All hospitals

On October 14, 2014, Gundersen became the first U.S. health system to produce more energy than it consumed, achieving net zero energy through a portfolio of biomass, wind, geothermal, and biogas projects.

Part of Advocate Health, which received Health Care Without Harm's 2023 Climate Leadership Silver Award. 13 Advocate hospitals were named ASHE Energy to Care Sustainability Champions in 2024, and Advocate Christ was a 2024 Practice Greenhealth Top 25 honoree.

Pediatric leader that pledged in 2020 to be carbon neutral by 2025. Recognized by The Joint Commission for an anesthesiology led project to reduce inhaled anesthetic gas emissions.

Part of the University of California's system wide commitment to carbon neutrality and zero waste. UCSF Health hit a 78 ton waste reduction target in FY2024 and runs an active waste analytics program across all streams.

Among the first U.S. hospitals to receive The Joint Commission's Sustainable Healthcare Certification (renewed 2024). Multi year sustainability targets cover emissions, waste, water, and anesthetic gases.

One of four Hackensack Meridian hospitals to become the first in the nation to achieve The Joint Commission's Sustainable Healthcare Certification (2024). Hackensack University Medical Center was also a 2024 Practice Greenhealth Top 25 honoree.

Kaiser Permanente became the first U.S. health system certified carbon neutral in 2020. Its 2025 pledge committed to zero waste, sustainable food, and carbon negative operations system wide.

BMC became carbon neutral in 2018, one of the first U.S. hospitals to do so. In 2026 it partnered with Takeda to audit and reduce regulated medical waste emissions, and it was named a 2024 Practice Greenhealth Top 25 hospital.

Cleveland Clinic pledged in 2017 to be carbon neutral by 2027 through renewable energy purchases and energy efficiency. Its main campus operates 35+ waste streams and was a 2024 Practice Greenhealth Top 25 honoree.

Part of Providence's WE ACT framework pledging carbon negative operations by 2030. As of 2024, Providence reduced emissions in seven key areas by 18% from a 2019 baseline, with conservation efforts saving $15M annually system wide.

Mass General Brigham has reduced energy associated emissions ~58% vs a 2008 business as usual baseline. The system targets carbon neutral electricity by 2025 and signed the Cool Food pledge to cut food related emissions 25% by 2030.

Virginia Mason Medical Center is a long-time Practice Greenhealth Top 25 awardee and a national leader in reusable surgical textiles, OR waste minimization, and food-waste composting, with active programs to evaluate compostable single-use clinical supplies where reuse is not feasible.

The only children's hospital in California's Central Valley and the first hospital in California and only the second children's hospital in the nation to earn The Joint Commission's Sustainable Healthcare Certification (2024). Valley Children's is building the largest pediatric healthcare based renewable energy microgrid in the country, expected to provide 80% of the hospital's energy demand via solar, fuel cells, and battery storage.

Yale New Haven Hospital is a Practice Greenhealth Top 25 Environmental Excellence Award winner running one of the country's longest-standing hospital food-waste composting and OR blue-wrap recycling programs, with active pilots in single-use device reprocessing and compostable clinical supplies.

Duke University reached carbon neutrality in October 2024 first among its academic peers and has set a new 2050 net zero goal. The Duke University Health System completed its first FY24 GHG inventory in 2025, reporting a 25% CO2e reduction.

Children's Hospital of Philadelphia (CHOP) is a Practice Greenhealth Top 25 pediatric academic medical center running large-scale food-waste composting, OR waste diversion, and single-use device reprocessing programs across its Philadelphia campus.

Intermountain Health's flagship hospital is part of an enterprise sustainability program that brought a 20 MW solar farm online in April 2024 and is cutting water use across care sites.

Flagship hospital of Atrium Health, a leading Southeast academic health system. As part of Advocate Health, the system has earned the Practice Greenhealth 'System for Change Award' for 16 consecutive years and the EPA ENERGY STAR Partner of the Year Sustained Excellence Award seven years running.

Rush University Medical Center is a nationally recognized leader in healthcare sustainability, consistently earning Top 25 honors from Practice Greenhealth and LEED Gold certification for its main campus. The system has committed to carbon neutrality by 2030 through deep energy retrofits, renewable procurement, and waste reduction programs.

Emory Healthcare's flagship academic hospital, anchoring Emory University's longstanding sustainability commitments. Programs span energy and water efficiency, sustainable food procurement, single use device reprocessing, and reductions in high impact anesthetic gases.

Part of the University of California's system wide commitment to carbon neutrality and zero waste, UC San Diego Health is reducing anesthetic gas emissions, expanding OR and clinical recycling, and advancing energy efficiency across its La Jolla and Hillcrest campuses.

