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Investor Presentaiton

Air conditioning systems Air conditioning systems account for almost 50% of the energy consumption of a modern hospital, therefore it is important to go after a more efficient technology for our buildings. At Rede D'Or São Luiz, we have taken up a cold water production center (CAG, in Portuguese), comprised by several water chillers and fan coils (equipment that filter and cool the air in the room). Efficient and low-noise equipment were particularly chosen to make up this cooling system. We prefer air-cooled chillers with a system to gradually reduce the compressor's speed, for instance, because they offer maximum performance during long hours of operation. The efficiency increase with this equipment is estimated at 30% as well as the reduction in environmental footprint due to lower greenhouse gas (GHG) emissions. Wholesale Energy Market / Solar Energy Rede D' Or São Luiz subscribes to the Wholesale Energy Market in order to develop a sustainable management strategy, since the relocation allows the company to purchase its energy from renewable sources, therefore, reducing its environmental impact. This initiative began in 2019, with São Lucas (SE) and UDI (MA) hospitals and continued throughout 2020 and 2021 with Perinatal Barra and Laranjeiras (RJ), Santa Cruz (PR), Aliança (BA), São Carlos (CE), Balbino (RJ), Biocor (MG), Nossa Senhora das Neves (PB) and Novo Atibaia (SP) hospitals. In 2021, Rede D' Or São Luiz began to relocate 21 hospital units (25 measurement points), which corresponds to an average of 12.89MW incentivized energy already contracted. Currently, 32 units are in the wholesale energy market and 4 units under the relocation process, expected to be completed in 2022. The Wholesale Energy Market is a segment of the energy sector in which energy is purchased and sold through bilateral agreements under freely negotiated conditions. In the captive market, on the other hand, energy is supplied by the distributors and not directly by the energy generator. The market's trade rules and procedures are defined by the Electric Energy Trading Chamber (CCEE, in Portuguese). It is a competitive trading environment, in which consumers classified as "free" can purchase energy as an alternative to the supply from the local concessionaire. To join this market, consumers need to OUR VALUE CREATION | Natural capital comply with the requirements set forth by law. In 2022, we will have 36 units in the Wholesale Energy Market (average of 18.856 MW), with the addition of four more units (Quinta D'Or - Main Building and Annexes, Centro Médico Caxias D'Or and São Marcos). This means we will have almost 50% of Rede D'Or São Luiz hospital units under this model, with presence in the states of Rio de Janeiro, São Paulo, Pernambuco, Bahia, Maranhão, Minas Gerais, Sergipe, Ceará, Paraná and Paraíba. 191 REDE D'OR SÃO LUIZ | Annual Sustainability Report 2021 192
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