Davenergy conducted an energy assessment at seven VA Medical Centers in New York and New Jersey totaling 4,400,000+ million square feet. The energy assessment included a building-by-building evaluation of existing conditions encompassing all major equipment/system types. Cost-effective energy and water conservation measures were identified that reduce utility consumption, costs, and the greenhouse gas footprint. ECMs identified resulted in 263,225,170 MMBtu and $3,831,443 savings in energy usage and cost, respectively. This is a 30% reduction in energy usage and a 23% reduction in cost.