CHP Education/Assistance Program Guide for the Indiana Hospital Market Sector
Prepared by: Midwest CHP Application Center
In Partnership with the US DOE
University of Illinois at Chicago – Energy Resources Center December 2004
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Table of Contents
Table of Contents................................................................................................................ 3 1. 2. 2.1 2.1.1 Background ............................................................................................................. 5 Indiana CHP Hospital Sector Market Information ................................................. 7 CHP Status in the U.S. Healthcare Industry ........................................................... 7 Combined Heat and Power Applications in Indiana............................................... 9 Table 1: CHP Capacity Currently Installed by Sector in Indiana........................... 9 Table 2: Commercial/Institutional CHP Market Potential by Application (MW) 10 Figure 1: Commercial/Institutional CHP Market Potential by Application in the State of Indiana (MW) .......................................................................................... 11 2.1.2 2.2 CHP in Indiana Healthcare Industry ..................................................................... 12 Table 3: Indiana Hospitals Identified with CHP Installations .............................. 12 Indiana Hospital Baseline ..................................................................................... 13 Figure 2: Type of Organization............................................................................. 13 Figure 3: Size of Hospitals sorted by the Number of Staffed Beds ...................... 14 2.3 Energy Generating Equipment Hospital Survey in Indiana.................................. 15 Figure 4: Estimated Number of Momentary Power Interruptions in Indiana Hospitals ............................................................................................................... 16 Figure 5: Indiana Hospitals with Past CHP Study Performed .............................. 17 Figure 6: Indiana Hospitals that Expressed Interest of CHP Information ............ 17 Table 4: Electric Generating Equipment Survey of Indiana Hospitals................. 18 2.4 Networks, Organizations, Firms, and Contacts in Indiana CHP Hospital Sector. 19 Table 5: Hospital Systems Located within Indiana .............................................. 20 2.4.2 Organizations Serving Indiana Healthcare ........................................................... 21 Table 6: Organizations Serving Indina Healthcare............................................... 22 Table 7: Federal Governmental Associations/Organizations associated with CHP Deployment........................................................................................................... 23 Table 8: Indiana/Regional Associations/Organizations Associated with CHP Deployment in Indiana.......................................................................................... 24 Table 9: Indiana Members of American College of Healthcare Architects.......... 25 2.5 Indiana Utilities and CHP ..................................................................................... 26 Table 10: Indiana Electric Energy Supply and Service Companies ..................... 26 Midwest CHP Application Center Indiana Hospital Market Sector Report 3 2.4.1 Indiana Healthcare Network Systems.................................................................... 19
Table 11: Utility Company Tariffs – Internet Links to Electric Utility’s Tariffs and Rate Schedules ............................................................................................... 26 Table 12: Electric Energy Rates – Cinergy PSI Energy, Inc. ............................... 27 Table 13: Electric Energy Rates – Indiana Michigan Power Company ............... 27 Table 14: Electric Energy Rates - Northern Indiana Public Service Company.... 28 Table 15: Electric Energy Rates - Indianapolis Power and Light Company ........ 28 Table 16: Electric Energy Rates - Southern Indiana Gas and Electric Co............ 28 2.6.1 Combined Heat and Power Analysis ...................................................................... 29 2.6.2 Combined Heat and Power - Summary of Results ...................................... 30 Table 17: CHP Results in the Northern Indiana Public Service Company service area........................................................................................................................ 30 2.6.3 Soft Factors Incorporated into the CHP Calculations.............................................. 31 3. 3.1 3.1 3.2 3.3 3.4 3.5
Recommended Material for Targeted Education CHP Hospital Program Workshop 33 Draft Agenda......................................................................................................... 33
CHP – The Concept .............................................................................................. 34 CHP – The Business Case..................................................................................... 34 CHP – The Application......................................................................................... 34 CHP Reference Guide........................................................................................... 34 Communication Materials..................................................................................... 35
Appendix ………………………………………………………………………………..36 Notes……………………………………………………………………………………119
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1. Background
The Midwest CHP Application Center (MAC) is located at the University of Illinois at Chicago. The MAC is funded by the U.S. Department of Energy and is focused on providing unbiased information, education, and technical assistance in the area of Combined Heat and Power (CHP) in the eight-state Midwest Region (Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Ohio, and Wisconsin). One of the more favorable applications for CHP in the Midwest is the Healthcare Industry, specifically Hospitals. The key factors that favor Hospitals as a prime candidate for CHP include: • • • Long operating hours High electric and thermal loads with good load co-incidence Need for good quality and highly reliable power
Recognizing the applicability of CHP for Hospitals, the U.S. Department of Energy (through the Oak Ridge National Laboratory - ORNL) has embarked on a National Program to work with the Hospital Sector to both educate them on the benefits of CHP and encourage them to invest in CHP at their facilities. As part of that program, the MAC is piloting a project in the Midwest to encourage State Energy Offices to implement programs within their state to promote the use of CHP in Hospitals. Five of the eight Midwest States serviced by the MAC (Illinois, Indiana, Minnesota, Ohio, and Wisconsin) have agreed to participate in the pilot program. It is the intent of the U.S. DOE and ORNL to utilize this Midwest project as a modal for other Regional Application Centers throughout the U.S. This Report “CHP Education/Assistance Program Guide for the Indiana Hospital Market Sector” is intended to serve two purposes: 1.) Provide the Indiana Department of Commerce with the necessary market information on the Hospital Sector within the state to plan and organize an appropriate workshop/conference to educate this sector on CHP and its benefits to the Hospital Sector. Provide the Indiana Department of Commerce with many of the technical, financial, communication, and application material that can be utilized in their CHP Hospital education program.
2.)
The MAC would like to thank both the Indiana Department of Commerce and the U.S. DOE Oak Ridge National Laboratory for the opportunity to conduct this research. For more information on CHP and its technologies, please visit the Midwest CHP Application Center’s website at: www.CHPCenterMW.org. For more information on the specific application of CHP to the Healthcare industry, please visit: http://www.bchp.org/hospitals/ashe/hospital-cs.html
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For more information on the overall CHP status in the State of Indiana, please review the report “BCHP Baseline Analysis for the Indiana Market” that will be posted to the MAC website in December 2004.
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2. Indiana CHP Hospital Sector Market Information 2.1 CHP Status in the U.S. Healthcare Industry
What is Combined Heat and Power? Combined Heat and Power (CHP) refers to an integrated system that is located at or near a building or facility. The CHP system provides at least a portion of the building’s electric load and utilizes the thermal energy from the electric generation equipment to provide space heating, space cooling, domestic hot water, dehumidification, sterilization, and/or process heat. Where is CHP implemented? Over 200 hospital/healthcare facilities nationwide already experience the benefits of CHP. The many examples of operating CHP applications in the hospital sector make embracing of the technology less of a perceived risk to hospitals. Numerous hospitals nationwide already have experience with absorption cooling and steam plants that match up well with the feasibility of CHP. Energy cost savings and energy reliability are the major benefits to operating CHP systems while also providing environmental benefits. Why does CHP make sense in hospitals? Hospitals are large facilities with around-theclock operation and large, steady thermal and electric requirements. They typically have engineering and operating staff on-site to manage a typical CHP system. Hospitals house numerous quantities of sensitive computer controlled equipment that is critical to the operation of a hospital. Hospitals require reliable electric power with minimal fluctuations in power quality. Further incentives for installing CHP in hospitals from the “Cogeneration TechnologiesSM - Trigeneration TechnologiesSM” website are: • • • Eliminate blackouts, brown-outs, curtailments and surges. Controlling electrical power supply with on-site power natural gas generators eliminates these problems. Save Money. Generating electrical power with on-site power natural gas generators can be significantly less expensive than purchasing power from the utility company. Cleaner, More Stable Power. On-site power natural gas generators produce cleaner, more stable power. Power doesn't have to travel hundreds of miles to the user through "the grid" and the on-site power generator owner is the only one using the power. More Reliable. Because the owner controls his own power generation system, on-site power natural gas generators will be there even when utility company power is not. More Versatile. On-site power natural gas generators can be used for primary power, base-load power, peak shaving or emergency power. Owners can decide when to generate their own power and when to use power from the utility company. Environmentally Friendly. All of our cogeneration and trigeneration energy and power solutions generators use natural gas, the "clean fuel", and are Indiana Hospital Market Sector Report 7
• •
•
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guaranteed to pass all applicable air quality standards. Extensive testing has demonstrated emissions levels are below any existing air quality standards. "Free" Cogeneration [CHP] Benefits. On-site power cogeneration captures water jacket and exhaust gas heat to produce hot water, steam, hot air, chilled water and/or air conditioning. Because the captured heat used for these purposes is a by-product of producing electricity, the results of using the heat is free!
When does CHP make sense in hospitals? CHP technologies present the potential to replace aging heating, cooling and/or generating equipment in existing facilities. Although the implementation of a CHP system into a facility can begin at any time, the greatest opportunity presented for the introduction of a CHP system is during new construction or in an existing facility during an expansion or HVAC system upgrade, when major HVAC and electric systems are being considered for replacement. Who decides on implementing CHP in a hospital? In most facilities, a “champion” on the inside who understands the benefits of CHP and is able to articulate them clearly is crucial to the adoption of CHP in a hospital facility. This individual, in most cases is the Facilities Manager (Facility Director, Chief Engineer, etc.). Although, the Facilities Manager is necessary when analyzing the technical benefits, the financial decision maker, normally the Chief Financial Officer, is critical to adopting and installing a CHP system when allocating funds towards first costs and analyzing energy savings. These individuals together consist of the “champion” needed in the adoption of CHP in a hospital facility.
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2.1.1 Combined Heat and Power Applications in Indiana
The Midwest CHP Application Center identified 27 Combined Heat and Power Facilities that are operating in the State of Indiana. These 27 CHP systems generate over 1,600 MWe on-site in the State of Indiana. Manufacturing facilities constitute the largest installed CHP segment in Indiana followed by Service Facilities. The facilities were categorized by SIC code divisions shown in Table 1.
Table 1: CHP Capacity Currently Installed by Sector in Indiana
Capacity (MW) Manufacturing Transportation, Communications, Electric, Gas, & Sanitary Services Retail Trade Services (including hotels, fitness centers and schools) Total 1,517.7 26.5 30.0 67.6 1,641.8 # of Installations 16 2 1 8 27 Current Capacity (%) 59% 7% 4% 30% 100%
NOTE: Data in Table 1 obtained from an EEA survey of Midwest CHP installations.
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The healthcare industry (nursing homes and hospitals) accounts for 22% of the CHP market potential in commercial/institutional buildings in the State of Indiana in terms of megawatts (MW) with 183.8 MW potential for nursing homes and 155.9 MW potential for hospitals. Although the hospital sector ranks fourth in Indiana in terms of megawatt potential of CHP applications, hospitals on average present an excellent opportunity for CHP installations due to their consistent large thermal and electric loads that coincide with one another and their longer hours of operation than standard commercial buildings that generally operate between 9 AM to 5 PM. Nursing homes also present a good candidate with consistent thermal and electric loads and round the clock operation. The data in Table 2 shows the market potential for CHP given in Megawatts both for Indiana and entire Untied States by various commercial/institutional market sectors. Figure 1 graphically shows this potential for Indiana.
Table 2: Commercial/Institutional CHP Market Potential by Application (MW) Indiana 352.1 342.3 183.8 155.9 91.3 71.0 64.9 60.6 49.8 29.7 28.7 23.6 14.4 9.3 8.2 5.8 1,491 U.S. Total 18,614 14,883 7,992 8,879 4,249 3,390 6,702 3,552 2,721 2,217 1,184 949 484 792 397 281 77,282
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Office Buildings Schools Nursing Homes Hospitals Colleges & Universities Extended Service Restaurants Hotels/Motels Health Clubs/Spas Correctional Facilities Golf Clubs Supermarkets Water Treatment/Sanitary Commercial Laundries Refrigerated Warehouses Museums Car Washes Total Potential
NOTE: Data in Table 2 obtained from the U.S. Department of Energy – Energy Information Administration report “The Market and Technical Potential for Combined Heat and Power in the Commercial/Institutional Sector.”
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Commercial/Institutional CHP Market Potential by Application
Office Buildings Schools Nursing Homes Hospitals Colleges & Universities Extended Service Restaurants Market Sector Hotels/Motels Health Clubs/Spas Correctional Facilities Golf Clubs Supermarkets Water Treatment/Sanitary Commercial Laundries Refrigerated Warehouses Museums Car Washes 0 50 100 150 200 250 300 350 400
Market Potential (MW)
Figure 1: Commercial/Institutional CHP Market Potential by Application in the State of Indiana (MW)
NOTE: Data in Figure 1 obtained from the U.S. Department of Energy – Energy Information Administration report “The Market and Technical Potential for Combined Heat and Power in the Commercial/Institutional Sector.”
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2.1.2 CHP in Indiana Healthcare Industry
The Midwest CHP Application Center identified two healthcare facilities in Indiana that have experience the benefits of Combined Heat and Power: Elkhart General Hospital and Saint Anthony’s Medical Center shown in Table 3. For more information on the CHP system at Elkhart General Hospital, please refer to the corresponding Project Profile in Appendix G. For CHP installations in other Midwest States, refer to Appendix H.
Table 3: Indiana Hospitals Identified with CHP Installations Name Elkhart General Hospital St. Anthony’s Medical Center Location Elkhart, IN Crown Point, IN Total System Size (kW) 745 2,748 3,493 System Type Reciprocating Engine Combined Cycle Turbine
1 2
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2.2
Indiana Hospital Baseline
According to the American Hospital Directory (www.ahd.com), there are 129 hospitals in operation in the State of Indiana. Nearly half of the hospitals (48%) are non-government and not-for-profit organizations while 38% of the hospitals are government related organizations. The remaining 14% of the hospitals are for-profit organizations: Behavioral Healthcare-Columbus Bluffton Regional Medical Center Behavioral Healthcare of Indiana Healthsouth Rehab Hospital HEALTHSOUTH Tri-State Rehab Kindred Hospital Indianapolis Kindred Hospital-Indianapolis Kindred Hospital-LaGrange Kosciusko Community Hospital Lutheran Hospital of Indiana St Joseph Hospital Terre Haute Regional Hospital Valle Vista Health System Winona Memorial Hospital Women's Hospital-Indianapolis Illiana Surgery & Medical Center Healthsouth Rehab Hospital Rehab Hospital of Fort Wayne The distribution of Indiana hospitals by type of organization is presented in Figure 2. The entire list of Indiana hospitals and the type of organization is listed in Appendix A.
Indiana Hospitals
Type of Organization
70 62 60 Number of Hospitals 50 40 30 20 10 0 Non-Gov't, Not-For-Profit Gov't Type of Organization For-Profit Organization 18 49
Figure 2: Type of Organization
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Data was also collected from the American Hospital Directory, Inc. to group the hospitals by size of the facility. Although, the number of staffed beds does not provide an accurate account of size for a facility in terms of floor space and/or electric demand, the numbers shown in Figure 3 provide a baseline account for the size of the hospitals in terms of number of patients that can be cared for at a given time. 47% of the hospitals operating in Indiana have 100-staffed beds or more at their facility, while 16% of Indiana hospitals have 300-staffed beds or more.
Indiana Hospitals
Sorted By Number of Staffed Beds 80 70 60 No. of Hospitals 50 40 30 20 10 0 0-100 101-200 201-300 300+ No. of Staffed Beds 25 20 15 69
Figure 3: Size of Hospitals sorted by the Number of Staffed Beds
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2.3
Energy Generating Equipment Hospital Survey in Indiana
A survey was performed by the Midwest CHP Application Center to study the DG/CHP activity and CHP interest in the hospital market sector of Indiana. The survey provided the opportunity to begin creating an electric demand baseline of the Indiana hospitals. The surveys were mailed to both the Facility Director and Chief Financial Officer representing each Indiana hospital. The list of Facility Directors and Chief Financial Officers of the hospitals in which the surveys were sent to is shown in Appendix B. The survey and attached letter are shown in Appendix D. 26 of the 196 state hospitals responded to the survey with individual results listed in Table 4. Results from the survey show only one of the 14 hospitals (7%) have had a previous CHP or Cogeneration Feasibility study completed for their facility. All the surveyed hospitals have on-site state-required emergency electric generating equipment, most commonly, emergency diesel generator sets. 43% of the respondents (6 hospitals) showed interest in receiving additional information on the technologies and applications of CHP in the hospital market sector and upcoming events related to CHP. Over 75 MW of electric demand potential exists in the 26 hospitals listed in Table 4. Highlighted results from the survey include the following: • • • • • • • 12% survey response from all of Indiana hospitals (16 of 129), 94% of the reporting Indiana hospitals (15 of 16) have never had a CHP Feasibility Study performed (Figure 5), 19% of the responding hospitals (3 of 16) expressed interest towards additional information on the technologies of CHP and upcoming events (Figure 6), 100% of the responding Indiana hospitals experienced at least one momentary power interruption per year, Estimated one-time expense from momentary power interruption at each facility ranged from zero to $5,000 per interruption, Estimated annual expenses from momentary power interruptions at each facility ranged from zero to $50,000, All hospitals own emergency generating equipment.
A direct correlation between the size of a hospital in terms of the “Number of Staffed Beds” and floor space in square feet can not be determined due to the different types of hospitals (acute, long-term, mental, etc.), services provided at each facility, number of and type of medical equipment located at each facility, and other factors. The survey respondents were asked to estimate the number of momentary power interruptions (a fraction of a second to 10 seconds) experienced at their facility on an annual basis. The majority of the hospitals estimated between 6 to 10 momentary interruptions occurring at their facility per year. The number of interruptions per hospital is shown in Figure 4, the breakdown per facility is included in Table 3.
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MOMENTARY POWER INTERRUPTIONS IndianaHospitals
12
10 Number of Hospitals
8
6
4
2
0 0 1-5 6 - 10 11-15 16+ Number of Momentary Power Interruptions
Figure 4: Estimated Number of Momentary Power Interruptions in Indiana Hospitals
The cost incurred at a facility per momentary power interruption can quite often be a very difficult number to calculate due to the many variables involved. Expenses can include any or more of the following: • Replacement and/or repairs of equipment, fuses, etc., • Restarting of sensitive electric equipment including CAT scans, MRI’s, etc., • Rescheduling of medical tests, • Increasing backlog of patients, and • Dissatisfied customers and staff. If the respondents knew or where able be calculate or estimate the average expense incurred per outage at their respective facility, they were asked to provide that information. Survey responses ranged from expenses of zero to $5,000 per interruption, and total expenses from momentary power interruptions ranged from zero to $50,000 or more per year at individual facilities. The survey results do not include the data and/or information incorporated to estimate the cost of these expenses at each facility. One of the benefits of Combined Heat and Power is that it provides cleaner power (less fluctuations in voltage and frequency) to the facility. The Midwest CHP Application Center is aware of several hospitals in the Midwest that have installed CHP systems to provide a cleaner electric power to their facilities than the local electric utility alone could provide. One hospital in Lake Forest, Illinois, experienced over 50 instantaneous power interruptions per year in the mid-1990’s. With the installation of a 3.2 MW CHP system there in 1996, the hospital was able to reduce the number of annual interruptions from 50 down to two the following year. The energy savings alone experienced during the initial Midwest CHP Application Center Indiana Hospital Market Sector Report 16
years of operation totaled $640,000 annually with a 3.8 year simple payback. The additional savings experienced from eliminating the frequent occurrence of power interruptions at the facility is unknown, but the undocumented savings provided a great impact nonetheless. More information of this hospital and its CHP system can be found in Appendix G.
Indiana Hospitals with Past CHP Study Performed
Past CHP Study 6%
Past CHP Study No CHP Study
No CHP Study
Figure 5: Indiana Hospitals with Past CHP Study Performed
Indiana Hospitals Expressed Interest of CHP
CHP Interest 19%
CHP Interest No Interest
No Interest 81%
Figure 6: Indiana Hospitals that Expressed Interest of CHP Information
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Table 4: Electric Generating Equipment Survey of Indiana Hospitals
NonEmergency Generating Equipment No Yes No No No No No No No No No No No No No No Emergency Generating Capacity kW 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Adams County Memorial Hospital Elkhart General Hospital** Kosciusko Community Hospital Margaret Mary Community Hospital Mayor Hospital Memorial Hospital of South Bend Oaklawn Psychiatric Center, Inc. Park View Whitley Parkview Hospital Pulaski Memorial Hospital Saint Catherine Hospital Saint Joseph Hospital Saint Vincent Randolph Southern Indiana Rehab Hospital West Central Community Hospital Woodlawn Hospital Decatur Elkhart Warsaw Batesville Shelbyville South Bend, Goshen Columbia Fort Wayne Winamac East Chicago Fort Wayne Winchester New Albany Clinton Rochester 200 2050 900 730 450 3,950 60 1,500 3,650 230 1,500 1,200 500 300 600 500 Maximum Electric Demand kW *200 3,500 782 1,060 850 3,904 520 *1,500 5,292 390 2,450 2,557 500 525 2,000 480 No No No No No No No No Yes No No No No No No No Previous CHP Study? Annual Momentary Power Interruptions Interruptions 6 to 10 6 to 10 11 to 15 1 to 5 1 to 5 6 to 10 6 to 10 6 to 10 1 to 5 6 to 10 6 to 10 1 to 5 11 to 15 6 to 10 6 to 10 6 to 10
Name
Location
Size of Facility sq. ft. 100,000 700,000 128,613 140,000 120,000 908,324 93,000 140,000 1,144,334 70,000 485,000 440,000 62,000 64,380 64,417 97,400
Expense per Outage $ $1,500 $5,000 ? ? $500 $500 $0 0 0 $1,000 ? $1,500 ? 200 ? $100 – 2,500
Interest in CHP Yes No No No No No No No No Yes No Yes No No No No
Email dbrandon@adamshospital.com NA NA NA NA NA NA NA NA mboer@pmhnet.com NA kapeters@luteran-hosp.com NA NA NA NA
* Hospitals demand estimated to be identical to emergency generating capacity. ** Elkhart General Hospital operates a 745 kW CHP System for Peak Shaving Operation during the spring, summer, and fall months. .
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2.4 Networks, Organizations, Firms, and Contacts in Indiana CHP Hospital Sector 2.4.1 Indiana Healthcare Network Systems
Many hospitals are owned and/or managed or are members of a larger hospital system or network. These systems normally have affiliated members in certain regions of the state and/or are also members of a religious organization. The hospital systems vary in their levels of communication and contact with their members. Contacting these hospital network systems can be beneficial when launching a CHP Targeted Education Program in the hospital sector to: • Promote CHP Targeted Education Program • Coordinate meeting/conference for its hospital members • Provide use of one of their facilities for a workshop Many hospital systems have newsletters and/or emails that are distributed on a periodic basis that can provide the opportunity to promote a targeted education program. Depending on the type of network system, an individual hospital may need approval from the network system’s headquarters when looking into large purchases. When targeting the hospital sector, convincing the network system directly or even one hospital in the network system of the benefits of CHP can provide a positive impact in implementing CHP in the remaining system’s hospitals. Table 5 identifies the major hospital network systems in the State of Indiana, their website, city, and the number of hospital members in the system.
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Table 5: Hospital Systems Located within Indiana
System Name Health South www.healthsouth.com Number of Members 3 Hospitals Hospitals Healthsouth Rehab Hospital Healthsouth Rehab Hospital Healthsouth Tri-State Rehab Orthopaedic Hospital at Parkview North Parkview Hospital Parkview Huntington Hospital Parkview Noble Hospital Parkview North Hospital Parkview Whitley Hospital Saint Joseph Medical Center Saint Joseph Medical Center Saint Joseph Community Hospital St. Elizabeth Ann Seton Hospital St. Mary’s Medical Center St. Mary’s Warrick St. Vincent Carmel Hospital St. Vincent Children’s Hospital St. Vincent’s Clay Hospital St. Vincent Frankfort Hospital St. Vincent Jennings Hospital St. Vincent Mercy Hospital St. Vincent Pediatric Rehabilitation Center St. Vincent Randloph Hospital St. Elizabeth Ann Seton Hospital St. Vincent Helath St. Joseph Hospital St. Vincent Williamsport Hospital St. Vincent Women’s Hospital Kindred Hospital Kindred Hospital Kindred Hospital City Kokomo Terre Haute Evansville Fort Wayne Fort Wayne Huntington Kendallville Fort Wayne Columbia City South Bend Plymouth Mishawaka Evansville Evansville Boonville Carmel Indianpolis Brazil Frankfort North Vernon Elmwood Indianpolis Winchester Carmel Kokomo Williamsport Indianapolis Greenwood Indianpolis La Grange
1
2
Parkview Health www.parkview.com
6 Hospitals
3
Saint Joseph Regional Medical Center www.sjmed.com St. Mary’s health System www.stmarys.org
3 Hospitals
4
3 Hospitals
5
St. Vincent Health www.stvincent.org
12 Hospitals
6
Kindred Healthcare www.vencor.com
3 Hospitals
NOTE: This list represents only those hospital systems that the Midwest CHP Application was able to identify at the time of the report. Other hospital systems may exist in Indiana; they will be added to the database and will be available over the website in the future as they are identified.
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2.4.2 Organizations Serving Indiana Healthcare
Indiana, as most states, has numerous organizations that serve and provide assistance to the state’s health facilities, professionals, and patients. Table 6 lists 9 major health organizations located in Indiana that serve the state’s hospitals and healthcare industry. These organizations, due to their already close relationship and affiliation with the state’s hospitals provide the potential benefit for a targeted education program towards the state’s healthcare market. The following organizations would best provide assistance to the engineering and technical aspects of providing assistance in implementing a CHP Targeted Education Program to the Indiana Hospitals. • American Society for Healthcare Engineering (ASHE) • Indiana Society for Healthcare Engineering, Inc. (ISHE) • Indiana Hospital and Health Association (IHHA) The following organizations may provide assistance when contacting the financial contacts of Indiana hospitals: • Healthcare Financial Management Association (HFMA) • Indiana Pressler Memorial Chapter of HFMA The following organizations may provide assistance when contacting Indiana nursing homes or assisted living communities: • Indiana Health Care Association (IHCA) The contact and membership information and scope of work for the hospital organizations of Indiana is provided in Table 5.
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Table 6: Organizations Serving Indina Healthcare
Organization Website Address Possible CHP Involvement? Membership Contact Information Dale Woodin Deputy Executive Director (312) 422-3812 e-mail: dwoodin@aha.org Marc Hyde (President) Clinical Engineer St. Francis Hospital & Hlth Ctrs 1600 Albany Street Beach Grove, IN 46107 telephone: (317) 783-8257 fax: (317) 783-8415 marc.hyde@ssfhs.org Tim Adams Clinical Engineer telephone: (812) 353-9347 fax: (812) 353-5449 tadams@bloomhealth.org Cathleen A. Armold Director of Member Services 317/423-7744 carmold@inhha.org Bonnie Burkhardt Director of Education & Events Phone: (317) 636-6406 Fax: (317) 638-3749 bburkhardt@ihca.org Janene Dawson Executive Director (913) 492 – 4307 acha-info@goAMP.com Notes
1
The American Society for Healthcare Engineering (ASHE)
http://www.ashe.org/ashe/ index.jsp
One North Franklin 28th Floor Chicago, IL 60606
Yes
Healthcare Engineers Nationwide Includes professionals in the India healthcare field: - Plant Operations - Plant Engineering - Safety Management - Clinical Engineering - Related Hospital Fields and Suppliers
ASHE is the advocate and resource for continuous improvement in the healthcare engineering and facilities management professions. ISHE, a local of ASHE chapter, is a resource for hospitals and suppliers. ISHE formed in order to develop solutions to common problems. Through dialog and their newsletter, the IHSE offers the following to their members: Professional Development, Access to National Trends, Codes & Standards Updates, Scholarships and Facility Management Solutions.
