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KOS: markets and competitive positioning

KOS operates mainly in the Italian market but since 2012 has been active in India and the UK too.

According to Mediobanca’s R&S report, KOS is the fourth Italian group in the private healthcare sector in terms of revenues. The group is the top Italian operator, both in terms of revenues and of number of beds, in the sector of care homes for the non self-sufficient elderly (RSAs) and the fourth operator in Italy in functional and psychiatric rehabilitation. In 2016 these two business sectors accounted for around 80% of the group’s total sales, while the remaining part came from managing hospital facilities.


The KOS group is mainly active in Italy in the Marche, Lombardia, Emilia-Romagna and Piemonte regions – which together generated approximately 80% of revenues in 2016 – but also operates in Liguria, Trentino Alto-Adige, Veneto, Toscana and Umbria. In the sector of oncology treatment and diagnostics, the group has several contracts running in Lazio and Sicily in Italy and abroad in the UK and India.