Climate Change Data

Apollo Hospitals Enterprise Limited

Climate Impact & Sustainability Data (2020, 2021-04 to 2022-03, 2022-23, 2023-2024)

Reporting Period: 2020

Environmental Metrics

ESG Focus Areas

  • Quality of Care and Patient Safety
  • Responsible Procurement
  • Customer Relationship Management
  • Access to Healthcare
  • Patient Privacy & Cyber-security
  • Technology and Innovation
  • Employee Training & Talent Development
  • Labor Relations
  • Diversity & Inclusion
  • Employee Health & Safety
  • Climate Change
  • Water Management
  • Energy Management
  • Waste Management
  • Green Design and Construction
  • Good Governance
  • Business Ethics and Compliance
  • Community Development

Environmental Achievements

  • Installation of timers on AC units and switching on alternate lights in corridors to reduce power consumption, netted savings of `4.01 mn in Apollo Navi Mumbai
  • Phasing out of CFL lamps to LED lights in Apollo Hospitals, Navi Mumbai achieved a savings of `2.29 mn
  • Bio Gas generation from food waste resulted in a savings of `0.20 million per year for Apollo Hospitals Madurai, Trichy, Karaikudi and Karur.
  • Usage of Wind Power Generators achieved a savings of `6.50 million per year for Apollo Hospitals Madurai, Trichy, Karaikudi and Karur.
  • Apollo Hospital Kolkata won the Green Building award in the Smart Cities Expo held in Delhi.
  • Hospital in Lucknow is Gold certified by LEED.

Social Achievements

  • Launched Project Kavach, an integrated response plan that includes modalities for screening, testing, assessment, isolation, treatment, monitoring and follow-up. Designated close to 2,000 beds across our hospitals for COVID-19.
  • Launched Apollo 24/7, which connects the consumer to us digitally. Within a short three months of the launch, we had 3.7 million registered users and ~3,200 doctors live on the platform.
  • Total Health program provides “Holistic Health Care” for the community, starting from birth, into childhood, adolescence, adulthood and in the later years of life.
  • Employee health checks for around 99% of employees.

Governance Achievements

  • Apollo Hospitals Enterprise Limited certified by Information Security Management System ISO 27001:2013
  • AHEL has been certified by Information Security Management System ISO 27001:2013 which provides a set of standardised requirements for an Information Security Management System (ISMS).
  • Apollo Hospitals achieved HIMSS STAGE 6 in 2013

Climate Goals & Targets

Environmental Challenges

  • Physical impacts of climate change like extreme weather events, and even pandemics can have repercussions on our business.
  • Risk of infection from hospital waste.
Mitigation Strategies
  • Robust Disaster Management Plan
  • Dedicated people responsible for the management of waste collection, handling, storage and disposal. Consultation with the infection control team.

Supply Chain Management

Responsible Procurement
  • Code of Conduct
  • FDA/CE certifications and / or DGCI approval

Climate-Related Risks & Opportunities

Physical Risks
  • extreme weather events
  • pandemics

Reporting Standards

Frameworks Used: GRI, SASB

Certifications: JCI, NABH, NABL, ISO 9001, ISO 22000, AAHRPP

Awards & Recognition

  • Mahatma 2019 CSR Excellence awards
  • Six Sigma Health Care Excellence Award 2019
  • Hospital Management Asia 2019 award
  • Excellence in Quality Award 2020
  • Best Cancer Care Hospital
  • Best Corporate Multi–Speciality Hospital
  • Best Hospital in India
  • Best Medical Tourism Facility Award
  • Best Hospitals
  • Service Excellence for Innovative Internal Patient Transport System
  • Skill Development
  • India’s Most Admirable Brand Award 2019
  • 5S Sustenance Award 2019
  • Best CRM Programme
  • Patient Friendly Hospital
  • Golden Peacock - HR Excellence Award

Reporting Period: 2021-04 to 2022-03

Environmental Metrics

Total Carbon Emissions:121,000 tons CO2-eq / year (baseline 2019, for 17 hospitals)
Renewable Energy Share:50%
Total Energy Consumption:11.36 mn kWh/year (baseline 2019, for 17 hospitals)
Waste Generated:978.82 tons (Biomedical waste in FY22)

