Beyond Strength: The Critical Elements of Structural Design for Healthcare Facilities

Hospitals are among the most demanding buildings to design, expand, and renovate. The structural design of a hospital or a medical facility requires conformance to the applicable codes and accepted professional engineering practices as with any other building, but structural adequacy is only the starting point. Healthcare facilities contain sensitive diagnostic and treatment equipment, extensive mechanical and electrical infrastructure, specialized clinical spaces, and, in the case of the renovation of existing facilities, medical procedures and critical operations that need to continually be in operation during construction.

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Extending the Useful Life of Structures: A Practical Approach Through Adaptive Reuse

Across the built environment, sustainability is often discussed in terms of metrics and targets. While those frameworks are important, many of the most impactful decisions happen at a more practical level—through how we approach existing buildings.

One of the most effective ways to support more responsible development is by extending the useful life of structures. Adaptive reuse allows buildings to evolve alongside changing needs, minimizing demolition while maximizing the value already embedded in the built environment.

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Bryant University Fieldhouse

GMS provided structural engineering for the new three-story field house located west of the existing football field and overlooking the adjacent soccer and lacrosse field. The fieldhouse includes several strategies to reduce its carbon footprint and conserve water and energy and was built for $26M. The field house totals approximately 45,000 sf and opened in the Fall of 2025.

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ACEC New York 2026 EEA

Two GMS projects were recognized by the ACEC New York 2026 Engineering Excellence Awards:

50 Ninth Avenue – A renovation and adaptive reuse of multiple landmarked townhouses in the Meatpacking District. This project not only respects the past but also shapes the future of adaptive reuse in New York City and beyond.

25 Water Street – An office-to-residential conversion in Lower Manhattan, one of the largest of its kind in the city. The success of the project is a testament to the bright future of the adaptive reuse of large office buildings nationwide.

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Giving Tuesday 2025

At Gilsanz Murray Steficek, we believe that building stronger communities goes beyond the structures we design. This Giving Tuesday, we’re proud to support organizations that advance equity, resilience, and opportunity across a range of fields — from healthcare and education to the built environment.

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Inspection Services

GMS provides a comprehensive range of inspection services for structures and building envelopes, including special inspections, garage, façade, retaining wall, tunnel, pedestrian bridge assessments, and parapet testing. We have ICC certified special inspectors, NYC Qualified Parking Structure Inspectors (QPSI), Qualified Exterior Wall Inspectors (QEWI), Qualified Retaining Wall Inspectors (QRWI), qualified parapet inspectors, and nationally certified tunnel inspectors. Our qualified staff deliver clear evaluations, code compliance support, and repair design services to ensure safety and performance.

To learn more about GMS inspection services, email us at info@gmsllp.com or call (212) 254-0030.

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GMS Promotions 2025

 

GMS is excited to announce our latest staff promotions. Each of these individuals is a valuable member of the GMS team, and we wish them continued success in their careers.

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