Message from the CEO

In 2023, we delivered robust results that reflect the execution of our investment plan, creating value for all our stakeholders. Throughout the year, we recorded more than 10 million medical visits and performed approximately 500,000 surgeries for patients who came to our units because they trust the quality of care that we deliver to the Brazilian population. Approximately 360,000 patients were also treated at D’Or Oncologia.

In 2023, thanks to our operational excellence, our hospitals’ high technical quality was recognized by several independent national and international organizations, such as the Joint Commission International (JCI). Seventeen of our hospitals are accredited by JCI, thus Rede D’or accounts for 32% of all Brazilian hospitals that were awarded the seal. Over 82% of our hospitals have some sort of accreditation (JCI, QMENTUM, NIAHO, ACSA or ONA) and the remaining are preparing to obtain such accreditations.

As regards our economic performance, we recorded net income of R$2.1 billion and EBITDA (Earnings Before Interest, Taxes, Depreciation and Amortization) of R$7.1 billion.

We are the leaders of the Brazilian private healthcare sector, offering the best in medicine in the geographic regions where we operate, measuring and publicizing our healthcare outcomes, and always striving to achieve the greatest possible operational efficiency, reflecting our commitment to our industry’s sustainability. Another important milestone in 2023 was the merger of SulAmérica’s management, seeking synergies in common processes, improving scalable services and bringing efficiency to the entire Group. SulAmérica remains as an independent operation, and we have set cohesive strategic goals and plans for our insurance business, confident that we are a solid operation in our country.

In 2023, we opened Hospital São Luiz Campinas (SP), and important projects have entered their final construction stages. In addition to Hospital Memorial Star in Pernambuco, which will start operating in April 2024, 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 projects for new hospitals and expansion of existing units that are already well underway: two new units in São Paulo state – Alphaville and Guarulhos; Barra D’Or II, 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 State. Together, these nine units represent a total investment of approximately R$3.5 billion, creating close to 20,000 direct and indirect jobs.

We emphasize our commitment to the economic development of the regions where we operate, which is evident in the percentage of materials and services procured by the Company from local suppliers: over 90%.

We have made important investments, most of which were focused on technology and innovation to achieve greater customer service efficiency, real productivity gains in our operations, and the continuous improvement of our service quality. This way, we ensure that our patients and families have the best possible experience during their stay with us.

We have been focusing our efforts on the climate change agenda, contributing to a low- carbon economy. Among our strategic and assertive initiatives in this journey, we announced our intention to migrate 74 consumer units to renewable energy, as part of our goal to reduce our greenhouse gas emissions by 36% until 2030, considering our commitment to Race to Zero. We also continue to invest in boosting our units’ energy efficiency and enhancing our waste management program.

As a result of our efforts on the environmental agenda, our 2023 greenhouse gas emission inventories (base year 2022) received the gold seal. At year-end, we reached the milestone of 133 Rede D’Or business units participating in the GHG Protocol Program, which will be reported in the next cycle. For the second consecutive year, we received a B score in our CDP questionnaire. We also prepared a climate risk scenarios and matrices study and remained in the Carbon Efficient Index (ICO2) portfolio. We must also mention our recognition in the “healthcare climate champions” and “climate leadership” categories in the Health Care Climate Challenge 2023, which annually highlights advancements in the environmental agenda achieved by hospitals and healthcare systems and organizations worldwide.

Moreover, we continue to be part of BM&FBovespa’s Corporate Sustainability Index (ISE) portfolio for the period from January 2, 2024, to December 30, 2024. This is the second consecutive time that the Company has been included in the portfolio, this time ranked 32^nd, just two and a half years after its IPO.

On the social front, we seek to value our talents and filled 1,654 open positions with our in-house talents (Movimenta Rede program), an increase of 13% over the previous year. We offer a wide range of training and qualification programs (1.3 million training hours in our corporate university) and safeguard the quality of our working environment. The satisfaction of working at Rede D’ D’Or is evident in the results of the annual climate survey: a more than 72% approval rate. In the leadership pillar, we have a Leadership Development Program (PDL, in Portuguese), which aims to accelerate and support the Company’s talent pipeline to further develop and strengthen these professionals’ performance and potential considering Rede D’Or’s organic growth.

We also participated in numerous social initiatives, including the 10^th anniversary of Hospital da Criança, a non-profit social organization that performs highly complex surgeries for children in the state of Rio de Janeiro. Based in Vila Valqueire, over these 10 years, the institution has recorded more than 206,000 outpatient visits and performed over 50,000 surgeries and more than 250 transplants, restoring the lives of thousands of young Brazilians.

Thanks to our strong employer brand, we can attract the best talents, both through recruitment and selection and through our Trainee Program, which is now in its third edition. We are always focused on having a diverse and inclusive team.

I would like to thank everyone who is part of Rede D’Or and who believes in the Company’s capacity, which allows us to reaffirm our enthusiasm and commitment to the Brazilian healthcare industry.

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