden.

• Integrated care model enables 20% of patients to be managed through internal referrals, enhancing patient pathways and efficiency.

• Strong focus on digital transformation, including AI-driven tools, digital admissions, and ambient scribe technology, with best practices shared across countries.

• Medical excellence recognized by external accreditations, high Net Promoter Scores (NPS), and superior clinical outcomes in key specialties.