Sustainability

Vantive recently funded a study that examined how Indigenous peoples experience and decide on home dialysis.¹ Based on qualitative research from countries including Australia, Canada, New Zealand, and the United States, it found that connection to land, family, and community is central to decision-making. Although home dialysis can support remaining in the community, uptake is often constrained by structural barriers such as inadequate housing, unreliable utilities, caregiver burden, limited culturally safe education, and mistrust rooted in colonial healthcare systems.

The study’s results underscore that expanding home dialysis requires more than innovative technology. It calls for culturally safe engagement, authentic partnership with Indigenous communities, and meaningful attention to infrastructure and social factors to ensure equitable and sustainable access to home-based kidney care. Vantive is proud to support this important work and remains committed to helping break down these systemic barriers, to raise awareness and improve access to home-based therapies, a key objective of many of our partnerships.

Vantive encourages community outreach across all the company’s locations, with support for children and other vulnerable populations among our priorities. Employees at our manufacturing facility in Guangzhou, China, exemplified this commitment throughout 2025.

Among their initiatives, a team of volunteers visited a vocational school to guide students with autism or Down syndrome — ages 16 to 26 — on how to apply for jobs and interview. The Vantive employees broke down the application process to match each student’s cognitive abilities and engaged them in one-on-one practice interviews to enhance their skills and confidence.

Guangzhou employees also invited local seventh graders to the facility for an event aimed at improving their emergency response capabilities and awareness of general health and safety issues. It included CPR training and simulated fire extinguisher usage, a talk on the dangers of uremia, and a demonstration of Vantive’s peritoneal dialysis products.

Other outreach activities during the year underscored the importance of environmental conservation and protection. For example, a tree planting day for Vantive parents and their children provided an opportunity to explain the importance of carbon sequestration. A separate wilderness cleanup event at nearby Baiyun Mountain highlighted that area’s fragile ecology.

Vantive works to create safe and healthy working environments for our employees and promote their well-being. In Ireland, safety representatives at our Castlebar and Swinford operations are three-time recipients of the National Safety Representative Award and share their expertise with other Irish companies that want to enhance their own health and safety programs.

In 2025, our combined Irish operations were recognized for their achievements with two All Ireland Occupational Health and Safety Awards. They also received the award for best manufacturing operations for the fifth consecutive year.

Both plants hosted a variety of free events throughout 2025 to promote well-being, with topics ranging from cardiovascular health to smoking cessation and menopause. They also offered health stations where employees could check their weight, blood pressure, and other health indicators and receive confidential reports.

In addition, each facility has teamed up with Vhi Healthcare to provide mental health first aid training. Vhi has certified approximately 20 employees across both sites to recognize when someone is facing mental health or substance abuse challenges. In addition to giving initial support, trained employees can provide referrals for professional treatment.

Vantive’s Woodlands manufacturing facility in Singapore has been working on a variety of initiatives to help lower its energy use, increase recycling, and promote water conservation. The installation of solar panels across the entire site is expected to reduce annual energy use by 8 million kWh, enough to power 1,500 households. That represents an 18% reduction compared with 2024. The first two phases have been implemented, with the final phase targeted for completion in late 2027.

As part of its collaboration with Singapore’s National Environment Agency, the facility is also focused on reducing plastic and metal waste. For example, plans are underway to install a reverse vending machine as part of the country’s Return Right campaign, allowing employees to return approved empty plastic drink bottles and aluminium cans. To promote water conservation, Woodlands participated in Singapore World Water Day in March 2026. The event was celebrated over two days with interactive information booths and water conservation activities for employees.

Vantive’s manufacturing facilities in Castlebar and Swinford, Ireland, have implemented 25 projects over the past five years to reduce their energy use and carbon emissions. Together, they lowered electricity consumption over this period by more than 1.5 million kilowatt-hours (kWh), with gas use dropping by 9.6 million kWh. As a result, these facilities avoided 1,750 metric tons of carbon emissions, the equivalent of removing 1,200 cars from the road.

For example, Castlebar’s initiative to detect and repair compressed air leaks reduced the amount of compressed air the facility needed to produce and lowered electricity consumption by nearly 800,000 kWh. Also at Castlebar, we determined that the heated water used to sterilize our Physioneal solution and acute product tanks was safe to reuse for steam generation in the facility’s boiler house. This reduced natural gas consumption by more than 1.6 million kWh, carbon emissions by 306 tons, and water consumption by 13,600 cubic meters.

Both plants are currently upgrading their infrastructure to meet more of their heating needs through electricity rather than oil or gas. Swinford, which has more modest heating requirements, is replacing its oil boiler with a heat pump that will enable its transition to a fully electrified, low-carbon system. Vantive also recently updated this plant’s emergency lighting to run on electricity rather than diesel.

Vantive’s Guangzhou and Suzhou manufacturing facilities in China have made significant strides in reducing energy use and carbon emissions. Guangzhou lowered its annual power consumption by 3.53 million kilowatt-hours (kWh) in 2025, while Suzhou has reduced carbon emissions by more than 3,600 metric tons (MTs) since 2020. The latter represents a 27.6% decrease, which has already surpassed the facility’s 2030 target.

For example, installation of solar panels in Guangzhou will yield 700,000 kWh each year — enough to meet the facility’s annual electricity needs. Upgrades to its steam deaerators will reduce energy waste in thermal systems by another 570,000 kWh annually. Among Suzhou’s initiatives, replacement of existing induction motors with high-efficiency permanent magnet motors is expected to reduce annual energy consumption by at least 20,000 kWh.

The Guangzhou facility also lowered annual process water consumption by 54,000 cubic meters. Among its water-use reduction projects, optimizing the circulation of injection water as well as water used for cleaning and disinfection will reduce consumption by 4,120 cubic meters annually.

Both the Guangzhou and Suzhou facilities were recognized for their 2025 environmental accomplishments. Guangzhou was named National Green Factory of the Year and Guangdong Green Factory of the Year, while Suzhou was awarded a National Green Factory Certificate. Guangzhou’s key green factory indicators include achieving zero waste and a 99.1% water reuse rate. Guangzhou also received ISO 50001 certification for its energy management system and ISO 14001 certification for its environmental management system.