Presentation

2023 Highlights

EBITDA OF

_BRL 7.1 _bilion

_BRL 2.5 _bilion

INVESTED IN EXPANSION WORKS

NET INCOME OF

_BRL 2.1 _bilion

7,500 _direct

AND INDIRECT JOB OPENINGS

4.9 _milion

OUTPATIENT VISITS

44,000

BIRTHS PER YEAR

2.8 _milion

PATIENTS/DAY

5.3 _milion

EMERGENCY SERVICES

1.3 _milion

HOURS OF TRAINING AND QUALIFICATION

71,000₊

EMPLOYEES

87_%

Perceived Quality Satisfaction Ratio

82_%

of hospitals with national and international accreditations

5,257.40 _MWh

OF REDUCTION IN ELETRICITY CONSUMPTION AT THE UNITS THAT JOINED THE ENERGY EFFICIENCY PROGRAM

133 _units

with GHG inventories

11,737 _{total beds}

106,000₊

accredited physicians

Awards, Recognitions, and Indexes

Rede D’Or Highlights

Our Company was recognized with the Health Care Climate Challenge, global award, given by international organization Health Care Without Harm, for its commitment to fighting climate change. Together with six other healthcare companies from across the globe, Rede D’Or received the accolade in the Health Care Climate Champions and Climate Leadership — Gold categories.

Every year, Health Care Without Harm, represented in Brazil by the Healthy Hospitals Project (Projeto Hospitais Saudáveis), recognizes advancements in the environmental agenda achieved by hospitals as well as healthcare systems and organizations worldwide. More than 200 institutions from 18 countries signed up for the challenge in 2023.

We won the Hospital Network and Healthcare Plans category in this award presented by BandNews FM radio station in partnership with BandNews TV. The accolade recognizes the companies that stand out the most in the opinion of Brazilians.

Barra D’Or, Copa D’Or, and Quinta D’Or were named by locals the most beloved hospitals in Rio de Janeiro in the fourth edition of the Most Beloved in Rio award, according to Veja Rio magazine, SulAmérica was ranked 3^rd in the Healthcare Plans category.

We came second in the Medical Services category in the 23^rd edition of Valor 1000, a ranking of the 1,000 largest Brazilian companies. Combined, net revenue from the 1,000 companies included in this edition totaled BRL 7.4 trillion, a real gain of 11.1% over 2021. Because of SulAmérica’s performance, we came in second place in Brazil’s largest insurance companies ranking.

Hospital Copa D’Or received the Silver Level Award of Excellence in Extracorporeal Life Support, for standing out in its processes, procedures, and systems implemented to promote excellence and exceptional care in extracorporeal membrane oxygenation.

We received an Honorable Mention in the Economic-Financial Analysis category of the 25^th Abrasca Award for Best Annual Report for Publicly Held Companies - Group 1 (net revenue of BRL 3 billion or more) and were one of the finalists with our 2022 Sustainability Report.

In June 2023, we received the new FTSE4Good Index Series, certificate, with a score of 3.9, among the Top 6 companies in the sub-sector. Prepared by the Financial Times Stock Exchange (FTSE) Russell, a London Stock Exchange division, this is one of the most important international sustainability indices. It comprises publicly held companies committed to ESG criteria, selected after evaluating more than 300 indicators.

Grupo D’Or’s 2022 Greenhouse Gas (GHG) emissions inventory, published in the Public Emissions Registry, in 2023, once again received the Gold Seal in the Brazilian GHG Protocol Program, the highest qualification level.

For the second consecutive time, we reported information on climate change to the Carbon Disclosure Project (CDP) Climate Change 2023 questionnaire, in which we maintained our B grade — a rating that positively impacts sustainability indices such as ISE B3. In addition, for the first time, we published the CDP Water Security (2023) questionnaire, in which we achieved grade C.

We were included in the 19^th portfolio of B3’s Corporate Sustainability Index (ISE; 2024 portfolio), an index that measures the commitment of companies listed on B3 to corporate sustainability. This portfolio came into force on January 2, 2024, and includes 78 companies from 36 sectors. This is the second time in a row that we were selected for the index, rising from 50th to 26^th place in the ranking (in the 18^th portfolio, we ranked 50^th), just three years after our IPO.

For the second year in a row, we are part of B3’s Carbon Efficient Index portfolio now in its 13^th edition. The index considers the level of efficiency in controlling Greenhouse Gas (GHG) emissions.

We achieved the Prime seal, according to the Institutional Shareholder Services (ISS), analysis methodology, demonstrating that we meet the highest sustainability performance requirements for our sector. ISS analyses help major institutional investors in making their investment decisions.

