Med Life S A : 2022 Sustainability Report

SISTEMUL MEDICAL

www.medlife.ro

Sustainability Report 2022

TOGHETER WE BUILD A BETTER FUTURE

TABLE OF CONTENT

1	2	3	4	5	6
Introduction	Care for Our	Care for the	Care for the	Care for the	Annexes
	Business	People	Community	Environment

6	Message from the Management	23	Governance System and	44	Client and Patient Management	78 Community Relations	86 Reducing the impact on	90	Sustainability Performance Data
			Business Ethics				the Environment
9	About the Report	30	Supply Chain	61	Innovation			104	GRI Content Index
10	About MedLife Group	35	Our Sustainability Journey	63	Our Human Capital
				69	Protecting Our Human Capital

Sustainability Report 2022

2 3

1

Introduction

6 Message from the Management

1. About the Report
2. About MedLife Group

SISTEMUL MEDICAL

www.medlife.ro

1.1 MESSAGE FROM THE MANAGEMENT

Dear Partners,

In 2022, we made significant progress regarding our commitment to sustainability and social responsibility, believing that these not only provide long-term resilience and success but also a positive impact on society, the environment, and future generations. Although last year was marked by economic and social uncertainties stemming from the pandemic crisis and the war that broke out right on Romania's border, MedLife once again has demonstrated adaptability and agility in the face of change, with our achievements serving as a testament to the strong resources and determination of our management team.

Our efforts were bolstered by the dedication, professionalism, and high standards of the MedLife team. We thank our colleagues for their commitment to the mission of GETTING ROMANIA WELL TOGETHER and for their passion in delivering quality medical services. Thanks to them, 6 million unique patients have crossed our threshold over time.

Through our firm commitment to contribute to a better tomorrow, we take responsibility for each patient individually as well as for the community through continuous and active involvement. We strive to be a beacon of excellence and act in line with existing needs through our supported projects. We contribute to the medical education of Romanians by consistently providing accurate and useful information through online platforms. We support relevant events in the medical sector, ensuring that our doctors and professionals

are always up to date with the latest industry information. Lastly, we actively engage in promoting a greener Romania, organizing annual

greening actions that encourage our employees and partners to adopt a responsible attitude toward the environment.

In our sustainability report, which I invite you to read, you will find a series of actions we have taken to create sustainable value for the community. You will observe that for us at MedLife, CARE for patients, employees, the community, and the environment goes beyond the boundaries of a simple responsibility; it is our core value, as we understand that in an ever-changing world, only through unwavering and dedicated care we can build a sustainable, ethical, and prosperous society.

Looking to the future, we aim to maintain our commitment to patients and to Romania, providing top-notch medical services. We will learn from past experiences and leverage the expertise gained in the nearly three decades of making history on the Romanian medical market to strength our leadership position and offer the best medical services to our patients.

Together, we will continue to build a strong and sustainable future in the private medical industry.

Together, we pledge to support and develop projects for the benefit of our community.

Together, we get Romania well.

Mihail MARCU

President and CEO of MedLife Group

Sustainability Report 2022

6

Introduction

1.2 ABOUT THE REPORT

We are pleased to present the second Sustainability Report of MedLife Group, in which we present the

2022 results regarding the management of the most important sustainability aspects identified through the materiality analysis.

The 2022 Sustainability Report was prerared in accordance with the provisions of MPF Order no. 1938/2016 and MPF Order No. 2844/2016, which transpose EU Directive no. 95/2014 on non- financial reporting. In addition, this report was developed with reference to the GRI Standards.

The information presented relates to the period January 1 - December 31, 2022. For the majority of the disclosed performance indicators, we also provide information for the years 2020 and 2021 to allow readers to have a better understanding of our performance.

The Sustainability Report is based on a materiality analysis that allowed us to identify the most important sustainability impacts we have on people, the community, and the environment, as well as those sustainability aspects that have the ability to influence our position and financial performance.

The materiality analysis followed a complex process consisting of several stages: identification and prioritization of stakeholders, identification and analysis of the best sustainability practices in the health sector, at global and national level, consultation of the most significant internal

and external stakeholders, and prioritization of sustainability aspects in terms of the impact of our activities on people, the community and the environment, as well as the analysis of sustainability risks that can affect our position and financial performance.

In drafting the report, we considered a series of principles mentioned in the GRI Standards, which guided the entire process and allowed us to

ensure a level of quality in terms of both content and presentation.

For the realization of this report, MedLife Group has benefited from the support of INNOVA Project Consulting as external sustainability consultant.

Publication date: December, 2023.

The content of the report was not audited by a third party.

