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Consistently ranked in the top 10 largest HC contractors by Modern Healthcare, BD+C and ENR
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Largest outpatient facility builder by BD+C
With more than $10 billion in healthcare (HC) projects completed in the past decade, our teams understand the complex healthcare trends that influence the built environment. We work as a collaborative partner with our customers and balance capital budgets with high-quality, sustainable solutions. Our teams optimize project costs, achieve faster project completion, maximize opportunities for local and diverse businesses, and incorporate end-user constructability feedback in support of staff recruitment and retention efforts without disrupting what is most important—a calm, healing environment for patients.
Our thought leaders provide innovative solutions to build the future of care.
Trusted Advisor in Healthcare Construction
80+
HC projects have won national or local awards for construction excellence
With more than 1,300 healthcare construction employees in 28 metro areas, we live and work in the communities where we build. We take a highly personal approach to creating spaces that will provide care for the people we love, from small lobby and patient intake renovations to complex emergency departments and large teaching hospitals.
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Preconstruction proven to be on another level–delivering budget accuracy, optimized programming and schedule assurance.
Data-informed Project Planning
Efficient project delivery is assured through the smart use of data and construction technology, a focus on client and stakeholder experience, and enhanced turnover services.
Smart, Streamlined Project Execution
Future-proofed, Sustainable Results
A national sustainability team helps our customers reach green construction goals with proven carbon and energy efficient solutions. Our expertise goes beyond sustainable elements to include conversions and adaptive reuse.
The Strategic Supply Chain team works with manufacturing partners to optimize design costs and schedules. Our Market Trends Report and live webinars keep customers and teams in the know.
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Expertise for Every Need at Any Scale
There is no one-size-fits-all approach. To deliver project certainty—from cost, schedule and quality assurance to operational efficiency with the flexibility for future growth—our healthcare builders take a uniquely tailored approach to every project, always going beyond what’s expected and keeping your patients and staff at the forefront.
A decade in the making, Northwell Health’s Petrocelli Surgical Pavilion opened its doors to patients in February 2024. With unique features like a trio of hybrid ORs, which combine traditional operating equipment with an image-guided interventional suite for highly complex surgical procedures, this facility marks a new era of surgical excellence for residents across Long Island and Queens. Through extensive value management, Skanska and the design team helped the owner more than double the project’s original square footage, providing space for future programs and community healthcare needs.
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There are many healthcare experts at Skanska, not just one. A diverse group of specialists—from operations to business development—serve as a national Advisory Council—Skanska’s very own healthcare think tank.
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About Skanska
In the U.S., our 6,500+ employees deliver projects across many sectors, including life sciences, mission critical, healthcare, education, transportation and commercial.
Skanska is a multi-national construction and development company—one of the largest in the world.
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Skanska has the expertise, commitment and vision needed to construct healthcare facilities across the U.S. that shape the future of care. Our teams take a tailored approach to meet your unique project goals and they have experience delivering a large variety of project types, including:
Types of Projects We Build
Medical Education
Marking a new era of surgical excellence
Over 1,300 dedicated healthcare builders who specialize in intricate projects, big and small. They are supported by an inhouse MEP team plus national Emerging Technology and Data Solutions teams.
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Expertise at every scale
In-house MEP team
Leading-edge technology and data-informed solutions
We innovate for impact and pioneer solutions that respond to each customer’s unique needs. With dedicated Emerging Technology and Data Solutions teams and a suite of construction technology and software at our fingertips, we deliver increased certainty in cost, quality, schedule, safety and productivity. From using drones to monitor jobsite progress to analyzing the project schedule through data visualization dashboards, we deliver the best project outcomes.
Due to stringent ICRA and code requirements, MEP equipment for healthcare facilities is highly customized. Skanska has dedicated, in-house MEP specialists, so you don’t have to rely on trade partner pricing for this critical scope of work, which can account for up to 40 percent of a hospital’s construction costs. Our team analyzes building efficiencies plus initial and life-cycle costs, ensuring you have the correct information to make the best choices.
We set ourselves apart with our depth of resources and ability to deliver an “A” team for every project, regardless of its size and nature. Our Healthcare Advisory Council is connected to 1,300+ dedicated healthcare builders nationwide who specialize in intricate projects, big and small. From vertical bed tower expansions and massive campus master planning to modest or complex renovations, we ensure you get the best people based on the project type and skillsets needed.
