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30MostEnvironmentallyFriendlyHospitalsintheWorld

Many newly built or renovated hospitals and healthcare facilities around the globe dont just look after their patients,
they look out for the environment as well. These modern, state-of-the-art facilities feature a whole host of eco-friendly
initiatives, from paperless record keeping to energy-conserving boilers, green roofs and on-site power plants. Some of
these innovative facilities have even won awards for their green credentials. Healthcare administration graduates
working at these green-minded facilities can rest a little easier, safe in the knowledge that their employers are doing
more than their share to help save the planet. Read on for the 30 most environmentally friendly hospitals in the world.

30. Rush University Medical Center: East Tower


Chicago,Illinois
The state-of-the-art East Tower building at Chicagos Rush University
Medical Center was, at the time of its opening in early 2012, the
biggest new healthcare complex worldwide to receive LEED Gold
certification. The 14-floor structure with a construction price tag of
$654 million had environmental considerations at its core from the
beginning of the design process. The buildings unique shape,
created by international architects Perkins+Will, is designed to
maximize the amount of sunlight it receives. Materials used in its
construction were eco-friendly and recycling is prioritized. The
building also boasts several green roofs, which help to stem the flow
of storm water into Chicagos gutters. According to the centers president and COO Peter Butler, From the outset
we made a commitment to sustainability because in the long run it is good for our patients, our employees and the
entire community.

29. Great Ormond Street Hospital: Morgan Stanley


ClinicalBuildingLondon,U.K.
Boasting an extensive range of specialist care and more than
220,000 annual patient visits, Londons Great Ormond Street Hospital
is one of the worlds top childrens medical facilities. It is currently in
the throes of a $572 million redevelopment to replace facilities that
date back to the 1930s. As part of the project, the hospitals new
Morgan Stanley Clinical Building was opened in June 2012 one of
two attached buildings that will constitute the Mittal Childrens Medical
Centre. Designed by London architects Llewelyn Davies (formerly
Llewelyn Davies Yeang), it incorporates a range of green features.
These include a reversible under-floor heating system that can heat
or cool the hospital and a generator that, together with waste heat recovery systems, will help offset an estimated
20,000 tons of carbon dioxide emissions a year.

28.JohnstonMemorialHospitalAbingdon,Virginia
The new Johnston Memorial Hospital in Abingdon, Virginia opened in
July 2010 and, thanks to its many eco-friendly features, it was
certified LEED Gold in October 2011. The $176.5 million project saw
over three quarters of construction waste being diverted to recycling,
while green building materials including low-emission paint and
FSC-certified wood were also widely used. Water-saving fixtures
inside the hospital help reduce usage by up to 40 percent in
comparison with more conventional plumbing systems. Energyefficient chillers, boilers and insulation units, in addition to motionsensing lights, contribute to power savings of up to 17 percent.
Architectural firm Earl Swensson designed the hospital in association with the Phoenix Design Group. Both practices
are based in Nashville.

27. Bronson Methodist Hospital Kalamazoo,


Michigan
By the 1990s, Bronson Methodist Hospitals central campus in
Kalamazoo was due for a serious design overhaul. As a result, its
main building, which was originally built in 1905, underwent an
extensive $181-million redevelopment at the hands of national
architects Shepley Bulfinch Richardson and Abbott. The new hospital,
which was completed in 2000, was named among Michigans 101
Best and Brightest Sustainable Companies in 2013, due in part to its
use of recycled materials and a highly efficient chiller plant that

supplies chilled water for air conditioning. The facility also actively aims to source food from sustainable or nearby
vendors. We have led the way on developing solutions that improve patient care while reducing costs and preserving
the environment, said Bronson Healthcares Mike Way. The hospital has garnered several honors for its
environmental focus, among them Practice Greenhealths Environmental Leadership Circle Award, which it has won
for 11 consecutive years.

26.Women&InfantsHospitalofRhodeIsland:South
PavilionProvidence,RhodeIsland
The South Pavilion building of the Women & Infants Hospital in
Providence received its LEED Gold certification in February 2010.
The five-story structure was designed by the Boston branch of
architects Anshen + Allen (now part of Stantec) and it includes a host
of environmentally friendly features. Low-flow plumbing fixtures help
to conserve water, while a subterranean filtration system stores
rainwater from storms and releases it at a measured pace into the
ground, minimizing the pressure on the facilitys drainage
infrastructure. The South Pavilion is also oriented to make full use of
available sunlight and high-efficiency glazing coupled with a reflective roof help to cut down on energy used.