2
Indiana Society for Healthcare Engineering, Inc. (ISHE)
www.isheweb.org
Indiana Society for Healthcare Engineering P.O. Box 40727 Indianapolis, IN 46240-0727
Yes
3
Advocacy Liaison to ISHE
http://www.ashe.org/ashe/ aboutus/chapter/index.ht ml
Bloomington Hospital & Healthcare System 601 West Second Street Bloomington, IN 47402 1 American Square Suite 1900 Indianapolis, IN 46282
Yes
NA
Advocacy Liason to the Local ASHE Chapter ISHE
4
Indiana Hospital & Health Association (IHHA)
www.inhha.org
Yes
157 Hospitals and Health Systems 100+ Associate Members and/or companies that provide valuable products and services to long-term care providers 4 Certified Architects in Indiana (See Table 11)
The IHHA is a professional trade association that provides leadership, representation, and services to its members as they promote the improvement of community health status. The primary functions of the association are advocacy, data management, communication, and education. IHCA is the state's largest trade organization and advocate representing proprietary, not-for-profit and hospital-based nursing home and assisted living communities. Information, education and advocacy resource to health care providers, consumers and lawmakers. ACHA provides Board Certification for Architects who practice as healthcare specialists. Founded in 1999, their members represent planning and design expertise throughout the United States and Canada. HFMA is the nation’s leading personal membership organization for healthcare financial management professionals. HFMA offers national conferences and courses, local seminars, chapter meetings, on-line learning and onsite education, books and more. Please refer to #8 for the Indiana HFMA Chapter. The Chapter is a leading professional resource for individuals and organizations seeking excellence in serving the management needs of the Health Care Industry. The Mission of the Chapter is to provide quality resources that promote professional and personal growth and enhance management of the Health Care Industry. Deals with Regulatory Issues. Would not be involved in promoting and/or endorsing equipment.
5
Indiana Health Care Association (IHCA)
www.ihca.org
One North Capitol Suite 1115 Indianapolis, IN 46204
Yes
6
American College of Healthcare Architects (ACHA)
www.healtharchitects.org
8310 Nieman Road P.O. Box 14548 Lenexa, KS 66285
Yes
7
Healthcare Financial Management Association (HFMA)
www.hfma.org
2 Westbrook Corporate Center Suite 700 Westchester, IL 60154-5700
Yes
33,000 financial management professionals nationwide
(708) 531-9600
8
Indiana Pressler Memorial Chapter of the HFMA
http://www.hfmaindiana.org/
(See Contact Info in Table 6)
Yes
Indiana financial management professionals
(See Contact Info in Table 6)
9
Indiana State Department of Health
www.in.gov/isdh/
2 North Meridian Street, Indianapolis, IN 46204
No
Hospitals Statewide
(317) 233-1325
NOTE: This list represents only those organizations that the Midwest CHP Application was able to identify at the time of the report. Other organizations may exist that exist in Indiana; they will be added to the database and will be available over the website in the future as they are identified.
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2.4.3 Associations and Organizations affiliated with CHP Deployment in Indiana Federal, State, and regional governmental entities are becoming interested in CHP technologies because of the energy savings, reliability and reduced emissions it provides. This interest provides opportunities to make CHP applications an important part of the electric generation prospective. While the Federal government, through the Department of Energy, Office of Power Technologies, has provided substantial support, the most effective deployment of CHP technology and applications will come from regional and local activities. Many non-profit organizations and associations within the Midwest are supporting the deployment of CHP, while the Midwest appears to be leading the way in promoting and implementing CHP. Table 7 lists the federal governmental associations and organization that are associated with the deployment of CHP technologies and systems; Table 8 lists the Indiana/Regional associations and organizations.
Table 7: Federal Governmental Associations/Organizations associated with CHP Deployment Agency
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 DOE Combined Heat and Power (BCHP) Initiative DOE Distributed Energy Resources (DER) Taskforce DOE Distributed Power (DP) Program DOE Energy Efficiency and Renewable Energy Network (EREN) DOE Energy Information Administration DOE Industries of the Future (IOF) DOE Inventions & Innovation Program (I&I) DOE Office of Energy Efficiency and Renewable Energy (EERE) DOE Office of Industrial Technologies DOE Office of Power Technologies (OPT) EPA Climate Protection Division (CPD) EPA Office of Air & Radiation EPA Office of Air Quality Planning and Standards EPA-DOE Energy Star Program Federal Energy Management Program (FEMP) Federal Laboratory Consortium for Technology Transfer Manufacturing Extension Partnership (MEP) US Department of Energy (DOE) US Department of Housing & Urban Development (HUD) US Environmental Protection Agency (EPA)
Website/Contact Information
http://www.eren.doe.gov/der/BCHP/ http://www.eren.doe.gov/der/ http://www.eren.doe.gov/distributedpower/ http://www.eren.doe.gov/ http://www.eia.doe.gov/ http://www.oit.doe.gov/industries.shtml http://www.oit.doe.gov/inventions/ http://www.eren.doe.gov/ee.html http://www.oit.doe.gov/ http://www.eren.doe.gov/power/ http://www.epa.gov/cpd.html http://www.epa.gov/oar/ http://www.epa.gov/oar/oaqps/ http://www.energystar.gov http://www.eren.doe.gov/femp/ http://www.fedlabs.org http://www.mep.nist.gov/ http://www.energy.gov http://www.hud.gov/ http://www.epa.gov
NOTE: This list represents only those organizations that Midwest CHP Application Center was able to identify at the time of the report. Other organizations may exist that promote CHP; they will be added to the database and will be available over the website in the future as they are identified.
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Table 8: Indiana/Regional Associations/Organizations Associated with CHP Deployment in Indiana
Organization 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. American Institute of Architects BOMA Building Owners and Managers Association Center for Neighborhood Technology Delta Institute Energy Resources Center – University of Illinois at Chicago Environmental Law and Policy Center Gas Technology Institute Great Lakes Renewable Energy Association Interstate Renewable Energy Council (IREC) Indiana Utility Regulatory Commision Indiana Department of Commerce Midwest CHP for Buildings Application Center Midwest Cogeneration Association Midwest Energy Efficiency Alliance (MEEA) Website http://www.aia.org http://www.boma.org http://www.cnt.org http://www.delta-institute.org http://www.erc.uic.edu http://www.elpc.org http://www.gastechnology.org http://glrea.org http://www.eren.doe.gov/cro http://www.in.gov/iurc/ http://www.in.gov/doc/ http://www.chpcentermw.org http://www.cogeneration.org http://www.elpc.org/energy/index.htm
NOTE: This list represents only those organizations that Midwest CHP Application Center was able to identify at the time of the report. Other organizations may exist that promote CHP; they will be added to the database and will be available over the website in the future as they are identified.
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2.4.5 Architect and Engineering Firms in the Healthcare Industry
Architects and Engineering Firms take an active role in the Combined Heat and Power decision and installation process at healthcare facilities. Table 9 identifies the Indiana members of the American College of Architects. The ISHE members identified on the ISHE website are listed in Appendix C.
Table 9: Indiana Members of American College of Healthcare Architects
Name 1 Robert Estopinal,AIA, ACHA Company The Estopinal Group Phone/Fax/Email P: (812) 282-3700 Address 903 Spring Street Jeffersonville, IN 47130 States Registered IL, LA, FL, KY, TX, OH, AR, AL, GA, TN, AZ, MO Areas of Expertise NA
2
William Ledger,AIA, ACHA
Vintage Archonics, Inc.
P: (260) 489-3543 F: (260) 489-1293 wledger@vintagearchonics.com
8205 Lima Road Fort Wayne, IN 46818
IN, NY
Community Hospitals, Large Tertiary Medical Centers, Cancer Hospitals, Imaging Centers, Cancer Centers, Medical Office Buildings, Group Practice Clinics, Campus Master Planning, Space Programming, Medical Equipment Planning, Theraputic Design/Healing Environments, Construction Documents, Construction Management, Post Occupancy Evaluations
3
Ronald Menze,AIA, ACHA
Morrison Kattman Menze, Inc.
P: (260) 422-0783 F: (260) 426-4561 rmenze@MKMdesign.com
119 West Wayne Street Fort Wayne, IN 46802
IN, OH
Community Hospitals, Large Tertiary Medical Centers, Children's Hospitals, Women's Hospitals, Cancer Hospitals, Ambulatory Surgical Centers, Imaging Centers, Cancer Centers, Eye Centers, Urgent Care Centers, Skilled Nursing Facilities, Assisted Living Centers, Senior Housing, Psychiatric Hospitals, Medical Office Buildings, Group Practice Clinics, Campus Master Planning, Space Programming, Medical Equipment Planning, Theraputic Design/Healing Environments, Construction Documents, Construction Management, Post Occupancy Evaluations
4
Gary Vance,AIA, ACHA
BSA Lifestructures
P: (317) 819-7878 F: (317) 819-7288 gvance@bsalifestructures.com
9365 Counselors Row Indianapolis, IN 46240
IN,KY,NY,NC
Community Hospitals, Large Tertiary Medical Centers, Academic Teaching Hospitals, Children's Hospitals, Women's Hospitals, Heart Hospitals, Cancer Hospitals, Rehabilitation Hospitals, Ambulatory Surgical Centers, Imaging Centers, Cancer Centers, Urgent Care Centers, Skilled Nursing Facilities, Assisted Living Centers, Psychiatric Hospitals, Residential Treatment Facilities, Medical Office Buildings, Group Practice Clinics, Wellness Centers, Campus Master Planning, Space Programming, Theraputic Design/Healing Environments, Post Occupancy Evaluations
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2.5
Indiana Utilities and CHP
Local electric energy suppliers are also important entities to promoting CHP. Combined Heat and Power systems are often interconnected to the grid to provide supplemental power to cover the facilities electric load if and when it exceeds the installed capacity of the CHP system and as backup power during CHP system repairs, maintenance, or failure. Therefore communication and approval to interconnect with the local electric energy supplier is critical. The contact information for DG/CHP interconnection applications and their respective service area are listed in Table 10. These contacts should be included in the initial steps when developing a CHP project in their service area. Also, there are often specific rates and tariffs that apply to facilities utilizing DG/CHP, such as stand-by rates. These rates vary widely and can often adversely affect the cost savings associated with the CHP system. Web links to the utility tariffs are listed in Table 11. Tables 12 -16 show general electric rates for Indiana electric providers. Table 10: Indiana Electric Energy Supply and Service Companies
Energy Supply and Service Co. Physical Address 1000 East Main Street Plainfield, Indiana 46168 1 Riverside Plaza Columbus, OH 43215-2372 801 E. 86th Ave. Merrillville, IN 46410 One Monument Circle, Indianapolis, IN 46204 20 N.W. Fourth St. Evansville, IN 47708 Mailing Address 1000 East Main Street Plainfield, Indiana 46168 1 Riverside Plaza Columbus, OH 43215-2372 801 E. 86th Ave. Merrillville, IN 46410 P. O. Box 1595 Indianapolis, IN 46206-1595 P.O. Box 209 Evansville, IN 47702-0209 Website Contact (317) 839-9611 (800) 521-2232 (614) 716-1000 Fax: (614) 716-1823 (800) 464-7726
1
Cinergy PSI Energy, Inc. Indiana Michigan Power Co. (subsidiary of AEP) Northern Indiana Public Service Co. Indianapolis Power & Light Co. (subsidiary of AES) Southern Indiana Gas & Electric Co. (subsidiary of Vectren)
www.cinergypsi.com
2
www.indianamichiganpower.com
3
www.nipsco.nisource.com
4
www.ipalco.com
(317) 261-8261 (812) 491-4000 (800) 227-1376
5
www.vectrenenergy.com
Table 11: Utility Company Tariffs – Internet Links to Electric Utility’s Tariffs and Rate Schedules
Company 1 2 3 4 5 Cinergy PSI Energy, Inc. Indiana Michigan Power Company Northern Indiana Public Service Co. Indianapolis Power & Light Co. Southern Indiana Gas & Electric Co. Link http://www.cinergypsi.com/Business_Services/tariffs/PSI_Energy_Tariff.asp http://www.aepcustomer.com/tariffs/Indiana/pdf/I&MINTB10-04-04.pdf http://www.nipsco.nisource.com/rates/index.asp http://www.ipalco.com/ABOUTIPALCO/tariffs.html https://www.vectrenenergy.com/web/eenablement/frameset.jsp?contentPage=/cms/assets/pdfs/south_services_electric_tariff.pdf
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Table 12: Electric Energy Rates – Cinergy PSI Energy, Inc. Optional TOU Service Low Load Factor Service Primary Energy Summer Winter Fall/Spring $95.00 $95.00 $95.00
Standard Contract Rider 10.2 Monthly Customer Charge Demand Charge Energy Delivery Charge (per kW) Generation Demand Charge (per kW) Total Demand (per kW) kVAr Charge (per kVAr) Energy Charge On Peak (per kWh) Off Peak (per kWh)
$4.03 $6.97 $11.00 $0.24
$4.03 $3.70 $7.73 $0.24
$4.03 $1.64 $5.67 $0.24
$.033856 $0.021727
$0.028119 $0.021727 7AM – 1PM 6PM – 9PM All Other Hours Dec - Feb $3.32
$0.021727 $0.021727
On Peak Hours Off Peak Hours Months Standby Charge (per kW)
12PM – 8PM All Other Hours Jun – Sep $3.32
NA All Hours Mar – May Oct - Nov $3.32
Table 13: Electric Energy Rates – Indiana Michigan Power Company
Tariff L.G.S. (Large General Service) – Primary Voltage Monthly Service Charge Demand Charge (per kVA) On Peak Energy Charge (per kWh) Off Peak Energy Charge (per kWh) On Peak Hours General $165.15 $8.493 $0.02930 NA NA Time-of-Day* $16.40 NA $0.07676 $0.01905 7AM – 9PM Wkdys
* Available to customers who use energy-storage devices with time-differentiated load characteristics approved by the Company, such as electric thermal storage space-heating and/or cooling systems and water heaters which consume electrical energy only during off-peak hours specified by the Company and store energy for use during on-peak hours.
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Table 14: Electric Energy Rates - Northern Indiana Public Service Company NIPSCO Rate 824 Demand Payment First 50 kW or less Next 1,950 kW (per kW) All kW over 2,000 kW (per kW) Energy Payment First 30,000 kWh (per kWh) Next 70,000 kWh (per kWh) Next 900,000 kWh (per kWh) All kWh over 1,000,000 kWh (per kWh) Standby Charge (per kW) General Service – Large Use $822.84 $9.87 $9.35
$0.06295 $0.05528 $0.05173 $0.04811 $3.68
Table 15: Electric Energy Rates - Indianapolis Power and Light Company Rate SL (Large) Customer Charge Demand Charge First 500 kW (per kW) Over 500 kW (per kW) Secondary $103.33
$10.55 $10.18
Energy Charge (per kWh) $0.0268 * Billing Demand shall not be less than 60% of the highest billing demand that has been established in any of the immediately preceding eleven (11) months, and in no case upon less than fifty (50) kilowatts. Table 16: Electric Energy Rates - Southern Indiana Gas and Electric Co. Rate GS Service Charge All Billing Demand in excess of 10 kW (per kW)* First 1,000 kWh (per kWh) Next 1,000 kWh (per kWh) Next 13,000 kWh (per kWh) All additional kWh (per kWh) Rate LP Capacity Charge (per kVA) Energy Charge (per kWh) Standby Backup Power Firm Backup Capacity Charge** General Service $7.00 $1.30
$0.09438 $0.06426 $0.03438 $0.02892
Large Power Service $7.30 $0.02704
$2.50 plus 120% of the capacity component in the current Rate “CSP”, per kva of Rated Capacity. Non-Firm Backup Capacity Charge $2.50 per kva of Rated Capacity, plus $2.35 per kva of Billing Demand. * The monthly charge for the first 10 kW of billing demand is included in the Energy Charge. ** The Capacity Component equals the total kWh purchased from the utility divided by the product of the capacity contracted for and the number of hours in the peak period.
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2.6.1 Combined Heat and Power Analysis
Combined Heat and Power is not feasible at every facility nor with every utility’s tariffs and rate structures; but where CHP is feasible, it provides many benefits including energy and cost savings, power reliability, on-site energy control and plus others as previously described in Section 1. To determine the feasibility of a CHP project at any facility, a detailed analysis should be performed of the CHP installation to determine the economics including installed costs, savings, and payback for the system. An analysis for the service areas of the Northern Indiana Public Service Company (NIPSCO) and PSI Energyg were completed to investigate CHP feasibility in the healthcare market sector. The completed study includes operating costs, annual savings, installed costs and simple paybacks within the two service areas. For the analysis purpose, a “hypothetical” hospital was modeled at a size of 500,400 square foot with a maximum electric demand near 2,400 kW. The analysis took into consideration the specific climate associated with the location, the price of natural gas at $5.0 per MMBtu, and assumed the CHP systems would operate in parallel with the utility and operate according to the utility’s rate schedule to achieve the best economics. Note: Additional surcharges, fees, credits, taxes, and other riders were not applied to the economic calculations of CHP feasibility. The analysis incorporated a single reciprocating engine as the prime mover with three different options for heat recovery (differences highlighted in italics): • DG (Distributed Generation) – generating electricity on-site only • CHP (Combined Heat and Power) – generating electricity and recovering waste heat for space heating and domestic hot water applications • BCHP (Building, Cooling, Heating and Power) – generating electricity and recovering waste heat for absorption cooling, space heating, and domestic hot water The software utilized to analyze the feasibility of the CHP projects is Building Energy Analyzer (BEA), a software tool designed by Guard Analytic and the Gas Technology Institute. The software incorporates DOE2 data for standard commercial buildings enabling the user to manipulate the type of equipment utilized in the building for heating, cooling and electric generation. The economics are then performed using the specified electric and natural gas prices for the specified service areas.
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2.6.2 Combined Heat and Power - Summary of Results
In summary, the current electric rate structure and tariffs of NIPSCO are more favorable towards CHP applications than those of PSI Energy. The hypothetical hospital in the PSI Energy service territory would experience paybacks over 20 years with no added incentives, rebates, and/or grants applied to the economics. A “hypothetical” hospital operating within the NIPSCO service territory operating a 1,000 kW CHP system operating 24/7 (heat recovery for heating only) would experience a simple payback of 8.5 years. Note: Section 2.6.3 shows the impact of soft factors on the simple payback for the hypothetical hospital operating within the NIPSCO service area, reducing the payback from 8.5 years to 3.6 years. Table 17 shows the installed costs, annual energy savings and simple payback associated with operating a 1,000 kW CHP system in the NIPSCO service territory.
Table 17: CHP Results in the Northern Indiana Public Service Company service area Installed First Cost Annual Energy Savings Simple Payback (years) DG $938,694 NA NA CHP $1,019,797 $119,471 8.5 BCHP $1,226,904 $83,505 14.7
When determining the feasibility of a CHP project, the decision maker needs to take special consideration of many factors when deciding to move forward with a CHP installation or not. Many of these factors, often referred to as “Soft Factors,” are difficult to quantify and can not easily incorporated into the basic energy savings that a CHP system would provide to a facility, but they can provide additional savings that greatly impact the economics of a CHP system. Some of these “Soft Factors” include: • Price variation of natural gas, • Avoiding momentary power interruptions and the associated expenses, • Decreasing on-site emergency only generating capacity, • Negotiation of electric utility “standby” charges, • Power reliability and on-site power control, and • Environmental benefits.
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2.6.3 Soft Factors Incorporated into the CHP Calculations
The following segments provide examples of possible ways to quantify the “soft benefits” of the hypothetical hospital in the NIPSCO service territory - first taken into account on an individual basis and then combined for an overall impact on the CHP economics. When taking all of the “soft factors” into account the annual energy savings for the 1,000 kW CHP system increases from $119,474 to $187,459 and the simple payback improves from 8.5 years to 3.6 years. Incorporating these factors can have a great impact on the CHP economics. The last two factors described in the previous section - power reliability/on-sit power control and environmentalbenefits - do not readily lend themselves to monetary quantification; however they should also be considered when some knowledge of their value is available. Price Variation of Natural Gas The price of natural gas is a critical factor when determining the feasibility of a CHP project; the lower the price of gas, the more attractive a CHP project becomes. If the price of nautral gas incorporated in the study could be contracted at $4.5 /MMBtu, down from $5.0 /MMBtu, the hypothetical hospital in the NIPSCO service area would realize an additional annual savings of $30,906. Therefore, with the modified price of natural gas, the hospital would realize a modified simple payback of 6.8 years and annual savings of $150,379. Avoiding Momentary Power Interruptions Depending upon the reliability of the utility’s local area transmission and distribution system, a facility may experience momentary power interruption any where from zero to over twenty in a single year. The incurred expenses resulting from these interruptions can vary from zero to over $5,000 per interruption as reported in Section 2.3. The estimates provided in Section 2.3 in all probability include costs associated ONLY with replacing of equipment, and not the more difficult-to-define inconvenience factors. The inconvenience factors associated with momentary power interruptions are not so easily quantified when the factors applicable to a hospital include restarting and rescheduling of test procedures, addressing the subsequent backlog of patients, and the dissatisfaction of both patients and staff. CHP provides a more reliable source of power to a facility than the utility alone can provide. Incorporating the avoidance of these interruptions with CHP, assuming that without a CHP system there would have been 7.5 interruptions per year, at a cost of $2,000 per outage at a facility, the annual savings to a facility from the CHP system would be $15,000. Including the savings from these avoided interruptions, the hypothetical hospital within NIPSCO’s service area could experience annual savings of $134,473 and an improved simple payback of 7.6 years. Increasing On-Site Emergency Generating Capacity Hospitals are only required to provide emergency electric power to its critical and life safety loads; loads that require an emergency electric supply within 10 seconds. Today, many hospitals are opting to provide emergency power generation for the entire facility in case the hospital loses electric power from the grid; allowing the hospital to remain at Midwest CHP Application Center Indiana Hospital Market Sector Report 31
full operation for the duration of the grid outage. If a hospital is opting to install additional emergency generation capacity to supply electricity to electric loads that are not critical and life safety loads, the feasibility of a CHP project becomes more favorable. In this case, subtracting the installed costs of the additional emergency generators (that would be spent regardless) from the installed cost of the CHP project provides a lower net installed cost for the CHP system, which results in a quicker payback of the CHP system. Not only would the CHP system supply the back-up power for the non-critical and non-life safety loads, the CHP system would also a provide payback to the purchased system, where the emergency generators are considered insurance measures. At an installed cost typically around $350/kW, a 1,000 kW emergency diesel generator would therefore cost $350,000. Subtracting this cost from the installed CHP cost of $1,019,797 the cost of the 1,000 kW CHP system could be justified at $669,797. Still experiencing annual savings of $119,473 and incorporating the cost of the emergency diesel generator, the simple payback would result in 5.6 years. Negotiation of Standby Charges Depending on the local utility, a facility may negotiate with the utility the standby capacity that is charged to the customer by the utility. Reasons for negotiating the standby charges include a facility installing multiple generators to provide backup to another generator and/or not requiring standby capacity for all electric loads and covering only a portion of the electric loads. If the hospital can convince the utility that the hospital only requires half the standby capacity, this would reduce the annual standby charges from $44,160 to $22,080. The resulting annual savings would therefore be $141,553 and a simple payback of 7.2 years. Incorporating Soft Benefits For those factors that could be quantified and calculated, the 1,000 kW CHP system operating in a hypothetical hospital within the NIPSCO service area would result in overall annual savings of $187,459 and a simple payback of 3.6 years. Summary of calculations include: Installed Cost of 500 kW CHP System Displaced Back-Up Generator Adjusted Installed Cost Previous Annual Savings Price Variation of Natural Gas ($5.0/MMBtu reduced to $4.5/MMBtu) Avoiding Momentary Power Interruptions (7.5 Interruptions x $2,000 = $15,000) Negotiation of Standby Charges (Standby Capacity Reduced 50%) Total Adjusted Savings $1,019,797 ($350,000) $669,797 $119,473 $30,906 $15,000 $22,080 . $187,459
Adjusted Installed Cost Total Adjusted Savings Adjusted Simple Payback Midwest CHP Application Center
$669,797 $187,459 3.6 Years Indiana Hospital Market Sector Report 32
3. Recommended Material for Targeted Education CHP Hospital Program Workshop 3.1 Draft Agenda
The following sections (3.2 – 3.5) include presentation material for a Targeted Education CHP Hospital Program for The State of Indiana. • Module #1 - The Concept The concept of Combined Heat and Power is introduced in addition with its capabilities, advantages and current technologies. Module #2 - The Business Case The CHP business case is explained for the hospital sector. Sample hospital loads are used as examples and analyzed. Module #3 - Case Studies Case studies are presented of installed CHP applications in hospitals of Indiana (Project Profiles located in Appendix F of Indiana hospitals and Appendix G of other mdiwest hospitals). Site representatives from the hospitals form a Panel Discussion for audience participation and questions. Site Representatives should include a group consisting of the following: o Hospital executive o Hospital facility manager o A&E firm o Energy supplier o Finance company The site representatives should form a panel that can answer the spectrum of questions involved when inquiring about planning, financing, designing, owning, operating and installing a CHP system in a hospital. • Module #4 - Next Steps and Incentive to Conduct Evaluation Programs and incentives towards implementing CHP in the hospitals of Indiana are presented. Examples of next steps and incentives: o Incentives towards CHP Feasibility Studies o Incentives towards CHP installations o Funding opportunities o Technical and financial assistance o Financial Fair hosted at workshop for Facility Managers and CFOs to discuss creative financing opportunities with CHP Finance Companies.
•
•
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3.1
CHP – The Concept
Presentation located in Appendix E.
3.2
CHP – The Business Case
Presentation located in Appendix F.
3.3
CHP – The Application
CHP Project Profiles of hospitals located in Appendix G and Appendix H
3.4
CHP Reference Guide
A CHP Reference Guide has been created to assist those organizations that would like to be involved in the Initial Screening Process of CHP in the Indiana Hospital Market Sector. The CHP Reference Guide is located in Appendix I.
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3.5
Communication Materials
Additional communication materials will be available to market CHP in the hospital sector. On Wednesday, September 24, 2003, the rollout of the National CHP Branding Campaign was presented at the National CHP Roadmap Workshop. The presentation on the Branding Campaign can be viewed at the U.S. Combined Heat and Power Association’s website: http://www.nemw.org/uschpa/Rdmap03Scheibel.pdf Communication Material can be found in Appendix J.
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Appendix A
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Number of Staffed Beds and Type of Hospital Organization
The following table lists the hospitals located in Indiana, the city, the number of staffed beds and the type of organization. The information below was gathered from the American Hospital Directory, Inc. website www.ahd.com. The American Hospital Directory provides online data for over 6,000 hospitals in the United States. The database of information is built from Medicare claims data, cost reports, and other public use files obtained from the federal Centers for Medicare and Medicaid Services (CMS). The data also includes AHA Annual Survey Data from the American Hospital Association and contact information from SK&A Information Services. Definitions of the Type of Government, Nonfederal Organizations in the table are: State = Controlled by an agency of state government. County = Controlled by an agency of county government. City = Controlled by an agency of municipal government. City-County = Controlled jointly by agencies of municipal and county governments.
