arXiv:2507.06077v1 Announce Type: new Abstract: This paper tackles the urgent need for efficient energy management in healthcare facilities, where fluctuating demands challenge operational efficiency and sustainability. Traditional methods often prove inadequate, causing inefficiencies and higher costs. To address this, the study presents an AI-based framework combining Long Short-Term Memory (LSTM), genetic algorithm (GA), and SHAP (Shapley Additive Explanations), specifically designed for healthcare energy management. Although LSTM is widely used for time-series forecasting, its application in healthcare energy prediction remains underexplored. The results reveal that LSTM significantly outperforms ARIMA and Prophet models in forecasting complex, non-linear demand patterns. LSTM achieves a Mean Absolute Error (MAE) of 21.69 and Root Mean Square Error (RMSE) of 29.96, far better than Prophet (MAE: 59.78, RMSE: 81.22) and ARIMA (MAE: 87.73, RMSE: 125.22), demonstrating superior performance. The genetic algorithm is applied to optimize model parameters and improve load balancing strategies, enabling adaptive responses to real-time energy fluctuations. SHAP analysis further enhances model transparency by explaining the influence of different features on predictions, fostering trust in decision-making processes. This integrated LSTM-GA-SHAP approach offers a robust solution for improving forecasting accuracy, boosting energy efficiency, and advancing sustainability in healthcare facilities. Future research may explore real-time deployment and hybridization with reinforcement learning for continuous optimization. Overall, the study establishes a solid foundation for using AI in healthcare energy management, highlighting its scalability, efficiency, and resilience potential.