HEALTHCARE 2024 TURNER CONSTRUCTION COMPANY
Turner Healthcare
Specialized Healthcare Facility Builders
Turner is ranked as the #1 healthcare builder in the market, delivering an average of $3.5 billion in healthcare projects each year. Healthcare is 16% of our total company’s business and is a strategic focus for our organization.
Because of our commitment to the construction of healthcare and medical research facilities, we established a Healthcare Group which has representatives located in each of our 55+ offices nationally. With this leadership, Turner has completed more than 2,000 major healthcare projects in the last 10 years. Our building portfolio includes:
Academic Medical Centers
Acute Care Facilities
Ambulatory/Outpatient Surgery
Assisted Living/Skilled Nursing
Behavioral Health
Cancer Centers
Cardiac/Heart Hospitals
Women’s & Children’s Hospitals
Critical Access/Community Hospitals
Free-Standing ED’s
Medical Office Buildings
Parking Garages
Rehab/Ortho & Specialty Hospitals
Research Facilities
Healthcare by The Numbers
Healthcare builder Last 5 years Engineering News Record #1
140+ million sq. ft. of healthcare experience, Modern Healthcare, 2000-2022
Over 2,000+ Healthcare projects completed Turner currently works with 82% of the top healthcare systems US News World Report
1,400 healthcare specialists On average working on 275+ healthcare projects each year
$3.5 billion Annual healthcare construction Modern Healthcare, 2023
80% of our healthcare clients are repeat clients
Our Approach Extensive collaboration, unparalleled expertise, and innovative solutions.
Committed to Collaboration
Turner’s philosophy is to work tirelessly to help your team deliver a successful project. As your committed partner, we promise teamwork, integrity and collaboration. Our professional staff are fully committed leaders who bring results. We constantly challenge ourselves to maintain a deep understanding of our clients’ goals and objectives of design, flexibility, and efficiency.
Communication
It is communication, integrity, teamwork, and a fully committed leadership that bring great results, and we challenge ourselves to do what is best for the project and not necessarily what is easiest for construction. With collaborative and motivated teams, we will achieve success for our clients and the patients who are served with results that exceed expectations.
Leveraging Our Experience
Our National Healthcare Group will bring ideas to positively impact the environment of your facility as it relates to infection rates, increasing HCAHPS and satisfaction scores, and encouraging the most efficient work flow for your FTEs resulting in a better performing facility. Ideas we have implemented include patient light fixtures that kill bacteria, antimicrobial hardware, fixtures, and curtains, and clinical process and flow studies that will allow more time for staff to spend with patents. We will help the team evaluate choices that can greatly impact the life cycle costs of your facility that lowers energy cost.
Peer Review Teams
We assemble specific national peer review teams for each project which compliments the local team by sharing best practices and lessons learned, trends in healthcare and construction, constructability reviews, materials and systems studies, and valuable ideas for process flow, patient and staff satisfaction, and building performance.
Turner T-Cost Modeling™
We offer our powerful, interactive cost modeling tool developed from Turner’s vast historical project database used to prepare conceptual budget with immediate feedback of short-term costs and long-term operational consequences of equipment and materials selected. T-Cost Modeling also provides annual energy consumption based on design parameters.
Long Term Cost of Ownership
We provide resources for considering first cost as well as maintenance, repair, replacement and energy costs for materials and systems over the lifetime of the project. We reduces investment risk by projecting a more complete picture of the future.
Integrated Project Delivery
This collaborative approach allows for open and honest communication between all team members and has proven to reduce costs and add value for our clients.
Nationwide
Projects that Care for Our Communities
Children’s Hospital, Behavioral Health Pavilion, Columbus, OH
Mitigating Risks On Your Campus
Innovative ILSM, ICRA & risk mitigation measures
The paramount concern for construction at an active healthcare facility is the health and safety of patients, visitors, staff, and workers throughout construction. Understanding and evaluating the Infection Control and Interim Life Safety concerns should be an integral part of the preconstruction and construction phases of the project. Evaluating the impacted areas, risks, and control measures to implement will be an ongoing process throughout each project and early involvement of the infection control practitioner will be paramount to success.
Understanding the daily operations of the facilities, the sensitive nature of each department, and the ICRA policies set forth by the facility, are key to successfully implementing a project plan. Turner’s highly-experienced and knowledgeable team has over 30 years of combined experiencing working in and renovating active healthcare facilities. Through countless successfully completed projects, Turner has gained a reputation as having the ability to complete the most difficult and sensitive projects while remaining virtually invisible within the facility. Turner’s knowledge of how to successfully phase a project, implement infection control measures, and efficiently complete the scope of work will be invaluable to your project’s success.