Number of Staffed Beds and Type of Organization
NO. OF BEDS 87 415 60 76 60 25 25 811 96 30 1379 241 249 787 292 24 75 339 60 87 71 47 75 112 337
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
HOSPITAL NAME Adams County Memorial Hospital Ball Memorial Hospital Bedford Regional Medical Center Behavioral Healthcare of Indiana Behavioral Healthcare-Columbus Blackford County Hospital Bloomington Hosp of Orange Bloomington Hospital Bluffton Regional Medical Center Cameron Memorial Comm Hospital Clarian Health Partners Clark Memorial Hospital Columbus Regional Hospital Comm Hospitals Indianapolis Community Hospital Community Hospital of Bremen Daviess Community Hospital Deaconess Hospital Deaconess St Joseph's Hospital Dearborn County Hospital Decatur County Mem Hospital DeKalb Memorial Hospital Dukes Memorial Hospital Dunn Memorial Hospital Elkhart General Hospital
CITY Decatur Muncie Bedford Plymouth Columbus Hartford City Paoli Bloomington Bluffton Angola Indianapolis Jeffersonville Columbus Indianapolis Munster Bremen Washington Evansville Huntingburg Lawrenceburg Greensburg Auburn Peru Bedford Elkhart
TYPE OF ORGANIZATION GOVT NONFED COUNTY NONGOVT NONPROFIT OTHER NONGOVT NONPROFIT OTHER FORPROFIT CORPORATION FORPROFIT CORPORATION GOVT NONFED COUNTY NONGOVT NONPROFIT OTHER NONGOVT NONPROFIT OTHER FORPROFIT CORPORATION NONGOVT NONPROFIT OTHER NONGOVT NONPROFIT OTHER GOVT NONFED COUNTY GOVT NONFED COUNTY NONGOVT NONPROFIT OTHER NONGOVT NONPROFIT OTHER NONGOVT NONPROFIT OTHER GOVT NONFED COUNTY NONGOVT NONPROFIT OTHER NONGOVT NONPROFIT OTHER GOVT NONFED COUNTY GOVT NONFED COUNTY NONGOVT NONPROFIT OTHER GOVT NONFED CITY-COUNTY GOVT NONFED COUNTY NONGOVT NONPROFIT OTHER
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26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74
Evansville Psych Children Center Evansville State Hospital Fairbanks Fayette Memorial Hospital Floyd Mem Hosp & Health Servs Gibson General Hospital Good Samaritan Hospital Goshen General Hospital Greater Lafayette Health Serv Greene County General Hospital Hamilton Center Hancock Memorial Hospital Harrison County Hospital Healthsouth Rehab Hospital Healthsouth Rehab Hospital HEALTHSOUTH Tri-State Rehab Hendricks Comm Hospital Henry County Memorial Hospital Howard Community Hospital Illiana Surgery & Medical Center Jasper County Hospital Jay County Hospital Johnson Memorial Hospital Kindred Hospital Indianapolis Kindred Hospital-Indianapolis Kindred Hospital-LaGrange King's Daughters' Hospital Kosciusko Community Hospital La Porte Regional Health Syst Larue D Carter Mem Hospital Logansport State Hospital Lutheran Hospital of Indiana Madison State Hospital Major Hospital Margaret Mary Comm Hospital Marion General Hospital Med Center of Southern Indiana Mem Hosp and Health Care Center Mem Hospital of South Bend Memorial Hospital Memorial Hospital Methodist Hospitals Morgan Hospital & Medical Center Oaklawn Psychiatric Center Parkview Hospital Parkview Huntington Hospital Parkview Noble Hospital Parkview Whitley Hospital Perry County Memorial Hospital
Evansville Evansville Indianapolis Connersville New Albany Princeton Vincennes Goshen Lafayette Linton Terre Haute Greenfield Corydon Kokomo Terre Haute Evansville Danville New Castle Kokomo Munster Rensselaer Portland Franklin Greenwood Indianapolis Lagrange Madison Warsaw La Porte Indianapolis Logansport Fort Wayne Madison Shelbyville Batesville Marion Charlestown Jasper South Bend Logansport Seymour Gary Martinsville Goshen Fort Wayne Huntington Kendallville Columbia City Tell City
GOVT NONFED STATE GOVT NONFED STATE NONGOVT NONPROFIT OTHER NONGOVT NONPROFIT OTHER GOVT NONFED COUNTY NONGOVT NONPROFIT OTHER GOVT NONFED COUNTY NONGOVT NONPROFIT OTHER NONGOVT NONPROFIT OTHER GOVT NONFED COUNTY NONGOVT NONPROFIT OTHER GOVT NONFED COUNTY GOVT NONFED COUNTY FORPROFIT CORPORATION FORPROFIT PARTNERSHIP FORPROFIT CORPORATION GOVT NONFED COUNTY GOVT NONFED COUNTY GOVT NONFED COUNTY FORPROFIT INDIVIDUAL GOVT NONFED COUNTY GOVT NONFED COUNTY GOVT NONFED COUNTY FORPROFIT CORPORATION FORPROFIT CORPORATION FORPROFIT CORPORATION NONGOVT NONPROFIT OTHER FORPROFIT CORPORATION NONGOVT NONPROFIT OTHER GOVT NONFED STATE GOVT NONFED STATE FORPROFIT CORPORATION GOVT NONFED STATE GOVT NONFED CITY-COUNTY NONGOVT NONPROFIT OTHER NONGOVT NONPROFIT OTHER NONGOVT NONPROFIT OTHER NONGOVT NONPROFIT CHURCH NONGOVT NONPROFIT OTHER GOVT NONFED COUNTY GOVT NONFED COUNTY NONGOVT NONPROFIT OTHER GOVT NONFED COUNTY NONGOVT NONPROFIT OTHER NONGOVT NONPROFIT OTHER NONGOVT NONPROFIT OTHER NONGOVT NONPROFIT OTHER NONGOVT NONPROFIT OTHER GOVT NONFED COUNTY
28 250 70 111 198 109 258 113 450 56 16 101 47 54 60 80 131 107 131 8 64 55 159 36 59 53 115 72 227 146 396 343 315 58 79 193 77 124 368 104 108 714 86 16 562 24 41 121 38
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75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123
Porter Memorial Hospital Pulaski Memorial Hospital Putnam County Hospital Rehab Hospital of Fort Wayne Rehabilitation Hospital Reid Hosp & Health Care Services Richard L Roudebush VA Med Center Richmond State Hospital Riverview Hospital Rush Memorial Hospital Saint Anthony Mem Health Center Saint John's Health System Saint Joseph Community Hosp Saint Joseph Reg Medical Center Saint Joseph's Reg Medical Center Saint Margaret Mercy Health Centers Scott Memorial Hospital Southern Indiana Rehab Hosp St Anthony Medical Center St Catherine Hospital St Clare Medical Center St Elizabeth Ann Seton Hosp St Francis Hosp & Health Centers St Francis Hosp-Mooresville St Joseph Hosp & Health Center St Joseph Hospital St Mary Medical Center St Mary's Warrick St Mary's Medical Center St Vincent Clay Hospital St Vincent Frankfort Hospital St Vincent Hosp & Health Center St Vincent Jennings Hospital St Vincent Mercy Hospital St Vincent Randolph Hospital St Vincent Williamsport Hosp Starke Memorial Hospital Sullivan County Community Hosp Terre Haute Regional Hospital Tipton County Mem Hospital Union Hospital VA Northern Indiana Health Care Valle Vista Health System Wabash County Hospital Wabash Valley Hospital Washington County Mem Hospital West Central Community Hosp Westview Hospital White County Memorial Hospital
Valparaiso Winamac Greencastle Fort Wayne Indianapolis Richmond Indianapolis Richmond Noblesville Rushville Michigan City Anderson Mishawaka South Bend Plymouth Hammond Scottsburg New Albany Crown Point East Chicago Crawfordsville Evansville Beech Grove Mooresville Kokomo Fort Wayne Hobart Boonville Evansville Brazil Frankfort Indianapolis North Vernon Elwood Winchester Williamsport Knox Sullivan Terre Haute Tipton Terre Haute Fort Wayne Greenwood Wabash West Lafayette Salem Clinton Indianapolis Monticello
GOVT NONFED COUNTY GOVT NONFED COUNTY GOVT NONFED COUNTY FORPROFIT PARTNERSHIP NONGOVT NONPROFIT OTHER NONGOVT NONPROFIT OTHER GOVT FED VETERANS AFFAIRS GOVT NONFED STATE GOVT NONFED COUNTY GOVT NONFED COUNTY NONGOVT NONPROFIT CHURCH NONGOVT NONPROFIT CHURCH NONGOVT NONPROFIT CHURCH NONGOVT NONPROFIT CHURCH NONGOVT NONPROFIT CHURCH NONGOVT NONPROFIT CHURCH GOVT NONFED COUNTY NONGOVT NONPROFIT OTHER NONGOVT NONPROFIT CHURCH NONGOVT NONPROFIT CHURCH NONGOVT NONPROFIT CHURCH NONGOVT NONPROFIT OTHER NONGOVT NONPROFIT CHURCH NONGOVT NONPROFIT CHURCH FORPROFIT CORPORATION NONGOVT NONPROFIT CHURCH NONGOVT NONPROFIT OTHER NONGOVT NONPROFIT CHURCH GOVT NONFED COUNTY NONGOVT NONPROFIT CHURCH NONGOVT NONPROFIT CHURCH NONGOVT NONPROFIT OTHER NONGOVT NONPROFIT OTHER NONGOVT NONPROFIT OTHER NONGOVT NONPROFIT OTHER GOVT NONFED COUNTY GOVT NONFED COUNTY FORPROFIT CORPORATION GOVT NONFED COUNTY NONGOVT NONPROFIT OTHER GOVT FED VETERANS AFFAIRS FORPROFIT CORPORATION GOVT NONFED COUNTY NONGOVT NONPROFIT OTHER GOVT NONFED COUNTY NONGOVT NONPROFIT OTHER NONGOVT NONPROFIT OTHER GOVT NONFED COUNTY
300 25 85 60 80 238 150 324 144 35 224 205 100 286 35 624 45 60 228 188 89 25 434 54 167 211 176 30 694 25 53 790 25 39 25 22 35 37 238 102 271 423 88 75 70 60 27 67 50
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124 125 126 127 128 129
Winona Memorial Hospital Wirth Regional Hospital Wishard Health Services Witham Memorial Hospital Women's Hospital-Indianapolis Woodlawn Hospital
Indianapolis Oakland City Indianapolis Lebanon Indianapolis Rochester
FORPROFIT CORPORATION NONGOVT NONPROFIT OTHER GOVT NONFED CITY-COUNTY GOVT NONFED COUNTY FORPROFIT CORPORATION GOVT NONFED COUNTY
128 10 492 49 102 34
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Appendix B
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Contact Information of Indiana Hospitals
Two individuals have been identified for each hospital in The State of Indiana 1.) Financial Decision Maker 2.) Technical Decision Maker
Contact Information in Indiana Hospitals
FINANCIAL DECISION MAKER HOSPITAL NAME ADDRESS 805 High Street DECATUR, IN 46733-2311 2401 University Avenue MUNCIE, IN 47303-3499 2900 West 16th Street BEDFORD, IN 47421-3583 1800 North Oak Road PLYMOUTH, IN 46563-3492 2223 Poshard Drive COLUMBUS, IN 47203-1844 503 East Van Cleve Street HARTFORD CITY, IN 47348-1897 642 West Hospital Road PAOLI, IN 47454-0499 601 West Second Street BLOOMINGTON, IN 47403-2317 303 South Main Street BLUFFTON, IN 46714-2529 416 East Maumee Street ANGOLA, IN 46703-2015 I-65 at 21st Street INDIANAPOLIS, IN 46202-5250 1220 Missouri Avenue JEFFERSONVILLE, IN 47130-3743 PHONE NAME TITLE NAME TECHNICAL DECISION MAKER TITE Enironmental Services Director Administrative Director of Engineering Chief Engineer Chief Engineer Director of Environmental Services Director of Environmental Services Maintenance Director CEO V.P. CEO Director of Facilities Director of Engineering and Environmental Services
1 2 3 4 5 6 7 8 9 10 11 12
Adams County Memorial Hospital Ball Memorial Hospital Bedford Regional Medical Ctr Behavioral Hlthcare of Indiana Behavioral Hlthcare-Columbus Blackford County Hospital Bloomington Hosp of Orange Bloomington Hospital Bluffton Regional Medical Ctr Cameron Mem Comm Hospital Clarian Health Partners Clark Memorial Hospital
(260) 724-2145 (765) 747-3111 (812) 275-1200 (574) 936-3784 (812) 376-1711 (765) 348-0300 (812) 723-2811 (812) 336-6821 (260) 824-3500 (260) 665-2141 (317) 962-2000 (812) 282-6631
William Seck Robert Gildersleeve Schetler Charles Brenda Baker Terry Cook Walter Soptelean Sue Brock Jim Myers Bement Doug Dave Cholger Marvin Pember Martin Padgett
CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO
Doug Brandon Brent Bartholomew Phil Krulo Scot Celmer Mark Porter John Crosbie Randy Swayer Mark Moore Paul Perry Dennis Knapp Doug Morris Mark Adcock
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13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Columbus Regional Hospital Comm Hospitals Indianapolis Community Hospital Community Hospital of Bremen Daviess Community Hospital Deaconess Hospital Deaconess St Joseph's Hospital Dearborn County Hospital Decatur County Mem Hospital DeKalb Memorial Hospital Dukes Memorial Hospital Dunn Memorial Hospital Elkhart General Hospital Evansville Psych Children Ctr Evansville State Hospital Fairbanks Fayette Memorial Hospital Floyd Mem Hosp & Hlth Servs Gibson General Hospital
2400 East 17th Street COLUMBUS, IN 47201-5360 1500 North Ritter Avenue INDIANAPOLIS, IN 46219-3095 901 MacArthur Boulevard MUNSTER, IN 46321-2959 411 South Whitlock Street BREMEN, IN 46506-1626 1314 East Walnut Street WASHINGTON, IN 47501-2198 600 Mary Street EVANSVILLE, IN 47747-0001 1900 Medical Arts Drive HUNTINGBURG, IN 47542-9521 600 Wilson Creek Road LAWRENCEBURG, IN 47025-1199 720 North Lincoln Street GREENSBURG, IN 47240-1398 1316 East Seventh Street AUBURN, IN 46706-2515 275 West 12th Street PERU, IN 46970-1698 1600 23rd Street BEDFORD, IN 47421-4704 600 East Boulevard ELKHART, IN 46514-2499 3300 East Morgan Avenue EVANSVILLE, IN 47715-2232 3400 Lincoln Avenue EVANSVILLE, IN 47714-0146 8102 Clearvista Parkway INDIANAPOLIS, IN 46256-4698 1941 Virginia Avenue CONNERSVILLE, IN 47331-9990 1850 State Street NEW ALBANY, IN 47150-4997 1808 Sherman Drive PRINCETON, IN 47670-1043
(812) 379-4441 (317) 355-1411 (219) 836-1600 (574) 546-2211 (812) 254-2760 (812) 450-5000 (812) 683-2121 (812) 537-1010 (812) 663-4331 (260) 925-4600 (765) 472-8000 (812) 275-3331 (574) 294-2621 (812) 477-6436 (812) 469-6800 (317) 849-8222 (765) 825-5131 (812) 949-5500 (812) 385-3401
Marlene Weatherwax Kelly George Dave McCoy Debbie Kipser Doug Lewis Rick Stivers James Terpstra Phil Meyer Mike Ruckel Craig Polkow Nick Bohro Colin McCulloch Greg Lindger Tom Rich Bob Spear Mike Huth David Brandon Ralph Mercuri John Alley
CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO Superintendant Superintendant CFO CFO CFO CFO
Kathy West Gene Perry Dave Mellans Dick Balmer Gary Long Tom Barnett Tommy Critchfield Stever Karsteter Wayne Wade Jerry Singleton Glen Sandbackun Charlie Madows Dave Furlong Tom Rich Kathy Fulcher Roland Hamilton Pat Bean Bob Bueter Rick Mckinney
Facility Engineer CEO Division Director of Engineering Chief Engineer Manager of Environmental Services Manager of Eneinggering Maintenance Director of Maintenance Director of Maintenance Head of Maintenance Head of Maintenance Head of Maintenance Head of Maintenance Engineering Manager Superintendant Facility Director Envinronmental Manager Team leader of plant operations Director of Facilities Eningeering Manager
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32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50
Good Samaritan Hospital Goshen General Hospital Greater Lafayette Health Serv Greene County General Hospital Hamilton Center Hancock Memorial Hospital Harrison County Hospital Healthsouth Rehab Hospital Healthsouth Rehab Hospital HEALTHSOUTH Tri-State Rehab Hendricks Comm Hospital Henry County Memorial Hospital Howard Community Hospital Illiana Surgery & Medical Ctr Jasper County Hospital Jay County Hospital Johnson Memorial Hospital Kindred Hospital Indianapolis Kindred Hospital-Indianapolis
520 South Seventh Street VINCENNES, IN 47591-1098 200 High Park Avenue GOSHEN, IN 46526-4899 2400 South Street LAFAYETTE, IN 47904-3027 Rural Route 1, Box 1000 LINTON, IN 47441-9457 620 Eighth Avenue TERRE HAUTE, IN 47804-0323 801 North State Street GREENFIELD, IN 46140-1270 245 Atwood Street CORYDON, IN 47112-1774 829 North Dixon Road KOKOMO, IN 46901-7709 501 St Anthony Drive TERRE HAUTE, IN 47802-9135 4100 Covert Avenue EVANSVILLE, IN 47714-5567 1000 East Main Street DANVILLE, IN 46122-0409 1000 North 16th Street NEW CASTLE, IN 47362-4319 3500 South Lafountain Street KOKOMO, IN 46904-9011 701 Superior Avenue MUNSTER, IN 46321-4029 1104 East Grace Street RENSSELAER, IN 47978-3296 500 West Votaw Street PORTLAND, IN 47371-1322 1125 West Jefferson Street FRANKLIN, IN 46131-2140 898 East Main Street GREENWOOD, IN 46143-1400 1700 West 10th Street INDIANAPOLIS, IN 46222-3802
(812) 882-5220 (574) 533-2141 (765) 447-6811 (812) 847-2281 (812) 231-8323 (317) 462-5544 (812) 738-4251 (765) 452-6700 (812) 235-5656 (812) 476-9983 (317) 745-4451 (765) 521-0890 (765) 453-0702 (219) 924-1300 (219) 866-5141 (260) 726-7131 (317) 736-3300 (317) 888-8155 (317) 636-4400
Rob McLin Randal Christophel Jeff Nagy Tim Norris Suzy Thompson Rick Edwards Jeff Davids Doug Conrad John Williams Diane Riley Don Komenda Paul Janssen Tom Cook Virgil Billaflor Jeff Webb Don Michael Larry Haeydon Steve Leszczynski Pat Curran
CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO
Richard Hand Wade Klein Tom Peck Dewey Collins Duke Bennett Brad Stevenn Jim Liwton Rick Myer Tim Schultz Dave Will Bernie Orneder Mike Edwards Dick Zeltner Mike Smittly Gary Stowlers Wendle Robbins Tom Ferry Rick Perkins Marvin Pluckebaem
Department Director of Engineering Director of plant operations Plant Manager Head of Maintenance Plant Manager Team leader of mainenance Director of Maintenance Facility Director Facility Director Facility Director Facility Director Facility Director Maintenance Supervisor Maintenance Supervisor Facility Director Maintenance Supervisor Facility Director Maintenance Supervisor Facility Director
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51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69
Kindred Hospital-LaGrange King's Daughters' Hospital Kosciusko Community Hospital La Porte Regional Health Syst Larue D Carter Mem Hospital Logansport State Hospital Lutheran Hospital of Indiana Madison State Hospital Major Hospital Margaret Mary Comm Hospital Marion General Hospital Med Ctr of Southern Indiana Mem Hosp and Hlth Care Center Mem Hospital of South Bend Memorial Hospital Memorial Hospital Methodist Hospitals Morgan Hospital & Medical Ctr Oaklawn Psychiatric Center
207 North Townline Road LAGRANGE, IN 46761-1325 One King's Daughters' Drive MADISON, IN 47250-3357 2101 East Dubois Drive WARSAW, IN 46580-3288 1007 Lincolnway LA PORTE, IN 46350-3201 2601 Cold Spring Road INDIANAPOLIS, IN 46222-2273 1098 South State Road 25 LOGANSPORT, IN 46947-9699 7950 West Jefferson Boulevard FORT WAYNE, IN 46804-1677 711 Green Road MADISON, IN 47250-2199 150 West Washington Street SHELBYVILLE, IN 46176-1236 321 Mitchell Avenue BATESVILLE, IN 47006-0226 441 North Wabash Avenue MARION, IN 46952-2690 2200 Market Street CHARLESTOWN, IN 47111-0069 800 West Ninth Street JASPER, IN 47546-2516 615 North Michigan Street SOUTH BEND, IN 46601-9986 1101 Michigan Avenue LOGANSPORT, IN 46947-7013 411 West Tipton Street SEYMOUR, IN 47274-5000 600 Grant Street GARY, IN 46402-6099 2209 John R Wooden Drive MARTINSVILLE, IN 46151-1840 330 Lakeview Drive GOSHEN, IN 46528-9365
(260) 463-2143 (812) 265-5211 (574) 267-3200 (219) 326-1234 (317) 941-4000 (574) 722-4141 (219) 435-7001 (812) 265-2611 (317) 392-3211 (812) 934-6624 (765) 662-1441 (812) 256-3301 (812) 482-2345 (574) 234-9041 (574) 753-7541 (812) 522-2349 (219) 886-4000 (765) 342-8441 (219) 533-1234
Gary Berg Steve Meacham Steve Miller Randal Yust Norine Briggs Jeff Smith use area code 260 Steven Carroll Caroline Copeland Karen Meyer Brian Daeger Paul Asher Christina Patterson Kyle Bennett Jeff Costello Allen Biggs Warren Forgey John Diehl Boruff Roger use 574 Betty Herschberger
CFO CFO CFO CFO CFO Superintendant CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO
Bob Bloomfield Larry Keith Mike Scott Don Yurkovich Bob Kellams Thomas Scriver Ken Junk Nikki Morrell Jerry Mckenney Jim Amos Albert Knauss Tim Hingtgen Ray Snowden John Birong Brian Shockney Paul England Marv Downey Joe StJohn Hal Loewen
Maintenance Supervisor V.P. of operations Maintenance Supervisor Facility Director Facility Director Maintenance Supervisor Maintenance Supervisor Facility Director Chief Engineer Facility Director CEO CEO Administrator Facility Services Director Facility Director Facility Director Service line manager Directpred pf engineering President
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70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88
Parkview Hospital Parkview Huntington Hospital Parkview Noble Hospital Parkview Whitley Hospital Perry County Memorial Hospital Porter Memorial Hospital Pulaski Memorial Hospital Putnam County Hospital Rehab Hospital of Fort Wayne Rehabilitation Hospital Reid Hosp & Hlth Care Services Richard L Roudebush VA Med Ctr Richmond State Hospital Riverview Hospital Rush Memorial Hospital Saint Anthony Mem Hlth Ctr Saint John's Health System Saint Joseph Community Hosp Saint Joseph Reg Medical Ctr
2200 Randallia Drive FORT WAYNE, IN 46805-4699 2001 Stults Road HUNTINGTON, IN 46750-3696 951 East Hospital Drive KENDALLVILLE, IN 46755-2293 353 North Oak Street COLUMBIA CITY, IN 46725-1623 1 Hospital Road TELL CITY, IN 47586-0362 814 La Porte Avenue VALPARAISO, IN 46383-5898 616 East 13th Street WINAMAC, IN 46996-1117 1542 Bloomington Street GREENCASTLE, IN 46135-2297 7970 West Jefferson Boulevard FORT WAYNE, IN 46804-4140 4141 Shore Drive INDIANAPOLIS, IN 46254-2607 1401 Chester Boulevard RICHMOND, IN 47374-1986 1481 West Tenth Street INDIANAPOLIS, IN 46202-2884 498 NW 18th Street RICHMOND, IN 47374-2898 395 Westfield Road NOBLESVILLE, IN 46060-1425 1300 North Main Street RUSHVILLE, IN 46173-1198 301 West Homer Street MICHIGAN CITY, IN 46360-4358 2015 Jackson Street ANDERSON, IN 46016-4339 215 West Fourth Street MISHAWAKA, IN 46544-1999 801 East LaSalle SOUTH BEND, IN 46617-2800
(260) 373-4000 (219) 356-3000 (260) 347-8700 (260) 248-9000 (812) 547-7011 (219) 465-4600 (574) 946-2100 (765) 653-5121 (260) 436-2644 (317) 329-2000 (765) 983-3000 (317) 554-0000 (765) 966-0511 (317) 773-0760 (765) 932-4111 (219) 879-8511 (765) 649-2511 (574) 259-2431 (574) 237-7111
Robert Carlifle Tim Lessing Gary Edwards Mark Hisey Al White Hugh King Ron Rusk Steve Anderson Steve Carroll Margery Basey Craig Kinyon Paul Pessagno Daivd Schelford John Anderson Brad Smith Dennis Pluard Donald Apple Connie Cape Connie Cape
CFO CFO Environmental Services CFO CFO CFO CFO CFO CFO Accounting CFO CFO CFO CFO CFO CFO CFO CFO CFO
Rod Overlander Darlene Garrett David Hunter Marc Tetreau Joseph Studer Chris Rael Richard Mynark Dennis Weatherford Darlene Degener Ron Goldfarb Brent Baumer Rober Hsabin Ken Fletcher Jay Ebert Jim King Joe Hoppe Roger Cowgill Larry Spradlin Tim Ringer
Facility Director Facility Director CEO Facility Director Administrator Vice president of facilites Administrator Facility Director Facility Director Facility Manager Director of Enginering Facility Director Director of Maintenance Facility Director Director of Maintenance Director of Maintenance Director of Maintenance Facility Director Facility Director
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89 90 91 92 93 94
Saint Joseph's Reg Medical Ctr Saint Margaret Mercy Hlth Ctrs Scott Memorial Hospital Southern Indiana Rehab Hosp St Anthony Medical Center St Catherine Hospital
1915 Lake Avenue PLYMOUTH, IN 46563-9905 5454 Hohman Avenue HAMMOND, IN 46320-1999 1415 North Gardner Street SCOTTSBURG, IN 47170-0430 3104 Blackiston Boulevard NEW ALBANY, IN 47150-9579 1201 South Main Street CROWN POINT, IN 46307-8483 4321 Fir Street EAST CHICAGO, IN 46312-3097 1710 Lafayette Road CRAWFORDSVILLE, IN 479331099 3700 Washington Avenue EVANSVILLE, IN 47750 1600 Albany Street BEECH GROVE, IN 46107-1593 1201 Hadley Road NW MOORESVILLE, IN 46158-1789 1907 West Sycamore Street KOKOMO, IN 46901-4197 700 Broadway FORT WAYNE, IN 46802-1493 1500 South Lake Park Avenue HOBART, IN 46342-6699 1116 Millis Avenue BOONVILLE, IN 47601-0629 3700 Washington Avenue EVANSVILLE, IN 47750-0002 1206 East National Avenue BRAZIL, IN 47834-2797 1300 South Jackson Street FRANKFORT, IN 46041-3394 2001 West 86th Street INDIANAPOLIS, IN 46260-1991 301 Henry Street NORTH VERNON, IN 47265-1097
(574) 936-3181 (219) 933-2074 (812) 752-8500 (812) 941-8300 (219) 738-2100 (219) 392-7000 Gene Diamond Angie Doan Randy Nipier Larry Stazinski Mark Rogers CFO CFO CFO Controller CFO Executive Director Chief operating officer CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO
Chris Methieson Ed Shultz James Vaughn Susan Buyers Steve Gyure William Luebcke
Plant Operations V.P. of enginnering Facility Director Plant Operations Director of Engineering Director of Engineering Materials management coordinator Director of Engineering CEO Director of Engineering Director of Engineering V.P. of support operations CEO Facility Director Director of Engineering Director of Engineering Facility Director Director of Facility Services Administrator
95 96 97 98 99 100 101 102 103 104 105 106 107
St Clare Medical Center St Elizabeth Ann Seton Hosp St Francis Hosp & Hlth Ctrs St Francis Hosp-Mooresville St Joseph Hosp & Hlth Ctr St Joseph Hospital St Mary Medical Center St Mary's Warrick St Mary's Medical Center St Vincent Clay Hospital St Vincent Frankfort Hospital St Vincent Hosp & Hlth Ctr St Vincent Jennings Hospital
(765) 362-2800 (812) 485-8441 (317) 787-3311 (317) 831-1160 (765) 452-5611 (219) 425-3000 (219) 942-0551 (812) 897-4800 (812) 485-4000 (812) 448-2675 (765) 656-3000 (317) 338-2345 (812) 352-4200
Jeffrey Ceh 485 4000 Steve Kern Jay Brehm Suzy Ragle Dennis Ressler 265 Tom Fox Lou Molina Dennis Guish Steve Kern Rich Johansen Tom Crawford Worden Ian Kent Heffelbower
Greg Harvery Sayid Elmi Bob Brody Dan Young Steve Laudenschlager Dave Lemonte Milton Traina Troy Schmitt Sayid Elmi Jerry Laue James Pope Steve Smith Joseph Roche
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108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126
St Vincent Mercy Hospital St Vincent Randolph Hospital St Vincent Williamsport Hosp Starke Memorial Hospital Sullivan County Community Hosp Terre Haute Regional Hospital Tipton County Mem Hospital Union Hospital VA Northern Indiana Hlth Care Valle Vista Health System Wabash County Hospital Wabash Valley Hospital Washington County Mem Hospital West Central Community Hosp Westview Hospital White County Memorial Hospital Winona Memorial Hospital Wirth Regional Hospital Wishard Health Services
1331 South 'A' Street ELWOOD, IN 46036-1942 473 Greenville Avenue WINCHESTER, IN 47394-2235 412 North Monroe Street WILLIAMSPORT, IN 47993-0215 102 East Culver Road KNOX, IN 46534-2299 2200 North Section Street SULLIVAN, IN 47882-7523 3901 South Seventh Street TERRE HAUTE, IN 47802-4299 1000 South Main Street TIPTON, IN 46072-9799 1606 North Seventh Street TERRE HAUTE, IN 47804-2780 2121 Lake Avenue FORT WAYNE, IN 46805-5347 898 East Main Street GREENWOOD, IN 46143-1400 710 North East Street WABASH, IN 46992-1924 2900 North River Road WEST LAFAYETTE, IN 47906-3766 911 North Shelby Street SALEM, IN 47167-1694 801 South Main Street CLINTON, IN 47842-0349 3630 Guion Road INDIANAPOLIS, IN 46222-1699 1101 O'Connor Boulevard MONTICELLO, IN 47960-1698 3232 North Meridian Street INDIANAPOLIS, IN 46208-4693 Highway 64 West OAKLAND CITY, IN 47660-9379 1001 West 10th Street INDIANAPOLIS, IN 46202-2879
(765) 552-4600 (765) 584-9001 (765) 762-4000 (219) 772-6231 (812) 268-4311 (812) 232-0021 (765) 675-8500 (812) 238-7000 (260) 460-1310 (317) 887-1348 (260) 563-3131 (765) 463-2555 (812) 883-5881 (765) 832-2451 (317) 924-6661 (574) 583-7111 (317) 924-3392 (812) 749-6111 (317) 639-6671
Debora Rasper John Mcmillan Thomas Kmetz 574 Becky Deardorsf Alan Montella David Summers Vern Schmaltz Wayne Hutson Jay Zandermark Anne Knapp Kent Diles Doug Lane Garcia Winsett Jeff Feathers Jerry Marks Kris Karns Wayne Knight
CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO CFO
David Troyer Wayne Deschambeau Gary Edwards Cameron Gilbert Ron Shake George Asbell Roger Mcmillian Jeff Eller Michael Murphy David Bell Jeff Buckley Craig Lysinger Marilyn Custermitchell Terri Hill David Dyar Paul Cardwell Dennis Armstrong Dennis Fox
Director of Maintenance Facillity Director Environmental Services Manager CEO Facility Director CEO Facility Director Facility Director Facility Director
Facility Director Administrator Facility Director Facility Director Facility Director CEO Facility Director Facility Director Facility Director
Grodon King
CFO
Tom Ringham
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127 128 129
Witham Memorial Hospital Women's Hospital-Indianapolis Woodlawn Hospital
1124 North Lebanon Street LEBANON, IN 46052-1776 8111 Township Line Road INDIANAPOLIS, IN 46260-8043 1400 East Ninth Street ROCHESTER, IN 46975-8937
(765) 482-2700 (317) 875-5994 (574) 223-3141
George Pogas Bob Barkofsky Suzan Armstrong
CFO CFO CFO
Ray Ingham Dennis Fox VP of Support Services
CEO Facility Director
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Appendix C
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ISHE Chapter Members
The table lists those ISHE Chapter Members identified on the ISHE web site.
