This report is a case study about geothermal energy system and its application forthe hospital in the city of Gävle. Today the hospital uses district heating and -coolingas their main energy source.There is a report about the hospital in the city of Umeå where geothermal energyhas been installed. Both hospitals have the same need when it comes to using heatand cooling all year round. The hospital in Umeå installed geothermal energy sothat they got a less vulnerable energy system. The emissions of CO2 were also lowereddue to this installation.This report aims to answer the following research question.How geothermal energy can be a option of choice for the hospital I the city ofGävle?The report presents a literature study on subject close to this research question. Focusfor the report is to find out if increased electricity consumption is better than usinglocal district heating- and cooling. The report from the geothermal installation inUmeå has on big difference and that is from which fuels the district heating is produced.In Gävle the energy comes from biomass which gives that the emission factoris almost zero.The calculations and modelling are performed in Excel and the results presented ingraphs.The results are positive both from an economical view and environmental perspective.If the total electricity price doesn’t increase more than 36% per year then geothermalenergy is more cost effective. Looking at the emissions of CO2 equivalentswith an emission factor of 90.4 kg per MWh electricity the COP-factor should notbe lower than 7.5. If that can be reached, then geothermal energy performs betterthan district heating- and cooling.