Experience: Market: Healthcare

Boston Medical Center – Main Lobby Expansion & Fire Alarm Upgrade

Code Red Consultants partnered with Boston Medical Center, Walsh Brothers Incorporated, and DLR Group (formerly Tsoi Kobus Design) to provide code consulting services, NFPA 241 construction fire safety consulting, impairment planning, interim life safety measure (ILSM) risk analysis, and fire alarm design services for the Boston Medical Center Main Lobby Expansion project. The project established a central entrance for patients and visitors by expanding the Menino and Yawkey Buildings and linking their lobbies, all while hospital operations continued without interruption during multi-phase construction. The project scope also included the introduction of a new retail pharmacy, an expanded emergency department, and the extension of the cafeteria seating.

A key challenge of the project was relocating the fire command center for the Menino and Moakley Buildings, requiring the transfer of all major fire alarm and smoke control infrastructure to a new location within the expanded lobby. Serving as Engineer of Record, Code Red Consultants designed the new fire alarm system and its integration with upgraded smoke control panels, including a building-wide upgrade from an EST-3 to an EST-4 networked system. Extensive coordination and detailed phasing were critical to minimizing disruption to patients, staff, and critical hospital functions.

Through careful design planning and close field coordination with the integrated project team, the relocation of the fire command center and the replacement of the fire alarm backbone were completed without any major interruption to patient care or hospital operations. Code Red Consultants also served as the smoke control special inspector, supporting testing, verification, and timely turnover of key life safety systems to ensure the successful delivery of this high-profile, safety-critical healthcare project.

 

Location

Boston, MA

Size

4,500 sf addition and 13,000 sf renovation

Cost

$47M

Completion

2025

Rendering Credit

DLR Group (formerly Tsoi Kobus Design) – Chris Goldthwaite

Boston Medical Center – Main Lobby Expansion & Fire Alarm Upgrade

Code Red Consultants partnered with Boston Medical Center, Walsh Brothers Incorporated, and DLR Group (formerly Tsoi Kobus Design) to provide code consulting services, NFPA 241 construction fire safety consulting, impairment planning, interim life safety measure (ILSM) risk analysis, and fire alarm design services for the Boston Medical Center Main Lobby Expansion project. The project established a central entrance for patients and visitors by expanding the Menino and Yawkey Buildings and linking their lobbies, all while hospital operations continued without interruption during multi-phase construction. The project scope also included the introduction of a new retail pharmacy, an expanded emergency department, and the extension of the cafeteria seating.

A key challenge of the project was relocating the fire command center for the Menino and Moakley Buildings, requiring the transfer of all major fire alarm and smoke control infrastructure to a new location within the expanded lobby. Serving as Engineer of Record, Code Red Consultants designed the new fire alarm system and its integration with upgraded smoke control panels, including a building-wide upgrade from an EST-3 to an EST-4 networked system. Extensive coordination and detailed phasing were critical to minimizing disruption to patients, staff, and critical hospital functions.

Through careful design planning and close field coordination with the integrated project team, the relocation of the fire command center and the replacement of the fire alarm backbone were completed without any major interruption to patient care or hospital operations. Code Red Consultants also served as the smoke control special inspector, supporting testing, verification, and timely turnover of key life safety systems to ensure the successful delivery of this high-profile, safety-critical healthcare project.

UCI Health – Irvine Campus Medical Complex

The University of California, Irvine – Campus Medical Complex (ICMC) is a state-of-the-art healthcare campus designed to advance patient care, clinical innovation, and sustainability. Anchored by a five-story hospital and a four-story ambulatory care center, the complex brings together emergency, inpatient, surgical, imaging, and outpatient services within a highly coordinated environment. Officially opened in December, ICMC is one of the few major hospitals worldwide to operate entirely on electricity, supported by an all-electric central utility plant. Complemented by a multi-level parking structure, the campus embodies UCI Health’s commitment to high-performance, forward-looking healthcare infrastructure that promotes both clinical excellence and long-term environmental responsibility.

