Go to Corporate Site
en
TH
Climate Change Adaptation

Climate Change Adaptation

Goals and Performance Highlights

Goals

Thailand’s Nationally Determined Contribution (NDC) under the Paris Agreement
Thailand’s national roadmap to achieve Net Zero emissions by 2050 (B.E. 2593)
Global efforts under the Paris Agreement to limit the increase in global temperature to 1.5 degrees Celsius. To support this commitment, the Company will develop a Decarbonization Roadmap outlining clear strategies and measures to systematically reduce greenhouse gas emissions, ensuring effective progress toward the stated targets.

Performance in 2025

Short-term performance (Year-on-Year compared with 2024): Carbon intensity by revenue decreased by
7.5%
exceeding the Company’s short-term target.
Medium-term performance (compared with the 2022 base year): Carbon intensity by revenue decreased by
13.5%
reflecting the effectiveness of the Company’s ongoing energy efficiency initiatives.

Challenges and Opportunities

Amid these challenges, the Company recognizes opportunities to elevate healthcare standards through the development of a “Smart and Green Hospital”, aiming to become a healthcare institution that promotes both quality of life and environmental sustainability.

Healthcare Innovation
Integrating holistic wellness services that address both physical and mental health with hospital design that supports a healing environment, including the use of environmentally friendly materials and the reduction of pollutant emissions.
Resource Efficiency
Enhancing building energy management systems to maximize efficiency, while managing medical waste and wastewater using modern technologies in order to reduce the organization’s carbon footprint.
Supply Chain Collaboration
Supporting and collaborating with suppliers across the value chain to procure environmentally friendly products and services through green procurement, thereby reducing indirect greenhouse gas emissions (Scope 3).

The Company has designated responsible parties to manage both the impacts of climate change and environmental factors on the Company’s operations (Outside-in)such as risks related to energy, infrastructure, service continuity, and carbon-related regulatory costsand the impacts of the Company’s operations on climate change and the environment (Inside-out). This includes systematic management of greenhouse gas emissions across Scope 1, Scope 2, and Scope 3 throughout the value chain.

The Company believes that public health begins with a sustainable ecosystem and environment. Therefore, the concept of “Low Carbon Healthcare” has been integrated into the organization’s DNA. Climate change management is not viewed merely as an ESG responsibility, but rather as a strategic mission directly linked to societal sustainability, health security, and the quality of life of both present and future generations.

The Company is committed to becoming a hospital that grows alongside climate responsibility and contributes to advancing Thailand’s healthcare system toward a low-carbon future. To achieve this, the Company has adopted the frameworks of the Task Force on Climate-related Financial Disclosures (TCFD) and IFRS S2 Climate-related Disclosures in conducting scenario analysis, risk and opportunity assessment, strategy development, and transparent climate-related disclosures. These efforts link environmental impacts with financial dimensions in a tangible manner and support climate governance in line with international standards.

Climate-Related Risk and Opportunity Management

The Company has integrated climate-related risks into its Enterprise Risk Management (ERM) process through the following steps:

Risk Identification
The Risk Management Working Group, together with the Sustainable Business Development Working Group, identifies potential risks arising from climate-related factors, covering both physical risks and transition risks.
Risk Assessment
Risks are evaluated based on their likelihood of occurrence and the severity of potential impacts on the business and financial position, with consideration given to different time horizons (short-, medium-, and long-term).
Risk Prioritization
Identified risks are prioritized according to their level of severity in order to determine appropriate management approaches.
Risk Mitigation
Risk management measures are established for material risks, including the designation of responsible parties and relevant performance indicators.
Monitoring and Reporting
Risk status and the effectiveness of mitigation measures are monitored regularly and reported to the Risk Management Committee and subsequently to the Board of Directors.

Management Approach and Value Creation

Corporate Strategy

The Company has established four strategic pillars (4 Pillars Strategy) to strengthen the organization’s long-term resilience in addressing climate-related risks and opportunities under the climate scenarios described above. The details are as follows:

1
Decarbonization Strategy
Aims to reduce greenhouse gas emissions from both direct and indirect activities of the Company, covering emissions across Scope 1, Scope 2, and Scope 3.
2
Adaptation and Resilience Strategy
Strengthen preparedness to address physical risks from climate change in order to ensure the continuity of medical services.
3
Sustainable Healthcare and Innovation Strategy
Develop healthcare services and treatment processes that incorporate sustainability considerations, aiming to reduce environmental impacts while enhancing the quality of patient care.
4
Engagement and Governance Strategy
Foster an organizational culture that prioritizes environmental responsibility while encouraging participation from employees, suppliers, and stakeholders.