Stanford Medicine Children's Health operates one of the most sustainable pediatric hospitals in the U.S., with a LEED Platinum expansion and aggressive anesthetic gas, OR waste, and zero waste commitments alongside the Stanford Health Care system.

UVM Medical Center is Vermont's academic medical center and a longtime Practice Greenhealth award winner, advancing local food sourcing, anesthetic gas reduction, and clinical waste diversion across its Burlington campus.

Beth Israel Deaconess Medical Center is a Harvard-affiliated academic medical center and repeat Practice Greenhealth Top 25 awardee with established food-waste digestion, OR waste minimization, and anesthetic gas reduction programs across its Boston campus.

Dartmouth Hitchcock Medical Center is New Hampshire's only academic medical center, a Practice Greenhealth Top 25 awardee with a signed HHS Health Sector Climate Pledge advancing decarbonization, anesthetic gas reduction, and clinical waste diversion.

Urban academic medical center with a strong green building portfolio, LEED certified construction across recent expansions, and active waste, energy, and procurement programs.

UVA Health aligns with the University of Virginia's 2030 Sustainability Plan carbon neutral by 2030 and fossil fuel free by 2050. The Battle Building earned a 2024 national Practice Greenhealth award for waste reduction and innovative recycling.

Boston Children's Hospital is a Harvard-affiliated pediatric academic medical center recognized for its on-site food-waste composting, OR blue-wrap recycling, and single-use device reprocessing programs, with stated commitments to expand compostable clinical supplies and reduce regulated medical waste.

UC Davis Medical Center is part of the University of California's system wide carbon neutrality, zero waste, and sustainable food commitments, with active anesthetic gas reduction and OR waste programs at its Sacramento academic campus.

Lurie Children's downtown Chicago hospital, the first U.S. children's hospital to publicly commit to net zero emissions by 2050, is advancing anesthetic gas reduction, reprocessing, and food service decarbonization through its Climate & Health program.

Mayo Clinic's flagship Rochester campus is pursuing a science-based decarbonization roadmap with deep building electrification, anesthetic gas reduction, and zero waste targets across its destination medical campus.

Denver Health is Colorado's largest safety-net hospital and a Practice Greenhealth award winner three years running, advancing waste diversion, anesthetic gas reduction, and energy efficiency across its downtown campus.

Mount Sinai is a flagship academic medical center in Manhattan, a signatory of the HHS Health Sector Climate Pledge with an Office for Sustainability driving decarbonization, waste reduction, and climate-resilient operations.

North Shore University Hospital is Northwell Health's flagship tertiary campus on Long Island. As New York State's largest health system, Northwell has set enterprise-wide goals around food-waste diversion, OR clinical recycling, reusable surgical textiles, and anesthetic gas reduction, with NSUH serving as a lead pilot site.

Johns Hopkins Hospital is the flagship academic medical center of the Johns Hopkins Health System, pursuing HHS Climate Pledge-aligned decarbonization, anesthetic gas reduction, and OR waste minimization across its Baltimore campuses.

Stony Brook signed the White House / HHS Health Sector Climate Pledge and published 2026 Sustainability Goals. Recognized at both COP28 (2023) and COP29 (2024) for its decarbonization and climate resilience commitments, including a 50% emissions reduction by 2030 and net zero by 2050.

NewYork-Presbyterian is the academic partner of Columbia and Weill Cornell, pursuing system wide decarbonization, OR waste reduction, and anesthetic gas footprint cuts across 10 campuses in greater New York.

MedStar Georgetown University Hospital is a Jesuit academic medical center and Practice Greenhealth awardee advancing food-waste diversion, OR clinical recycling, and anesthetic gas reduction across its Washington, D.C. campus.

Baystate Medical Center is the flagship tertiary academic campus of Baystate Health and the only Level 1 trauma center in western Massachusetts. Baystate has a long-standing environmental stewardship program and is advancing food-waste diversion, OR clinical recycling, reusable textiles, and anesthetic gas reduction across its four-hospital system.

Northwestern Memorial is the flagship academic hospital of Northwestern Medicine, pursuing HHS Climate Pledge-aligned decarbonization, OR waste reduction, and clinical recycling across its downtown Chicago campus.

IU Health is building a $4.3B consolidated downtown campus designed to cut energy use and save $50M annually in operating costs. Sustainability work is led through the Green Thread platform with focus on emissions, responsible sourcing, food waste reduction, and packaging minimization.

An 874 bed academic medical center in Charlotte, North Carolina, and the flagship hospital of Atrium Health. Atrium Health has established sustainability priorities around energy efficiency, waste reduction, water conservation, and sustainable food sourcing across its extensive network.