25.BoulderCommunityFoothillsHospitalBoulder,
Colorado
Colorados Boulder Community Foothills Hospital (BCFH) is another
facility that made environmental considerations central to its design
from the outset. The 60-bed, three-floor hospital, which was built at a
cost of $45.6 million, opened in September 2003. When it earned
LEED certification, it became the first healthcare facility in the nation
to do so. Among BCFHs green initiatives are compact fluorescent
lighting, occupancy sensors and a high-efficiency power station. The
roof is also painted white to reflect heat and to minimize the need for
air-conditioning during the hottest months of the year. The hospital is
bigger than us, says Kai Abelkis, environmental coordinator for Boulder Community Hospital. Children will be born in
this hospital, in a place that is demonstrating that we can tread lightly on this planet; we can do things better. Thats
the real value of what we have accomplished.

24. Childrens Healthcare of Atlanta Atlanta,


Georgia
Located on the site of the former Hughes Spalding Pavilion,
Childrens Healthcare of Atlanta is one of the biggest providers of
specialist medical care for children in the U.S. After its completion in
2010, it became the first facility of its kind in Georgia to earn LEED
Gold. Acknowledging the award, president and CEO Donna Hyland
commented, This honor affirms that the facility was not only
revitalized for the patients we currently serve, but as a sustainable
facility, it will continue to enhance the lives of the future children of
our community. The Atlanta branch of HKS, Inc. worked with
Georgia-based Duckett Design Group to create a $43 million building
with eco-conscious principles at its core. Storm water is collected in a subterranean system to irrigate the landscaping
outside and help conserve water, while storage for bikes and special parking allotted to low-emission vehicles promote
greener forms of transportation.

23.AnneArundelMedicalCenter:HospitalPavilion
SouthAnnapolis,Maryland
The Annapolis-based Anne Arundel Medical Center system opened its
Hospital Pavilion South in April 2011 and it is the first acute-care
facility in the state to receive LEED certification. The new building
attained a Gold rating for a host of green initiatives, which began with
its construction process. Recycled scrap steel accounts for 87 percent
of the total steel used and nearly 93 percent of the 1,280 tons of
construction waste generated was recycled. Since the buildings
completion, a green team has helped to cut waste incineration rates
to 16 percent and increase recycling from one percent to just under a

quarter of total waste. As Anne Arundel Medical Center president and CEO Victoria Bayless points out, By taking
whatever steps we can to improve the health of our environment, we also help protect the health of our patients, staff
and community.

22.WalterReedNationalMilitaryMedicalCenter
Bethesda,Maryland
The Walter Reed National Military Medical Center in Bethesda is the
result of the merger of the National Naval Medical Center and the
Walter Reed Army Medical Center, which took place between 2008
and 2011. The development, which included new building work as
well as renovations to existing structures, was awarded Project of the
Year in the U.S. Green Building Council National Capital Region
Chapters New Construction category in 2011. Impressively, it has
also received LEED Gold certification. Advanced green technology at
the facility, which is the work of global firm HKS Architects, includes
energy-efficient, centrifugal water-cooled chillers. An innovative ventilation system which transmits moisture and
heat to the hospitals dry, cool airstream also enables visitors and staff to enjoy some much needed fresh air.

21.UniversityofColoradoHealth:MedicalCenterof
theRockiesLoveland,Colorado
Colorados state-of-the-art Medical Center of the Rockies, which is
part of the University of Colorado Health, was designed by U.S.
architects Heery International and opened in February 2007. From
the outset, the 136-bed facility was designed to have a low
environmental impact, with 50 percent of the materials used being
sourced locally and around three-quarters of construction waste
being diverted to recycling. Inside the building, natural light provides
more than half of the clinical labs illumination requirements, while
energy and water usage are monitored in real time by an electronic
system that can intervene in the event of any problems. As Part of the
Poudre Valley Health System and Regional West Medical Center, the Medical Center of the Rockies cost
approximately $150 million to build. It was awarded LEED Gold certification in June 2009.