ESG Focus Areas

  • Service Quality and Patient Safety
  • Labor Management
  • Customer Satisfaction
  • Information to Customers
  • Privacy and Cybersecurity
  • Carbon Emissions
  • Energy Efficiency and Management
  • Occupational Health and Safety
  • Corporate Governance
  • Business Ethics and Compliance
  • Accessibility of Healthcare
  • Waste Management
  • Community Development
  • Water Management

Environmental Achievements

  • 20% reduction in overall energy consumption for 17 hospitals (guaranteed by JoulePAYS agreement with Smart Joules)
  • 50% of power consumption from renewable resources

Social Achievements

  • Launched ProHealth, an AI-based preventive health program, resulting in average weight loss of 3.9 kg and improvements in blood pressure and HbA1c levels for 1600 users
  • Total Health program reached 62,000+ people across 189 villages, with 84% of diabetic and 80% of hypertensive patients achieving controlled levels
  • Apollo 24/7 digital health platform with 1.4 million registered users, enabling online consultations, pharmacy, and diagnostics
  • Apollo HomeCare provided services to 32,000+ patients
  • Apollo TeleHealth Services recorded 1,049,620 clinical transactions
  • Administered ~1.8 million doses of vaccine during National COVID Vaccination Campaign

Governance Achievements

  • Established a robust governance structure with a Board-level committee overseeing sustainability initiatives
  • Implemented Apollo Standards of Clinical Care (TASCC) to standardize processes and outcomes
  • Achieved JCI accreditation for 8 hospitals and NABH certification for 32 hospitals
  • Implemented ISO 27001 Information Security Management Systems (ISMS)

Climate Goals & Targets

Environmental Challenges

  • Shortage of skilled healthcare workforce
  • High employee turnover rate (due to systemic challenges and COVID-19)
  • Water scarcity
  • Increased waste generation due to COVID-19
  • Climate change impacts on disease patterns and prevalence
Mitigation Strategies
  • Training and educational institutions like Apollo MedSkills
  • Initiatives to improve employee well-being and prevent burnout
  • Rainwater harvesting, effluent treatment plants, and water audits
  • Waste segregation, treatment, and disposal protocols
  • Energy efficiency initiatives and increased use of renewable energy
  • Robust Disaster Management Plan and Hazard Vulnerability Analysis (HVA)

Supply Chain Management

Responsible Procurement
  • Supplier Code of Conduct
  • Green Procurement Policy
  • Electronic (E) Auction platform
  • Central Ware House

Climate-Related Risks & Opportunities

Physical Risks
  • Extreme weather events
  • Pandemics

Reporting Standards

Frameworks Used: GRI Standards, SASB framework for Health Care Delivery industry

Certifications: JCI, NABH, ISO 14001:2015, ISO 27001

Awards & Recognition

  • FICCI Healthcare Excellence Awards 2021 for Apollo HomeCare
  • DSCI Excellence Awards 2021 for Best Security Practices
  • Indian Achievers’ Award for Excellence in Healthcare 2021 for Apollo SHINE Foundation

Reporting Period: 2022-23

Environmental Metrics

Total Carbon Emissions:157,353.28 tCO2e/year
Scope 1 Emissions:8,033.49 tCO2e/year
Scope 2 Emissions:149,319.89 tCO2e/year
Renewable Energy Share:18%
Total Energy Consumption:1,023,418.03 GJ/year
Water Consumption:1.90 million m3/year
Waste Generated:3,576.36 tons/year

ESG Focus Areas

  • Accessible Healthcare
  • Accountability and Transparency
  • Patient Centricity
  • Empowering Employees
  • Climate Action and Environment
  • Responsible Supply Chain
  • Social Impact

Environmental Achievements

  • 69.3% energy reduction in data centers
  • 18% of total energy from renewable energy consumption
  • 19% of grid electricity from renewable sources
  • 16.5% reduction in electricity consumption in 18 hospitals through Project Virya
  • 2933.68 GJ reduction in fuel consumption from non-renewable sources from FY 2021-22
  • 187 MT reduction in total waste generation from FY 2021-22
  • 959 MT of waste diverted from landfill
  • 3.5 MT of plastic eliminated/non-recyclable plastic eliminated
  • 12.7% reduction in hazardous waste from FY 2021-22
  • 85 MT reduction in biomedical waste from FY 2021-22
  • 20,108 KL of water recycled
  • 37304.45 tCO2e of emissions avoided

