Healthcare Construction in California.

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.

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.

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.

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.

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.

2026 healthcare construction typically runs $275–$475/SF for medical office fit-outs, $500–$900/SF for ambulatory surgery centers and infusion suites, $600–$1,200/SF for imaging suites, and $850–$1,500+/SF for ground-up hospital additions. State-agency review, medical gas, redundant HVAC, and shielding drive the top of each range.