Promoting a More Sustainable Hospital: RSCM and IREEM Collaborate on Energy Audit for HVAC and Boiler Systems
As part of efforts to promote more sustainable hospitals through improved energy efficiency and reduced carbon emissions, Dr. Cipto Mangunkusumo Hospital (RSCM) partnered with the Institute for Natural Resources, Energy, and Environmental Management (IREEM) to carry out an energy audit. A formal agreement between the two parties was signed in February 2025, with the main goal of identifying energy consumption in the boiler and HVAC systems and assessing potential savings.
This project is part of the pipeline of Indonesia’s Just Energy Transition Partnership (JETP) initiative and is funded by the UK Government. It is designed to support the implementation of energy efficiency projects through partnerships with Energy Service Companies (ESCOs) or through Energy Saving Performance Contract (ESPC) schemes. This multi-stakeholder collaboration is expected to serve as a catalyst for realizing energy efficiency projects within RSCM.
The audit focused on three main buildings in the RSCM complex: Gedung Kencana, Gedung Kiara, and Gedung Kanigara, prioritizing HVAC and boiler systems, which are among the largest energy consumers in healthcare facilities.
The audit, submitted in June 2025, revealed significant energy-saving potential:
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Gedung Kencana: potential HVAC energy cost savings of IDR 1.1–2.1 billion per year, with a reduction of 1,077–1,985 tons of CO₂ emissions annually.
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Gedung Kiara: potential HVAC savings of IDR 1–3.8 billion per year, with emissions reductions of 1,077–3,590 tons of CO₂ annually.
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Boiler systems in Gedung Kencana and Kanigara: potential savings of up to IDR 2.2 billion annually and a carbon emissions reduction of 640 tons of CO₂ per year.
One notable recommendation from the audit is that the two ESCOs conducting the IGA submitted proposals using a Zero Capex Mechanism, which allows project implementation without any upfront cost. Based on initial discussions, this approach could be executed through a Joint Operation Scheme (KSO), enabling collaboration between the hospital and project implementers.
As part of the final output, the project also produced a Measurement and Verification (M&V) Plan—a crucial document to ensure that estimated energy savings are calculated accurately based on measurable parameters. Additionally, the M&V Plan will serve as a reference in drafting partnership agreements and verifying energy savings achievements objectively.
IREEM and its partners are committed to supporting the implementation of the audit results. By adopting a performance-based financing model and collaborative approach, this energy efficiency project at RSCM is expected to become a key milestone in the healthcare sector’s energy transformation, demonstrating that hospitals can indeed be pioneers in Indonesia’s green agenda.

