Painel Abramed 2021 - O DNA do Diagnóstico - inglês

GRAPH NUMBER OF REPORTS NOT ACCESSED OR WITHDRAWN (THOUSANDS) 127 Source: Abramed Panel. Note: Abramed - The 2021 presented results consider the first six months of the year. 18,70 19,42 21,4 21,8 19,0 16,78 2,7 2,2 2,4 Imaging Clinical Analysis Total 2019 2020 2021 GRAPH WOMEN - SHARE OF CLINICAL ANALYSIS AND IMAGING EXAMS PER AGE GROUP (IN % – 2021) 128 Source: Abramed Panel. Note: Abramed - The 2021 presented results consider the first six months of the year. 10 9 8 7 6 5 4 3 2 1 0 5 - 9 10 - 14 15 - 19 20 - 24 25 - 29 30 - 34 35 - 39 40 - 44 45 - 49 50 - 54 55 - 59 60 - 64 65 - 69 70 - 74 75 - 79 80+ <1 year 1 - 4 Clinical Analysis Imaging 251ABRAMED PANEL ABRAMED PANEL

GRAPH MEN - SHARE OF CLINICAL ANALYSIS AND IMAGING EXAMS PER AGE GROUP (IN % – 2021) 129 Source: Abramed Panel. Note: Abramed - The 2021 presented results consider the first six months of the year. 10 9 8 7 6 5 4 3 2 1 0 5 - 9 10 - 14 15 - 19 20 - 24 25 - 29 30 - 34 35 - 39 40 - 44 45 - 49 50 - 54 55 - 59 60 - 64 65 - 69 70 - 74 75 - 79 80+ <1 ano 1 - 4 Clinical Analysis Imaging Women performed an average of 64.5% of the total imaging exams and 61% of the clinical analysis exams at the Abramed member companies in 2021. This more effective female participation is associated with preventive measures and periodic exams. GRAPH SHARE OF EXAMS COMPLETED BY SEX 130 Source: Abramed Panel. Note: Abramed - The 2021 presented results consider the first six months of the year. Clinical Analysis 64,5 35,5 Imaging 61,0 39,1 Women Mens 252 ABRAMED PANEL ABRAMED PANEL

06.4 Service Evaluation In 2021, the Net Promoter Score (NPS) in Continuous improvement in the quality of Abramed members was 80.6, representing diagnostic medicine services can be achieved a reduction compared to the previous year. through accreditation and certification Despite the result, it represents a high degree processes, among other objective and of patient satisfaction and indicates that they impartial evaluation processes. In general, the will continue to use and recommend the member companies have several certifications diagnostic service received. The reduction and accreditations, and the consolidated observed is due to the calculation period that results indicate a specific compliance rate for considers the first six months of the year and the composition of the Abramed Panel data. is associated with the alterations caused in the This rate remains high and reached 90.6% of attendance protocols. Some patients are still compliance in 2021. not adapted to these changes in the service format. GRAPH CUSTOMER SATISFACTION LEVEL – NET PROMOTER SCORE (NPS) 131 Source: Abramed Panel. Note: Abramed - The 2021 presented results consider the first six months of the year. 82,7 82,0 80,6 2019 2020 2021 253ABRAMED PANEL ABRAMED PANEL

GRAPH COMPLIANCE RATE (IN %) 132 Source: Abramed Panel. Note: Abramed - The 2021 presented results consider the first six months of the year. 100 89,9 90,6 95 2020 2021 90 89,2 85 80 2019 In the last three years, on average 88.5% of the and accreditation standards. The opinion of companies associated with Abramed carried the requesting physicians is also fundamental out some type of satisfaction survey with to strengthen and improve the relationship their clients. It is important to emphasize between the providers, with the objective that this type of assessment is part of the of improving the quality and provision of criteria required in the various certification services. GRAPH COMPANIES THAT HAVE CARRIED OUT PATIENT SATISFACTION SURVEYS IN THE LAST THREE YEARS (IN %) 133 Source: Abramed Panel. Note: Abramed - The results presented in 2021 consider the first six months of the year and the indication that the survey may be conducted in the next six months. 2019 11,5 88,5 2020 15,4 84,6 2021 7,7 92,3 YES NO 254 ABRAMED PANEL ABRAMED PANEL

GRAPH COMPANIES THAT HAVE CARRIED OUT SATISFACTION SURVEYS WITH REQUESTING PHYSICIANS IN THE LAST THREE YEARS (IN %) 134 Source: Abramed Panel. Note: Abramed - The results presented in 2021 consider the first six months of the year and the indication that the survey may be conducted in the next six months. 2019 38,5 2020 2021 61,5 42,3 57,7 46,2 53,8 YES NO The suppliers’ The suppliers’ evaluation presents gradual evaluation can improvement and may be classified as be classified satisfactory in all items evaluated, except as satisfactory for the maintenance of imaging equipment in all the items and third-party physicians. Regarding the evaluated. imaging equipment maintenance services, the main concerns are associated to contractual conditions and expressive values required in the maintenance cycle of the imaging equipment. The evaluation of the payment source presents a regular result considering the selected indicators. In general, the level of satisfaction of the member companies in their relationship with the payment sources is below grade six on a scale of zero to ten. There was a worsening in the contractual adjustment and contract termination criteria. In 2021, there was a perception of improvement in the exchange of information on healthcare production. 255ABRAMED PANEL ABRAMED PANEL

