麻豆社madou

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REDUCING听Our听ENVIRONMENTAL IMPACT

We each have a role to play in lightening our impact on the planet. From proper disposal of solid鈥痑nd medical鈥痺aste鈥痶o water and energy conservation, at 麻豆社madou Medical Care North America, we are committed to limiting climate change and supporting environmentally sustainable solutions. Successes include solar panel installments, projects to recycle鈥痳elevant materials, and zero-waste-to-landfill initiatives. As part of a global company, many regions contribute to our鈥痗ollective impact.

96 NET TONS

of plastics and metal diverted from landfills and recycled from retired dialysis machines.

127K+

containers were kept out of landfills through our Mircera reusable packaging program.

250K MWh

worth of Green-e Certified Renewal Energy Certificates purchased to reduce our carbon footprint.

CLIMATE NEUTRALITY BY 2040


麻豆社madou Medical Care鈥檚鈥痵ummarizes the company鈥檚 approach to the environment across our worldwide operations. In the policy, 麻豆社madou Medical Care commits to business practices that promote environmental protection and minimize any adverse impact of the business on the planet.

As an example of the global environmental efforts, 麻豆社madou Medical Care established climate targets in 2022鈥 committing to become climate neutral by 2040. To reduce the company鈥檚 impact on the climate, they have established a plan for the years ahead, and by 2030 麻豆社madou Medical Care aims to reduce听 direct and indirect emissions (Scope 1 and 2) by half as compared to reported emission levels in 2020.听A 10.5 percent reduction in Scope 1 and Scope 2 emissions footprint has been achieved in 2022 compared with 2021.
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Ways We Are Reducing Our Environmental Impact

WATER

2008 DIALYSIS MACHINES AND AQUABPLUS鈩 WATER TREATMENT SYSTEMS

In our day-to-day business, water plays a highly important role as an essential component of renal replacement therapy by dialysis. The fact that 120-150 liters of dialysis fluid circulate against a patient鈥檚 blood three times a week, means that dialysis patients are exposed to 30-40 times more water than the general population. Based on these considerations, it鈥檚 critical that dialysis water purity complies with higher standards than conventional tap water to minimize the emerging risks.听

麻豆社madou Medical Care Renal Technologies assessed its dialysis and water purification systems and identified opportunities for conservation. We started initiatives to reduce the amount of water and power our machines consume and confirm that optimal settings were being used at dialysis centers across the country.
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ENERGY

POWERING OUR BUSINESS RESPONSIBLY

In 2022, we shared our commitment to the environment through the announcement of our global听. As a transition activity toward our global climate goal development, in the U.S. we purchased and retired 250,000 MWh worth of Green-e Certified Renewable Energy Certificates (RECs) for 2022 to reduce our carbon footprint, amounting to about 86,000 metric tons CO2e equivalent.听

In 2018, we installed solar panels on seven of our centers. With these solar panels, we have access to energy data that shows us how we are operating most efficiently and helps us optimize our operations. Increasing our reliance on renewable energy sources will play a key role in helping us achieve our climate goals.鈥

THE SUSTAINABLE TECHNOLOGY OF 2008T BLUESTAR鈩⑻鼶IALYSIS MACHINES

Dialysis machines and water purification systems鈥痑re indispensable to providing therapy for people with end stage renal disease. In the process, however, this equipment also uses large quantities of water and electricity as part of daily operations.听

In addition to water conservation features, in 2018, 麻豆社madou Renal Technologies upgraded the technology in the flagship 2008T dialysis machine to include 鈥渓ow power mode,鈥 which basically puts the dialysis machine into sleep mode 鈥 delivering power to only the machine鈥檚 electronics and turning off all pumps, valves, and modules when dialysis is not taking place. As soon as the keyboard, touchpad, or touchscreen is engaged, the machine 鈥渨akes up鈥 again. In low power mode, the 2008T BlueStar machine鈥檚 run clock is also turned off, which can reduce the annual run time by 200 hours.听

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BUILDING ENERGY MANAGEMENT SYSTEM

We are committed to reducing our fossil fuel consumption while maintaining a safe and comfortable environment for our staff and patients. As part of this commitment, in 2021 we piloted a new Building Energy Management System (BEMS) that allows us to centrally control the temperature for our dialysis centers. The pilot included 116 centers, and key benefits include energy savings and reduced operational costs, reduced environmental impact, improved maintenance process, and minimized distraction for staff involved in temperature management.听We now have BEMS in 468 centers, and plan to add approximately 700 additional centers in 2023.