Name 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Timothy Adams Ismael Alicea Steve Allemeier Wesley Anderson John Andrews Don Baer Glen Baines Steve Baker John Barfield Karen Barry Brent Bartholomew Joe Battle Brent Baumer, P.E. Patrick Bean Donald Beeler Kenneth Behling Dennis Behning Bill Beven John Birong Randall Black Mark Boer John Borinstein Gary Bounin Dwight Boyd Roger Brabb
Title Clinical Engineer Director of Engineering Services Project Executive Sanitary Engineer Business Development Manager Sr. Product Manager
Company Bloomington Hospital & Healthcare System Porter Memorial Hospital Pepper Construction Co. of Indiana Indiana State Department of Health Shiel Sexton Company Powerex Baines Builders Products, Inc. Summit Construction Co., Inc. Methodist Hospital St. Vincent Health Ball Memorial Hospital Roudebush VA Medical Center Reid Hospital & Health Care Services Fayette Memorial Hospital Indiana State Department of Health NIPSCO Customized Power Services, Inc. St. Joseph Community Regional Medical CenterMishawaka Memorial Hospital of South Bend Schneck Medical Center Pulaski Memorial Hospital J. Borinstein, Inc./Stevens Industries Howard Bowman Co. Inc. Boyd Engineering, Inc. 1116 East Market St
Address #1 601 W. Second Street 814 LaPorte Avenue 1850 W. 15th Street 2 N. Meridian St. 2E 902 N. Capitol Avenue 150 Production Dr. P.O. Box 783 1107 Burdsal Parkway 600 Grant Street 2001 W. 86th St. 2401 W. University 1481 West 10th Street 1401 Chester Blvd 1914 Virginia Avenue 2 N. Meridian St. 8B 801 E. 86th Ave. P.O.Box 516 4215 Edison Lakes Parkway #300 615 N. Michigan St 411 W. Tipton Street 616 E. 13th St. 5936 N. Brandywine Rd. 9723 Kincaid Drive 1044 White Ash Court
Address #2 P.O. Box 1149
City/State/Zip Bloomington, IN 47402 Valparaiso, IN 46383 Indianapolis, IN 46202 Indianapolis, IN 46204
Telephone 812-353-9347 219-465-4612 317-681-1000 317-233-7882 317-423-6000 513-367-8580 317-846-9440 317-634-6112 219-886-4560 317-338-3238 765-747-4413 317-554-0216 765-983-3034 765-827-7714 317-233-1386 219-647-4165 260-638-4643 574-247-8759 574-284-7052 812-522-0495 574-946-2123 317-322-9191 317-570-1538 317-831-8585 317-635-5500
Fax 812-353-5449 219-465-4899 317-684-9694 317-233-7761 317-423-6300 513-367-3125 317-574-0129 317-264-2529 219-886-4263 317-338-2411 765-741-1970 317-554-0217 765-983-3351 765-827-7746 317-233-7761 219-647-4796 260-638-4001 574-247-8720 574-284-6611 812-522-0794 574-946-2155 317-322-7915 317-569-0314 317-831-7666 317-635-3392
Email tadams@bloomhealth.org ialicea@portermemorial.org sallemeier@pepperconstruction.com wanderson@isdh.state.in.us jandrews@shielsexton.com dbaer@powerexinc.com glenbaines@aol.com sbaker@summitconst.com
P.O.Box 44107
Indianapolis, IN 46255 Harrison, OH 45030 Carmel, IN 46032-0783 Indianapolis, IN 46208 Gary, IN 46408
President Engineer III Facilities Services Administrative Director, Engineering Chief Engineer Director of Engineering Plant Operations & Engineering Supervisor Health Planner Business Solutions Representative President Director of Project Management Director of Facilities Management Biomedical Engineer Director Plant Engineering President Water Treatment Sales/Service President Mid America Elevator
P.O. Box 40970
Indianapolis, IN 46240 Muncie, IN 47303-3499 Indianapolis, IN 46202 Richmond, IN 47374 Fort Wayne, IN 47331 Indianapolis, IN 46204 Merrillville, IN 46410 Zanesville, IN 46799 Mishawaka, IN 46545 South Bend, IN 46601
kabarry@stvincent.org bbartholomew@chsmail.org joe.battle@med.va.gov baumerbr@reidhosp.com patb@fayettememorial.com dbeeler@isdh.state.in.us krbehling@nisource.com cpssaleinc@onlyinternet.net bevenb@sjrmc.com jbirong@memorialsb.org rblack@schneckmed.org mboer@pmhnet.com jborinsteininc@earthlink.net gbounin@aol.com shilohhideaway@prodigy.net rmb@midamericaelevator.com
P. O. Box 2349 P.O. Box 279
Seymour, IN 47274 Winamac, IN 46996 Shelbyville, IN 46176 Fishers, IN 46038 Mooresville, IN 46158-2730 Indianapolis, IN 46202
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Company 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 Chuck Braden William Breier Harry Britt Robert Bueter Scott Burcroff Randy Burke Molly Burns Bob Byrd Lucinda Callahan Mike Campbell Paul Carlson Edward Carlson, Jr. Sam Carpenter Les Chase Dewey Collins Dave Conley Dana Connolly Ben Corn Terry Cottingham David Courtright Roger Cowgill Denny Criggar Roy Cupp Richard Cutter Steve Dall Dave Davis Chuck Dennis Victor Detienne Larry Diersing Michael Downing, AIA Paul Dygert Jae Ebert Gary Edwards Plant Engineer Plant Operations Manager Owner Principal Coordinator of Maintenance Account Executive District Manager Director, Engineering Services Director of Facilities Engineering Director of Information Systems and Clinical Engineering President Senior Designer Team Leader Sales Manager Medical Refrigeration Tech. Midwest Regional Medical Specialist Principal Power Systems Product Support Vice President Support Services Manager of Environmental Services Principal President Director of Maintenance Director of Facilities Management Maintenance Director Sr. Project Manager Marketing Representative Project Manager Supervisor Engineering /Environmental Services Director of Engineering Assistant Director, Facilities Division Director, Engineering MSKTD & Associates, Inc. Breier Engineering Jasper County Hospital Floyd Memorial Hospital & Health Services Wabash County Hospital Pepper Construction Co. of Indiana Geupel DeMars Hagerman Specialty Systems of Indiana St. Vincent Randolph Hospital St. Vincent Randolph Hospital St. Mary Hospital Greater Lafayette Health Services, Inc. B&L Communications, Inc. Schneck Medical Center Greene County General Hospital Conzer Security, Inc. Thermaltech Engineering, Inc. Wabash County Hospital ESCO Communications, Inc. Chem Aqua St. John's Health System Community Hospital East Fayette Memorial Hospital Hoosier Filing & Storage Systems F & G Engineers, Inc. St. Vincent Health Customized Power Services, Inc. St. Vincent Health BOC Gases Lorenz Williams Clinton MacAllister Power Systems Riverview Hospital St. Vincent Williamsport Hospital 930 N. Meridian St. 7333 Campfire Run 1104 E. Grace Street 1850 State Street 710 N. East Street 1850 W. 15th Street 7930 Castleway Dr. 308 South State Avenue 473 Greenville Ave. 325 South Oak Street 36475 Five Mile 1501 Hartford St. 2520 W. 3rd St. 411 W. Tipton Street R.R. #1, Box 1000 231 1st Ave. SW 5721 Dragon Way 710 N. East Street 8940 Vincennes Circle 8401 E. 33rd St. 2015 Jackson Street 1500 N. Ritter Ave. 1914 Virginia Avenue 4761 Industrial Parkway 7825 E. 89th Street 2001 W. 86th St. 3010 W. Scott Street 2001 W. 86th St. 6620 E. Rolling Valley Court 434 E. First Street 2418 W. Coliseum Blvd. 395 Westfield Road 412 North Monroe Street P. O. Box 220 P.O. Box 40970 P.O. Box 516 P.O. Box 40970 P. O. Box 2349 P.O.Box 7501 P. O. Box 407 P.O.Box 502710 Indianapolis, IN 46204 Indianapolis, IN 46236 Rensselaer, IN 47978 New Albany, IN 47150 Wabash, IN 46992 Indianapolis, IN 46202 Indianapolis, IN 46250-7710 Indianapolis, IN 46201 Winchester, IN 47394 Winchester, IN 47394 Livonia, MI 48154 Lafayette, IN 47903 Bloomington, IN 47404 Seymour, IN 47274 Linton, IN 47441 Carmel, IN 46032 Cincinnati, OH 45227 Wabash, IN 46992 Indianapolis, IN 46268 Indianapolis, IN Anderson, IN 46016 Indianapolis, IN 46219 Connersville, IN 47331 Indianapolis, IN 46226 Indianapolis, IN 46256 Indianapolis, IN 46240 Zanesville, IN 46799 Indianapolis, IN 46240 Mooresville, IN 46158 Dayton, OH 45402 Ft. Wayne, IN 46808 Noblesville, IN 46060 Williamsport, IN 47993 317-917-1190 317-823-8336 219-866-5141 812-948-7566 260-569-2257 317-681-1000 317-713-0636 317-269-2120 765-584-0342 765-584-0412 734-655-8600 765-423-6108 812-339-5208 812-522-0492 812-847-2281 317-580-9460 513-561-2271 260-569-2489 317-298-2975 317-694-6905 765-646-8274 317-355-5015 765-827-8001 317-895-0670 317-849-5211 317-338-2145 260-638-4643 317-338-5280 317-390-5603 937-223-6500 800-944-0847 317-776-7110 765-762-4020 317-822-6236 317-823-835 219-866-3234 812-949-5857 260-569-2380 317-684-9694 317-713-0635 317-269-3608 765-584-0066 765-584-0066 734-432-8524 765-423-6863 812-332-7645 812-522-0124 812-847-2236 317-580-0585 513-561-2412 260-569-2380 317-298-2989 317-595-0705 765-646-8604 317-351-7712 765-827-7929 317-893-0672 317-576-1424 317-338-2411 260-638-4001 317-338-2411 317-834-8353 937-461-2934 260-471-0277 317-776-7998 765-762-4136 dconley@conzer.com dconnolly@thermaltech.com bcorn@wchospital.com terry.cottingham@escocommunications.com marathoninc@msn.com rlcowgil@sjhsnet.org dcrig@commhospindy.org royc@thepoint.net dcutter@hoosierfiling.com fg_snd@fgengineers.com dldavis@stvincent.org cpssaleinc@onlyinternet.net vcdetien@stvincent.org larry.diersing@us.gases.boc.com mdowning@lorwil.com pauldygert@macallister.com jebert@riverview.org gwedward@stvincent.org jcb@msktd.com breier@netdirect.net hbritt@jchh.com bbueter@fmhhs.com sburcroff@wchospital.com rburke@pepperconstruction.com mburns@gdhcm.com ssinn@ssiweb.com lfcallah@stvincent.org mdcampbe@stvincent.org paul.carlson@stmaryhospital.org edward.carlson@glhsi.org sam@motorolaradios.us lchase@schneckmed.org
Midwest CHP Application Center
Indiana Hospital Market Sector Report
52
59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93
Mike Edwards John Elliott Saeid Elmi Steve Elmore Donald Endsley Paul England Ed Englehart Dominic Errichiello William Evans Wayne Fairburn Michael Fandl Ross Farrell Douglas Fasick Ken Fedor Robert Feldbauer Jim Fischer Larry Floyd Robert Fritsche Greg Fuller Dave Furlong Tom Fuson Dennis Gardner Bradley Garner Jay Gehl Andrea P. George Edward Gibson Greg Gilmore David Gonzalez Darrell Gossett Damon Greeley, P.E. Michael Griffin Sandra Griffith Todd Griffith Spencer Grover Jeffrey Groves
Director of Facility & Plant Operations Acting Assist. Chief Engineer Director of Engineering Services Plant Operation Manager V.P. Plant & Environmental Services Director Plant Operations/Security Assistant Chief Engineer Project Executive Power Plant Mechanic Manager Plant Operations Principal President Key Accounts Engineer Regional Manager Director, Facilities Management District Manager Systems Tech President President Director, Engineering Services Facilities Management Director President Certified Biomedical Equipment Tech President, Leasing & Brokerage Finance & Business Officer Project Manager VP/General Power Generation Director of Plant Operations President Director of Engineering Sr. Account Manager Vice President District Account Manager Vice President Director of Plant Operations
Henry County Memorial Hospital Roudebush VA Medical Center St. Mary's Medical Center St. Vincent Jennings Hospital Marion General Hospital Schneck Medical Center Roudebush VA Medical Center Pepper Construction Co. of Indiana, LLC St. Vincent Health St. Vincent Health The Vale Group Waterworks American Electric Power Precise Power Corporation Margaret Mary Community Hospital The Trane Company St. Vincent Health Real Mechanical, Inc. North Mechanical Contracting, Inc. Elkhart General Hospital Arnett Clinic Emergency Power Sales & Service, Inc. The Methodist Hospitals Southlake Campus Hokanson Companies, Inc. Moore Engineers, P.C. Luthern Hospital of Indiana Cummins Mid-States Power, Inc. The Altenheim Community ERMCO, Inc. Vintage Archonics The Freije Co. Hokanson Companies, Inc. Ondeo Nalco IHHA Ball Memorial Hospital
1000 N. 16th Street 1481 West 10th Street 3700 Washington Ave 301 Henry Street 411 N. Wabash Ave 411 W. Tipton Street 1481 West 10th Street 1850 W. 15th Street 2001 W. 86th St. 2001 W. 86th St. 1146 Tulip Lane 870 Cragwood Ct. 110 E. Wayne Street 1000 W. Washington Blvd. #342 321 Mitchell Avenue 5355 N. Post Rd. 2001 W. 86th St. 475 Gradle Drive 2627 N. Emerson Ave 600 East Blvd. 2550 Greenbush St. 1432 Sadlier Circle East Drive 488 W. 900 S 107 N. Pennsylvania Ave., #800 12400 N. Meridian St., #150 7950 W. Jefferson Blvd. 3762 W. Morris St. 2535 E. Hanna Ave. 1625 W. Thompson Rd. 8205 Lima Rd. 6450 Guion Road 107 N. Pennsylvania Ave., #800 11260 Chester Rd. #320 One American Square 2401 W. University P.O. Box 82063 P.O. Box 42917 P.O.Box 5545 P.O. Box 40970 P.O. Box 60 P.O. Box 40970 P.O. Box 40970 P. O. Box 2349
New Castle, IN 47362 Indianapolis, IN 46202 Evansville, IN 47750 North Vernon, IN 47265 Marion, IN 46952 Seymour, IN 47274 Indianapolis, IN 46202 Indianapolis, IN 46202 Indianapolis, IN 46240 Indianapolis, IN 46240 Munster, IN 46321 Plainfield, IN 46168 Fort Wayne, IN 46802 Chicago, IL 60607 Batesville, IN 47006 Indianapolis, IN 46216 Indianapolis, IN 46240 Carmel, IN 46032 Indianapolis, IN 46218 Elkhart, IN 46514 Lafayette, IN 47903-5545 Indianapolis, IN 46239 Hebron, IN 46341 Indianapolis, IN 46204 Carmel, IN 46032 Ft. Wayne, IN 46804-4160 Indianapolis, IN 46242-0917 Indianapolis, IN 46237 Indianapolis, IN 46217 Fort Wayne, IN 46818 Indianapolis, IN 46268 Indianapolis, IN 46204 Cincinnati, OH 45246 Indianapolis, IN 46282 Muncie, IN 47303-3499
765-521-1519 317-554-0183 812-485-4161 812-352-4488 765-662-4009 812-522-0496 317-554-2716 317-681-1000 317-338-2132 317-338-3712 219-765-1488 317-727-3944 574-425-2363 312-666-8399 812-933-5005 317-255-8777 317-338-2802 317-846-9299 317-610-2627 574-523-3156 765-4488224 317-351-0008 219-738-5588 317-633-6300 317-848-5045 574-435-7400 317-240-1969 317-788-4261 317-780-2923 260-489-3543 317-291-6130 317-633-6300 513-772-5300 317-633-4870 765-747-3036
765-521-1555 317-554-0217 812-485-4385 812-352-4357 765-662-4466 812-522-0124 317-554-0217 317-684-9694 317-338-2411 317-338-2411 219-972-0189 317-839-7452 574-425-2342 312-896-1556 812-933-5036 317-251-8556 317-338-2411 317-575-3491 317-610-2638 574-389-4820 765-448-7640 317-351-0003 219-738-6676 317-633-8070 317-848-2765 574-435-7636 317-240-1925 317-781-4512 317-780-2853 260-489-1293 317-297-7618 317-633-8070 513-772-2831 317-633-4875 765-741-2857
medwards@hcmhcares.org john.d.elliott@med.va.gov Selmi@stmarys.org skelmore@stvincent.org dendsley@mgh.net pengland@schneckmed.org william.englehart@medva.gov derrichiello@pepperconstruction.com wsevans@stvincent.org dwfairbu@stvincent.org thevalegroup@aol.com ross.a.farrell@att.net
kfedor@precisepwr.com bfel@hotmail.com jlfischer@trane.com lgfloyd@stvincent.org bfritsche@realmechanical.com gregf@northmechanical.com dfurlong@egh.org fusont@arnett.com info@epss-inc.com bgarner@methodisthospitals.org jbg@hokansoninc.com apgeorge@moore-engineers.com egibson@luthern-hosp.com greg.w.gilmore@cummins.com
dgossett@ermco.com dgreeley@freemanwhite.com mgriffin@thefreijecompany.com skg@hokansoninc.com tgriffith@ondeo-nalco.com sgrover@inhha.org jgroves@cami3.com
Midwest CHP Application Center
Indiana Hospital Market Sector Report
53
94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128
John Hadley Daniel Hall Wes Hamilton Richard Hand Michael Hanson Jeffrey Hart Bill Hatfield Dave Hellman Robert Hisson Todd Hite Jack Hollingsworth Renee' Hollingsworth Benjamin Holmes Alan Holt Marlin Hook Al Hoop Monte Hoover Joseph Hoppe Robert Hough Ben Houser John Hughes Ronald Hunt Paul Hutter Marc Hyde Alvin Jones Gary Jones Kenneth Junk John Juscik Mike Kaiman Steve Karsteter Nick Kaufman Bob Kellams G. Dwight Klippel Craig Koch Denis Krahn
Account Manager President/CEO Director of Business Development Director of Engineering Director Plant Operations President Systems Supervisor Sales Manager General Services Director Health Planner Vice President Marketing Director Supervisor Plant Operations
ProLiance Energy, LLC C.M. Buck & Associates, Inc. Gibson-Lewis,LLC Good Samaritan Hospital King's Daughters Hospital & Health Services Environmental Assurance Co., Inc. Henry County Memorial Hospital A & A Mechanical Tri-City Community Mental Health Ctr Indiana State Department of Health TGS Architects, Inc. Safety Management Group Methodist Hospitals for Northlake Campus Premier Power Maintenance Clarian Health Partners, Inc. Biomedical Safety Consultants BSA LifeStructures St. Anthony Memorial Health Centers St. Vincent Health AJR Companies White County Memorial Hospital Environmental Design Associates, Inc. Pinnacle Energy, LLC St. Francis Hospital & Health Centers Premier Power Maintenance Best Aire Luthern Hospital of IN Community Hospital Turner Construction Co. Dearborn County Hospital Howard Bowman Co. Inc. LaRue D. Carter Memorial Hospital Energy Consultants, Inc. Watcon, Inc. Alco Sales
111 Monument Circle, #2200 6850 N. Guion Road 1001 W. 11th St. 520 S. 7th St. One Kings Daughters Dr 137 S. Production Drive 1000 N. 16th Street 1111 Ulrich Ave. 3903 Indianapolis Blvd. 2 N. Meridian St. 6535 Ferguson St. 1435 Chase Court 600 Grant Street 5389 W. 86th Street 1701 N. Senate Blvd. P.O.Box 39259 9365 Counselors Row 301 W. Homer St. 2001 W. 86th St. 669 N. 202 West 1101 O'Conner Blvd. 9515 Hadway Dr. 896 E. Main St. 1600 Albany Street 5389 W. 86th Street 4361 W Whiteland Rd 7950 W. Jefferson Blvd. 901 MacArthur Blvd 9190 Priority Way W. Dr., #210 600 Wilson Creek Rd PMB-387 6145 Crawfordsville Rd. 2601 Cold Spring Rd. 10293 Bosloe Drive P.O.Box 361387 6851 High Grove Boulevard P.O. Box 40970 P.O.Box 7195
Indianapolis, IN 46204 Indianapolis, IN 46268 Mishawaka, IN 46546 Vincennes, IN 47591 Madison, IN 47250 Avon, IN 46123 New Castle, IN 47362 Louisville, KY 40219 East Chicago, IN 46312 Indianapolis, IN 46204 Indianapolis, IN 46220 Carmel, IN 46032 Gary, IN 46402 Indianapolis, IN 46268 Indianapolis, IN 46202 Indianapolis, IN 46239 Indianapolis, IN 46240-1479 Michigan City, IN 46360 Indianapolis, IN 46240 Valparaiso, IN 46385 Monticello, IN 47960 Indianapolis, IN 46256-1036 Greenwood, IN 46143 Beech Grove, IN 46107 Indianapolis, IN 46268 Bargersville, IN 46106 Fort Wayne, IN 46804 Munster, IN 46321 Indianapolis, IN 46240 Lawrenceburg, IN 47025 Speedway, IN 46224 Indianapolis, IN 46222-2202 Carmel, IN 46032-9730 Indianapolis, IN 46236 Burr Ridge, IL 60527
317-231-6816 317-293-5704 574-259-8581 812-885-3381 812-265-0171 317-272-8500 765-521-1590 502-968-0121 219-392-6085 317-233-7193 317-255-3475 317-848-0801 219-886-4560 317-879-0660 317-962-6028 317-862-5668 317-819-7878 219-877-1966 317-338-3594 219-746-8962 574-583-7111 317-845-5543 317-329-7975 317-783-8256 317-879-0660 866-529-3864 260-435-7417 219-836-4545 317-573-2828 812-537-8117 317-985-2777 317-941-4090 317-870-7190 317-730-5069 800-323-4282
317-231-6902 317-293-0281 574-258-0932 812-885-3913 812-265-0530 317-272-1300 765-521-1555 502-968-8116 219-392-6998 317-233-7761 317-255-7359 317-848-0818 219-886-4263 317-875-0312 317-962-5069 317-862-1168 317-819-7288 219-877-1962 317-338-2411 219-762-6456 574-583-1704 317-913-0989 317-329-4666 317-783-8415 317-875-0312 765-529-3090 260-435-7618 219-852-6444 317-573-2822 812-537-4979
jhadley@proliance.com dhall@cmbuck.com whamilton@gli.nceusa.com rhand@gshvin.org
eacindy@aol.com bhatfield@hcmhcares.org daveh@aamechanical.com bob.hisson@tricitycenter.org
tgsarcgs@aol.com reneehollingsworth@smgindy.com bholmes@methodisthospitals.org atempleman@premierpowermaitnenace.com mhook@clarian.org al@bio-med.com mhoover@bsalifestructures.com joseph.hoppe@ssfhs.org rehough@stvincent.org ben.houser@ajrcompanies.com jhughes@whitecmh.org rhunt9767@aol.com hheyhuddu@aol.com marc.hyde@ssfhs.org atempleman@premierpowermaitnenace.com gjones@amsba.com kjunk@lutheran-hosp.com jjuscik@comhs.org mkaiman@tcco.com skarst@dch.org nick-kaufmanHB@hotmail.com
Electrical Engineer Marketing/Sales Manager Chairman Director, Construction & Engineering Manager Facilities Services Division Manager Director of Maintenance President Executive Vice President/Partner Assistant Director of Engineering Office Manager Account Manager Director of Facility Services Maintenance Manager Healthcare Project Manager Director Plant Operations & Safety Water Technologist Central Indiana Physical Plant Director Principal, Consultant Eastern Regional Manager Sales Representative
317-941-4093 317-870-7191 317-826-4342 800-950-1167
rkellams@fssa.state.in.us dklippel@energyconsultants.org craig.koch@att.net
Midwest CHP Application Center
Indiana Hospital Market Sector Report
54
129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164
John Kuhn John Laetz Melissa Langan Steven Laudenschlager Mike Lavens Jim Lawton Carol Leathem Gene Lecher Jeff Lefton David Lenart Michael Logar J. Keith London Daren Long Jerry Loper Glenn MacDonald Jack Mahaney James Marcum William Matthews Rodney McCulloh Andy McFerran Jim McGillem Edward McKenzie John McKinney Charles Meadows Ron Menze Dan Miller Jim Minderman Sam Mishelow Tom Mitchell Curt Monts Timothy Moore Deanna Moreland Ross Moreland Drew Morgan Tom Morlock Doug Morris
Plant Operations Manager Director of Engineering & Security
St. Joseph Regional Medical Center Hendricks Community Hospital ProLiance Energy, LLC
801 E. LaSalle 1000 E. Main Street 111 Monument Circle, #2200 1907 W. Sycamore St. 150 N Eagle Creek Dr 245 Atwood Street 2106 S. Franklin St. 321 Mitchell Avenue 4150 N. Keystone Ave. 1540 E. 1050 N 2601 Cold Spring Rd. 300 N.W. Second Street 902 N. Capital Avenue 690 State St. 1069 State Route 46E 480 W. Hawthorne St. 1000 N. 16th Street 8701 Broadway 1455 N. Pennsylvania St 2001 W. 86th St. 3700 Wahington Ave. 800 NE Glen Oak Ave 105 McKnight Drive 1600 23rd Street 119 W. Wayne Street 2420 Frankfort Avenue 520 S. Seventh St. 13099 Parkside Drive 10053 N. Hague Rd. 601 W. Second Street 12400 N. Meridian St., #150 1255 N. Senate Ave. 1951 Rohlwing Road 12400 N. Meridian St., #150 13500 North Meridian P.O.Box 7195 P.O.Box 1149 P.O. Box 40970 P.O.Box 1544 P.O.Box 409
South Bend, IN 46617 Danville, IN 46122 Indianapolis, IN 46204 Kokomo, IN 46901 Lexington, KY 40509 Corydon, IN 47112 South Bend, IN 46634 Batesville, IN 47006 Indianapolis, IN 46205 Seymour, IN 47201 Indianapolis, IN 46222 Evansville, IN 47708 Indianapolis, IN 46204 Franklin, IN 46131 Batesville, IN 47006 Zionsville, IN 46077 New Castle, IN 47362 Merrillville, IN 46410 Indianapolis, IN 46204 Indianapolis, IN 46240 Evansville, IN 47750 Peoria, IL 61603 Middletown, OH 45044 Bedford, IN 47421 Ft. Wayne, IN 46802 Louisville, KY 40206 Vincennes, IN 47591 Fishers, IN 46038 Indianapolis, IN 46256 Bloomington, IN 47402 Carmel, IN 46032 Indianapolis, IN 46202 Rolling Meadows, IL 60008 Carmel, IN 46032 Carmel, IN 46032 Indianapolis, IN 46207-7195
