At the end of Dec-23, gross debt totaled R$3,261.0 million, up 20.7% compared to Sep-23 (R$2,702.7 million). Multiplan’s cash position, at the end of Dec-23, was R$1,175.4 million, 59.4% above the end of September 2023, resulting in a net debt of R$2,085.6 million in Dec-23. Net Debt-to-EBITDA ratio stood at 1.38x by the end of 2023, in line with Sep-23 (1.32x).