Contact point for sustainability issues: [e-mail]

The data presented in the report in most cases refer to the following companies within our Group: MEDLIFE S.A., PHARMACHEM

DISTRIBUȚIE S.A., Policlinica de Diagnostic Rapid (PDR), Clinica Polisano SRL, MNT HEALTHCARE EUROPE SRL (NeoLife), Genesys Medical Clinic, DENT ESTET CLINIC, ONCO CARD SRL, Anima Specialty Medical Services, PharmaLife Med.

In some cases the information is also presented at consolidated level, and in others, it refers only to MedLife S.A. In all situations where we present quantitative information, it is clearly stated whether it is at the level of certain companies within the Group, at consolidated level, or refers only to MedLife S.A.

Note: In this report, the terms "Company", "MedLife", "MedLife Group" and "Group" are used for practical reasons when referring generally to MedLife S.A. and its subsidiaries.

The structure of the MedLife Group as of December 31, 2022 can be found on pages 3-4 of the Consolidated Administrators' Report available at www.medlifeinternational.com/investor- relations.

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1.3 ABOUT MEDLIFE GROUP

Introduction

For almost three decades, MedLife Group has been an important pillar in the development of the private medical system in Romania,

providing high-quality medical services.

We take pride in being chosen by almost 6 million unique patients since our establishment, who have found in us a trusted partner in their healthcare journey.

Over the years, we have consistently invested in state-of-the-art technology and medical equipment to provide the best solutions and tailored medical treatments to meet the needs of our patients.

Since 2019, we have also expanded beyond the Romanian borders in Hungary, where we own a clinic with over 60 medical specialties, including day hospitalization and dental services.

Thus, as of December 31, 2022, our Group consisted of 82 companies, being present throughout Romania with:

• 98 clinics (34 hyperclinics and

64 clinics)

• 18 dental centers

• 14 excellence centers

Hyperclinics

SISTEMUL MEDICAL

Hospitals

hospitalsMaternity

We aspire to be an example to follow in the Romanian society and a catalyst for those who wish to contribute to the transformation of Romania into a better place for future generations.

MedLife Group: Integrated Medical System

In 2022, we continued to develop our business, achieving outstanding results in various areas. We opened 7 new units and completed 13 acquisitions, which allowed us to become the most important diagnostic and medical treatment platform in Romania.

• 11 hospitals

• 4 maternity hospitals

• 1 stem cell bank

• 36 laboratories

• >180 collection points

• 23 pharmacies

• >170 partners represented by

private clinics in Romania

Excellence centers	THE INTEGRATED
	MEDLIFE
	SYSTEM

Laboratories

Pharmacies

Corporate

Dental centers care

cells STEM bank

MEDLIFE GROUP VALUES

RESPECT

CARE

TRUST

EMPATHY

HOPE

Sustainability Report 2022	10		11

About MedLife Group

Introduction

The Integrated Healthcare Excellence System: MedLife Group

	Borsod-Abaúj-Zemplén
Nógrád	Szabolcs-Szatmár-
	Bereg

11	MedLife Hospitals

Komárom-

Györ-Moson-SopronEsztergom

Vas

Veszprém Fejér

Heves

1
BUDAPESTA	Satu Mare
Hajdú-Bihar
1
Suceava
Pest
Jász-Nagykun-
	Szolnok

	1	4
2

The largest network of private hospitals in Romania.

Maternity Hospitals

					1
Zala					Bihor			1
		Békés			2
				1		2
Somogy	Tolna	Bács-Kiskun					1	Cluj
						1
		Csongrád			1
			2
			1

	1			2
1	1	1	1	1
		Harghita		1

1

2

Nurseries have natural birth rooms, birth rooms in the aquatic environment (Sibiu), birth rooms for cesarean section and ATI and neonatology department.

Baranya

36

		Arad	1	1
	1	1	1	Alba
		1
	2			2
Laboratories
	2		Hunedoara

		1
	1		1	1
	1	2
2		Covasna
Sibiu		2
			2
1		2	1

1

1

1

1

Vrancea

STEM Cell Bank

The most efficient biotechnology laboratory in Romania for the

Legend:

The largest network of private medical laboratories in Romania

• 36 units in Bucharest and in the country.

The first Abbot automatic line in Eastern Europe.

1

1

Gorj

3	1		6
		1
1	1
4			1	1
Vâlcea			1	Prahova
		1
1			1	1
	1
1			1	1

12

1

1 Tulcea

isolation and storage of stem cells.

hospitals

nurseries

hyperclinics

pharmacies

dental care

excellence centers

34

	1
Hyperclinics
Over 40 medical specialties.	1	2
High-performance imaging		Dolj
	2
investigations: radiology,	1

DEXA, CT, 3T MRI, ultrasound, tomography synthesis mammography.

