The ebb and flow of Saudi Arabia’s US Treasury strategy

The pattern of Saudi holdings mirrors strategic adjustments rather than anything else, with monthly changes mainly reflecting liquidity management and market positioning. (SPA)
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Updated 19 January 2026
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The ebb and flow of Saudi Arabia’s US Treasury strategy

  • Kingdom calibrates US Treasury allocations primarily to ensure ample, immediate dollar liquidity

JEDDAH: Saudi Arabia’s US Treasury holdings are more than a line item in a monthly report — they are a barometer of the Kingdom’s financial strategy, a measure of its confidence in the global economic order, and a cornerstone of its economic diversification efforts.

Commenting on how Saudi Arabia decides how much to invest in US Treasury securities at any given time, and what strategic goals it aims to achieve through these holdings, Qaiser Noor, executive director and board member at 1957 Ventures, JS Bank, Tiqmo and Owais Capital, described the Kingdom’s approach as disciplined and hierarchical.

“Saudi Arabia calibrates US Treasury allocations primarily to safeguard the riyal’s dollar peg and ensure ample, immediate US dollar liquidity for external payments. Reserve management follows the classic hierarchy of objectives, safety, liquidity, then return, so Treasuries anchor the liquid ‘core’ while duration is adjusted tactically with market conditions,” he told Arab News.

He added: “Oil revenue cycles, fiscal outflows, and expected foreign exchange liquidity needs are key inputs; the aim is to preserve capital and shock-absorb balance-of-payments volatility, along with optimizing yield.”

Central bank view

Nasser Saidi, founder and president of Nasser Saidi & Associates, a specialized economic and financial advisory services company, echoed this perspective, emphasizing that the decision is “primarily taken by the Saudi Central Bank, keeping in mind its strategic goals of currency stability, directed partly by the need to hold US dollar as part of international reserves to maintain the dollar peg and liquidity and safety.”

For Saidi, who served as Lebanon’s minister of economy and trade and minister of industry from 1998 to 2000, US Treasuries are a critical pillar of stability, as “holding treasuries allows Saudi Arabia to meet its international payment obligations — finance imports, service external debt, portfolio, and capital flows — provide a buffer against oil revenue shocks, while also generating a steady, low-risk stream of income.” 

The aim is to preserve capital and shock-absorb balance-of-payments volatility, along with optimizing yield.

Qaiser Noor, executive director and board member at 1957 Ventures, JS Bank, Tiqmo and Owais Capital

Holdings fluctuations

In the 12 months to July, Saudi Arabia’s US Treasury holdings saw notable fluctuations, reflecting active reserve management. 

Holdings rose from $142.7 billion in July 2024 to a peak of $143.9 billion two months later, then fell to a low of $126.4 billion in February, before recovering to $133.8 billion in April. They dipped again to $127.7 billion in May and rose to $131.7 billion by July, underscoring Riyadh’s strategic balancing of liquidity, yield, and diversification.

The pattern of Saudi holdings mirrors strategic adjustments rather than anything else, Noor explained, noting that monthly changes mainly reflect liquidity management and market positioning. 

“Increases can indicate oil inflows being parked in ultra-safe US dollar paper or duration adds when yields are attractive; declines can reflect funding domestic spending, transfers to other public entities, or rotation within the US dollar curve/custodians,” he explained.

He noted that US Treasury data show Saudi holdings fluctuating between $120 billion to $140 billion in recent months, underscoring “active but disciplined management.”

Drivers of change

Saidi pointed to multiple drivers behind these shifts, noting that the rise until September 2024 reflected the Saudi Central Bank, known as SAMA, capitalizing on higher US interest rates, supported by strong oil revenues from the preceding period.

He added that the drop to a six-year low of $108 billion in June 2023 followed a significant transfer of funds to the Public Investment Fund, and the subsequent rise reflected Aramco dividend transfers, which “would have some impact on inflows of US dollar into the central bank in 2024.”

Speaking to Arab News, Saidi explained that the decline to $126.4 billion by February “is likely a combination of factors – expectations that interest rates would stay higher for longer plus a soft landing in the US, portfolio rebalancing away toward higher-yield investments in the backdrop of lower oil production and prices, SAMA withdrawing to meet domestic spending needs / managing liquidity in the banking system,” adding that after a return to stabilization was seen.

For Saidi, the pattern underscores that “SAMA acts as both the traditional central bank, and also actively manages its reserve holdings to accommodate funding needs as per Vision 2030, mainly via the PIF.”

