|An intensive energy audit was performed on Russell Medical Center located in Alexander City, AL. It began in 2009 and was completed in 2012. The purpose of this audit is to find effective strategies to reduce energy costs for large medical inpatient facilities and also to research energy auditing techniques. After completion, the audit resulted in an accurate baseline energy model with numerous energy cost savings strategies to implement. Upon implementation of some suggested non capital intensive energy reduction strategies, Russell Medical Center has saved two percent in energy costs. Many other strategies remain on the table to be implemented at RMC. These additional measures could result in an additional twenty five percent reduction in energy costs. This thesis will discuss in detail, the energy audit technique and structure successfully implemented at Russell Medical Center as well as the energy cost reduction measures that were suggested.