1

6Ilfov

1

Olt

Giurgiu

1 Teleorman

1

1 1

Bucharest

laboratories

clinics

18	Dental care	14	MedLife Excellence
centers	Centers

23 PharmaLifePharmacies

5	8	18		15	6 million
13	7		2

corporate

stem cell bank

Sustainability Report 2022

DENT ESTET by MedLife, the largest network of dental centers for adults and children in the country.

MedLife Excellence Centers bring together highly specialized physicians, with patients receiving the highest level of medical care, from consultation to diagnosis, analysis and treatment.

12

Own laboratory, where customers can benefit from specific products

13

1	1	1	unique patients

We grow together with you: yesterday, today and tomorrow

1994

2004

2006

2010

A group of Romanian entrepreneurs	First MedLife hyperclinic.	IFC becomes shareholder of MedLife;	The first acquisition takes place.
	set up MedLife.		Life Memorial Hospital is inaugurated,	PharmaLife's network
			the first MedLife hospital.	of pharmacies is launched.

2011

2016

2016

2018

The second acquisition takes place and	MedLife is developing a new	MedLife is listed on	The first Sfânta Maria clinic opens,
2 new hospital units are inaugurated -	business division following	the Bucharest Stock Exchange.	as Medlife secondary brand.
the Orthopedic Hospital and the Pediatric Hospital.	the acquisition of DENT ESTET clinics.

2019	2020	2021	2022

MedLife expands	MedLife develops the research
in Hungary by acquiring	division and conducts numerous studies
Rozsakert Medical Center (Budapest).	dedicated to the COVID-19 Pandemic.
	MedLife starts the largest private
	medical project in Romania - MedLife MedPark.

MedLife continues to

expand nationwide with new acquisitions,

consolidating its position in

the area of radiotherapy and oncology.

It also continues to

support the authorities in monitoring the pandemic, with new studies on COVID-19.

MedLife completes the acquisition of OncoCard Hospital, Neolife, Opticristal Clinic and Sweat Concept Gyms.

MedLife continues the development with 13 acquisitions and enters new business segments - wellness and health insurance. Thus, MedLife becomes the only integrated operator in Romania offering prevention, wellness and treatment services.

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We are specialized in providing personalized medical services for both individual clients (patients) and legal entities, covering all stages

MedLife Clinics

Introduction

Corporate Laboratories

of a medical condition: prevention, diagnosis and treatment. Our entire team consists of specialists with diverse experience and competencies, who constantly update their knowledge by participating in training programs. We use

the most advanced technologies and medical equipment to provide the best services to our patients.

As of December 31, 2022, our team

includes approximately 4,500 employed and collaborating doctors and 2,600 nurses

Our company's portfolio consists of two major brands in the medical industry - MedLife and Sfânta Maria, which together cover the full spectrum of healthcare in six business lines. MedLife is a well-known brand with over 500 own medical units, including clinics, hospitals, laboratories, pharmacies, dental care centers, and a stem cell bank. These cater primarily to the middle to high-income segment of clients seeking high-quality medical services.

On the other hand, Sfânta Maria is a relatively new brand that has already brought together more than 50 proprietary medical units, including clinics, laboratories and collection points. It serves the needs of patients with CAS tickets, having the largest network of doctors under contract with the National Health Insurance House.

Our company operates a wide range of medical facilities to provide quality and affordable services to our patients. Hyperclinics are a format specially created for large urban areas with a population of over 175,000 residents, which consist of large medical units with over 20 medical offices and areas exceeding 1,000 square meters.

These facilities are designed as a one-stop-shop for clinical and imaging examinations such as radiology, bone density - DEXA, CT, MRI, 2D-4D ultrasound and mammography. These facilities also host other lines of business, such as collection points for laboratories or pharmacies. Our clinics, which typically have between 5 and 12 medical offices, are designed for smaller cities or to serve specific concentrations of patients.

They offer a wide range of services from general medicine to specialized medical consultations, covering the basic needs of our patients and those who opt for services settled by the National Health Insurance House. Our smaller clinics act as referral networks for more specialized services offered in hyperclinics.

MedLife Hospitals

The Hospitals business line covers the inpatient activities of the Group, which include a wide range of medical and surgical specializations. The Group's 11 hospitals and four additional day care units form the largest private hospital chain in Romania.

Within our hospitals, we have four maternity units where over the last five years, more than 45,000 babies were born.

The Corporate business line offers subscription- based prevention and medical prophylaxis (PPM) packages generally to corporate clients, as part of their employee benefit packages.