20. Sentara RMH Medical Center Harrisonburg,


Virginia
When it achieved LEED Gold certification in September 2010, the
Sentara RMH Medical Center in Harrisonburg became the first
inpatient healthcare complex in the state to attain the prestigious
designation. According to the facilitys director of facilities planning
and development Dennis Coffman, the decision to pursue LEED
accreditation was an easy one: We made this choice not for
recognition, but because its the right thing to do for our community
now and for future generations. The hospital, designed by Nashvillebased practice Earl Swensson, opened in June 2010. It features a
range of green measures from water-efficient plumbing fixtures to
high-efficiency power systems and includes boilers that can run on methane gas from the county waste site. The
boilers alone are projected to afford the center reserves of some $600,000.

19. Sunnybrook Health Sciences Centre Toronto,


Canada
In 1948, Torontos Sunnybrook Health Sciences Centre opened as a
veterans hospital on parkland that had been donated to the city as a
farm. Since then, Sunnybrook has been named among Canadas
greenest employers for five years running and now maintains three
campuses. A conscious approach to the environment is key to the
hospital, which implements many strategies with this in mind. Food
waste from its cafeteria is turned into compost, while shuttle bus
transport to and from the site has been fitted with an eco-friendly
dual-fuel system. The teaching hospital linked to the University of
Toronto also runs a yearly showcase called Earth Matters, which gives its staff and the public a chance to take in eco-

lifestyle exhibitions. Sunnybrooks energy streamlining at its Bayview campus alone is projected to save it some $2.6
million and reduce its output of carbon dioxide by 10,000 tons annually.

18. University Hospital of South Manchester:


WythenshaweHospitalManchester,U.K.
Wythenshawe Hospital, which started out as a maternity facility that
was completed in 1965, is arguably one of the greenest of its kind in
Britain, thanks to initiatives like its cycle to work program and its
biomass boiler. Along with Withington Community Hospital, it is part of
Englands University Hospital of South Manchester NHS Foundation
Trust an organization that takes saving the planet very seriously. As
the trusts director of estates and facilities Paul Featherstone points
out, Every ton of carbon saved has a direct benefit to the local
community and environment. The trust received an Ashden Award in
2012 for its energy efficiency program that saw carbon dioxide
emissions reduced by 28 percent since its implementation in 2007. It has also been awarded the Carbon Trust
Standard for its work towards reducing its carbon footprint and implements a host of green initiatives, from supporting
local business traders to a carpooling scheme.

17.DanaFarberCancerInstitute:YawkeyCenterfor
CancerCareBoston,Massachusetts
Bostons Yawkey Center for Cancer Care part of the Dana-Farber
Cancer Institute is a cutting-edge clinical facility that not only takes
into account the welfare of its patients, but its impact on the
environment as well. The complex was the brainchild of North
American architects ZGF, in association with Boston-based
MDS/Miller Dyer Spears. Completed in January 2011, its construction
cost was $325 million. The building achieved LEED Gold designation
in October 2011. Its green features range from water-saving plumbing
fixtures to shades that automatically ascend or descend according to
the available levels of natural light. As Dana-Farbers director of architecture Sherri Rullen points out, Being LEEDcertified makes for a healthier building, which in turn protects the health of our patients and staff.

16. St. Elizabeth Hospital: Heart, Lung & Vascular


CenterAppleton,Wisconsin
LEED Gold has also been awarded to the Heart, Lung & Vascular
Center at St. Elizabeth Hospital in Appleton, Wisconsin, which is part
of the Affinity Health System. The center, which serves around 33,000
patients each year, was designed by national architecture and
engineering firm HGA. Opened in August 2009, the center boasts a
range of environmentally friendly features from a green roof to
water-saving fixtures that have helped reduce water use by almost a
third. Energy-efficient interior fans and lighting lower power
consumption, while the use of soundproofing materials and a natural
color scheme inside the hospital create a peaceful environment for
patients. Affinity Health Systems Gary Kusnierz explains the key role that eco-friendliness plays throughout the
systems facilities, saying, Since 2005, all Affinity construction projects look for innovative opportunities to preserve
and protect our environment. Incorporating sustainable design directly aligns with Affinitys mission and values.