For each area of construction, the Turner team can use their expertise to assist in the evaluation of risks and appropriate controls to implement including:
Temporary Walls – To ensure separation of construction areas from active facility spaces
Rolling ICRA Carts – Utilized in highly sensitive and critical areas (ICU, OR, NICU, etc.)
Pedestrian Barricades, Tunnels, Fencing & other Routing Controls – Ensures separation of construction areas for safety and better flow of staff and patients
HEPA Filtration Units & Modifications to HVAC Systems – To achieve appropriate conditions within construction space (i.e. isolation, negative pressure)
Monitoring – To include negative pressure, sound/ noise, vibration, dust levels, etc.
Inspections & Documentation – Regularly conducted
ICRA & ILSM inspections by Turner, Facilities, and the infection control practitioner
Material Handling, Trash Removal & Storage Solutions
– To ensure adaptability, eliminate obstructions, minimize impacted areas to site
signage posted in work areas served as reminders
Team meeting discussing shut down procedures
Safety
Our
top priority is to maintain the integrity of your facility and the safety of your staff, patients, and families.
Environmental, Health, & Safety (EH&S)
We are committed to safety, active caring, and improvement
Building L.I.F.E.TM
Safety is our first priority. Across all of our project sites, in our offices, and throughout our daily lives, safety shapes who we are as construction professionals. And under no circumstances will safety ever be compromised. We continuously improve and manage risks through best practices, guidelines, and policies. This ensures our safety standards align with on-site operations, reinforcing safety for all field and project staff.
Our Building L.I.F.E.™ (Living Injury Free Everyday) program fosters a holistic safety system that includes those closest to risks in decision-making. It promotes mutual support between management and staff and drives continuous improvement in every work process for world-class safety performance.
Active Caring
We strive to transform our company into an environment of active caring, where we take care of each other with the same consideration and concern as we would our own families to ensure the safety and well-being of all people on our sites. We believe this collective shift in both mindset and behavior will lead us to an environment absent of harm where people can be their very best selves.
Innovative Approaches to EH&S
Ladders Last Program
Nothing Hits the Ground Program
100% fall protection greater that six feet
Shifting requirements from lanyards to retractable where PPE is required
Monthly Safety Lunches
DBO2 observation combined with incident data
National Safety Stand Down
Mock, surprise OSHA inspections
Continual measurement of the metrics
Sustainable construction practices
Incentive programs based on leading indicators
Third party inspections on all cranes
Rigging inspections are conducted quarterly
Experience streamlined efficiency with Lean and Virtual Design
Lean & Virtual Design
The
best
results are born from a well-organized team
A Culture of Continuous Improvement
We have built our reputation around the principles of lean, which maximizes customer value by eliminating waste through continuous improvement and respect for people. All of our projects utilize lean to the fullest extent possible.
We use the latest technologies and implement lean construction techniques. We are focused on the growth of best practices and leveraging the latest technologies to continue to shorten schedules, minimize risk, reduce cost, and improve safety for workers and clients.
As part of lean, we utilize virtual design tools such as Building Information Modeling (BIM) and construction strategies such as prefabrication and modularization to maximize value to our clients by optimizing the schedule and allowing for a safer work environment.
Lean Learning
We create our own culture of learning and continuous improvement by increasing our focus on the principles and processes of Lean. This year, nearly 500 Turner staff will participate in our Advancing Lean workshops, learning the principles of scientific experimentation, continuous improvement, and problem solving - all in service of providing more value to our customers.
Visual Management
Used to provide our clients and partners with clear visual indicators depicting the status of our work at a quick glance. When work it is easier to see, it is easier to understand and to improve upon.
Continuous Improvement
We use the lessons learned on every project through the Plan Do Check Adjust (PDCA) process and utilization of A3 Problem Solving. Our lean philosophy looks beyond the immediate project toward the future of the construction industry.
Collaboration
A “Big Room” environment encourages collaboration amongst stakeholders to develop, design, build, and operate the facility.
Building Information Modeling
A multi-dimensional interactive model of the building for use in coordination, scheduling, planning, and detailing.
Last Planner System®
Used for schedule optimization, this process creates a workflow sequence based on contract milestones while providing feedback to improve performance. It uses the expertise of trade foreman to plan and monitor work.
Integrated Design-Build Subcontracting
Key trade partners are brought on early as part of the design process to help mitigate risk.
3D Laser Scanning
A device that analyzes an object or environment to collect data on shape and appearance. The scan ensures no clash conflicts happen with the existing structure or systems, helping to mitigate costly delays.
5S Program
A system referring to five steps in a cycle of improvement (Sort, Straighten, Shine, Standardize, and Sustain) to enhance organization, efficiency, and promote a safer environment.