In collaboration with CO Architects, Code Red Consultants brought specialized fire engineering expertise to the project, helping navigate complex construction challenges. We carefully reviewed multiple Engineering Judgments (EJs) for rated assemblies and provided conformance letters to address situations where tested joint and through-penetration firestop systems were unavailable. Our work ensured full compliance with HCAI EJ criteria while enabling the project team to achieve their design and construction goals efficiently and effectively.

Location

Irvine, CA

Size

~500,000 sq ft

Completion

2025

UCI Health – Irvine Campus Medical Complex

The University of California, Irvine – Campus Medical Complex (ICMC) is a state-of-the-art healthcare campus designed to advance patient care, clinical innovation, and sustainability. Anchored by a five-story hospital and a four-story ambulatory care center, the complex brings together emergency, inpatient, surgical, imaging, and outpatient services within a highly coordinated environment. Officially opened in December, ICMC is one of the few major hospitals worldwide to operate entirely on electricity, supported by an all-electric central utility plant. Complemented by a multi-level parking structure, the campus embodies UCI Health’s commitment to high-performance, forward-looking healthcare infrastructure that promotes both clinical excellence and long-term environmental responsibility.

In collaboration with CO Architects, Code Red Consultants brought specialized fire engineering expertise to the project, helping navigate complex construction challenges. We carefully reviewed multiple Engineering Judgments (EJs) for rated assemblies and provided conformance letters to address situations where tested joint and through-penetration firestop systems were unavailable. Our work ensured full compliance with HCAI EJ criteria while enabling the project team to achieve their design and construction goals efficiently and effectively.

Moffitt Cancer Center

The Moffitt Cancer Center Campus project, designed by Tsoi Kobus Design, represents a transformative vision for the future of cancer research, care, and innovation in Florida. Spanning 775 acres, the mixed-use campus will feature research laboratories, light industrial and manufacturing facilities, general office space, and clinical buildings. A key component, the Moffitt Medical Ambulatory Clinic & Proton Therapy Center, is a two-story ambulatory care facility delivering advanced outpatient services and housing a state-of-the-art proton therapy vault.

Code Red Consultants provided code and accessibility consulting, as well as hazardous materials consulting for the Ambulatory Clinic & Proton Therapy Center. By combining technical expertise with a collaborative approach, we helped ensure Moffitt’s vision was realized in a way that prioritizes patient safety, operational resilience, and regulatory compliance, creating safe and functional environments for research, patient care, and campus operations.

Location

Speros, FL

Size

100,000 SF MOB

Completion

2025

Rendering Credit

DLR Group/Tsoi Kobus Design

Moffitt Cancer Center

The Moffitt Cancer Center Campus project, designed by Tsoi Kobus Design, represents a transformative vision for the future of cancer research, care, and innovation in Florida. Spanning 775 acres, the mixed-use campus will feature research laboratories, light industrial and manufacturing facilities, general office space, and clinical buildings. A key component, the Moffitt Medical Ambulatory Clinic & Proton Therapy Center, is a two-story ambulatory care facility delivering advanced outpatient services and housing a state-of-the-art proton therapy vault.

Code Red Consultants provided code and accessibility consulting, as well as hazardous materials consulting for the Ambulatory Clinic & Proton Therapy Center. By combining technical expertise with a collaborative approach, we helped ensure Moffitt’s vision was realized in a way that prioritizes patient safety, operational resilience, and regulatory compliance, creating safe and functional environments for research, patient care, and campus operations.

White Plains Hospital

Code Red Consultants provided fire protection and life safety code consulting services to Payette for the new White Plains Hospital New Inpatient Building in White Plains, NY. This 10-story, 450,000-square-foot addition to the hospital includes three floors of private inpatient rooms (with a future plan for an additional two floors of inpatient units), an expanded Emergency Department, an expanded Surgical unit with related pre- and post-operative areas, and a new concourse main lobby that will be a main feature of the addition.

