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Investor Presentaiton

Energy GRI 103-2, 103, 302-3, SASB: HC-DY-130a.1 Energy consumption at hospitals is linked to lighting, air conditioning, water heating and pumping systems, as well as elevators and medical equipment. This includes direct energy from fuel to supply the generators and indirect energy from concessionaires, in the form of electricity. Generators work only when there is electric power outage by the concessionaire, or for a short period each month due to equipment maintenance, and through installed equipment it is possible to check the tanks fuel volume. In 2021, total energy consumption at Rede D'Or São Luiz was 1,129,626.80 GJ, 22% up on the previous year, due to the acquisition of new hospitals and the incorporation of oncology clinics (not located at the hospital units) in the environmental indicators management. Electricity accounts for approximately 87% of total energy used in 2021. Since 2015, we have developed an energy autonomy project, which aims to mitigate hydrological risks by increasing drinking water reserves, drilling of artesian wells, addition of generators, increase of backup and coverage for the emergency electric system. One of Rede D'Or São Luiz's highlights on the topic was the investment in low carbon initiatives, especially giving priority to using energy from renewable sources, which comes from the gradual relocation to the Wholesale Energy Market (incentivized energy), which accounted for almost 30% of energy consumption. The project was boosted in the second half of 2021, when we reached almost 50% of hospital units in the Wholesale Energy Market. At the same time, we are looking for energy-reduction solutions, such as implementing more efficient equipment, automating the air conditioning system, heat recovery system and monitoring the consumption standard, therefore tackling the largest hospital energy outlays. Energy consumption within the organization GRI 302-1, SASB: HC-DY-130a.1 Non-renewable fuel consumption (GJ) Diesel Natural Gas OUR VALUE CREATION | Natural capital 2019 2020 2021* 61,980.00 19,476.31 20,347.43 93,492.29 100,831.80 127,793.1 Total Energy used (GJ) Electricity¹ Total 155,472.29 120,308.11 148,140.53 2019 2020 2021* 748,126.01 805,646.67 981,486.27 748,126.01 805,646.67 981,486,27 1. Includes the consumption of incentivized energy (Wholesale Energy Market). Total energy used (GJ) Non-renewable fuel consumption Electricity used² Electricity sold³ Total 2019 2020 20212 155,472.29 120,308.11 148,140.53 748,126.01 805,646.67 981,486.27 N.A. N.A. N.A. 925,954.78 903,598.30 1,29,626.80 2.2021 data includes Hospital São Lucas (RJ) information only for August. 2021 data does not include information on Hospital Guaianases from January to June. 3. Includes the use of incentivized energy (Wholesale Energy Market). Energy Intensity (GJ) Energy consumption (kWh/patient - day) 2019 2020 20214 113.23 194.56 228.67 4. Increase in consumption due to the expansion of Rede D'Or São Luiz's bed capacity. 189 REDE D'OR SÃO LUIZ | Annual Sustainability Report 2021 Consumption of incentivized energy (Wholesale Energy Market)5 Year Consumption (GJ) 6 Consumption (kWh) Consumption (MWh) Consumption (MWm) 2019 2020 2021 33,847.15 9,401,986.96 9,401.99 1.07 83,654.37 23,237,325.95 23,237.33 2.65 292,497.87 81,249,407.39 81,249.41 9.28 5. For M&A, consumption begins in the month of acquisition. 6. Figures for consumption of incentivized energy (Wholesale Energy Market) in GI are included in "Electricity" and "Energy used", in the tables above. 190
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