The implementation of a green hospital reduces negative impacts and contributes ensures sustainability, but Indonesia does not yet have a comprehensive model for assessing its status. Therefore, this research aimed to analyze the sustainability status of hospitals, considering current conditions and future scenarios. The Multi-Aspect Sustainability (MSA) framework was used to assess sustainability status based on the implementation of a green hospital, integrating Triple Bottom Line (TBL), Environmental, Social, and Governance (ESG), and GGHH concepts across institutional, environmental, economic, and social dimensions. Primary data was collected through in-depth interviews with five members of the green team and observations at R Syamsudin SH Regional General Hospital in Sukabumi. The institutional dimension was the highest, with current and future sustainability scores of 94.05 and 50.66, respectively. Meanwhile, the social dimension was the lowest, with current and future sustainability scores of 47.33 and 57.33, respectively. The findings presented in this study indicate an imbalance among the dimensions. This study highlights the scenarios of each leverage factor for each stakeholder. Further research is recommended to involve more hospitals in terms of ownership, type, and region. © 2026 by the authors.