Our team brought significant value to the project by delivering a comprehensive Code Report and detailed Life Safety Plans that guided design development and compliance strategy from early phases through construction. We performed in-depth reviews to evaluate the design’s adherence to local, state, and federal code requirements, including complex fire protection, life safety, and accessibility standards, while supporting the architectural vision for a flexible, functional, and patient-centered environment.

Recognizing the operational challenges of a large-scale addition to an active hospital, our team worked closely with both local and state authorities to address numerous intricate code-related concerns. We played a key role in preparing and securing several time-based variances tied to construction phasing, minimizing disruption to hospital operations and patient care during implementation.

Our proactive approach, deep technical expertise, and close coordination with regulatory stakeholders helped the project team navigate key code compliance issues early, reducing project risk and supporting timely project delivery. The building is currently under construction and is anticipated to open in 2028.

Location

White Plains, NY

Size

450,000-square-foot addition

Completion

2028

Rendering Credit

Payette

White Plains Hospital

Code Red Consultants provided fire protection and life safety code consulting services to Payette for the new White Plains Hospital New Inpatient Building in White Plains, NY. This 10-story, 450,000-square-foot addition to the hospital includes three floors of private inpatient rooms (with a future plan for an additional two floors of inpatient units), an expanded Emergency Department, an expanded Surgical unit with related pre- and post-operative areas, and a new concourse main lobby that will be a main feature of the addition.

Our team brought significant value to the project by delivering a comprehensive Code Report and detailed Life Safety Plans that guided design development and compliance strategy from early phases through construction. We performed in-depth reviews to evaluate the design’s adherence to local, state, and federal code requirements, including complex fire protection, life safety, and accessibility standards, while supporting the architectural vision for a flexible, functional, and patient-centered environment.

Recognizing the operational challenges of a large-scale addition to an active hospital, our team worked closely with both local and state authorities to address numerous intricate code-related concerns. We played a key role in preparing and securing several time-based variances tied to construction phasing, minimizing disruption to hospital operations and patient care during implementation.

Our proactive approach, deep technical expertise, and close coordination with regulatory stakeholders helped the project team navigate key code compliance issues early, reducing project risk and supporting timely project delivery. The building is currently under construction and is anticipated to open in 2028.

Maine Medical Center: Malone Family Tower Expansion, Portland, ME

The Malone Family Tower at Maine Medical Center—a state-of-the-art, 300,000-square-foot facility on Congress Street in Portland—marked the final phase of the hospital’s major expansion and modernization initiative. Designed to support cardiac and cardiovascular care, the eight-story tower features 96 private patient rooms, 10 operating rooms, 9 procedure rooms, and 40 pre- and post-procedure beds. Atop the tower sits a 20,000-square-foot sterile processing department that supports all surgical and procedural activities within the facility.

Code Red Consultants provided a comprehensive suite of services, including firestopping and smoke control special inspections, fire door inspections, and field reviews focused on overall life safety compliance. Our team verified the construction of fire- and smoke-rated assemblies, means of egress, and other critical life safety and fire protection systems in accordance with the Maine Uniform Building Code, the Rules of the Maine State Fire Marshal, and NFPA 101: Life Safety Code, as adopted by The Joint Commission and the Centers for Medicare & Medicaid Services (CMS).

In collaboration with Maine Medical Center, Colliers International, Perkins&Will, and Turner Construction, Code Red Consultants worked closely with project stakeholders to ensure alignment with all applicable codes and standards. In addition to inspection services, Code Red Consultants also developed master life safety drawings for Maine Medical Center, which now serve as a foundational tool for accreditation and licensing inspections.

Location

Portland, ME

Size

300,000 SF

Cost

$378 million

Completion

June 2024

Photography Credit

Anton Grassl

Maine Medical Center: Malone Family Tower Expansion, Portland, ME

The Malone Family Tower at Maine Medical Center—a state-of-the-art, 300,000-square-foot facility on Congress Street in Portland—marked the final phase of the hospital’s major expansion and modernization initiative. Designed to support cardiac and cardiovascular care, the eight-story tower features 96 private patient rooms, 10 operating rooms, 9 procedure rooms, and 40 pre- and post-procedure beds. Atop the tower sits a 20,000-square-foot sterile processing department that supports all surgical and procedural activities within the facility.