The evaluation of the payment source presented a regular result, considering the selected indicators. GRAPH SERVICES EVALUATION 135 Source: Abramed Panel. Note: Abramed - The results presented in 2021 consider the first six months of the year and the indication that the survey may be conducted in the next six months. 01 23 456 78 9 10 Imaging equipment maintenance Lab equipment maintenance Raw material suppliers Hygiene and cleaning services Physicians (third parties) Physicians (in-house) 2019 2020 2021 256 ABRAMED PANEL ABRAMED PANEL

GRAPH PAYMENT SOURCES EVALUATION 136 Source: Abramed Panel. Note: Abramed - The 2021 presented results consider the first six months of the year. 0 1 23 456 78 9 10 Contractual adjustment criteria Contract termination Contract renewal Exchange of assistential production information Unjustified Grievance 2019 2020 2021 257ABRAMED PANEL ABRAMED PANEL

06.5 Economic-financial performance THE GROSS OPERATING REVENUE OF COMPANIES ASSOCIATED WITH ABRAMED TOTALLED AROUND R$ 13.9 BILLION IN 2020 AND GREW 7.2% COMPARED WITH THE PREVIOUS YEAR. This increase reflects the process of expanding diagnostic medicine sector demonstrated the supply of laboratory and imaging its resilience and ability to adapt to this new services, especially directed to address the reality. In 2021, with the resumption of in- covid-19 pandemic in the country. Even with person services, revenues of approximately R$ the suspension of elective procedures, the 16.1 billion are estimated. GRAPH GROSS REVENUE BY VALUE RANGE ABRAMED MEMBERS (IN % – 2021) 137 Source: Abramed Panel. Note: Abramed - 2021 considers the result for the first semester and estimates for the second semester.. 7,7% 11,5 3,8>750<=1.000 % % >1.000<=2.000 3,8% >2.000<=5.000 >250<=500 7,7 % Até 10 11,5 % >100<=250 19,2% >10<=20 23,1% >20<=50 258 ABRAMED PANEL ABRAMED PANEL

GRAPH BILLING BY VALUE BRACKET (2021) 138 Source: Abramed Panel. Note: Abramed - 2021 considers the result for the first semester and estimates for the second semester. 16,0% 84,0% OVER 1 BILLION UP TO 1 BILLION Considering the revenue according to the diagnostics segment, in 2020 a 61.2% participation in clinical analysis exams and 38.8% in imaging exams is perceived. In 2021, it is estimated a proportion of 64.7% and 35.3%, respectively. GRAPH TURNOVER BY DIAGNOSTIC SEGMENT (IN %) 139 Source: Abramed Panel. Note: Abramed - 2021 considers the result for the first semester and estimates for the second semester. 40,7% 59,3% 38,8% 61,2% 35,3% 64,7% 2019 2020 2021 Clinical Analysis Imaging 259ABRAMED PANEL ABRAMED PANEL

GRAPH REVENUE SOURCES (IN %) 140 Source: Abramed Panel. Note: Abramed - 2021 considers the result for the first semester and estimates for the second semester. 1,1 0,9 0,9 23,6 24,6 24,3 6,6 5,9 5,3 12,9 15,4 15,2 55,8 53,1 54,3 2019 2020 2021 Healthcare Plans (healthcare operators and insurers) Private (patients that make the payment directly) Public(SUS,OSand other public bodies) Laboratory client (support to other laboratories) Other sources The main source of revenue for Abramed In the last two years, there was a decrease in the member companies comes from private pace of investments in the acquisition of capital healthcare plans and insurance, with an average goods, resulting in an average of 4.5% per year in share of 54.4% in the last three years. Payments the gross revenue of Abramed members. This from laboratories in B2B relationships reduction is justified, especially, by the impacts correspond to approximately 24.2%; direct of the pandemic in the health sector and also payments made through private means considers the uncertainties in the political and represent 14.5% and public sources, 5.9%, on economic scenario. average, between 2019 and 2021. The main investments were directed to The diagnostic medicine sector is constantly the acquisition of machines and imaging seeking to shape and adapt the services it offers, and diagnostic equipment, expansion and in line with compensation models that can improvement of the service units, as well as guarantee better care, patient safety and the information and communication technologies. sustainability of the sector. Although incipient, There was also an increase in investments in various models are used and adapted to the research and development. reality of each company, which can use one or more models. 260 ABRAMED PANEL ABRAMED PANEL

GRAPH COMPENSATION MODELS (IN % – 2021) 141 Source:Abramed Panel. Note: Abramed - 2021 considers the result for the first semester and estimates for the second semester. 88,5 7,7 11,5 19,2 23,1 15,4 15,4 P4P – Pay-for-performance Bundle Payment Capitation Global Budget DRG – Diagnosis Related Group Fee for service (by procedure) Mixed Models GRAPH CAPITAL ASSETS INVESTMENTS (IN % – CAPEX) 142 Source:Abramed Panel. Note: Abramed - 2021 considers the result for the first semester and estimates for the second semester. 2019 8,2 2020 4,8 2021 4,2 261ABRAMED PANEL ABRAMED PANEL

