Utility & Energy

Utilities & Energy Services | CG Moneta Consulting
Utility & Energy Expense Advisory

Utility and energy expense reduction for healthcare organizations.

An advisory-led review of utility spend, energy procurement, billing accuracy, usage patterns, infrastructure economics, and modernization opportunities for hospitals, provider groups, senior care organizations, and distributed healthcare operations.

Non-labor Focused on recurring controllable expense across healthcare facilities and sites.
Multi-site Designed for hospitals, medical groups, senior care, and distributed portfolios.
Vendor-led Evaluates rates, tariffs, bills, usage, suppliers, agreements, and infrastructure.
Low disruption Built around financial visibility without interrupting facility operations.
Healthcare Energy Complexity

Utility expense sits at the intersection of finance, facilities, procurement, and infrastructure.

Healthcare organizations manage high-availability facilities where energy reliability, climate control, clinical operations, and patient experience cannot be compromised.

Over time, tariff changes, supplier pricing, demand charges, billing errors, usage variance, aging equipment, and fragmented site-level oversight can create avoidable expense exposure.

CGM helps leadership evaluate utility and energy opportunities with operating-margin discipline, capital sensitivity, and implementation practicality.

Expense Review Scope

A structured review of utility and energy cost drivers.

The review separates billing accuracy, procurement position, utilization behavior, facility infrastructure, and modernization economics so leadership can evaluate savings opportunities without unnecessary operational disruption.

01

Utility billing review

Review electric, gas, water, sewer, demand charges, rate schedules, meter activity, and billing anomalies across facility locations.

02

Energy procurement

Evaluate supplier contracts, purchasing structures, market exposure, renewal timing, and procurement optionality.

03

Usage and load analysis

Analyze usage trends, peak demand, facility load patterns, operating schedules, and avoidable consumption drivers.

04

Efficiency retrofits

Assess LED lighting, controls, HVAC improvements, equipment modernization, and retrofit economics.

05

Solar and renewables

Review renewable development opportunities, solar economics, incentives, capital structure, and long-term cost impact.

06

EV charging economics

Evaluate EV charging infrastructure, reimbursement models, site feasibility, power requirements, and utilization economics.

Engagement Framework

A phased utility and energy advisory framework.

The engagement framework is designed to move from baseline visibility through procurement analysis, infrastructure evaluation, and implementation support while minimizing operational disruption for healthcare organizations.

Phase 01

Baseline Assessment

  • Utility invoices
  • Facility profiles
  • Usage patterns
  • Supplier agreements
Phase 02

Procurement & Market Review

  • Supplier pricing
  • Tariff structures
  • Market exposure
  • Pricing-risk strategy
Phase 03

Infrastructure & Optimization

  • Demand reduction
  • Efficiency retrofits
  • Renewable strategy
  • EV charging economics
Phase 04

Implementation & Savings Delivery

  • Vendor coordination
  • Implementation planning
  • Savings realization
  • Operational governance
Facility Cost Intelligence
Healthcare Operating Discipline

Energy savings must be evaluated through the realities of healthcare operations.

Hospitals and provider organizations require reliable facilities, clinical continuity, stakeholder coordination, capital discipline, and minimal implementation friction.

The strongest utility and energy opportunities improve financial performance while preserving facility reliability, reducing vendor complexity, and strengthening infrastructure decision-making.

Reliability Recommendations are evaluated against facility uptime, operational continuity, and clinical environment requirements.
Governance Improved oversight of rates, suppliers, renewals, usage, capital decisions, and billing activity.
Economics Opportunities are assessed through savings potential, capital requirements, incentives, and payback profile.
Advisory Method

A disciplined process for utility and energy expense improvement.

CGM evaluates utility and energy categories through a practical review process designed to identify financial relevance, operational feasibility, stakeholder impact, and implementation path.

Phase 01

Baseline assessment

Review invoices, rates, meters, contracts, site profiles, facility data, supplier agreements, and recurring utility spend.

Phase 02

Cost-driver analysis

Evaluate tariff position, demand charges, usage behavior, billing accuracy, procurement structure, and infrastructure exposure.

Phase 03

Opportunity prioritization

Rank opportunities by savings potential, capital requirement, operational impact, implementation complexity, and payback profile.

Phase 04

Execution support

Support vendor coordination, leadership review, procurement decisions, retrofit evaluation, and implementation planning.

Commercial Opportunity Areas

Expense reduction can come from both billing discipline and infrastructure strategy.

Utility and energy savings are not limited to rate negotiation. Opportunities may come from billing correction, tariff alignment, procurement timing, demand reduction, operating behavior, efficiency upgrades, incentive capture, and long-term infrastructure planning.

01

Billing and tariff exposure

Identify billing discrepancies, rate classification issues, demand charge exposure, meter errors, tax issues, and avoidable utility charges.

02

Procurement leverage

Assess supplier position, renewal timing, contract structure, market exposure, and purchasing strategy across eligible locations.

03

Capital-light improvement

Prioritize low-disruption savings opportunities before moving to larger infrastructure or capital-intensive projects.

Next Step

Review utility and energy expense with enterprise discipline.

Start with the utility and energy categories where billing accuracy, procurement position, usage patterns, and infrastructure economics can be evaluated without disrupting healthcare operations.

Begin with a focused review of current utility invoices, energy suppliers, facility profiles, rate structures, and operational priorities.

Schedule Consultation