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Eisenhower Medical Center
Rancho Mirage, CA

EMC Hospital Exterior

Energy Efficiency
LSW proposed and implemented a series of utility modernization projects. Plans were developed for a 1 MW engine-driven cogeneration plant to provide heating, cooling, and power for the central hospital. The project involved the conversion of a natural gas-fired emergency generator for continuous service and the recovery of waste heat to be used by: a new two stage absorption chiller, the heating water and domestic hot water systems, and the high pressure steam system. This project succeeded in completing its return on investment without ever being built. The local utility, not anxious to have a new cogeneration plant in its service territory, negotiated a program to defer the building of the plant and to instead fund other energy options.

Other mechanical and electrical improvements that we designed to pay for themselves within a three-year period included:

  • Replacement of Four Existing Centrifugal Chillers with non-CFC based new equipment, totaling 1,900 tons.
  • Secondary Chilled Water Pumps were converted to variable flow within the distribution system, saving pump energy at off-peak cooling periods. (Pumping costs reduced by one-half.)
  • Air Handler Controls were converted to digital to reset hot deck and cold deck temperatures and minimize wasteful reheating.
  • A Surgery Chiller was installed, which lowers the chilled water supply temperature during times of the year when the balance of the chilled water supply can be distributed at a higher temperature, optimizing chiller efficiency.
  • A Cooling Tower and Hydronic Economizer replaced inoperative cooling towers and provided a plate/frame heat exchanger to obtain "free cooling" of chilled water when ambient temperatures permit.
  • Information Services Building: The new facility provides an uninterruptible power supply and a branch circuiting for the data processing center.


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Central Plant
The plant and distribution will provide high-pressure steam, chilled water (via 2,000-ton absorption chillers/2,100-ton centrifugal chiller hybrid configuration), 4 MW emergency power with high voltage electric service / primary voltage discount. Site distribution system (direct bury) for chilled water, steam, normal power, and emergency power.

Two-cell (future four-cell), counterflow, 4,400-gpm (nominal 1,467-ton) cooling towers will be installed. They are a specialized design employing oversized fans, running at low speed, to mitigate any potential sound impact on neighbors.

Two 2.5 MW Jenebacher cogeneration modules provide prime power to the campus. Steam produced from recovered heat is used at the plant's absorption chillers and for hospital requirements. Low temperature recovered heat is used for heating and domestic hot water. Urea based SCR provides post combustion emission control.

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Surgery Addition
The 12-suite surgery pavilion includes two dedicated heart rooms and four orthopedic rooms. To facilitate special procedures, HVAC for the heart rooms was designed to cool the entire suite to 60° F in a matter of minutes. The orthopedic surgeries are equipped with dedicated air circulation/filtration systems, which operate in parallel with the central HVAC system. HEPA filters in the laminar flow supply diffusers and the air change rate yield a class 100 clean room environment to aid in reducing the incidence of infection during orthopedic procedures.

The central HVAC system is a dual duct system utilizing dual supply air fans. This allows the use of economizer "free cooling" at the cold deck, when ambient conditions permit, without the use of reheat in the hot deck. A booster chiller was included in the design to maintain low temperature chilled water at the surgery air handlers and to allow the remainder of the campus' chilled water system to operate at a higher cost-effective supply temperature during mild ambient conditions.

Utilities for the expansion were routed from existing sources in seismically conforming construction or were provided from new equipment dedicated within the expansion.

Owner: Eisenhower Medical Center
Cost: $19,000,000 (Central Plant), Various (Energy Efficiency Projects), $12,000,000 (Surgery Addition)
Completion Date: 2002 (Central Plant and Surgery), 1993 (Energy Efficiency Projects), 2000 (Surgery Addition)
Additional Projects: $100 million expansion over next 10 years


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