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Investor Presentaiton

OUR VALUE CREATION | Natural capital Water reuse at Hospital IFOR Water management is a concern for Rede D'Or São Luiz's institutions. To fight the waste of water with potential for reuse, thus reducing water expenditures and environmental impact, Hospital IFOR, located in São Paulo metropolitan region, has maintained a water reuse plan in the autoclave cycles since 2020. With this initiative, IFOR saves 966 liters of water per cycle. In 2021, almost 4.6 thousand cycles were run, representing more than 2 million liters of water were reused, generating a reduction of more than R$ 55 thousand in water expenditures. In addition to the significant economic savings, water reuse at IFOR contributes to environmental preservation and spreading the sustainability culture across Rede D' Or São Luiz. In another initiative, the Hospital São Luiz's Itaim unit drilled an artesian well to prevent possible water scarcity issues. With an average production of 1.5 m³/h of good quality water, the authorized well has capacity to serve almost 18% of the unit's consumption. Through this initiative, the unit does not depend as much on water tankers and is better prepared to face possible shortages in scenarios of water crisis and rationing. Rede D'Or São Luiz will avoid purchasing 1,080 m³ of water from the concessionaire every month, a volume big enough to supply nearly 90 average homes in Brazil. Financially, discounting all maintenance costs for the well and water treatment, the monthly saving will be 8%, which means R$ 136 thousand/year. Waste Management GRI 103,2, 103-3, 306-2, SASB: HC-DY-150a.1, Waste management at Rede D'O São Luiz complies with the procedures set forth in the Healthcare Waste Management Plan (PGRSS in Portuguese), approved by health and environmental agencies. The plan is part of the environmental and sanitary licensing process and includes process related to waste generation, separation, storage, recycling, treatment and final disposal, as well as public health and environmental protection. Moreover, Rede D'Or São Luiz has several corporate operational rules and procedures, which lay down good waste management practices. The units weigh in the volume of waste generated every day and through pre-defined indicators, monitor waste generation. Figures are monthly reported for analysis by the Sustainability corporate department, identifying the type and volume of materials to be disposed. Initiatives to reduce waste generation and to improve waste treatment are carried out periodically. Our Environmental Indicators Program receives data on waste volume across groups A, B, D and E of hospitals throughout Brazil. Whenever a new unit is added to Rede D'Or São Luiz, we assess its waste management and, when necessary, schedule changes. Seeking to reduce waste sent to landfills (reducing GHG emissions, increasing useful life of landfills and raising the reuse and recycling awareness and support among employees), hospital units began to implement a series of measures, such as: Partnership to recycle used coffee capsules, totaling more than 1.5 tons in 2021; Reverse logistics of printing supplies and equipment, which totaled 24.5 tons in 2021; Reuse of SMS fabric from Material and Sterilization Center (CME in Portuguese). Sterile material reused to manufacture pieces and giveaways such as totes and decorative holders; Project for composting organic waste generated in the nutrition services, implemented at 3 hospitals (Hospital Caxias D'Or, Hospital Niterói D'Or and Hospital São Luiz Jabaquara). 199 REDE D'OR SÃO LUIZ | Annual Sustainability Report 2021 200
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