These programs, which focus on prevention, such as regular check-ups and access to diagnostic services, complement the statutory occupational health services that the corporate client contracts from MedLife as standard prevention and prophylaxis packages.

MedLife has a portfolio of more than 800,000 patients with standard prevention and prophylaxis packages from over 8,000 different companies (as of December 31, 2022).

The Group has the largest base of individuals who benefit from such services in Romania, according to publicly available data.

STEM Cells Bank

Our Stem Cell Bank is another business line and represents a state-of-the-art biotechnological laboratory in Romania for isolating and storing stem cells.

We utilize cutting-edge biotechnology for the storage and processing of umbilical cord blood, which is one of the most important sources of stem cells.

To ensure quality and safety, we employ the Sepax 2 system, which is currently the most advanced storage system available.

The Laboratories business line complements our diagnostic services and offers the following range of services: biochemistry, pathological anatomy (cytology and histology), molecular and genetic biology, hematology, immunology, microbiology and toxicology.

During 2022, this

business line processed

a total of 8.5 million

laboratory tests.

Dentistry

Our Group's Dentistry business line offers a wide range of dental services, from simple check-ups to complicated surgical procedures, through the largest network of specialized dental centers under the DENT ESTET brand.

Our team of highly specialized doctors holds multiple certifications obtained in Europe and the United States, and provides comprehensive dental services for both adults and children.

To ensure the comfort and safety of our patients, we have our own intensive care unit where we apply specific sedation techniques.

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Pharmacies

Introduction

Economic Performance

The Pharmacies business line completes the circle of integrated services and provides prescription- based medical products, without a counter, and other related medical products in 23 pharmacies owned by the Group as of December 31, 2022.

In addition to the 6 main lines of business, the MedLife Group, through its acquisitions, includes a pharmaceutical distribution company, Pharmachem Distribuție S.A. This company represents one of the main pharmaceutical distribution companies in Romania, with total sales of 176 million RON in 2022. Pharmachem is particularly focused on providing high-quality healthcare products and services and plays a crucial role in the country's pharmaceutical supply chain.

By collaborating with a diverse range of suppliers, Pharmachem ensures that pharmacies and

MedLife Group responsibly and sustainably addresses the creation of long-term value for all stakeholders, which is evident in all actions taken over time, but particularly during the pandemic period.

2022 was intense, as after two years of pandemic, we faced a series of additional factors such

as war, inflation, and energy crisis, which put considerable pressure on national and global economic development. Nevertheless, we managed to adapt and continue our expansion strategy through organic projects and strategic acquisitions, despite these challenges.

In 2022, MedLife accelerated its nationwide expansion by opening 7 new units and completing no less than 13 major acquisitions in the first nine months of the year. These acquisitions included both businesses with integrated medical services,

following our model, and niche businesses in oncology, ophthalmology, and wellness. Together, our aim was to provide our patients with the best solutions for their needs.

Furthermore, we focused our efforts on developing personalized solutions for our nearly 800,000 subscribers and the millions of patients who visited our 700 MedLife units, which was one of the biggest achievements of the year.

In the future, we will continue to invest in the consolidation of the MedLife network in the medium and long term, at both national and regional levels, with the ambition to become a strong regional player. In the short term, after intense acquisition activity in recent months, a period of stabilization, consolidation, and integration of the acquired companies into the Group will follow.

other healthcare service providers have access to a wide range of medications and medical supplies to meet the needs of their patients. As a pharmaceutical distribution company, Pharmachem is responsible for the storage, handling, and transportation of pharmaceutical products from manufacturers to end users. This involves complying with strict regulations and maintaining a high level of quality control to ensure the safety and effectiveness of the distributed products.

In 2022, MedLife expanded its business portfolio by acquiring Sweat Concept fitness centers, thus entering a new business line, the wellness industry.

This acquisition complements the comprehensive medical services offered nationwide. Sweat Concept will be rapidly developed throughout the country in the coming years to achieve synergies with the existing corporate business line.

The size of MedLife Group	2020	2021	2022
Total number of employees	4,658	5,093	6,281
out of which women	3,726	4,116	5,276
Net sales (RON)	1,077,448,351	1,427,218,373	1,795,432,748
Profit (RON)	63,763,684	112,913,209	37,432,555
Equity (RON)	268,906,545	381,404,558	482,038,245
Total Liabilities (RON)	914,587,319	1,036,197,669	1,669,938,084

MedLife Group employees	2020	2021	2022
Doctors	595	651	734
Nurses	2,007	2,194	2,604
Other staff	2,056	2,248	2,943
TOTAL	4,658	5,093	6,281

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