2025
Sustainability
Report

Welcome

Since 2015, BP — A Beneficência Portuguesa de São Paulo — has maintained its commitment to transparency by reporting its progress through annual sustainability reports, sharing its advancements, achievements, and commitments with society. The 2025 edition reinforces this practice by presenting a summary of key Environmental, Social, and Governance (ESG) performance indicators for the Hospital BP and BP Mirante units.

A comprehensive analysis of these indicators, along with detailed technical data, is available in the full report, which can be downloaded using the link below.

Message from the Leadership

Valuing life and promoting sustainable health is the commitment that guides BP in its decisions, choices, and investments. Amid a rapidly transforming industry—characterized by significant consolidation, intensifying competitive pressures, and an increasingly fierce battle for customer preference and trust—we remain focused on evolving with agility, strong management discipline, and a long-term strategic vision. Remaining competitive, relevant, and sustainable has become essential to expanding our impact and honoring the institution’s legacy.”

Denise Soares dos Santos
CEO of BP
Josué Dimas Pimenta
Chairman of the Board of Trustees of BP

BP: A Benchmark in Healthcare

Founded in 1859, BP – A Beneficência Portuguesa de São Paulo – is one of Latin America’s most traditional and distinguished healthcare institutions. With a long-standing and solid reputation, it has consistently expanded its infrastructure, broadened its service portfolio, and strengthened its social impact. It delivers high-quality care across the private and nonprofit sectors, covering 52 medical specialties, with a strong focus on high-complexity treatments—particularly in oncology, cardiology, neurology, and orthopedics.

One of BP’s key priorities this year was the consolidation of its Centers of Excellence in Neurology and Neurosurgery and in Orthopedics, as well as the planning of the CoEs in Oncology and Cardiology.

In 2025, BP made significant strides in promoting full health and well-being for all, with milestones that reinforced its corporate purpose of valuing life and added value to its legacy. Period highlights include:

Environmental
Gold Seal
in the Brazilian GHG Protocol Program
BP Mirante secured the
ISO 14001:2015
certification for excellence in environmental management
Leading Role at COP30:
the only health institution participating in the WHO-UN Climate Change Conference debate in the Blue Zone
First hospital to conduct a disaster drill based
on the climate risk and extreme weather event map
79% reduction
in Scope 1 and 2 emissions, bringing forward the achievement of the 50% reduction target by 2030
Recognitions in the ESG agenda:
Climate Action Award (from HCWH), Friend of the Environment Award (from the Department of Health of the State of São Paulo), and ESG Award
Social
Governance
Qualification of the BP Social Institute as a
Social Health Organization (OSS)
Center of Excellence in Neurology and Neurosurgery
launched in October to treat high-complexity cases
1,500
bone marrow transplants performed by BP
Digitizing of the patient’s journey
Net earnings of
BRL 2.4 billion, up 11% compared to 2024
Development of the risk appetite statement
and approval of the new risk and internal controls policy

Support for Public Healthcare

BP’s social performance is an integral part of its history and of its commitment to health as a fundamental right. In 2025, this commitment took on an even more structured and strategic form, combining quality care, strengthening the National Health Service (SUS), knowledge generation, and resource mobilization to expand access to care, especially for vulnerable populations.

In 2025, we conducted 31 projects, and were present in every state across the country, reaching 3,746 municipalities and benefiting 1,264,741 people, in collaboration with more than 10,000 healthcare institutions—a testament to the widespread reach and national significance of our social initiatives.

3,174
surgical procedures performed on SUS patients, accounting for 9.11% of cardiac surgeries in adults within the public health system in the state of São Paulo
The OpenCare 5G pilot project, implemented in rural Piauí,
reduced the waiting list
for complex medical tests from 180 days to 13 days
The institution's support for public health totaled
BRL 347.3 million
more than double the amount legally required to maintain tax exemption
The Volunteer Program recorded a
25.8% increase
compared to the previous year

Education

Following the founding of BP University in 2024, we continued to make progress toward accreditation as a Higher Education Institution. Based on the accreditations obtained from the Ministry of Education (MEC), BP has established undergraduate programs in Hospital Management Technology (authorized in 2024) and in Nursing and Psychology (authorized in 2025), with operations set to begin in 2026, in addition to a portfolio of graduate programs. In this way, BP University strengthens the integration of knowledge, clinical practice, and innovation, connecting people, expertise, and projects in pursuit of excellence and the future of healthcare.

