This article reviews Waste to Energy (WTE) technologies that are currently available and how the healthcare sector can employ these for waste management and revenue generation. The available literature is reviewed to discuss specific case studies. The case studies also explore the role of local communities in these ventures. The financing, operations and maintenance of WTE projects is the key to their feasibility. Understandably it lies outside the core business of healthcare. The article reviews concepts such as Power Purchase Agreement (PPA) and Energy Performance Services Contract (EPSC), which are third-party investments and are used for similar energy projects. The article concludes with remarks; why these projects make business and environmental sense and how symbiosis between the communities and their large consumers, such as healthcare, is the key to sustainable development.