Hoag's flagship Newport Beach campus is pursuing emissions reduction, OR waste segregation, and single use device reprocessing across its Orange County network as part of its broader community environmental health commitments.

St. David's flagship Austin campus is part of HCA Healthcare's enterprise wide sustainability program, advancing clinical recycling, single use device reprocessing, and energy efficiency across its central Austin medical, surgical, and women's services facilities.

The Upper Midwest's largest pediatric health system, with hospitals in Minneapolis and St. Paul, is pursuing anesthetic gas reduction, reprocessing, and chemical safety improvements as part of its Practice Greenhealth-recognized program.

Legacy Health is a Portland-based nonprofit system advancing decarbonization, OR waste reduction, and sustainable food procurement across its six hospitals in Oregon and Washington.

Michigan Medicine is the academic medical center of the University of Michigan, aligned with U-M's carbon neutrality commitments and advancing anesthetic gas reduction, OR waste segregation, and clinical recycling across its Ann Arbor campus.

Vail Health is a mountain-community health system recognized with Practice Greenhealth's 2025 Partner Recognition Award, advancing a 26% waste diversion rate and climate-resilient operations across the Eagle River Valley.

UPMC Presbyterian is the flagship academic medical center of UPMC, advancing food-waste digestion, OR waste minimization, and single-use device reprocessing as part of UPMC's enterprise sustainability strategy.

Ohio State Wexner Medical Center is pursuing carbon neutrality by 2050 alongside the university, with deep energy efficiency retrofits, anesthetic gas reduction, and OR waste minimization across its Columbus campus.

An 885 bed academic medical center in Winston Salem, North Carolina, and a major teaching and research hospital within Atrium Health. The campus participates in system wide sustainability efforts focused on energy, waste, water, and environmentally responsible operations.

ChristianaCare's flagship academic hospital and Delaware's largest, pursuing system wide commitments on emissions, energy, and clinical waste reduction as part of its environmental sustainability program.

One of the largest pediatric health systems in the U.S., Children's Healthcare of Atlanta opened the Arthur M. Blank Hospital in 2024 with LEED targets, all-electric cooking, and a system wide focus on OR waste reduction, reprocessing, and pediatric-safe chemical sourcing.

CHLA is a top-ranked pediatric academic medical center pursuing California-aligned decarbonization, OR waste reduction, and anesthetic gas footprint reductions across its Sunset Boulevard campus.

UCHealth University of Colorado Hospital is the academic flagship of the UCHealth system on the Anschutz Medical Campus, pursuing HHS Climate Pledge-aligned decarbonization, anesthetic gas reduction, and OR waste minimization.

Presbyterian Hospital is the flagship of New Mexico's largest locally owned not-for-profit health system, with ESG reporting and an ASHE Energy to Care recognized energy program.

Maine Medical Center is the flagship hospital of MaineHealth, a Practice Greenhealth member advancing energy efficiency, waste diversion, and clinical sustainability across its Portland campus and a $500M expansion built to high efficiency standards.

Memorial Sloan Kettering Cancer Center is a leading academic cancer center pursuing pharmaceutical waste minimization, OR and infusion clinic recycling, and food-waste diversion across its Manhattan campus, with stated commitments to expand compostable clinical supplies.

Texas Health Presbyterian Hospital Dallas is the flagship tertiary campus of Texas Health Resources, one of the largest faith-based, nonprofit health systems in the U.S. THR is advancing cafeteria food-waste diversion, OR clinical recycling, single-use device reprocessing, and anesthetic gas reduction across its 25+ North Texas hospitals.

VUMC partnered with Philips in 2023 on a decarbonization research collaboration spanning imaging, supply chain and patient pathways, and operates under Vanderbilt's 2019 Zero Waste Master Plan targeting 90% diversion from landfill.

Nationwide Children's, one of the largest pediatric hospitals in the U.S., is advancing OR waste reduction, single use device reprocessing, and a campus-wide energy program across its Columbus medical district.

Kentucky's flagship academic medical center and a Level I Trauma Center. UK HealthCare participates in the University of Kentucky's sustainability strategy covering energy, water, and waste, with an active campus recycling program and clinical engagement on planetary health.

City of Hope's NCI designated comprehensive cancer center in Duarte is working to reduce the environmental footprint of oncology care through pharma waste minimization, OR and infusion suite recycling, and energy efficiency across its research and clinical campuses.

One of the largest pediatric research hospitals in the U.S., Cincinnati Children's is pursuing campus-wide energy retrofits, reprocessing, and lab waste minimization across its Burnet Avenue and Liberty campuses.

