We bring processes that define your space needs, functional requirements, and strategic priorities to guide the design and development of efficient, future‑ready facilities.

We will collaborate with you to create functional, efficient, and aesthetically aligned building concepts that translate your needs/goals into thoughtful, buildable designs.

We can assess and develop options for mechanical, electrical, and plumbing systems that ensure safe, efficient, and high‑performing building infrastructure aligned with project needs and industry standards.

We will provide strategies, tools, and expertise that will improve environmental performance, reduce resource consumption, and support long‑term operational resilience across your facilities.

We will assess the condition, risks, and performance of buildings and infrastructure which will reduce risk and uncertainty and support strategic planning and financial decision making.

Property Condition Assessment

A Property Condition Assessment (PCA) is a thorough inspection of a building’s main parts—like its structure, systems for heating, cooling, plumbing, and electrical, as well as the surrounding site. This inspection follows industry standards (ASTM E2018‑24) to find any physical problems, check how well the systems are working and how long they might last, spot any safety or code issues, and help plan for future repairs and maintenance costs.

A PCA provides a high‑level review, with limited attention to clinical operations or regulatory readiness, and is most often used to support acquisitions or financing of medical office buildings, ambulatory surgery centers, and other off‑campus healthcare assets. It emphasizes observed deficiencies, remaining useful life, and near-term capital needs.  It is a snapshot; an assessment at a single point in time.  In healthcare, a PCA is most commonly used for acquisitions or financing of MOBs, ASC buildings, and off‑campus assets where the goal is to validate risk and support underwriting.

Facility Condition Assessment

A Facility Condition Assessment (FCA) is a comprehensive, data‑driven evaluation of a facility’s building systems, components, and infrastructure that inventories assets, scores condition and risk, identifies deficiencies, and produces multi‑year capital renewal plans to support strategic budgeting, lifecycle management, and portfolio‑level decision‑making.  In our FCA framework, systems are evaluated considering age vs. expected lifecycle, observed condition, performance issues, failure likelihood, criticality to operations, safety or regulatory exposure, redundancy, and consequence of failure.

A FCA provides a “deep dive” review using a comprehensive, data‑rich assessment that owners and institutions need to manage facilities over time. In healthcare, an FCA also serves to integrate CMS, NFPA, life‑safety, and related Environment of Care requirements; evaluating infrastructure redundancy; and aligning capital needs with clinical operations and system‑wide strategy. An FCA provides a long‑term, portfolio‑level view of asset(s) condition, risk, and lifecycle investment needs over 10–20+ years.  It lets you as an owner work with your data in real time—sorting, filtering, and updating condition scores, costs, and priorities on the fly—so you can instantly see how changes affect budgets, timelines, and long‑term capital plans.

Typically, as part of an FCA, we evaluate your facility’s needs, prioritize investments, and develop long‑range financial strategies to guide informed, sustainable capital decisions.

Using as‑designed and as‑built plans and specifications, we verify that building systems are properly designed, installed, tested, and performing as intended to ensure safe, efficient, and reliable facility operations.

Our team will bring expertise to plan, manage, and execute new construction and facility upgrades that improve functionality, extend asset life, and support evolving operational needs.

We will plan, coordinate, and oversee your facility projects from concept through completion to ensure they are delivered on time, within budget, and aligned with operational and strategic goals.

We strengthen healthcare facility operations through disciplined operational planning, data‑driven budgeting, staffing analyses, and competency‑based workforce training. Our consulting support reinforces core infrastructure functions—preventive maintenance programs, asset lifecycle management, CMMS utilization, and succession planning—while ensuring continuous compliance with Joint Commission, CMS, DNV, and Life Safety Code requirements. The result is a facility operations program that is survey‑ready, risk‑responsive, and engineered for long‑term reliability. We also provide remote, on‑demand consulting support to supplement your in‑house facilities leadership teams.