Gundersen Lutheran Envision Energizing Healthcare

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1 Gundersen Lutheran Envision Energizing Healthcare Behavior, Energy & Climate Change Conference November 30 th, 2011 Jeff Rich, Executive Director GL Envision, LLC

2 Physician-led Integrated Delivery System Headquartered in La Crosse, WI Approximately 6,500 total employees 475 employed physicians 300 employed mid-level 325-bed tertiary medical center Level II trauma center 41 clinic locations Gundersen Lutheran Medical Foundation Residency and medical education programs Clinical research program Gundersen Lutheran Health Plan Who We Are Provider-owned and -operated health insurance company A variety of affiliate organizations including EMS ambulance service, rural hospitals, nursing homes, hospice, etc.

3 Our Service Area

4 Program Objectives 1. Energy Independence by Produce more power than Gundersen Lutheran consumes from fossil fuel sources 2. Make healthcare more affordable to our patients by hedging future cost of energy through energy production 3. Distinguish Gundersen Lutheran and our community as a national leader in energy conservation and the development of renewable energy sources. 4

5 Why Should a Healthcare System Consider Energy/Environment? Pollutants from the burning of fossil fuels cause: Cancer, liver disease, kidney disease, reproductive issues Cardiovascular deaths and stroke 1 According to the Department of Energy, hospitals are 2.5 times more energy intensive than other commercial buildings 2 This is inconsistent with our mission we are responsible for contributing to disease through our wasteful consumption. Energy costs continue to escalate, making it more difficult to provide affordable care Reducing waste results in an improved bottom line 1 Source: American Heart Association Scientific Statement: DALLAS, May 10, Source:

6 Our Envision Program Energy Management Energy Efficiency Renewable Energy Waste Management and Control Recycling Sustainable Design of New Facilities Gundersen Lutheran s Vision for Energy and Environmental Stewardship 6

7 Conservation In 2008 Gundersen Lutheran launched an aggressive energy conservation effort which examined heating and cooling systems, lighting systems and employee behavior to identify opportunities to reduce energy consumption. Dozens of Energy Conservation Measures (ECMs) were then implemented. Gundersen Lutheran is saving $1.25M annually from reduced energy use!

8 Energy Status

9 Solar Photovoltaic Project La Crosse campus underground parking garage Supplies majority of lighting power (75,000 kwh) for garage First LEED certified parking garage in U.S. Installed in July

10 City Brewery CHP Project Waste water biogas project generating electricity and heat Partnered with City Brewery 4 blocks from Medical Center (2,000,000 kwh) ~2% of total goal Started production in October

11 Solar Hot Water Project On-site day care center in La Crosse Supplies 85% of hot water needs Educational example for children and community Installed in April

12 Onalaska Campus Landfill Gas Project Landfill gas project on Onalaska, WI campus Partnered with La Crosse County Solid Waste Department Project will offset 100% of Onalaska campus energy needs (8,500,000 kwh + 12,000 MMBtu of gas) ~11% of total goal Targeted production for February

13 Onalaska Landfill Gas Project 13

14 Lewiston, MN Wind Project GL Wind 4.95 MW Lewiston, MN project Project will produce 15,000,000 kwh ~7% of total energy independence goal Targeted production for December

15 Lewiston, MN Wind Project 15

16 4.995 MW Wind project Cashton, WI Wind Project Partnered with Organic Valley Project will produce 12,000,000 kwh and achieve ~5% of total goal* Targeted production for April

17 Biomass Boiler Biomass Boiler Project 2012 Implementation 38% of energy independence goal (~150,000 MMBtu and 2,500,000 kwh) Will produce the majority of heat / steam used by the health system On-site electricity production with back pressure steam turbines Targeted production for October

18 Dairy manure digester Dairy Digester Project Implementation Project will produce 11,000,000 kwh annually and achieve 9% of goal Fiber byproduct enhances revenue stream and removes phosphorous from groundwater Still under partnership negotiations 18

19 Envision

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