Committed to the Healthcare Industry

TLC specializes in engineering systems for hospitals, ambulatory care centers, medical office buildings, senior living facilities and central plants. We are committed to the healthcare industry and have been active in the development of ground-breaking and important standards and guidelines that affect this highly specialized building type. To that end, our senior staff have been involved and continue to be involved in these professional organizations:

  • ASHE Health Facility Design Checklist

  • LEED Application Guide for Healthcare Committee

  • LEED Application Guide for Labs Core Committee

  • ASHRAE Standard 170 Ventilation for Heath Care Facilities

  • ASHRAE Standard 189.3 Design, Construction and Operation of Sustainable High-Performance Health Care Facilities

  • ASHRAE Advanced Energy Design Guide for Large Hospitals

  • LEED Energy and Atmosphere Technical Advisory Group Subcommittee for Combined Heat and Power Applications

  • Green Guide for Health Care Steering Committee

  • GGHC Water and Energy Groups Subcommittee 

Additionally, TLC has been represented on the NFPA Health Care Section Advisory Committee for more than 20 years.

TLC is THE healthcare engineering sustainability resource available to advise you in achieving your sustainability goals. Furthermore, we will encourage and provide the insight that you need to recognize the benefits of applying sustainable principles to any project – small or large – to yield a healthier environment for patients and staff, and develop systems that are more efficient and better responsive to your long term needs.


"We have a dynamic mix of people with various personalities and backgrounds that work together cohesively. On a weekly basis we are encouraged to participate in company sponsored training, in which we can openly discuss topics and share ideas." 

Christine Brown, Jacksonville,
TLC Team Member

Architecture Challenge
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LEED Certified


 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.

​“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’ve done for us.”
Nelson Roque, Director of Facilities & Construction, Nemours Children’s Hospital




 Creative Hospital Design

Patient Well-Being and Medical Staff Satisfaction are Top Priorities 

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.


 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.