Medical equipment has a substantial impact on the greenness of healthcare facilities. The equipment consumes a large part of the capital budget. The equipment consumes large quantities of water and energy, and produces large quantities of heat, yet these process loads are largely ignored by energy models and equipment purchase procedures. The GGHC has begun a conversation about the greenness of medical equipment, including not only the energy, but also the end of life disposal, and the use of consumables during the life of the equipment. This session will focus on how Kaiser and others are starting to advance this newest frontier of greening healthcare.