Virtual & Augmented Reality
An immersive environment in which model content can be experienced as if the viewer was inserted into the model.
Prefabrication & Modularization
Building components are assembled off-site then delivered and assembled in place, saving space and increasing quality. Modularization creates a standard unitization of prefabricated elements.
Elevating Projects with Engineering Expertise and Precision
NYC Health + Hospitals/South Brooklyn Health, Ruth Bader Ginsburg Hospital, Brooklyn, NY
Engineering Solutions
Delivering certainty on every project, for every decision
Turner Engineering Group
Incorporating the Turner Engineering Group (TEG) into our projects has expeditiously mitigated risks and improved building performance for our clients. TEG provides expertise, oversight, and analysis to formulate engineered solutions for design-related challenges that arise on projects.
Equipped with in-house experts who include registered and licensed architects, engineers, and designers, TEG’s mission is to mitigate potential design risk, identify coordination challenges and generate potential system optimization opportunities. Their experience broadly includes commercial, healthcare, higher education, laboratories, airports and government projects.
TEG Disciplines
Façade Engineering / Thermal Analysis
Geotechnical Engineering
Electrical and Mechanical Engineering, LEED
Materials Analysis
Structural Engineering
Dynamics Seismic, Induced Vibrations
Design Management
Architectural and Code Review
Virtual Design and Construction
Prefabrication
Prefabrication strategies reduce project costs by as much as 12%. Owners realize benefits of prefabrication a handful of ways including:
Safety: Performing more work away from the job site decreases the amount of activity happening onsite.
Time: Prefabricated items can be installed much quicker than building from unassembled materials.
Mobility: Diversion of people and materials away from the jobsite allows the activities that need to be done onsite to have more room.
Quality: Being able to work at their own controlled site can be very attractive to subcontractors. They are able to work in their own space without concern of getting in the way of other trade partners.
Cost: The costs for prefabrication and onsite fabrication should be estimated and analyzed to help determine which method will be the most beneficial.
TEG Case Study Example Building Envelope
Ruth Bader
Unitized panels in the process of being installed
Module being lowered onto roof
Dew point analysis of TEG concept assembly
Dew point analysis of assembly proposed by curtainwall manufacturer
Ginsburg Hospital, Brooklyn, NY
Medical Equipment Planning
Elevating the medical equipment planning, procurement and coordination experience
From design documents through installation and commissioning, this organization of over 130 national supply chain experts and procurement specialists manage all aspects of buying, expediting and tracking deliveries, facilitating warranty issues and managing closeout. As a strategic partner, SourceBlue provides the power to make the best supply chain decisions by delivering strategic, reliable value—elevating the supply chain planning and procurement experience.
Medical Equipment and Furniture
Our Services
Programming and Planning
Budget / Cost Estimates
Planning and Specification
Layout and Drawings
Virtual Reality
Scheduling
Procurement
Vendor PO Management / Administration
Coordination
Delivery and Installation Management
Our value comes from our diverse experience across clinical, design, and construction, allowing us to offer a well-rounded approach to every project. Through direct market procurement, we ensure clients receive the best materials at competitive prices. We also provide flexible GMP and lease options to meet project needs while driving cost savings.
Our manufacturer-neutral, multi-package approach creates competition, driving pricing efficiency and ensuring the best value. By consolidating purchase orders into a singlepoint solution and managing delivery and installation onsite, we minimize delays and change orders, keeping projects on schedule and on budget.
Transition and Activation
Our Services
Planning
Scheduling
Coordination of all Owner vendor activity
Staff planning and readiness assessments
Operational and workflow planning
Delivery and Installation Management for all vendors
Move Management
Patient Move Planning Dress rehearsals
Our process averages net 10%+ savings
Our strength comes from dedicated clinicians and project managers who plan seamless transitions and activations. Through hands-on coordination with department managers, we align every step with operational needs and create proactive solutions by identifying gaps early.
To ensure staff readiness, we hold regular meetings, develop detailed checklists, and conduct Day-In-The-Life patient simulations. This thorough preparation enables efficient patient moves, reducing transition time and allowing facilities to open sooner with minimal disruption.
*These projects included planning and procurement services.
Building Today to Transform Tomorrow
Hackensack
Sustainable Building
Our comprehensive approach to sustainability relies on the innovation, creativity and resourcefulness of our people
Turner is a recognized leader in green building, but climate change and extreme weather events push us to lead in new ways. We’ll leverage our expertise to create a healthy, sustainable future for our people, clients, and the environment, supported by three pillars:
Environmental Efficiency
We commit to responsibly managing natural resources and reducing greenhouse gas emissions and water use on construction sites by 50% by 2030.