574-237-7304 317-745-3468 317-231-6800 765-456-5177 606-268-3730 812-738-7852 800-234-1151 812-933-5004 317-562-9462 812-376-5333 317-941-4080 812-423-4407 317-423-6000 317-736-6141 800-433-6245 317-873-5027 765-521-1450 219-738-5583 317-262-8070 317-338-2802 812-485-7799 309-655-2867 513-420-5204 812-276-1272 260-422-0783 502-893-0256 812-885-3381 317-813-6143 317-842-8040 812-353-5541 317-848-5045 317-917-5033 800-821-3483 317-848-5045 317-582-7516 317-962-2839
574-282-8924 317-745-3405 317-231-6900 765-456-5060
kuhnj@sjrmc.com jtlaetz@hendricks.org
Director Facility Services Facility Manager Plant Services Manager Air Filter Sales Lead Mechanic VP Technical/Marketing Director, Facility Engineering Facility Management Director President Project Manager Director of Facilities Owner
St. Joseph Hospital St. Joseph East Harrison County Hospital Performance Plus/ACME Air Filter Margaret Mary Community Hospital Mainscape, Inc. Columbus Regional Hospital LaRue D. Carter Memorial Hospital Biagi, Chance, Cummins, London, Titzer, Inc. Shiel Sexton Indiana Masonic Home Hill-Rom ESPS Henry County Memorial Hospital Methodist Hospitals for Southlake Campus RTM Consultants, Inc. St. Vincent Health St. Mary's Building Corporation OSF HealthCare System Middleton Regional Hospital
stevel@stjosephhospital.net lavemi@sje.sihlex.org
812-738-7842 574-233-3258 812-933-5036 317-562-9475 812-376-5938 317-941-4244 812-421-2239 317-423-6300 317-736-5258 812-934-9965 317-873-4047 765-521-1212 219-738-5625 317-262-8411 317-338-2411 812-485-7781 309-655-3033 513-420-5178 812-276-1271 260-426-4561 502-897-0755 812-885-3913 317-813-7143 317-842-5861 812-353-5449 317-848-2765 317-638-6146 847-392-3738 317-848-2765 317-582-7829 317-962-2076
jlawton@harrisoncohosp.org performancefilter@yahoo.com
jlefton@mainscape.com dlenart@crh.org mlogar@fssa.state.in.as london@bcclt.com dlong@shielsexton.com jerryl@inmasonichome.org jlmahaney@aol.com jamarcum@hcmbcares.org wmatthews@methodisthospitals.org mcculloh@rtmconsultants.com pamcferr@stvincent.org jmcgillem@stmarys.org ed.mckenzie@osfhealthcare.org john.mckinney@middletownhospital.org cmeadows@dunnmemorial.org rmenze@mkmdesign.com danmiller@e-max.com jminderman@gshvin.org smishelow@meyer-najem.com tpm@cpmconstruction.com cmonts@bloomhealth.org tvmoore@moore-engineers.com deanna.j.moreland@jci.com cswank@translogic-corp.com aemorgan@moore-engineers.com rtmorloc@stvincent.org dmorris@clarian.org
S.A.M. Principal Systems Tech Manager Corporate Facilities Engineer
Director of Physical Plant Partner Operations Manager Lead Engineer Supervisor VP Business Development Director of Business Development Biomedical Technician II President Healthcare Account Executive Business Development Manager Manager Facilities Services Director of Facilities
Dunn Memorial Hospital Morrison Kattman Menze, Inc. Architecture E-Max, Inc. Good Samaritan Hospital Meyer-Najem CPM Construction, Planning & Management Bloomington Hospital Moore Engineers, P.C. Johnson Controls, Inc. Swisslog Translogic Moore Engineers, P.C. St. Vincent Carmel Hospital Clarian Health Partners,
Midwest CHP Application Center
Indiana Hospital Market Sector Report
55
Inc. 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 Jeff Morris John Morris Randy Morris Rodney Morrow Tyler Morton Gerry Murphy John Nail David Nellans Phil Nemeth Henry Nichols Dan O'Brien Ray O'Neal Toby Orme Vaughn Osborne Charles Packard Phil Panarisi James Pendoski Paul Perry, Jr. Sherri Perry, R.N. Brian Phillippi Ron Pitcock Louis Poineau Nick Price Charles Purdy Robert Quillen Andrew Raih Thomas Rao Terry Ratzlaff Sam Reed Charles Reynolds Garth Reynolds Jim Rice Thomas Ringham Ray Risner Larry Roberts Rusty Rozelle Division Director of Engineering/Support Services Sr. Mech. Sys. Dgnr. Sales Representative Engineer III Key Account Manager Director of Engineering & Construction Director of Environmental Services President Branch Manager EBS Sales Vice President of Hospital Services Infection Control Practioner Electric Power Account Manager Assistant Director of Engineering Director, Special Projects Project Manager Vice President, Facilities Service Manager Administrative Director, Engineering Director of Plant Engineering President President District Service Manager Building & Grounds Supervisor Chemical Sales Engineer Director, Facilities President Director Plant Operation Plant Engineer Territory Manager Director, Sales & Marketing Owner/Engineer Consultant/Manager Sales Manager Liberty Tool & Engineering Safety Management Group Southern Roofing, Inc. J & T Systems, Inc. Garratt-Callahan Company Electrical Equipment Co., Inc. Office Works, Inc. Community Hospital The Troyer Group Affiliated Steam Equipment Company Broadway Methodist Hospital Cinergy St. Francis Hospital & Health Centers Dukes Memorial Hospital Howard Bowman Co. Inc. Mobile-Air, Inc. The Trane Company Bluffton Regional Medical Center Bloomington Hospital of Orange Co. MacAllister Machinery Co., Inc. Hendricks Community Hospital Beaumont Services Co. L.L.C. Shiel Sexton Bremner & Wiley, Inc. AC Equipment Representatives, Inc. Marion General Hospital MetroHealth Medical Center Summit Water Treatment, Inc. BSA LifeStructures STERIS Corporation Henry County Memorial Hospital Share Corp Wishard Health Services B&R Fire Protection Putnam County Hospital Bloomington Hospital & P.O.Box 177 1435 Chase Court 770 Jonesville Rd. 614 E. Streeter Ave. 13207 Abbots Place 5150 E. 65th St., Suite A 351 W. 10th Street 901 MacArthur Blvd 550 Union Street 5545 W. Raymond St. Suite N 8701 Broadway 1000 E. Main Street 1600 Albany Street 275 W. 12th Street 9723 Kincaid Drive 4440 S. High School Rd. 929 Lincolnway East 303 S. Main St. P.O. Box 499 7575 E. 30th Street 1000 E. Main Street 850 Stephenson Hwy., #615 902 N. Capital Avenue 250 E. 96th Street, #150 1300 W. Pennsylvania 411 N. Wabash Ave 2500 MetroHealth Drive P.O.Box 12892 9365 Counselors Row 737 W. 72 Street 1000 N. 16th Street 703 W. Third St. 1001 W. 10th St. 408 Waynetown Road 1542 S Bloomington St 601 W. Second Street P.O. Box Liberty, IN 47353-0177 Carmel, IN 46032 Columbus, IN 47202 Muncie, IN 47303-1919 Carmel, IN 46033 Indianapolis, IN 46220 Indianapolis, IN 46202 Munster, IN 46321 Mishawaka, IN 46544 Indianapolis, IN 46241 Merrillville, IN 46410 Plainfield, IN 46168 Beech Grove, IN 46107 Peru, IN 46970 Indianapolis, IN 46205 Indianapolis, IN 46241 South Bend, IN 46601 Bluffton, IN 46714 Paoli, IN 47454 Indianapolis, IN 46219 Danville, IN 46122 Troy, MI 48083 Indianapolis, IN 46204 Indianapolis, IN 46240 Indianapolis, IN Marion, IN 46952 Cleveland, OH 44109 Ft. Wayne, IN 46866-2892 Indianapolis, IN 46240 Indianapolis, IN 46260 New Castle, IN 47362 Madison, IN 47250 Indianapolis, IN 46202 Crawfordsville, IN 47933 Greencastle, IN 46120 Bloomington, IN 47402 765-458-6827 317-848-0801 812-375-1888 765-286-1993 317-432-6033 317-849-4883 317-808-3599 219-836-4545 574-259-9976 317-244-6880 219-738-5583 317-539-8002 317-783-8257 317-472-8000 317-570-1538 317-821-9433 574-696-4388 260-824-3210 812-723-7421 317-860-3392 317-745-3451 248-837-1634 317-423-6000 317-816-8600 317-921-8825 765-662-4010 216-778-5544 260-471-1577 317-819-7878 317-722-9147 765-521-1552 812-265-4466 317-630-6641 765-362-7594 765-655-2650 812-353-5537 765-362-6609 765-655-2625 812-353-9216 317-569-0314 317-821-9435 574-282-4880 219-824-7189 812-723-7510 317-860-4433 317-745-3405 248-733-1568 317-423-6300 317-816-8610 317-921-8826 765-662-4466 216-778-3303 260-483-4417 317-819-7288 317-722-9148 765-521-1555 tratzlaff@summitwater.com sreed@bsalifestructures.com chuck Reynolds@steris.com greynolds@hcmhcares.org www.sharecorp.com thomas.ringham@wishard,edu brfire@tctc.com lroberts@pchosp.org rrozelle@bloomhealth.org howardbowman@sbcglobal.net ppanarisi@mobileair.com jrpendoski@trane.com pperry@bluffton-regional.com sperry@bloomhealth.org brianphillippi@macallister.com rjpitco@hendricks.org lpoineau@bsc-rscservices.com nprice@shielsexton.com cpurdy@bremner-wiley.com larryQ@acequipmentreps.com araih@mgh.net 765-458-6849 317-848-0818 812-375-1850 765-286-2182 317-569-1390 317-849-4116 317-808-3550 219-852-6444 574-259-9982 317-244-6916 219-738-5625 317-838-2234 317-783-8415 roneal@cinergy.com toby.orme@ssfhs.org hcn2@msn.com libertytool@aol.com johnmorris@smgindy.com rmorris.sri@insightbb.com service@jandtsystems.com tmorton@g-c.com netinfo@eeco-online.com jnail@officeworks.net dnellans@comhs.org
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Healthcare System 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 Jeffrey Ruemmele Randy Ryba Joseph Sagorsky John Sauer Scott Schneider Christopher Schoonmaker James Schrader Rich Schroeder Paul Schroeter Michael Scott Don Seay Tony Self Ron Shake Chuck Shamley Roger Shaul Roger Shaw, SASHE David Shelley Darrell Shepherd Steve Shirley Michael Shriner Edward Shultz, P.E. Joseph Sikora Michael Simpson Jerry Singleton Patrick Sloan Steve Smith Erick Smith, P.E. David Snapp Bob Sobek David St. John Frank St. John Joe St. John Kenneth Stella Brad Stevens Director, Plant Operations Key Account Representative Account Executive Healthcare Principal V.P. Sales & Marketing VP of Business Development Plant Manager Customer Support Maintenance Director Plant Operations Manager President District Sales Manager Director of Physical Plant Director, Sales & Marketing Project Manager Director of Facilities Management Maintenance Coordinator Superintendent Health Care Account Manager Director, Major Client Management VP/Regional Consulting Engineer Physical Plant Director Coordinator Facility Engineering Director of Environmental Services Director, Utility Program Director Facilities Services Electrical Designer Facilities System Director President President President Director of Plant Operations President Facilities Director The Indiana Heart Hospital NIPSCO Industries Johnson Controls, Inc. BSA LifeStructures Mister Ice of Indianapolis Geupel DeMars Hagerman Logansport Memorial Hospital Fluid Waste Services Wabash County Hospital Kosciusko Community Hospital Air Engineered Systems, Inc. Chem Aqua Sullivan County Community Hospital TriMedx Miller-Eads Company, Inc. Medical Center of Southern Indiana Henry County Memorial Hospital Shiel Sexton Grainger Barth Electric Co., Inc. St. Margaret Mercy Healthcare Centers Margaret Mary Community Hospital Columbus Regional Hospital DeKalb Memorial Hospital Metropolitan Chicago Healthcare Council St. Vincent Health Gaylor Group, Inc. Union Hospital Sobek Enterprises, Inc. Meridian Engineering Group, Inc. Applied Engineering Services, Inc. Morgan Hospital & Medical Center IHHA Hancock Memorial 8075 N. Shadeland Ave. 801 E. 86th Ave 1255 N. Senate Ave. 9365 Counselors Row, #300 7954 E. 88th St. 7930 Castleway Dr. 1101 Michigan Ave P. O. Box 264 710 N. East Street 2101 E. Dubois Drive 6250 S. Belmont Avenue 8401 E. 33rd St. 2200 N Section Street 6325 Digital Way, #400 4125 N Keystone Ave 2200 Market St. 1000 N. 16th Street 902 N. Capital Avenue 9210 Corporation Dr. 1934 N. Illinois Street 5454 Hohman Ave. 321 Mitchell Avenue 2400 E. 17th Street 1316 E. Seventh 222 S. Riverside Plaza #1900 2001 W. 86th St. 11711 N. College Ave. #150 1606 N. 7th St. 5224 S. East St. #11 7240 Shadeland Station, #210 7999 Knue Rd. #300 2209 John R. Wooden Drive One American Square 801 N. State Street
1149 Indianapolis, IN 46250 Merrillville, IN 46410 Indianapolis, IN 46202 Indianapolis, IN 46240-1479 Indianapolis, IN 46256 Indianapolis, IN 46250 Logansport, IN 46947 Fishers, IN 46038 Wabash, IN 46992 Warsaw, IN 46580 Indianapolis, IN 46217 Indianapolis, IN Sullivan, IN 47882 Indianapolis, IN 46278 P.O. Box 55234 P.O.Box 69 Indianapolis, IN 46205 Charlestown, IN 47111 New Castle, IN 47362 Indianapolis, IN 46204 Indianapolis, IN 46256 Indianapolis, IN 46202 Hammond, IN 46320 Batesville, IN 47006 Columbus, IN 47201 Auburn, IN 46706 Chicago, IL 60606 P.O. Box 40970 Indianapolis, IN 46240 Carmel, IN 46032 Terre Haute, IN 47804 Indianapolis, IN 46227-1985 Indianapolis, IN 46256 Indianapolis, IN 46250 P.O. Box 1717 P.O. Box 82063 Martinsville, IN 46151 Indianapolis, IN 46202 Greenfield, IN 46140 317-621-8016 219-853-5234 317-917-5026 317-819-2159 317-849-4466 317-713-0636 574-753-1312 317-773-7996 574-569-2229 574-267-3200 317-783-2904 317-339-6381 812-268-4311 317-415-5444 317-545-7101 812-256-7595 765-599-3566 317-423-6000 317-594-0378 317-924-6226 219-933-2142 812-933-5005 812-376-5750 574-925-4600 312-906-6183 317-338-2348 317-843-0577 812-238-7642 317-351-8145 317-596-4990 317-585-8920 765-349-6512 317-633-4870 317-468-4220 574-753-1569 317-776-0403 574-569-2380 574-372-7672 317-783-4227 317-862-2928 812-268-2667 317-415-5445 317-545-4660 812-256-7618 765-521-1492 317-423-6300 317-594-0150 317-923-6938 219-933-2170 812-933-5036 812-376-5938 574-925-4733 312-993-0779 317-338-2411 317-848-0364 812-238-7380 317-351-8149 317-596-4998 317-585-8921 765-349-5413 317-633-4875 317-468-4513 317-621-8031 219-853-5219 317-638-6146 317-819-7288 317-578-0750 jruemmele@community.com rfryba@nisource.com joseph.b.sagorsky@jci.com jsauer@bsadesign.com misterice@ameritech.net cschoonmaker@gdhcm.com jschrader@mhlogan.org fws1777@aol.com pschroeter@wchospital.com mscott@kch.com don@aeshvac.com tself@nch.com ronshakend@hotmail.com gshamle@TriMedx.com rshaul@miller-eads.com rshaw@prhc.net dshelley@hcmhcares.org dshepherd@shielsexton.com shirley.s@grainger.com mshriner@barthelectric.com ed.shultz@ssfhs.org joe.sikora@mmch.org msimpson@crh.org jsingleton@dekalbmemorial.com psloan@mchc.com sdsmith@stvincent.org esmith@gaylor.com dsnapp@uhhg.org bsobek@sobekenterprises.com dstjohn@meridian-engineering-group.com fstjohn@applied-e-s.com jstjohn@mcmch.net kstella@inhha.org bstevens@hmhhs.org
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235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267
Kurt Stevens Stephen Strawmyer Robert Sulecki Jerry Swango Randall Swayer William Swhear Barry Tehrani William Teller Steve Thomas Steve Thurston Douglas Tischbein Thomas Traversa Val Trinkley Scott Tripp David Troyer Vickie Van Deventer Frank Van Overmeiren William Van Port Fleet Nathan Van Sell Arthur Veneklase Mike Ventruella Gina Walker Jim Walker Christina Warren Barbara Weber Douglas Wells Pete Whitehouse Morrie Whitmore Randy Wilcox Mark Wilder Ross Williams Steve Williams Steve Willis
President Director Plant Operations Vice President, Engineering Manager Maintenance Services Maintenance Director Vice President Consulting Engineer
Hospital & Health Services Solutions Network Witham Health Services Weas Engineering, Inc. Reid Hospital & Health Care Services Bloomington Hospital of Orange Co. Solar Concepts, Inc. Barry Tehrani Engineers Inc. Teller Training Group Columbus Regional Hospital Energy Consultants Inc. Energy Systems Group, LLC St. Joseph's Regional Medical Center Plymouth EnergyUSA - TPC Riverview Hospital St. Vincent Mercy Hospital Bloomington Hospital FP & C Consultants, Inc. Butterworth Hospital George E. Booth Co., Inc. URS Greiner Woodward Clyde Park Center Inc. Koehlinger Security Technology, Inc. St. Mary Hospital TriMedx Diversified Instrument Services, Inc. Sebesta Blomberg & Bourassa Koorsen Protection Services, Inc. St. Vincent Pediatric Rehabilitation Center St. Vincent Health Hill-Rom Artec Environmental Monitoring Thermaltech Engineering, Inc. St. Vincent Health
6717 N.Michigan Rd. 2605 N. Lebanon St. P. O. Box 550 1401 Chester Blvd 642 W. Hospital Rd. 12111 E. 79th Street 116 E. Carmel Drive 2624 Soldiers Home Rd. 2400 E. 17th Street P.O. Box 499
Indianapolis, IN 46268 Lebanon, IN 46052 Westfield, IN 46074 Richmond, IN 47374 Paoli, IN 47454 Indianapolis, IN 46236 Carmel, IN 46032 West Lafayette, IN 47906 Columbus, IN 47201 Carmel, IN 46032
317-280-2133 765-485-8285 317-867-4477 765-983-3034 812-723-7404 317-335-3100 317-846-0721 765-463-2827 812-376-5054 317-908-8222 317-228-3676 574-935-2190 219-853-5936 317-776-7112 765-552-4632 812-353-9544 317-486-5188 616-391-1805 317-201-3472 616-574-8452 219-481-2700 800-444-1520 309-691-1089 317-415-5444 812-477-2150 847-692-4780 317-543-3043 317-415-5536 317-338-2802 800-433-6245 800-727-8321 513-561-2271 317-338-2153
317-280-2131 765-482-8699 317-867-1040 765-983-3351 812-723-3306 317-335-3504 317-844-4673 508-464-7939 812-376-5931 317-870-7191 317-288-3694 574-935-2185 219-853-5951 317-776-7498 765-552-4700 812-353-5199 317-486-5189 616-391-2745 317-271-6225 616-574-8542 219-481-2717 260-422-1740 309-691-1430 317-415-5445 812-471-2717 847-692-4784 317-543-0838 317-415-5595 317-338-2411 812-934-9965 317-577-7000 513-561-2412 317-338-2411
solutionsnet@iquest.com sstrawmyer@witham.org
swangoj@reidhosp.com rswayer@bloomhealth.org solarconcepts1@aol.com bte116@aol.com telltrain@hotmail.com sthomas@crh.org sthurston@energyconsultants.org dtischbein@energysg.com traversat@sjrmc.com vtrinkley@nisource.com stripp@riverview.org dctroyer@stvincent.org vvandeventer@bloomhealth.org indy@fpc-consultants.com
Director, Facilities Planning & Construction Vice President Mission Critical Strategic Alliances Regional Director Director of Facilities General Manager Director of Engineering Maintenance Manager Infection Control Practioner President Director, Plant Operations Account Manager Principal Mechanical Engineer Facilities Manager Sales Representative Director, Plant Operations & Construction Account Manager President Director of Business Development
3905 Vincennes Rd., #505 1915 Lake Ave. 1500 165th St. 395 Westfield Road 1331 South A Street 601 W. Second St. 1520 Main Street 100 Michigan Street NE 8202 W. 10th St. 3950 Sparks Dr. S.E. 909 E. State Street 421 E. Washington Blvd. 800 NE Glen Oak 6325 Digital Way, #400 1415 N. Royal Ave. 9801 W. Higgins Rd., #330 2719 N. Arlington Ave 1707 W. 86th St. 2001 W. 86th St. 1069 State Route 46E 8501 Bash Street, #200 5721 Dragon Way 2001 W. 86th St P.O. Box 40970 P.O. Box 40407 P.O. Box 40970 P.O.Box 1149 P.O.Box 670
Indianapolis, IN 46268 Plymouth, IN 46563 Hammond, IN 46324 Noblesville, IN 46060 Elwood, IN 46036 Bloomington, IN 47402 Indianapolis, IN 46224 Grand Rapids, MI 49503 Indianapolis, IN 46214 Grand Rapids, MI 49546 Fort Wayne, IN 46805 Fort Wayne, IN 46802 Peoria, IL 61614 Indianapolis, IN 46278 Evansville, IN 47715 Rosemont, IL 60018 Indianapolis, IN 46218 Indianapolis, IN 46240 Indianapolis, IN 46240 Batesville, IN 47006 Indianapolis, IN 46250 Cincinnati, OH 45227 Indianapolis, IN 46240
nathan@gebooth.com art_veneklase@urscorp.com mventruella@parkcenter.org ginawalker@koehlingerlock.com
cawarren@trimedx.com barb@disevv.com dwells@sebesta.com
Manager Facilities Services Systems Tech Territory Sales Manager President Principal Manager Facilities Services
mmwhitmo@stvincent.org debran1990@aol.com mark.wilder@hillrom.com ross@artecenvironmental.com swilliams@thermaltech.com srwillis@stvincent.org
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268 269 270 271 272 273 274
Nick Wines Byron Wood Cathy Wriston Dan Young Don Yurkovich Phil Yuska David Zwiesler
President Systems CoordinatorEngineering Dept Sales Associate Director of Facilities
Business Development Manager Senior Account Manager
Dan Haines Construction, Inc. Reid Hospital & Health Care Services B & H Technical Services, Inc. St. Francis Hospital Mooresville LaPorte Hospital Performance Services, Inc. ProLiance Energy, LLC
915 E. Daly Street 1401 Chester Blvd 9100 Louisana Bldg. A 1201 Hadley Road 1007 Lincoln Way 8777 Purdue Rd., # 360 111 Monument Circle, #2200
Indianapolis, IN 46202 Richmond, IN 47353 Merrillville, IN 46410 Mooresville, IN 46158 Laporte, IN 46350 Indianapolis, IN 46268 Indianapolis, IN 46204
317-635-5858 765-983-3034 219-756-0611 317-834-9686 219-325-5482 317-713-1773 317-231-6816 765-983-3351 219-756-3505 317-831-9358 219-325-6401 317-713-1751 317-231-6900 woodb@reidhosp.com bhtech@bhtechnical.com dan.young@ssfhs.org d.yurkovich@lph.org pyuska@performanceservices.us dzwiesler@proliance.com
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Appendix D
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SAMPLE LETTER
July 2, 2003 Clifford Haefke University of Illinois at Chicago (MC 156) 851 South Morgan Street, 1323 SEO Chicago, IL 60607-7054
To: Mr. John Doe Misc. Hospital 1234 Hospital Drive Miscellaneous, WI 55555
Dear Mr. Doe: The U.S. Department of Energy (DOE) is promoting the use of Combined Heat and Power (CHP) systems as an energy efficient technology that can provide hospitals both operational cost savings and increased electric reliability. For those of you not familiar with the concept, CHP refers to an integrated system that is located at or near a building/facility (hospital). The system provides at least a portion of the hospital’s electric load and utilizes the thermal energy from the electric generation equipment to provide space heating, space cooling, dehumidification, sterilization, and process heat. Over 200 hospital/healthcare facilities nationwide already experience the benefits of CHP. We know of several CHP systems that are successfully operating and providing benefits to hospitals in the Midwest States, including Beloit Memorial Hospital of Beloit, Wisconsin. A colored CHP Fact Sheet of this hospital has been included to provide more information on this technology and its application. As part of the National Program, the State of Indiana, Department of Development is assembling information on CHP technology and a business case for hospitals in Indiana. The University of Illinois at Chicago is assisting both the U.S. Department of Energy and the State of Indiana with this effort. Several other Midwest States are currently participating in this program in developing the needed information. We would appreciate you taking a couple of minutes to fill out the included survey that will help provide us a baseline of hospitals in Indiana that have onsite electric generating equipment, beyond the required diesel fueled emergency generator sets. Please take the time to fill out the information and also check the box if you would like more information on CHP and how it applies to hospitals. If you check the box, we will get back in touch with you ASAP. Sincerely,
Clifford Haefke Research Engineer University of Illinois at Chicago (312) 355-3476 chaefk1@uic.edu
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Please complete and return the survey by faxing it to 312-996-5620, Atten: Cliff Haefke OR mail via pre-paid return addressed envelope.
