Sustainability Report 2024

LIFE HEALTHCARE GROUP

B

Sustainability Report 2024

Contents

ABOUT OUR REPORT

IFC

SAFETY, HEALTH, ENVIRONMENT AND

30

QUALITY MANAGEMENT

OUR APPROACH TO SUSTAINABILITY

2

SUPPLIER SUSTAINABILITY MANAGEMENT

32

OUR ENVIRONMENTAL, SOCIAL AND

6

CORPORATE SOCIAL INVESTMENT (CSI)

33

GOVERNANCE (ESG) STRATEGY

OUR SUSTAINABILITY PERFORMANCE

11

CLIMATE-RELATED DISCLOSURES

36

AT A GLANCE

ESG RATING HIGHLIGHTS

14

ESG PERFORMANCE DATA TABLES

37

CHIEF EXECUTIVE’S MESSAGE

16

ASSURANCE AND STANDARDS

46

RESPONDING TO OUR STAKEHOLDERS

18

INDEPENDENT ASSURANCE

47

PRACTITIONER’S REPORT

ESG GOVERNANCE AND OVERSIGHT

21

ASSURANCE CRITERIA

50

MANAGING ESG RISKS AND OPPORTUNITIES

23

GLOSSARY

51

MANAGING ESG COMPLIANCE AND

27

DATA PROTECTION

About our report

We are pleased to present our 2024 sustainability report. The report provides our stakeholders with an overview of our approach to ESG reporting. We also include detailed ESG data for the year under review and our long-term environmental targets and performance against the targets.

The report should be read together with our 2024 integrated annual report.

Scope and boundary

This report provides a comprehensive view of Life Healthcare Group Holdings Limited (Life Healthcare, the Group or the Company). It includes our southern Africa acute hospitals, mental health, acute rehabilitation, oncology and Life Nkanyisa. Our southern Africa business operates in South Africa (SA) and Botswana; our international business comprises Life Molecular Imaging (LMI).

The report covers the year from 1 October 2023 to 30 September 2024 (the 2024 financial year). Unless otherwise stated, references to years such as 2023, 2024 and 2025 refer to our financial year.

Navigation

For easy navigation and cross-referencing, we use the following icons throughout this report:

Stakeholders

Material matters

Patients

1

Attract and retain employees

and specialists

Doctors and

Deliver care which is

2

high-quality, cost-effective

specialists

and people-centred

Adapt and grow our

Healthcare funders

3

diversified business in

a sustainable manner

Industry regulatory

4

Be a trusted partner for all

bodies

our stakeholders

Shareholders,

investors

5

and financiers

Government

6

Employees 7

Suppliers 8

Society 9

GROWTH

Strategic pillars

See

page 

QUALITY

SUSTAINABILITY

EFFICIENCY

Our 2024 reporting suite and frameworks

The 2024 reporting suite (and the frameworks and legislation to which it adheres and complies) consists of the following elements and is available on our website.

Integrated Annual Report

Annual Financial Statements

Sustainability Report

Remuneration Report

Integrated Annual

Report 2024

Our primary report to stakeholders, provides material information on who we are as a company, why and how we conduct our business, and the value we create for our stakeholders.

Audited Group Annual

Financial Statements 2024

Sets out the Group’s audited annual financial statements, including the independent auditor’s report.

Sustainability

Report 2024

Describes our environmental

and social impacts and

governance practices, which determine how we run our organisation to create value for stakeholders. Provides numerous data points of interest to shareholders, analysts and ESG rating agencies.

Remuneration

Report 2024

Explains our remuneration philosophy and how we implemented this in the current year and prior years. Includes a remuneration summary

on page .

