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Health care organizations are looking for ways to reduce operational costs, and cutting energy use is a way to save resources while also working toward sustainability goals. This publication includes summaries, tips, tactics, and case studies to help facilities reduce energy use regardless of their size or climate zone. This monograph tackles topics such as procurement, benchmarking, supply and demand side audits, commissioning and retro-commissioning, measurement and verification tips and rate increases, new construction considerations, alternative energy methods, funding of energy projects, and changing the culture of the hospital.