Balancing safety and return

A key question for Saudi reserve managers is how to reconcile the safety of US debt with the need for higher returns and diversification.

Noor stressed the use of a layered approach, noting that the country “typically separates a highly liquid US dollar layer (Treasuries/bills) from a return-seeking layer with measured duration and complements this with other high-grade supranationals/agency papers and selective non-US dollar assets, hedged as needed.”

He explained that the balance shifts tactically based on yield levels, volatility, and stress-testing of foreign exchange needs, adding that the guiding principle is to ensure buffers perform in crises first, with incremental returns pursued only when they do not compromise the immediate usability of reserves.

SAMA and PIF

The interplay between SAMA and the PIF is central to understanding the bigger picture. Saidi explained that their mandates are different as SAMA’s role is to provide currency, banking, and financial market stability, dictating conservative policies.

Meanwhile, the PIF’s mandate drives a more aggressive investment approach, deploying capital in medium- and long-term domestic projects and international assets to boost economic diversification, revenue, and risk reduction, shifting away from oil and gas toward new technologies. 

Holding treasuries provides a buffer against oil revenue shocks while also generating a steady, low-risk stream of income.

Nasser Saidi, founder and president of Nasser Saidi & Associates

He added: “There have also been capital transfers between the two entities: SAMA has reallocated funds into the PIF for long-term strategic investments (with an aim of diversifying away from oil; sometimes into higher-risk, higher-return investments.”

Noor described the relationship similarly, emphasizing that the PIF is the Kingdom’s long-term, higher-risk and higher-return vehicle driving diversification and strategic domestic projects, whereas KSA’s reserves serve as a macro-stability tool. 

Future outlook

This division of roles enables SAMA to maintain stability while the PIF advances Vision 2030’s diversification agenda — a strategy showing results, with Fitch Ratings projecting the Saudi asset management industry to surpass $400 billion by 2026, highlighting the increasing depth and resilience of the Kingdom’s financial ecosystem.

Looking ahead, both experts expect US Treasuries to remain central to Saudi reserves — but with more diversification in the years to come. 

Saidi emphasized that US Treasuries will likely remain the anchor of SAMA’s portfolio due to the dollar peg, but the PIF’s strategy points to greater diversification in the non-reserve segment, with more aggressive investments in private equity, infrastructure, and renewables, as well as artificial intelligence, data centers, technology, and other asset classes.

“Saudi [Arabia] is unlikely to fully abandon the US dollar, despite de-dollarization talks, but expect more diversification and the prospect of a greater role for the Petro-Yuan, given the growing trade and investment links with China, increased holdings in other currencies for trade purposes, and increased holding of gold as a hedge,” Saidi, who has also served as vice governor of the Central Bank of Lebanon for two successive mandates, said.

He added that people should be prepared for the rollout and increased use of a central bank digital currency, a digital riyal, for cross-border transactions as well in the near future.


AI’s shift toward proactive healthcare

Updated 05 February 2026
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AI’s shift toward proactive healthcare

  • Experts reveal how AI is reducing burnout and streamlining workflows

JEDDAH: Artificial intelligence is increasingly moving from the margins of healthcare innovation into its operational core. Rather than replacing clinicians, AI is being deployed to address persistent challenges across health systems, from administrative overload and staff burnout to fragmented data and inefficient patient flow.

Speaking to Arab News, Abbes Seqqat, chief executive officer of Rain Stella Technologies, and Eric Turkington, chief product officer, discussed how AI is already transforming healthcare delivery — and why its impact is most meaningful when embedded directly into clinical workflows rather than treated as a standalone tool.

Seqqat describes AI’s role as accelerating a structural shift in healthcare delivery. “AI is accelerating the shift in healthcare from reactive to proactive care, because AI fundamentally helps detect, analyze and predict,” he said, noting that many health systems lack the resources to perform these tasks at scale.

Abbes Seqqat, chief executive officer of Rain Stella Technologies. (RST photo)

While AI use cases in healthcare are broad, Seqqat emphasized that the most effective applications today focus on operational and clinical fundamentals, including reducing administrative burden, identifying patient risks earlier, and capturing clinical data more reliably and in real time.

RST’s portfolio reflects this approach, spanning surgical data capture and workflow automation, cloud-based electronic medical records, and health information exchange. Across these systems, the common goal is improving data quality and usability so clinicians can spend less time managing information and more time delivering care.

