Hospital Net Zero

Tools

Nine calculators for scoping a hospital decarbonization case, built on published US DOE, EPA, ENERGY STAR, NIST and NREL methods. They run in your browser and send nothing anywhere.

Not endorsed. These calculators implement formulas and factors published by US government agencies and cited beside each tool. They are independent, are not approved or endorsed by DOE, EPA, NREL or any agency, and give planning estimates only. For official tools use the links on the resources page.

Jump to: Carbon footprint, Equivalencies, EUI benchmark, Chilled water, Life-cycle cost, Solar PV, Refrigerants, Anesthetic gases, and the Scope 2 estimator on the home page.

Hospital carbon footprint (Scope 1 and 2)CO₂ only
About this tool

What it does: Adds up carbon from purchased electricity (Scope 2) and on-site fuels (Scope 1).

Background: Uses EPA eGRID subregion rates and EPA fuel factors, following the GHG Protocol.

Benefit: Shows where your footprint comes from and whether to start with power or fuel.

Find your subregion with EPA's Power Profiler. eGRID2023 total output CO₂ rates.
EPA's equivalency basis uses 5.1%. Set 0 to use generation-point rates.

Scope 2 = kWh ÷ 1,000 × lb/MWh ÷ 2,204.62 ÷ (1 − loss). Scope 1 = therms × 0.005291 t, diesel gal × 0.01018 t, gasoline gal × 0.008887 t. Sources: EPA eGRID2023, EPA equivalencies factors. Excludes refrigerants, anesthetic gases, CH₄ and N₂O from fuels.

Emissions equivalenciesEPA factors
About this tool

What it does: Translates tonnes of CO2e into familiar equivalents such as cars, homes and trees.

Background: Uses the EPA Greenhouse Gas Equivalencies methodology.

Benefit: Helps communicate scale to boards and staff.

Equivalents = tCO₂e ÷ EPA factor (passenger vehicle 4.29 t/yr, home energy 7.45 t/yr, 0.060 t per urban seedling grown 10 years). Source: EPA Greenhouse Gas Equivalencies Calculator factors, page updated August 2026.

Energy use intensity (EUI) benchmarkkBtu/ft²/yr
About this tool

What it does: Calculates energy use intensity in kBtu per ft2 and compares it with the ENERGY STAR hospital median.

Background: EUI is the standard building energy benchmark in the U.S.

Benefit: Shows how efficient the hospital is and what a target saves.

Site EUI = (kWh × 3.412 + therms × 100 + other kBtu) ÷ gross floor area. Median for general medical and surgical hospitals: site 234.3, source 426.9 kBtu/ft² (ENERGY STAR). Weather, services and bed mix change the fair comparison.

Chilled water plant efficiencykW/ton
About this tool

What it does: Calculates plant kW per ton, COP and EER from power, flow and delta-T.

Background: Whole-plant efficiency includes chillers, pumps and towers.

Benefit: Spots poor chilled-water performance and the value of fixing it.

Tons = GPM × ΔT ÷ 24. kW/ton = kW ÷ tons. COP = 3.517 ÷ (kW/ton). EER = 12 ÷ (kW/ton). Measure kW and flow at the same time and use a meaningful load point. Whole-plant kW/ton includes pumps and towers; chiller-only figures will read lower.

Life-cycle cost, NPV and paybackFEMP method
About this tool

What it does: Calculates NPV, payback, savings-to-investment ratio and IRR for an efficiency project.

Background: Uses the FEMP and NIST life-cycle cost method.

Benefit: Tells you whether a project pays back before you commit funds.

DOE FEMP rate for 2025 analyses: 3.0% real (4.5% nominal).
0 is a conservative planning default. FEMP/NIST publish regional indices.

NPV = savings × UPV* − O&M × UPV − initial cost. SIR = PV savings ÷ (initial cost + PV O&M). Real IRR from the same cash flows. Method: NIST IR 85-3273-40 (Annual Supplement to NIST Handbook 135, August 2025) under 10 CFR 436A. Excludes taxes, incentives and replacement costs.

Solar PV yield and carbon offset20+ year view
About this tool

What it does: Estimates solar output, bill savings and carbon avoided against hospital demand.

Background: Uses a specific yield (kWh per kWdc) with annual degradation.

Benefit: Shows whether a system is sensibly sized for the hospital.

Take this from NREL PVWatts for your site (AC output ÷ DC size).
Planning value. Use your module warranty.
eGRID2023 national: 0.348 kg/kWh generation-point.

Year-t energy = kWdc × yield × (1 − degradation)^(t−1). Offset assumes all PV output is used on site. Yield source: NREL PVWatts. Not a design or interconnection study.

Refrigerant leak cost and carbonGWP basis
About this tool

What it does: Converts refrigerant charge and leak rate into lost gas, cost and CO2e.

Background: Refrigerant leaks are Scope 1 and use IPCC GWP values.

Benefit: Makes the cost of leaks visible.

Leaked lb = charge × rate. tCO₂e = lb × 0.45359 ÷ 1,000 × GWP. GWPs are IPCC AR5 100-year values with blends computed from component fractions. Confirm which assessment report your reporting program requires (AR4, AR5 or AR6).

Anesthetic gas and nitrous oxide footprintScope 1
About this tool

What it does: Converts anaesthetic agent and nitrous oxide use into CO2e.

Background: Uses GWP100 values and liquid densities for each agent.

Benefit: Identifies the highest-impact agent to review with clinicians.

Edit GWP and density assumptions

tCO₂e = mL × density × GWP ÷ 1,000,000 (agents); kg × GWP ÷ 1,000 (N₂O). Assumes purchased volume is eventually emitted. Published GWPs vary: sevoflurane 130–210, isoflurane 510–565, desflurane 1,620–2,720, N₂O 265–298 across sources (compiled in the MPOG sustainability toolkit). Densities are typical label values; check your product.

Where the numbers come from

InputSource to use
Electricity and fuelTwelve months of utility bills or revenue-meter and fuel-delivery records
Grid factorEPA eGRID subregion (US), or your regulator or utility elsewhere. Hourly intensity from a dataset such as Electricity Maps
Savings and demand reductionAn audited estimate (ASHRAE Level 2 or 3), not a target
Solar yieldNREL PVWatts for your location, tilt and azimuth, or a full yield study
Discount rateDOE FEMP annual rate for federal analyses; your own hurdle rate for private investment

Limits

Need more depth? The engineering toolkit has 42 linked worksheets (chillers, AHUs, pumps, motors, boilers, waste, finance, dashboard and roadmap). Need another calculator? Tell me which one.