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Article 09.21.2022 Dean Dorton

Environmental, Social and Governance (ESG) programs have become an important topic for entities of all types. Stakeholders at all levels including investors, employees, and customers want to invest, work, and buy from sustainable entities that are both environmentally and socially aware. ESG programs bring structure to these consumer demands and allow businesses to both improve and boast successes in these areas.

What makes ESG programs unique? They work in any industry. Certain industries like healthcare and higher education have already seen great success by being on the forefront of these programs.

All ESG programs are built around four main pillars:

When establishing an ESG program entities should first review overarching goals and core values of the business and explore how those core values are tied to the four pillars of ESG. To get started many entities will research examples of successful, well established programs outside of their place of business, but we encourage you to search your operations internally as well. You may be pleasantly surprised at what programs and initiatives are already in-place, working towards ESG specific goals. When trying to establish your first program it’s best practice to explore sustainability programs on public company websites to get additional ideas. In fact, the Sustainability Accounting Standards Board (SASB) has industry-specific ESG metrics that can assist with establishing your first set of goals.

Measurements around greenhouse gas emissions, diversity (including employee, board, and suppliers), and safety statistics are basic ESG metrics that will help you get started. It’s important to first establish baseline metrics and then work to set goals that will improve those metrics moving forward.

Keys to Success

Here are a few things that are sure to get you off to a successful start in ESG:

  1. Reinforce the entity’s mission – Mission alignment is critical when establishing or optimizing a new or existing ESG program. To gain buy-in from key parties within the organization, your program must align with the main values of the entity.
  2. Make ESG a priority in reporting – Allocating resources to measure and report on ESG will help you leverage statistically backed marketing for stakeholders. Numbers drive business, and by prioritizing key metrics you will have a baseline of information to motivate teams to reach goals. To begin, start with one metric for each pillar. Once your program matures, you can add additional and more details tracking metrics.
  3. Work with passion – Working towards environmental, social, and governmental goals can ignite the passions of your workforce. Keep your team involved and informed with your progress and you will see more impactful results.

Frameworks

As of now, most entities are not under required ESG mandates, in fact, entities have a lot of latitude in how and when they establish their plans. Due to the lack of regulation there are several reporting frameworks that currently exist, but there is belief that consolidation of reporting metrics and real regulations and requirements could be coming in the near future. In fact, on August 1, 2022, the IFRS Foundation completed a consolidation with Value Reporting Foundation as they move closer to comprehensive global sustainability disclosures for capital markets.

Accountability and Assurance

To date, most ESG programs have not been subject to third party assurance procedures. Without assurance validation the concept of “greenwashing” has emerged as entities use their ESG programs as a marketing vehicle to promote themselves without any regard for accountability. Embellishing numbers and tracking is unacceptable and could be subject to audit if new governmental requirements are established.

All of the value of an ESG program will be lost if the program is used without regard to integrity, further stressing the importance of establishing reliable tracking earlier in your program launch.

Bill Kohm, CPA, MBA| Assurance Director
bkohm@deandorton.com
859.425.7625

Filed Under: Energy & Natural Resources, Industries Tagged With: envirnment, Environmental Social and Governance, ESG, governance, Reporting, Social

Article 01.7.2022 Dean Dorton

Environmental, Social and Governance (ESG) has transformed the landscape for health systems over the past few years. Stakeholders have expanded their expectations beyond financial results. Healthcare facilities should be proactive and identify meaningful ESG metrics that will resonate with their stakeholders and employees, which will vary depending on your size, location, and more.

Human resource departments should play an active role in this endeavor as ESG should be used as a retention and recruitment tool. People want to work for institutions that have a sustainable future. Additionally, the purchasing department needs to be part of the ESG team due to the impact of the supply chain on ESG metrics. Your healthcare organization needs to ensure that your third parties share in your commitment to ESG to maximize the benefits as well. For example, you may choose to place product orders with other groups that also have ESG programs, versus those who do not.

Here are some ESG areas that healthcare facilities should consider measuring and reporting:

“Environmental” refers to the impact of the facility’s operations on the environment. This includes environmental factors such as energy use, waste management, and water conservation. By tracking and reporting on these metrics as part of their ESG strategy, healthcare facilities can identify opportunities to reduce their environmental impact, improve sustainability, and enhance their reputation among stakeholders.