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Preconstruction on another level
98% budget-to-actual accuracy
Beyond benchmarking with Skanska Metriks
Schedule assurance with Lead Time Dashboard
This dashboard visualizes the latest equipment and material lead times—more than 180 key pieces like structural steel and generators—as reported directly by manufacturers. With this data, we are better informed during early schedule planning and quickly anticipate potential project delays resulting from fluctuating lead times.
This proprietary tool harvests nearly 400 quantifiable attributes, like interior partitions and ductwork distribution systems, from every project we build to help validate and optimize programming, planning and costs. This helps us quickly identify options that deliver higher value without sacrificing functionality.
98% budget-to-actual accuracy On projects—some valued at hundreds of millions of dollars—we consistently transition seamlessly from conceptual imagination in preconstruction to practical delivery in construction, on average, with a 98 percent budget-to-actual accuracy. This is impressive when considering economic uncertainty and ever-changing project requirements and needs.
The industry-standard definition of preconstruction is just a small part of our services. Our project planning group takes estimating and scheduling to the next level by incorporating strategic, data-informed approaches to the supply chain, sustainability and more. During each design phase, we provide a complete estimate, and this includes filling in the gaps when the design is incomplete or in development. For example, even if the design documents don’t yet show water and sanitary lines to a restroom, we know they will be present in the final design and should be included in early estimates. Our goal is always to price what the project will cost when it’s complete.
Optimal outcomes
Our Strategic Supply Chain team
Market analysis
Skanska’s Market Trends Report
Market Trends Live Webinar
Informative deep dives
The SSC team develops agreements with leading industry manufacturers that provide critical healthcare assets like air handlers, generators, switchgear, nurse call systems and modular solutions. Working with these manufacturing partners, the SSC team supports early design value management, optimal product selection, and best total cost and initial pricing for materials and equipment. Ultimately, their work optimizes design cost during preconstruction and mitigates schedule risk due to supply chain uncertainty.
Our Strategic Supply Chain team (SSC)
Each quarter, we publish an analysis of the market, nationally and regionally, that helps our clients, partners and teams better understand local and national market trends and risks. This helps inform our escalation strategies, material selections and schedule planning for long-lead materials.
Read our latest Market Trends Report
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Following up our report, Skanska preconstruction and operations experts discuss the report’s findings, from construction pricing to labor trends, which are based on data compiled internally as well as from sources like the U.S. Bureau of Labor Statistics and Engineering News Record. Guest speakers and subject matter experts from across the AEC industry join the webinar to share their experiences, best practices and lessons learned.
Data and analytics-driven schedule assurance
Project status and data at our cutomers' fingertips
Leading-edge technology for cutting-edge solutions
Taking BIM/VDC to another level
Enhanced turnover for turnkey solutions
Minimal impact on every project
Leading-edge technology and cutting-edge solutions
We test and adopt emerging technologies in a practical and deliberate manner, emphasizing problem-solving and tangible value for our project teams and clients. These are deployed across all phases of design, construction and closeout and can include robotics for MEP layout and schedule savings; reality capture with 360 cameras, drones and laser scanning to track quality and progress; and augmented and virtual reality project mockups and walkthroughs for constructability assurance and to confirm the space meets stakeholder needs.
Learn more about robotics for MEP layout and schedule savings
With experience using powerful tools like Autodesk Construction Cloud, BIMTrack, Navisworks and Procore, Skanska’s virtual builders go beyond model management basics to execute advanced strategies in estimating, coordination, logistics planning, DfMA/prefabrication optimization, production tracking, reality capture and facility management. Our approach strengthens collaboration, improves safety and quality, and safeguards the schedule and budget as we continuously explore opportunities to further optimize project outcomes.
Learn how our in-house laser scanning streamlined an already short schedule
Our Enhanced Turnover services deliver lower total building lifecycle cost, increased operational efficiencies, improved communication with facilities teams and shortened response times to maintenance requests. Through our digital asset database, information extracted from warranties, as-builts, photos, etc., seamlessly transfers to a new or existing facility management platform, delivering day-one operational readiness. We can take these services further with a digital twin, which layers in real-time data and the digital representation of the facility for useful, actionable insights.