The strategies outlined above not only address transition risks in line with the TCFD framework, but also create opportunities to enhance operational efficiency and strengthen confidence among patients and investors that the Company is a leading healthcare provider committed to growing alongside sustainable environmental stewardship.  

Performance in responding to Reduction Net Greenhouse Gas Emissions

Net Greenhouse Gas Emissions for the Years 2022-2025
Unit : tCO2eq
Click to Enlarge
Remarks:Data for the years 2022-2025 certified by the Thailand Greenhouse Gas Management Public Organization (Public Organization)
Short-Term Organisation's Greenhouse Gas Emission Reduction Results Compared to the base year
(Year 2025 compared to the base year 2024 YoY)
  • SCOPE I และ II -0.4%
  • SCOPE III +12.6%
  • Total +5.3%
Medium-Term Organisation's Greenhouse Gas Emission Reduction Results Compared to the base year
(Year 2025 compared to the base year 2022)
  • SCOPE I และ II +7.3%
  • SCOPE III +16.2%
  • Total +11.3%
Greenhouse Gas Emission Rate per Adjusted Patient Day
Unit : tCO2eq/Adjusted Patient Days
Click to Enlarge
Short-Term Organisation's Greenhouse Gas Emission Reduction Results Compared to the base year
(Year 2025 compared to the base year 2024 YoY)
  • SCOPE I และ II -3.7%
  • SCOPE III +8.9%
  • Total +1.9%
Medium-Term Organisation's Greenhouse Gas Emission Reduction Results Compared to the base year
(Year 2025 compared to the base year 2022)
  • SCOPE I และ II +15.8%
  • SCOPE III +25.4%
  • Total +20.2%
Greenhouse Gas Emission Rate per Total Revenue
Unit : tCO2eq/Total Revenue (Million Baht)
Click to Enlarge
Medium-Term Organisation's Greenhouse Gas Emission Reduction Results Compared to the base year
(Year 2025 compared to the base year 2024 YoY)
  • SCOPE I และ II -12.6%
  • SCOPE III -1.1%
  • Total -7.5%
Medium-Term Organisation's Greenhouse Gas Emission Reduction Results Compared to the base year
(Year 2025 compared to the base year 2022)
  • SCOPE I และ II -16.6%
  • SCOPE III -9.7%
  • Total -13.5%

In measuring greenhouse gas emissions, the Company has designated 2022 as the base year for calculating and disclosing greenhouse gas emissions. This assessment covers four operational buildings, including Building A, Building B, and Building O. The Company has calculated emissions using three approaches: Net greenhouse gas emissions based on the Absolute Emission method. Greenhouse gas emissions per adjusted patient days using the Economic Intensity Approach. Greenhouse gas emissions per total revenue, which has been newly introduced this year as an additional metric to enhance alignment with international greenhouse gas disclosure standards, such as the Global Report Initiative (GRI). The Company’s greenhouse gas emission calculations have been certified by the Thailand Greenhouse Gas Management Organization (Public Organization) for the second consecutive year. Short-term and long-term operational targets have been established through climate change strategies that align with international standards and financial disclosure frameworks, such as the Task Force on Climate-Related Financial Disclosures (TCFD). These assessments of risks and opportunities are integrated into governance, strategic planning, and climate action plans to ensure timely adaptation to evolving conditions and to support the Company’s long-term sustainability.

