The following customers are among Al-Mouwasat's major clients:

• Saudi Aramco
• SABIC; (global country-wide contract)
• Company for Co-Operative Insurance ("NCCI"); a Saudi flagship insurance company with a network covering at least 3,000 companies
• Saudi Oger
• Government Organization for Social Insurance ("GOSI")
• Saudi Telecom (through NCCI)
• British Aerospace
• Major banks in Saudi Arabia
• Saudi Arabian Airlines
• Other insurance companies

The clients to whom Al-Mouwasat provides healthcare services are one important element amongst its strengths. The Company prominently provides healthcare services to Saudi Aramco under a 5-year renewable contract. In addition to Saudi Aramco, the Company has contracts to provide healthcare services to SABIC employees throughout Saudi Arabia. Furthermore, the Company provides healthcare services to a large number of insurance companies.

Al-Mouwasat has established its presence as a major provider of healthcare services in the Eastern Province. Since 2001, the Company has expanded its facilities to provide healthcare services to the larger population of Saudi Arabia. The Company has been providing services to a number of prominent clients, many of whom are under the insurance network, while others have contributed directly to the success of Al-Mouwasat.

Saudi Aramco

Saudi Aramco has approximately 300,000 beneficiaries and it has taken a strategic decision to transfer healthcare responsibility to the private sector. Al-Mouwasat Hospital - Dammam has been one of the preferred healthcare facilities for Saudi Aramco's employees and their dependents. As a result, Saudi Aramco has entered into a number of contracts with Al-Mouwasat. The first contract Saudi Aramco awarded to the Company commenced from January 1996 for a period of three years, which was later extended for 2 years and three months. The second contract commenced from April 2001 for a period of 5 years with provision for extension for another two years. The contract is classified into three major categories as follows:

• Per Capita Services: General service contract for registered beneficiaries;
• Separately Priced Service: Unique services not included in the above contract; and
• Services for Non-Registered Beneficiaries. For employees registered with other healthcare providers.

Saudi Aramco conducts regular evaluations of the hospital, personnel, and operations to ensure compliance with conditions of the contract. In order to comply with strict Saudi Aramco requirements, Al-Mouwasat has developed and managed each of the new divisions, such as haemodialysis and catheterization laboratories and the cardiac care unit, as per the standards required by Saudi Aramco.

Over the years, the contract with Saudi Aramco has yielded increasing revenues as the number of registered beneficiaries has increased. For the year 2005, Saudi Aramco was the Company's largest client that generated revenues of more than SAR 55.2 million, representing approximately 21% of total revenues.

Summary of Saudi Aramco contract is provided below:

SABIC

The Company also has agreements with most of SABIC affiliates for the year 2006.