GRAPH INVESTMENT DISTRIBUTION (IN %) 143 Source: Abramed Panel. Note: Abramed - 2021 considers the result for the first semester and estimates for the second semester. 0 5 10 15 20 25 30 35 40 Research & Development Attaining certifications Staff development Real Estate / Refurbishment ITC (INFORMATION TECHNOLOGY AND COMMUNICATION) Machinery and equipment 2019 2020 2021 In general, payroll represents, on average, 30.4% healthcare plans: Medical Cooperatives, of the total expenses and costs of Abramed Group Health and Specialized Healthcare member companies, while the inputs and Insurance Companies. This is the average time materials used in the diagnosis process that a member company is paid for services represent around 19.6%, on average, over the rendered to the beneficiary of a healthcare last three years. plan. It is an extremely high period with direct consequences on the cash flow of the The average collection period according to companies and may indicate that part of the the type of operator was 51 days in the last financing of the operators is done with third- three years, considering the main types of party resources. 262 ABRAMED PANEL ABRAMED PANEL

GRAPH EXPENDITURE AND COSTS DISTRIBUTION (IN %) 144 Source: Abramed Panel. Note: Abramed - 2021 considers the result for the first semester and estimates for the second semester. 0 5 10 15 20 25 30 35 Cost of personnel 30,3 (Payroll) Medicines 12,1 19,6 Raw materials and 5,8 consumables 2,8 Other consumables 3,7 8,5 Utilities 4,7 Maintenance and 4,9 technical assistance 3,5 4,1 Technical and operational contracts Support and logistics contracts Depreciatior Financial Expenses Other operational expenses 2019 2020 2021 263ABRAMED PANEL ABRAMED PANEL

The average collection period according to the type of operator was 51 days, on average, in the last three years, considering the main types of medical-hospital plans. GRAPH AVERAGE COLLECTION TERM BY TYPE OF OPERATOR (IN DAYS) 145 Source: Abramed Panel. Note: Abramed - 2021 considers the result for the first semester and estimates for the second semester. Self-management 58,9 51,7 Medical 53,0 cooperatives 57,3 Philanthropy 50,7 50,7 Group medicine 35,0 Specialized 35,0 healthcare 34,5 insurer 63,1 49,7 51,8 56,4 53,3 49,4 2019 2020 2021 264 ABRAMED PANEL ABRAMED PANEL

Between 2019 and 2021, according to data reported by Abramed members, the initial disallowance corresponds to 4.1%, on average, of revenues, while the final disallowance was 2.2% and the unpaid disallowance, 1.5% in the same period. GRAPH AVERAGE TIME OF COLLECTION AFTER UNDUE DISALLOWANCE, BY OPERATOR TYPE (IN DAYS) 146 Source: Abramed Panel. Note: Abramed - 2021 considers the result for the first semester and estimates for the second semester. Self-management 79,2 Medical cooperatives 74,2 66,5 Philanthropy 86,3 Group medicine 71,9 Specialized 68,3 healthcare 39,0 insurer 38,0 39,0 106,5 110,5 99,0 123,4 132,2 132,4 2019 2020 2021 265ABRAMED PANEL ABRAMED PANEL

GRAPH DISALLOWANCE RATE (MONTHLY AVERAGE - %) 147 Source: Abramed Panel. Note: Abramed - 2021 considers the result for the first semester and estimates for the second semester. Initial 4,7 Final 3,6 3,8 Unpaid Disallowance 2,1 2,4 2,1 1,5 1,3 1,7 2019 2020 2021 GRAPH INITIAL DISALLOWANCE INDEX BY TYPE OF MEDICAL-HOSPITAL PLAN OPERATOR (MONTHLY AVERAGE - %) 148 Source: Abramed Panel. Note: Abramed - 2021 considers the result for the first semester and estimates for the second semester. Self- 3,9 -management 3,2 2,8 Medical cooperatives 4,1 Philanthropy 4,3 Group medicine Specialized healthcare insurer 266 ABRAMED PANEL ABRAMED PANEL

06.5 Corporate governance THE ABRAMED ASSOCIATES ARE COMMITTED TO MAINTAINING HIGH STANDARDS OF CORPORATE GOVERNANCE, STRUCTURED UNDER THE PRINCIPLES OF TRANSPARENCY, QUALITY POLICIES AND INTERNAL CHECKS AND BALANCES. Collectively, these cornerstones are of relevant importance in the management and sustainability of the companies. The companies worked intensively to adapt to the General Law on Personal Data Protection (LGPD) and all the processes were established within the deadline established in the Law. 267ABRAMED PANEL ABRAMED PANEL