Seventeen of our network’s hospitals were accredited by the Joint Commission International, a global leader in healthcare institution certification, and, thus, recognized for their technical quality.

We were included in The Sustainability Yearbook 2023 and maintained our position in the 2024 edition of this guide produced by Standard & Poor’s (S&P Global ESG Scores). The document lists the institutions with the best environmental, social, and governance (ESG) practices. Over 7,000 companies were evaluated, and only 15% of those that obtained the best score in their sector were mentioned in the publication. The ESG report is a sustainability reference for international investors.

In 2023, 22 of our units — 20 owned and two under management — received a seal issued by the Green Kitchen Program, which recognizes quality standards in the production of healthy food based on sustainability criteria.

SulAmérica Highlights

We were the big winners of the 10^th Healthcare Leaders Award, in the Healthcare Operator and Insurer category. The event, held by Grupo Mídia, recognizes the industries, suppliers, distributors, operators, sector entities, among other players in the healthcare market that have stood out the most in the last year.

We ranked first in the Communication category, with the Treinou, Ganhou! (you exercise, you win) project, in partnership with Gympass; and second place in the Sustainability and Processes (Socially Responsible Investment project) and Technology (Artificial Intelligence Applied to Fighting Fraud) categories in the 12^th edition of the Antonio Carlos de Almeida Braga Award for Innovation in Insurance, Open Private Pension Funds, Supplementary Healthcare, and Capitalization Bonds. The award is presented by the National Confederation of Insurance Companies (CNseg).

SulAmérica was recognized in FGV’s 2023 Investment Funds Guide (Guia de Fundos) as the Best Fixed Income Asset of 2023, reflecting the trust of our customers and the quality of our management.

We were named the Best NPS in Brazil, according to the Experience Awards 2023, showcasing our commitment to offering the best customer experience.

SulAmérica was chosen as the manager of the most beloved healthcare plan in São Paulo. The result is part of a survey carried out by Veja São Paulo magazine, in partnership with MindMiner research and intelligence firm. The survey, which is in its second edition, was based on the opinion of more than 5,000 readers, who responded to an online survey, choosing São Paulo city’s favorite establishments and brands. The finalists were chosen by journalists from the magazine’s editorial staff.

We were recognized in two categories in the 21^st JRS Award: commercial partnerships; and innovation in health and dental care.

Main Indicators

SASB HC-DY-000.A

Manufactured Capital	2023	2022	2021
Owned hospitals (unit)	70	69	64
Managed hospitals (unit)	3	3	3
Clinics (unit)	55	54	50
Laboratories (unit)	11	11	12
Operational beds (unit)	9,598	9,469	8,946

Natural Capital	2023	2022	2021
Total waste generated (ton)	37,725	39,515	40,424
Energy consumption within the organization (GJ)	1,316,304	1,207,716	1,129,627
Direct Greenhouse Gas (GHG) emissions - Scope 1 (tonne of CO2eq)	67,385	64,785	108,388
Indirect GHG emissions - Scope 2 (tonne of CO2eq.)	Per location – 12,450	12,537	35,612
Indirect GHG emissions - Scope 2 (tonne of CO2eq.)	Purchase option – 9,252	12,537	35,612
Other indirect GHG sources - Scope 3 (tonne of CO2eq.)	31,259	33,448	30,272

Human capital	2023	2022	2021
Training hours per employee/year	4.25	5.58	4.62
Accident frequency rate	15.34	14.92	11.65
Jobs created	21,325	18,983	21,592

Intellectual Capital	2023	2022	2021
Number of articles published	192	236	315
Number of partners mapped	2,142	1,801	1,576

Social and Relationship Capital	2023	2022	2021
Social investment and sponsorship (BRL million)	17,465	12,531	14,322
Accredited hospitals (unit)	60	57	51
Customer Satisfaction Index	87%	85%	88%

Financial Capital	2023²	2022	2021
Net Revenues (BRL million)	46,508.6	22,987.4	20,381.9
EBITDA (BRL million)	7,065.3	5,303.0	4,897.0
EBITDA Margin (%)	15.2%	23.1%	24.0%
Net income (loss) (BRL million)	2,113.7	1,262.3	1,677.7
Net Debt (BRL million)	16,854.7	14,671.9	12,665.9
Net Debt/EBTIDA	2.1	2.8	2.6
Amount invested (BRL million)	2,908.0	3,678.6	5,653.7

¹ Published amounts are included in the Company’s Financial Statements.
²Includes Rede D’Or’s and SulAmérica’s results.