During his stewardship of Mountain Madness, Fischer led social and environmental initiatives to help people in the countries in which Mountain Madness traveled. As the leaders of the 1994 Sagarmatha Environmental Expedition, Fischer and Rob Hess both summited Mount Everest without supplemental oxygen. Later that year, the American Alpine Club awarded the David Brower Conservation Award, an annual award recognizing leadership and commitment to preserving mountain regions worldwide, to all members of the expedition. Fischer also led the 1996 Climb for CARE expedition on Mount Kilimanjaro (19,341 feet / 5,895 m) in Africa. This endeavor raised nearly a million dollars for the relief organization.