2015 Winner: The All-Rounder

The most improved building across multiple sustainability categories.

Who led the charge

Stephen Monez
Assistant Vice President, Corporate Engineering, Mt. Sinai Health System



Monez oversees and sets standards for the mechanical, electrical, and plumbing systems for four NYC hospitals, which incorporates oversight of green policies and standards. The Mount Sinai Health System benefits from his deep experience, strong leadership and multidisciplinary approach to facility operations, design and construction, energy procurement, complicated contract negotiations and multi-year capital plans. His prior work includes consulting on energy systems for the likes of Madison Square Garden, Lincoln Center, and the Disney Magic cruise ship.


  • Avoid piecemeal approaches to conservation and sustainability

  • Take a holistic approach

  • Get all key stakeholders involved early on, and have them take part in developing solutions

A Brooklyn Hospital Finds an Rx for Sustainability and Cost Savings

Facing more than $1.4 million in energy bills, management at the 212-bed Mt Sinai Beth Israel Hospital was seeking creative ways to improve the facility’s patient-care experience, reduce its environmental footprint, all while boosting its bottom line. Adding to the challenge, no part of the construction plan to make significant infrastructure could interrupt day-to-day hospital activities.

As if that wasn’t enough of an obstacle, the project also faced another significant roadblock: The contractor had to keep the site in accordance with stringent standards of the hospital’s Infection Prevention Committee. 



"Many hospitals are trying to to survive [staffing] cuts. Reducing overhead by lowering their utility bills helps."

Turning Up the Steam
Like many existing hospitals, the Brooklyn-based facility grappled with aging, inefficient HVAC systems. The cornerstone of the project was the replacement of a steam-powered heating plant with a hot-water system, which included installing a cogeneration plant. The facility also replaced its ancient boilers, and upgraded the system’s centralized controls. As a result of these efforts, Mt. Sinai reduced its potable water use as well, too.

Executing this large-scale construction project in a fully-functioning hospital called for an unprecedented level of collaboration and coordination among typically disparate precincts of at Mt. Sinai. Throughout, the project team maintained close and constant communication with the general contractor and the hospital administration, and together they worked out construction schedules and minimize workflow disruptions. 

Overall, Mt. Sinai’s holistic approach to this project indeed proved to be the best possible medicine.

CLOSE UP: Mount Sinai Beth Israel Brooklyn

What did we do?
Mt. Sinai Beth Israel Brooklyn took a holistic approach to improving conservation and sustainability.

Why we did it: 
The hospital sought creative ways to help the bottom line, improve the patient care experience and reduce its environmental footprint.

Our Approach: 
The team conducted a deep energy retrofit to maximize energy savings across all systems.



  • Won the 2013 Association of Energy Engineers (AEE) Energy Project of the Year Award (New York chapter) and the 2014 AEE Project of the Year Award for Region 1 (Northeast States)
  • Annual water savings that equal 75% of an Olympic-size swimming pool’s capacity