15.HelenDeVosChildrensHospitalGrandRapids,
Michigan
With over 200 pediatric physicians in a range of specialized
disciplines and programs, the Helen DeVos Childrens Hospital in
Grand Rapids is positioned at the forefront of healthcare for children
in the U.S. The $286 million hospital was fashioned by global design,
construction and engineering firm the URS Corporation and
international architectural practice Jonathan Bailey Associates. It
opened in January 2011 and was awarded LEED Gold in April 2012.
An impressive 94 percent of building waste and debris around
16,000 tons was recycled and construction materials were sourced
regionally. The facade also features custom-built glass, which
reduces solar heat gain but still allows a large amount of natural light into patient rooms. Hospital president and M.D.

Bob Connors has said of the measures, Conserving environmental resources while creating the best healing
environment for patients and their families was an important goal for this project.

14. Mount Elizabeth Novena Hospital Novena,


Singapore
Singapores Mount Elizabeth Novena Hospital is a state-of-the-art
healthcare facility that straddles the line between hospital and hotel,
thanks to a luxury design by global architects HOK. The 312-room
facility was completed in April 2012 at a cost of $250 million. It has
incorporated a raft of environmentally friendly features that led to it
being awarded the Singapore Building and Construction Authoritys
Green Mark Platinum Award. Sustainable elements include carefully
managed, high-efficiency water systems that afford savings of around
30 percent when measured against standard buildings and energyefficient, occupant-sensing lighting systems. The building also features a green roof, which helps to maintain a
constant temperature, while prime positioning of its facades produces a cooler environment for patients.

13. Marthas Vineyard Hospital Oak Bluffs,


Massachusetts
The Marthas Vineyard Hospital building in Oak Bluffs, Massachusetts
opened its doors in June 2010 following an almost three-year
construction project, and was awarded LEED Gold certification a year
later. The new facility houses all clinical services for the hospital and
was designed by Tennessee-based architecture practice Thomas,
Miller & Partners. Green features abound in the new building, from a
healing garden and around 200 solar panels on the roof, to low-flow
fixtures and dual-flush toilets that help to reduce water consumption
in excess of 34 percent. The hospital also provides special parking
amenities for low-emission vehicles and those that are part of carpooling schemes, as well as cycle racks to promote
more environmentally friendly forms of transportation.

12.UFHealthShandsCancerHospitalGainesville,
Florida
Construction of the Shands Cancer Hospital at the University of
Florida in Gainesville was completed in October 2009. The 192-bed
complex, designed by nationwide firm Flad Architects, was the first in
the state to attain LEED Gold certification. Environmental
considerations were central to the $364 million construction project
from the beginning, with 96 percent of demolition waste from the
buildings that previously occupied the site being recycled and about
50 percent of the site having been returned to natural vegetation.
Inside the hospital, low VOC-emitting finishing materials were used to
enhance air quality, while high-efficiency windows and solar shading
help to save energy. Perhaps the main contribution to energy efficiency, though, comes from the hospitals dedicated
on-site heat and power plant, which offers estimated savings of 46 percent over standard fossil fuel generators.

11.JoeDiMaggioChildrensHospitalHollywood,
Florida
LEED Gold certification was given to the new Joe DiMaggio
Childrens Hospital building in Hollywood, Florida just over a year
after its opening in June 2011. Atlanta-based architects Stanley
Beaman & Sears designed the four-story, 204-bed facility. It
incorporates eco-friendly measures throughout, from the use of low
volatile organic compound materials for the interior finishes to
energy-efficient systems and a green education initiative for patients
and staff. Acknowledging the hospitals achievement, Rick Fedrizzi,
CEO and president of the U.S. Green Building Council which
established the LEED certification system commented, The Joe
DiMaggio Childrens Hospital project efficiently uses our natural
resources and makes an immediate, positive impact on our planet, which will tremendously benefit further generations
to come.