GRAPH LGPD’S PROCESSES COMPLIANCE IN ABRAMED MEMBERS (IN %) 149 Source:Abramed Panel. Note: Abramed - 2021 considers the result for the first semester and estimates for the second semester. Compliance 38,5 Committee 61,5 Data Protection 15,4 84,6 Officer 46,2 Due Diligence 53,8 over personal 69,2 data 30,8 Treatment audit 69,2 Consent 30,8 management and 38,5 61,5 anonymization 36,4 63,6 Management 38,5 of the holder’s 61,5 requests 46,2 Impact 53,8 Report 34,6 Data security 65,4 Treatment governance Communication plan - Security incident Partially Completely 268 ABRAMED PANEL ABRAMED PANEL

GRAPH PERCENTAGE OF COMPANIES WITH INTERNAL CONTROLS AIMED AT OPERATIONAL ASSURANCE, ACCOUNTING RECORDS AND 150 COMPLIANCE WITH LAWS AND REGULATIONS (2021) Source:Abramed Panel. Note: Abramed - Situation as of June 2021. Ensuring operational Ensure the accounting Ensure compliance with efficiency and effectiveness records reliability regulations and laws 11,5% 88,5% 3,8% 96,2% 7,7% 92,3% Partially Completely GRAPH PERCENTAGE OF COMPANIES THAT MAINTAIN FRAUD PREVENTION POLICY AND TRAINING (2021) 151 Source:Abramed Panel. Note: Abramed - Situation as of June 2021. Fraud prevention Fraud prevention policies training 34,2% 65,4% 38,5% 61,5% Partially Completely 269ABRAMED PANEL ABRAMED PANEL

GRAPH SHARE OF COMPANIES WITH ESTABLISHED MANUALS 152 AND PROCEDURES (2021) Source: Abramed Panel. The members Note: Abramed - Situation as of June are committed 2021. to maintaining high standards of corporate governance. 0% 100% GRAPH SHARE OF COMPANIES GRAPH SHARE OF COMPANIES WITH AN INFORMATION WITH AN ESTABLISHED 153 DISCLOSURE AND 154 INTERNAL AUDIT AREA TRANSPARENCY POLICY (2021) (2021) Source: Abramed Panel. Source: Abramed Panel. Note: Abramed - Situation as of June Note: Abramed - Situation as of June 2021. 2021. 11,5% 88,5% 11,5% 88,5% Partially Completely 270 ABRAMED PANEL ABRAMED PANEL

GRAPH COMPANIES WITH SPECIFIC COMMITTEES FOR AUDIT, RISK, HUMAN RESOURCES, SOCIAL RESPONSIBILITY, FINANCE, INNOVATION, STRATEGY, 155 SUCCESSION AND COMPENSATION (IN % – 2019) Source: Abramed Panel. Note: Abramed - Situation as of June 2021. Auditing 19,2 34,6 80,8 Risks 15,4 65,4 People and 23,1 84,6 human 11,5 76,9 resources 23,1 88,5 Social and Corporate 46,2 Responsibility 53,8 Finances 53,8 Innovation 46,2 Strategy 65,4 Succession Compensation 34,6 76,9 Partially Completely 271ABRAMED PANEL ABRAMED PANEL

156GRAPH SHARE OF COMPANIES GRAPH SHARE OF COMPANIES WITH AN ESTABLISHED WITH AN ESTABLISHED CODE OF CONDUCT (2021) 157 WHISTLEBLOWING CHANNELS (2021) Source:Abramed Panel. Note: Abramed - Situation as of June Source:Abramed Panel. 2021. Note: Abramed - Situation as of June 2021. 3,8% 96,2% 15,4% 84,6% Partially Completely 272 ABRAMED PANEL ABRAMED PANEL

Work Methodology THE ABRAMED 2020 PANEL IS THE 4TH EDITION OF A PROJECT IN CONSTANT EVOLUTION IN THE SEARCH FOR TRANSPARENCY AND THE OFFERING OF CONSISTENT INFORMATION TO THE DIAGNOSTIC MEDICINE SECTOR AND THE HEALTH MARKET IN BRAZIL. Abramed’s sectorial intelligence area, observed in the previous edition, considering in partnership with the Sectorial Data the participation of each member. For this Committee, works intensively in order to reason, some indicators present different improve and develop new contents and results from those previously reported. analyses capable of promoting reflection on However, the trend of the indicators the challenges and solutions for the main presented did not undergo relevant changes. sectorial dilemmas. Finally, the results from previous years were maintained in order to preserve the historical The main data used comes from primary series. sources extracted from the Brazilian Institute of Geography and Statistics (IBGE), Ministry This survey involved 27 member companies of Health (MS), Ministry of Economy of Abramed and of major relevance in the (ME), World Health Organization (WHO), Diagnostic Medicine market: Albert Einstein Organization for Economic Cooperation and Medicina Diagnóstica, Alliar Médicos à Frente, Development (OECD), National Agency for Boris Berenstein Diagnóstico por Imagem, BP Supplementary Health (ANS), World Bank, Medicina Diagnóstica, CEDI Diagnósticos, among other relevant sources of national and CEPEM Centro de Estudos e Pesquisas da international data. Mulher, CETAC Diagnóstico por Imagem, Clínica IMAGEM, CSV Central Sorológica de The process of data collection from member Vitória, CURA grupo, DASA Diagnósticos da companies is carried out by an online survey América S/A, DB Diagnósticos, DMS Burnier, form, whose grouped and consolidated Grupo Fleury, H oor Associação Beneficente responses make up the last section of this Síria, Grupo Pardini, Hospital Nove de Julho, Panel. It is noteworthy that the data presented Hospital Sírio-Libanês, IACS Medicina consists exclusively of companies associated Diagnóstica, Lab-Rede, Omnimagem, OC with Abramed at the end of 2020 and until Precision Medicine, QUEST Diagnostics, the first half of 2021. Therefore, the group of Sabin Medicina Diagnóstica, Senne Liquor respondent companies in this edition does Diagnóstico, SIDI Medicina por Imagem and not correspond exactly to the same group SIR Radiologia. 273ABRAMED PANEL ABRAMED PANEL

