Case Studies

Case Study: Boston Medical Center Reduction in Consumption and Emissions as Patient Volumes Rise

Changes To Energy Consumption, Physical Footprint & Environmental Impact Since 2011
Hospitals are a critical component of every community, and they have significant water use impacts. Facilities management and sustainable resource use in healthcare go beyond just energy efficiency; optimizing water usage is central to achieving true, long-term sustainability.
Graph that shows the Changes To Energy Consumption, Physical Footprint & Environmental Impact Since 2011

2010-2011

In 2010-2011 BMC was on the brink of receivership with multiple years of declining patient volumes. The senior leadership launched an ambitious plan focused on improving the quality of care coupled with the redesign of its campus to shed waste, reduce overhead costs and reinvest the resulting savings in BMC's mission. The results are a transformed organization with a renewed state-of-the-art campus and a renewed commitment to BMC's founding mission of caring for the region's underserved communities. The resulting operating savings had a 6 year simple return on investment without even factoring the increase in patient volumes and revenues.

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2018

Square Footage

Consolidated campus into smaller more efficient footprint saving $25 million of annual operating costs and reducing our carbon emissions.

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2011-Present

Electric Consumption

Extensive deep energy efficiency retrofits, reduction of square footage in 2018. 2021-2022 growth in patient volumes are resulting in increased use of energy per SF.

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2015-2016

Steam Consumption

Installed cogeneration plant replacing steam from district steam supplier with waste heat as a byproduct of generating electricity on site with the new cogeneration plant.

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2016-2019

Carbon Emissions

Deep energy efficiency retrofits, NC solar VPPA, new cogen plant in 2016-2017, reduction of square footage in 2018-2019.

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Graph that shows the Changes To Energy Consumption, Physical Footprint & Environmental Impact Since 2011

Boston Medical Center’s Energy Costs and Square Footage,
2011–2030

BMC’s projected energy savings, 2011-2030:
  • Totals more than $150 million
  • Equivalent to more than $3.0 billion of revenue
Graph that shows Boston Medical Center’s Energy Costs and Square Footage, 2011–2030

2,310,982

Square Feet

2,310,982

Square Feet

2,310,982

Square Feet

2,271,382

Square Feet

2,271,382

Square Feet

2,302,762

Square Feet

2,379,676

Square Feet

2,409,676

Square Feet

2,030,841

Square Feet

2,065,841

Square Feet

2,092,841

Square Feet

2,152,841

Square Feet

2,206,841

Square Feet

2,224,841

Square Feet

2,224,841

Square Feet

2,224,841

Square Feet

2,224,841

Square Feet

2,224,841

Square Feet

2,224,841

Square Feet

2,224,841

Square Feet

$16,240,713

Current Projection

$16,240,713

Current Projection

$15,619,462

Current Projection

$14,924,433

Current Projection

$15,390,586

Current Projection

$16,237,863

Current Projection

$16,627,095

Current Projection

$14,647,017

Current Projection

$13,546,511

Current Projection

$11,385,592

Current Projection

$10,717,814

Current Projection

$11,171,872

Current Projection

$11,033,211

Current Projection

$12,514,827

Current Projection

$12,890,272

Current Projection

$13,276,980

Current Projection

$13,675,289

Current Projection

$14,085,548

Current Projection

$14,508,114

Current Projection

$14,943,358

Current Projection

$15,391,659

Current Projection

$16,240,713

3% Growth Projection

$16,727,934

3% Growth Projection

$17,229,772

3% Growth Projection:

$17,746,665

3% Growth Projection

$18,279,065

3% Growth Projection

$18,827,437

3% Growth Projection

$19,392,260

3% Growth Projection

$19,974,028

3% Growth Projection

$20,573,249

3% Growth Projection

$21,190,446

3% Growth Projection

$21,826,160

3% Growth Projection

$22,480,945

3% Growth Projection

$23,155,373

3% Growth Projection

$23,850,034

3% Growth Projection

$24,565,535

3% Growth Projection

$25,302,501

3% Growth Projection

$26,061,576

3% Growth Projection

$26,843,424

3% Growth Projection

$27,648,726

3% Growth Projection

$28,478,188

3% Growth Projection

Graph that shows Boston Medical Center’s Carbon Emissions, 2011–2022

Note: BMC projected a 3 percent growth in energy costs in 2019 if it had not reduced its campus’ square footage or implemented any other efficiencies. BMC’s square footage has grown somewhat in recent years, along with energy costs, to accommodate growth in patient volume.

