UC Davis Health achieved multiple distinctions for sustainability. The health system was honored with an Environmental Excellence Award from Practice Greenhealth, was recognized as a Best Employer for Diversity and received a designation as one of the Best Workplaces for Commuters. Additional recognitions include Executive Chef Santana Diaz being named to lead the prestigious Tower Bridge Dinner, a fundraiser benefiting Sacramento’s Farm-to-Fork Festival. Nurse Manager Barbara Gumnor received a UC Davis Sustainability Champion Award for her efforts to reduce red bag waste. Her leadership, in addition to the efforts of clinicians and staff, led to UC Davis Health reducing its red bag waste during fiscal year 2020–21 by 78,000 pounds. The 30% reduction far exceeded the goal of a 6% reduction. Additional highlights include becoming one of the first health care organizations, and first UC Health location, to sign onto the Race to Zero Commitment. Second Breath, a student-led medical supply rerouting program, diverted more than 700 pounds of waste from the landfill. COVID-19 vaccines were distributed to several underserved areas in the Sacramento area. And a partnership was formed to address food insecurity in local communities hard hit by the pandemic. The impacts of COVID-19 included a reduction in carpooling and use of transit, and an increase in waste generation. Despite the challenges of the pandemic, UC Davis Health did succeed in implementing energy efficiency and water use reduction projects, sourcing local and sustainable food and increasing engagement through development of a Sustainability Strategic Plan.