Results

HCA

HCA is one of the leading healthcare services organizations in the United States. The company owns and operates approximately 165 hospitals and approximately 115 freestanding surgery centers in 20 U.S. states and in London, England. HCA enrolled in KKR’s Green Portfolio Program in 2009 and is focusing on improving energy efficiency and reducing GHG emissions at its U.S.-based hospital facilities.

Key Environmental Performance Area:

Greenhouse Gas Emissions (Facilities)

In 2009, HCA began actively measuring and managing energy consumption in its hospitals and established a 2008 performance baseline as part of the Green Portfolio Program. In absolute terms, GHG emissions from hospital facilities have decreased approximately 3% compared to a 2008 baseline, while efficiency has improved by almost 6% (GHGs/square foot) over the same time period. The improvements in efficiency have helped HCA to avoid approximately $22.7 million in costs and approximately 107,000 metric tons of GHG emissions since 2008.

Results

HCA: Hospital Facility Energy Efficiency (2008 Baseline)

Actions

In 2010, HCA achieved these results by implementing the following practices:

• Re-commissioned existing heating, ventilating and cooling (HVAC) systems and other energy-consuming systems
• Enhanced energy management systems to improve energy usage performance
• Developed an energy performance tracking tool for each facility

• Participated in the Environmental Defense Fund (EDF) Climate Corps Fellowship program to hire graduate degree interns to assist in the development of tactical solutions for a lighting retrofit program

Future Plans

In 2011 and 2012, HCA is continuing to focus on energy efficiency at its facilities and is considering or actively implementing additional improvements, such as:

• Adopting minimum efficiency standards for renovations and appliance purchases
• Implementing relighting projects and other energy efficiency-related facility infrastructure improvements
• Investing in alternative energy sources, such as wind, solar, biomass and combined heat and power, that can be used as replacement or supplemental energy sources
• Participating in industry benchmarking through the Energy Star program
• Continued participation with EDF’s Climate Corps Fellowship program working on the evaluation of emerging technologies/solutions to improve energy efficiency and reduce GHG emissions

HCA enrolled in the Green Portfolio Program in 2009 and is reporting results for the second time. HCA has an active Sustainability Steering Committee that established HCA’s guiding Environmental Principles and sustainability strategy and is continuing to pursue opportunities in additional KEPAs, including waste reduction and water use.