Some of the key environmental metrics that healthcare facilities should consider measuring and reporting on to support their ESG initiatives include:

  • Greenhouse gas emissions
  • Water consumption
  • Recycling
  • Materials, including plastic use

The “S” in ESG stands for “Social” and refers to a company’s commitment to ethical and social responsibility. It includes areas such as employee welfare, community involvement, diversity and inclusion, and human rights.

In the healthcare sector, social responsibility is particularly important as it involves the care and well-being of patients and the impact healthcare organizations have on the communities they serve. By addressing social factors, healthcare facilities can enhance their reputation, improve employee retention and recruitment, and ultimately improve patient outcomes.

Below are some of the social factors that healthcare facilities can include within their ESG framework:

  • Safety
  • Community impact and integration
  • Diversity and inclusion
  • Investment policies

The “G” in ESG stands for “Governance” and refers to a company’s commitment to transparency, accountability, and ethical leadership. In the healthcare industry, governance is critical and is probably already a part of most organizations’ everyday monitoring. This includes the responsible management of resources and maintaining high standards of patient care in health services.

By addressing governance factors, healthcare facilities can strengthen their relationships with stakeholders, improve financial performance, and ensure regulatory compliance. Included within these governance factors are:

  • Supply chain management
  • Board diversity
  • Policies
  • Long-term strategy

Examples of ESG Principles at Work in Healthcare

Institutions have begun to update investment policies to divest from fossil fuels, divert funds to green initiatives and focus on investments that lean towards diversity measures.

Baptist Health South Florida has focused on sustainability. Their green initiatives include:

  • Green building practices
  • Recycling more than 20 tons of waste per month
  • Paperless purchases
  • Sustainability educational and training events
  • Community outreach to market the importance of sustainability activities

UnitedHealth Group’s Sustainability Report has the following social pillars:

  • Expanding access to care – 85% of members to receive preventive care services annually by 2030
  • Improving health care affordability – 55% of outpatient surgeries and radiology services will be delivered at high-quality, cost-efficient sites of care by 2030
  • Enhancing the health care experience – established a training program with the American Academy of Family Physicians to help family physicians change the culture of health care organizations and improve physician wellness using operational improvements and change management tactics. 200 family physicians will undergo training to lead change for improved clinical well-being.
  • Achieving better health outcomes – close 600 million gaps in care for members by the end of 2025
  • Advancing health equity including equity and diversity in the health workforce – actions include funding scholarship programs for students of color pursuing careers in healthcare, supporting STEM programs in high schools focused on girls and Black and Hispanic/Latino students and using innovation to help hard-to-reach communities receive needed care including improved access to telehealth, mobile medical units, home visits and school-based care programs.
  • Building healthier communities – committing funds to build new homes for seniors and families, all with connections to health and wellness services and social supports.

UnitedHealth Group has a variety of ESG metrics in 2020 including:

  • 6 million employee volunteer hours
  • 41% people of color (U.S. workforce)
  • 37% of female in top management positions
  • 627 diverse suppliers with average spend of $849,000 per year
  • 2 directors of color out of 10 directors
  • 6,709 metric tons of waste transferred
  • 19,647 MWh renewable energy use (5% of total energy consumption)

No matter what ESG direction you choose, you need to ensure that your ESG metrics align with your institution’s mission. Additionally, boards should hold management accountable to measuring ESG metrics accurately and for providing regular ESG reports to the board.

Wondering how to get started with ESG for your hospital, physician practice, or medical clinic? Contact us to learn more.

Sources: https://baptisthealth.net/non-indexed-content-folder/old/greening-our-future
https://www.unitedhealthgroup.com/content/sustainability/en.html

Adam Shewmaker, FHFMA | Healthcare Consulting Director
ashewmaker@ddafhealthcare.com
502.566.1054

Filed Under: Healthcare, Industries Tagged With: envirnment, Environmental Social and Governance, ESG, governance, Healthcare, Reporting, Social

Article 01.8.2016 Dean Dorton

Risk factors impacting the mining industry during 2016:

  1. Production Management
  2. Pricing
  3. Customer Concentration
  4. Declining Capital Sources
  5. Regulatory Changes and
    Political Uncertainty
  1. Global Competition
  2. Cost Management
  3. Modernization
  4. Cybersecurity
  5. Social Awareness
  1. Production Management
    Maximizing the economic efficiency of production is a competitive advantage for mining companies that do it well. Production is impacted by financial, geological, and even social factors. Mining companies that effectively manage these factors and maximize production in areas that return the most value to their company will be more successful. Additionally, companies that invest in maximizing the efficiency of their production abilities will be most prepared to take advantage of market improvements in their industry.
  2. Pricing
    Contract prices continue to be extremely volatile. Mining companies may be forced to service unfavorable contracts in order keep cash flowing and to maintain relationships with customers. Moreover, companies may want to “keep a toe” in the water to monitor contract prices as they are negotiated for short and long term orders. The best way to understand the existing market is to be in some form of sales negotiations with the customers.
  3. Customer Concentration
    Many mining companies sell most of their products to a small number of customers, which creates a significant risk to the companies’ revenue streams. The coal mining sector ships coal primarily to power plants or industrial sites. Environmental regulations have made the economics of running a coal burning power plant very difficult. Economic fluctuations, both domestic and abroad, make industrial applications unstable. Limestone producers are impacted by governmental contracts and proximity to construction projects. Companies should offset this risk by seeking to diversify their customer base through geographic expansion or alternative uses for their products.
  4. Declining Capital Sources
    Certain segments of the mining industry have lost favor with public investors and, consequentially, many financial institutions. Finance arrangements are difficult to obtain, and when obtained may come with high fees and interest. Companies should consider alternative capital sources such as international institutions, brokers, and even customers. These alternative capital sources may offer a form of strategic alliance, such as in marketing existing products, or helping to develop additional assets.
  5. Regulatory Changes and Political Uncertainty
    Regulatory and political issues can be a significant obstacle in the mining industry. Environmental agencies can block or hamper access to strategic mining areas. Certain regulations threaten the way in which extracted minerals are used, thus decreasing demand. Changing tax laws, such as Tangible Asset Regulations, can have a significant impact on companies if not properly considered.
  6. Global Competition
    Mining has grown from a local market to a national and now global market. As domestic demand declines, U.S. companies are forced to look internationally for revenue opportunities. This requires an understanding of historical relationships, trade barriers, currency values, and international regulatory requirements. Mining companies must follow and understand international markets in order to compete at the global level.
  7. Cost Management
    Failing to budget and monitor costs properly is a significant risk. Successful companies monitor their costs in great detail. It is very important for the accounting department and the production teams to be in sync in order to maximize the value of financial data given to management in a timely fashion. Companies must also manage legacy costs such as reclamation and employee benefits, which may not impact current operations, but do impact current cash flow.
  8. Modernization
    In various sectors of the mining industry, external factors impacting performance are changing very rapidly. Additionally, the average age of a mine worker across most sectors has increased for several years in a row. This indicates that the industry is not hiring and retaining young workers. Technologies used today are often similar to those used a decade ago, and often by the same people. By the nature of their operations being capital intensive, mining companies are not very nimble organizations. Companies that can modernize operations to the specifications of their market through new technologies and innovative tactics will be positioned to recognize cost savings and improve their market position.
  9. Cybersecurity
    Operators need to be proactive in cybersecurity by implementing effective controls to prevent and detect cyber-crime. Potential effects of an operator network infiltration can include theft of customer payment information, employee identify theft, and shutdown of operations.
  10. Social Awareness
    Mining companies have a unique role in the local, state, and national community. Worker safety should always be top priority, and companies must consider the impact of their actions within each unique community. Illegal or unethical practices will damage a company’s reputation and may make national headlines, and legitimate closing of a project due to financial reasons may generate significant reputational damage as well. Mining companies should consider the impact that closing a project will have on that community and the local economy.

For more information, contact Bill Kohm at bkohm@deandorton.com or (859) 425-7625, or Justin Hubbard at jhubbard@deandorton.com or (859) 425-7604.


View Bill Kohm’s Bio

Filed Under: Accounting & Tax, Energy & Natural Resources, Industries, Risk Management, Services Tagged With: Capital, Cybersecurity, Global, Mining, Political, Risk, Social, Sources

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