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SCHEFFER, M. et al., Demografia Médica no Brasil 2020. São Paulo, SP: FMUSP, CFM, 2020. 312 p. ISBN: 978-65-00-12370-8 SONG, X.; LIU, X.; WANG, C. O papel da te- lemedicina durante a epidemia de Covid-19 na China–experiência da província de Shandong. In: BMC. 2020. p. 17. UNITED NATIONS, Department of Eco- nomic and Social Affairs, Population Di- vision (2019). World Population Prospects 2019: Highlights (ST/ESA/SER.A/423). WHO Group Consultation on Health Tele- matics (1997: Geneva, Switzerland). (1998). A health telematics policy in support of WHO’s Health-for-all strategy for global health deve- lopment : report of the WHO Group Consul- tation on Health Telematics, 11-16 December, Geneva, 1997. World Health Organization. ht- tps://apps.who.int/iris/handle/10665/63857 277ABRAMED PANEL ABRAMED PANEL

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Founding year: 1955 Areas of expertise: clinical analyses, diagnostic imaging, pathological anatomy and genetic tests Geographic coverage: SP, RJ, GO, MG, ES, PA, PE and DF Accreditations: AAHRPP; AABB; ACR; ASHI; Aaalac; CAP; FACTTMO and Cordão; Hospital Amigo do Idoso; ISO 9001; ISO 14001/2015; ISO 50001/2018; JCI; ONA Level 3 (Hospital Municipal M’Boi Mirim – Dr. Moysés Deutsch e Hospital Municipal Vila Santa Catarina – Dr. Gilson de Cássia Marques de Carvalho); Planetree; SSH Number of Units: 44 Number of employees: 18.578 Number of employees patients treated per year: 1.969.752 Number of brands in operation: 1 280 ABRAMED PANEL ABRAMED MEMBERS

Albert Einstein A Sociedade Beneficente Israelita Brasileira February 25th, but the groundwork for dealing Albert Einstein operates in private and public with the disease began in December 2019, as health care in all stages of assistance, teaching soon as the new coronavirus was identified. and education, consulting, research and Several measures have been adopted to ensure innovation and social responsibility. the capacity to provide care in all its aspects. In The service provision structure is formed April, Einstein expanded its laboratory testing by 12 private health units in São Paulo, 1 in capacity to around 3,000 RT-PCR per day. In Sorocaba (SP) and 1 in Goiânia (GO). In the May, it developed the first genetic test to detect Unified Health System (SUS) there are 30 covid-19 on a large scale, and in December, it units, operated through management contracts launched a new serological test that detects and agreements with the city halls of Mogi das the presence of neutralizing antibodies to the Cruzes and São Paulo. Furthermore, on the new coronavirus. With the use of artificial Teaching front we have 6 units in São Paulo, 1 intelligence, it developed a system that makes in Rio de Janeiro (RJ) and 1 in Belo Horizonte the analysis of chest radiographs more agile (MG). for the identification of lung lesions associated with the disease. It has also made available Einstein has titles of Public Utility in the to public hospitals a teleradiology service to municipal, state and federal spheres and the support the analysis of CT scans. Certificate of Charitable Entity of Social Assistance (CEBAS), granted by the Ministry The home care service was expanded in 2020. of Health. The Hospital also maintains a Social In addition to laboratory tests and vaccination, Health Organization. it now includes electrocardiogram, ultrasound and polysomnography, avoiding displacements. The first case of covid-19 in Brazil was In total, the “Einstein to You” program held diagnosed at Einstein, in a patient coming from 870,000 consultations, a 135% growth compared Italy, and notified to the Ministry of Health on to 2019. ABRAMED MEMBERS 281ABRAMED PANEL

Founding year: 2010 Areas of expertise: diagnostic imaging examinations, clinical analysis and vaccines Geographic coverage: SO, MG, ES, BA, PA, RN, RJ, PR, MS, PB Accreditations: ONA Number of Units: 103 Number of employees: +5,600 employees and +1,000 phisicians Number of employees patients treated per year: 2.920.813 in 2020 Number of brands in operation: 15 282 ABRAMED PANEL ABRAMED MEMBERS

