Our values statement — our guide to the individual and organizational behavior we expect — is embodied in the acronym PRIDE: P for Professionalism, how we conduct ourselves and our business. R for Respect for our patients, families, ourselves and each other. I for Integrity, always doing the honest, right thing. The UCSF Medical Center has made significant strides in its commitment to environmental, social, and governance (ESG) sustainability, with a multifaceted approach that addresses various impacts. The medical center has implemented comprehensive energy-efficient measures, from LED lighting to advanced HVAC systems, resulting in a substantial reduction in energy consumption and a notable decrease in its carbon footprint. UCSF has implemented innovative water conservation strategies, including the use of low-flow fixtures and rainwater harvesting systems, which have significantly reduced water consumption and promoted responsible resource management. Through meticulous waste sorting, recycling initiatives, and a robust composting program, UCSF has successfully diverted a substantial portion of its waste away from landfills, contributing to a reduction in overall waste generation.