Key regulatory and reporting frameworks

Integrated Annual

Annual Financial

Sustainability

Remuneration

Report

Statements

Report

Report

International Integrated Reporting Framework

South African Companies Act, No. 71 of 2008,

as amended (Companies Act)

JSE Listings Requirements

JSE Debt and Specialist Securities

Listing Requirements

King Report on Corporate Governance for

South Africa, 2016* (King IV™)

International Financial Reporting Standards (IFRS)

Global Reporting Initiative (GRI) Standards

United Nations Sustainable Development Goals (SDGs)

Task Force on Climate-related Financial Disclosures

(TCFD) for health sector reporting guidelines

* Copyright and trademarks are owned by the Institute of Directors in South Africa NPC and all of its rights are reserved.

Summarised information contained in:

Annual Financial

Sustainability

Remuneration

Integrated Annual Report

Statements

Report

Report

Chief Financial Officer’s

Natural, social

(CFO) review in the

and human

integrated annual report

capital

Seven-year financial

sections of

performance review in the

the integrated

integrated annual report

annual report

Additional information


  • Results presentations

  • King IV
    TM application register
  • Our Broad-Based Black Economic Empowerment (B-BBEE) certification
  • Quality metrics for each Life Healthcare hospital

Where to find it:


  • Access and download via our website

LIFE HEALTHCARE GROUP

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Sustainability Report 2024

Our approach to sustainability

We believe that sustainability makes good business sense. We are inspired by a simple yet profound purpose: Making life better. We strive to ensure that our actions contribute positively to society, health outcomes and our planet.

Life Healthcare’s purpose of Making life better is at the core of our commitment to provide world-class healthcare services and products to individuals and communities. In striving to achieve this purpose, we ensure that every action we take contributes to the betterment of society and the planet that we live in.

Preserving the environment and enhancing the livelihoods of the communities in which we operate are at the heart of

Life Healthcare’s sustainability approach. We recognise that integrating ESG principles into our value creation is a strategic tool for achieving our long-term goals. As such ESG is a key focus area for ensuring the long-term viability of our business. Our strategic priorities, including ESG and CSI initiatives, can make a meaningful contribution to the achievement of the United Nations SDGs. We highlight the SDGs where we believe we can deliver the most impact.

Assurance

The financial and sustainability aspects of our 2024 performance are independently assured. The independent assurance practioner’s report on specific sustainability indicators is on page 47.

Our strategic priorities, including ESG initiatives and CSI, can make a meaningful impact on the following challenges identified within the United Nation’s SDGs. We highlight the SDGs where we think we can deliver the most impact.

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LIFE HEALTHCARE GROUP

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Sustainability Report 2024

Our approach to sustainability

Our ESG focus and contribution to the SDGs

Making life better through

Making life better through

Environment

Social

Delivered through our Group objectives


  • Developing systems to measure, monitor and manage energy, water and waste to fully understand our carbon footprint

  • Consistently reducing our carbon emissions to net zero by 2050

  • Consistently reducing our waste to landfill to zero by 2030

  • Supporting regulatory environmental initiatives

  • Engaging our workforce and wider communities to create a culture of environmental responsibility

  • Contributing to community upliftment by supporting education, health and community improvement initiatives

  • Delivering
    high-quality healthcare services through a workforce that reflects the diverse demographics of our regions
  • Investment in innovative healthcare solutions to improve community health outcomes

against our

and targets

Measured

initiatives

Group targets for 2025

KPIs embedded in

remuneration

ESG

  • Providing consistent, transparent internal and external ESG reports

  • Achieving zero waste to landfill by 2030

  • Installing solar photovoltaic (PV) systems at all viable facilities

  • Introducing water conservation initiatives at all viable facilities

  • Aligning new build initiatives with energy efficiency principles

  • Identifying appropriate, sustainable and responsible carbon offset initiatives

  • 100% of all medical and radioactive waste disposed of responsibly

  • Reduce southern Africa carbon emissions by 20% by 2030 based on the 2023 assured baseline data

  • Implement 9MWh PV solar across our facilities in 2025

  • A reduction in carbon emissions was included as a measure in the single incentive plan (SIP) in FY2024

  • Environmental targets included in FY2025.

