Committed to the Healthcare Industry

Our practical engineering solutions address hospitals' non-stop operational concerns, maintenance, energy costs and code compliance. Our technical knowledge enhances our ability to analyze systems, consider alternatives and implement solutions on time and within budget.

  • New construction offers hospitals the opportunity to challenge industry standards and explore new technology and system options. TLC assists in analyzing the potential system and equipment options that can enhance efficiency without sacrificing performance.      

  • Major renovations and expansions present unique challenges that often involve addressing outdated, inefficient and complex systems. TLC's integrated design approach is effective at identifying alternatives and developing cost-effective solutions. Our engineers know that prioritization is crucial for the maintenance of critical patient needs and requires phased construction to maintain HVAC, power, medical gas, nurse call and other mission-critical services.

  • Alternate or temporary service systems are developed and incorporated when necessary to minimize impact to hospital operations and maximize safety and comfort.


“We have a number of partners that we’ve had for many, many years. I can’t brag enough about the quality of work that they [TLC] have done for us.”
Nelson Roque, Director of Facilities & Construction, Nemours Children’s Hospital





“TLC has one of the most collaborative and comfortable work environments in the industry…we are a TLC family.” 

Marwan Rashid, Orlando Technology,
TLC Team Member

Architecture Challenge

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 Healthcare Commissioning

Complex hospital systems require more than just a standard CxA. Health systems are under constant and increasing financial pressures, and the health and safety of your patients and staff depends on the peak functionality of the HVAC, electrical, medical gas and emergency power systems. At TLC, we know that integrated building systems working at peak performance can improve the patient experience, lower HAIs and lower overall operating costs.

In addition to traditional commissioning, TLC's rigorous approach to commissioning a healthcare facility involves the assessment of:

  • airflow designed for ICRA standards

  • oxygen and vacuum requirements for patient rooms

  • humidity and airflow for the comfort of the surgical team

  • pressurization requirements for the OR and pharmacy

  • medical air, gases and vacuum for the OR

  • security, IT and communication/special systems

  • emergency and backup power requirements

From design criteria assessment and construction observation through equipment start-up and acceptance testing, TLC brings our expertise and experience in healthcare design to every commissioning project we undertake. We pride ourselves on being a constant and knowledgeable advocate for the Hospital Owner.  

 Building Partnerships to Create Reliable Electrical Systems

TLC strives to earn the role of trusted advisor with our clients, and it’s especially rewarding when we’re recognized for doing so. Enjoy this video, starring TLC’s Vince Rea, showcasing the team effort that resulted in redundant, efficient electrical design and operation for Nemours Children’s Hospital in Orlando, Florida. The six-story, 640,000 square foot hospital is LEED Gold certified and features state-of-the-art technology such as color-changing LED lights in patient rooms to help create a more uplifting environment.



 Ambulatory Care/MOB

Ambulatory Care and Surgery Centers

Our professional engineers understand the intricacies that set medical buildings apart from typical Class A office buildings and address these needs with innovative design solutions such as: 

  • High-efficiency particulate air (HEPA) filters in areas that require a sterile environment for infection control.  

  • Vibration and noise control for delicate medical equipment.

  • Structurally reinforced floors, ceilings and walls to accommodate heavy medical equipment.

  • Clean-agent or pre-action fire protection systems that minimize the risk of accidental water discharge from wet sprinklers.

  • Specialized lighting to eliminate electrical interference.

  • Fire curtains that address smoke evacuation in atriums without disrupting occupied floors.

  • Emergency power supplies for operating and IT rooms and egress lighting.

TLC works closely with the owners and the design team, including medical equipment consultants, to provide the most efficient and cost-effective building design.


Central Plant Design

At TLC, we deliver energy-efficient central plant designs that provide reliable, cost-effective service. TLC has years of experience managing the critical issues, design decisions and time sensitivity required in central plant design. Close coordination with our design partners and local power authorities is always a priority. 

Central plants on large campuses often serve as district utility plants, providing cooling, heating and emergency power. Our engineers consolidate these energy services, offering greater benefits to the owner including capital cost savings, targeted energy efficiency, system redundancy and maintenance, along with sophisticated building management monitoring, instrumentation, controls and automation.

The distribution of services often results in significant first costs due to required tunnels, trenches, buried or overhead services that are routed to critical main connections and equipment rooms. TLC has extensive experience integrating these systems into the fabric of a campus and addressing how future enhancements will affect these areas.

Central plants require a host of built-in safeguards to keep hospitals operational during extended power outages. TLC’s designs emphasize redundancy for hospitals and central plants serving them.

Plants serving large, complex projects must be flexible enough to expand in size and equipment to meet current and future needs. Our engineers are proficient in designing modular plants that can readily increase capacity during horizontal or vertical expansion.

Noise abatement, emission control and aesthetics may be important considerations as well.