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Monday, December 6, 2021  |  11:15 AM - 12:15 PM

Open to Conference Attendees Only

Energy Efficiency is the Catalyst to Overhauling Texas Healthcare

Abraham Bejil
Director, Engineering, Midland Health
Ashley Downes
Director of Tucson, Bernhard

Midland Health has long had a mission to make a lasting impact on its community by improving the health of its people. To achieve this, Midland created a master plan to renovate their facilities, which began in 2009 with a new patient tower. When the tower opened in 2012, Midland knew they had a problem. Due to inadequate commissioning, the tower was consuming vastly more energy than expected. Bernhard was then selected to retro-commission the tower and a partnership began. Since then, Midland has trusted Bernhard with more than 25 projects over the last 10 years. 2020 saw the two agree to a 15-year energy asset concession arrangement which provides $16.2 million in immediate unrestricted cash, while also addressing significant capital renewal, deferred maintenance, and energy optimization. Using a long-term energy asset concession was the answer to continue Midland's mission to positively impact its patients and evolve health care in not only Texas, but potentially across the nation.


1. Observe how energy efficiency enhances patient care, including the physical, emotional, and social well-being of occupants.
2. Evaluate the benefits of ling-term energy asset concession arrangements for facility managers, patients and administrators alike.
3. Assess results including infrastructure improvements, savings in future capital renewal and replacement costs from a facility budget, etc.
4. Evaluate successful project delivery methods and facilities improvements for increased energy efficiency and resource savings.


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