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KOS at a glance
KOS mainly operates in the following sectors:
- Nursing Homes (RSA), which host elderly people affected by vulnerabilities linked to age, such as dependency and cognitive disorders;
- Healthcare facilities dedicated to complex functional rehabilitation and to psychiatric therapy and rehabilitation.
KOS manages a network of 145 facilities and 13,777 beds:
- 112 Nursing Homes (RSA), 11,186 beds, operating under the brand Anni Azzurri in Italy and Charleston in Germany;
- 32 Healthcare Facilities, 2,407 beds, providing medical care for functional rehabilitation (under the brand Santo Stefano), and medical care and rehabilitation for mental health (under the brand Neomesia);
- 1 hospital, Villa dei Pini, for acute care.
It also has a network of outpatient clinics, and innovative and highly specialized services are being developed and tested, such as virtual clinics, telemedicine, and home care.
The company is a reference point for numerous medical specializations, thanks to a patient-centered approach and the use of advanced technologies in its clinics, hospitals, and residential facilities. Its goal is to improve the health and well-being of patients, offering personalized medical care and specialist assistance.
Since its foundation, KOS has combined the management of a private company with the commitment to guarantee a service centered on people — patients, families, employees — integrating and complementing the offer of the Italian National Health Service.
It currently employs about 11,700 people.
In 2024, KOS recorded revenues of €798.8 million.
CIR holds 59.8% of KOS and the remaining share capital is held by F2i Healthcare.
€ 798.8 M
REVENUES IN 2024
145
STRUCTURES
13,777
BEDS
11,714
EMPLOYEES
The market in which KOS operates is growing fast for structural reasons, linked to the aging of the population, longer average life spans and the greater occurrence of certain pathologies. Since its launch in 2002, CIR has always supported its growth, both at the organic level and reinforcing its role as an aggregating hub.
Revenues by activity in 2024 (Million €)
| Label | Valore | Unità | Dettaglio | Group |
| Functional rehabilitation | 19.9 | % | 159.4 M | Long-term care | : 92.5 % – 740.1 M |
| Homes for the elderly | 66.3 | % | 530.1 M | Long-term care |
| Psychiatric rehabilitation | 6.3 | % | 50.6 M | Long-term care |
| Acute care | 7.5 | % | 60.4 M |
Revenues by geographical area in 2024 (Million €)
| Label | Valore | Unità | Raggruppamento | Bordo |
| Germany | 251.6 | M | ||
| Italia | 547.2 | M |
Long-term care
The area of long-term care, which represents 89.8% of KOS revenues, can be broken down into four branches and their four relative brands: Anni Azzurri, Santo Stefano, Neomesia and Charleston. KOS is the sector leader in Italy and continues to grow through selective acquisitions and the creation of green field structures.
In 2017, the Anni Azzurri, Santo Stefano and Neomesia brands were united in the KOS Care company, with the aim of giving all patients access to the group’s experience in various sectors.
| 59 | 6,611 |
| Nursing homes for the non-self-sufficient elderly | Beds |
Anni Azzurri includes 59 facilities and 6,611 beds.
The Anni Azzurri residences, mainly located in Northern and Central Italy, provide an excellent response to the care and assistance needs of the growing elderly population, also welcoming patients suffering from dementia and other complex degenerative diseases.
| 53 | 4,575 |
| Nursing homes for the non-self-sufficient elderly | Beds |
Since November 2019, KOS has been operating in Germany through the Charleston group, specialized in the management of residential services for elderly people and the provision of ancillary services for elderly and highly disabled patients.
Charleston manages 53 residences and 4,575 beds, mainly distributed in Bavaria and in the western regions of Germany, and ranks among the top ten private operators in the country. The group is structured to support further growth in the German market.
With about 880,000 residential beds, of which around 40% managed by private operators, Germany represents one of the main European markets, characterized by solid prospects thanks to favorable demographic factors and a robust financing system.
| 15 | 15 | 1,656 |
| Rehabilitation centers | Outpatient rehabilitation and diagnostic centers | Beds |
With Santo Stefano, KOS is one of the leading private operators in complex functional rehabilitation and in the treatment of severe brain injuries, such as those following coma or stroke, as well as neurological diseases and musculoskeletal conditions of traumatic or chronic-degenerative origin.
Santo Stefano, with 15 facilities and 1,656 beds, is recognized as a reference point in the sector, particularly in the treatment of some neurodegenerative diseases such as multiple sclerosis, ALS, and Parkinson’s disease.
| 17 | 751 |
| Specialized clinics and therapeutic rehabilitation psychiatric communities | Beds |
With Neomesia, KOS has an integrated network of facilities for psychiatric care and rehabilitation across the country. It offers various therapeutic settings, ranging from therapeutic communities to psychiatric clinics, for the treatment of patients of all ages suffering from psychiatric disorders.
The approach adopted by KOS in the psychiatric field is based on the biopsychosocial model, which considers the person as a whole, evaluating not only the patient’s general health status, but also their needs in relation to the external environment in which they will be reintegrated.
Acute care
| 184 |
| Beds |
KOS operates in the acute care sector with the Villa dei Pini Clinic in the Marche region, a private hospital accredited and contracted with the National Health Service. Founded in 1952, it became part of the KOS group in 2009, marking the beginning of a development phase that led to a significant strengthening of the services offered.
Villa dei Pini has 177 beds and offers a wide range of healthcare services, including: the medical area (dedicated to the hospitalization of patients with acute and post-acute conditions), the surgical area, diagnostics, and outpatient services.
KOS in the world
KOS operates mainly in Italy, in particular in 11 North and central regions: Lombardy, Piedmont, Veneto, Liguria, Trentino-Alto Adige, Tuscany, Emilia-Romagna, Marche, Umbria, Lazio and Campania. The company has also embarked on a development in long-term care in Germany.
