GBB prepared a Waste Reduction and Recycling Plan for the Johns Hopkins Health System, a 2.5 million square foot health care facility with over 10,500 employees. GBB assessed existing waste handling practices to determine quantities and composition of the waste stream. GBB developed preferred reduction and recycling programs; performed a cost-versus-benefit analysis; and located markets for recyclables. A promotional plan was developed which included strategies for identifying the informational/motivational needs of the target audiences, using existing promotional materials to spread the word about recycling, encouraging participation through appointing volunteer recycling coordinators, and assessing program effectiveness.