Alliar Médicos à Frente Alliar Médicos à frente is one of the largest In the last two years, Alliar Médicos à Frente medical diagnostic companies in Brazil, had important achievements, such as: with a technological park consisting of more than 120 MRI equipments, more than 50 iDr (Remote Diagnostic Intelligence), tomographs and more than 350 ultrasounds, Alliar’s b2b Healthtech has tripled in size; among others, distributed in 103 diagnostic units strategically distributed in 43 cities The launch of the Aliança Card in 10 states. There are more than 5,000 Marketplace; employees and 1,000 physicians working to provide diagnostic medicine of excellence Establishes partnership and becomes through knowledge and technology. responsible for iQMR in Latin America, a solution that uses Machine Learning Created in December 2010 from the merger algorithms for imaging exams; of four leading companies in the diagnostic imaging sector in the cities of Belo Horizonte, We launched Alliar in your home and the Juiz de Fora, São José dos Campos and drive-thru; Campo Grande, Alliar was born with a prominent position in its fields of operation, Increase in the share in clinical analysis due to the history of high quality services of tests with record billing. its predecessors. ABRAMED MEMBERS 283ABRAMED PANEL

Founding year: 1988 Areas of expertise: clinical analysis and diagnostic imaging Geographic coverage: PE Number of Units: 5 Number of employees: 400 Number of patients treated per year: 400.000 Number of brands in operation: 1 284 ABRAMED PANEL ABRAMED MEMBERS

Boris Berenstein Created more than three decades ago by doctor Performing more than 400 types of exams and Boris Berenstein, the diagnostic imaging serving 50 healthcare insurance plans, Boris clinic that bears the name of its founder has Berenstein is committed to providing the best an outstanding track record in the Brazilian in diagnostic imaging. Today, the clinic has five health market. Its team, formed by about 400 units distributed throughout the Metropolitan employees and 60 experienced and trained Region of Recife: Olinda (Casa Caiada), doctors, is distributed over five units located in Recife (Derby and Boa Viagem), Jaboatão different regions of Recife (PE). dos Guararapes (Piedade), Cabo de Santo Agostinho (Centre) and one in the countryside Using the best equipment available in the of the state, in the city of Arcoverde. diagnostic market and, of course, in accordance withglobalpracticesandstandardsofthesector, the company constantly qualifies its employees and maintains important partnerships with various medical societies and specialists from all over Brazil. ABRAMED MEMBERS 285ABRAMED PANEL

Founding year: 1859 Areas of expertise: Clinical analysis and pathological anatomy examinations, imaging examinations, nuclear medicine examinations, examinations using graphic methods, fetal medicine examinations, endoscopic and digestive motility examinations, urodynamic examinations, hemodialysis, lithotripsy, physiotherapy and hemodynamic procedures. Geographic coverage: SP Accreditations: Joint Commission International (JCI); Level 7 (the highest possible) of the Electronic Medical Record Adoption Model (EMRAM) of the Healthcare Information and Management System Society (HIMSS); Level 3 Certification (Accredited with Excellence) of the National Accreditation Organization (ONA) Number of Units: 2 Number of employees: 1.233 Number of patients treated per year: more than 100,000 single patients were served in 2020 Number of brands in operation: 1 286 ABRAMED PANEL ABRAMED MEMBERS

BP Diagnostic Medicine BP Diagnostic Medicine is the diagnostic unit In 2020 BP Diagnostic Medicine innovated of the BP - Beneficência Portuguesa Hospital so that customers could continue to take of São Paulo. It is a complete and updated care of their health with total safety. One of diagnostic and treatment centre that offers the examples was the drive-thru service for the most diverse modalities of laboratory collection of laboratory tests, including covid-19. tests, diagnostic imaging, graphic methods, Customers also began to rely on early check-in endoscopy, hemodialysis, hemodynamics and for exams. The initiative brought practicality other diagnostic specialties. and safety, enabling customers to save time, as well as reducing the time they spend in the units Through highly qualified and up-to-date teams, as well as an excellent infrastructure, it achieves These innovations adopted by BP Diagnostic more precise results and with a complete clinical Medicine have contributed so that those back-up, ensuring the safety of both the client people who were behind with their laboratory and the doctor. tests due to the social isolation required by the covid-19 pandemic could quickly have their test More than 5 million exams and treatments are results at hand to continue with their respective carried out every year, providing more effective treatments. prevention and more efficient treatments, as well as generating valuable knowledge for Medicine. ABRAMED MEMBERS 287ABRAMED PANEL

Founding year: 1980 Areas of expertise: diagnostic imaging Geographic coverage: RJ Number of Units: 5 Number of employees: 250 Number of patients treated per year: Not disclosed Number of brands in operation: 1 288 ABRAMED PANEL ABRAMED MEMBERS