In the performance results for the year 2025 compared to the base year 2022
  • The Company’s net greenhouse gas emissions increased by 11.3%.
  • Greenhouse gas emissions per adjusted patient day increased by 20.2%.
  • Greenhouse gas emissions per total revenue decreased by 13.5%.
  • When categorizing greenhouse gas emissions for the year 2025
    • Scope I emissions amounted to 604 tCO2eq
    • Scope II emissions amounted to 6,213 tCO2eq
    • Scope III emissions amounted to 6,072 tCO2eq

SCOPE III by Category

Category GHG (tCO2e)
2022 2023 2024 2025
1. Purchased goods and services 1,035.42 1,030.91 1,036.05 1,090.76
2. Capital goods Not significant Not significant Not significant Not significant
3. Fuel- and energy-related activities 1,197.33 1,243.89 1,284.00 1,089.75
4. Upstream transportation and distribution Not significant Not significant Not significant Not significant
5. Waste generated in operations 717.43 272.79 643.58 623.33
6. Business travel Not significant Not significant Not significant Not significant
7. Employee commuting Not significant Not significant Not significant Not significant
8. Upstream leased assets Not significant Not significant Not significant Not significant
9. Downstream transportation and distribution 2,261.94 2,325.94 2,417.73 3,256.93
10. Use of sold products Not significant Not significant Not significant Not significant
11. End-of-life treatment of sold products 12.13 42.23 10.87 10.62
12. Downstream leased assets Not significant Not significant Not significant Not significant
13. Investments Not significant Not significant Not significant Not significant
Remark: The Company has conducted a Materiality Assessment and determined that the items presented in the table and identified as “immaterial” fall outside the scope of its core activities or have an insignificant impact on its hospital operations. The Company also reviews the appropriateness of its reporting boundaries on an annual basis to ensure that disclosures accurately reflect facts in accordance with international standards and evolving operational contexts.
Gas Consumption 2022 2023 2024 2025
Nitrous Oxides (Nox) (Unit: KG) 250 300 275 219
Sulphur Oxide (Sox) 0 0 0 0
Volatile Organic Compounds (VOCs) 0 0 0 0
Additionally, the Company has conducted assessments in accordance with the guidelines of the Thailand Greenhouse Gas Management Organization (TGO.) and has verified this data through LRQA (THAILAND) LIMITED.

Approach to Greenhouse Gas Emission Development and Management

The outcomes of the 28th session of the Conference of the Parties under the United Nations Framework Convention on Climate Change (UNFCCC), or COP28, have increased pressure and accelerated efforts to encourage the business sector to expedite transitions toward achieving greenhouse gas reduction targets under the Paris Agreement, which aims to limit the global temperature increase this century to below 2 degrees Celsius compared to pre-industrial levels and to strive to keep the increase within 1.5 degrees Celsius.

The Company has established the following management approaches to reduce greenhouse gas emissions:

1
Enhance energy efficiency in buildings
including the consideration of renewable and clean energy utilization, to reduce greenhouse gas emissions in Scope II.
2
Implementing a circular economy system
to integrate greenhouse gas reduction efforts throughout the business value chain.
3
Developing environmentally friendly products and service processes
to minimize greenhouse gas emissions.
4
Foster stakeholder engagement in reducing greenhouse gas emissions
through the 3Rs strategy to minimize emissions in Scope III.
Carbon Credit Purchase

The Company is currently studying and exploring the voluntary carbon credit pricing landscape in Thailand through the Thailand Greenhouse Gas Management Organization (TGO) to assess opportunities and the cost-effectiveness of environmental initiatives and greenhouse gas reduction efforts. This study is also part of the Company's risk management plan and sustainability policy. The insights gained from this research will be used to inform strategic decisions regarding carbon credit management, including procurement, trading, or the development of initiatives aimed at minimizing long-term environmental impacts.

Stakeholders Directly Impacted

Employees
Employees
Shareholders and Investors
Shareholders and Investors
Customers
Customers
Suppliers
Suppliers
Communities and Society
Communities and Society
Competitors
Competitors

Projects and Activities

View All
Supporting the Net Zero Goal
Environmental
26 November 2024
Supporting the Net Zero Goal
Read More
โรงพยาบาลพระรามเก้า จัดงานฉลองครบรอบ 32 ปี สุดคูล “เปลี่ยนกระเช้า…เป็นต้นไม้” พร้อมชวนคนไทย “โอบกอดสุขภาพดีไปด้วยกัน”
Environmental
19 July 2024
โรงพยาบาลพระรามเก้า จัดงานฉลองครบรอบ 32 ปี สุดคูล “เปลี่ยนกระเช้า…เป็นต้นไม้” พร้อมชวนคนไทย “โอบกอดสุขภาพดีไปด้วยกัน”
Read More

Related Documents

ESG Reporting Library
Environmental Policy
ESG Reporting Library