Hackensack University Medical CenterEnvironmental Assessment:MOU SemiAnnual ReportSept 13, 2012

Environmental Protection AgencyRegion 2

Andrew Bellina, PESenior Policy Advisor212-637-4126

Jose PillichMichael WanserResearch Analysts

On February 23, 2012, Hackensack UMC signed a Memorandum of Understanding (MOU) pledging to become an environmental steward by implementing a number of green initiatives that would reduce its carbon footprint and further improve our planet’s environment. This partnership with the United States Environmental Protection Agency (EPA) and Hackensack UMC has resulted in reducing energy, water and solid waste production across their entire operations.

Memorandum of Understanding

This is the first update Hackensack UMC has provided documenting its green initiatives. The EPA has analyzed the submitted information and generated an environmental footprint. Due to the progressive green efforts of the organization, Hackensack UMC has managed to reduce its carbon footprint by 7,336 MTCO2e* and saved an estimated $621,000 in operating expenses.

*Metric Ton Carbon Dioxide Equivalent

Reduction in Environmental Footprint

EPA uses these environmental conversion models to calculate metric tons of carbon dioxide equivalents: Greenhouse Gas Equivalencies (GHG) Calculator converts GHG reductions into scenarios that can be easily communicated to the public. eGRID Version 1.1 (2007) which converts standard metrics for electricity, green energy, fuel use, chemical use, water use, and sustainable materials management into MTCO2e. The EPA WARM Model which helps calculate GHG emission reductions from several different waste management practices, including source reduction, recycling, combustion, composting and landfilling. The EPA Pollution Prevention (P2) Cost Calculator that estimates cost savings associated with GHG reductions.Certain environmental data points cannot be converted to MTCO2e because scientific models do not currently exist.As methodologies improve, environmental assessments will be updated to include any new GHG reduction estimates.

Measurement and Continuous Improvements

Environmental Metrics Total Sector (MTCO2e)

Energy Conservation 4,160.7Water Conservation 0.2Solid Waste Recycling 3,028.9Green Landscaping 46.8Electronics Recycling 99.5

Total (MTCO2e) 7,336.1

Accomplishments Reductions of 7,336 MTCO2e

2

0 500 1,000 1,500 2,000 2,500 3,000 3,500 4,000 4,500

Energy Conservation

Solid Waste Recycling

MTCO2e Reduction

Primary Initiatives

0 20 40 60 80 100

Electronics Recycling

Green Landscaping

Water Conservation

MTCO2e Reduction

Secondary Initiatives

Greenhouse Gas Equivalencies

What does the reduction of 7,336 MTCO2e represent ?The organization’s effort is equivalent to any one of the following:

• Annual greenhouse gas emissions from 1,438 vehicles

• Carbon dioxide emissions from 822,433 gallons of gasoline

• Carbon dioxide emissions from 17,061 barrels of oil consumed

• Carbon dioxide emissions from the energy use of 635 homes for one year

• Carbon dioxide emissions from 305,671 propane tanks used for home barbeques

• Carbon dioxide emissions from gasoline carried by 96.8 tanker trucks

• Carbon dioxide emissions from burning 39.9 railcars’ worth of coal (over 6/10 mile long)

Accomplishments Reductions of 7,336 MTCO2e

3

4

Environmental Metrics Feb 2012 MOU

Aug 2012 Update

Total Conversion (MTCO2e)

Cost Savings (est.)

Energy Conservation/Energy StarTotal Savings (MTCO2e) 4160.7 4,160.7 $572,112 Miscellaneous Energy Conservation

Web Based Energy Competition

Motors and Transformers

Lighting Project Fixtures (bulbs and ballast)

High Temp Hot Water Pipe Replacement 56,490 therms 299.7 $42,368

HVAC, Chiller & Electrical 3,900,698 kwh 2,958.3 $402,552

Bulb Replacement (CFLs)

Bulb Replacement (LEDs) 68 bulbs 3.1 $456

Gas Savings 154,054 therms 817.4 $115,541

Fuel Oil Savings

Steam Savings 310,000 lbs 82.3 $11,195

Alternative EnergyTotal Savings (MTCO2e) 0.0 $0 On-Site Solar

On-Site Wind

On-Site Geothermal

On-Site Combined Heat and Power

Purchase of Green Energy/Green Power

Water Conservation/WaterSenseTotal Savings (MTCO2e) 0.2 0.2 $194 Miscellaneous Water Conservation

Low Flow/Hands Free Faucets (4) 2,000 gal 0.0 $4

Low Flow Toilets (6 flushometers) 24,000 gal 0.1 $44

Low Flow Shower Heads

Low Flow Urinals

Waterless Urinals (2) 80,000 gal 0.2 $146

Solid Waste RecyclingTotal Savings (MTCO2e) 1129.1 1899.8 3,028.9 $48,679 Mixed Recyclables (includes Wastewise) 383.7 tons 602.9 tons 2,831.5 $39,464