SSM Health is a Catholic, not-for-profit system operating 23 hospitals across the Midwest. Its St. Louis academic campus advances energy efficiency, sustainable food, and clinical recycling as part of system wide Laudato Si' commitments.

MD Anderson is the nation's largest cancer hospital, advancing energy efficiency, pharmaceutical waste reduction, and OR recycling as part of its Texas Medical Center campus sustainability program.

Northern Nevada Sierra Medical Center is a LEED-designed greenfield replacement facility in Reno built to high energy and water performance targets, with active waste minimization and OR sustainability work.

VCU Health is an academic medical center in Richmond advancing decarbonization, clinical waste minimization, and a signed HHS Health Sector Climate Pledge to halve emissions by 2030.

Utah Valley Hospital is Intermountain Health's flagship campus in Provo and the primary clinical training site for Brigham Young University's College of Nursing. The hospital is advancing food-waste composting, OR clinical recycling, and single-use device reprocessing alongside Intermountain's system-wide net-zero commitments.

AdventHealth signed the HHS Health Sector Climate Pledge, committing to a 50% reduction in greenhouse gas emissions by 2030 and net zero by 2050. Facility level initiatives include OR supply recycling programs, LED retrofits, and reprocessed single use device programs across the 50+ hospital system.

Largest hospital in the Novant Health system, serving 22 counties across North Carolina and Virginia. Novant Health has set science based targets to reduce greenhouse gas emissions 35% by 2030 and achieve net zero emissions by 2050, backed by a $855M Energy as a Service partnership with ENFRA.

The region's only academic medical center and Level I Trauma Center for East Tennessee. UT Medical Center pursues energy efficiency, waste diversion, and sustainable food sourcing across its Knoxville campus while supporting clinical research into environmental health.

Central Texas's Level I trauma center and Dell Medical School's primary teaching hospital is advancing Ascension's system wide environmental commitments through OR waste reduction, single use device reprocessing, and clinical recycling expansion in downtown Austin.

The largest pediatric hospital between Atlanta and Washington D.C. is part of Advocate Health's enterprise sustainability program, advancing emissions reduction, reprocessing, and clinical recycling across the Carolinas.

Baptist Health South Florida is the region's largest faith-based not-for-profit health system, advancing energy efficiency, climate resilience, and OR waste reduction across 12 hospitals as part of its environmental stewardship program.

UCHealth Memorial is the largest hospital in southern Colorado, aligned with UCHealth's system-wide HHS Climate Pledge commitments on emissions reduction, anesthetic gas, and OR waste minimization.

A 536 bed flagship hospital of Cone Health, serving the Piedmont Triad region of North Carolina. The hospital's North Tower addition earned LEED Silver certification in 2015 for sustainable building design and operations. Cone Health maintains active programs in energy efficiency, waste reduction, and recycling across its campuses.

A 650 bed tertiary care hospital in Park Ridge, Illinois, part of Advocate Health. The hospital participates in system wide sustainability initiatives focused on energy conservation, waste minimization, and environmentally responsible operations.

The flagship hospital of Piedmont Healthcare, Georgia's largest health system. Piedmont Atlanta pursues system wide commitments around energy efficiency, waste diversion, and sustainable supply chain, supported by a centralized environmental services program.

Ascension's flagship Austin hospital advances the system's environmental stewardship commitments through OR waste reduction, anesthetic gas optimization, and clinical recycling across its medical, surgical, and cardiovascular services.

UNM Hospital is New Mexico's only academic medical center and Level I trauma center, embedding sustainability into its Critical Care Tower and broader campus operations alongside the UNM system sustainability plan.

Mission Hospital is western North Carolina's largest medical center, part of HCA Healthcare's enterprise sustainability program advancing energy efficiency, waste diversion, and clinical recycling.

Northern Light Eastern Maine Medical Center is a regional referral hospital in Bangor advancing biomass heating, energy efficiency, and clinical waste diversion across its campus.

Sentara Health hired its first Director of Sustainability in 2024 and is rolling out enterprise wide carbon and waste reduction programs across its 12 hospitals, including a 2025 shift to bulk CT contrast that eliminates hundreds of thousands of single use syringes annually.

Texas Health Resources has been named a Texan by Nature TxN 20 honoree four years running for green construction, energy retrofits, and conservation. The 2024 Community Responsibility Report details emissions tracking, food waste diversion, and single use device reprocessing across its 29 hospital footprint.

St. Jude's pediatric oncology campus is pursuing campus-wide energy efficiency, pharmaceutical waste minimization across infusion suites, and recycling expansion as part of its long-term Memphis campus redevelopment.

