The multi-year partnership between Aurora BayCare Medical Center and the Environmental Management and Business Institute at the University of Wisconsin – Green Bay (EMBI) has proven to be very successful. Best practice manuals, cost-benefit analysis, waste minimization, and true cost metrics were developed by interns. True energy efficiency means more than simply reducing energy usage, rather, it means doing more with less. Aurora has realized great savings and has the opportunity to continue to improve efficiency as more projects are developed and implemented.