SWITCHING TO SUSTAINABLE LIGHTS

For more than six years, we have been installing LED fixtures and associated lighting controls in our buildings. We鈥檝e installed or upgraded to LED light fixtures at more than 600 centers and office locations. Along with these fixtures, occupancy sensors and鈥痩ighting control panels minimize the amount of time that the fixtures are illuminated.

WASTE

RECYCLING DIALYSIS MACHINE COMPONENTS

About 67 percent of conventional dialysis machines鈥痑re鈥痗omposed of recyclable metals such as copper, aluminum, and steel. Often, the plastic, bulbs, and circuit boards can be recycled as well.鈥疻e use environmentally conscious practices to reduce waste from dialysis machines taken out of service after we purchase new ones. In 2022, we diverted 96 net tons of plastics and metals from landfills by reusing or recycling parts from 1,301 retired machines. In this process,鈥痺e're reducing our environmental impact and extending the life of recovered components.

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RECYCLING SHARPS CONTAINERS

Plastic containers help dialysis centers safely and efficiently dispose of needles and other sharp objects. In 2018, we鈥痵hifted to reusable sharps containers, which can be鈥痚mptied, washed, disinfected,鈥痑nd reused up to 600 times.
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USING PAPER CUPS

Dialysis centers use鈥痬ore than 40 million鈥痵mall鈥痗ups鈥痯er鈥痽ear鈥痶o鈥痙istribute patient medications, and in years past our centers used plastic cups. By switching鈥痶o paper鈥痗ups 鈥 which decompose 15鈥痶imes鈥痜aster than plastic and鈥痯ose less of a threat to鈥痑ir and water 鈥 we鈥痳educe the鈥痷se of plastic cups.
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REUSABLE MIRCERA SHIPPERS

Mircera鈥痠s an agent used to treat anemia associated with chronic kidney disease and is an important component of the dialysis process.听We always strive to reduce the waste associated with product packaging. One way we鈥檝e done this is by replacing the containers that were previously used to transport Mircera with reusable packaging. The new reusable packaging is emptied, returned, cleaned, and put back into circulation. Not only does this create a sustainable cycle, it also creates less work for our employees and reduces the cost of Mircera packaging. Through this process, we keep more than 127,000 containers out of landfill each year.
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RECYCLING BLUE DRUMS

Our鈥痙ialysis centers use 55-gallon blue drums for鈥疦aturaLyte庐 补苍诲鈥疌颈迟谤补蝉补迟别庐, two concentrates needed for blood filtration. For several years, our centers have sent empty containers back with the delivery driver after a new shipment. Once returned to the warehouse, they undergo a quality check, get cleaned, and refilled for another use.
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RECYCLING CARDBOARD AND PLASTIC

More than 50 percent of centers recycle cardboard, plastic, and other materials, diverting 18,682 net tons of waste from landfills. This is a 7 percent increase in recycling from 2020. We recognize that our acquisitions and new locations give us an opportunity to increase this further.

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MORE WAYS WE鈥橰E REDUCING OUR WASTE

  • Recycling Printer Cartridges听鈥斕齌hrough鈥痜or used toners and ink cartridges, we reduce e-waste and support the reuse of cartridges. Even if cartridges are reused one time, it can cut plastic waste by 50 percent, and with millions of cartridges ending up in landfills each year, that simple change makes a tremendous impact. In 2022, we diverted 600 pounds from landfills, which is equivalent to 1,777 pounds of CO2.
  • Recycling Fluorescent Lights and Batteries听鈥 Through Grainger, employees can order prepaid recycling and disposal kits that come with the necessary items to help centers recycle fluorescent lights and standard batteries.

As an administrative assistant in Baraboo, Wisconsin, Charlene Brennan has taken several steps to make a difference at work. Conscious of the collective waste created by single-use items, Charlene ditched the disposables in her center鈥檚 break room and encouraged employees to bring in reusable plates, cups, and glasses from home, and bought silverware from a secondhand store, saving the center hundreds of dollars per year.听

Charlene also champions returning shipping boxes and packaging from Mircera (an agent used to treat anemia associated with chronic kidney disease). 鈥淥ur centers receive as many as 70,000 such containers a year, each with Styrofoam inserts and nearly two dozen ice packs,鈥 notes Brennan. 鈥淲hen sent back to the company, they are cleaned and put back into use. This simple step 鈥 returning the box 鈥 avoids all of this reusable material from going to landfills.鈥澨

Charlene Brennan,听Administrative Assistant, 麻豆社madou Kidney Care

All sustainability data is from听麻豆社madou Medical Care North America for听2022 unless otherwise noted.

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