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Healthcare Introduction
ABOUT ECOSYSTEM
    Energy efficiency leader
    •  Engineering firm, focused on reducing energy costs and GHG emissions
    •  Reputation for implementing innovative and sustainable solutions
    •  Exclusively dedicated to energy efficiency

    Company Snapshot
    •  In business for more than 15 years – Privately held, employee owned
    •  Close to 100 energy specialists and $100 million in current projects
    •  ISO 9001: 2000 certified
    •  Offices in New York, Toronto, Montreal, Quebec City
    •  Significant experience working with Hospitals


2
CHALLENGES FACING HOSPITALS
    Hospitals are facing a series of challenges;
    •  Increasing costs and shrinking budgets
    •  Aging and inefficient infrastructure
    •  Demands from senior levels and government to meet environmental
       guidelines
    •  Pressure of keeping pace with peers who have taken action on the
       environmental agenda
    •  Need to be seen as progressive community leaders and not followers




3
ECOSYSTEM AND HOSPITALS

    We are a leader in Energy Efficiency for Healthcare
    •  150 energy retrofit projects completed for over $300 million savings
    •  Over 30 Major Hospital Energy Efficiency Projects completed
    •  12 Major Hospital Energy Efficiency Projects ongoing




4
ECOSYSTEM’S APPROACH
    Our
approach
is
unique
and
our
results
are
excellent



    •     Although newer equipment and lighting are good ways to start reducing
          energy use, we do not focus on “off the shelf” solutions
    •     We review the various ways energy is generated and distributed throughout
          the entire building
    •     The measures we propose are the result of more rigorous design work,
          resulting in meaningful measures aimed at significant energy usage
          reductions and supported by a strong financial case
         Because
of
this
unique,
experience‐based
approach,
we
have
a
track
record
of

                    reducing
energy
consump<on
in
hospitals
in
excess
of
25%





5
ECOSYSTEM’S APPROACH
    Ecosystem and the “ESCO” Model
    •  Verification and analysis of current conditions
                                                                     Technical
    •  Project design and systems integration
    •  Project financing including access to grants
    •  Turnkey project management                                                  Project
                                                         Financial
                                                                                 Management
    •  Performance monitoring
    •  Training and Awareness programs
    •  Guaranteed results




6
CASE STUDY - MCGILL UNIVERSITY HEALTH CENTRE

                                        COMPLETED
                                        Phase 1: 2006

                                        INVESTMENT
                                          $7,100,000

                                       ANNUAL SAVINGS
                                          $1,100,000

                                          PAYBACK
                                          5.6 years




7
CASE STUDY - MCGILL UNIVERSITY HEALTH CENTRE

     •  Conversion of steam heating to hot water
     •  Revamped steam system to service specific applications – sterilization,
        kitchen, humidification
     •  Refurbished power plant
     •  Implemented heat recovery systems within general exhaust, connected
        to both chillers and gen-sets
     •  Upgraded building controls, lighting, and variable frequency drives




8
CASE STUDY: ST. MICHAEL’S HOSPITAL


                                          COMPLETED
                                             2007

                                          INVESTMENT
                                            $7,900,000

                                         ANNUAL SAVINGS
                                            $1,900,000

                                            PAYBACK
                                            4.2 years




9
CASE STUDY: ST. MICHAEL’S HOSPITAL

      •  Reduced reliance on district steam system by over 60% through
         implementation of:
          •  Heat recovery with heat pump chillers
          •  Closed loop cooling for unitary cooling equipment
          •  Steam limited to sterilization, kitchen, laundry
      •  Centralized domestic hot water production and eliminated high volume
         storage
      •  Converted steam heating to hot water
      •  Implemented high pressure reverse osmosis humidification system thus
         eliminating need for steam and related chemicals



10
CASE STUDY: MONTREAL GENERAL HOSPITAL


                                      COMPLETED
                                         2007

                                      INVESTMENT
                                       $17,230,000

                                     ANNUAL SAVINGS
                                        $1,966,000

                                        PAYBACK
                                         7 years




11
CASE STUDY: MONTREAL GENERAL HOSPITAL

      •  Steam boiler decommissioning
      •  Installation of off-peak electrical boilers
      •  Electrical connection of multiple buildings
      •  Unification of heating water systems
      •  Conversion of existing heating and ventilation systems to hot water;
      •  Heat recovery with heat pumps.




