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INTEGRATED SUSTAINABILITY REPORT 2023

Social and relationship capital

sdg:

  • SDG 3 : Good Health and Well-Being
  • SDG 4: Quality education
  • SDG 8: Decent Work and Economic Growth
  • SDG 12: Responsible Consumption and Production
  • SDG 13: Climate Action
  • SDG 16: Peace, Justice and Strong Institutions

sdg:

  • 3

  • 4

  • 8

  • 12

  • 13

  • 16

  • 3

    SDG 3 : Good Health and Well-Being

  • 4

    SDG 4: Quality education

  • 8

    SDG 8: Decent Work and Economic Growth

  • 12

    SDG 12: Responsible Consumption and Production

  • 13

    SDG 13: Climate Action

  • 16

    SDG 16: Peace, Justice and Strong Institutions

Society and community

We are mindful of the direct and indirect impacts¹ we have on the communities where we operate, the stakeholders we engage with, and society as a whole. We also recognize that, given our size and nationwide presence, we serve as a catalyst for economic and social development in our area of operation.

In 2023 alone, about 7,500 indirect jobs were created, and over BRL 400 million were invested in four major projects in the final construction stage: Memorial Star, Complexo Aliança, Macaé and Vila Nova Star II (Itaim Tower). Municipal tax collections amounted to about BRL 20.6 million, estimated based on the total expenditure on services compared to the municipal ISS (Service Tax) rate for the city where the project was carried out.

1only positive and real economic impacts on the community and society were identified.

Were generated

7.500

INDIRECT JOBS

+400

BRL - MILLION

invested in the construction stage of four hospitals

Our contribution to the advancement and improvement of the Brazilian healthcare system is undeniable, extending beyond our significant contribution evident in the provision of quality healthcare services through a comprehensive network of hospitals and clinics (learn more at Rede D’Or).

In terms of innovation, we are responsible for introducing numerous advancements in medical technology to the market (such as Tomotherapy and CyberKnife radiotherapy equipment), and we account for approximately 20% of Brazil’s robotic surgery infrastructure. In research and education, we operate one of the country’s leading institutes funded by a private healthcare company, the D’Or Institute. Through this institute, we generate knowledge and promote the training of physicians, healthcare professionals, and researchers, not only for our benefit but also for society as a whole. (Learn more in Intellectual Capital).

Additionally, we are also affiliated with the D’Or Institute for Public Health Management, a non-profit association classified as a Social Health Organization (OSS in Portuguese), which manages the Hospital da Criança in Rio de Janeiro (RJ), a hospital exclusively dedicated to providing free public healthcare services to underprivileged children.

We systematically monitor the regulations of all municipalities and states where we operate, as well as federal laws, to ensure compliance. Rede D’Or’s adherence to tax regulations and legal standards is comprehensive, as is our alignment with tax authorities. Additionally, we regularly monitor any changes in the legislation to which we are subject, allowing us to anticipate any potential impacts on our operations.

Allocation of taxes (BRL)

From the Government 2023 2022 2021
Taxes, federal taxes and contributions 2,316,822,175 (81.1%) 2,312,357,224 (84.3%) 2,283,793,723 (85.2%)
Taxes and state fees 905,263 (0.0%) 1,880,227 (0.1%) 2,217,023 (0.1%)
Taxes and municipal taxes and others 540,881,393 (18.9%) 429,931,448 (15.6%) 393,321,172 (14.7%)
Total 2,858,608,830 2,744,068,900 2,679,331,918

Guided by our principles and values, we contribute to the development of local communities where we operate and encourage the implementation of various projects, including cultural and sports initiatives, as well as initiatives supporting children, youth, and the elderly, and healthcare assistance nationwide. These actions are sponsored by tax incentive policies and aligned with our stance on the ESG agenda, addressing the eight Sustainable Development Goals (SDGs) that we prioritize:

Our participation in these actions is governed by our Social Responsibility Policy, which sets the goals of our private social investment initiatives. In 2023, these projects involved nearly 1.6 million direct and indirect beneficiaries and represented an investment of about BRL 17.5 million.

