ESG

In 2025, Georgia Healthcare Group (GHG) executed the largest-ever local currency-denominated issuance in the history of the Georgian capital market, placing GEL 350 million in secured Social Bonds. The issuance was assigned a BB rating by Scope Ratings. The offering saw participation from local commercial banks and the pension fund, as well as prominent international financial institutions, including the International Finance Corporation (IFC) and the Asian Infrastructure Investment Bank (AIIB). Galt & Taggart and TBC Capital served as the placement agents for the bond issuance. Designated as Social Bonds, the proceeds are utilized by GHG to finance social projects and refinance existing debt. As interest in Environmental, Social, and Governance (ESG) bonds continues to grow in Georgia, the company prioritizes directing funds toward projects that are not only attractive to investors but also contribute to sustainable economic growth. Within the framework of its ESG strategy, this social bond issuance aligns with GHG’s goal to enhance healthcare accessibility and generate a positive social impact. The proceeds are allocated to targeted social initiatives, ensuring financial sustainability while providing essential medical services to underserved communities. In 2025, GHG developed a Social Bond Framework in preparation for its inaugural social bond issuance. An independent Second Party Opinion was issued by Scope ESG Analysis, confirming its full alignment with the 2023 ICMA Social Bond Principles. Scope assigned the framework a "Transformative" score, highlighting its significant social impact and compliance with Georgia’s Sustainable Finance Taxonomy. The redemption of the bonds—encompassing the principal amount along with any accrued and unpaid interest—is scheduled for September 17, 2030.

In 2025, our healthcare business continued to prioritize equal access to quality medical services, directing significant resources toward public health initiatives. Throughout the year, 10 free screening programs were implemented nationwide, reaching approximately 13,679 beneficiaries. These programs covered critical public health areas, including tuberculosis management, oncology, Hepatitis C screening, and antenatal care. In parallel, our specialists provided free medical services to socially and economically vulnerable groups, involving a resource allocation of GEL 1.2 million. Additionally, free blood transfusion services were provided for inpatients, and medical check-ups were conducted for 92 beneficiaries of the Georgia Solidarity Fund. The clinics division further expanded access to essential medical care through strategic partnerships. In collaboration with Liberty Bank, the provision of discounted services for pensioners and socially vulnerable individuals continued; since January 2020, this initiative has provided approximately 596,000 discounted services to over 83,000 patients. Furthermore, the "Healthy Club" project, in partnership with Bank of Georgia, was expanded to promote healthy lifestyles, offering up to 40% discounts on medical services. Since January 2022, clinics have delivered approximately 1,020,000 services to over 233,000 Healthy Club members. As part of its commitment to social responsibility, GHG remains the sole provider of pediatric oncology in Georgia, providing free treatment under the state funding program. In 2025, the Group treated 451 children with oncological diseases and provided oncomatological treatment to 78 patients. The Group continues to invest in increasing healthcare accessibility for vulnerable populations, supporting the Georgia Solidarity Fund and collaborating with charitable organizations to offer discounted services for children with leukemia and cancer. Specifically, the Group offered a 20% discount on all medical services to a charity supporting children diagnosed with leukemia and oncological diseases. In 2025, Megalab launched an expert-led digital awareness initiative titled “Doctors’ Chronicles with Megalab.” This campaign brought together leading physicians from various specialties to share reliable and accessible health information with the general public. Through a series of educational videos and interviews distributed across Megalab’s digital platforms, the campaign covered a wide range of health topics, simplifying complex medical themes into clear, science-based recommendations for daily life. The primary goal was to enhance health literacy, promote prevention and early diagnosis, and highlight the vital role of timely laboratory diagnostics in maintaining well-being. Additionally, our healthcare business successfully completed a six-month initiative, the “Well-being Marathon,” aimed at promoting healthy lifestyles and holistic well-being among employees. Participants worked closely with health coaches and nutritionists to achieve individual health goals. The program fully funded medical check-ups, well-being monitoring tools, and physical activity programs. To enhance engagement, the marathon included professional workshops on stress management, nutrition, and movement, resulting in improved resilience and the adoption of healthy habits among staff. Addressing the needs of parents of neurodiverse children, a new initiative was launched in collaboration with the McLain Association for Children: the “QST: Massage Therapy for Children with Autism Spectrum Disorder” program. This program empowers parents to independently support their children's sensory and emotional regulation. Through this partnership, five socially and economically vulnerable families in Georgia received full funding for high-quality therapeutic training. In 2025, Evekh also launched “Green Light,” a pilot program with the organization Speak Up, supported by the Slovak Agency for International Development Cooperation. This program supports single mothers of children with disabilities, offering therapeutic and educational sessions to 25 parents and group educational modules to another 60. The curriculum includes intensive psychotherapy, CBT, NLP, personal coaching, and peer support workshops. Furthermore, the second cycle of the International Child Development Programme (ICDP) was successfully completed, with ten workshops focused on fostering supportive relationships between children and caregivers to enhance emotional well-being and resilience.

