Healthcare construction without compromising patient care.
ICRA / ILSM-compliant construction for hospitals, medical office buildings, ambulatory surgery centers, infusion suites, and assisted living. Active-facility protocols protect operations through every phase.
Healthcare Construction — built for predictable outcomes.
Healthcare construction is the most heavily regulated category of commercial work. Patients cannot pause for the contractor. Infection control protocols are enforceable regulations, not project preferences. State agency review can add months to permitting. The wrong GC turns a fit-out into a compliance event.
Frans Construction delivers healthcare construction with infection-control rigor, ILSM discipline, after-hours phasing, and the AHJ relationships that keep schedules on track. Our PMs and superintendents are ICRA-trained, not just paperwork-compliant.
- ICRA-trained PMs and superintendents
- ILSM compliance and weekly reporting to your IP
- After-hours phasing for noisy or odor-producing work
- OSHPD / HCAi / state agency review fluency
- Medical gas, vacuum, and BMS coordination
- Occupied-facility experience across hospitals, MOB, ASC
How a healthcare construction project runs with Frans Construction.
- / Step 01
Clinical stakeholder mapping
Infection prevention, clinical leadership, facilities, biomedical, and security aligned in preconstruction.
- / Step 02
ICRA classification & ILSM plan
Submitted to the AHJ and life-safety officer before mobilization.
- / Step 03
Long-lead identification
Medical gas equipment, switchgear, imaging shielding, custom casework released at DD.
- / Step 04
Barriers + negative air
ICRA barriers installed and inspected before any demo. HEPA exhaust away from patient corridors.
- / Step 05
Active-facility construction
After-hours phasing, coordinated shutdowns, dust monitoring, daily ICRA logs.
- / Step 06
Reactivation
Terminal cleaning, air balancing, barrier removal, ILSM lift, life-safety reactivation.
Common questions.
What is ICRA in healthcare construction?[ + ]
ICRA stands for Infection Control Risk Assessment — a documented evaluation of how construction activity could affect patient safety, with required mitigation: barriers, negative air, HEPA filtration, worker pathways, and waste handling. ICRA classification (Class I–IV) drives the scope of required controls.
What is ILSM?[ + ]
ILSM is Interim Life Safety Measures — temporary measures that replace fire, life-safety, and emergency systems impaired during construction. Required by the AHJ and accreditation bodies (Joint Commission, DNV) any time construction affects a life-safety system.
Can you build inside an active hospital?[ + ]
Yes. Our team has delivered ICRA / ILSM-compliant construction inside operating hospitals, ambulatory surgery centers, infusion suites, and medical office buildings — with after-hours phasing, coordinated shutdowns, and daily compliance logs delivered to the Infection Preventionist.
How long does healthcare construction take?[ + ]
Medical office tenant improvements run 6–12 months. Ground-up medical office buildings run 12–18 months. Hospital additions and full healthcare facilities run 14–30 months — state agency review (OSHPD/HCAi or equivalent) drives the long end.
Do you handle OSHPD / HCAi review in California?[ + ]
Yes — and equivalent state agency reviews in other Western U.S. states. We integrate the review timeline into the project schedule from preconstruction, not as a mid-project surprise.
Your commercial construction partner —
from concept to completion.
Partner with a multi-state design-build firm trusted by enterprise brands for predictable execution, strategic guidance, and long-term reliability across every market we serve.