Challenges and Opportunities

In 2025, the Company formally initiated the implementation of its Ecosystem and Biodiversity Conservation Policy.

The objective is to support healthcare operations that take into account the impacts on natural resources while promoting the creation of a “Healing Environment” for patients, visitors, and personnel.

The Company operates under internationally recognized frameworks, particularly the approach of the Taskforce on Nature-related Financial Disclosures (TNFD), which emphasizes the assessment of both:

Nature-related Impacts - the impacts of the Company’s operations on nature
Nature-related Dependencies - the Company’s reliance on natural resources

The implementation of this policy is overseen by the Sustainability Committee, which is responsible for establishing policies, setting strategic directions, and monitoring the Company’s environmental performance. The Company’s practices are aligned with relevant international frameworks, including:

Convention on Biological Diversity (CBD)
Global Reporting Initiative (GRI 304: Biodiversity)
United Nations Sustainable Development Goals (SDGs), particularly SDG 15: Life on Land

Management Approach and Value Creation

Establishing the Management Foundation

As 2025 marks the first year of the Company’s systematic implementation of biodiversity management, the Company has prioritized foundation building and the development of baseline data to support the establishment of performance indicators and future monitoring.

The Company has initiated baseline assessments related to natural resources within the hospital premises, including:

  • Hospital green spaces and landscape
  • Plant species within the premises
  • Urban biodiversity

The information collected will serve as a foundation for monitoring biodiversity trends over the long term.

The Company recognizes that the reduction of green spaces in urban areas, together with the Urban Heat Island Effect, may affect environmental quality and public well-being. Therefore, the Company has begun integrating ecosystem considerations into its corporate strategy and operational practices in a more systematic manner. This approach supports sustainable urban development while contributing to improved quality of life for the surrounding community.

Nature-related Dependencies of the Business

The Company operations rely on several natural resources that are essential to the quality of medical services and the overall healthcare environment, as summarized below.

Nature-related Dependency Importance to the Business
Water resources Used in medical processes, sanitation systems, and cleaning operations
Urban ecosystems Support environmental quality and the well-being of patients and visitors
Green spaces Help reduce ambient temperature, improve air quality, and promote a healing environment

Nature-related Risks

Risk Issue Potential Business Impact Management Approach
Reduction of urban green spaces May affect environmental quality and the well-being of patients and visitors Increase green spaces and further develop a healing environment
Water resource consumption Risk related to rising costs and water resource scarcity Reuse treated water for appropriate operational purposes
Waste and electronic waste management Risk of environmental contamination Strengthen waste management and recycling systems

Nature-related Impacts of the Company’s Activities

Impact Area Description of Impact Management Approach
Water use in medical processes Consumption of water from the municipal supply and discharge of wastewater from medical service operations Operate wastewater treatment systems prior to discharge and reuse treated water for maintaining green spaces
Wastewater discharge from hospital activities May affect the water quality of the public drainage system Monitor effluent quality to ensure compliance with legal standards and continuously improve wastewater treatment systems
Electronic waste (E-waste) End-of-life electronic equipment may contain hazardous substances Establish e-waste collection points and ensure proper recycling through certified recycling processes
Use of medical plastics Increases plastic waste and potential impacts on ecosystems Implement plastic recycling initiatives and support circular economy practices through proper recycling processes
Land use in urban areas Building development may affect urban green spaces Increase green areas and apply Biophilic Design concepts in building development to support environmental quality and promote well-being

Biodiversity Indicators (Baseline Year: 2025)

Indicator Performance
Volume of recycled water reused 1,007 cubic meters
Increase in recycled water utilization 281 cubic meters
Electronic waste collected 77.90 kilograms
Number of electronic devices collected 156 units
Plastic sent for recycling 4,479 kilograms
Green space within the hospital premises Baseline data currently under assessment

Stakeholders Directly Impacted

Employees
Employees
Customers
Customers
Suppliers
Suppliers
Communities and Society
Communities and Society