seeing green

How this Houston hospital is leading sustainable health care

Houston Methodist has several ongoing and future initiatives dedicated to reducing the hospital system's carbon footprint. Photo via HoustonMethodist.org

The United States health care sector contributes around 8.5 percent of greenhouse gas emissions, and one Houston hospital is committed to doing its part in reducing the industry's carbon footprint.

Houston Methodist, which recently opened a new tech hub in the Ion in midtown, has put in place several initiatives that reflect a more sustainable future for health care. The organization, which has seven hospitals in the Houston area, revealed some of these ongoing and planned projects at a recent event.

"Houston Methodist is always looking ahead on ways — not only of how we are taking care of patients — but what are we doing to create this environment and making the right efforts for sustainability, which we should all be doing," Michelle Stansbury, vice president of innovation and IT applications at Houston Methodist, says on this week's episode of the Houston Innovators Podcast. "We have to protect this environment that we have or it may not be the same for our children going forward."

The hospital system is currently in the design phase for installing solar panels on the Josie Roberts Administration Building in the Texas Medical Center. This project, in partnership with Houston Methodist's Energy and Facilities workgroup, will be the first step toward renewable energy consumption for the hospital.

Houston Methodist has already rolled out food composting initiatives at its locations in Sugar Land, The Woodlands, and Willowbrook locations — with plans for additional campuses to follow. According to a presentation from Jason Fischer, director of the Office of Sustainability at Methodist, the hospital system has already diverted nearly 100,000 lbs. of food waste from landfills.

Preventing waste recycling or reusing items is another focus of Houston Methodist, Stansbury says, from creating a workflow that enables reusing items that are able to be sanitized rather than thrown away to sustainably getting rid of expired materials. The U.S. has rules about the shelf lives of health care products, but other countries don't have as strict of mandates.

"We're sending (supplies) to other countries that can still use these products," Stansbury explains. "Knowing that we're helping to care for other individuals, to me I think it's very valuable. Other countries don't have the resources that the United States does."

Another notable initiative is incorporating greenspace for patients to enjoy. Houston Methodist is currently in construction on a 26-story hospital tower in the Texas Medical Center that will feature the Centennial Rooftop Garden on the 14th floor.

The Houston Methodist's sustainability team has several other initiatives both ongoing and in the works. More information is available on the hospital's website.

Centennial Tower’s 14th floor will feature an outdoor rooftop garden. Rendering courtesy of Houston Methodist

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A View From HETI

Lawyers for a Tesla shareholder who sued to block the pay package contended that shareholders who had voted for the 10-year plan in 2018 had been given misleading and incomplete information. Photo via cdn.britannica.com

For a second time, a Delaware judge has nullified a pay package that Tesla had awarded its CEO, Elon Musk, that once was valued at $56 billion.

Last week, Chancellor Kathaleen St. Jude McCormick turned aside a request from Musk's lawyers to reverse a ruling she announced in January that had thrown out the compensation plan. The judge ruled then that Musk effectively controlled Tesla's board and had engineered the outsize pay package during sham negotiations.

Lawyers for a Tesla shareholder who sued to block the pay package contended that shareholders who had voted for the 10-year plan in 2018 had been given misleading and incomplete information.

In their defense, Tesla's board members asserted that the shareholders who ratified the pay plan a second time in June had done so after receiving full disclosures, thereby curing all the problems the judge had cited in her January ruling. As a result, they argued, Musk deserved the pay package for having raised Tesla's market value by billions of dollars.

McCormick rejected that argument. In her 103-page opinion, she ruled that under Delaware law, Tesla's lawyers had no grounds to reverse her January ruling “based on evidence they created after trial.”

What will Musk and Tesla do now?

On Monday night, Tesla posted on X, the social media platform owned by Musk, that the company will appeal. The appeal would be filed with the Delaware Supreme Court, the only state appellate court Tesla can pursue. Experts say a ruling would likely come in less than a year.

“The ruling, if not overturned, means that judges and plaintiffs' lawyers run Delaware companies rather than their rightful owners — the shareholders,” Tesla argued.

Later, on X, Musk unleashed a blistering attack on the judge, asserting that McCormick is “a radical far left activist cosplaying as a judge.”

What do experts say about the case?

Legal authorities generally suggest that McCormick’s ruling was sound and followed the law. Charles Elson, founding director of the Weinberg Center for Corporate Governance at the University of Delaware, said that in his view, McCormick was right to rule that after Tesla lost its case in the original trial, it created improper new evidence by asking shareholders to ratify the pay package a second time.

Had she allowed such a claim, he said, it would cause a major shift in Delaware’s laws against conflicts of interest given the unusually close relationship between Musk and Tesla’s board.

“Delaware protects investors — that’s what she did,” said Elson, who has followed the court for more than three decades. “Just because you’re a ‘superstar CEO’ doesn’t put you in a separate category.”

Elson said he thinks investors would be reluctant to put money into Delaware companies if there were exceptions to the law for “special people.”

What will the Delaware Supreme Court do?

Elson said that in his opinion, the court is likely to uphold McCormick's ruling.

Can Tesla appeal to federal courts?

Experts say no. Rulings on state laws are normally left to state courts. Brian Dunn, program director for the Institute of Compensation Studies at Cornell University, said it's been his experience that Tesla has no choice but to stay in the Delaware courts for this compensation package.

Tesla has moved its legal headquarters to Texas. Does that matter?

The company could try to reconstitute the pay package and seek approval in Texas, where it may expect more friendlier judges. But Dunn, who has spent 40 years as an executive compensation consultant, said it's likely that some other shareholder would challenge the award in Texas because it's excessive compared with other CEOs' pay plans.

“If they just want to turn around and deliver him $56 billion, I can't believe somebody wouldn't want to litigate it,” Dunn said. “It's an unconscionable amount of money.”

Would a new pay package be even larger?

Almost certainly. Tesla stock is trading at 15 times the exercise price of stock options in the current package in Delaware, Morgan Stanley analyst Adam Jonas wrote in a note to investors. Tesla's share price has doubled in the past six months, Jonas wrote. At Monday’s closing stock price, the Musk package is now worth $101.4 billion, according to Equilar, an executive data firm.

And Musk has asked for a subsequent pay package that would give him 25 percent of Tesla's voting shares. Musk has said he is uncomfortable moving further into artificial intelligence with the company if he doesn't have 25 percent control. He currently holds about 13 percent of Tesla's outstanding shares.

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