Indiana Electric Generating Equipment Assessment
Hospital Name: Hospital Location: ________________________________________ ________________________________________
1.)
Does your hospital operate electric generating equipment, other than emergency generators? Yes a.) No (if No, skip to Question 2)
What is the installed capacity of the non-emergency electric generating equipment in kilowatts (kW)? _______________ kW
b.)
Is waste heat recovered and utilized from the generators? Yes No
2.)
What is the installed capacity of your emergency generator sets in kilowatts (kW)? ____________________ kW
3.)
What is the size of your facility in square-feet of floor space? If there are multiple buildings at one location, please list the combined floor space of all buildings. ____________________ square-feet (approximate)
4.)
What is your hospital’s maximum electric demand in kilowatts (kW)? ____________________ kW (approximate)
5.)
Has your hospital ever had a cogeneration / CHP feasibility study completed for your facility? Yes No
6.)
Using you best judgment, please estimate the number of “momentary power interruptions” (fraction of a second to 10 seconds) experienced annually at your facility. Zero 1-5 6-10 11-15 16+
7.)
Please feel free to guess the average added expense per “momentary power interruption” at your hospital (equipment failure, restarting/resetting of diagnostic and computer sensitive equipment, patient rescheduling, patient backlog, staff scheduling, etc.). $ ___________________ per interruption Please check the box if you are interested in more information on CHP technologies and upcoming events. If you prefer information sent via email, please provide your email address below: ________________________________________
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Appendix E
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Combined Heat and Power (CHP) for Hospitals
An Energy Efficiency An Energy Efficiency Education and Implementation Program Education and Implementation Program
Module #1 Module #1
CHP: The Concept
Benefits of CHP
High Efficiency, On-Site Generation Means …
• Improved Reliability • Lower Energy Costs • Better Power Quality • Lower Emissions (including CO2) • Conserve Natural Resources • Support Grid Infrastructure
– Fewer T&D Constraints – Fewer T&D Constraints – Defer Costly Grid Upgrades – Defer Costly Upgrades – Price Stability – Price
• Facilitates Deployment of New Clean Energy Technologies • Enhances Competition
UIC
2
1
CHP Is A Triple Win
• Saves Money While Increasing Reliability --• Energy Efficiency and Cleaner Environment --• Provides Business Opportunity
UIC
Hospitals
Government
---
Industry
3
Why CHP in Hospitals?
• High Energy Users
– Thermal and Electric
• Thermal and Electric Energy Loads
– Generally Well Matched in Time – Needed 24/7/365
• Saves Energy and $$$
– Reduces Energy Bills – Addresses High Electrical Cost
• Improves Electric Service Reliability
– Addresses Momentary Interruptions that Cause » Equipment Resets » Patient Inconvenience » Lost Revenues
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4
2
What is CHP?
• • • • Integrated System Located At or Near a Building/Facility Provides a Portion of the Electrical Load Utilizes the Thermal Energy
– – – – Cooling Heating Dehumidification Process Heat
5
UIC
Typical Commercial CHP System
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6
3
Emergency Generators vs. CHP Systems
Emergency Generators
• Sized to Meet Emergency • Sized to Meet Emergency and Critical Loads and Critical Loads • Diesel Fueled • Diesel Fueled
– High Emissions – High Emissions – Meet Emergency Startup – Meet Emergency Startup Requirements Requirements
CHP Systems
• Sized Based on Electric and • Sized Based on Electric and Thermal Loads Thermal Loads • Natural Gas Fueled • Natural Gas Fueled
– Low Emissions – Low Emissions – Normally Cannot Meet Emergency – Normally Cannot Meet Emergency Startup Requirements Startup Requirements
• Results in Instantaneous • Results in Instantaneous Outage if Needed to Start Outage if Needed to Start • Not Capable of Running • Not Capable of Running Continuously Continuously • Rarely Run • Rarely Run • No Financial Payback • No Financial Payback
UIC
• Reduces/Eliminates • Reduces/Eliminates Instantaneous and/or Prolonged Instantaneous and/or Prolonged Outages Outages • Capable of Running Continuously • Capable of Running Continuously • Normally Run During Peak Energy • Normally Run During Peak Energy Periods Periods • Good Financial Payback • Good Financial Payback • Uses Utility Grid as Backup • Uses Utility Grid as Backup
– Emergency Generators – Emergency Generators are Backup to Backup are Backup to Backup
7
Reliable CHP Technologies for Healthy Hospitals
• Electric Generation Equipment
– Reciprocating Engines – Turbines / Microturbines
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8
4
Reliable CHP Technologies for Healthy Hospitals
• Heat Recovery Systems
– Steam and Hot Water – Exhaust Gases
UIC
9
Reliable CHP Technologies for Healthy Hospitals
• Thermally Activated Technologies
– Absorption Chillers – Absorption Chillers – Desiccant Dehumidification – Desiccant Dehumidification
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5
Top 10 Impediments to CHP
6. Assessing and Assigning CHP Value
Hard to Identify, Quantify, and Allocate $$$ Saved with Hard to Identify, Quantify, and Allocate $$$ Saved with Keeping Profit Centers Open and Patient Satisfaction Keeping Profit Centers Open and Patient Satisfaction
7. Stakeholder Apathy
Lack of Incentive for Facility Managers and Engineering Firms Lack of Incentive for Facility Managers and Engineering Firms to Try Something Different to Try Something Different
8. High First Cost 8. High First Cost
Discourages Investment Despite Life Cycle Benefits Discourages Investment Despite Life Cycle Benefits
9. Electric Utility Ambivalence and Restructuring
Creates Uncertainty and a “Wait and See” Attitude for End Creates Uncertainty and a “Wait and See” Attitude for End User, Plus Electric Utilities Change Adverse User, Plus Electric Utilities Change Adverse
10. Too Few Thorough Case Studies
UIC
Inconsistent, Hard to Find, and Often Incomplete in Inconsistent, Hard to Find, and Often Incomplete in Financial Details Financial Details
11
Top 10 Impediments to CHP
1. Interconnection
Inconsistent Standards, Complex Process, and Unpredictable or Inconsistent Standards, Complex Process, and Unpredictable or High Costs High Costs
2. Utility Tariffs
Standby Charges and General Rate Design Standby Charges and General Rate Design
3. Interconnect Technology 3. Interconnect Technology
Sometimes Poorly Understood, Inadequate, or Costly Sometimes Poorly Understood, Inadequate, or Costly
4. Lack of Familiarity and Ability to Assess Benifits
With CHP Technologies, Concepts, and Environmental Benefits With CHP Technologies, Concepts, and Environmental Benefits
5. Permitting Process
Sometimes Long, Cumbersome, and Costly Sometimes Long, Cumbersome, and Costly
UIC
12
6
Key Factors for CHP Attractiveness
• Coincident Needs for Power and Thermal Energy • Cost of Buying Electric Power from the Grid Relative to the Cost of Natural Gas
a.k.a. “Spark Spread” > $11 MMBTU
• Installed Cost Differential Between a Conventional HVAC and a CHP System
UIC
13
Things to Watch For
• Proper Size to Get Best Payback • Financial Opportunities
– Grants – Low Cost Loans
• Credibility of Assessment
UIC
14
7
Appendix F
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Combined Heat and Power (CHP) for Hospitals
An Energy Efficiency An Energy Efficiency Education and Implementation Program Education and Implementation Program
Module #2 Module #2
CHP: The Business Case
Why Hospitals?
Overview
• Quick Background on CHP Systems and Heat Recovery • Energy Analysis Process and Example • Area Market Generalization • Items to Look for in the Energy and Financial Analysis • Items to Look for in a Concept Design
UIC
1
Quick Background on CHP System Operation Hospital Example
1600 1400 Electric Load in kW 1200 1000 800 600 400 200 0 0 2000 4000 Hrs/Year
UIC
Timeline of the Electric Load
6000
8000
10000
Power Needs are More Easily Viewed by Ordering into a Duration Curve
1600 1400 Total Electric Load (kW) 1200 1000 800 600 400 200 0
1 1001 2001 3001 4001 5001 6001 7001 8001
Total Electric Load Duration Curve
Entire Load Can Entire Load Can Be Met by a Be Met by a 1490 kW Generator 1490 kW Generator
Hrs/Year in Order of Electric Load Size
UIC
2
Hospital Power Consumption is More Constant than Other Commercial Loads
1800 1600 Total Electric Load (kW) 1400 1200 1000 800 600 400 200 0
Total Electric Load Duration Curve
Hospital 300,000 SF Hospital 300,000 SF
1600 1400 Total Electric Load (kW) 1200 1000 800 600 400 200 0
1 1001 2001 3001 4001 5001 6001 7001 8001
Total Electric Load Duration Curve
1
1001
2001
3001
4001
5001
6001
7001
8001
Hrs/Year
Office Bldg 300,000 SF Office Bldg 300,000 SF
Hrs/Year in Order of Electric Load Size
UIC
If the Facility has a Generator that Supplies ALL Power Needs, How Much Waste Heat is Available ?
8 7 Total Heat Load (MMBH) 6 5 4 3 2 1 0 1 1001 2001 3001 4001 5001 6001 7001 8001 Hrs/Year Recoverable Heat from Generator
Total Heat Load Duration Curve
UIC
Note: For Simplicity, the Engine is Assumed to Be Capable of Note: For Simplicity, the Engine is Assumed to Be Capable of Running Down to Zero Load at a Constant Efficiency and Running Down to Zero Load at a Constant Efficiency and Heat Rejection Rate. This is Not True of Actual Engines Heat Rejection Rate. This is Not True of Actual Engines
3
How Much Can be Used for All Heating?
42% of the Waste Heat Can Be Used for Space and Water Heating 42% of the Waste Heat Can Be Used for Space and Water Heating
9 8 Total Heat Load (Btu/hr) 7 6 5 4 3 2 1 0 1 1001 2001 3001 4001 5001 6001 7001 8001 Hrs/Year Recoverable Heat from Generator All Heating Loads
Total Heat Load Duration Curve
UIC
If the Cooling Load is Now Also Operated by Waste Heat – The Electric Load is Changed
1600 1400 Total Electric Load (kW) 1200 1000 800 600 400 200 0 1
Total Power With Electric Cooling
Total Power without Cooling
Total Electric Load Duration Curve
1001
2001
3001
4001
5001
6001
7001
8001
Hrs/Year
Entire Load Can Now Entire Load Can Now Be Met by a Be Met by a 940 kW Generator 940 kW Generator
UIC
4
After Downsizing the Load and the Generator The Recoverable Heat is Lower and More Constant
Generator Recoverable Heat - Electric Chillers Generator Recoverable Heat - Absorption Chillers 9 8 7 6 MMBtu/hr 5 4 3 2 1 0 1 1001 2001 3001 4001 5001 6001 7001 8001 Hrs/Year
Total Heat Load Duration Curve
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How Much Waste Heat Can be Used for Space Heating AND Cooling?
Recoverable Heat from Generator with Absorption Cooling All Heating and Cooling Loads 9 Total Heat Load (MMBtu/hr) 8 7 6 5 4 3 2 1 0 1 1001 2001 3001 4001 5001 6001 7001 8001 Hrs/Year
Total Heat Load Duration Curve
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• • • •
85% of the Waste Heat Can Be Used for Heating/Cooling 85% of the Waste Heat Can Be Used for Heating/Cooling To Avoid Excessive Boiler Operation – a Mix of Electric and To Avoid Excessive Boiler Operation – a Mix of Electric and Absorption Chillers is Generally Used Absorption Chillers is Generally Used
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Importance
• Heat Rejected by the Generator is Only Useful to the Extent that It Coincides with a Load Capable of Using It. • Hospitals Have a Greater Opportunity to Due to the More Consistent Electric and Thermal Loads • Ohio cooling seasons (summer month) are difficult to justify absorption cooling installations to utilize heat recovery
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Steps in the Evaluation
S c r e e n in g W a lk - T h r u
• Full Engineering Planning is • Full Engineering Planning is Expensive Expensive • Screening and Concept • Screening and Concept Design Steps Determine Design Steps Determine Practicality in Incremental Practicality in Incremental Stages Stages
C H P F in a n c ia l A n a ly s i s
P r a c tic a l In v e s tm e n t?
S c r e e n in g E c o n o m ic s
G ood P o te n tia l?
C oncept D e s ig n
O w ners A g re e m e n t?
D e v e lo p E n g in e e r in g P la n s , B id , B u ild
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Things to Watch for in the Energy Analysis
• • • • Assuming 100% Utilization of Waste Heat - Unrealistic Assuming 100% Utilization of Waste Heat - Unrealistic Rule of Thumbs Rule of Thumbs
– – – – Can Not Recover More than 60-70% of the Engines NET Useful Can Not Recover More than 60-70% of the Engines NET Useful Output for Most Commercial Loads Output for Most Commercial Loads Best Payback Is Achieved When Operating Generator Only During Best Payback Is Achieved When Operating Generator Only During Peak Hours Peak Hours
• • • •
Reasonable Projections on Future Fuel Prices Reasonable Projections on Future Fuel Prices
– – No Hidden Fuel or Electric Price Escalators No Hidden Fuel or Electric Price Escalators
Are They Basing the Projection on a Fraction of the Facility’s Are They Basing the Projection on a Fraction of the Facility’s Electric Load Electric Load
– – A Cogeneration System Capable of Powering Your Entire Facility is A Cogeneration System Capable of Powering Your Entire Facility is Not Usually Optimum Unless the Owner Needs Such a Capability Not Usually Optimum Unless the Owner Needs Such a Capability
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Things to Watch for in the Financial Analysis
• Using Recent Year Utility Bills - Correcting Results Back to Average • Using Recent Year Utility Bills - Correcting Results Back to Average Weather Year Conditions is Best Weather Year Conditions is Best • Comment on Heat Recovery “Usually Not Paying” • Comment on Heat Recovery “Usually Not Paying”
– – – – Generally Indicates a Designer More Comfortable with the Power Generally Indicates a Designer More Comfortable with the Power Industry than HVAC Industry than HVAC In Some Cases – Heat Recovery May be Too Difficult – BUT Then, In Some Cases – Heat Recovery May be Too Difficult – BUT Then, Suspect the Project Overall - VERY Difficult to Compete with the Suspect the Project Overall - VERY Difficult to Compete with the Electric Utility if You Have No Practical Use for Waste Heat Electric Utility if You Have No Practical Use for Waste Heat
• Avoid “Leveraged” Paybacks or IRR’s • Avoid “Leveraged” Paybacks or IRR’s • Use Gas Rates that Provide 3-5 Year Confidence Horizon • Use Gas Rates that Provide 3-5 Year Confidence Horizon
– – DON’T Necessarily Lock in Long Term Contract DON’T Necessarily Lock in Long Term Contract
• Must Include • Must Include
– – – –
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Back-Up Charges Back-Up Charges Maintenance Allocations Maintenance Allocations Should Include a Full Business Case Analysis as Well Should Include a Full Business Case Analysis as Well
– –
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Appendix G
Midwest CHP Application Center
Indiana Hospital Market Sector Report
80
Elkhart General Hospital
745 kW CHP Application
Project Profile
In Partnership with the US DOE
Project Overview
Quick Facts
Location: Elkhart, Indiana Facility Size: 700,000 square feet Number of Staffed Beds: 337 Beds Facility Type: Medical Campus – Multiple Buildings Maximum Electric Demand: 3,500 kilowatts Generating Equipment: Caterpillar Model 3516 Reciprocating Engine Generating Capacity: 745 kilowatts (kW) Primary Fuel: Natural Gas Heat Recovery: Domestic Hot Water Operation Schedule: Peak Shaving during On Peak Hours of Spring, Summer, & Fall Months Local Electric Utility: American Electric Power (AEP) Began Operation: 1991
Elkhart General Hospital (EGH) of Elkhart, Indiana operates a 745 kW Combined Heat and Power (CHP) System that provides electric peak shaving and domestic hot water to the 700,000 sq. ft. hospital campus. The prime mover of the CHP system is a 745 kW Natural Gas Caterpillar Model 3516 Reciprocating Engine that is operated during the spring, summer and fall months to avoid the high demand charges associated with the local utility’s on peak period. With an electric demand price of $16.02 per kilowatt, the hospital saves nearly $12,000 per month on demand charges alone when operating the CHP system.
Elkhart General Hospital West Wing.
CHP Operation
In 1991, the hospital began operation of the CHP system. The motivating factors of potential energy savings and government energy awareness efforts aided in persuading the EGH staff to pursue the benefits of combined heat and power at their medical campus. The primary parties involved in the CHP installation process included Caterpillar, Inc., the equipment supplier, and Enercon, the electrical contractor and engineering firm. The CHP system, located in the hospital’s Energy Center (central heating and cooling plant) operates in parallel with the local electric utility - American Electric Power (AEP). The system is activated during the spring, summer, and fall months to combat the high electric demand charges associated with the operation of the hospital’s electric centrifugal chillers. During these months, the system is operated 16 hours per weekday in conjunction with AEP’s “on peak energy” period.
CHP Configuration
Exhaust to Atmosphere
Additional Facts
When in operation, the CHP system supplies nearly 20% of the maximum 3,500 kW facility electric demand. The Elkhart General Hospital engineering staff provides the daily maintenance of the CHP system, checking the oil, battery and standard operation of the system. Mac Allister Machinery Company of South Bend, Indiana (Caterpillar dealer supporting most of Indiana) provides a maintenance and check-up of the Caterpillar engine twice a year. Elkhart General Hospital has been satisfied overall with the operation of the CHP system and the benefits and savings that are provided to the hospital via the CHP system. Major maintenance and repairs of the CHP system have included repairing the radiators twice, addressing computer control issues during the ’04 summer, a top end overhaul, typical for the number of hours the engine generator has operated, and minor maintenance issues.
Natural Gas
Electricity 745 kW Caterpillar Engine Generator Elkhart General Hospital
Monthly electric demand savings near $12,000
Jacket Water
Heat Exchanger
Domestic Hot Water
Elkhart General Hospital
Natural Gas Hot Water Heater
20% of the electric demand is met by the CHP system
745 kW Caterpillar Model 3516 Recip. Engine
Engine Control Panel
Energy Center Equipment
The following equipment is housed in the hospital’s Energy Center in addition to the 745 kW CHP System: Three (3) Johnston 600 HP Firetube Boilers (80 psig steam) Two (2) 900 RT York Centrifugal Chillers One (1) 500 RT York Centrifugal Chiller One (1) 750 kW Diesel CAT Backup Genset One (1) 700 kW Diesel CAT Backup Genset One (1) 600 kW Diesel CAT Backup Genset
For further information, contact:
Midwest CHP Application Center 851 S. Morgan Street Chicago, IL 60607-7054 Phone: (312) 413-3835 Fax: (312) 996-5620 www.CHPCenterMW.org
Revision 051105
Appendix H
Midwest CHP Application Center
Indiana Hospital Market Sector Report
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Advocate South Suburban Hospital
2.0 MW CHP Application
Project Profile
In Partnership with the US DOE
Quick Facts
Location: Hazel Crest, Illinois Facility Size: 325 Beds Generating Equipment: 1.05 MW Waukesha Engine Generator Annual Energy Savings: $200,000 Installed System Cost: $1.7 Million Estimated Payback: 8 Years Began Operation: Fall, 1997
NOTE: Data in Quick Facts represents 1997 installed CHP system, cooling tower and gas absorption chiller only. The savings and payback do not reflect the 1971 CHP installation.
Project Overview
A snowstorm in 1998 left many residents of Hazel Crest, Illinois without electric power for over six hours. Advocate South Suburban Hospital, located amongst these stranded residents, remained operating at full capacity, thanks to their Combined Heat and Power (CHP) systems that supplied all of their needed electricity, heating and cooling. Today, the hospital operates two separate CHP systems, in parallel with the grid, with an electric generating capacity near 2.0 megawatts. The more recent CHP system installed in 1997, incorporating a 1,050 kilowatt Waukesha engine generator with heat recovery, generated annual savings of at least $200,000.
Reasons for CHP
“High Energy Costs” & “Power Reliability” 1971 – When the hospital opened its
doors, the local electric utility could not supply 450 volt electricity to the city of Hazel Crest. Therefore, a stand alone 900 kW CHP system was installed to provide all cooling, heating and power needs. 1973 – The 900 kW CHP system was tied in parallel to the grid. 1993 – The hospital, located at the end of the electric utility’s feeder, experienced frequent brown outs during the summer. The hospital also experienced 19 power outages forcing MRI’s and CAT scans to be reset and to back up appointments. 1997 – Due to hospital expansion, high energy costs and poor quality electricity, Nicor Gas was contracted to install a 1,050 kW Waukesha engine generator with heat recovery for hot water. The hospital’s total generating capacity was now 2.0 MW
“Some machines and equipment, such as the MRI units are unable to be used while on backup generators. With the onsite generation system, we have three levels of security for our patients,” says Lamar Davis, Director of Facilities Management.
CHP System Equipment
3 x 300 kW Caterpillar natural gas reciprocating engines with heat recovery One Waukesha 7100 GSI 1,050 kW natural gas engine generator set with jacket water heat recovery only Switch gear and controls manufactured by Electric Controls of Peoria, Illinois One 400-ton hot water absorption chiller
CHP Operation
The CHP systems operate on different schedules and contracts with the electric utility: North-South Building: Operates during Commonwealth Edison’s 9:00AM – 10:00PM On-Peak Energy Period. East-West Building: Operates during ComEd’s 9:00AM – 6:00PM On-Peak Demand Period.
8 year payback on $1.6 Million CHP Plant
The CHP systems operate in parallel with ComEd under ComEd’s interconnect requirements. Backup power is purchased under ComEd’s Rate 18. The engine generators and absorption chillers are shut down during the off-peak hours and the centrifugal and screw chillers are operated when the electric rates are low.
CHP Building Equipment
$250,000 annual energy savings on 1997 Waukesha installation
North-South Building 3 x 300 kW CAT engines (1971) Operating Schedule: 8:10AM – 10:30PM, weekdays Recovered Heat: Building Heat, Hot Water, & Hot Water Absorption Chiller Additional Cooling: Centrifugal Chiller 2 x 200-ton Screw Chillers
East-West Building 1,050 kW Waukesha engine (1997) Operating Schedule: 8:35AM – 6:30PM, weekdays Recovered Heat: Domestic Hot Water
Additional Cooling: Centrifugal Chiller 580-ton York Gas Chiller
Nineteen instantaneous outages in 1993, Reduced to three outages in 2002
Additional Facts
Advocate South Suburban Hospital in 2002 generated 5,200,000 kWh of electric power and purchased 9,880,000 kWh from the electric utility Charles Equipment Company supplied the Waukesha engine and Nicor Energy Solutions provided the analysis and installation of the 1997 CHP system The hospital incurred only 3 instantaneous outages in 2002 compared to 19 in 1993 Recovering more waste heat (steam) off the Waukesha engine in the East-West Building is in the future plans of Advocate South Suburban Hospital
For further information, contact:
Midwest CHP Application Center 851 S. Morgan Street Chicago, IL 60607-7054 Phone: (312) 413-3835 Fax: (312) 996-5620 www.CHPCenterMW.org
Beloit Memorial Hospital
3.0 MW CHP Application
Project Profile
In Partnership with the US DOE
Quick Facts
Location: Beloit, Wisconsin Facility Size: 340,000 square feet 187 Beds Generating Equipment: Two (2) 1.5 MW Fairbanks Morse Dual Fuel Engine Generators Annual Energy Savings: $223,000 Equipment Cost: $1.2 Million Estimated Payback: 5.4 Years Began Operation: June 1, 2000
Project Overview
In the late 1990’s, Beloit Memorial Hospital of Beloit, Wisconsin, was faced with the need to upgrade its electrical distribution system and to address other energy capacity issues that developed over the years since opening in 1970, Instead of simply upgrading and/or replacing the existing equipment, Beloit Memorial Hospital (BMH) decided to install a Combined Heat and Power (CHP) Plant, which also helped reduce annual energy costs. The 3.0 megawatt CHP plant provides maximum flexibility to both the hospital and the local electric and gas utility company, in regards to electricity, heating, air conditioning, and hot water usage.
Reasons for CHP
“Upgrade Energy Distribution” “Future Deregulation”
In general, hospitals are excellent candidates for CHP applications because they usually operate 24 hours/day, year-round, creating fairly consistent electric and thermal loads plus high thermal loads. Beloit Memorial Hospital proved a viable candidate for CHP and replaced its existing emergency generators and heating and cooling equipment with the CHP plant. The system now serves both 1) day-to-day CHP operation and 2) emergency power. Alliant (local utility) financed part of project with a low interest rate. Future Deregulation BMH managed to reduce the impact of higher energy costs and susceptibility to power quality issues, especially those which could occur when deregulation becomes a reality. Additional Electricity Generated electricity not needed by the hospital (up to 1.5 megawatts) is sold to the local utility. This proves beneficial to the local utility during high peak demand periods and/or when generating capacity is reduced due to equipment problems and/or maintenance.