Code Red Consultants provided a comprehensive suite of services, including firestopping and smoke control special inspections, fire door inspections, and field reviews focused on overall life safety compliance. Our team verified the construction of fire- and smoke-rated assemblies, means of egress, and other critical life safety and fire protection systems in accordance with the Maine Uniform Building Code, the Rules of the Maine State Fire Marshal, and NFPA 101: Life Safety Code, as adopted by The Joint Commission and the Centers for Medicare & Medicaid Services (CMS).

In collaboration with Maine Medical Center, Colliers International, Perkins&Will, and Turner Construction, Code Red Consultants worked closely with project stakeholders to ensure alignment with all applicable codes and standards. In addition to inspection services, Code Red Consultants also developed master life safety drawings for Maine Medical Center, which now serve as a foundational tool for accreditation and licensing inspections.

University of Arkansas Proton Center

The University of Arkansas Radiation Oncology and Proton Therapy Center was developed to advance cancer research and deliver cutting-edge treatment for both pediatric and adult patients, marking the first proton therapy facility in the state of Arkansas. The project included construction of a new two-story building with a penthouse level, housing highly specialized treatment and imaging spaces, including a proton therapy vault, linear accelerator, high-dose-rate (HDR) brachytherapy, and CT imaging.

Code Red Consultants provided fire protection and life safety code consulting services for the project, with primary responsibility for the development of a comprehensive Code Report. Our team worked closely with the design team at DLR Group (formerly Tsoi Kobus Design) to address the complex code and life safety requirements associated with highly specialized medical spaces, supporting a safe and compliant design for the facility

Location

Little Rock, AR

Size

52,000 sq ft

Cost

$65 Million

Completion

2023

Rendering Credit

DLR Group (Formerly Tsoi Kobus Design)

University of Arkansas Proton Center

The University of Arkansas Radiation Oncology and Proton Therapy Center was developed to advance cancer research and deliver cutting-edge treatment for both pediatric and adult patients, marking the first proton therapy facility in the state of Arkansas. The project included construction of a new two-story building with a penthouse level, housing highly specialized treatment and imaging spaces, including a proton therapy vault, linear accelerator, high-dose-rate (HDR) brachytherapy, and CT imaging.

Code Red Consultants provided fire protection and life safety code consulting services for the project, with primary responsibility for the development of a comprehensive Code Report. Our team worked closely with the design team at DLR Group (formerly Tsoi Kobus Design) to address the complex code and life safety requirements associated with highly specialized medical spaces, supporting a safe and compliant design for the facility

BWH Faulkner Hospital New Inpatient Addition

The Brigham and Women’s Faulkner Hospital New Inpatient Addition is a five-story addition designed to enhance inpatient services. The new addition includes 78 patient beds, an expanded endoscopy area, and an upgraded radiology department. The project encompasses over 100,000 SF of new space and includes over 15,000 square feet of interior renovations to integrate the new addition with the existing building.

Code Red Consultants provided multiple services for the project throughout all project phases. Our involvement started as the code consultant to the project architect, NBBJ. As code consultants, we prepared a comprehensive code compliance approach report. This report addressed the scope of work necessary to implement enhanced life safety features required in a high-rise structure within the context of the existing building.

Before construction, Code Red Consultants prepared the NFPA 241 Construction Fire Safety Plan for Turner Construction. This plan outlined the requirements for protecting contractors, fire department personnel, and building occupants from the inherent fire hazards associated with construction. Code Red Consultants was also retained directly by the Hospital to serve in various inspection roles, including fire-stopping special inspector, smoke control special inspector, NFPA 4 integrated fire protection system testing, and fire door inspections per NFPA 80. In addition to supporting the project from a compliance standpoint, our services added value to the project team by assisting with obtaining regulatory approvals and delivering the building on time.

