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Sheet 01 · Built For The Coordination Load Only Healthcare Carries
Healthcare construction document review is an independent, owner-side check of the issued set for a hospital, health system, or healthcare build — run by reviewers who know the coordination load specific to this asset class: medical gas and vacuum systems threading the same interstitial space as structural and mechanical, imaging suite shielding and vendor equipment coordination, infection control barriers around occupied patient care areas, and a code stack layered on top of everything else.
$50K Exposure Guarantee · No Minimum Construction Value · 48-Hour Turnaround
Why Healthcare Sets Carry More Risk
A standard construction document review checks submittals, spec-to-drawing alignment, code compliance, and MEP coordination — and healthcare needs every bit of that. What gets layered on top is a set of systems and constraints most other asset classes never touch at once: medical gas and vacuum piping sharing the same interstitial ceiling space as structural and mechanical, imaging equipment that has to be shielded, powered, and vendor-coordinated before slab, infection control requirements for any work adjacent to an occupied unit, and a life-safety code stack that doesn't get to slip.
Denser Interstitial Space
Medical gas, structural, and mechanical routing all competing for the same above-ceiling space, floor to floor.
Equipment-Driven Coordination
Imaging and OR equipment vendors issue shielding and utility requirements late — and they still have to match the set.
Occupied-Facility Risk
A missed conflict doesn't just stall a schedule — it can land on an occupied unit still treating patients.
What Gets Checked On A Healthcare Set
The issued set is read once, in full, by reviewers who've drawn these sets themselves — not a keyword search, not a single-discipline pass. On a healthcare set, four things get checked specifically:
MEDICAL GAS & VACUUM
Oxygen, medical air, vacuum, and WAGD routing checked against structural and interstitial ceiling space before a clash stops a med-gas rough-in.
IMAGING SUITE & SHIELDING
MRI, CT, and cath lab equipment specs and shielding requirements cross-checked against the architectural and structural drawings.
ICRA & PHASING
Barrier, pressure-relationship, and phasing requirements for work next to occupied patient care areas checked against the drawn sequence.
LIFE SAFETY & CODE
NFPA 99, NFPA 101, egress, and ADA call-outs checked for consistency sheet to sheet, in a stacked code environment other asset classes don't carry.
The output is a written findings report — every conflict located by sheet and detail, severity-ranked (High/Med/Low), with an estimated dollar exposure and schedule impact on each — plus a live walkthrough meeting. See the full four-step process on the homepage, or the complete step-by-step procedure and turnaround detail on what happens during a construction document audit.
Where This Sits
vs. Architect QC
DESIGN INTENT VS. OWNER'S INTEREST
The architect's QC checks the set against design intent. This review is paid by the owner and reports to no one else — run alongside QC, not instead of it. What owner-side QA/QC actually means →
vs. GC Coordination Review
PRICING THE WORK VS. FLAGGING THE RISK
The contractor's coordination review is scoped to pricing the work accurately. This review is scoped to surface exposure for the owner, in writing, before it's priced or built. GC's reading this — see why it's not an audit of your work →
vs. State/Regulatory Plan Review
REGULATORY SIGN-OFF VS. CROSS-DISCIPLINE COORDINATION
State health department review and Joint Commission survey readiness confirm regulatory compliance on their own timeline. This review runs earlier, catching coordination conflicts before either process ever sees them.
Preempt Global also gets compared against clash-list and checklist software directly: see vs. RediCheck, vs. LightTable AI, vs. CHECKSET, and vs. BIM Clash Detection.
Why This Matters
the cost of skipping it, across the industry
A clash caught in a construction document review costs one redline and five minutes. The same conflict caught in the field averages $18,400 and a 12-day schedule slip — and on a healthcare set, that field is often an occupied floor with patients on it. If your project has multiple trades sharing tight coordination — any size, no minimum construction value — that's the gap this review is built to close.
The Guarantee
If a healthcare construction document review doesn't surface at least $50,000 in documented cost exposure, you don't pay for it — no partial credit, no fine print, on every pricing tier. On a set carrying this much coordination, there's always something to find, which is why it's put in writing.
See Full Pricing Tiers →Before You Ask
The method is the same — an independent, owner-side check of the issued set, drawings and specs, cross-referenced across every discipline. What's different is the coordination load: medical gas and vacuum systems, imaging suite shielding, infection control requirements for work next to occupied patient care areas, and a stacked life-safety code environment most other asset classes don't carry.
On top of the standard cross-discipline check: medical gas and vacuum routing against structural and interstitial ceiling space, imaging equipment shielding and vendor coordination against the architectural and structural sets, ICRA-driven barrier and phasing requirements for work adjacent to occupied patient care areas, and life-safety and code compliance stacking sheet to sheet.
Same as any project — the owner or the owner's rep, most often the health system's facilities or capital projects team. It's paid by the owner and reports to no one else. See the full breakdown built for owners →
No. State health department plan review and Joint Commission survey readiness are regulatory processes with their own scope and timeline. This review runs earlier, on the issued design set, catching cross-discipline conflicts before they reach a regulatory reviewer or the field — it's not a substitute for either process.
As soon as there's an issued set — pre-bid, at IFC, or at any bulletin, addendum, or RFI-driven revision after, including the mid-project phasing revisions common on occupied-facility renovations.
New hospital construction, bed tower additions, imaging suite build-outs, OR and ICU renovations, and occupied-facility phased renovations — any healthcare set with multiple trades sharing tight coordination. There's no minimum construction value.
Sheet 01 of 01 — Last Call
Book a 30-minute demo. Nothing's shared until the NDA is signed, and nothing's billed unless we find something worth the fee.
See the full pitch, pricing, and process on the Preempt Global homepage.