Social Achievements

  • 7,151,874 patients served (in-patient and out-patient)
  • 54,600+ patients under the Total Health program for the underserved community
  • 450,000 patients served remotely through teleconsultation and avoided 198.9 tCO2e of GHG emissions through deferred travel
  • In-patient and out-patient Net Promotor Score (NPS) is 84
  • 95% compliance with infection prevention protocols
  • 40% employees are females
  • `125.25 MN dedicated towards Corporate Social Responsibility initiatives
  • 1.5 MN+ lives positively impacted through our CSR initiatives
  • >90% of our employees gone through complimentary annual health checks
  • 1,414,559 total training hours

Governance Achievements

  • 55% representation of females among board members
  • 33% representation of females in Key Management Personnel (KMP)
  • 100% employees trained on the code of conduct that covers Anti-Bribery and Corruption and Whistleblower policy
  • 100% systems tested for cybersecurity threats and compliance
  • Zero violation of patient privacy rights
  • Zero security breaches through cyberattacks or theft of employee and patient data
  • First healthcare security system in Asia Pacific to be awarded three Stage-6 HIMSS certifications - DIAM, O-EMRAM, INFRAM
  • NIST and HIPAA compliant
  • 8 hospitals have JCI certification
  • 32 hospitals have NABH certification
  • 15 hospitals have NABL certification
  • 3 hospitals have ISO 14001 Environmental Standard certification
  • 1 hospital (Apollo Cancer Centre) has ISO 45001 Health & Safety certification

Climate Goals & Targets

Medium-term Goals:
  • Net Promoter Score from patients of 84 for OP & IP
  • Policy & Target for Diversity & Inclusion in FY 23-24
  • 100% Re-accreditation for all hospitals undergoing JCI, NABH surveys
Short-term Goals:
  • 25% electricity & energy sourcing from renewables by FY 24-25
  • 10% reduction in energy and water consumption from baseline year 2021-22
  • Reporting on 3 elements of Scope 3 emissions

Environmental Challenges

  • Climate change impacts on infrastructure and human health
  • AMR (Antimicrobial Resistance)
  • Needle Stick Injuries (NSI)
  • Management of controlled substances
  • High employee turnover rate in the health sector
Mitigation Strategies
  • Comprehensive policy for efficient resource utilization, waste reduction, and recycling
  • Implementation of energy-efficient HVAC technologies
  • Project Virya for energy reduction
  • Staff training programs on energy conservation
  • Antimicrobial Stewardship Program
  • Monitoring and analyzing NSI patterns and root causes
  • Stringent policies on the prescription of controlled substances, including conducting prescription audits
  • Retention strategy including upskilling, clinical degree programs, and career pathway planning

Supply Chain Management

Supplier Audits: 100% suppliers assessed through the Apollo Supplier Code of Conduct

Responsible Procurement
  • Supplier Code of Conduct
  • Integrating ESG in supplier qualification
  • Engaging with partners to promote ESG

Climate-Related Risks & Opportunities

Physical Risks
  • Extreme weather events

Reporting Standards

Frameworks Used: GRI Standards 2021, SDGs, BRSR, SASB standards

Certifications: ISO 27001, ISO 14001, ISO 45001, NABH, NABL, JCI, ISO 13485:2016, HIMSS DIAM Stage 6, HIMSS O-EMRAM Stage 6, HIMSS INFRAM Stage 6

UN Sustainable Development Goals

  • SDG 3

Ensuring healthy lives and promoting well-being for all at all ages

Awards & Recognition

  • Level 9 achievement in Acute and Ambulatory categories in the 2022 DHMW Survey
  • Seven Awards in multiple categories from International Hospital Federation (IHF) Awards 2022
  • UAE Waterfalls Globe Award
  • Best Medical Tourism Facility Award
  • Outstanding Healthcare Leadership Award
  • Best Social Media Campaign award
  • Most Preferred Workplace award
  • Newsweek Ranking among top 120 Paediatric Hospitals
  • Times Health Survey ranking
  • The Week Magazine – Best Hospitals’ Survey 2022 ranking
  • Hospital Management Asia Awards