Pallets Waste Avoided / Wood Recycled

Steel Recycled Offsite during Deconstruction

Concrete / Asphalt Recycled during Deconstruction

Recycled C&D Waste (construction waste)

Cardboard (construction/non-construction/sharp containers)

Mixed Metal (construction/non-construction) 32,424 lbs 87.5 $648

Paper, Mixed

Plastic, Mixed (bottles,construction/non-construction,sharp containers) 23,007 sharps 43.1 $1,150

Can / Bottle Recycling

Blue Wrap Waste Reduction 9,300 lbs 7.0 $186

Mixed Organics

54

Environmental Metrics Feb 2012 MOU

Aug 2012 Update

Total Conversion (MTCO2e)

Cost Savings (est.)

Food Donation (Waste diversion) 4,000 lbs 0.4 $80

Biosolids and Food Waste Recycling / Composting 224,524 lbs 112,262 lbs 33.7 $6,736

Fluorescent Bulbs 9,000 (approx 5740 lbs)

4,500 (approx 2870 lbs) 0.5 $172

Ceiling Tiles Recycled

Carpet Recycled

Waste Oil Recycled 2970 lbs 1485 lbs 6.7 $89

Magazines / Third Class Mail

Newspapers

Office Paper

Phonebooks

Textbooks

Dimensional Lumber

Fly Ash

Aluminum Cans

Glass

HDPE

LDPE

PET

Appliances

Non-Ferrous Metals

Fats, Oils, Grease

Water Coolers (Plastic bottles saved) 30,000 15,000 1.0 $25

Medical Device Reprocessing 6,455 lbs 17.4 $129

Green ProcurementTotal Savings (MTCO2e) 0.0 $0 Re-Use/Purchase of Materials with Recycled Content

Purchase / Use of Compost Socks

Purchase of EPEAT Products

Use of Recycled Steel during Construction

Use of Recycled Iron during Construction

Use of Recycled Plastic during Construction

Use of Recycled Aluminum during Construction

Use of Recycled Concrete / Asphalt during Construction

Use of Coal Combustion Products

Green Landscaping Total Savings (MTCO2e) 46.8 46.8 $0 Green Roofs 7,000 sq ft 15.3

Porous Pavement

Grass

Low / No Mow Area

Green Space

Re-use of Collected Stormwater

6

Environmental Metrics Feb 2012 MOU

Aug 2012 Update

Total Conversion (MTCO2e)

Cost Savings (est.)

On-Site Use of Compost / Mulch

Moisture Sensing Sprinklers

Number / Acres of Trees

Reflective Roof 21,000 sq ft 31.5

Synthetic Turf

Native Plants

Leaves Composted

Electronics/EPEATTotal Savings (MTCO2e) 45.7 53.9 99.5 $909 Recycling of Electronics 35,472 lbs 28.4 $709

Re-Use/Donation of Used Computers

Toner/Ink Recycling and Use of Recycled Ink 1120 560 68.5 $134

Battery Recycling 3,279 lbs 2.6 $66

Mass TransitTotal Savings (MTCO2e)Miles Avoided

TransportationTotal Savings (MTCO2e) 0.0 $0 Hybrid Vehicles

Electric Vehicles

Biodiesel Vehicles

Clean Construction Vehicles

LNG Vehicles

Alternate Fuel Vehicles (Zipcar)

Smartway Transporters

Bike Racks 3

LEED ProjectsTotal Savings (MTCO2e)Silver - 10%

Gold - 17%

Platinum - 20%

MTCO2e SavingsTotal (MTCO2e) 1,174.8 6,161.3 7,336.1 $621,894 Energy Conservation 0.0 4,160.7 4,160.7 $572,112 Water Conservation 0.0 0.2 0.2 $194 Solid Waste 1,129.1 1,899.8 3,028.9 $48,679 Green Landscaping 0.0 46.8 46.8 $0 Electronics 45.7 53.9 99.5 $909 Transportation 0.0 0.0 0.0 $0

Hackensack UMC Additional Green MOU Accomplishments

2012

HackensackUMC Waste Recycling and Re-use OperationsHackensackUMC has increased the recycling of cans, bottles, plastics, blue wrap, corrugated, and mixed office paper from a starting point of 14% in 2011 to 22% through June 2012. This has been made possible by the deployment of 450 additional recycling containers in areas that are best suited to capture recyclable materials campus-wide. In the 4th quarter, HUMC is completing a “recycling” station in the main cafeteria to facilitate its commitment to increase the recycling rate to 35%. In July 2012, HUMC joined the EPA’s WasteWise program. The Medical Center will enter baseline data and use that tool to help monitor MSW generation rates to help further develop its MSW reduction initiatives.

