PeaceHealth, a nine-hospital system serving Washington, Oregon and Alaska provides medical centers, critical-access hospitals, medical groups, laboratories, and over 1000 hospital beds to a diverse set of Northwest communities. As part of their Hospitals and Healthcare Initiative and BetterBricks platform, the Northwest Energy Efficiency Alliance (NEEA) approached PeaceHealth in 2005 and facilitated the adoption of a system-wide strategic energy management (SEM) plan with a goal of leveraging a comprehensive set of SEM business tools and practices to enable reduced energy consumption, maximized resource efficiency and lower operating costs.