Life-saving work can’t stop when construction starts. We partner collaboratively to become an extension of your staff and maintain workflows, establish shutdown protocols and ensure appropriate life safety measures. By prioritizing planning and communication, we eliminate surprises and prevent staff from being inundated with calls about construction activities. We take special care to ensure dust, vibration and noise don’t disturb patient care and leverage less intrusive, in-house capabilities like laser-scanning, which saves significant time when verifying existing conditions.
Minimal disruption on every project
Project status and data at our customers' fingertips Our Owner Dashboard provides a customized, transparent and up-to-date project snapshot that guides meetings and proactive conversations; it’s available 24/7 for a view into safety stats, schedule, budget and much more.
With Skanska’s Production Tracking Dashboard, we use real-time project data to stay informed on progress, predict schedule risk and assure on-time completion. This includes tracking progression of work put in place like steel and MEP to review past production rates and projections for future performance. These insights have helped our teams identify trade partners that were behind schedule and manage what could become a potentially significant risk in proactive ways like adding labor resources to keep work on track.
A SMART Labs project for a confidential pharmaceutical client required selective demolition and reconstruction of four floors of existing labs. Facing significant overhead MEP and an aggressive schedule of seven weeks (compared to the original 11-week schedule), our team used laser scanning to verify existing conditions and remove the need for individual trades to perform field surveys. Performed by our in-house team over four days, we completed the survey quickly with a high level of quality control. Using the collected data, our VDC team developed a model of all four floors. From there, operations and subcontractors developed the schedule and work plan floor by floor incorporating the need to overlap the work of different trades to streamline efforts. Through BIM360Glue, every subcontractor’s progress model was available to the rest of the team, which supported coordination. This effort saved at least four weeks on the schedule.
In-House Laser Scanning Streamlines Short Schedule
Learn more about our innovation with impact
On the Acorda Therapeutics Chelsea Manufacturing Facility in Chelsea, MA we partnered with Systecon, Inc. to design, fabricate and fully test a modular chiller plant offsite. This reduced the onsite construction, start-up and commissioning duration from six months to less than two months. This reduced duration, in combination with providing leased, temporary cooling towers, allowed the client’s manufacturing operations to continue with only a very limited shutdown to bring the new chiller plant online.
Maintaining Operations and Shortening Schedules with Modular Fabrication
A leader in green construction
Proven carbon and energy efficient solutions
A knowledgeable partner for conversions and adaptive reuse
A dedicated team for green solutions
With more than 230 LEED APs, Green Associates and Fellows, as well as 350 LEED certified projects, ten Living Building Challenge projects and multiple mass timber projects, our teams have a wealth of experience identifying the best options to achieve any sustainability goal. We evaluate projects through multiple lenses like net zero energy, carbon impacts or achieving a certain level of redundancy or resilience.
Learn more about our expertise here
Our customers are looking at ways to offset water, eliminate the use of fossil fuels and recover energy from their building’s exhaust stream. When it comes to sustainable solutions, we are ahead of the curve. Our pioneering efforts have led to results like the Embodied Carbon in Construction Calculator (EC3) tool, which we co-developed with the Carbon Leadership Forum. EC3 tracks embodied carbon data for common construction materials, and our teams use this data to compare emissions and embodied carbon levels for proposed project materials.
Learn more about the EC3 tool
Owners and developers are taking spaces once zoned for commercial office or retail and having them re-permitted as outpatient facilities. This isn’t a one-size-fits-all process with complexities like HVAC load requirements for air exchange rates and power loads, structural loads for medical equipment, ICRA considerations and floor heights for above-ceiling systems. We work with customers early on to identify key conversion points that reduce potential cost- and time-draining errors. Armed with this crucial knowledge, you can rest assured the converted space reflects your brand and encapsulates the quality you expect.
Skanska’s in-house Sustainability team is a national network of accredited, green building experts who work closely with our project teams and clients to provide key insights on sustainable solutions—from heat recovery systems to solar energy—and their costs while also supporting certification administration (LEED, WELL, Living Building Challenge, etc.).
Prefab–Design for manufacturing
Planning for future flexibility
Design for Manufacturing and Assembly (DfMA) is the foundation of our approach to prefabrication and modular construction. In the early stages of a project, we analyze all elements of design to optimize DfMA and identify prefabricated components like headwalls, exterior/interior cladding and partitions, vertical shafts and MEP racks. Using data collected from more than 170 projects that used prefabrication, we’ve developed specific criteria and guidelines to aid in team conversations when determining what’s suitable for your project and its impact on quality, schedule and budget. When we use prefabrication, it’s because it is the right and best choice for your project.
