Located on the National Institutes of Health (NIH) campus in Hamilton, Montana, the Rocky Mountain Laboratories Comparative Medicine Center – Building B is a two-story, 124,404 SF Biosafety Level 2 (BSL-2) facility that supports the research missions of NIH and the National Institute of Allergy and Infectious Diseases (NIAID).

The facility includes a vivarium, insectary, histopathology laboratories, surgical suites, quarantine rooms and administrative offices. Constructed on a secure campus originally established in 1928, Building B replaces a 1963-era structure and integrates modern research capabilities with architectural continuity.

The building features nine dedicated air handling units and electronically controlled dynamic glass that tints with sunlight, enhancing energy efficiency and minimizing visual impact on the surrounding community. Building B strengthens the operational capacity of one of the nation’s premier biomedical campuses, supporting critical infectious disease research while upholding the highest standards of safety, sustainability and scientific integrity.

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The Surgery, Radiology, and Laboratory Medicine (SRLM) Building is 51�Թ�’ sixth project with the National Institutes of Health (NIH). The project is located on the NIH campus in Bethesda, Maryland. The design-build project includes preconstruction services and the construction of a new building. The new 630,000 SF building will connect to the existing NIH Clinical Research Center (CRC).

The project includes 550,000 SF of new construction and 80,000 SF of renovations. The new building will have 11 stories, with 9 above ground and 2 below ground. The levels below ground will include program space and important building systems. The new building will also connect directly to the CRC’s west wing, which will be renovated.

The project also includes relocating part of a utility tunnel, rebuilding a children’s playground, and connecting the SRLM Building to a new pedestrian tunnel. This tunnel will link to a future Patient Parking Garage.

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51�Թ� worked on eight healthcare projects for the University of Washington Medical Center and Harborview Medical Center in Seattle, Washington. The University of Washington admitted 51�Թ� into a pool of pre-approved general contractors and was then able to bid on the projects within its scope. Combined, the value of the projects is over $12M and was built over the course of two and half years.
All construction took place in the two active hospitals, so the team learned to navigate the ongoing construction while being surrounded by patients and doctors. The team created thorough plans that utilized the hospital’s off-hours and weekends and developed phasing to minimize impacts on the client’s operations. The 51�Թ� team worked closely with the client and various impacted departments to determine phasing and execute work in rooms that remained operational throughout the renovation.

Maintaining Critical Care to Vital Resource in Washington State

Harborview Medical Center is the only Level 1 adult and pediatric trauma center in Washington state for Level 1 care, which provides the highest level of comprehensive care for major injuries. The Critical Trauma Emergency Department Support Space and 1WH Resus Rooms project was split into seven independent phases in order to keep the hospital’s emergency department operational during construction. The project required infection control measures, hazardous abatement and demolition, coordination of utility shutdowns within the Emergency Department, upgrades of existing utilities, installation of owner-furnished materials and coordination with adjacent projects. In addition to the multiple phases, work activities were not allowed within the active Emergency Department during Trauma Season, the time period between June 1 and September 1. Through consistent communication with the owner and departments, 51�Թ� was able to anticipate and mitigate the impacts on the surrounding workspaces, keeping these vital community resources operational at all times.

Building in a Tight, Urban Environment while Facilitating Patient and Pedestrian Safety

Due to the medical center’s location in the city and tight site, the Pharmacy Offices and Lockers project required a unique crane pick to remove three existing air handling units and place three new air handling units. It took a team effort to coordinate the work and maintain public access to the surrounding facilities, and the coordination efforts ultimately made the critical lift a success. Rigging, traffic control, ground conditions, site logistics and critical lift plans all had to be developed and reviewed prior to set up.

Ensuring 24/7 Hospital Operations within a Busy University Campus

At the University of Washington Medical Center on the University’s primary campus, the Clean Supply Room Renovation utilized three phases to take the existing materials management space and incorporate administrative spaces and a Clean Core, which stores clean supplies before they’re delivered to operating rooms. Infection control and temporary interim life safety measures were required to ensure that the hospital facilities remained fully operational throughout construction. Traffic control and coordination with the City of Seattle and the University of Washington were required for the removal and installation of the new air handling unit, which was lowered by a crane through an air shaft and into the basement of the active hospital.

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The UCHealth Memorial Hospital Central (MHC) 5th and 6th Floor 40-Bed Buildout was completed in two phases.