  • Annual investment in community upliftment initiatives in the regions in which we operate

  • Investment in workforce development, training and education

  • Investment in improving pay and employment conditions, including a commitment to adopt a living wage for all employees

  • Achieving agreed transformation, diversity and inclusion targets, including
    B-BBEE targets in South Africa (SA)
  • R65 million investment in nursing training and development

  • 80% of total measurable procurement spend on
    B-BBEE enterprises
  • 3% improvement in senior management African, Coloured or Indian (ACI) representation

  • 70% ACI doctors recruited

  • R115 million CSI spend on health and community improvement initiatives

  • Social targets for FY2025 have been included in the remuneration scheme


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LIFE HEALTHCARE GROUPSustainability Report 2024

Making life better through

Governance


  • Operating an appropriate governance structure to support corporate governance principles and ensure
    high-quality, safe healthcare services
  • Recognising the sensitivity of patient data through world-class cyber-security and data protection initiatives
  • Actively implementing responsible ESG practices

  • Supporting appropriate Board governance and independence

  • Board succession

  • Enacting principles to ensure appropriate diversity and expertise for internal boards and committees

  • Managing the ethical delivery of healthcare services through a global code of conduct applicable to internal and external stakeholders

  • Independent external audit of financial and
    non-financial activities
  • Continued investment in clinical, quality, health and safety and compliance

  • Embedding ESG in role profiles for our leaders and their performance scorecards

  • Board succession

  • Manage Board tenure, diversity, skills and succession

  • ESG performance scorecards for leadership

  • SDGs integrated into our global code of conduct

  • Future remuneration schemes will consider including additional ESG measures

LIFE HEALTHCARE GROUP

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Sustainability Report 2024

Our ESG aspiration

Making life better for our patients, employees and communities by implementing and entrenching sustainability practices in our business.

Life Healthcare’s strategy is driven by our ambition to:


  • Be a diversified business
    with a growing share of revenue and earnings from non-acuteservices – as reflected in our increased capabilities across the continuum of care spectrum.

  • Deliver measurable quality through a people- centred approach
    that focuses on our employees, clinicians and clinical excellence while using data analytics and technology to positively impact patient care.

Social and environmental targets

Life Healthcare has set environmental and social targets, giving careful consideration to stakeholder engagement and inclusion in the decision-making process. Our approach is guided by global and local ESG factors, including climate change and water security and energy availability, that significantly impact our operations. In 2023, the social ethics and transformation committee (SETCO) concluded the long-term goal of a 20% reduction in carbon emissions by 2030. The target is based on the 2023 baseline data disclosed on page 37. We have also set ourselves

a long-term goal of zero waste to landfill on our general waste by 2030. The years 2024 and 2025 will allow us to complete the waste pilot that we are undertaking, implementing waste recycling across all our facilities. Our strategic objectives are reflected in our new target for 2025. The targets encompass both the social and

environmental metrics as indicated on

page 10.

The 2025 targets form part of our single incentive plan (SIP) for senior management.

Diversity and equal opportunity

Employee value proposition (EVP)

We further successfully implemented the new

Life Healthcare EVP in 2023. The EVP fosters a sense of belonging and commitment among employees. It attracts and retains talent, builds a strong organisational culture and enhances the overall employee experience, ultimately contributing to the Company’s success.

Employee development

Life Healthcare is committed to implementing robust employee development programmes to nurture talent and enhance skills. We offer continuous learning opportunities through training initiatives, mentorship and career development plans. By investing in our employees’ growth, we empower them to reach their full potential while cultivating a pipeline of skilled leaders for the future.

Employee well-being

We understand that a healthy and balanced workforce is more productive, engaged and resilient. We provide comprehensive wellness programmes and mental health support for our employees. By prioritising employee well-being, we foster a culture that values and addresses the holistic needs of our team members.

Diversity and inclusion

At Life Healthcare, we recognise the importance of fostering a diverse and inclusive workforce that mirrors the communities we serve. We have implemented strategic initiatives to attract, retain and promote individuals from diverse backgrounds.