Cedi For over 40 years, the CEDI Group has been the CEDI reached this level through a qualified largest and most respected diagnostic imaging clinical staff, investments in innovations in centre in the countryside of the state of Rio de healthcare and improvements in customer Janeiro, being a reference to physicians and the experiences, based on an aggregative, human, population. Offering clients access to quality and efficient outlook. With competence, diagnostic medicine, with specialized teams, credibility, and integrity in the provision of operational excellence and state-of-the-art services as its core values, it is able to offer the technology. most varied methods of diagnostic medicine. Founded in 1980 by brothers Miguel and Looking back, CEDI is proud of its trajectory, Antônio Alexandre, with pioneering spirit as which has always been based on ethical and one of its main ideals, it provided the first CT moral values. Excellence is not just a mission scan (1993) and MRI (2001) exams in the Lakes or a commitment, it represents, above all, the Region. foundation on which we were built. The company currently has 5 units, based in The commitment to quality is demonstrated the cities of Macaé, Rio das Ostras and Cabo by the continuous improvement in the Frio. It employs a team of approximately 250 conduction of processes and in the performance professionals, who work in an integrated of management systems, aimed at increasing and specialized network of outpatient and patient satisfaction. The certifications of the inpatient health care, and is also responsible for Brazilian College of Radiology, with their the imaging sector of the largest hospital in the respective quality seals, and ISO 9001, prove region - Hospital Unimed Costa do Sol. these conducts. ABRAMED MEMBERS 289ABRAMED PANEL

Founding year: 1994 Areas of expertise: diagnostic imaging, clinical analyses, video hysteroscopy, urodynamics, dermatology centre, intimate laser, nutrology and vaccines for adults Geographic coverage: RJ Accreditations: PADI, COVID FREE EXCELENT; PQM/ INCA; PROQUAD Number of Units: 4 Number of employees: 400 Number of patients treated per year: 95.000 Number of brands in operation: 1 290 ABRAMED PANEL ABRAMED MEMBERS

Cepem Combining tradition and technology, CEPEM Whether for routine exams or for more has been caring for women’s health for over 28 complex investigations, CEPEM has an years. It is no coincidence that confidence in extensive network of partners and four units at CEPEM’s exams is passed on from generation strategic points in Rio. to generation. In 2021, CEPEM won third place among The relationship with the patients is based 191 scientific papers presented at the 23rd mainly on scientific refinement combined Brazilian Congress of Mastology with the with humanised care. Throughout its history, study “Experience with Contrast-Enhanced CEPEM has invested (and still invests) Mammography: Breast Cancer Detection in heavily in the qualification of its medical Patients Referred to Percutaneous Biopsies”. team, at the same time that brought to Brazil In addition, the scientific work “Correlation the Digital Stereotaxy (1996), Mammotomy between Contrast-Enhanced Mammography (1997), Real Field Digital Mammography and Histopathological Findings in (2000), Digital Mammography with Smart Percutaneous Biopsies: Initial Results” was Detection (2003), Tomosynthesis (2011) and awarded second place among the works Angiomammography (2019), among others. presented at SIMRio 2021. ABRAMED MEMBERS 291ABRAMED PANEL

Founding year: 1977 Areas of expertise: radiology and diagnostic imaging Geographic coverage: PR Accreditations: not disclosed Number of units: 1 Number of employees: 353 employees and 69 doctors Number of patients treated per year: Approximately 300.000 Number of brands in operation: 1 292 ABRAMED PANEL ABRAMED MEMBERS

Cetac At CETAC - Center for Diagnostic Imaging, their 4 X-ray machines, 15 ultrasound machines, since its foundation, its owner, Neurologist 2 digital mammographers, 2 densitometry and Neuroradiologist Dr. GuilbertoMinguetti machines, 2 128-channel CT scanners, 5 1.5T idealized a management that would allow the and 3.0T MRI scanners, as well as 3 Gamma- company to always be ahead of its time, not Cameras and 2 PET-CTs. only with regards to quality and innovation of its equipment, but also in the relationship Previously with 10 MRI scanners, in 2021 the with its customers and its main maintainers, company started to operate with only 7 with in other words, the healthcare insurance plans. the sole objective of reducing costs, mainly with maintenance, personnel and electric The CETAC served as a reference for energy, besides investing in programmes that the orientation and training of countless enabled the increase in productivity of each radiologists and related technicians who of the devices maintained by the company. currently work mainly in Paraná and Santa Such measures proved to be necessary and Catarina, where the institution has had and are proving to be quite satisfactory in their continues to have an expressive participation purposes. in patient care. With all this, the CETAC not only in the In 2021, CETAC has shown constant growth future performance of the company but also in in the number of patients served, which has that of all other Brazilian diagnostic imaging stimulated thinking about new investments, companies. not only in equipment for the company, but also for CMN - Nuclear Medicine Centre of Paraná, a unit belonging to the Group. The two companies today have 353 employees and 69 doctors, covering an area of approximately 10,000 m2 of construction, with ABRAMED MEMBERS 293ABRAMED PANEL

Founding year: 1994 Areas of expertise: diagnostic imaging Geographic coverage: SC Number of Units: 1 Number of employees: 300 Number of patients treated per year: 172.000 Number of brands in operation: 1 294 ABRAMED PANEL ABRAMED MEMBERS