Phase one included the renovation of 7,500 SF of office space and 12,500 SF of medical record storage space in the Memorial Administrative Center (MAC) building in order to allow Phase 2 to begin. MAC updates included installing upgraded IT computer room air conditioning equipment, modifying the security access system, installing new wall protection and raising the MEP systems location.

Phase two encompassed a 33,000 SF renovation of the 5th and 6th floors in the MHC East Tower. The existing shell space on the 5th floor was renovated to hold 20 private acute care beds and support space. Half of the acute care patient rooms are equipped with patient lifts and both floors were designed to have five isolation rooms per floor. Hospital support spaces included nurse stations, medical staff rooms, dictation rooms, staff lounges, public restrooms, IT, electrical rooms and waiting rooms.

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51�Թ� completed the Central Facilities Building (CFB) Renovation and Air Handling Unit (AHU) Replacement project for INOVA. The project was 51�Թ�’ first contract with INOVA, Northern Virginia’s largest nonprofit healthcare provider. The project took place at the INOVA Center for Personalized Health (ICPH) in Fairfax, Virginia.

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51�Թ� provided preconstruction and construction services on the Kaiser Permanente Springfield Replacement Medical Office Building (MOB) project. The project included demolishing an office building and building a new MOB in its place. The project was completed on a site with limited space. The site was adjacent to Kaiser Permanente’s previous facility. The previous facility continued operating during the construction of the new MOB nearby. This required careful coordination during construction to avoid disruptions to ongoing operations.

When the new MOB was complete, Kaiser Permanente transferred its personnel from the previous facility to the new MOB. The previous facility was then demolished and became a new surface parking area. The MOB includes three outpatient clinics, a nurse’s clinic, a clinical lab and a pharmacy. It includes imaging, vision essentials and physical therapy departments.

The new MOB followed Kaiser Permanente’s Center of Excellence (COE) program template. The template is applied to Kaiser’s facilities nationwide. Each Kaiser Permanente facility is based on the same design and includes modifications as needed. This creates familiar and consistent facilities for Kaiser Permanente patients across the country. It also creates efficiency in construction and construction processes.

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�ճ����LEED Silver-������پ��ھ������Schofield Behavioral Health�����Ի���Dental Clinic Addition, also known as the “Desmond T. Doss Health Clinic,” is a new three-story, design-build clinic on Schofield Barracks in Wahiawa. The facility��consolidates��dental, behavioral health and physical therapy services in one location, enhancing services for military service members and their families.��

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The 2506 Samaritan Medical Office Building (MOB) and Parking Structure is a 60,000 SF, three-story medical office building supported by a two-and-a-half level, 252-stall parking structure in San Jose, California. The project is an addition to the Samaritan campus, just down the road from the Stanford Cancer Care Center (core and shell) that 51�Թ� completed in 2011. The project required careful coordination due to residential neighbors to the south as well as with the existing active medical buildings on the Samaritan campus.

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The Lucile Packard Children’s Hospital (LPCH) Level 5 Buildout encompasses the renovation of the fifth floor in an active hospital. The project features two different treatment wings with a total of 49 new patient beds: 24 stem cell treatment beds and 25 pediatric oncology beds. The two wings of the fifth floor are connected by a whimsical lobby that continues the hospital’s nature theme and features a central “tree” with carved, wooden bears and other mountain animals. Working closely with the architectural team, 51�Թ� helped bring the charming vision to life, with incredible craftsmanship shown in many details throughout the space.

The nature of the immunosuppressed patients requires isolation and anteroom functions, and the floor also includes a minor procedure room to support biopsies and chemotherapy infusion. Other specialty spaces include a compounding pharmacy, playrooms for children and families and new waiting areas.

Make-ready work for the Level 5 Buildout included the installation of a new AHU 120 on the roof above the Stem Cell Unit wing and the installation of new floor penetrating utilities and relocation of utilities that were going to impact the approved design for Level 5 or impact patient services on lower floors.

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The City of Hope Orange County Lennar Foundation Cancer Center is part of the region’s only comprehensive medical campus that exclusively focuses on treating and curing cancer. 51�Թ� and ZGF Architects converted an existing 191,000 SF, four-story commercial office building into an outpatient cancer clinic equipped to provide a highly flexible, adaptable patient- and family-centric environment that promotes healing through biophilic design. The primary services of this center are subspecialty cancer exams and treatment, a research center and ambulatory surgery.

51�Թ� also built the three-story, 346,000 SF associated parking structure and the 174,000 SF hospital.

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