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Investor Presentaiton

OUR VALUE CREATION | Financial capital Indebtedness On December 31, 2021, Rede D'Or São Luiz's gross debt stood at R$25.2 billion, up by 18.8% compared to 2020. This indebtedness increase throughout the year was mainly due to the purpose of improving the company's debt profile and expand its maturity term. By the end of the year, almost 75.8% of Rede D'Or São Luiz's gross debt was denominated in Brazilian Reais, while the remaining amount was fully hedged against foreign exchange variations via hedge and derivative operations. The average cost of debt by the end of the year was equal to CDI + 0.7%, with an average term of 5.9 years. Considering the strong cash position of R$12.6 billion on December 31, 2021, Rede D'Or São Luiz's net debt was R$12.7 billion at the end of the year. Lastly, 31.6% of net debt was pegged to fixed interest rates, while the remaining amount was tied to floating interest rates. Therefore, indebtedness measured by the net debt/EBITDA ratio stood at 2.6x in 2021. Main issuances and changes to indebtedness Prepayment of debt security issued abroad: On August 26, 2021, Rede D' Or São Luiz partially prepaid debt securities issued abroad (Senior Notes II) whose principal amount is US$315 million, with fixed remuneration of 4.5% and maturing in 2030. 19th issue of debentures: On August 27 and September 6, 2021, Rede D'Or São Luiz issued the 2nd and 3rd series of the 19th debenture issue in the amounts of R$2.5 billion and R$1.5 billion, respectively, totaling R$4.0 billion maturing in 2031. Debentures are remunerated by the CDI +1.9% per year, with half-year payments. There are no guarantees. 6th issue of Real Estate Receivables (CRI): On May 11, 2021, through a securitization company, Rede D'Or São Luiz completed its 6th issue of nominative, book-entry Real Estate Receivables (CRI in Portuguese) in the amount of R$1.5 billion, with maturity in 2036 in three annual amortizations in 2034, 2035 and 2036. CRI remuneration was set at IPCA + 4.9347% per year, to be paid semiannually. Concurrently, we contracted a derivative financial instrument to hedge against the IPCA inflation rate, converting into interest corresponding to 100.0% of CDI plus 1.35% per year. There are no guarantees. 7th issue of Real Estate Receivables (CRI): On December 3, 2021, through a securitization company, Rede D'Or São Luiz completed its 7th issue of nominative, book-entry Real Estate Receivables (CRI in Portuguese) in two tranches, in the total amount of R$1.0 billion. The 1st tranche in the amount of R$400 million will mature on December 15, 2031 and will be remunerated by IPCA + 5.5758% per year, to be paid Expansion of the business relationship with Amil In May 2021, we announced the expansion of our business relationship with Amil by adding (or supplementing) Amil's coverage to 21 of Rede D'Or São Luiz's hospitals, including an oncology clinic. One of the highlights of the agreement is the debut of Gloria D'Or and Niterói D'Or hospitals, both in the state of Rio de Janeiro, which had never been accredited with Amil and 3 Star brand hospitals located in semiannually. The 2nd tranche in the amount of R$600 million will mature on December 15, 2036 and will be remunerated by IPCA + 6.1017% per year, paid semiannually. Concurrently, we contracted a derivative financial instrument to hedge against the IPCA inflation rate, converting into interest corresponding to 100.0% of CDI plus 0.56% per year for the 1st tranche and 1.403% per year for the 2nd tranche. There are no guarantees the cities of Rio de Janeiro, São Paulo and Brasília. This partnership consolidates the importance and attractiveness of the services provided by both companies, creating a positive impact on more than 1.3 million Amil beneficiaries in the Federal District and the states of Rio de Janeiro and São Paulo. 79 REDE D'OR SÃO LUIZ | Annual Sustainability Report 2021 80
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