In the energy management systems for healthcare ecosystem, control points are primarily held by regulators, technology providers, and system integrators, who influence the adoption of energy management systems through standards, product development, and deployment. Dependency risks arise from input constraints, such as component availability, and standards approvals, which can impact the supply chain. Switching costs and partnerships also play a crucial role, as end users may face significant costs when changing from one energy management system to another. Furthermore, interoperability requirements can create bottlenecks, highlighting the need for seamless integration among different systems and components. A thorough value chain analysis is essential to understand these dynamics and identify opportunities for growth and improvement in the energy management systems for healthcare ecosystem.