Resiliency
We’ll enhance personal health, safety, and our technical expertise to ensure long-term sustainability and livability in buildings and communities.
Green Building
Our teams will continuously advance their knowledge of green technologies to meet project environmental goals.
Turner Green Zone
Our projects will minimize environmental impact, reduce operating costs, and create healthier, more productive workplaces for our staff.
Northeast Georgia Medical Center, Braselton, GA
Northwestern Lake Forest Hospital, Lake Forest, IL
Kaiser Santa Rosa MOB 6, Santa Rosa, CA
Adventist HealthCare White Oak Medical Center
A Trusted Leader in Healthcare Construction
Cleveland Clinic, Neurological Institute, Weston, FL
Turner currently works with 82% of the Top Healthcare Systems, US News World Report
With decades of experience, we bring an unparalleled understanding of the unique needs of healthcare environments, delivering projects that prioritize patient safety, operational efficiency, and regulatory compliance. Our expertise spans a wide range of healthcare facilities, from state-of-the-art hospitals and specialized treatment centers to research laboratories and outpatient clinics.
Turner’s collaborative approach ensures that we work closely with healthcare providers, architects, and engineers to create innovative, sustainable spaces that support the evolving demands of medical care. Our teams are experienced in managing complex, phased construction within active healthcare settings, minimizing disruption to critical services while meeting project timelines and budgets.
Through our deep industry knowledge and dedication to excellence, we deliver solutions that enhance the patient experience and support the future of healthcare delivery.
Turner Healthcare
ProMedica
St. Vincent Brownsburg
NewYork-Presbyterian
Memorial Sloan Kettering Cancer Center
The Josie
Behavioral Health
UT Austin State Hospital
Brain Health
Austin, TX
Cancer Centers
Harold and Eugenia Thomas, Comprehensive Care Center Cincinnati, OH
OH
TriHealth
Universal Health Services, Inc.
Behavioral Rehabilitation Facility Mount Dora, FL
The Ohio State University
James Cancer Hospital and Solove Research Institute Columbus,
Nationwide Children’s Hospital Behavioral Health Pavilion Columbus, OH
St. Elizabeth Healthcare Edgewood Cancer Care Center Edgewood, KY
National Intrepid Center of Excellence Psychological Health Bethesda, MD
Memorial Sloan-Kettering Cancer Center
David H. Koch Center for Cancer Care New York, NY
Turner Healthcare
Cardiac/Heart Hospitals
Children’s Hospitals
Kaleida Health
Gates Vascular Institute Buffalo, NY
Vanderbilt University
Monroe Carell Jr. Children’s Hospital Nashville, TN
St. Vincent Mercy Medical Center Heart & Vascular Center Toledo, OH
Kaleida Health John R. Orishei Children’s Hospital Buffalo, NY
PeaceHealth
Sacred Heart Medical Center
Oregon Heart & Vascular Institute Springfield, OR
Children’s Miracle Network Hospitals
Children’s Hospital of Philadelphia Philadelphia, PA
Mass General Brigham Newton-Wellesley Hospital Newton, MA
Children’s Mercy Children’s Hospital Kansas City, MO
Critical Access, Community & Micro Hospitals
Northwell
Northern Inyo Healthcare District Bishop Hospital Bishop, CA
Cleveland Clinic Emergency Department and Intensive Care Unit Expansion Weston, FL
Roper St. Francis Berkeley Hospital Summerville, SC
University Health System
Dr. Robert L.M. Hilliard Center San Antonio, TX
Riverside Health System Doctors Hospital Williamsburg, VA
Hunt Regional Healthcare Emergency Medical Center Commerce, TX
Turner Healthcare
Medical Office Buildings
Rehab/Ortho & Specialty Hospitals
UHealth Jackson Rehabilitation Care
Kaiser Permanente
Santa Rosa MOB 6 Tower Santa Rosa, CA
Crystal Clinic Orthopedic Center Fairlawn, OH
ProMedica Health Health and Wellness Center Sylvania, OH
Advocate Aurora Health Sheffield Physical Therapy Center & Parking Garage Chicago, IL Denver Health Outpatient Medical Center Denver, CO Salem Hospital Outpatient Rehabilitation Center
Research & Labs
Johns Hopkins Medicine
Sibley Memorial Hospital
Rockefeller University David Rockefeller River Campus New York, NY
Saint Thomas Midtown Obstetrics and Gynecology Center Renovation
UChicago Medicine Jonas Center for Cellular Therapy Chicago, IL
Yale-New Haven Hospital Labor and Birth Services New Haven, CT
The University of Texas at Dallas Brain Performance Institute Dallas, TX
Bayfront Health Women’s Pavilion
St. Petersburg, FL