As a leading healthcare provider, GHG is committed to ensuring patient well-being. From a business perspective, the Company is the largest service provider in the country, covering approximately three-quarters of Georgia's population and holding a 14% market share in terms of hospital bed capacity. The Company has ambitious medium- and long-term goals aimed at enhancing core operations, improving project quality, advancing digitalization, and introducing new services. Furthermore, GHG’s business strategy integrates sustainability and Corporate Social Responsibility (CSR) principles into its core operations, supported by a Sustainability Strategy and an Environmental and Social Policy approved by the Board of Directors. GHG has recently formalized its Sustainability Strategy, which focuses on long-term impact and aims to improve healthcare accessibility, environmental performance, and operational sustainability. The strategy includes Key Performance Indicators (KPIs) across five strategic directions, targeted for achievement by 2030: 15% reduction in Scope 1 emissions per patient; 10% reduction in medical waste per patient; Minimum 30% annual training rate for medical personnel; 15% increase in patient admissions at regional hospitals; 10% increase in bed occupancy rates at regional hospitals. These KPIs will be monitored monthly and integrated into the operational decision-making process. Independent of the Sustainability Strategy, GHG recognizes the potential negative impacts of its activities and infrastructure through its Environmental and Social Policy. This policy not only defines the Group's sustainability commitments but also describes environmental and social risk management procedures designed to mitigate such potential impacts. These procedures include transaction categorization and qualification, assessment and control, as well as monitoring and reporting. This process is complemented by KPI-based action plans defined in the strategy, which detail implementation mechanisms in areas such as staff training, development of remote consultations, waste reduction, and hospital resource optimization. GHG is also highly active in social initiatives. Given its primary role in healthcare, the Company promotes public health improvement and disease awareness in Georgia through various educational campaigns and wellness initiatives. For the population living outside the country's three main cities—often in mountainous and relatively inaccessible regions (approximately 60% of the population)—GHG provides free medical check-ups and screenings through regular specialist visits, helping to reduce regional healthcare disparities. In terms of environmental management, GHG complies with national legislative requirements applicable to all hospitals, clinics, laboratories, infrastructure, and personnel. Additionally, the Company implements eco-oriented projects aimed at making hospital operations more environmentally sustainable. These initiatives include digitalization to reduce paper waste and enhanced management practices to minimize medical and biological waste. These measures contributed to a significant reduction in medical waste, decreasing from 762 tons in 2023 to 250 tons in 2024. These ongoing actions are further reinforced by the Sustainability Strategy’s goal to reduce medical waste per patient by 10% by 2030, while also improving emissions and efficiency metrics. While most environmental KPIs are linked to impact reporting within the framework, they reflect how the Group monitors its progress and overall sustainable impact. The Company continues to work on enhancing energy efficiency, digital processes, and operational management to further reduce its environmental footprint while ensuring nationwide access to high-quality medical services. As part of these efforts, several clinics are powered by solar energy, marking a significant step toward increasing renewable energy use and achieving more sustainable energy management.

As part of our long-term commitment to promoting decent work and supporting the professional growth of healthcare specialists in Georgia, our healthcare services business significantly expanded its training and education programs in 2025. Through specialized training centers, international partnerships, and modern digital platforms, we continued to invest in developing a highly-qualified, future-ready workforce. Our hospital business provides both mandatory and elective medical and non-medical training programs through a dedicated learning center. During the year, a total of 5,050 employees successfully completed training—2,766 via online courses and 2,284 through classroom sessions—further strengthening the culture of continuous professional development within the organization. In 2025, particular emphasis was placed on the nursing education program, implemented in partnership with USAID. This program includes mandatory medical training for doctors and nurses, as well as foundational courses in medication dosage, anatomy, physiology, and core nursing procedures. USAID also facilitated specialized modules, including: Foundations of Intensive Care Nursing; Trauma Life Support; Nursing Management of Surgical and Therapeutic Pathologies. Clinical staff capacity was further enhanced through the Respiratory Therapy Nursing Training Program, conducted in collaboration with the European Bank for Reconstruction and Development (EBRD), the Vian Training Centre, and the AIMS Association. The program was successfully completed by 90 nurses from five regions of Georgia, who attended over 32 online lectures. To further develop practical skills, the 10 top-performing nurses traveled to Italy, visiting leading institutions such as the University of Padua, Padua Clinic, and hospitals in Cittadella and Mestre. This initiative significantly strengthened national capabilities in respiratory therapy—a field of growing importance within the Georgian healthcare system. In collaboration with USAID and the Vian Training Centre, a large-scale nursing professional education project was also concluded, involving 275 nurses from emergency medicine, intensive care, and surgical departments. As part of this project, an innovative e-learning platform was launched, integrating video lectures, study materials, and self-assessment tests aligned with the latest clinical guidelines. The initiative also saw the establishment of several new regional training centers, including two OSCE-equipped (Objective Structured Clinical Examination) simulation centers, allowing nurses to gain hands-on experience in a realistic, practice-oriented environment. Furthermore, Evex Learning Centre maintains its position as the leading provider of continuing medical education in Georgia. In 2025, the center trained 843 nurses (including both employees and candidates), 2,769 doctors, and 1,391 administrative staff and managers.

EKIMO is an innovative, independent, and fully integrated digital healthcare platform that consolidates all core primary healthcare services—including doctors, clinics, laboratories, radiology centers, retail pharmacies, and medical insurance. Launched in March 2020, the platform is open to all healthcare providers and medical product suppliers operating in the country. EKIMO is entirely free for users and ensures simple, seamless access to the healthcare ecosystem, offering services such as appointment booking, online consultations, payment processing, and home delivery of medications. Since its inception, EKIMO has grown significantly and now integrates a network of 1,037,787 doctors from 17,516 clinics, half of whom are independent third-party providers. In 2021, EKIMO received the Gold Award in the Environmental and Social Innovation category at the European Bank for Reconstruction and Development (EBRD) Sustainability Awards.

Every member of our company plays a vital role in our success and the delivery of high-quality services to our customers. As of December 31, 2025, the total number of employees stood at 11,152. The company reviews all employment applications from persons with disabilities (PWD) through standard procedures, ensuring they have all the necessary tools for career advancement and work in an equal, fair environment.