CHP System Equipment
2 Fairbanks Morse dual fuel 900 RPM, 1,500 kW engine generator sets One 6000 AMP tiebreaker and two 3000 AMP, 480V auto generator breakers One 12 kV auto main service breaker One 434-RT Carrier single stage hot water absorption chiller 7.66 MBtu/hr shell and tube heat exchanger (backup for recovered heat) 6.733 MBtu/hr Sondex plate and frame heat exchanger 6.149 MBtu/hr Sondex domestic hot water heat exchanger 2 Cain 2.389 MBtu/hr generator set finned tube heat recovery units 2 outdoor excess heat rejection radiators
CHP Operation
The CHP plant normally operates from approximately 8:00AM to 10:00PM Monday through Friday, 52 weeks per year. The system supplies all domestic hot water during on-peak hours and the engines always startup on diesel, switching over to natural gas when load reaches 50%.
CHP plant reduces impact of higher energy costs and power quality issues towards future deregulation
Scope of Project
Ballard Engineering completed the design and construction of the 3.0 MW CHP Plant revolving around these 10 major features: 1. Remove and replace old emergency generators 2. Provide 1.5 MW power to hospital 3. Export 1.5 MW power to local utility 4. Provide heat to drive 400-ton absorption chiller or facility’s heating loop 5. Provide heat for domestic hot water 6. Enable system to operate via natural gas or diesel gas in event of emergency 7. Provide instantaneous power in the event of a utility failure 8. Provide the utility company with an “on-call” system to reduce utility load or grid short falls 9. Maintain entire CHP system at 69.8% efficiency 10. Remove/replace older 12 kV cables
Dual fuel Fairbanks Morse engines meet WI DHFS emergency power and CHP requirements
Additional Facts
The total project cost of upgrading and replacing the existing electrical distribution equipment and installing the CHP equipment was $3 million Breakeven point before natural gas price was too high-priced was $9.64/MMBtu Heat recovery savings were 1.0¢ 1.5¢/kWhr Fairbanks Morse engines met 10 second start-up time requirements for emergency power generation approved by the Wisconsin’s Department of Health and Family Services
For further information, contact:
Midwest CHP Application Center 851 S. Morgan Street Chicago, IL 60607-7054 Phone: (312) 413-3835 Fax: (312) 996-5620 www.CHPCenterMW.org
$223,000 Annual Energy Savings
Lake Forest Hospital
3.2 MW CHP Application
Project Profile
In Partnership with the US DOE
Quick Facts
Location: Lake Forest, Illinois Campus Size: 15 Buildings 214 Licensed Beds 160 Acres Prime Mover: (4) 820 kW Caterpillar 3516 Natural Gas Reciprocating Engines Annual Energy Savings: $640,000 Installed System Cost: $2.7 Million Began Operation: February, 1997 Annual Instantaneous Power Interruptions: 50 Reduced to Two
Project Overview
High electric utility costs and frequent power interruptions inspired Lake Forest Hospital of Lake Forest, Illinois to consider generating its own electrical power. In 1996, LaSalle Associates, a turnkey design-installer in Glen Ellyn, Illinois, installed four 820 kW Caterpillar 3516 natural gas reciprocating engines equipped with high-pressure steam heat recovery units. The CHP plant now meets 90% of the campus electricity needs and 30% of its steam load. In its first year alone, the CHP plant saved the hospital $640,000 in energy costs while reducing the power interruptions from 50 down to two.
Reasons for CHP
“High Energy Costs” “Frequent Power Interruptions”
The electric prices in the Chicago land area were high while the gas prices remained relatively competitive, excellent qualifications for CHP. Also, relying on the electric utility for rate adjustments and/or curtailment programs had risk and was not cost effective for the hospital. In addition to high energy costs, the hospital experienced 50-60 instantaneous interruptions on average each year. These interruptions impact patient care, including diagnostic equipment resets, scheduling backups, and inconvenienced patients. (i.e. it takes 45-60 minutes to reset the logic on radiographic and other sensitive, computer-controlled equipment.) These factors motivated Lake Forest Hospital, utilizing its own funds, to install a 2,500 square foot Combined Heat and Power plant in 1996.
System Equipment
4 Caterpillar Model 3516 lean burn engine generator sets; 820 kW ea., 1200 rpm, 60 cycle AC generator rated for 4160 V three phase power Maxim heat silencer units generating maximum 3600 lb./hr. of steam at 65 psi York 325 ton steam absorption chiller York 200 ton steam absorption chiller
CHP Operation
CHP plant supplies power, heating and cooling to the following buildings: • Medical buildings • Office buildings • Nursing center • Laundry • Apartments • Child-care facility • Learning center • Health and fitness center • 110-bed hospital The CHP plant operates in parallel with the electric utility during peak periods only, 9AM – 10PM, M-F, excluding holidays.
CHP plant reduced peak electric costs from an average 7.5 cents per kWh to 3.5 cents per kWh
$640,000 annual energy savings
Additional Facts
Special attention given to design of CHP building in order to satisfy unusually stringent requirements of city building review committee CHP supplies 90% of the campus electric load; remaining 10% supplied by electric utility Hospital steam load 10,000 lb./hr. 0.5 g/bhp-hr NOx emissions Engines supplied and serviced by Patten Power Systems. All servicing can be performed during weekends and scheduled downtime. LaSalle Associates, Inc. provided the feasibility study, design and installation of CHP plant.
Waste Heat Recovery
Uses of high-pressure steam heat recovery from the engine generators at Lake Forest Hospital: Heat Hot water Humidification Sterilization Absorption cooling Laundry processes Kitchen processes
Reduced annual power interruptions from 50 down to two
For further information, contact:
Midwest CHP Application Center 851 S. Morgan Street Chicago, IL 60607-7054 Phone: (312) 413-3835 Fax: (312) 996-5620 www.CHPCenterMW.org
Little Company of Mary Hospital
3.8 MW CHP Application
Project Profile
In Partnership with the US DOE
Quick Facts
Location: Evergreen Park, Illinois Facility Size: 848,000 square feet 306 Beds Prime Mover: One 3.8 Megawatt Solar Centaur H Gas Turbine Annual Energy Savings: $250,000 Installed System Cost: $1.2 Million Estimated Payback: 4-5 Years Actual Payback: 2-3 Years Began Operation: July, 1989 Annual Instantaneous Power Outages: 24+ Reduced to 4 per Year
Project Overview
Before the idea of a CHP (Cooling, Heating and Power) plant was introduced at Little Company of Mary Hospital in Evergreen Park, Illinois in 1988, the hospital experienced instantaneous power outages at the rate of two or more every month, nearly 30 per year. These instantaneous outages affected the data processors, lab testing and other critical equipment and procedures. Providing the solution, LaSalle Associates, Inc. of Glen Ellyn, Illinois, was hired to design and install a 3.8 megawatt CHP plant with a Solar Centaur H gas turbine, nearly eliminating the power outages. The hospital experienced $100,000 electric savings per month and a 2-3 year payback on the successful CHP project.
Reasons for CHP
“Energy Savings” “Power Reliability”
The electricity supplied to Little Company of Mary Hospital was of very poor quality, bringing about instantaneous power outages as often as twice a month. These outages forced critical computer and testing equipment to be reset and test procedures to be started over. Frustrations on behalf of the staff and patients were high. Being on the operating table and having the lights go out and no power for 7 seconds can be quite scary. The economics of a $1.2 million CHP plant proved to be a feasible solution to bring in reliable power with an actual payback of 2-3 years. A grant helped supplement the installed first cost of the CHP plant.
“Before installation, we were experiencing power interruptions twice a month. The turbine, tied in series to the electric utility, nearly eliminates the instantaneous power outages to the hospital,” explains James Joyce, Director of Engineering.
CHP System Equipment
One 3.8 MW Solar Centaur H Gas Turbine with high pressure heat recovery Cleaver Brooks heat recovery steam boiler: 23,000 lb/hr steam @ 105 psi One 550-ton Carrier absorption chiller One 135-ton Carrier single-effect absorption chiller Two 375-ton electric centrifugal chillers Two 250-ton electric centrifugal chillers
CHP Operation
The CHP plant operates on a 24 hour, 7 day a week schedule. As a general rule, turbines are not constructed to operate through frequent shut downs and start-ups. The hospital CHP plant covers the following loads: • Summer 23,000 lb/hr Maximum Steam 3,000 kW Electric Demand • Winter 25,000 lb/hr Maximum Steam 2,400 kW Electric Demand
Estimated 4-5 year payback; actual payback experienced in 2-3 years
Waste Heat Recovery
No supplemental firing of boilers is necessary at Little Company of Mary Hospital. The waste heat recovered off of the turbine has been sufficient to cover the entire steam load of the hospital. Uses of the high-pressure steam recovered heat from the turbine:
$850,000 maximum annual energy savings
Additional Facts
An added incentive to the CHP plant project, NICOR Gas supplied and installed the 150 pound high-pressure natural gas main line down 95th Street to the hospital. No supplemental firing is needed by the boilers to help cover the steam load. Existing boilers remain on standby. EPA reports hospital’s NOx emissions are lower Maximum annual energy savings reached $850,000 with low gas prices The CHP plant is tied in series to the electric utility; if a voltage fluctuation occurs from the turbine-generator, the utility tied in series backs up the engine generators nearly eliminating instantaneous power outages to the facility. The hospital incurs nearly four interruptions per year from the generator but never affecting the hospital. LaSalle Associates, Inc. provided the feasibility study, design and installation of CHP plant.
Space Heating Absorption Cooling Sterilization
Nearly eliminated the 24+ yearly instantaneous power outages to the hospital
For further information, contact:
Midwest CHP Application Center 851 S. Morgan Street Chicago, IL 60607-7054 Phone: (312) 413-3835 Fax: (312) 996-5620 www.CHPCenterMW.org
Northwest Community Hospital
3.45 MW CHP Application
Project Profile
In Partnership with the US DOE
Quick Facts
Location: Arlington Heights, Illinois Facility Size: 750,000 square feet 360 beds Prime Mover: Three (3) 1,150 kW Waukesha 1,200 RPM Natural Gas Fired Engines Annual Energy Savings: $722,000* Installed System Cost: $2.1 Million Current Annual Energy Savings: $554,000 Began Operation: August, 1997
* Annual Savings during first three years of operation ** Current Savings lower in 2002 due to engine overhaul
Project Overview
In September of 1997, a 3.45 megawatt Cooling, Heating, and Power (CHP) system was placed into operation by Ballard Engineering for Northwest Community Hospital (NCH) of Arlington Heights, Illinois. The CHP system was part of a new 20,612 sq. ft. Central Utility Plant that provided the 750,000 sq. ft. health care facility with cooling, heating and power. The new plant contained the 3.45 MW CHP system, a high-pressure steam plant, and a chilled water plant. By centralizing all of the utilities in one location, the hospital accrued significant energy savings, as well as improved maintenance efficiency.
Reasons for CHP
“Hospital Expansion” “Energy Savings” “Power Reliability”
There was an immediate need to act on a decision to replace the current decentralized chiller and steam boiler plant system, some of the equipment being over 30 years old. The current and future infrastructure needs of the hospital were not met due to the aging equipment and a 210,000 sq. ft. hospital expansion. A
completed economic analysis supported a centralized utility plant including the CHP application which would provide peak load shaving.
Northwest Community Hospital Central Utility Plant Building. Lower Left: Singe Waukesha Engine.
Additional Benefits
Greatly reduced dependence on electric utility rates were extremely high Provided “safety net” of back up electric power to ComEd and emergency generators CHP system allowed the hospital to take advantage of ComEd’s voluntary peak electric reduction program during critical summer power shortages Provided NCH with most cost efficient use of electric power, steam and chilled water
CHP System Equipment
3 Waukesha 1150 kW, 1,200 RPM natural gas fired engines 3 Cain heat recovery units producing 6,000 lb./hr. total of 125 psig steam for heating and cooling 3 - 600 H.P. fire-tube dry back two pass boilers with non-condensing exhaust heat recovery (one unit for redundancy) Programmable logic controller controlling CHP system for optimum economic performance 1 - 850 ton two stage steam absorption chiller 2 – 1,250 ton electric centrifugal chillers 1 - 240 ton rooftop compression chiller for winter cooling requirements in north wing surgical suites Tunnel connecting central utility plant to hospital facility; used as conduit for all piping tie-ins to existing steam, chilled water, piping, etc. into hospital rooms
CHP Operation
The 3.45 Megawatt Combined Heat and Power system peak shaves during Commonwealth Edison’s 9AM – 6PM On-Peak Demand period, providing the greatest economic opportunity to Northwest Community Hospital. The three primary chillers operate in sequence, utilizing the absorption chiller as the base load chiller. The centrifugal chillers automatically begin operation as the cooling load increases during peak hours. This sequence saves the hospital 500 kW in demand charges and significant peak energy costs.
Absorption chiller utilizing waste heat saves hospital 500 kW in demand charges
CHP Approval Process
The process began with the hospital’s vision and risk assessment of the existing infrastructure system (age of equipment/reliability, efficiencies, maintenance costs and utility costs) • Initial stage included searching for a design-build team with experience in mechanical and CHP design/construction (Ballard Engineering) • The team consisted of NCH Senior Management, Facility Staff and Ballard Engineering • Several options were considered including centralized vs. decentralized heating and cooling and CHP vs. no CHP • The Board of Directors approved the project in December of 1995 • Authorization was granted by the Illinois Health Facilities Planning Board in Oct. 1996 • Construction began immediately; the Central Utility CHP Plant was operational in August 1997
CHP System provides $553,000 to $722,000 Annual Energy Savings
Additional Facts
In 1998, the Central Utility Plant received an ASHRAE Excellence in Engineering Award for its innovative energy saving design. The Central Utility Plant project was financed through a favorable bond rating of A++. (A lease back agreement was considered, but bond rates were favorable and NCH opted to own the building and equipment
2.9 Year Payback
For further information, contact:
Midwest CHP Application Center 851 S. Morgan Street Chicago, IL 60607-7054 Phone: (312) 413-3835 Fax: (312) 996-5620 www.CHPCenterMW.org
Presbyterian Homes (Evanston)
2.4 MW CHP Application
Project Profile
In Partnership with the US DOE
Quick Facts
Location: Evanston, Illinois Facility Size: 1,000,000 square feet 12 Main Buildings Prime Mover: (3) 800 kW Caterpillar Model 3516 Lean Burn Engine Generator Sets Annual Energy Savings: $360,000 Installed Cost: $2.0 Million Simple Payback: 5+ Years Began Operation: January, 2001
Project Overview
During an ice storm in the winter of 1998, the Evanston campus of Presbyterian Homes lost power for nine hours on a cold and wintry day. Both of the facility’s electric utility feeds were knocked out and over 600 senior residents were without electricity. To avoid future outages like this ice storm caused, maintain reliable energy and take advantage of economic savings, Presbyterian Homes made the decision to install a three Caterpillar 3516 natural gas reciprocating engine/generator set system with heat recovery to supply the facility with a maximum of 2.4 megawatts of electrical power and 8,000 lbs. of low-pressure steam. The system has been on-line since January 2001.
Reasons for CHP
“Energy Reliability” “Energy Savings”
Purchasing natural gas at 40¢ per therm, and operating their CHP facility 9AM – 10PM weekdays, the Presbyterian Homes is saving over $30,000 per month ($363,000 annually) and maintaining energy reliability. Presbyterian Homes is now paying only 6.42¢ per kWh onpeak compared to previously paying 13.64¢ per kWh on-peak, a savings of 7.22 ¢ per kWh. The calculated rate of return for the CHP project was 17.58% over a 20 year life period of the equipment. The staff of Presbyterian Homes has been exceptionally satisfied with their CHP system.
PRESBYTERIAN HOMES OPERATING EXPENSES CHP vs No Generation $120,000 120,000 Operating Costs $100,000 100,000 $80,000 80,000 $60,000 60,000 $40,000 40,000 $20,000 20,000 $0 0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec '02 '02 '02 '02 '02 '01 '01 '01 '01 '01 '01 '01 CHP No Generation
LaSalle Associates conducted the feasibility Study, provided the design and constructed the Cooling, Heating, and Power (CHP) plant. The CAT engine generator sets were supplied by Patten Power Systems and are under service contract with Patten Power.
CHP System Equipment
3 Caterpillar Model 3516 lean burn engine generator sets 1,200 rpm, 800 kW ea. One 2-Cell Marley cooling tower 3 Vaporphase VP-4870 Packaged bare fire tube Jacket Water and Exhaust waste Heat Recovery Silencers 2 Plate & Frame Heat Exchangers: One for After Cooler Circuit and One for Condensing Unused Steam One 1500 Gallon Cooling Tower Water Storage tank with Dual pumps Enercon Switchgear and Schweitzer Protective Relays Allen-Bradley PLC and Rockwell Software for System Automation/Control 1 York Single-Stage 225-ton absorption chiller
CHP Operation
The Evanston Campus of Presbyterian Homes is a 40 acre retirement community consisting of • 12 main buildings • 57 town homes • 54 cottages The 2.4 MW CHP plant supplies electricity to the entire campus and provides heating in the winter and absorption cooling in the summer to the main buildings only via the waste heat from the engines. Both the exhaust and jacket water are recovered providing a maximum of 8,000 lb/hr of low pressure steam.
CHP plant supplies electricity to entire campus
$360,000 Annual Energy Savings
CHP System Configuration
5+ Year Simple Payback
Lessons Learned
The CHP building was aesthetically pleasing to the community Noise considerations were taken into account with an acoustic study Presbyterian Homes purchased their own utility transformers Support of the local utilities is often beneficial in the overall project economics Existing natural gas equipment upgraded to accommodate 5 psi due to generator set requirements
For further information, contact:
Midwest CHP Application Center 851 S. Morgan Street Chicago, IL 60607-7054 Phone: (312) 413-3835 Fax: (312) 996-5620 www.CHPCenterMW.org
Resurrection Medical Center
1.45 MW CHP Application
Project Profile
In Partnership with the US DOE
Quick Facts
Location: Chicago, Illinois Facility Size: 1,250,000 square feet 434 Beds Prime Mover: Two (2) 725 kW 7100 G Waukesha Natural Gas Engine Generators Annual Energy Savings: $250,000 Installed System Cost: $2.7 Million Estimated Payback: 10 Years Actual Payback: 8 Years Began Operation: August, 1989
Project Overview
Like many other hospitals, Resurrection Medical Center, a not-for-profit hospital in Chicago, Illinois wanted to provide its patients with affordable and quality health care. Continuously, the hospital was looking for ways to make their 24 hour hour-per-day facility more efficient and economical without cutting any corners. In 1989, a solution was arrived at when a 1.45 megawatt CHP (Combined Heat and Power) Plant was installed to generate on-site electrical power and recover the generated heat to supply heating, hot water and cooling, through an absorption chiller, to the hospital. The new system saved the hospital over $400,000 annually in electric costs.
Reasons for CHP
“Rising Energy Costs” “Power Reliability”
Rising energy costs turned Resurrection Medical Center to generating their own power. Utilizing the waste heat in the form of low pressure steam and the capability to parallel with the electric grid helped sell the idea of Combined Heat and Power along with the cleaner and more reliable power available. The local gas utility, Peoples Gas, offered RMC air conditioning and CHP incentives that reduced the cost of their system’s installation over $150,000. Resurrection Medical Center realized an 8 year payback on the CHP system. The $2.7 million CHP project was financed in-house; RMC is a not-for-profit organization that finances all purchases internally.
Following the CHP installation, the electric utility was allowed to offer a lower rate, Rider 27. This resulted in the CHP system sitting idle. This practice by ComEd is no longer allowed and deregulation will likely provide the financial incentive to recomission the CHP system.
System Equipment
Two 725-kW 7100G Waukesha natural gas powered engines, 12 cylinder, rated at 1200 rpm, each engine driving a 480 volt generator Heat recovery equipment generates maximum near 7 million Btu/hr (7000 lbs. of steam per hour at 14 psi) Johnson Building Automation Controls JC-8540, enabling engineering staff to monitor and control all HVAC equipment 550-ton steam powered Carrier absorption chiller Two Carrier 1500-ton centrifugal chillers
CHP Operation
Currently, Resurrection Medical Center does not operate the engines. The hospital was offered a lower electric rate in 1987 and took advantage of this opportunity. The CHP system operated: - Monday through Friday - 13 hours per day - 9:00AM through 10:00PM The CHP equipment operates parallel to the grid and peak-shaved to minimize peaks while covering demand. For maximum benefit, the two engines operated at full load during peak hours only. In the cooler seasons, the absorption chiller handled all cooling requirements reducing the CHP engine output.
$250,000 annual energy savings
Project Information
When the CHP system was installed, the chiller piping systems were rerouted to further reduce the system’s overall cooling costs Engineering Staff of RMC worked with outside consultants from Environmental Systems Design, Inc. and Johnson Controls to form the CHP solution and project design The absorption chiller uses waste heat to create steam, then chilled water, which is used to provide air conditioning to the hospital
Absorption chiller covers entire cooling load during cooler seasons
Additional Facts
Resurrection Memorial Hospital required 2,000,000 kWh of electric power in 2002 RMH is considering turning on their CHP equipment when deregulation arrives RMH was satisfied overall with their CHP system although maintenance costs were higher than expected near 2¢ per kWh generated (estimated initially at 1¢ per kWh) One of the two existing Carrier 1500-ton centrifugal chillers was designated to standby status when the absorption chiller was installed Charles Equipment Supplier supplied the CHP equipment and servicing Johnson Controls, Inc. installed the Combined Heat and Power system
For further information, contact:
Midwest CHP Application Center 851 S. Morgan Street Chicago, IL 60607-7054 Phone: (312) 413-3835 Fax: (312) 996-5620 www.CHPCenterMW.org
RMC is considering operating the CHP system when deregulation arrives
Saint Francis Hospital
1.6 MW CHP Application
In Partnership with the US DOE
Project Profile
Project Overview
CHP Quick Facts
Location: Evanston, Illinois Generating Equipment: Two (2) 800 kW Natural Gas Caterpillar Engine Generators Installation Date: 1989 Estimated Installed Cost: $1.4 Million Actual Installed Cost: $1.2 Million Annual Savings: $400,000 Maximum Monthly Savings: $41,246 Simple Payback 3-4 Years Facility Size: 450 Beds
High-on peak electric costs and reasonable natural gas prices, presented Saint Francis Hospital of Evanston, Illinois, the opportunity to install a Combined Heat and Power System (CHP) to generate electricity, heating, and cooling and provide energy savings for the hospital. Two 800 kilowatt natural gas fired Caterpillar engine generator sets were installed in 1989 that provided 90% of the hospital’s electric power and 5,600 lb/hr of low pressure steam at 15 psig. The $1.2 million CHP project realized a payback within three to four years of operation proving CHP could work in a smaller sized application.
Following the CHP installation, the electric utility was allowed to offer a lower rate, Rider 27. This resulted in the CHP system sitting idle. This practice by Commonwealth Edison is no longer allowed and deregulation will likely provide the financial incentive to re-commission.
Reasons for CHP
Energy Savings System Efficiency
Saint Francis Hospital’s main goal has always been to treat its patients with the best available care at the most reasonable cost. Although the cost of a CHP system may have been greater than was normally accepted for a bottom line driven business, a hospital that has been around for a long time and intends to be around for an even Two 800 kW Natural Gas Caterpillar Engine Generators longer time, with no shareholders to report to on a quarterly basis, the payback period and return on investment for the CHP h project was determined to be in the best long term best interest of the hospital. The hospital was able to make use of the thermal energy generated during both the winter and summer months raising the level of efficiency compared to a standard engine generator.
SYSTEM EQUIPMENT
Two 800 kW natural gas fired Caterpillar internal combustion engines Two Kato synchronous generators, maximum total 1,600 kW Heat recovery equipment 5,600 lb/hr low pressure 15 psig steam 690 ton Trane lithium bromide absorption chiller
CHP OPERATION
Currently, Saint Francis Hospital does not operate the CAT engine generator sets. The hospital was offered a lower electric rate and took advantage of this opportunity. The CHP system operated: - 24 hours per day - 4 ½ days per week - 5,616 hours per year - Experienced minor interruptions for service and repairs The CHP system was an integral part of the facility’s total energy conversion system.
CHP Project budget at $1.4 M, actual installation cost under $1.2 M
$41,246 Maximum Monthly Savings
PROJECT INSTALLATION
The CHP project was originally budgeted at $1.4 million. The final installation cost of the CHP system was $1.2 million, an amazing feat. The key to the project’s success was the proper engineering and the minimal amounts of problems that occurred during installation and start-up. Additional factors for the lower installation cost was the use of an under utilized utility garage to house the two motor generator sets along with the operating controls and heat recovery equipment. Power generating equipment was also installed only 50 feet from hospital’s switchgear equipment
Overall efficiency between 85-90% compared to utility efficiency of 35%
ADDITIONAL FACTS
Maintenance and repair costs were under contract by Patten Power Systems LaSalle Associates, Inc. was the turnkey design and installer CHP system reduced toxic pollutants with an efficiency between 85-90% compared to the standard utilities generating electric power at 35% wasting great amounts of excess generated heat Absorption chiller utilized waste heat during the summer
For further information contact:
Midwest CHP Application Center Phone: (312) 413-3835 Fax: (312) 996-5620 www.CHPCenterMW.org
Saint Marys Hospital
7.75 MW CHP Application
In Partnership with The US DOE
Project Profile
Project Overview
Quick Facts
Location: Rochester, Minnesota Hospital Size: 3 million square feet 1,157 licensed beds Maximum Electric Demand: 12.0 Megawatts Maximum Heating Load: 130,000 lb/hr Maximum Cooling Load: 7,500 tons Generating Equipment: 3.0 MW Dresser-Rand Back Pressure Steam Turbine (1971) 4.75 MW Solar Taurus 60 Gas Combustion Turbine (1996) Total Generating Capacity: 7.75 Megawatts Installation Cost*: $5 Million Expected Payback*: 5 Years Actual Payback*: 3.5 Years
* Data for 4.75 MW turbine installation only.
Saint Marys Hospital of Rochester, Minnesota, has long embraced Combined Heat and Power (CHP); in 1940 the hospital installed their first system with two 750 kW steam turbines. Most recently in 1996, the hospital added a 4.75 MW natural gas turbine to the existing 3.0 MW CHP system. The hospital experienced a 3.5 year payback on their $5 million investment for this recent addition. The hospital can now meet about 65% of its maximum peak electric demand. The CHP system utilizes one 4.75 MW Solar Taurus 60 natural gas combustion turbine with a heat recovery boiler that recycles the exhaust gas from the turbine into approximately 24,000 lb/hr of 250 psig high pressure steam. This high pressure steam is then either utilized in building heating or cooling, in medical equipment sterilization or sent to a 3.0 MW backpressure steam turbine that reduces the 250 psig steam to 8 psig. The 8 psig steam is then utilized for either heating or cooling.
4.75 MW Solar Taurus 60 Gas Combustion Turbine
History of CHP at Saint Marys Hospital
CHP has been used by Saint Marys Hospital since 1940 when the first CHP system was installed. Throughout the ensuing years, the CHP system has continued to evolve along with the hospital’s needs. In 1940, Saint Marys Hospital installed its first CHP system incorporating two 750 kW Westinghouse steam turbines that utilized high pressure steam from the on-site steam boiler plant. A third steam turbine was soon added to increase the generating capacity. In 1971, the hospital replaced the three Westinghouse steam turbines with a single 3.0 MW Dresser-Rand backpressure steam turbine to address space concerns and replace the aging Westinghouse equipment. In 1996, Saint Marys Hospital installed a 4.75 MW Solar Taurus 60 natural gas combustion turbine that would supply high pressure steam to the 3.0 MW backpressure steam turbine or to supplement building heating and cooling loads and medical equipment sterilization processes.
