The 250-acre medical campus (Figure 1) is home to hospitals, medical office buildings, and clinics, and is located in a busy area on Milwaukee’s west side. Five primary tenants of the complex formed a consortium to address the plant’s deficiencies, an important task because the plant provided heat and chilled water for all the campus’ buildings. The consortium had to decide whether the campus would continue to be the power customer of a utility, or whether it should purchase the plant and have direct control over the expansion and renovation needed to answer future campus growth. Purchasing the plant ensured ongoing reliability.
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