Community Regional Medical Center

Their [Clark's] role in the preconstruction phase has been outstanding; they have worked in tandom with the architects to achieve the best and most cost effective design for the major component of the Regional Medical Center, the Critical Care/Trauma Stack.
J. Philip Hinton, M.D., Chief Executive Officer, Community Regional Medical Center
Location: 
Fresno, California
Client: 
Community Medical Centers
Contract Value: 
$132,800,000
Size: 
340,000 Square Feet
Year Completed: 
2004

The complex Community Regional Medical Center project consisted of three phases. Upon completion, Clark completed an entrance renovation, a trauma ICU/CCU burn facility, design-build central energy plant, CEP utility loop underneath streets, and design-build parking garage among other improvements.

Phase 1 of the Community Regional Medical Center project involved street improvements, improvements to an existing parking garage, and adjacent parking lots. Phase 2 also involved street improvements as well as utility realignments and landscaping north of the hospital. During Phase 3, the project team constructed the Level 1 Trauma-Burn Center, the central energy plant, the ambulatory care clinic, and remodeled the existing five- and ten-story hospital. 

The Level 1 Trauma-Burn Center houses critical care and diagnostic services at the Community Regional Hospital. The six-story building contains an emergency department, diagnostic imaging department, two floors of ICU/burn departments, and a penthouse level to house major mechanical equipment and air handlers. There also are two roof-top heliports designed for emergency air transport.

Mission Critical

The central energy plant is comprised of approximately 39,800 square feet of enclosed space with an additional 5,000 square-foot yard. It houses five 2000 kW generators with air quality controlled soot filters, five chillers equating to approximately 5000 T of cooling, five cooling towers, four boilers, brine reclamation systems, associated primary/secondary pumps, telecom room and associated administration offices. The facility provides normal and emergency power, steam, chilled water, domestic water, soft water, and med-gasses to the new Level 1 Trauma-Burn Center, the existing hospital, and other structures on campus via an underground piping loop. Piping systems were designed for future expansion as the campus' needs increase. 

The project was constructed around an existing hospital, medical office building, surrounding offices, a railroad track, and a residential neighborhood. Clark ensured all daily activities could go on uninterrupted. During the installation of the underground utility loop and civil utilities, the Clark team coordinated and phased these services to allow pedestrian and vehicular traffic access to the existing hospital. The tie-ins to the existing hospital were scheduled with hospital personnel, and dust-proof measures were installed to minimize infiltration into the HVAC system. The new central energy plant was constructed and the old MEP systems were updated without any impact to the operating hospital.