Prefab–Design for Manufacturing
We work with customers and design partners to anticipate future needs during initial project planning stages. Our teams intentionally build spaces with flexibility in mind, enabling customers to adapt at a moment’s notice while maximizing their initial investment. Whether proactively installing tower crane foundations at the site of a future expansion or adding additional valves to major chilled water systems to limit future shutdowns, we offer solutions for future flexibility and growth so you can provide the best possible care in any situation.
Planning for Flexibility
Lean practices to improve efficiency and reduce waste
No matter the delivery method, we use Lean practices to optimize outcomes and reduce waste. Our teams excel at creating the right project culture and meeting each stakeholder where they are on their Lean journey to maximize project success.
Highly collaborative project teams deliver better cost, schedule and quality solutions. We’ve delivered more than 15 projects using alternative delivery methods like Integrated Project Delivery (IPD), Integrated Form of Agreement and Progressive Design-build. More than 70 of our projects leveraged the principles of IPD, IPD-lite and design-assist.
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Healthcare Advisory Council
Who they are:
Our Healthcare Advisory Council centralizes the combined construction knowledge of our entire operation. By leveraging their seasoned knowledge, internal data and market intelligence, the council provides our local teams, partners and clients with leading-edge concepts, best management practices and services specialized for the healthcare sector.
What they do:
dedicated HC builders
270+
HC projects constructed by advisory council members
22
average number of years in the industry
28
subject matter experts on the HC Advisory Council
Advisory Council Stats
Executive Advisors and National Market Strategy
Our HC Advisory Council
Executive Advisor of Advisory Council Durham, NC
Ben Huffman
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Executive Advisor of Advisory Council Tampa, FL
Tracy Hunt
Market Strategy Director Nashville, TN
Brittany Faircloth
Advisory Council Members
Michael Abbondante
Blake Beran
Brian Carter
Peggy Cook
Jeff Elpers
Will Grahek
Laura Hawley
Mark Howell
Ashley Jeffery
Trenton LeBlanc
Adam Maxcy
Blue Bell, PA
Joe McCammitt
Lisa Neal
Randy Pitre
Matt Richardson
Bryan Sanetz
Kevin Smiley
Aaron Sparn
Renee Swetz
Mandy Weitknecht
Noel Whorton
Katie Wilson
David Sharkey
"Each member of the healthcare advisory council was carefully selected based on their unique skillsets and healthcare project tenure. Whether it’s implementing emerging technology solutions, installing first-of-its kind medical equipment or creating the right culture on Integrated Project Delivery projects, our council members lend their expertise to drive optimum results for our projects and customers.”
–Ben Huffman, Vice President, Account Manager and Healthcare Advisory Council Executive Advisor
"Recently, our council shared innovative schedule acceleration strategies with project teams to overcome today’s current economic landscape. Shorter project schedules save money for our customers and allow them to open their doors quicker to provide care for patients. This example of knowledge sharing across the country is what makes our advisory council so important to the healthcare industry as a whole.”
–Tracy Hunt, EVP/General Manager and Healthcare Advisory Council Executive Advisor
Ryan Richards
Haeli Hagen
Dan Lanneville
Read Article
Hear on this podcast how Boston has solved the most challenging preconstruction and renovation problems in New England.
Inside Grady Health's new Correll Pavilion
This 66-page special report is our first-ever “state of the state” update on the $65 billion healthcare construction sector.
2024 Healthcare Annual Report
Skanska’s New York team recently completed Petrocelli Surgical Pavilion at North Shore University Hospital (NSUH) in Manhasset, Long Island. This $560 million, 288,000 square-foot tower compliments Northwell Health’s cardiac, neurosurgery and transplant programs.