Reporting Period: 2023-2024

Environmental Metrics

Total Carbon Emissions:834,895.09 tCO2e (FY22-23); 1,023,418.03 tCO2e (FY23-24)
Scope 1 Emissions:731,918.85 tCO2e (FY23-24)
Scope 2 Emissions:102,389.03 tCO2e (FY23-24)
Scope 3 Emissions:Not disclosed
Renewable Energy Share:Not disclosed
Total Energy Consumption:1,023,418.03 MWh (FY23-24)
Water Consumption:3,050,580.00 KL (FY22-23); 3,782,791.94 KL (FY23-24)
Waste Generated:3,575.00 tons (FY22-23); 8,078.78 tons (FY23-24)
Carbon Intensity:0.0000044 tCO2e/INR (FY23-24)

ESG Focus Areas

  • Service Quality and Patient Safety
  • Labour Management
  • Customer Satisfaction
  • Information to Customers
  • Privacy and Cybersecurity
  • Carbon Emissions
  • Energy Efficiency and Management
  • Occupational Health and Safety
  • Corporate Governance
  • Business Ethics and Compliance

Environmental Achievements

  • 33% and 30% energy savings in Apollo Madurai and Apollo Bilaspur respectively, ~4.9 lakh liters of diesel saved and ~30,000 tCO2e emissions avoided through Project Virya
  • 10% reduction in overall energy consumption for 18 hospitals in India
  • Incremental increase in renewable energy incorporation, aiming for 25% of total energy and 25% of electricity demands from renewable resources by FY25

Social Achievements

  • Policies and systems in place to protect and address employee grievances
  • Investments in employee training and upskilling
  • Life Insurance, Personal Accident Insurance and Medical Insurance Coverage for employees and their family members
  • 84% patient satisfaction rate goal (Net Promoter Score)

Governance Achievements

  • Robust management framework aligning with NGRBC Principles
  • Anti-Bribery and Anti-Corruption policy
  • Board’s CSR and Sustainability Committee responsible for sustainability decisions

Climate Goals & Targets

Long-term Goals:
  • Not disclosed
Medium-term Goals:
  • Not disclosed
Short-term Goals:
  • Reduce energy and water consumption by 10% from FY23 benchmark
  • Achieve 25% renewable energy for total energy and electricity demands by FY25
  • Reduce employee turnover to 25%

Environmental Challenges

  • Global headwinds including environmental and political uncertainty, continuous resource depletion, challenges to conduct businesses sustainably
  • Vast scope of operations and expanding business
  • Privacy and cybersecurity concerns due to digitalization of healthcare data
  • Climate change and ecological degradation impacting human health
Mitigation Strategies
  • Apollo’s Sustainability Action Plan (ASAP)
  • Bolstering ESG governance practices
  • Implementing safeguards to protect data privacy (ISO 27001 certified, data protection policy)
  • Systems-level strategy to offer better healthcare outcomes with a lesser environmental footprint, focusing on renewable energy sources and operational efficiencies

Supply Chain Management

Supplier Audits: Regular assessments through vendor rating system encompassing ESG criteria

Responsible Procurement
  • Supplier code of conduct

Climate-Related Risks & Opportunities

Physical Risks
  • Not disclosed
Transition Risks
  • Not disclosed
Opportunities
  • Not disclosed

Reporting Standards

Frameworks Used: GRI, SASB, UN Sustainable Development Goals (SDGs)

Certifications: ISO 14001, ISO 27001, ISO 13485 (Apollo Hospitals Clinical AI and Apollo 24/7 CIE), Joint Commission International (JCI) (8 hospitals)

Third-party Assurance: Deloitte Haskins & Sells LLP

UN Sustainable Development Goals

  • Not disclosed

Not disclosed

Sustainable Products & Innovation

  • Corn waste bags
  • Jute bags

Awards & Recognition

  • Not disclosed