
First patient, on the date.
Patient towers, ambulatory centers and renovations inside working hospitals. The board has already announced the opening. We make sure the schedule behind that announcement can carry the weight.
- Projects shown
- 6
- Their capital value
- $2.12B
- Services, one team
- 16
What goes late in a hospital.
Three places the date is usually lost, long before anyone admits it.
Equipment sets the finish, not drywall
An operating room is ready when booms, lights and imaging are set, tested and accepted. If vendor dates live outside the logic, the room readiness date is fiction.
Shutdowns that cannot run long
Medical gas, normal power and air handler outages are booked to the hour and signed by infection control. Miss one window and the next may be a month away.
Activation hides at the end
Licensing inspections, staff training, mock patient days and move day take weeks. A schedule that stops at substantial completion is hiding the last stretch to first patient.
The hospital work we control.

- 01
Patient towers and acute care
Bed towers, emergency departments and central plants, with activation, licensing and move day carried in the path to first patient.
- 02
Ambulatory and outpatient centers
Surgery centers, imaging and clinics on short durations, where one late equipment delivery or slow inspection eats every day of float.
- 03
OR and procedure suite renewals
Room-by-room phasing inside an operating hospital, each shutdown tied to the surgical calendar and the ICRA plan.
- 04
Cancer and specialty centers
Shielded vaults, linear accelerators and imaging suites whose rigging and vendor commissioning dates drive the whole job.
The numbers we watch here.
Every update, these four tell you whether the date is holding or quietly slipping.
Float to first patient
Total float on the path to first patient, reported every update, so erosion is visible months before the board hears about it.
Room readiness by floor
Each room tracked from rough-in to equipment acceptance, so activation knows which floors are real and which are still hope.
Shutdown windows held
Every planned outage measured against the window booked with facilities and infection control, with any overrun logged and explained.
Owner equipment on time
Owner-furnished equipment tracked from purchase order to vendor sign-off against the need-by date the logic calculates.
The services that carry the weight.
Four of our 16 services do most of the work in this market.
A P6 baseline that carries medical equipment, ICRA phasing and state inspections as real activities with real logic ties.
P50 and P80 opening dates before the board goes public, so the date you announce is one you can hold.
Our people beside yours with the CM, the architect and the clinical teams, tracking every decision that touches the date.
Clinical layout changes priced and time impacted before approval, not after the walls are framed.
Projects we have controlled.
Owners stay confidential. Each project shows its region, capital value and status.
Healthcare · In progressTrauma Center & Critical Care TowerU.S. Mid-Atlantic & Northeast · $980M
Healthcare · In progressWomen's & Infants' Hospital ExpansionU.S. West · $520M
Healthcare · Completed 2025Behavioral Health Hospital ReplacementU.S. Mid-Atlantic & Northeast · $310M
Healthcare · Completed 2024Freestanding Emergency Department ProgramU.S. Texas · $140M
Healthcare · Completed 2025Hospital Central Utility Plant ReplacementU.S. Southeast · $120M
Healthcare · Completed 2023Hybrid Cath Lab & Interventional PlatformU.S. Midwest & Mountain · $48MQuestions owners ask us.
Will you replace our CM at-risk schedule?
Usually not. We review and monitor the contractor’s native file on the owner’s behalf. We build an owner schedule only when the contract or the situation calls for one.
How do you handle owner-furnished medical equipment?
Procurement, delivery, install and vendor commissioning sit in the same network as the building, so a late imaging system shows its effect on the room the week it slips.
We are planning a second outpatient center. Does the first one help?
Yes. A repeat facility fits our Program Rate: the same team reuses the logic, cost codes and reports at a highly discounted rate.

Show us the date that matters.
Send us the healthcare project, the current schedule and the date you are protecting. A senior project controls lead replies within one business day.