10.St.MarysHospitalSechelt,Canada
St. Marys Hospital, located in Sechelt, British Columbia, is not only
purported to be Canadas greenest hospital, but it may well be one of
the greenest healthcare facilities in North America. Toronto-based
Farrow Partnership Architects joined forces with the Vancouver
branch of Perkins+Will to enlarge and renovate the hospital, which
was opened in its newly expanded form in March 2013 with boosted
green credentials. Carbon-neutral heating and cooling for St. Marys
comes by way of 125 boreholes and radiant slabs, while a 19-kilowatt
solar array helps to meet electricity requirements. Green principles
have been so fully integrated into the hospitals design that it is set to foster energy savings of 40 percent not just in
comparison to standard hospital designs, but compared to other facilities that already hold revered LEED Gold status.

9. Muskogee Community Hospital Muskogee,


Oklahoma
Muskogee Community Hospital in Muskogee, Oklahoma opened in
2009 and was among the first hospitals in the world to be awarded
the LEED Gold designation. It is also the first healthcare facility in the
U.S. to have been designed with the specific goal of attaining the
EPAs Energy Star, awarded for top tier energy performance. Tulsas
Bates/LZW Architects designed the $38 million hospital, which
incorporates an expansive closed-loop geothermal system with
vertical piping spanning more than 35 miles in 280 wells and meets
all of the facilitys heating and cooling requirements. The geothermal
system affords an annual reduction in energy costs of around
$50,000 and, as the hospitals president Mark Roberts says, Minimizing energy costs in the design means we can
spend more money on our mission offering world-class medical service to our community.

8. North Shore University Hospital: Katz Womens


HospitalManhasset,NewYork
The Katz Womens Hospital Post Partum Unit at North Shore
University is another LEED Platinum hospital facility. The fourth-floor
unit, completed in 2011, was part of a massive $300 million North
Shore-LIJ Health System expansion project that aimed for an
ecologically sound design. The facility which accommodates 73
beds cleverly exploits natural light and solar shade to keep the unit
warm in winter yet cool in summer. It also features environmentally
friendly paints, sustainable air quality monitoring and a complete
green cleaning program. In addition, over three-quarters of the
waste created during the building of the new unit was recycled. Hospitals are power-intensive and use heating and
cooling year-round to maintain a complex array of patient care services, so there is an incentive to be energy efficient,
explained North Shore-LIJ Health Systems director of sustainable development Neil Rosen.

7.WestKendallBaptistHospitalMiami,Florida
One of the most notable attributes of Miamis West Kendall Baptist
Hospital is its ability to endure a category five hurricane, with the
structure capable of remaining totally self-sufficient for at least five
days after such an event. In designing the structure, which is part of
Baptist Health South Florida, Coral Gables MGE Architects created
an extensively green building. Eco-friendly construction materials,
including Forest Stewardship Council-certified wood and low emitting
paint, were used and sourced locally where possible and debris was
recycled as well. Dual-flush toilets and other water-saving features
have helped to reduce water usage by 20 percent when measured
against equivalent facilities, while high-efficiency electrical equipment
including chillers and air-handling units conserve energy. The
hospital, which was built at a cost of $121 million, was completed in April 2011 and was awarded Gold LEED
certification in October of that year.

6.LegacySalmonCreekMedicalCenterVancouver,
Washington
Built with energy efficiency in mind, Legacy Healths Legacy Salmon
Creek Medical Center in Vancouver, Washington was unveiled in
August 2005. Following a 2011 study, it was concluded that the
facility could influence the future of hospital design. The survey, which
was carried out by the University of Washington and architecture and
engineering firm SOLARC, monitored energy consumption at Legacy
Salmon Creek over a one-month period. This kind of detailed data is
simply not available to experts in hospital design, construction and
operations nationally, said Heather Burpee, research assistant professor at the University of Washington. She added
that developers of highly efficient hospitals had very much looked forward to the results of the informative study. The
hospital itself designed by the Portland, Oregon branch of ZGF cost $118 million to build and was selected for the
study because of its impressive energy efficiency. This distinction recognizes a host of green measures implemented
in the centers design ranging from room design that maximizes natural light to highly efficient boilers and glazing.

