Environment
Climate changes
The actions we have taken to address climate change involve measuring our impacts by continuously improving our annual reporting of greenhouse gas (GHG) emission inventories at our sites, including hospitals, clinics, and laboratories. The obtained data is submitted to an external audit and disclosed in the Public Emissions. In 2022 we started implementing two electric transport projects for ambulances and trucks, and four others focused on reverse logistics.
We also work to make our employees aware of the issue. In 2022 we developed the Conscious Consumption Module, whose objective is to provoke reflection on the positive and negative consequences of our consumption habits on health and the environment, besides presenting the initiatives adopted by Rede D’Or to ensure a more sustainable efficiency.
GHG emissions inventory (tCO2e)
| Source | Cycle 2021 (2020) | Ciclo 2022 (2021)1 | Cycle 2023 (2022)4 |
|---|---|---|---|
| Scope 1 | 77,011 (72%) | 108,388 (62%) | 64,785 (58%) |
| Scope 2 | 16,253 (15%) | 35,612 (20%) | 12,537 (11%) |
| Scope 3 | 13,883 (13%) | 30,272 (17%) | 33,448 (30%) |
| Total | 107,146 | 174,2712,3 | 110,770 |
1. Inventories carried out in 2021, participants in the 2022 cycle, include hospital units, oncology clinics and laboratories.
2. Significant increase in emissions, especially in scope 1, driven by the new hospitals units acquisition and by measuring emissions from oncology clinics and analysis laboratories, not included in inventories from the previous cycle.
3. Update of emission factors in the GHG Protocol methodology for the 2022 Cycle (2021), which impacted the measured emissions volume, mainly in scopes 2 and 3.
4. For these indicators, hospital units (except Badim and Santa Isabel), oncology units and Richet units were considered.
Goal: Zero net carbon emissions by 2050
Energy consumption within the organization1
| Non-renewable sources fuels consumption (GJ) | 2020 | 2021 | 2022 |
|---|---|---|---|
| Diesel | 19,476 (16%) | 20,347 (14%) | 25,8623 (19%) |
| Natural gas | 100,832 (84%) | 127,793 (86%) | 108,723 (81%) |
| Total | 120,308 | 148,141 | 134,585 |
| Consumed energy (GJ) | 2020 | 2021 | 20224 |
| Electricity3 | 805,647 | 981,486 | 1,052,847 |
| Total | 805,647 | 981,486 | 1,052,8473 |
| Total consumed energy (GJ) | 2020 | 2021 | 2022 |
| Fuels from non-renewable sources | 120,308 (13%) | 148,141 (13%) | 134,585 (11%) |
| Fuels from renewable sources | 0 (0%) | 0 (0%) | 0 (0%) |
| Consumed energy3 | 805,647 (87%) | 981,486 (87%) | 1,052,847 (89%) |
| Electricity sold | N.A. | N.A. | N.A. |
| Total | 925,955 | 1,129,627 | 1,187,432 |
| Consumption of upstream transportation fuels from non-renewable sources (GJ) GRI 302-2 | 2022 |
|---|---|
| Diesel | 41,37 (6,8%) |
| Gasoline | 572,68 (93%) |
| Ethanol | 1,79 (0,3%) |
| Total | 615,84 |
Water management
Water collection and consumption
| Water withdrawn and consumed per source1,2 | 2020 | 20213,4 | 2022 | ||||
|---|---|---|---|---|---|---|---|
| Unit of measurement | m³ | ML | m³ | ML | m³ | ML | |
| Third party water (fresh water) | Dealership | 2,810,117 (88%) | 2,810.12 (88%) | 1,676,447 (73%) | 1,676.45 (73%) | 1,750,698 (77%) | 1,751.70 (76%) |
| Water truck | 99,546 (3%) | 99.55 (3%) | 209,838 (9%) | 209.84 (9%) | 314,089 (14%) | 314.09 (14%) | |
| Underground water (fresh water) | Artesian well | 295,992 (9%) | 295.99 (9%) | 409,956 (18%) | 409.96 (18%) | 214,316 (9%) | 214.32 (9%) |
| Total | 3,205,655 | 3,205.66 | 2,296,240 | 2,296.24 | 2,279,103 | 2,279.10 | |
Water disposal
| Water disposal1 | 2020 | 20214 | 2022 | |||
|---|---|---|---|---|---|---|
| Unit of measurement | m³ | ML | m³ | ML | m³ | ML |
| Third party water (fresh water) | 2,327,730 (91%) | 2,327.73 (91%) | 1,509,028 (82%) | 1,509.03 (82%) | 1,651,829 (90%) | 1,651.83 (91%) |
| Underground water (fresh water) | 236,794 (9%) | 236.80 (9%) | 327,964 (18%) | 328.00 (18%) | 171,453 (9%) | 171.45 (9%) |
| Total | 2,564,524 | 2,564.53 | 1,836,992 | 1,837.03 | 1,823,282 | 1,823.28 |
1. The historical series was also reported in megaliters (ML), as required by the GRI indicator 305 (GRI 2-4).
2. We adopt as water consumption what is captured so that our report is aligned with Anahp’s indicators, which are the data that make up the publication in the entity’s “Annual Observatory”.
3. Data for 2021 do not include the months of January to June at Hospital Guaianases.
4. Data for 2021, in relation to Hospital São Lucas RJ, includes only the month of August.
Solid waste disposal
Disposal of hazardous waste generated by type and destination (t)4
| Method | Waste Type | 2020 | 2021 | 2022 |
|---|---|---|---|---|
| Incineration (mass burn) | Chemicals (group B) | 317.38 (4%) | 1,126.78 (8%) | 962.87 (9%) |
| Autoclaving/ electrothermal deactivation/ incineration |
Infectious (A) and sharp and piercing (B) |
7,090.24 (96%) | 12,712.38 (92%) | 9,744.46 (91%) |
| Total | 7,407.62 | 13,839.16 | 10,707.33 | |
Total non-hazardous waste generated by type and destination (t)4
| Method | Waste Type | 2020 | 2021 | 2022 |
|---|---|---|---|---|
| Recycling3 | Plastic, paper, cardboard, glass, metal and organic | 1,591.93 (9,1%) | 2,552.38 (9,6%) | 3,104.96 (11%) |
| Recycling3 | Electronics | 156.99 (0,9%) | 133.68 (0,5%) | 92.41 (0,3%) |
| Landfill | Common waste2 | 15,657.55 (90,0%) | 23,891.69 (89,9%) | 25,610.25 (88,7%) |
| Total | 17,406.47 | 26,577.74 | 28,807.63 | |
1. The Maternity Star values presented in 2022 started in May, the same month of the unit operational start.
2. Classified as Group D, are considered as common waste, according to Anvisa’s RDC 222/2018 resolution.
3. Not sent for final disposal.
4. For these indicators, hospital units (except Badim and Santa Isabel), oncology units and Richet units were considered.