Data: Presentation by Robert Biggio of Boston Medical Center at the Sustainability in Healthcare Hackathon, Massachusetts Institute of Technology, Apr. 21, 2023.

Source: Martha Hostetter and Sarah Klein, Greening the Health Care Safety Net: How Boston Medical Center Reduced Its Carbon Footprint Without Compromising Patient Care (Commonwealth Fund, Aug. 2023). https://doi.org/10.26099/0na0-8v90

Boston Medical Center’s Carbon Emissions, 2011–2022

Scope 1 and 2
Carbon Emissions

2012-22 Energy efficiency projects
2016 Solar PPA with MIT
2016 Vicinity green steam

20126 Cogen plant 2019 Campus consolidation 2020 COVID-19
Graph that shows Boston Medical Center’s Carbon Emissions, 2011–2022

40,466

Total Carbon Footprint (MTCDE)

\

34,400

Total Carbon Footprint (MTCDE)

\

34,395

Total Carbon Footprint (MTCDE)

\

34,329

Total Carbon Footprint (MTCDE)

\

36,493

Total Carbon Footprint (MTCDE)

\

25,813

Total Carbon Footprint (MTCDE)

\

27,968

Total Carbon Footprint (MTCDE)

\

20,560

Total Carbon Footprint (MTCDE)

\

20,560

Total Carbon Footprint (MTCDE)

\

23,119

Total Carbon Footprint (MTCDE)

\

20,747

Total Carbon Footprint (MTCDE)

\

19,849

Total Carbon Footprint (MTCDE)

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0

Solar PPA RECs (MTCDE)

0

Solar PPA RECs (MTCDE)

0

Solar PPA RECs (MTCDE)

0

Solar PPA RECs (MTCDE)

0

Solar PPA RECs (MTCDE)

19,971

Solar PPA RECs (MTCDE)

19,971

Solar PPA RECs (MTCDE)

17,559

Solar PPA RECs (MTCDE)

17,559

Solar PPA RECs (MTCDE)

17,559

Solar PPA RECs (MTCDE)

17,717

Solar PPA RECs (MTCDE)

16,311

Solar PPA RECs (MTCDE)

40,466

Net Carbon Footprint (MTCDE) with offsets

34,400

Net Carbon Footprint (MTCDE) with offsets

34,400

Net Carbon Footprint (MTCDE) with offsets

34,400

Net Carbon Footprint (MTCDE) with offsets

36,493

Net Carbon Footprint (MTCDE) with offsets

5,842

Net Carbon Footprint (MTCDE) with offsets

8,197

Net Carbon Footprint (MTCDE) with offsets

9,647

Net Carbon Footprint (MTCDE) with offsets

3,002

Net Carbon Footprint (MTCDE) with offsets

5,560

Net Carbon Footprint (MTCDE) with offsets

3,030

Net Carbon Footprint (MTCDE) with offsets

3,538

Net Carbon Footprint (MTCDE) with offsets

Graph that shows Boston Medical Center’s Carbon Emissions, 2011–2022

Note: The reduction in BMC’s carbon emissions in 2016 came from the solar power purchasing agreement (about 66% of the drop), use of green steam (about 20%), and reductions in emissions from electrical use (about 13%). Greenhouse gas emissions are collectively measured as MTCDE.

Data: Presentation by Robert Biggio of Boston Medical Center at the Sustainability in Healthcare Hackathon, Massachusetts Institute of Technology, Apr. 21, 2023.

Source: Martha Hostetter and Sarah Klein, Greening the Health Care Safety Net: How Boston Medical Center Reduced Its Carbon Footprint Without Compromising Patient Care (Commonwealth Fund, Aug. 2023). https://doi.org/10.26099/0na0-8v90

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