📍 Southampton, NY718 382 4500Since 1991 · $700M+ recovered
Healthcare & Hospital Systems

The single largest source of recoveries in our practice.

Hospitals, health systems and teaching hospitals carry some of the most complex utility profiles in the country — and some of the largest recoverable dollars we have ever found.

Why Healthcare overpays

The hidden costs

A hospital utility bill audit is a utility bill audit tailored to the specific billing complexity of healthcare facilities: 24/7 operations, multiple buildings on a shared campus, high-demand medical equipment, and specialized systems such as sterilization and emergency backup power. Hospitals and medical centers are among the most energy-intensive commercial buildings in the country, which makes billing errors both more likely to occur and more costly when they do.

Demand billing errors

24/7 critical loads make demand miscalculation costly

Years of undetected errors

Complex accounts often go unaudited for years

Water & sewer overlooked

Prior auditors often stop at electricity & gas

Multi-campus complexity

Hundreds of accounts across affiliated facilities

Recoveries in Healthcare

Real results

For general background on how a utility bill audit works, see what a utility bill audit is. This page focuses on why hospitals and healthcare systems tend to see outsized results from one.

Why hospitals are especially prone to utility billing errors

  • Continuous, 24/7 operation means there is no predictable low-usage period the way there is in an office building, making unusual charges harder to spot on a monthly bill.
  • Heating, ventilation, and air conditioning alone can account for well over a third of a hospital’s total energy use, driven by strict requirements for operating rooms, isolation areas, and infection control.
  • Large, variable electrical loads from imaging equipment (MRI, CT, X-ray), surgical suites, and laboratory instruments make demand-charge calculations more complex and more prone to error.
  • Sterilization and laundry operations run significant steam and hot water loads, which are often billed and measured separately from general facility usage.
  • Multi-building campuses frequently have several utility accounts and meters under one organization, multiplying the number of places a billing error can hide.

UtiliSave’s track record in healthcare

  • UtiliSave’s healthcare work spans smaller nursing and rehabilitation facilities through to some of the largest university hospital systems in the country.
  • UtiliSave has recovered errors across every major utility type in healthcare settings: electricity, water and sewer, and third-party energy service company (ESCO) billing.

“UtiliSave succeeded where our law firm failed, then found the same opportunity at our other plants.”

Director, Hospital Central Services Cooperative

This client had been denied a sewer credit by their utility and hired a law firm to pursue it, without success. UtiliSave secured the credit using metering-device data the utility could not dispute, then identified the same opportunity at several of the client’s other facilities.

Frequently asked questions

Why do hospitals need a specialized utility bill audit?

Hospital utility accounts are more complex than most commercial properties. Multiple meters, specialized equipment loads, and continuous operation all increase both the likelihood of a billing error and the amount of money involved when one occurs.

How much can a hospital typically recover from a utility bill audit?

It varies significantly by facility size, number of accounts, and how long it has been since the last review. Healthcare has consistently been one of the highest-recovery sectors for utility bill audits, because of the account complexity described above.

Built for Healthcare decision-makers

CFO · VP of Facilities · Director of Support Services.

Start a Free Audit