Sustainability

Last update: 01 December 2025

We are committed to building a sustainable future through our Sustainability Plan, grounded in transparency and accountability. Our initiatives aim to create a positive impact on people’s wellbeing and the working environment.

Responsible Growth: Implementing the Sustainability Report

The publication of our Sustainability Report reinforces KOS Group’s commitment to disclosing non-financial information with greater transparency towards all stakeholders.

The need to adopt a sustainable and resilient business model — along with the will to improve social, economic and environmental sustainability — has led to the creation of our first Sustainability Plan.

This programme outlines clear objectives through to 2025, positioning KOS as a key driver of healthcare system sustainability, while remaining true to its mission: improving patients’ quality of life.

Sustainability Report

Sustainability Report: Highlights

Our employees

Female employees
Male employees

KOS Group employees by year (at 31 December)
Year	Total	Italy	Germany	Female	Male
2021	11,041	7,100	3,941	8,772	2,269
2022	11,341	7,210	4,131	8,991	2,350
2023	11,831	7,402	4,429	9,413	2,418
2024	11,714	7,145	4,569	9,322	2,392
2025	11,770	7,032	4,738	9,261	2,503

Our facilities 2025

144 Healthcare facilities
+ 13,700 Beds available
11 Italian regions
110 Nursing homes for the elderly
33 Rehabilitation, psychiatric and non-residential care facilities
15 Outpatient centres
1 Hospital

53 facilities in Germany

91 facilities in Italy

Group activities 2025

+ 9,700 Customer satisfaction: questionnaires collected

Revenues

KOS Group revenues by year (EUR million)
Year	Revenues
2020	€633M
2021	€661M
2022	€702M
2023	€752M
2024	€799M
2025	€816M

Sustainable Development Goals (SDGs)

Multi-year goals aligned with the United Nations Sustainable Development Goals (SDGs).

To define its long-term sustainability strategy and objectives, KOS has aligned with the United Nations Sustainable Development Goals (SDGs). We have identified the goals to which we can make a meaningful contribution, based on our business model and core activities.

Sustainability Report

Sustainability Plan

KOS Group’s Sustainability Plan is structured around three main focus areas, which reflect our priority commitments for 2025. Each area includes specific sustainability challenges, monitored through KPIs and targets.

People and Communities 2024

We are committed to developing increasingly responsible service delivery models that create a positive impact on both individuals and the wider communities we serve.

Supporting professional growth:

Increase the number of annual training hours for employees and external staff
Promote a people-centred approach
Encourage onboarding completion for new hires through corporate culture training

Ensuring a safe and motivating work environment:

Reduce the gender pay gap
Improve employee satisfaction and engagement
Lower the incidence of workplace injuries

Contributing to local community impact:

Increase the number of local sustainability projects

Quality of Care 2024

We are committed to delivering high-quality services that continuously improve the lives of patients and clients.

Driving continuous service improvement:

Improve the Net Promoter Score (NPS)
Improve results from internal clinical audits
Expand the use of Electronic Health Records across facilities

Ensuring compliance and ethical practice:

Improve performance in internal administrative and management audits
Screen suppliers based on ESG certifications as part of the procurement evaluation process

Energy Efficiency 2024

We aim to continuously enhance the quality of services provided, while ensuring transparency, regulatory compliance and accessibility of information.

Reducing emissions and optimising energy use:

Increase the share of electricity from renewable sources
Reduce overall energy consumption

Minimising waste and promoting recycling and reuse of resources:

Reduce food waste