A look inside North Shore University Hospital Petrocelli Surgical Pavilion
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Oregon Health & Science University, OHEP Inpatient Addition
How nature is influencing healthcare design and construction
Best practices for seismic retrofits
Sutter Health’s new surgical care center finishes three months early, $3 million under budget
Confidently Resilient: Tips for preparing healthcare facilities to withstand effects of climate change
Health systems ‘taking a breath’ on major construction projects
5 takeaways about the state of healthcare construction
Most comprehensive blood cancer center in the nation celebrates grand opening
Healthcare Design's 2024 A/E/C Survey: The path forward
Listen Now
Shaping Sustainable Places Podcast: Development and Construction of a Low-Carbon Built Environment
Health Facilities Management 2025 Hospital Construction Survey
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Navigating the Political Landscape and Supply Chain Challenges
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Manhasset, New York
Northwell Health North Shore University Hospital Petrocelli Surgical Pavilion
Project Spotlight: Marking a new era of surgical excellence
Bringing the Petrocelli Surgical Pavilion project to fruition represents one of the most significant projects of its kind in the New York Metropolitan area. Located on Northwell Health’s flagship North Shore University Hospital (NSUH) campus on Long Island, the state-of-the-art surgical pavilion enhances their renowned cardiac, neurosurgery and transplant programs. The 288,000-SF tower houses 132 intensive care rooms (ICUs) organized into distinct specialty units as well as 18 operating rooms (ORs) that include three hybrid ORs with cutting-edge imaging capabilities. While most of the ORs have a universal design to ensure flexibility, one is specially designed for neurosurgical procedures with an accompanying 66-bed neurosurgical ICU area. The project has truly transformed the future of care in the region—residents across Long Island and Queens now have access to the most advanced specialty care and medical technology. A unique feature of the facility is its trio of hybrid ORs, which combine traditional operating equipment with an image-guided interventional suite, increasing the hospital’s capacity to perform more highly complex surgical procedures and enhance patient safety. Throughout the early stages of the project, Skanska and the design team collaborated with Northwell Health to expand and refine options for the surgical pavilion. While the client’s early concept comprised a 120,000-SF tower, their wish list included capacity for a future expansion—yet they were unsure of its affordability. We held several value management exercises with the design team, which added two core and shell floors that can be fitted out without major structural modifications. This final design more than doubled the project’s original square footage.
Read more about value management on this project
BACK HOME
Erecting a 288,000-SF, seven-story annex building with bridges linking the existing Tower Pavilion, razing the NSUH parking garage A state-of-the-art facility that is home to 132 intensive care rooms across three floors 18 operating rooms, including three hybrid rooms with traditional operating equipment with an image-guided interventional suite that allows for highly complex, advanced surgical procedures A healthcare development that handles organ transplant, neurosurgery, cardiac, colorectal/gastrointestinal, orthopedic and vascular surgeries A high-end lobby and family waiting areas, decentralized nursing stations, support spaces for staff and a parking garage on the ground level Establishing a crew and gear shuttle system to preserve hospital parking and roadway space for oxygen delivery and emergency access Phasing the project to surpass hospital emergency exit non-obstruction requirements and minimize room closures, while speeding build time
Photo Gallery
Project Scope Included:
Experience the Future of Care
Experience the Petrocelli Surgical Pavilion, a state-of-the-art facility that's transforming the future of care for New York. This short video tour will take you through the seven-story facility including its high-end lobby, decentralized nursing stations, operating rooms and more.
When Northwell Health added floors to the pavilion, foundation structural loads increased, so the original spread footings were no longer the best option. The team reviewed alternates that would conserve space in the site’s compact footprint, such as mat slabs, localized piles and vibro piers. Working together through numerous iterations, the team identified a controlled modulus column rigid inclusion foundation because it simplified utility access and saved space for MEP and service rooms in the basement.
Foundations
With the addition of two floors for future expansion, the team needed to rework the pavilion’s MEP infrastructure. The team identified two options: an interstitial third floor to house the bulk of AHUs, chillers, pumps and controls; or an MEP penthouse on the roof. One of Northwell Health’s priorities was minimizing disruptions when the core and shell floors are under construction in the future. By selecting the interstitial third floor, utility tie-ins for the future buildout can be accomplished without impacts to the operating facility.
MEP Layout
Because it commanded a large part of the budget and is a primary part of the pavilion’s aesthetic impression, the exterior envelope was an item for careful cost/benefit analysis. The design and construction team collaborated to define different combinations of curtain wall and metal panel façade options to present to Northwell Health. With the final preferred option, the team balanced material prices, durability and appearance, as well as simplified erection sequences on the active medical campus.
Building Exterior
Value Management at Northwell Health North Shore University Hospital Petrocelli Surgical Pavilion