Location

Boston, MA

Size

98,000 SF

Completion

2025

BWH Faulkner Hospital New Inpatient Addition

The Brigham and Women’s Faulkner Hospital New Inpatient Addition is a five-story addition designed to enhance inpatient services. The new addition includes 78 patient beds, an expanded endoscopy area, and an upgraded radiology department. The project encompasses over 100,000 SF of new space and includes over 15,000 square feet of interior renovations to integrate the new addition with the existing building.

Code Red Consultants provided multiple services for the project throughout all project phases. Our involvement started as the code consultant to the project architect, NBBJ. As code consultants, we prepared a comprehensive code compliance approach report. This report addressed the scope of work necessary to implement enhanced life safety features required in a high-rise structure within the context of the existing building.

Before construction, Code Red Consultants prepared the NFPA 241 Construction Fire Safety Plan for Turner Construction. This plan outlined the requirements for protecting contractors, fire department personnel, and building occupants from the inherent fire hazards associated with construction. Code Red Consultants was also retained directly by the Hospital to serve in various inspection roles, including fire-stopping special inspector, smoke control special inspector, NFPA 4 integrated fire protection system testing, and fire door inspections per NFPA 80. In addition to supporting the project from a compliance standpoint, our services added value to the project team by assisting with obtaining regulatory approvals and delivering the building on time.

Veteran’s Home – Community Living Center, Chelsea, MA

Code Red Consultants teamed with DCAMM, Payette, and Consigli Construction on the construction of the Community Living Center at the Veteran’s Home in Chelsea, MA. This new high-rise living facility was designed to offer Veterans a highly efficient and sustainable residential living environment for Veterans, complete with single occupancy rooms and shared common and dining areas.

In close partnership with Consigli Construction, Code Red developed a comprehensive Fire Prevention Program to ensure the project was completed on time while mitigating the risk of fire and working adjacent to the operational Quigley Building. Additionally, Code Red performed Firestopping Special Inspection Services on behalf of the DCAMM, via Payette. This inspection evaluates the fire rated joint assemblies and penetrations of passive fire rated barriers to ensure the new Veteran residents, faculty, family and visitors are provided with a fire safe environment.

Location

Chelsea, Mass.

Size

247,000 SF

Completion

2023

Veteran’s Home – Community Living Center, Chelsea, MA

Code Red Consultants teamed with DCAMM, Payette, and Consigli Construction on the construction of the Community Living Center at the Veteran’s Home in Chelsea, MA. This new high-rise living facility was designed to offer Veterans a highly efficient and sustainable residential living environment for Veterans, complete with single occupancy rooms and shared common and dining areas.

In close partnership with Consigli Construction, Code Red developed a comprehensive Fire Prevention Program to ensure the project was completed on time while mitigating the risk of fire and working adjacent to the operational Quigley Building. Additionally, Code Red performed Firestopping Special Inspection Services on behalf of the DCAMM, via Payette. This inspection evaluates the fire rated joint assemblies and penetrations of passive fire rated barriers to ensure the new Veteran residents, faculty, family and visitors are provided with a fire safe environment.

Dartmouth Hitchcock Medical Center – New High-Rise Bed Tower

Code Red Consultants was proud to continue our involvement in the healthcare industry by providing testing and inspection services on the new Dartmouth Hitchcock Medical Center Patient Pavilion in Lebanon, NH.  The project consisted of a new, ground-up 240,000 square foot high-rise bed tower, connected to the existing hospital campus.

Serving as the Smoke Control Special Inspector, Code Red Consultants provided design and construction reviews as well as commissioning of both stair pressurization and elevator pressurization systems.  We also performed integrated testing on the fire alarm system to verify accurate and reliable reporting to the redundant alarm monitoring systems in place.