5. NewYorkPresbyterian Hospital: Vivian and


SeymourMilsteinFamilyHeartCenterNewYork,
NewYork
New Yorks Vivian and Seymour Milstein Family Heart Center, which
is part of the NewYork-Presbyterian Hospital, opened to patients in
February 2010. The center was awarded LEED Gold certification by
the U.S. Green Building Council just months later. Local firms
daSILVA Architects and Pei Cobb Freed & Partners teamed up to
create the six-floor building in Manhattans Washington Heights
district, which includes an atrium that permits expansive views of the
Hudson River. Amongst a slew of eco-friendly initiatives, the facility
features an occupant-sensing lighting system, computer-controlled
ventilation and heating, and a cutting-edge motorized system to minimize glare from the sun. NewYork-Presbyterian
Hospital has also received the EPA Energy Star award, with the agency naming it in its Partner of the Year Awards for
Sustained Excellence in Energy Management in 2007, 2008, 2010 and 2011.

4. Kiowa County Memorial Hospital Greensburg,


Kansas
Kiowa County Memorial Hospital was damaged beyond repair when
a tornado tore through Greensburg, Kansas in 2007. However,
hospital designers went on to create a much greener, LEED
Platinum-certified facility in its place. The 50,000-square-foot building,
which was completed in March 2010, even has 50-kilowatt turbines
on site. The facility is completely electric, while just under a third of its
interior finishes are made with reclaimed materials. A great emphasis
was placed on utilizing natural light, which has slashed artificial
lighting use, allowing three-quarters of the hospitals indoor areas to
be lit naturally. Meanwhile, efficient lighting controls and office
equipment and a heat recovery system boost the hospitals green credentials further. The facilitys water usage takes
environmental concerns into account too: storm water is collected and put into play by the hospitals low-flush toilets
and bioswale filtration processes cut water waste in half.

3. Providence Newberg Medical Center Newberg,


Oregon
Providence Newberg Medical Center in Newberg, Oregon has the
prestigious honor of being the first hospital in the U.S. to receive
coveted LEED Gold certification. The $70.6 million building was
designed by Pacific Northwestern architectural firm Mahlum and
opened to the public in June 2006. It can also lay claim to being a
pioneer in another environmentally friendly area, as it became the
first healthcare facility nationwide to meet all of its power
requirements with energy from renewable sources. Its use of
geothermal, wind and low-impact hydroelectric power affords it a
reduction in carbon dioxide emissions equivalent to the amount produced by 273 cars. It also features an innovative

ventilation system which rather than recycling air inside the hospital continually brings in fresh air from outside,
offering significant air quality benefits for those using the facility.

2.DellChildrensMedicalCenterofCentralTexas
Austin,Texas
The transformation of the Robert M. Mueller Municipal Airport in
Austin into a mixed-use community was a huge undertaking, and it
was one that resulted among other projects in the creation of one
of Americas most advanced green hospitals, the Dell Childrens
Medical Center of Central Texas. The $200 million facility, which
opened in 2007, was designed by now-defunct Columbus
architectural firm Karlsberger Cos to simultaneously treat children
and be kind on the environment. The innovative complex, which is
part of the Seton Healthcare Family, is a trailblazer in its sector, as its
the first hospital to be awarded coveted LEED Platinum status. The
facilitys many green features include environmentally friendly interior paints and adhesives, a rainwater collection
irrigation system, efficient toilets and lighting and a white roof that reflects light from the sun to keep the facility cool
naturally. The hospital even captures plant steam and reuses it as chilled water.

1. ChildrensHospitalofPittsburghPittsburgh,
Pennsylvania
The vibrant and whimsical-looking Childrens Hospital of Pittsburgh,
which opened in May 2009, boasts a plethora of environmentally
friendly elements. These include excellent public transportation,
benefits for those sharing vehicles, water efficient landscaping,
better parking for carpoolers and recycled water and materials. Not
one but two LEED certifications have been awarded to the $185
million hospital specifically, to a couple of state-of-the-art buildings
on the 10-acre campus. The University of Pittsburgh-affiliated hospital
is also paperless, with all patient notes, test results and other data entered and stored electronically. Childrens
Hospital of Pittsburgh has the distinction of being among the first LEED-honored pediatric hospitals in the country. Its
vice president of operations Eric Hess said of the eco-designation, It means weve achieved our goal of designing
and building a world-class pediatric hospital that also is an extremely healthy, transformative and environmentally
sustainable environment.

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