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INTEGRATED SUSTAINABILITY REPORT 2023

Manufactured capital

sdg:

  • SDG 3 : Good Health and Well-Being
  • SDG 8: Decent Work and Economic Growth
  • SDG 9: Industry, Innovation and Infrastructure
  • SDG 12: Responsible Consumption and Production
  • SDG 13: Climate Action

sdg:

  • 3

  • 8

  • 9

  • 12

  • 13

  • 3

    SDG 3 : Good Health and Well-Being

  • 8

    SDG 8: Decent Work and Economic Growth

  • 9

    SDG 9: Industry, Innovation and Infrastructure

  • 12

    SDG 12: Responsible Consumption and Production

  • 13

    SDG 13: Climate Action

Organic expansion

GRI 3-3

We have a comprehensive organic expansion program, with more than 60 projects distributed across new units (greenfield) and existing units (brownfield). The projects total 6,634 beds (1,221 were delivered between 2021 and 2023), of which 2,083 are greenfield beds (GF) and 4,551 brownfield beds (BF). In May 2023, we opened São Luiz Campinas (SP) hospital, and important projects have entered their final construction stages. In addition to Hospital Memorial Star which will start operating in April, we highlight the expansion of Hospital Vila Nova Star, in the city of São Paulo, the Aliança Star project in Salvador, as well as the new Hospital Macaé D’Or, in Rio de Janeiro state. Moreover, we have other greenfield and brownfield hospitals that are already well underway: two new units in São Paulo state – Alphaville and Guarulhos; the Barra D’Or II greenfield project, in the city of Rio de Janeiro; the new tower at Hospital São Lucas, in Aracaju; and the expansion of Hospital Assunção, in São Bernardo do Campo, in São Paulo.

+ 60

Projects

distributed across new units (greenfield)
and existing units (brownfield)

Opening Hospital Specialty New beds State
2023 Hospital São Luiz Campinas (Campinas/SP) - GF General Hospital 325 SP
2024 Hospital Vila Nova Star - Torre 2 (São Paulo/SP) - BF General Hospital 140 SP
2024 Hospital Memorial Star (Recife/PE) - GF General Hospital 150 PE
2024 Macaé D’Or (Macaé/RJ) - GF General Hospital 150 RJ
2024 Hospital Aliança (Salvador/BA) - BF General Hospital 196 BA

In 2023, we inaugurated São Luiz Campinas (SP) and, in 2024, we expect to open Hospital Memorial Star, in Recife, deliver the expansion of Hospital Vila Nova Star, in the city of São Paulo, the Aliança Star project in Salvador, as well as the new Hospital Macaé D’Or, in Rio de Janeiro state. Moreover, we have other greenfield and brownfield hospitals that are already well underway: two new units in São Paulo state – Alphaville and Guarulhos; the Barra D’Or II greenfield project, in the city of Rio de Janeiro; the new tower at Hospital São Lucas, in Aracaju; and the expansion of Hospital Assunção, in São Bernardo do Campo, in São Paulo.More information on projects under development can be found in section 2.10 of the Company’s Reference Form (FR), which also details all projects, beds and investments up to 2027.

In 2023, we continued applying mitigating and compensatory measures, some of which began in 2022, which include improving roads, revitalizing road signaling and planting seedlings. These actions seek to meet demands from environmental agencies during the licensing processes involving São Lucas, UDI, Taubaté and São Luiz São Bernardo hospitals.

Investments and support for services result from compliance with environmental laws and regulations, such as compliance with environmental licensing conditions [GRI 3-3].

Mitigating Measures Amount Status
Hospital São Lucas Restoration of the channel protection guardrail BRL 805,201.38

Paid1

Revitalization of horizontal and vertical road signs
Installation of four bus shelters
Other pertinent works, to be defined by the public authorities
Compensatory Measures Amount Status
UDI Administrative Offices Road improvements in the surrounding area, including rainwater drainage, vertical and horizontal signs BRL 90,434.52 Completed²
Land clearing, purchase and planting of 2,500 tree seedlings BRL 57,499.60 Completed²
Compensatory Measures Amount Status
Hospital Taubaté Purchase and planting of 0.57 hectares in PROJETO PLANTVERD (Contract BRL41,040.00) R$ 16,416.00 Paid
Other measures to meet conditions (Onerous Grant) R$ 850,000.00 Paid
Compensatory Measures Amount Status
Hospital São Luiz SãoBernardo Improvement of road infrastructure through milling, asphalt resurfacing, new paving and restoration of road signs BRL 4,550,000.00 Completed
Total BRL 6,369,551.50

¹ Rede D’Or was only responsible for paying the compensation, its execution will be

² Instrument of Commitment already signed between the parties.

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