1. Legal & Financial Issues in Structuring Health Care Sustainable Energy Programs Arthur J. Harrington, J.D., Godfrey & Kahn Jeff Rich, Executive Director, Gundersen Health System - Envision Thomas N. Shorter, J.D., Godfrey & Kahn 1

2. Overview Legal and financial components necessary for successful renewable energy transactions by health care organizations. Provide tools for evaluating the cost/benefit of energy efficiency initiatives under consideration by a health care organization. 2

3. Overview Explain the Clean Power Plan and the energy opportunities created by that Plan. Identify appropriate contracting provisions with developers and suppliers. Ideas for capturing maximum benefits for exempt and non-exempt health care systems. 3

4. Energy Numbers What is your organization’s total energy spending for 2015? What is your organization’s energy intensity for 2015? Are you aware of energy spending and energy intensity benchmarks? 4

5. Are Renewable Energy Methods are more expensive than Conventional Energy Methods? 5 Cost comparisons

6. What are some examples of Low Risk Renewable Energy Projects? 6 Low Risk Projects

7. What are some Easy to Implement Renewable Energy Projects? 7 Easy to Implement Projects

8. Benefits What are some Benefits of Implementing Sustainability Projects? 8

9. Risks What are the risks of not taking responsibility for an organization’s energy emissions and waste streams? What are energy emissions? What are waste streams? 9

10. Consequences What are the effects for the future? 10

11. Holding back What is keeping your hospital or health system from participating in Renewable Energy … Is it expense ? Is it risk ? 11

12. Legal Issues What are some key legal issues regarding sustainability programs for health care systems? 12

13. Funding Assistance What types of funding assistance are available for hospitals and health systems when implementing a sustainability program? 13

14. First Steps How does a hospital or health system begin a sustainability plan? 14

15. 15 Arthur Harrington, J.D., Godfrey & Kahn, S.C. 780 North Water Street, Milwaukee, Wi, 53202, 414.287.9414 aharrington@gklaw.comc Jeff Rich Executive Director, Envision® Gundersen Health System 1900 South Ave., LaCrosse, WI 54601, 608.775.6970 jjrich@gundersenhealth.org Thomas N. Shorter, J.D., Godfrey & Kahn, S.C. One East Main Street, Suite 500, Madison, Wi, 53701, 608.284.2239 tshorter@gklaw.com

16. The presentation and materials are intended to provide information on legal issues and should not be construed as legal advice. In addition, attendance at a Godfrey & Kahn, S.C. presentation does not create an attorney-client relationship. Please consult the speaker if you have any questions concerning the information discussed during this seminar. OFFICES IN MILWAUKEE, MADISON, WAUKESHA, GREEN BAY AND APPLETON, WISCONSIN AND WASHINGTON, D.C. Thank You 16