Research

BP's Research Division has reached a milestone that reflects the consistency of its intellectual output: we have published 1,000 scientific articles over the past decade in nationally and internationally recognized peer-reviewed journals.

In the area of sponsored clinical research, more than 120 global multicenter studies were conducted, led by a team of approximately 100 physicians. At the same time, the Researcher Support and Incentive Center (Naipe) supported 213 independent research projects initiated by BP employees.

Innovation and technology

Innovation at BP has gone beyond the realm of technology to become a cornerstone of cultural and process transformation. The institution’s strategy was to move beyond the view that innovation is confined to the IT department alone. The goal is to foster decentralized innovation, in which clinical and administrative departments have the autonomy and agency to identify pain points and propose solutions in their day-to-day work. The expected outcome is a shift in the organization’s mindset toward a more predictive and less reactive approach.

The establishment of the Institute of Science and Technology (ICT) marked a major milestone this year, positioning it as a hub for open innovation that connects BP’s scientific research with industry, with a focus on addressing chronic public health issues and socio-environmental challenges.

Another notable project in 2025 was Go Digital, a strategic, cross-functional initiative by BP focused on the digital transformation of the patient's journey and improving operational efficiency.

ESG Commitment

Sustainability at BP has steadily evolved into a cross-cutting priority that informs decision-making and shapes the organization’s culture. In 2025, this maturity was further consolidated through strengthened climate governance and active engagement from senior leadership. This rigorous approach has earned national and international recognition, reaffirming the institution’s commitment to long-term sustainability and to creating value for society as a whole.

BP’s Sustainability Index reached a score of 98.61 out of 100. This pioneering tool—linking compliance with ESG indicators to executive compensation—had its methodology recognized by Science magazine

BP has published its Sustainability Policy and Climate Change Action Plan, aligned with its target of reducing emissions by 50% by 2030

ESG training was delivered by the Brazilian Institute of Corporate Governance (IBGC) to senior leadership and Board members

One year after discontinuing the use of nitrous oxide as an anesthetic gas, direct emissions (Scope 1) were reduced by approximately 89% over the period

Awarded the Gold Seal in the Brazilian GHG Protocol Program

Friend of the Environment Award (PAMA 2025)

Friend of the Environment Award (PAMA 2025), granted by the Department of Health of State of São Paulo, for the case study “Decarbonization in the healthcare sector” and an Honorable Mention for the case study “BP Sustainability Index”

ANAHp ESG Award

An award granted by the Brazilian Association of Private Hospitals (ANAHp) based on three cases from BP: the Sustainability Index (Governance), the telediagnosis project (Social), and decarbonization/nitrous oxide (Environmental)

Climate Action Award

Climate Resilience Gold, awarded by Healthcare Without Harm, represented in Brazil by the Healthy Hospitals Project (PHS)

Key financial results

Amid a macroeconomic environment marked by high interest rates and medical inflation (VCMH — Variation in Hospital Medical Costs) outpacing the IPCA, BP successfully navigated these challenges through a strong financial turnaround. With a focus on long-term sustainability, the institution established a financial strategy to guide EBITDA targets and enhance operational efficiency.

EBITDA

BRL 153.5 million

Ending Cash Balance

BRL 112.2 million

Net Debt

BRL 229.7 million

PROADI-SUS Program

BRL 151.5 million

Net earnings

BRL 2.4 billion*
* up 11% compared to 2024

Gross Debt

BRL 341.9 million

Total Investments

BRL 63.5 million
Download the 2025 Sustainability Report
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