Hospitals Are Among the Highest Water-Intensity Buildings on Earth — AWS Reports Average Savings Just Above 22% Across North American Projects
Hospitals use substantial water across HVAC, laundry, food service, and patient care. AWS can assess eligible metered water and sewer charges, site constraints, and operating requirements without making a clinical or medical-suitability claim. See how hospital water costs and eligible charges are evaluated.
Real-World Case Studies
Published results and measurement details vary by project. A written guarantee may apply to qualifying sites.
How Much Can a Hospital Save on Its Annual Water Bill?
AWS reports average savings just above 22% across its North American projects. Individual results vary. Illustrations use gross eligible water/sewer savings before program fees.
Community Hospital
*15% guaranteed minimum. Actual results typically 17–26%.
Regional Medical Center
*15% guaranteed minimum. Actual results typically 17–26%.
Academic Medical Center
*15% guaranteed minimum. Actual results typically 17–26%.
Up and running in 3 steps.
Free Hospital Assessment
We review available billing data, eligible charges, meter configuration, site access, and operating requirements before any commitment. NSF 61 and NSF 372 materials-only Gen2 model scope can be provided for facility review; this is not medical approval.
Terms and site-confirmed installation
Any qualifying written performance terms are confirmed before work begins. The site confirms access, planned shutdown requirements, and operating review; later external adjustments need no shutdown.
Review and reporting
AWS and the customer agree on the measurement period and reporting approach. Any performance agreement is confirmed in writing for qualifying projects.
Explore the Full Picture
Hospital Water Costs — Full Facility Breakdown
Where healthcare facilities spend their water budget — central sterile, HVAC cooling, laundry, food service, and patient care — fully itemized with ROI by category.
Explore Water CostsHospital Operations & Site Assessment
Review billing, access, shutdown planning, and facility requirements with the site team before any decision.
See the Risk GuideHospital Materials & Operations Review
Review NSF materials-only scope, installation access, operating constraints, and facility approval steps.
See Compliance GuideWhat Could You Save?
Select Your Monthly Water Bill
Monthly Savings
$11,000
Annual Savings
$132,000
Illustrative gross eligible water/sewer savings at 22% before fees; individual results vary. AWS reports average savings just above 22% across its North American projects. Individual results vary. AWS reports 40,000+ Smart Valve installations in North America.
Why Do Hospitals Pay So Much for Water — and What Can Be Done?
A 500-bed hospital can use 100,000+ gallons per day. At commercial water rates, that's $50,000–$100,000+/month in water costs. A 15% reduction is worth $90,000–$180,000/year.
150–600 Gallons Per Bed Per Day
Hospitals are among the most water-intensive buildings on earth. Steam sterilization, cooling towers, laundry, food service, and patient care each consume enormous volumes — all metered and billed at commercial rates.
NSF 61 & 372 — materials-only Gen2 scope
AWS can provide NSF 61 and NSF 372 materials documentation for the Gen2 model scope. It does not constitute medical approval or a determination of facility suitability.
Site-specific operational review
The device is installed after the meter and moderates pressure and flow fluctuations. The site confirms planned shutdowns, access, and operating requirements; AWS does not promise a fixed pressure or an impact-free operation.
Healthcare system assessment
For systems with multiple facilities, AWS can review each meter, eligible charges, access, and operating requirements. Terms and results are confirmed by project.
Facility operations review
AWS can review high-use operating areas, billing history, access, and site constraints. Individual results and suitability vary by project.
Sustainability & ESG Reporting
Healthcare systems face increasing pressure from accreditation bodies, investors, and community stakeholders to demonstrate water use reduction. Smart Valve™ M&V documentation satisfies sustainability reporting requirements.
Why do hospitals and surgical centers have unusually high water and sewer bills?
Healthcare facilities have some of the most complex water systems of any commercial property type. Sterilization equipment, surgical suites, HVAC systems, and patient care all create constant, high-volume water demand. This demand variability — switching rapidly between static and dynamic flow — is exactly the condition that causes water meters to over-read consumption. Hospitals also face higher liability from water hammer and pressure surges, as pipe failures in a healthcare setting can disrupt critical operations.
See the full technical explanation of how dynamic flow switching causes meter over-reading →
Read the bounded hospital water-cost and operations review →
Frequently Asked Questions
Get a Free Hospital Water Assessment
We'll review your facility's eligible charges, meter configuration, and operating requirements. AWS reports average savings just above 22% across its North American projects; individual results vary. Zero obligation.
Partner: American Water Savings (AWS) · Canadian Water Savings (CWS) · Smart Valve™