BRL17.5

million

In 2023, we used the amounts described in the table below resulting from tax benefits provided for in the Brazilian legislation. | GRI 201-4

Tax incentives (BRL thousand) 2023 2022 2021
Cultural Incentive Law - Rouanet Act 6,180 5,940 5,550
Cultural Incentive Law - Service Tax (ISS) 4,669 1,371 788
Audiovisual Incentive Law NA¹ 600 1,347
Sports Incentive Law 3,079 1,558 2,090
Municipal Fund for the Rights of Children and Adolescents (FUMCAD) 902 1,531 NA ¹
State Council for the Rights of Children and Adolescents (CONDECA) 106 NA ¹ NA ¹
Municipal Council for the Rights of Children and Adolescents (FUNCRIA) and Children and Adolescent Municipal Fund (FMIA) 530 NA ¹ 2,090
National Elderly Support Fund 1,499 1,531 1,957
National Cancer Care Program (PRONON) 500 NA¹ 500
Total 17,465 12,531 14,322

¹Does not apply for the year.

In partnership with the Raimundo Fagner Social Foundation, the project promotes activities designed within the pedagogical framework aimed at integrating culture, technology, formal education, and fostering reflective awareness through workshops on singing, choir, flute, guitar, music theory, musicalization, ensemble practice, theater, computer science, reading and writing, literature, and art history.

Audience reached: 200

Investment: BRL 100 thousand

Through the Viva e Let Viver Project, training and qualification of volunteers to exercise storytelling and play activities in hospitals.

Audience reached: 30 thousand

Investment: BRL 210 thousand

With Paris Filmes, production of feature-length films to be shown on the national cinema circuit and access to culture for people in social vulnerability by offering free tickets.

Audience reached: 13 thousand (audience for the film Um Dia 5 Estrelas until December/23)

Investment: BRL 597 thousand

With Filmland, production of feature-length films for screening on the national cinema circuit and access to culture for people in social vulnerability by offering free tickets. The sponsorship was renewed, through the Audiovisual Law, and this time the sponsored film is “Jungle Jungle”.

Audience reached: 100 thousand spectators

Investment: BRL 1 million

In collaboration with Instituto Evoé, we have developed a physical and digital experience to celebrate the history of Clube de Regatas do Flamengo. The exhibition is permanent, holds significant emotional value, and delivers a significant visual impact with its interactive elements.

Audience reached: 120,000,including 5,000 complimentary tickets for socially

Investment: BRL 1.3 million

In partnership with the Paraná State Triathlon Federation, sponsorship of triathlete Fernando Toldi, providing all the necessary resources for a high-performance athlete: equipment, participation in national and international championships, training, and other costs associated with his professional triathlete career.

Audience reached: 1

Investment: BRL 250,000

In collaboration with the Japeri Public Golf Association, we offer free golf lessons to children and adolescents from public schools, with support and guidance from psychologists and P.E. professionals for functional training, as well as golf instructors.

Audience reached: 100

Investment: BRL 120,000

In collaboration with MUDE, development, construction, and management of the Flamengo Museum, inaugurated in 2023.

Audience reached: 30,000, including 2,000 complimentary tickets for social

Investment: BRL 550,000

In collaboration with the Educandário Nossa Senhora do Rosário, the project promotes the comprehensive development of early childhood through family-oriented initiatives fostering positive parenting practices.

Audience reached: 165

Investment: BRL 100,000

In partnership with the Center for Development and Citizenship, the project offers activities aimed at active aging across nine long-term care institutions, providing training for staff to support the health and well-being of the elderly.

Audience reached: 350

Investment: BRL 260 thousand

In partnership with the Alternative Technology Service (SERTA in Portuguese), the project implemented 600 eco- productive backyards and two community gardens in Alto José do Pinho and the Santa Luzia community.

Audience reached: 600

Investment: BRL 260,000

In collaboration with the Fé e Alegria do Brasil Foundation, the project offers cultural, artistic, sports, leisure, and human development activities as a means of preventing situations of vulnerability and social risk, fostering individual potential and strengthening family and community ties.

Audience reached: 70

Investment: BRL 100,000

In collaboration with Instituto Jatobás, fostering the comprehensive development of adolescents aged 13 and 17, promoting self-awareness, socio-emotional and cognitive skills development, mentoring, technical training for creative and social entrepreneurship, career exploration, and exposure to new forms of work.

Audience reached: 500

Investment: BRL 110,000

Financing of clinical and outpatient care expenses for elderly cancer patients at Hospital do Câncer de Pernambuco, as well as the acquisition of medical supplies and chemotherapy drugs for curative cancer treatment, ensuring quality, compassionate, safe, and sensitive care while respecting local culture and patient privacy.

