ENVIRONMENTAL, SOCIALAND GOVERNANCE REPORT CHINA MEDICAL SYSTEM HOLDINGS LIMITED(STOCK CODE: Hong Kong: 867, Singapore: 8A8) CONTENTS ABOUT THE REPORT......................................................................................... 1CHAIRMAN’S MESSAGE...................................................................................... 2ABOUT CMS........................................................................................................ 4 ESG GOVERNANCE STRATEGY.......................................................................... 6 Statement of the Board of Directors................................................................................................... 7ESG Strategy.......................................................................................................................................... 8Structure and Process of ESG Governance......................................................................................... 9ESG Communication with Stakeholders........................................................................................... 11ESG Material Issues............................................................................................................................. 12 Providing Better Treatment Options................................................................................................. 19 Improving Healthcare Accessibility................................................................................................... 25 CONTENTS RELIABLE AND RESPONSIBLE CITIZEN.......................................................... 32Adhering to High Ethical Standards in Business Operations.......................................................... 34Providing High-Quality Products and Services................................................................................ 51Undertaking Community Responsibility.......................................................................................... 71 PEOPLE-ORIENTED PRACTICE, GROWING WITH EMPLOYEES...................... 73 Talent Absorption and Management................................................................................................ 75Attaching Great Importance to Employee Diversity........................................................................ 89Ensuring the Occupational Health and Safety of Employees......................................................... 91 ENVIRONMENTAL PROTECTION, GREEN AND LOW-CARBON DEVELOPMENT.... 94Taking Actions to Protect the Environment..................................................................................... 96Conserving Biodiversity................................................................................................................... 132 APPENDIX....................................................................................................... 134 ABOUT THE REPORT The Report is the tenth Environmental, Social and Governance ( “ESG” ) Report of China MedicalSystem Holdings Limited (the “Company” , together with its subsidiaries, the “Group” or “CMS” ).This is an annual report, which covers the fiscal year from January 1, 2025 to December 31, 2025 (the“Reporting Period” ) with some additional related information incorporated that may have occurredoutside the Reporting Period. Basis of Preparation The Report is prepared as per Appendix C2Environmental, Social and Governance Reporting Code ofMain Board Listing Rules issued by the Stock Exchange of Hong Kong Limited ( “HKEX” ), with referenceto theSGX Core ESG Metrics published by the Singapore Exchange ( “SGX” ). Meanwhile, the Reportrefers to and responds to issues concerned by the United Nations 2030 Sustainable Development Goals(SDGs), MSCI-ESG rating, and S&P Corporate Sustainability Assessment (CSA), with the combination ofthe Company’ s business development and ESG practices. Scope of the Report The Report discloses the Group’ s risk management initiatives and operational performance in ESGdomains conforming to the principles of “Materiality” , “Quantitative” , “Balance” and “Consistency”mentioned in theEnvironmental, Social and Governance Reporting Code. Unless otherwise indicated,the scope of the Report is the same as that of the2025 Annual Report of the Group, and includes theCompany, its wholly-owned subsidiaries and majority-owned subsidiaries. Data Sources and Reliability Statement The materials and cases disclosed in the Report were from the Group’ s relevant reports and archives.The Group undertakes that the Report does not contain any false information, misleading statements,or material omissions, and is responsible for the content of the Report as to its authenticity, accuracy,and completeness. Obtaining the Report The Report can be accessed and downloaded from HKEX’ s website (www.hkexnews.hk), SGX’ swebsite (www.sgxgroup.com), and the Group’ s website (www.cms.net.cn). For further consultation,any opinion or suggest