Children's Wisconsin's Milwaukee campus is advancing OR waste reduction, reprocessing, and food service waste minimization as part of its environmental stewardship program alongside the Medical College of Wisconsin.

Renown Regional is northern Nevada's largest not-for-profit hospital, advancing energy efficiency, waste diversion, and OR sustainability programs across its Reno campus.

OU Health Stephenson Cancer Center is Oklahoma's only NCI-Designated Cancer Center, advancing pharmaceutical waste minimization, single-use device reprocessing, and clinical recycling across its outpatient oncology and infusion campus in Oklahoma City.

Cape Fear Valley Medical Center is the flagship tertiary campus of Cape Fear Valley Health and the primary safety-net hospital for southeastern North Carolina. The system is expanding cafeteria food-waste composting, OR clinical recycling, single-use device reprocessing, and anesthetic gas reduction across its Fayetteville campus.

South Florida's only freestanding pediatric specialty hospital is pursuing climate resilience, single-use plastics reduction, and clinical recycling expansion across its Miami campus and outpatient network.

Jackson Memorial is one of the largest safety-net hospitals in the U.S. and the primary teaching hospital for the University of Miami Miller School of Medicine, pursuing energy efficiency and climate resilience under its public bond-funded modernization plan.

Christus St. Vincent is northern New Mexico's regional medical center, advancing on-site solar, energy efficiency, and clinical waste minimization across its Santa Fe campus.

Catholic Medical Center is a Manchester-based community hospital advancing energy efficiency, clinical recycling, and waste minimization as part of HCA Healthcare's enterprise sustainability program.

Summa Health is a northeast Ohio integrated health system anchored by its Akron Campus tertiary hospital. Summa is advancing cafeteria food-waste composting, OR clinical recycling, single-use device reprocessing, and anesthetic gas reduction across its Akron and Barberton campuses.

One of four academic medical centers in North Carolina and the flagship of ECU Health, a regional system serving 1.4 million people across 29 counties. In early 2025, ECU Health committed to strengthening its environmental impact across the system reducing its carbon footprint and expanding sustainable food partnerships. ECU Health Beaufort Hospital was featured in a BBC documentary for its food waste fighting program.

The Southeast's third-largest pediatric medical center, affiliated with UAB, is advancing OR waste reduction, single-use device reprocessing, and food service waste minimization across its Birmingham campus.

UMC is Nevada's only public hospital and Level I trauma center, advancing energy efficiency, water conservation, and clinical waste minimization across its Las Vegas medical district.

Avera McKennan is the flagship tertiary campus of Avera Health, a Catholic, nonprofit health system serving South Dakota, Minnesota, Iowa, Nebraska, and North Dakota across 37 hospitals. Avera is advancing food-waste diversion, OR clinical recycling, single-use device reprocessing, and anesthetic gas reduction across its rural and urban campuses.

TidalHealth Peninsula Regional is the flagship campus of TidalHealth, serving the Delmarva Peninsula across Maryland, Delaware, and Virginia. TidalHealth is advancing cafeteria food-waste composting, OR clinical recycling, single-use device reprocessing, and anesthetic gas reduction across its regional hospitals.

Banner Health deployed an enterprise wide energy management strategy across 25+ hospitals to combat HVAC performance drift, optimize building automation, and reduce energy intensity. Focus areas include continuous commissioning, water conservation in the desert Southwest, and surgical waste segregation.

Haywood Regional Medical Center is a community hospital in the mountains of western North Carolina, jointly operated by Duke LifePoint Healthcare. The hospital is advancing cafeteria food-waste composting, OR clinical recycling, single-use device reprocessing, and anesthetic gas reduction while serving a largely rural patient population across Haywood County and the surrounding Smoky Mountains region.

In 2024, CVMC became the first U.S. hospital to partner with Terraloam, replacing traditional plastic isolation gowns and patient belonging bags with fully compostable, plant based alternatives that break down in 90 180 days.

Oklahoma City Indian Clinic is an outpatient health center serving American Indians across central Oklahoma, integrating culturally grounded wellness programming with growing efforts in clinical recycling, food-waste reduction, and energy efficiency across its expanding campus.

White River Medical Center is the flagship campus of White River Health, serving north central Arkansas across a largely rural service area. The hospital is advancing cafeteria food-waste composting, OR clinical recycling, single-use device reprocessing, and anesthetic gas reduction while serving a community-based patient population.

UNC Health is in early stage sustainability planning, partnered with UNC Chapel Hill's 2021 Climate Action Plan targeting carbon neutrality by 2040. UNC School of Medicine participates in the Planetary Health Report Card, with student driven sustainability assessments.