Clínica Imagem Clínica Imagem established its first unit in 1994, In the same year, located on the premises of with MRI exams, CT scans, digital angiography Clínica Imagem, CORIS Advanced Medicine and ultrasound. This unit continued working received an exclusive area to perform exams with MRI until the end of 2007. such as Digital Angiography, Cineangiography, endoscopic procedures, among others. The following year, a new unit was inaugurated in Florianópolis, named ClínicaImagem II. With the installation of two new technologies Providing increased service capacity with in the diagnostic area, Imagem Baía Sul was even more modern equipment, it contributed born in August 2007, an extension designed decisively to the health and well-being of the to introduce new diagnostic resources to the people of Santa Catarina. market in different medical specialties. With the evolution of the services offered, In 2011, tirelessly seeking solutions to Imagem Mulher was inaugurated in September improve patient care, ClínicaImagem 2005. A distinctive location that offers comfort replaced equipment in an attempt to keep its and serenity to women who undergo their technological park up to date. The following periodic exams (digital mammography, 4d year, Imagem Woman was re-inaugurated obstetric ultrasound, bone densitometry, etc.). in a spacious and comfortable location. And in 2014, it celebrated 20 years of operation, In 2006, with the acquisition of equipment for consolidating its position as a reference in the magnetic resonance of extremities, the imaging diagnostic imaging exams market. clinic sought to speed up the scheduling of examinations, providing more comfort for patients and enabling examinations without sedation for cases of claustrophobia. ABRAMED MEMBERS 295ABRAMED PANEL

Founding year: 1995 Areas of expertise: hormonal dosages, immunology, serology, tumour markers, metabolic assays, specific allergy tests, drug monitoring, metal dosage, molecular biology, microbiology, occupational medicine assays, among other laboratory specialities Geographic coverage: ES Accreditations: ONA Level III, ISO 9001/2015 Number of Units: 1 Number of employees: 58 Number of patients treated per year: 1.611.809 Number of brands in operation: 38 296 ABRAMED PANEL ABRAMED MEMBERS

Central Sorológica de Vitória Central Sorológica de Vitória was founded Strategic decisions are supported by data by a select group of owners of clinical analysis extracted from AI software that monitors laboratories, located in Espírito Santo. Active all stages of the pre-analytical, analytical and in the ecosystem of health, CSV uses the post-analytical process. most state-of-the-art equipment to provide services in laboratory tests considered of In the last two years, CSV implemented high complexity, aiming to offer safety, the entire portfolio for covid-19 diagnosis credibility, more accurate results, quality and and carried out negotiations with hospitals differentiated service to its customers. in Vitória metropolitan area to meet all the demand for Microbiology (growth of 513% in Basically operating in the Espírito Santo the Microbiology sector). In addition, it was market as a support laboratory, CSV has elected the second-best company to work for earned the credibility of those seeking clinical in Brazil in the field of diagnostic medicine analysis tests in the state, in the public and (GPTW Ranking - Best Companies - private networks, and is responsible for Health). providing excellent service, in the assessment of its managers, comprising an estimated 148 private laboratories and 61, approximately, of the Unified Health System (SUS). The preservation and conservation conditions of the samples follow a rigorous and internally validated standard with temperature thresholds throughout the logistics route. ABRAMED MEMBERS 297ABRAMED PANEL

Founding year: 1978 Areas of expertise: laboratory tests, diagnostic imaging Geographic coverage: SP, PR, SC and RS Accreditations: PADI, PALC, ONA Number of Units: 30 Number of employees: 1.600 Number of patients treated per year: 6 million exams/ year Number of brands in operation: 11 298 ABRAMED PANEL ABRAMED MEMBERS

Cura group CURA Medicina Diagnóstica was It is currently present in 4 Brazilian states, acquired in 2018 by Vinci Partners, one of with a total of 30 operations throughout Brazil’s leading Private Equity funds, as a the country, in the cities of Florianópolis, consolidation platform in the segment. São José and Chapecó, in Santa Catarina, Curitiba, São José dos Pinhais, Londrina and In 2019, CURA joined the Mérya Group, Pato Branco, in Paraná, Porto Alegre, in Rio the largest diagnostic imaging group in the Grande do Sul and in city of São Paulo, with southern region of Brazil. Thus, was born the over 6 million exams performed annually. CURA group, one of the largest diagnostic medicine groups in Brazil, with more than 1,400 trained employees and 500 qualified physicians. The group’s work is totally focused on diagnostic medicine with a human perspective, in addition to excellence of care and maximum quality before, during and after performing diagnostic imaging tests, nuclear medicine and clinical analysis. ABRAMED MEMBERS 299ABRAMED PANEL

Founding year: 1966 Areas of expertise: diagnostic medicine, hospitals, genomics, oncology, care coordination, emergency care, telemedicine, clinical research, and science Geographic coverage: SP, RJ, MG, ES, RS, SC, PR, DF, MT,GO, BA, CE, PE and MA; and also Buenos Aires (Argentina) and Montevideo (Uruguay) Accreditations: ONA Level III; JCI; USGBC; HIMSS; QMENTUM International - Diamond Level; ACI; Angels Awards; Top Performer ICU by EpiMed; Safety Zone Program; Palc; CAP; RDI Number of Units: + 900 Number of employees: + than 40 thousand Number of patients treated per year: + than 20 millions Number of brands in operation: + than 59 300 ABRAMED PANEL ABRAMED MEMBERS