The Color of Money is Still Green A

The Color of Money is Still Green: A Candid Discussion about Sustainability Outlook 2009 Conference October 8, 2009 1

Presented by Alan R. Bell, AIA, LEED® AP Seton Family of Hospitals Learning Opportunities: • What LEED credits were attained • Incorporating energy saving technologies & systems into your facilities • Evaluating various green tech tools that measure your building performance • Developing detailed plans when implementing green systems into your operations 2

Project Team - Acknowledgements / Credits SETON Healthcare Network – Owner Karlsberger – Programming/Planning/Architecture/Interior/Graphic Design ccrd Partners – Mechanical/Electrical/Plumbing Design Center for Maximum Potential Building Systems – Sustainability Consultant Datum Engineers, Inc. – Structural Design TBG – Landscape Design Bury + Partners – Civil Engineering Medequip International – Medical Equipment Planner Sodexho – Food Service Consultant The Lighting Practice – Lighting Consultant Kroll Inc. – Security Consultant White Construction Company – Pre-Construction Services/Construction Manager John Durant Photography – Photographer 3

Hospital - 505, 300 SF - 176 licensed beds - $130 M Construction Cost (257$/sf) ~ 2/2006 - $206 M Capital Budget (408$/sf) 32. 2 acres of a 722 -acre Brownfield Site LEED Platinum Certification Combined Cooling/Heating Power Plant - 35, 500 SF - $18 M Construction Cost 4

• We will not “buy points” • Energy Conserving Measures must meet a hurdle rate • Platinum Goal 5

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Water Conservation § 1. 4 Million gal/yr irrigation water saved from the use of native § § § plant landscapes. Reclaimed water (“purple pipe”) from the Walnut Creek WWTP used for site irrigation 1. 7 million gal/yr estm savings from low flow plumbing fixtures and dual flush toilets 2. 4 million gal/yr estm savings from water efficient autoclaves Water Efficiency = approx 5. 5 million gal/yr saved Not accounting for irrigation water savings, on a per square foot basis, DCMCCT consumes 30% to 40% less water that 4 other comparable size hospitals in Central Texas Last year, DCMCCT consumed 17, 000 gallons of irrigation water less than another hospital of similar site size 11

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Future Improvements § Parking garage occupancy sensors § Exterior stairwell lights photocells and § § occupancy sensors Additional occupancy sensors for mechanical, electrical and other miscellaneous rooms throughout the hospital Fan coil units for Security, SPD Decontam, and Surgery / Anesthesia On-call rooms BAS Static Pressure Reset Modifications and repair to existing Daylight Harvesting system 18

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Recycling Program § Average from 5 tons/month § § first year of operation to 8. 5 tons/month for first 6 months of 2009, leveling off at 10 tons/month sustaining Equivalent to 145 trees/month 60, 000 gal water/month 760 cu. ft landfill volume/month 60 barrels of oil/month 23

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Average Length of Patient Stay • FY 07 CHOA 4. 76 • FY 08 DCMC 3. 91 • FY 09 DCMC 4. 21 • FY 10 DCMC 4. 13 25

REDUCE + REUSE + RECYCLE • RECYCLING PROGRAM • FOOD SERVICE • Beverage refill program • Elimination of Styrofoam • Purchase items in concentrated from to reduce packaging and transport costs • Environmentally friendly washing products • Recycling of fats and oils for bio fuel • ENVIRONMENTAL SERVICES • Strip hard surface floors without chemicals • Concentrated cleaning products • Recycling collections points • Core-less toilet paper program 26

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