About this report
Our Sustainability Report has been published annually in a version adapted for stakeholders with accessibility needs, as well as in additional versions (digital and English), and covers the period from January 1 to December 31, 2023. The Report’s scope encompasses the Company’s operations throughout Brazil and which are reflected in the Company’s annual Financial Statements in item 7 (related-party transactions). The reporting process, as well as the materiality, is approved by Senior Management.
The content was prepared in accordance with the Global Reporting Initiative (GRI), standards and indicators, 2021 version, and the Integrated Report framework¹, complying with the 2021 version. It also incorporates elements of the Integrated Reporting Framework¹ and complies with the disclosure topics and metrics of the Sustainability Accounting Standards Board (SASB) disclosure topics. Performance data is correlated with the Sustainable Development Goals (SDGs), including economic, social and environmental performance targets associated with material topics. Information related to climate change, as in the previous report, has been published according to the Task Force on Climate-Related Financial Disclosures (TCFD), which can be consulted in an attached document. We are looking into adapting our climate information to the IFRS S2 (Climate-related Disclosures) standard. A summary of this topic can be found in chapter Climate Change, with the reporting of the respective GRI indicators.
It is important to note that SulAmérica’s ESG indicators have been published in an attachment to this report, and that some information from Rede D’Or may not cover all units due to the lack of indicators or the impossibility of monitoring. For these situations, we use explanatory notes.
The non-financial information contained in this report has been internally verified, with the agreement of senior management, and subject to external assurance by KPMG. This entity acts as an independent verifier, with no commercial ties to Rede D’Or (see the assurance statement for more details) [GRI 2-5].
The Financial Statements (FS) were prepared for the same reporting period (Jan 1, 2023 to Dec 31, 2023) and published on March 27, 2024, pursuant to the corporate calendar. Results present the group’s information, adhering to the Accounting Pronouncements Committee (CPC) 21 (R1) guidelines and the IAS 34 – Interim Financial Reporting, international standard, published by the International Accounting Standards Board (IASB). The financial statements are reported one month prior to the sustainability report, as defined by the Company. These statements are audited by Ernst & Young (EY).
For further information on this report, please contact the Sustainability department: sustentabilidade@ rededor.com.br [GRI 2-3]. Visit our official “Rede D’Or Sustainability” page here.
¹ In relation to the Integrated Report guidelines, there were no omissions of data or information.
Materiality
GRI 2-29, 3-1, 3-2, 3-3
Periodically, we conduct a materiality assessment, as provided for in our internal regulations, in two separate processes. A full materiality study is carried out every two years, considering the GRI 3: Material Topics 2021 standard in its entirety, in order to define the priority material topics based on the stakeholder engagement and impact assessment, as well as define the ESG strategy on a biannual basis. This biannual study, which defined our material topics for this Integrated Sustainability Report, can be accessed in Portuguese and English on Rede D’Or’s official website.
In 2023, we established and carried out the annual review process, whose goals are to identify the possibility of adding new relevant material topics, based on industry benchmarking; to review the interpretation of the nomenclature of topics and/or their description, in order to ensure accuracy in their interpretation; to review the impacts of material topics determined in the biannual study; and/or to review for other necessary reasons, such as the Company’s ESG strategy [GRI 2-4].
The materiality review process encompassed the following steps:
For more details on the 2023 Materiality Review Process, click here, accessible in Portuguese and English.