Fire protection and life safety systems are critically important in hospital environments, and we are pleased to be able to contribute to a great team which included Consigli Construction, Cornerstone Commissioning, HDR Architects and TCI Engineers.

Location

Lebanon, NH

Size

6 stories
240,000 SF

Completion

2023

Photography Credit

Dan Schwalm

Dartmouth Hitchcock Medical Center – New High-Rise Bed Tower

Code Red Consultants was proud to continue our involvement in the healthcare industry by providing testing and inspection services on the new Dartmouth Hitchcock Medical Center Patient Pavilion in Lebanon, NH.  The project consisted of a new, ground-up 240,000 square foot high-rise bed tower, connected to the existing hospital campus.

Serving as the Smoke Control Special Inspector, Code Red Consultants provided design and construction reviews as well as commissioning of both stair pressurization and elevator pressurization systems.  We also performed integrated testing on the fire alarm system to verify accurate and reliable reporting to the redundant alarm monitoring systems in place.

Fire protection and life safety systems are critically important in hospital environments, and we are pleased to be able to contribute to a great team which included Consigli Construction, Cornerstone Commissioning, HDR Architects and TCI Engineers.

Baystate Medical Center Heart and Vascular Fit-Out

Baystate Medical Center recently opened a new and expanded operating room unit within the Mass Mutual building on its main Springfield campus. The expanded unit includes 18 new operating rooms, 8 new interventional procedure rooms, new pre- and post-operative care units, as well as a new main lobby addition and waiting area that refreshes the hospital’s main entrance. Code Red Consultants served as the code consultant to Perkins + Will on the design side of the project, assisting P+W in navigating complex code requirements relating to the fit-out of the existing shell space and renovation of existing areas to both the Massachusetts State Building Code and NFPA 101, Life Safety Code. Code Red Consultants developed the overall code compliance approach for the project, conducted code reviews at each stage of design, participated in discussions with the design team regularly, and developed the Life Safety Plans for the hospital. After design, Code Red Consultants provided construction-related regulatory services directly to Baystate Health for generation of Interim Life Safety Measures and temporary Life Safety Plans to address potential non-compliant conditions due to construction work. Additionally, Code Red Consultants served as the Firestopping Special Inspector during construction, performing visual and destructive testing on through-penetrations, membrane penetration, joint, and perimeter fire barrier systems. Lastly, Code Red Consultants completed on-site inspections near the conclusion of construction to identify potential on-site deficiencies commonly cited by The Joint Commission and CMS. The new portions of the hospital opened in February 2023.

Location

Springfield, Mass.

Size

72,000 SF

Completion

2023

Photography Credit

Baystate Health

Baystate Medical Center Heart and Vascular Fit-Out

Baystate Medical Center recently opened a new and expanded operating room unit within the Mass Mutual building on its main Springfield campus. The expanded unit includes 18 new operating rooms, 8 new interventional procedure rooms, new pre- and post-operative care units, as well as a new main lobby addition and waiting area that refreshes the hospital’s main entrance. Code Red Consultants served as the code consultant to Perkins + Will on the design side of the project, assisting P+W in navigating complex code requirements relating to the fit-out of the existing shell space and renovation of existing areas to both the Massachusetts State Building Code and NFPA 101, Life Safety Code. Code Red Consultants developed the overall code compliance approach for the project, conducted code reviews at each stage of design, participated in discussions with the design team regularly, and developed the Life Safety Plans for the hospital. After design, Code Red Consultants provided construction-related regulatory services directly to Baystate Health for generation of Interim Life Safety Measures and temporary Life Safety Plans to address potential non-compliant conditions due to construction work. Additionally, Code Red Consultants served as the Firestopping Special Inspector during construction, performing visual and destructive testing on through-penetrations, membrane penetration, joint, and perimeter fire barrier systems. Lastly, Code Red Consultants completed on-site inspections near the conclusion of construction to identify potential on-site deficiencies commonly cited by The Joint Commission and CMS. The new portions of the hospital opened in February 2023.