CHP Flow Diagram of Saint Marys Hospital
St. Marys Hospital St. Marys Hospital
Steam for Building Heat and Medical Equipment Sterilization 70 psi Natural Gas 3 x Nebraska 80,000 lb/hr High Pressure Steam Boilers 250 psi at 600ºF
250 psi high pressure steam at 600ºF
1 x 250 psi Carrier 2,000 ton Steam Driven Centrifugal Chiller
Chilled Water System
3 x 2,000 ton Carrier Electric Centrifugal Chillers
Incorporating CHP Technologies for over 60 Years
Max. 24,000 lb/hr 250 psi steam Max. 24,000 lb/hr 250 psi steam 24,000 lb/hr EMI Nebraska Heat Recovery High Pressure Steam Boiler 250 psi at 600ºF 3,000 kW Dresser-Rand Steam Turbine
240 psi Natural Gas 4,750 kW Solar Taurus 60 Gas Combustion Turbine
Exhaust Gases
8 psi Steam
1 x 8 psi Carrier 2,000 ton Steam Driven Centrifugal Chiller
8 psi Steam for Building Heat
3.5 Year Payback on $5 Million Installation
St. Marys Hospital
St. Marys Hospital
St. Marys Hospital
Note: The chillers are shut down during the winter months of mid-November through March.
The CHP System meets nearly twothirds of the summer electric demand and over seventy-five percent of the maximum winter demand…
During the warmer months of March through November, the CHP system is able to generate nearly two-thirds of Saint Marys Hospital’s maximum electric demand of 12,000 kW. Over half of the hospital’s total 7,500 ton cooling demand is supplied by utilizing the exhaust steam from the gas turbine heat recovery steam boiler and steam turbine to operate steam driven chillers. The steam driven chillers represent 4,000 tons of the 10,000 ton cooling capacity at the hospital. During the cooler months of November through March, the CHP system is able to meet over 75% of the hospital’s 10,000 kW maximum winter electric demand and nearly 20% of the 130,000 lb/hr maximum high pressure steam demand. If the CHP system cannot meet the hospital’s entire electric demand, the hospital purchases the required electricity from Rochester Public Utilities (RUP). The hospital also has two 2.5 MW standby diesel generators for emergency power. The combination of using the CHP system, in parallel with the utility grid and the emergency generators, provides the hospital with very high electric reliability.
Additional Facts
Required Steam – To generate 3,000
kW of electricity at full capacity, the Dresser-Rand turbine requires 66,000 lb/hr of high pressure steam. The Solar turbine can provide over one-third of the turbine’s maximum high pressure steam requirements through the EMI boiler. Maintenance – Maintenance of the Solar turbine is provided by staff employees; no additional staffing was required to support the addition of this system. Winter Cooling – During the winter months, the hospital utilizes the cooler outside air through shell-and-tube heat exchangers to meet any required cooling. Electricity to Heating Station – When necessary, the hospital is capable of supplying electricity to the Franklin Heating Station of Rochester, Minnesota.
For further information contact
Energy Resources Center 851 S. Morgan Street Chicago, IL 60607-7054 Phone: (312) 413-3835 Fax: (312) 996-5620 www.CHPCenterMW.org
St. Mary’s Hospital Medical Center
900 kW CHP Application
Project Profile
In Partnership with the US DOE
Quick Facts
Location: Madison, Wisconsin Facility Size: 900,000 square feet 289 Beds Prime Mover: One Solar Turbine GSC100 Dual Fuel Generating Capacity: 900 kW Operating Schedules: Peak Shaving Began Operation: 1972 Equipment Durability: - Major overhaul in 1989 - Regularly scheduled maintenance
Project Overview
St. Mary’s Hospital Medical Center of Madison, Wisconsin has generated its own electricity with a gas combustion turbine for over 30 years. Not only is the hospital generating electricity, the hospital is recovering exhaust heat from the gas turbine generator for heating applications throughout the hospital. The recovered heat increases the efficiency of the system providing environmental benefits and increased energy savings to the hospital. The recovered heat from the turbines turns a standard electric generating system into a Combined Heat and Power (CHP) application. NOTE: The turbine has not been in daily operation since 2001 due to major overhaul required to system.
The CHP Solution at St. Mary’s Hospital Medical Center
The three main driving factors for the 1972 installation of the natural gasfired turbine-generator CHP application included the following: • Energy Savings • Power Reliability • Power Outages Waste heat is recovered from the turbine and used in the following parameters: • Domestic Hot Water • Building Space Heat • Medical Equipment Sterilization
Plant building housing CHP equipment
What is Combined Heat and Power?
Combined Heat and Power (CHP) refers to an integrated system that is located at or near a building or facility. The CHP system provides at least a portion of the building’s electric load and utilizes the thermal energy from the electric generation equipment to provide space heating, space cooling, domestic hot water, dehumidification, sterilization, and/or process heat. Over 200 hospital/healthcare facilities nationwide already experience the benefits of CHP.
System enclosure of natural gas-fired turbine-generator
Why CHP in hospitals?
Hospitals present an excellent scenario for Combined Heat and Power applications due to their high electric demands and high thermal requirements along with the extended building occupancy.
Open enclosures of turbine-generator
What is a combustion turbine-generator?
Combustion turbines are electric generating devices that produce high-temperature, high-pressure gas to induce shaft rotation by impingement of the gas on a series of specially designed blades.
For further information contact
Energy Resources Center 851 S. Morgan Street Chicago, IL 60607-7054
Heat recovery boiler
Phone: (312) 413-3835 Fax: (312) 996-5620 www.CHPCenterMW.org
Franciscan Sisters
of Perpetual Adoration
100 kW & 150 kW Steam Turbine Generators
In Partnership with the US DOE
Project Profile
Project Overview
Quick Facts
Location: La Crosse, Wisconsin Projected Annual Energy Savings: $55,000 Installed Cost: $450,000 Estimated Payback: 8 Years CHP Generating Capacity: 150 kW Prime Movers: (2) Turbosteam backpressure steam turbine-generators (100 kW and 150 kW units) Initial System Online: December, 2002 Facility Size: 1,300,000 square feet
The Franciscan Sisters of Perpetual Adoration (FSPA) operate a medium sized district heating plant located in La Crosse, Wisconsin. The plant has been in operation since 1905 and today provides heat to Franciscan Skemp Healthcare Medical Center, Viterbo University, and St. Rose Convent, over 1.3 millions square feet of building space. In 1996, FSPA began implementing a Combined Heat and Power (CHP) application to the district heating plant to take advantage of the high pressure steam and its potential to generate on-site electricity to the convent. In 2002, a 150 kW backpressure steam turbine was installed on-site followed by another 100 kW turbine installation in 2003. The total project estimates $55,000 annual savings and an eight year simple payback.
The chapel of St. Rose Convent
The CHP Solution at FSPA
During a major upgrade to the steam plant in the early 1990’s, consideration was given to the installation of a backpressure steam generator to produce on-site electricity. The CHP notion was well received by the FSPA since the Order places a high value on efficiency, conservation and environmentally friendly concepts:
• Environmental Impact • Leadership Role in the Community • Energy Savings
FSPA plans to reduce their energy costs $55,000 annually. CHP technologies reduce annual plant emissions by 410 tons of CO2, 4675 lbs. of SOx and 4391 lbs. of NOx. FSPA desires to take a leadership role in the community, using a CHP installation as a model for other local businesses.
What is Combined Heat and Power?
Combined Heat and Power (CHP) refers to an integrated system that is located at or near a building or facility. The CHP system provides at least a portion of the building’s electric load and utilizes the thermal energy from the electric generation equipment to provide space heating, space cooling, domestic hot water, dehumidification, sterilization, and/or process heat.
$55,000 Annual Energy Savings
What is a backpressure steam turbine-generator?
A backpressure steam turbinegenerator is a pressure reducing component of high-pressure steam making the steam suitable for producing hot water or steam that goes to radiators or various processes. The wasted energy is captured by the turbine as electricity. The back pressure turbine can often replace the static reducing valve.
150 kW Turbosteam backpressure steam turbine generator
Estimated 8 Year Simple Payback
Additional Facts
First Cost … 10% of the installation costs for the 100 kW turbinegenerator were supplied by Wisconsin’s Focus On Energy fund, a state public benefits program that promotes energy efficiency, reliability, renewable energy and environmental energy benefits. Benefits… The CHP system serves 100% of the heating needs of the convent, medical center and university and 40% of the St. Rose Convent’s electric load (approx. 935,000 kWh of total 2,828,000 kWh) For further information contact
Control room at St. Rose Convent
10% of Installation Costs for 100 kW Turbine Supplied by State Funded Program
Energy Resources Center 851 S. Morgan Street Chicago, IL 60607-7054 Phone: (312) 413-3835 Fax: (312) 996-5620 www.CHPCenterMW.org
Underground tunnels transporting steam
Franklin Heating Station
11.75 MW CHP Application
Project Profile
In Partnership with the US DOE
Quick Facts
Location: Rochester, Minnesota Began Operation: 1928 (recent upgrade in 1999) Maximum CHP Generating Capacity: 11.75 Megawatts Maximum Boiler Capacity: 390,000 lbs/hr Max. CHP Chilled Water Capacity: 12,200 tons (steam turbine driven centrifugal chillers) Fuel: Natural Gas, #2 and #6 Fuel Oil Number of Buildings Served: 23 Buildings Floor Space of Buildings Served: 8,037,000 Square Feet
Project Overview
The Franklin Heating Station (FHS) provides chilled water, soft tempered water, low and high pressure steam and electricity to 25 downtown buildings in Rochester, Minnesota. Totaling over 8,000,000 square feet of floor space, the downtown properties include the Mayo Clinic, Rochester Methodist Hospital, Charter House and the Sunstone Corporation Hotel Properties. The FHS, in operation since 1928, is owned in partnership between the Mayo Clinic and Rochester Methodist Hospital and has a Combined Heat and Power (CHP) electric .generating capacity of 11.75 MW. Since 1928, the plant has been constantly expanded and modernized over its life to increase capacity, improve reliability and efficiency and serve the needs of its customers.
CHP Overview
The system utilizes two dual fuel high pressure steam boilers producing up to 240,000 lbs/hr steam at 850 psig. The 850 psig steam is fed through a single steam turbine producing 6.75 MW of electric power. Steam is extracted from the 6.75MW turbine at 400 psig and combined with the output steam from two additional dual fuel high pressure boilers with a total capacity of 150,000 lbs/hr steam at 400 psig. The 400 psig steam is run through two steam turbines producing a total of 5MW of electric power. A portion of the 400 psig steam is also utilized to operate four steam turbine driven centrifugal chillers producing a total of 8,600 tons of chilled water. The remaining 400 psig steam is reduced through a pressure reduction valve to 125 psig steam provided for customer use. The two steam turbines that produce a total of 5 MW of electric power also provide a stream of 10 psig steam that is utilized in part to produce an additional 3,600 tons of chilled water through a steam turbine driven centrifugal chiller. Part of the 10 psig steam is also provided for customer use.
FRANKLIN HEATING STATION ROCHESTER, MN
400 PSIG BOILER NO. 70 400 PSIG BOILER NO. 80 850 PSIG BOILER N0. 120 POE W M ER ER BUGE SS NC ENGINE/GENERATOR NO. 4 2500 KW ENGINE/GENERATOR NO. 5 2500 KW EMERG. PWR TO CUSTOMERS NORM AL POWE R BUSSE RPU PURCHASED ELECTRICITY TO CUSTOMERS 10 PSIG STEAM TO CUSTOMERS
850 PSIG BOILER NO. 120
400 PSIG
850 PSIG
TURBINE NO. 1 70 KPPH SC
GEN. NO. 1 2500 KW
28% of the electricity used in the system is produced by CHP
TURBINE NO. 3 240 KPPH
GEN. NO. 3 6800 KW
10 PSIG
TURBINE NO. 2 70 KPPH S C
GEN. N0. 2 2500 KW
STEA TURBINE S
CHLR NO. 2 3500
CHLR NO. 1 2700
ELEC. MOTOR
CHILLED WATER TO CUSTOMERS
STEAM TURBINE SC
CHLR NO. 3 1000 TONS
STEAM TURBINE S
CHLR NO. 5 3000
STEAM TURBINE S
CHLR NO. 6 3600
CHLR NO. 4 2000 125 PSIG
ELEC. MOTOR 125 PSIG STEAM TO CUSTOMERS
90% of the 10 psig heating steam is produced by CHP turbines
400 PSIG
WATER SOFTENERS COOLING TOWER MAKEUP AND SEWER
TEMP. SOFT WATER TO CUSTOMERS
Financial Overview Energy Flow Overview
The diagram above shows the steam flows within the Franklin Heating Station facility. The tables list the major equipment involved. In 1928, the plant incurred expenses of $22,000 with a work force of 15 employees and servicing 11 buildings. Today, the expenses total over $22,000,000 with the work force reaching 36 employees and servicing 25 buildings. The operating revenue for the Franklin Heating Station is recovered from rates charged for products metered at each building served, while the capital costs for new equipment are reimbursed by the partners based upon the percentage of their system demand.
STEAM PRODUCT EQUIPMENT
UNIT NO. BLR. 1 BLR. 2 BLR. 3 BLR. 4 MANUFACTURER Riley Stoker (1952) Riley Stoker (1950) Combustion Engineering (1968) Combustion Engineering (1968) PRESS. 400 psig 400 psig 850 psig 850 psig CAPACITY 70,000 pph 80,000 pph 120,000 pph 120,000 pph FUEL N. Gas/#6 Fuel Oil N. Gas/#2 Fuel Oil N. Gas/#6 Fuel Oil N. Gas/#6 Fuel Oil
88% of the condensate from the heating steam is recovered for reuse
ELECTRICAL GENERATION EQUIPMENT
UNIT NO. 1 2 3 4 5 MANUFACTURER G. E. (1952) G. E. (1952) Worthington (1968) Fairbanks Morse (1982) Fairbanks Morse (1982) TYPE Steam Turbine Steam Turbine Steam Turbine Duel Fuel Engine Duel Fuel Engine SIZE 2,500 kW 2,500 kW 6,750 kW 2,500 kW 2,500 kW INLET PRESS. 400 psig 400 psig 850 psig EXTR. PRESS. 10 psig 10 psig 400 psig
CHILLED WATER EQUIPMENT
UNIT NO. MANUFACTURER 1 2 3 4 5 6 Carrier (1985) Carrier (1988) York (1999) York (1997) Carrier (1966) Carrier (1974) TYPE Open Drive Centrifugal Open Drive Centrifugal Open Drive Centrifugal Open Drive Centrifugal Open Drive Centrifugal Open Drive Centrifugal SIZE 2,700 tons 3,600 tons 2,000 tons 2,000 tons 3,000 tons 3,600 tons DRIVER 3000 HP Synchronous Motor 3500 HP 10 psig Steam Turbine 1989 HP 400 psig Steam Turbine 1825 HP Induction Motor 2750 HP 400 psig Steam Turbine 3500 HP 400 psig Steam Turbine
For further information, contact: Midwest CHP Application Center 851 S. Morgan Street Chicago, IL 60607-7054 Phone: (312) 413-3835 Fax: (312) 996-5620 www.CHPCenterMW.org
Appendix I
Midwest CHP Application Center
Indiana Hospital Market Sector Report
108
CHP Reference Guide
Initial Screening for Minnesota Hospital Market Sector
Definition of CHP Combined Heat and Power (CHP) refers to an integrated system that is located at or near a facility that generates at least a portion of the site’s electric load, and recovers the thermal energy from the prime mover(s) to provide building heat, domestic hot water, building cooling and/or dehumidification. Facility Managers may already be familiar with the concepts of CHP by any of the following terms: • Cogeneration / Trigeneration • Total Energy Systems (TES) • Integrated Energy Systems (IES) • Building Cooling, Heating and Power (BCHP) • Cooling, Heating and Power for Buildings (CHPB) • Combined Cooling Heating and Power (CCHP) Basic Benefits (where CHP makes sense, it will provide) • Energy Cost Savings • Power Quality and Reliability • Back-Up Power • Reduced Emissions Required Emergency Generators are generally not suitable for CHP, because they are most often: • Sized to meet life safety and critical loads only • Diesel fueled with high emissions (NOx and SOx ) • Not capable of running continuously • Providing NO Financial Payback Basic Questions to Ask I. Utility Rates Economic viability of CHP at any one hospital is highly dependent upon electric and gas rates! Rates can be complicated (Demand Charge, Energy Charge, Time-of-Day Rate, Standard Rate, Standby Rate, etc.) Questions to ask: • Are your Electric Rates high? Is the “demand” component of your bill high? • What are the electric rates? • Can you provide us 12 months of Electric and Natural Gas Bills? Spark Spread “Cost of Electricity” - “Gas Rate” = “Spark Spread” The higher the differential between the costs of buying electric power from the
Midwest CHP Application Center
grid and the cost of natural gas, the more attractive the savings and payback associated with CHP becomes. A general rule of thumb states that if the Spark Spread is greater than $12/MMBtu, then CHP has the potential for a favorable payback. (Refer to Table 1 or CHP Resource Guidebook, p. 27) II. Operating Hours For the CHP economics to work in a facility, it is usually desirable for the CHP system to be operating > 3,000 hr/yr. The longer the operating hours of the facility, the more likely the CHP operating hours will fall between 3,000 to 6,000 hr/yr. (Remember, operating a CHP system only during peak electric rate periods from 7AM to 7PM, 5 days/week equals 3,120 hr/yr.) Optimal Time for CHP Consideration In addition to analyzing utility rates and operating hours, an optimum time for CHP consideration is when one or more of the following is occurring at a facility: • HVAC Upgrade / Replacement • Boiler Upgrade / Replacement • New Construction • Building Expansion or Renovation • Decentralized Heating/Cooling Converting to Centralized Heating/Cooling Additional Facility Concerns The following concerns can be addressed with a CHP system: • HVAC Operation / Energy Efficiencies • Power Reliability (Standby Power) • Power Quality (including instantaneous power interruptions) • New Emission Standards and/or Requirements
III.
IV.
Evaluation There are generally two levels of evaluation for considering CHP at a facility: • Screening Evaluation - The Screening Evaluation generally has accuracy near +/30% and is generally inexpensive at $0 - $2K per study. (Some Engineering Firms will conduct an initial walkthrough and screening analysis for “free” as part of their cost of doing business, assuming that if the project is viable, they will conduct the detailed design and cost analysis.) • Detailed Cost Analysis – The Detailed Cost Analysis generally involves a Private Engineering Firm. This analysis is usually done in conjunction with a detailed design and results in a full cost proposal that the customer can utilize to make the buy decision and secure the needed financing.
Midwest CHP Application Center
Table 1: Estimating “Spark Spread”
1. Determine the Average Annual Electric Cost ($/MMBtu): Sum the total cost for electricity from the last 12 months of bills: a. b. c. d. Total Cost Sum the number of kWh utilized over the last 12 months of bills: Total kWh Divide the Total Cost by the Total kWh: Average Annual Electric Cost Multiply the Average Annual Electric Cost ($/kWh) by 293 to convert to $/MMBtu: Average Annual Electric Cost $ kWh $ /kWh
$
/MMBtu
2. Determine the Average Gas Cost ($/MMBtu): a. a. Sum the total cost for gas from the last 12 months of bills: b. c. d. Total Cost b. Sum the number of Therms utilized over the last 12 months of bills: Total Therms c. Divide the Total Cost by the Total Therms: Average Annual Gas Cost d. Multiply the Average Annual Gas Cost ($/Therms) by 10 (for NG) to convert to $/MMBTU: Average Annual Gas Cost $ Therms /Therm
/MMBtu $ $ $ /MMBtu /MMBtu Yes / No
3. Determine the “Spark Spread”: a. Average Annual Electric Cost (1.d.) $ /MMBTU b. Minus Average Annual Gas Cost (2.d) $ /MMBTU Spark Spread 4. Is the “Spark Spread” >$12/MMBtu? Yes / No
Midwest CHP Application Center
Appendix J
Midwest CHP Application Center
Indiana Hospital Market Sector Report
112
It Takes A Leader.
Implement CHP in Your Hospital or Healthcare Facility and Take Power Reliability To New Heights.
CHP Recycling Energy ™
Re•cy•cle \ re-si-k l \ 1: To adapt or convert something to a new use, usually as
an alternative to discarding it. 2: To extract and reuse useful or valuable substances that would otherwise be wasted. e
CHP. It’s Time.
W hy settle for back-up power when CHP as your primary energy source works in parallel with
the grid? Why spend finite capital resources on back-up generation that sits idle when you could install and operate a CHP asset that provides so many benefits? These benefits include:
C ombined Heat and Power (CHP) is a form of distributed generation that recycles valuable
waste heat produced in electricity generation. CHP is technically proven, environmentally superior and at least twice as efficient as centralized power generation. This high-level efficiency is the genesis for a host of other benefits– all of which make CHP important to the nation’s energy future. • Significant Energy/Operating Cost Savings – In today’s competitive marketplace, cost savings of up to 50% can strengthen the bottom line. • Peak Energy Efficiencies – By recycling energy, CHP offers efficiencies more than double that of traditional generation. • Optimum Power Quality & Reliability – Current CHP hospitals and healthcare facilities–and the cities where they’re located– already know that CHP is energy you can count on. • Significantly Reduced Environmental Impact – Because CHP recycles energy, it uses less fossil fuel, dramatically reduces emissions and stewards our environment. • Heightened Energy Security & Independence – By implementing CHP, you can lead the way to a more secure and independent energy future.
CHP Takes Power Reliability To New Heights
E lectric power reliability is an essential ingredient for an efficient, profitable healthcare facility.
Today, that power reliability is in serious jeopardy given aging transmission and distribution systems, overcrowded distribution networks, and the inability to site new transmission lines. So, while emergency generator sets will pickup life critical loads in the event of an interruption, what about the non-life critical loads that are essential to healthcare operations? In over 200 hospitals nationwide, CHP systems paralleled with the electric utility grid provide a level of reliability that is indispensable to managing a successful and dependable healthcare operation. The CHP system carries the hospital load; the electric utility grid provides the back-up; and the emergency generator sets act as a third level back-up for life critical loads. What this means is that CHP hospitals– and all the revenue-generating and support equipment housed in these facilities– will remain up and running during power outages. In fact, many CHP hospitals report the elimination of instantaneous outages, which can cause diagnostic and other equipment to shut down, impacting profitability. The benefits of power reliability extend well beyond the CHP facility itself. CHP contributes to grid stability during periods of peak demand. Additionally, CHP can provide energy to keep our country safe and secure during crisis situations by creating off-grid sources of power. This allows CHP hospitals and healthcare facilities to act as “energy centers” during power outages– helping communities better plan for and respond to such emergencies. CHP can help your hospital or healthcare facility take power reliability to new heights.
Throughout the world, CHP is making a difference. It is already installed in hospitals, universities, data centers and manufacturing facilities– and is gaining momentum as the intelligent energy choice across the U.S.
www.CHPrecyclingenergy.com
Peak Performance.
Hospitals and Healthcare Facilities Nationwide are Implementing CHP to Reach Peak Energy Efficiency.
CHP Recycling Energy ™
Re•cy•cle \ re-si-k l \ 1: To adapt or convert something to a new use, usually as
an alternative to discarding it. 2: To extract and reuse useful or valuable substances that would otherwise be wasted. e
CHP. It’s Time.
W hy settle for back-up power when CHP as your primary energy source works in parallel with
the grid? Why spend finite capital resources on back-up generation that sits idle when you could install and operate a CHP asset that provides so many benefits? These benefits include:
C ombined Heat and Power (CHP) is a form of distributed generation that recycles valuable
waste heat produced in electricity generation. CHP is technically proven, environmentally superior and at least twice as efficient as centralized power generation. This high-level efficiency is the genesis for a host of other benefits– all of which make CHP important to the nation’s energy future. • Significant Energy/Operating Cost Savings – In today’s competitive marketplace, cost savings of up to 50% can strengthen the bottom line. • Peak Energy Efficiencies – By recycling energy, CHP offers efficiencies more than double that of traditional generation. • Optimum Power Quality & Reliability – Current CHP hospitals and healthcare facilities–and the cities where they’re located– already know that CHP is energy you can count on. • Significantly Reduced Environmental Impact – Because CHP recycles energy, it uses less fossil fuel, dramatically reduces emissions and stewards our environment. • Heightened Energy Security & Independence – By implementing CHP, you can lead the way to a more secure and independent energy future.
Achieve Peak Energy Performance with CHP
Today, energy efficiency is an attainable goal for hospitals. And with CHP, an on-site (or near-site)
power generation system, hospitals are not only achieving efficiencies at unprecedented levels– but they are significantly reducing costs at the same time. In fact, today CHP is helping over 200 hospitals nationwide more than double their energy efficiency levels. More specifically, CHP is delivering up to 80% in combined electric and thermal efficiencies. This translates to dramatic reductions in operating expenses, which serves to “pay back” initial capital investments in very reasonable timeframes. Additionally, CHP has a significant, positive impact on power reliability. CHP systems work in parallel with the electric utility grid, thus providing a level of reliability that is indispensable to managing a successful and dependable healthcare operation. The CHP system carries the hospital load; the electric utility grid provides the back-up; and the emergency generator sets act as a third level back-up for life critical loads. What this means is that CHP hospitals– and all the revenue-generating and support equipment housed in these facilities– will remain up and running during power outages. CHP systems can also contribute to improved air quality in our cities. The high-level efficiency of these systems means less fuel is burned– making CHP hospitals and healthcare facilities environmental leaders in their communities. CHP can help your hospital or healthcare facility reach peak energy performance!
Throughout the world, CHP is making a difference. It is already installed in hospitals, universities, data centers and manufacturing facilities– and is gaining momentum as the intelligent energy choice across the U.S.
www.CHPrecyclingenergy.com
Appendix K
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Detailed results for the CHP feasibility analysis of the hypothetical hospital within the Northern Indiana Public Service Company service territory: Generating capacity is 1,000 kW for all three cases: DG, CHP, and BCHP.
Baseline Natural Gas Consumption Power Generation (MMBtu) Building Consumption (MMBtu) Total (MMBtu) Gas Costs Electric Consumption Elec Consumption (kWh) Utility Provided (kWh) Generated (kWh) Elec Costs Heat Recovery Recoverable Heat (MMBtu) Recovered Heat (MMBtu) O&M Costs CHP Economics Annual Energy Costs Annual Energy Savings Installed Cost Simple Payback (Years)
DG
CHP
BCHP
NA 70,279 70,279 $351,393
93,371 70,279 163,650 NA
93,363 38,729 132,091 $660,455
93,363 58,506 151,868 $759,339
12,519,960 12,519,960 0 $893,623
12,519,960 3,765,942 8,753,954 NA
12,497,800 3,744,685 8,753,047 $368,806
11,663,400 2,910,239 873,106 $305,886
NA NA NA
NA NA NA
39,220 26,073 $96,284
39,220 34,176 $96,286
$1,245,016 NA NA NA
NA NA $938,694 NA
$1,125,545 $119,471 $1,019,797 8.5
$1,161,511 $83,505 $1,226,904 14.7
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NOTES
1.
American Hospital Association (AHA) 2002 Hospital Statistics, American Hospital Directory, Inc. April 2004 . “ASHE Affiliated Chapters By Region: Region 5.” Hospital Connect. August 2004 Energy and Environmental Analysis, Inc. Task 2.1 Report: National Account Sector Profiles, February 2003. Energy and Environmental Analysis, Inc., Task 2.3 Report: Market Potential for Advanced Thermally Activated BCHP in Five National Account Sectors, February 2003. “State Electricity Profiles - Indiana.” Energy Information Administration. July 2004
2.
3.
4.
5.
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