Our current employment equity plan runs from 1 April 2023 to 31 March 2026. As we begin year two of the plan on

1 April 2024, we are pleased to report that our year one close-out showed outstanding results. Specifically, the junior management occupational level surpassed its 2026 targets and significant progress was made in the middle management level in 2024.

Our efforts to increase our diversity and inclusivity are complemented by robust talent management and succession planning initiatives, as well as career development programmes in partnership with top-tier institutions such as Gordon Institute of Business Science (GIBS) and the Henley Business School. These collaborations are designed to cultivate and expand our pipeline of future leaders.

We are delighted to announce that Life Healthcare’s employment equity plan was approved by the Department of Labour for the period 1 April 2023 until 31 March 2026.

Our ACI target for senior management for 2025 aligns with our approved employment equity plan.

Women in Life

Our Women in Life programme is about to enter its fifth year. The initiative continues to act as a catalyst for empowering our female leaders, emerging and practised, through the support and guidance of our programme leads.

Doctors’ diversity and inclusion

The number and speciality of doctors we recruit are driven by supply and demand factors. Demand is the need as identified by the hospitals due to growth requirements or the replacement levels of doctors leaving. The biggest driver of transformation (gender and race) in our hospitals is output from the medical schools. Doctors trained are in registrar posts on the payroll of the provincial departments and they are selected based on the recruitment policies of the government. These policies are very strictly driven by transformation targets and the specialists produced in South Africa is evidence thereof. We have been consistently recruiting ACI doctors in the order of 70% for total gains and net gains taking into consideration the doctors lost through retirement.

Looking ahead

Our people remain our greatest asset. Nurturing Life Healthcare’s diverse talent across various geographies is essential to our vision of being the preferred healthcare provider and the best place to work – a truly people- centred organisation. By cultivating an environment

for personal and professional growth, we establish

a foundation for success, sustainability and continued growth. This will be a primary focus in the year ahead.


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LIFE HEALTHCARE GROUPSustainability Report 2024

LIFE HEALTHCARE GROUP

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Sustainability Report 2024

Our ESG strategy

ESG strategy roadmap

Strategic objectives

Group targets for 2025 – 2026


  • Develop systems to measure, monitor and manage energy, water and waste to comprehensively understand our carbon footprint

  • Engage with national healthcare systems to support government, public health sector and regulatory environmental initiatives

  • Reduce southern Africa carbon emissions by 20% by 2030 based on the 2023 assured baseline data

  • Reduce carbon emissions in 2024 by 3% (target)

  • Implement 9MWh PV solar across our facilities in 2025

  • Drive zero general waste to landfill by 2030

  • Drive diversity and inclusion

  • Strengthen employee retention

  • Continued employee health, safety and wellness programmes

  • Continuous training and development

  • Ongoing CSI and enterprise development programmes

  • R65 million investment in nursing training and development

  • 80% of total measurable procurement spend on
    B-BBEE enterprises
  • 3% improvement in senior management ACI representation

  • 70% ACI doctors recruited

  • R115 million CSI spend on health and community improvement initiatives


Entrench governance structures

Board succession

Actively implement responsible ESG practices

Manage Board tenure, diversity, skills

Commitment to ESG and sustainability

and succession

Ongoing focus on cyber-security and data

ESG performance scorecards for

protection

leadership

SDGs integrated into our global code

of conduct

2021

2022

2023

First sustainability

Developed ESG strategy and

Established an environmental

complementary data report

roadmap

baseline for southern Africa

New green 5-star rated

Identified Group ESG projects

Established Group carbon

head office

emission targets

  • Installed solar PV systems at 15 facilities in South Africa


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LIFE HEALTHCARE GROUPSustainability Report 2024

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Disclaimer

Life Healthcare Group Holdings Limited published this content on December 09, 2024, and is solely responsible for the information contained herein. Distributed by Public, unedited and unaltered, on December 09, 2024 at 09:17:07.128.