To help a West Coast health system achieve its goals of increasing sustainability and reducing operational costs, the Eneration team implemented a strategic prioritization process across several campuses and buildings to identify the most impactful opportunities for energy reduction. By focusing on the top three prioritized buildings, Eneration uncovered over 70 unique Energy Conservation Measures (ECMs) that allow the system to capitalize on significant financial and environmental returns. These improvements are projected to reduce the healthcare system's annual energy bill by $1.3 million, roughly 40 percent of its total energy costs, while eliminating over 5,000 metric tons of CO2 from the atmosphere.