The once steady 10% growth rate in healthcare construction spending has slowed, but hasn't entirely stopped.
Spending is currently 1.7% higher than the same time last year when construction materials costs were 8% higher. The 2.5% monthly jobsite spending decline since last fall is consistent with the decline in materials costs. A 7% decline is expected in the next six months, consistent with the year-to-date drop in the value of healthcare construction starts, which includes a 66% plunge in June.
The June drop is partly random but also reflects concern by healthcare project managers about how the outcome of the current healthcare debate in Congress will affect their operations. Specifically, they are concerned about reimbursement rates from federally operated or regulated insurance plans. With no final plan ready for a vote in early August, expect the cautious spending to continue through the summer.
 |
| Healthcare construction spending is currently 1.7% higher than the same time last year, led by hospital work, which is 14% higher than a year ago. |
All options being considered in Washington envision expanded healthcare services that would require additional facility capacity by 2011—but financing for the expanded services remains fuzzy. Half the added cost appears to be vague promises of $40 billion plus annual fee cuts by hospitals and drug companies. Significant growth in healthcare construction will not resume until the healthcare financing arrangements are final and judged to be realistic.
Hospital construction spending is currently 14% higher than a year ago, while spending for other healthcare facilities, including specialized office buildings and residential care facilities, is off 25% from last year. The developers of these buildings react to a recession much as developers of commercial buildings do: They pull back when they see falling rental and occupancy rates. By this time next year, expect spending for medical office buildings and possible residential care facilities to be expanding again in a growing economy while spending for hospitals is expected to still be stuck at current levels.
Related Stories
| Aug 11, 2010
East meets West in hospital design
The Los Angeles office of HMC Architects and the Chinese firm Shunde Architectural Design Institute won the commission to design the 2.15 million-sf First People's Hospital in the Shunde District of Foshan, China. The team's winning concept organizes a series of buildings around a dynamic, curved spine element to create an interior “eco-atrium” with outdoor green space and healing g...
| Aug 11, 2010
MOB added to new hospital project
A late-2009 ground breaking is planned for a $20 million medical office building on the grounds of the $211 million, 106-bed Loma Linda University Medical Center in Murrieta, Calif., which itself is under construction. Minneapolis-based Frauenshuh HealthCare Real Estate Solutions is developing the five-story, 160,000-sf MOB, which will accommodate 60 physician offices.
| Aug 11, 2010
Rehabilitation center helps patients transition
Construction is under way on the Polytrauma Transitional Rehabilitation Center on the VA Medical Center campus in Richmond, Va. The $8 million, 22,000-sf facility will provide physical therapy, housing, and education to veterans as part of their transition back into their communities. The center was designed by HDR, Alexandria, Va.
| Aug 11, 2010
Medical office building planned in Fort Worth, Texas
Dallas-based TGS Architects has unveiled its design for the five-story, 130,000-sf Plaza Medical Office Building, planned for Fort Worth, Texas. The Class A development will include space for orthopedic care, surgery, breast center, diagnostic imaging, cardiovascular, and rehabilitation therapy services.
| Aug 11, 2010
Philadelphia cancer center seeks LEED certification
The New York office of Thornton Tomasetti provided structural engineering services for the Ruth and Raymond Perelman Center for Advanced Medicine in Philadelphia, a $232 million medical research center and advanced treatment center for cancer and cardiovascular disease. Designed by a joint venture of Perkins Eastman Architects and Rafael Vinõly Architects, the 340,000-sf facility will hous...
| Aug 11, 2010
High-level NICU opens in Washington, D.C.
Design to the highest distinction available by the American Academy of Pediatrics, the new Level IIIC neonatal intensive care unit (NICU) at Children's National Medical Center in Washington D.C., is equipped to care for the sickest premature babies, including those that require open-heart surgery. The 54-bed facility, designed by Karlsberger with KLMK Group as space planner, is four times large...
| Aug 11, 2010
San Bernardino health center doubles in size
Temecula, Calif.-based EDGE was awarded the contract for California State University San Bernardino's health center renovation and expansion. The two-phase, $4 million project was designed by RSK Associates, San Francisco, and includes an 11,000-sf, tilt-up concrete expansion—which doubles the size of the facility—and site and infrastructure work.
| Aug 11, 2010
New hospital expands Idaho healthcare options
Ascension Group Architects, Arlington, Texas, is designing a $150 million replacement hospital for Portneuf Medical Center in Pocatello, Idaho. An existing facility will be renovated as part of the project. The new six-story, 320-000-sf complex will house 187 beds, along with an intensive care unit, a cardiovascular care unit, pediatrics, psychiatry, surgical suites, rehabilitation clinic, and ...
| Aug 11, 2010
Manhattan's Gouverneur Healthcare Services tops out renovation, expansion
One year after breaking ground, the Building Team for the renovation and expansion of the Gouverneur Healthcare Services facility on Manhattan's Lower East Side topped out the $180 million project. Designed by New York-based RMJM, the development involves a 316,000-sf renovation and 108,000-sf addition that will house a 295-bed nursing facility and five-story ambulatory care center.
| Aug 11, 2010
Construction under way on LEED Platinum DOE energy lab
Centennial, Colo.-based Haselden Construction has topped out the $64 million Research Support Facilities, located on the U.S. Department of Energy’s National Renewable Energy Laboratory (NREL) campus in Golden, Colo. Designed by RNL and Stantec to achieve LEED Platinum certification and net zero energy performance, the 218,000-sf facility will feature natural ventilation through operable ...