Audience reached: 12,000

Investment: BRL 465,000

In partnership with Lar Torres de Melo, the project provides institutional care for the elderly, ensuring comprehensive care to ensure a dignified and high- quality life.

Audience reached: 200

Investment: BRL 260,000

The Institute’s Annual Plan, which includes the continuation of exhibitions, courses, lectures, research, and artistic performances, as well as the implementation of new pedagogical and cultural initiatives to expand audiences and promote access for all.

Audience reached: 150,000

Investment: 300 thousand

With IMMBR, we organize a sporting event that promotes the practice of tennis and encourages a healthy and active lifestyle, using tennis as a tool for inclusion.

Audience reached: 63 thousand tournament spectators, 700 young people in social projects

Investment: BRL 535,000

In partnership with Das Lima Produção e Promoção de Eventos, revitalization of iconic cultural heritage spaces in the city of Rio de Janeiro, such as Praça Paris. Production of a video with the history of space.

Audience reached: 3,000

Investment: BRL 500,000

In collaboration with Brain+, implementation of the Rede D’Or’s Accessibility project, promoting cultural accessibility and improving the access to performances. This includes physical accessibility, sign language interpretation, audio description, and subtitled videos.

Audience reached: 350,000 (including the audience of Teatro Bangu)

Investment: BRL 500,000

Over the year, we encouraged our employees and physicians to participate in over 50 social initiatives nationwide. Here are some highlights:

BLANKET DONATION:

Hospital Vila Nova Star (São Paulo, SP) donated 1,335 blankets to the Pastoral do Povo da Rua, part of the Archdiocese of São Paulo. The donation included one thousand affordable blankets made from two tons of textile waste from the unit’s activities and 335 unused blankets. Additionally, 200 new quilts were donated.

BREAST MILK DONATION:

In celebration of World Human Milk Donation Day in May and to honor the donors, Hospital e Maternidade São Luiz Anália Franco (São Paulo, SP) organized a gathering for sharing stories and expressing gratitude for this act of kindness. In 2023, the unit marked over 15 years of partnership with the Leonor Mendes de Barros State Hospital, leading to the donation of over 3,000 liters of surplus human breast milk throughout the period.

BLOOD DONATION:

In July, Rede D’Or and GSH Banco de Sangue Serum held a new edition of the #SeuTipoSalvaVidas campaign at the Riachuelo Theater in downtown Rio de Janeiro (RJ). The aim of the partnership is to raise awareness and engage the population in the importance of blood donation.

FOOD DONATION:

We launched a non-perishable food items collection campaign at our year-end celebrations nationwide in partnership with Rede D’Or physicians. In 2023, we collected 5,196 tons of food items, which were sent to local institutions.

LOST AND FOUND DONATION:

Pre-registered and approved philanthropic institutions received donations of lost and unclaimed items left by visitors at some of our hospital units. The items undergo a predefined process, with a maximum storage time per type, and if not claimed, they are sorted, sanitized, and packaged for donation.

In 2023, Vila Nova Star (SP), Memorial São José (PE), Santa Helena (DF), and Copa Star (DF) hospitals have displayed a notable commitment to such initiative. Beneficiaries included institutions such as Salvation Army (RJ), Casa dos Artistas (RJ), and Abrigo Cristo Redentor (PE), as well as schools and religious entities like the Social Pastoral do Povo da Rua project, part of the Archdiocese of São Paulo, led by Father Júlio Lancelotti, known nationally for assisting and serving homeless people in the city of São Paulo.

PREGNANT COURSE:

The objective is to promote and provide guidance to pregnant women in pregnancy and postpartum care.

HANDWASHING

Actions to raise awareness about the importance of hand hygiene and personal hygiene in everyday life.

UPDATE COURSE IN ELDERLY CARE

Update caregivers of the elderly on information related to the aging process, as well as on the necessary daily care.

RECYCLING ACTION

Train and educate in an engaging manner about the disposal of recyclable waste.

BLOOD DONATION

Actions to promote awareness of the importance of blood donation.

PURPLE NOVEMBER

Provide guidance on prenatal care and caring for premature infants.

LOVE IN A JAR ACTION

Donation of glass containers for storing human milk.

SESC MESA BRASIL PROGRAM IN RIO DE JANEIRO:

In 2023, we benefited 48 socio-assistance institutions with our donations to the food waste and hunger relief program. A total of 2,787 people were benefited.

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