Healthcare executives today face energy costs that continue to rise, creating very difficult challenges managing the facility operating budget. Hospitals and clinics have high energy demands due to 24x7 availability, medical imaging equipment, and special requirements for clean air and disease control. Acute and extended care facilities must manage energy consumption to achieve optimal patient care, comfort and safety as efficiently as possible. Hence, healthcare managers must take new and creative steps that put energy costs in check, both for regulatory compliance and sustainable business goals.