12
ECOSTSYSTEM – ENERGY SAVINGS EXPERTS
     We look forward to discussing how you can;
     •  Design procurement models that focus on innovation and reduce your risk
        and costs
     •  Ensure that innovative energy solutions compliment the ongoing work of your
        staff
     •  Deliver sustainable: facilities, financials and carbon footprint for your
        Hospital
     Gerald O’Dwyer
     Manager, Business Development
     (312) 371-3940
     gerald.odwyer@ecosystemsmw.com

     Sharon Chou
     Manager, Business Development
     (415) 902-0598
13   Sharon.chou@ecosystemsmw.com

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Ecosystem Healthcare Introduction

  • 2. ABOUT ECOSYSTEM Energy efficiency leader •  Engineering firm, focused on reducing energy costs and GHG emissions •  Reputation for implementing innovative and sustainable solutions •  Exclusively dedicated to energy efficiency Company Snapshot •  In business for more than 15 years – Privately held, employee owned •  Close to 100 energy specialists and $100 million in current projects •  ISO 9001: 2000 certified •  Offices in New York, Toronto, Montreal, Quebec City •  Significant experience working with Hospitals 2
  • 3. CHALLENGES FACING HOSPITALS Hospitals are facing a series of challenges; •  Increasing costs and shrinking budgets •  Aging and inefficient infrastructure •  Demands from senior levels and government to meet environmental guidelines •  Pressure of keeping pace with peers who have taken action on the environmental agenda •  Need to be seen as progressive community leaders and not followers 3
  • 4. ECOSYSTEM AND HOSPITALS We are a leader in Energy Efficiency for Healthcare •  150 energy retrofit projects completed for over $300 million savings •  Over 30 Major Hospital Energy Efficiency Projects completed •  12 Major Hospital Energy Efficiency Projects ongoing 4
  • 5. ECOSYSTEM’S APPROACH Our
approach
is
unique
and
our
results
are
excellent

 •  Although newer equipment and lighting are good ways to start reducing energy use, we do not focus on “off the shelf” solutions •  We review the various ways energy is generated and distributed throughout the entire building •  The measures we propose are the result of more rigorous design work, resulting in meaningful measures aimed at significant energy usage reductions and supported by a strong financial case Because
of
this
unique,
experience‐based
approach,
we
have
a
track
record
of
 reducing
energy
consump<on
in
hospitals
in
excess
of
25%
 5
  • 6. ECOSYSTEM’S APPROACH Ecosystem and the “ESCO” Model •  Verification and analysis of current conditions Technical •  Project design and systems integration •  Project financing including access to grants •  Turnkey project management Project Financial Management •  Performance monitoring •  Training and Awareness programs •  Guaranteed results 6
  • 7. CASE STUDY - MCGILL UNIVERSITY HEALTH CENTRE COMPLETED Phase 1: 2006 INVESTMENT $7,100,000 ANNUAL SAVINGS $1,100,000 PAYBACK 5.6 years 7
  • 8. CASE STUDY - MCGILL UNIVERSITY HEALTH CENTRE •  Conversion of steam heating to hot water •  Revamped steam system to service specific applications – sterilization, kitchen, humidification •  Refurbished power plant •  Implemented heat recovery systems within general exhaust, connected to both chillers and gen-sets •  Upgraded building controls, lighting, and variable frequency drives 8
  • 9. CASE STUDY: ST. MICHAEL’S HOSPITAL COMPLETED 2007 INVESTMENT $7,900,000 ANNUAL SAVINGS $1,900,000 PAYBACK 4.2 years 9
  • 10. CASE STUDY: ST. MICHAEL’S HOSPITAL •  Reduced reliance on district steam system by over 60% through implementation of: •  Heat recovery with heat pump chillers •  Closed loop cooling for unitary cooling equipment •  Steam limited to sterilization, kitchen, laundry •  Centralized domestic hot water production and eliminated high volume storage •  Converted steam heating to hot water •  Implemented high pressure reverse osmosis humidification system thus eliminating need for steam and related chemicals 10
  • 11. CASE STUDY: MONTREAL GENERAL HOSPITAL COMPLETED 2007 INVESTMENT $17,230,000 ANNUAL SAVINGS $1,966,000 PAYBACK 7 years 11
  • 12. CASE STUDY: MONTREAL GENERAL HOSPITAL •  Steam boiler decommissioning •  Installation of off-peak electrical boilers •  Electrical connection of multiple buildings •  Unification of heating water systems •  Conversion of existing heating and ventilation systems to hot water; •  Heat recovery with heat pumps. 12
  • 13. ECOSTSYSTEM – ENERGY SAVINGS EXPERTS We look forward to discussing how you can; •  Design procurement models that focus on innovation and reduce your risk and costs •  Ensure that innovative energy solutions compliment the ongoing work of your staff •  Deliver sustainable: facilities, financials and carbon footprint for your Hospital Gerald O’Dwyer Manager, Business Development (312) 371-3940 gerald.odwyer@ecosystemsmw.com Sharon Chou Manager, Business Development (415) 902-0598 13 Sharon.chou@ecosystemsmw.com