Genesis HealthCare needed to reduce ongoing operational expenses and energy costs and created a Cost Reduction initiative to accomplish this goal. They contracted with Constellation Energy's Projects & Services Group (CEPS) to implement a program that would achieve their economic and operational goals.

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In 1999, a master energy services agreement (MESA) was executed between CEPS and Jefferson Health System. The MESA spelled out how energy projects were to be evaluated, as well as other contractual terms. The next step was to perform preliminary energy audits of the facilities. Once measures were identified, the System then decided which measures were to be studied in detail.

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