Sustainability on the Menu: Assessing the Role of Hospital Cafeteria Composting in Advancing Planetary Health Initiatives

U.S. hospitals generate considerable food waste, contributing to environmental degradation strategies. This study evaluated the feasibility, impact, and perception of a novel composting program implemented at Rhode Island Hospital over six months beginning in December 2024. Compostable waste bins were installed in the cafeteria with educational signage. Surveys assessing composting knowledge, attitudes, and roles in waste management were distributed to staff, patients, and administrators. Collected food waste was transported to Bootstrap Compost, which provided daily weight data used to estimate greenhouse gas emissions reductions, compare composting with landfill disposal costs, and project annual outcomes. Over the study period, 490.6 kg of food waste were diverted from landfills, corresponding to a reduction of 0.35 metric tons of CO2-equivalent emissions. While composting was more expensive than landfill disposal ($6.45/kg vs. $0.24/kg), cost neutrality could be achieved with diversion rates at or above 116 kg per day. Surveys revealed strong support for composting but limited awareness of its relevance to healthcare’s environmental footprint. Respondents suggested improvements in education, signage, and infrastructure. This program demonstrated how hospital-based composting initiatives align with healthcare institutions’ environmental stewardship goals while highlighting financial and logistical challenges relevant for pilot–scale efforts.