Overview of IFC’s scope of review:
The scope of review of AHI's compliance with IFC’s Performance Standards included assessment of AHI's management capacity of its environmental, social, health and safety performance. The review relied on documents and reports made available by AHI, Annual Monitoring Reports submitted by AHI for a pervious investment, and interviews conducted by IFC staff during their site visits to AHI facilities in Manila. During the visit IFC staff conducted interviews with key management personnel and AHI staff responsible for environmental, social, health and safety.

Project Description:
Asian Hospital, Inc. is an existing IFC client, and was the first major private hospital with tertiary care facilities in the southern Luzon corridor of metropolitan Manila. AHI operates a 253 bed hospital located in the Filinvest Corporate City which they are planning on expanding. IFC financing will be used mainly to support AHI in debt refinancing and new capital expenditure programs associated with the expansion and refurbishment of the existing hospital and to construct a new tower for in- and outpatient services on existing land at the present location.

Identified Applicable Performance Standards:
While all Performance Standards are applicable to this investment, IFC’s environmental and social due diligence indicates that the investment will have impacts which must be managed in a manner consistent with the following Performance Standards:

PS1: Social and Environmental Assessment and Management Systems

PS2: Labor and Working Conditions

PS3: Pollution Prevention and Abatement

PS4: Community Health, Safety and Security

E & S Categorization Rationale:
This is a Category B project according to IFC’s Procedure for Environmental and Social Review of Projects because it may create a limited number of specific environmental and social impacts that can be avoided or mitigated by adhering to generally recognized performance standards, guidelines, or design criteria. AHI’s hospital provides much needed infrastructure capacity for critical health care in the Manila area, and has a capable management team to operate these facilities to the highest standards. Environmental and social issues that are typically associated with health care facilities are largely associated with management of hazardous and infectious waste streams which are adequately managed by AHI in compliance with Philippine regulatory requirements. Other environmental, social and occupational health and safety issues are managed consistent with good international industry practice for the sector.