CASE STUDY · HEALTHCARE

Hospital chiller plant optimization, South Carolina

Full plant optimization at a working hospital cut chiller starts by 49% and stretched average runtime per start from 31 to 101 hours. No short cycles were recorded in the reporting period, and nothing was added to the plant.

Half the starts, three times the runtime

Plant-wide, before and after full optimization

Chiller starts a month28.6 → 14.5
Hours per start31 → 101
Short cycles11 a year → 0
Chiller starts avoided~170 a year
Location
South Carolina, USA
Sector
Healthcare
Plant capacity
2,360 TR
Full optimization
July 2026
Energy M&V
IPMVP Option B

Chiller starts

49% fewer

Per month across the plant, from 28.6 down to 14.5

Runtime per start

3.3× longer

From 31 hours up to 101 hours on average

Short cycles

0

In the reporting period, down from 11 a year

Plant energy

9.65%

Saved by the condenser water reset alone, preliminary 28-day M&V

The challenge

A South Carolina hospital runs a 2,360 TR chilled water plant: three 1,702 kWr chillers, one 3,194 kWr chiller and five cooling towers. Cooling has to stay reliable around the clock for patient care.

Before optimization the plant started its chillers 28.6 times a month on average, each start ran for 31 hours, and the plant logged 11 short cycles a year. Each start drives locked-rotor current through the motor windings, thermally cycles the compressor and interrupts oil return, so fewer, longer runs mean less wear on the machines.

Half the starts, three times the runtime per start, and no short cycles in the reporting period.

Site profile

Facility type
Hospital
Location
South Carolina, USA
Plant
3 × 1,702 kWr and 1 × 3,194 kWr chillers (2,360 TR), 5 cooling towers
Controls
Existing BMS, programmed by the site's controls contractor
Strategies
Dynamic condenser water temperature reset (August 2025); chiller sequencing and stage up and stage down demand setpoints (full optimization, July 2026)
Mechanical baseline
January 2024 to July 2025, all seasons
Mechanical reporting period
July and August 2026
Energy M&V
Baseline January to December 2024; reporting 20 August to 17 September 2025 (condenser water reset only)
Data
BMS chiller status trends, normalized to monthly rates
Capital expenditure
Nil, software-only engagement
Site
Hospital, South Carolina

Verified results

Mechanical health after full optimization

Starts and run hours come from the BMS chiller status trends, normalized to monthly rates. The baseline covers January 2024 to July 2025, all seasons. The reporting period covers the first two months of full optimization, July and August 2026.

PlantBeforeAfterChange
Chiller starts per month28.614.549% fewer
Runtime per start (hours)311013.3× longer
Short cycles11 a year0 in the reporting periodEliminated
ChillerStarts per month, beforeAfterChangeHours per start, beforeAfter
Chiller 112.77.5−41%1861
Chiller 28.13.5−57%3069
Chiller 33.73.0−19%2321
Chiller 44.20.5−88%791,408

Plant energy from the condenser water reset

Reporting period, 28 daysAdjusted baselineActualSaved
Chilled water plant energy (kWh)432,058390,35141,707 (9.65%)
Emissions (kgCO2e)115,360104,22411,136 (9.65%)

Preliminary M&V of the condenser water reset alone, from 20 August to 17 September 2025, using a regression of daily plant energy against cooling load and system lift (IPMVP). Energy M&V of the full optimization will follow once it has a longer reporting period.

The Exergenics approach

Two stages, both in the existing BMS

1

Condenser water reset first

A dynamic condenser water temperature reset, calculated from wet bulb and cooling load, went live in August 2025. Exergenics confirmed remotely that the plant tracked the new setpoints.

2

Full plant optimization

Chiller sequencing and stage up and stage down demand setpoints followed in July 2026. They keep the right chillers on line for the measured load, so machines run longer and start less.

3

Programmed by the site's contractor

Both stages were issued as functional descriptions and programmed into the existing BMS by the site's controls contractor. No hardware was added and every existing safety and interlock stayed in place.

4

Measure energy and mechanical health

Energy was verified against an adjusted baseline. Starts, run hours and short cycles were counted from the BMS chiller status trends.

Optimize your hospital's chilled water plant

Exergenics delivers measured savings and longer equipment life for hospitals and healthcare facilities, with no capital expenditure and within the limits of the clinical environment.

Mechanical figures come from BMS chiller status trends for July and August 2026 against a January 2024 to July 2025 baseline. Energy figures come from a preliminary 28-day M&V of the condenser water reset.