Description of the 2023 material topics
GRI 3-2, 3-3
| Material topic | Description |
|---|---|
| Economic Performance | The contribution of Rede D’Or’s economic performance is reflected in the creation of shared value, through return to shareholders and fostering the economy, through the acquisition of materials and inputs, creation of direct and indirect jobs, payment of taxes, development of suppliers and social investment in the community. |
| R&D, Innovation and Education¹ | Scientific research plays a pivotal role in supporting healthcare organizations to develop new treatments, thereby improving quality of life. The Research and Education Institute (IDOR) not only leads the way in research and innovation, but also plays an essential role in training healthcare professionals and disseminating knowledge. Rede D’Or’s operations are increasingly based on the use of digital care technologies. |
| Integrity, Risk and Anti-corruption | We adopt measures to fight ethical misconduct and non- compliance with laws and regulations, aimed at grounding relationships and data management with trust and transparency. The Integrity Program establishes mechanisms to prevent, detect and fight corruption, bribery and bid-rigging. Risk management strengthens the organization’s defenses, mitigating several risks and enhancing opportunities. |
| Energy | Energy consumption in hospitals is directly related to the operation of systems such as lighting, air conditioning, heating, water pumping, elevators and medical equipment. We practice the efficient use of energy and seek energy autonomy to minimize the impact on our processes, promoting the conscious consumption of this resource. |
| Water and effluents | Water consumption is indispensable for providing hospital service. Efficient management of water use, including the control, reuse and utilization of rainwater, not only reduces costs, but also mitigates the environmental impact of its use and the generation of effluents, thus promoting the conscious consumption of this resource. |
| Waste | Waste management covers aspects such as generation, segregation, packaging, collection, storage, recycling, treatment and final disposal, prioritizing the protection of public health and the environment. |
| Health and Safety | Health and Safety performance encompasses the promotion of occupational health and safety for direct and indirect employees and the prevention of work-related accidents and incidents. Key initiatives include taking care of people, mitigating safety risks and absenteeism in order to maintain levels of excellence and fulfill the business purpose. |
| Patient-centered care² | It encompasses all interactions that influence patient perception, covering health and safety, technical and perceived quality of services, clinical outcome and patient satisfaction. |
| Climate Change | Greenhouse gas emissions are the main cause of climate change, and the health sector, according to studies by Health Care Climate Action, is one of the main emitters globally. We promote the saving of natural/energy resources through the adoption of sustainable and healthy buildings, as well as the use of telemedicine. |
| Socioeconomic impact | Creating value through local community development, private social investment and efforts to keep the community informed about health and sanitary issues. |
| Human Rights | The commitment to Human Rights includes respect for the labor rights of own and third-party employees, developing and retaining talent, promoting a diverse, inclusive and stimulating environment, with qualified and motivated teams, respecting ethics and the individual in their social and environmental context. |
After the review process, the list of 2023 material topics was validated with two changes to the nomenclature of the material topic, as well as to the description of material topics [GRI 2-4, GRI-3]:
1.The 2022 material topic “R&D, Innovation and Knowledge Dissemination” has been reclassified as “R&D, Innovation and Education”.
2. The 2022 material topics “Disease prevention and health promotion” and “Patient experience” were consolidated into the topic “Customer-centered care”.
Management of material topics
GRI 3-3
| Material topic | Related capital | Content | Related indicator | Where controls and impacts are addressed | Policies and commitments |
|---|---|---|---|---|---|
| Economic Performance | Financial | GRI 201: Economic Performance 2016 |
GRI - 201-1 to 201-4 GRI - 207-1 |
Manufactured Capital | |
| Financial Capital | |||||
| R&D, Innovation and Education | Intellectual and human | GRI 404: Training and education 2016 / R&D and Innovation Content |
GRI - 404-1 to 404-3, and Company indicators:
|
Human Capital | |
| Intellectual capital | |||||
| Integrity, Risk and Anti-corruption | Social and Relationship | GRI 205: Anti-corruption 2016 GRI 418: Customer privacy 2016 | GRI - 205-1 to 205-3 GRI - 418-1 | Ethics and Compliance | |
| Energy | Natural | GRI 302: Energy 2016 | GRI - 302-1 to 302-5 | Environment: energy consumption | |
| Water and effluents | Natural | GRI 303: Water and effluents 2018 | GRI - 303-1 to 303-5 | Environment: water management and effluents | |
| Waste | Natural | GRI 306: Waste 2020 | GRI - 306-1 to 306-5 | Environment: waste management | |
| Health and Safety | Human | GRI 403: Occupational Health and Safety 2018 | GRI - 403-1 to 403-10 | Human Capital: Occupational Health and Safety | |
| Patient-centered care | Social and Relationship/ Infrastructure | GRI 416: Customer Health and Safety 2016 / Quality and company content |
GRI - 416-1 to 416-2 and company indicators:
|
Management model | |
| Climate Change | Natural | GRI 305: Emissions 2016 | GRI - 305-1 to 305-7 | Environment: Climate Change | |
| Socioeconomic impact | Social and Relationship | GRI 203: Indirect Economic Impacts 2016 GRI 413: Local Communities 2016 |
GRI - 203-1 e 203-2 GRI - 413-2 |
Socioeconomic Impact | |
| Human Rights | Social and Relationship | GRI 401: Employment 2016 GRI 405: Diversity and equal opportunities 2016 GRI 406: Non-Discrimination 2016 GRI 410: Safety practices 2016 |
GRI - 401-1 to 401-3 GRI - 405-1 and 405-2 GRI - 406-1 GRI - 410-1 |
Human Capital | |
| Human |