Electronics Waste (E-Waste) RecyclingHackensackUMC deployed Xerox’s ColorQube printers. They are unique in using solid-ink supplies rather than liquid ink or powdered toner. The cartridge-free design generates 90% less supply waste and reduces the effects of manufacturing and transportation on the environment.

Energy Conservation and the EnergyStar ProgramIn July 2012, HackensackUMC registered as an EnergyStar Partner in order to help provide the Medical Center with cost-effective, energy-efficient solutions. All electrical appliances will meet EnergyStar or equivalent-levels. In January, 2012, PSEG provided HUMC with an Energy Investment Grade Audit report. In July, 2012, an engineering firm was selected to begin the design, bidding and development of timelines for each of the selected Energy Conservation Measures (ECMs).The program is anticipated to take 18 to 24 months for total completion. These are the anticipated savings: Annual Electric Savings: 4,858,742 (kWh) Annual Demand Savings: 10,963 (kW) Annual Gas/Oil Savings: 32,837

Incorporating Green Technologies in new and renovated buildings and Leadership in Energy and Environmental DesignMinor renovations will be considered for the retrofitting of HVAC control boxes to include more efficient equipment and utilize energy efficient lighting fixtures, including the implementation of more environmentally friendly construction materials. As HUMC begins design and development of specifications on upcoming projects, the Medical Center will incorporate the latest energy efficient technologies into the project; this includes energy efficient lighting and proximity monitors to turn off room lights when not in use. HUMC will also work with flooring manufacturers and material representatives to utilize recycled materials, and avoid those that contain high VOC levels.

Water ConservationHackensackUMC will utilize WaterSense products, where appropriate, in the renovation or upgrade of existing buildings as well as in any new construction. There are plans to expand to other areas on campus in the fourth quarter 2012.

Reprocessing Medical EquipmentHackensackUMC purchases reprocessed medical equipment for the OR, such as oxisensors, blades, burrs, bits, guide wires and SCD Stockings. The Medical Center will also seek additional re-use and reprocessing opportunities of medical and non-medical equipment. HackensackUMC utilizes reusable sharps containers to reduce the disposal of plastic by incineration.

Mercury, DEHP/PVC ReductionHackensackUMC is working to reduce and/or eliminate mercury and Di-2-ethylhexyl phthalate/polyvinylchloride (DEHP/PVC) throughout the Medical Center. HUMC will include a statement on its Bid/Quote Content Certification Form asking vendors if their products contain mercury. HUMC recently sent notification to its vendors to inform them of its Latex, Mercury, and DEHP/PVC-Free Pledge. The Medical Center also incorporated this statement on the Vendor Qualification Application.

Non-toxic cleaning productsEnvironmental Services will consult the Environmentally Preferable Products List that promotes reduced toxins and re-use of materials. HUMC will continue to utilize non-toxic cleaning products throughout its campus.

Green Roof GardenIn 2011, HackensackUMC constructed a state-of-the-art green roof garden at the new John Theurer Cancer Center. The first phase consisted of installing drought-tolerant green roof modules, decorative planters, shrubs, and sitting areas for patients, visitors and staff. The 7,000-square-foot garden consists of plants which are rooted in a combination of lava and expanded shale that needs little watering. Insulation spread under the planters and the white concrete stones that form the sitting area will expand the life of the roof. In addition to the flowers and trees, the rooftop oasis also holds vegetable and herb plants, which will used in the cancer center’s on-site demonstration kitchen that offers cooking lessons for patients. HUMC will realize exterior insulation as the green roofs significantly reduce heat gain and loss, resulting in lower energy output for heating and cooling and thereby reducing harmful emissions. In addition, this green roof will improve air quality by filtering air that moves across it and absorbing carbon dioxide. This will also reduce heating and cooling costs, and create a longer roof lifespan. The green roof substrate also retains water — up to 90 percent of summertime precipitation and 40 percent of wintertime precipitation, greatly reducing storm water runoff.

Water CoolersHackensackUMC has installed 260 Quench™ water coolers on campus, diverting approximately 30,000 plastic jugs from landfills annually.

Employee Green and Sustainability Education and Training ProgramThe HackensackUMC Green Team was formed in November 2011. It is an interdisciplinary work group of over 30 volunteers, including staff, nurses, supervisory staff, and directors. The mission of the team is to help promote environmental awareness and encourage the development of a sustainable campus. On Earth Day 2012, the team hosted an awareness campaign in our main cafeteria that featured the Green Team and highlighted current OR recycling projects

EPA GreenScapesHackensackUMC will consult EPA’s GreenScapes recommendations to reduce the need to help replace landscaping materials and high maintenance plants, work towards reusing landscape materials where possible, recycling organic materials and making decisions to specify and purchase products that are environmentally-preferable. Over the last year, HUMC has implemented the concept of Xeriscap Landscaping which requires less watering and maintenance. Where possible, the Medical Center has also installed perennial flowers, mulch areas and ornamental grasses campus-wide.

7