According to Turkington, RST’s systems rely on a mix of established and emerging AI technologies.

RST's Equinox offers a streamlined workflow, minimizing redundant data entry, and also allows for seamless integration with other systems. (RST images)

“Across the portfolio, we are using a wide range of AI and predictive technologies, from voice technology to reliably capture clinician inputs, to large language models that analyze and act on collected data,” he said.

A key focus has been adapting AI to regional and clinical realities. Voice models, for example, have been trained on UAE and GCC accents and grounded in medical terminology to improve accuracy in real-world settings. RST also uses retrieval-augmented generation and multi-agent AI architectures, allowing different AI components to perform specialized tasks such as classifying surgical notes, identifying unusual events, or assisting with billing and coding, Turkington explained.

DID YOU KNOW?

• AI can detect, analyze, and predict patient risks faster than traditional methods.

• Systems like Equinox use voice input and predictive analytics to actively support clinical decisions.

• AI assistants provide real-time updates, automate documentation, and improve coordination in operating theaters.

One of the central concerns around AI adoption is whether it adds complexity to already demanding clinical roles. Seqqat argues the opposite should be the goal.
“For nurses and frontline staff, AI’s greatest contribution is removing the invisible administrative friction that leads to burnout,” Seqqat said.

In operating theaters, AI systems can replace manual coordination methods such as phone calls and whiteboards by providing real-time situational awareness. By automating updates, anticipating delays, and serving as an on-demand clinical notepad, AI reduces cognitive load and allows staff to remain focused on patient care, he explained.

RST’s voice-enabled assistant, Orva, is designed specifically for perioperative environments.

Orva captures live updates through voice input, enabling it to surface delays, flag bottlenecks, and prompt coordination between departments. (RST photo)

Turkington said it enables hands-free documentation and coordination, helping surgical teams manage schedules and resources more effectively.

By capturing live updates through voice input, Orva can surface delays, flag bottlenecks, and prompt coordination between departments. It also assists with documentation and coding, reducing errors and supporting more accurate reimbursement— an area where incomplete records often create downstream challenges.

Electronic medical records remain central to healthcare delivery, but Turkington noted that AI can move them beyond passive data repositories.

Eric Turkington, chief product officer of Rain Stella Technologies. (RST photo)

“We designed Equinox as an EMR that enables you to spend less time with the software and more time with patients,” Turkington said.

Through voice input, automated documentation from visual annotations, and AI-generated pre-visit summaries, the system can actively support clinicians rather than slow them down. Predictive analytics, such as identifying no-show risks or highlighting care gaps, further shift EMRs toward decision-support tools rather than administrative obligations.

Both executives stressed that AI’s effectiveness depends heavily on data access and quality. Seqqat pointed to interoperability as a prerequisite rather than an afterthought.
“AI is only as powerful as the data it can access,” he said, adding that fragmented records limit both clinical insight and system-wide learning.

Health information exchanges, such as RST’s Constellation platform, enable patient data to be viewed longitudinally across providers. AI can then assist with patient identity matching and population-level analysis, allowing trends and risks to be identified across large datasets.

Turkington shared an example from an operating theatre where AI helped prevent cascading delays. When a surgical case ran late, a nurse verbally updated Orva that the patient was ready to exit. The system alerted the recovery unit, analyzed schedule conflicts, and prompted management to reassign staff before delays affected subsequent procedures.

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By tagging the cause of the delay and feeding that data into predictive models, the system helped prevent similar issues in the future — without additional manual coordination.

According to Seqqat, the primary returns from AI adoption come from combining efficiency with financial accuracy. Streamlined workflows allow providers to treat more patients without compromising care, while improved documentation reduces revenue leakage.

Looking ahead, Seqqat sees AI becoming central to Saudi Arabia’s healthcare transformation. He described its role as advancing smart hospitals, predictive patient flow, and precision medicine aligned with Vision 2030 goals.
“The role of AI in Saudi Arabia’s healthcare sector is evolving from a supporting technology to a foundational pillar of the Kingdom’s Vision 2030 transformation. Over the next few years, we expect to see AI move into the realm of smart hospitals, where predictive analytics optimize patient flow and AI-driven precision medicine leverages the Saudi Genome Program to provide hyper-personalized care. By unifying national health data and automating complex administrative workflows, AI will enable a more proactive, value-based healthcare model that improves patient outcomes and operational efficiency across the country.”