AMISAL is a leading healthcare management company in the Middle East, established in 1981 as a joint venture between American Medical International Co. and Xenel. In 1988, Xenel acquired 100% ownership of AMISAL.

The company provides comprehensive medical operations of medical facilities to key government clients including the Ministry of Health, Ministry of Interior, Ministry of Defense & Aviation, and National Guard.

• King Fahad Military Medical Complex in Dhahran (348 bed capacity) 
• King Fahad Hospital in Al-Baha (376 bed capacity) 
• King Khalid National Guard Hospital in Riyadh (530 bed capacity) 
• King Khalid National Guard Hospital in Jeddah (450 bed capacity) 
• Security Forces Hospital in Riyadh (426 bed capacity) 
• King Khaled Eye Specialist Hospital in Riyadh (248 bed capacity) 
• Central Security Hospitals in various cities within KSA (235 bed capacity) 
• Al Khafji Joint Operations Hospital (100 bed capacity)