San Antonio Healthcare MEP

San Antonio’s Trusted Healthcare MEP Engineering Partner

Cleary Zimmermann Engineers designs mechanical, electrical, and plumbing systems for healthcare facilities throughout San Antonio and South Texas, from our San Antonio headquarters, led by David Bourassa, PE, who heads our dedicated Healthcare Practice. Healthcare MEP design carries a different bar than standard commercial work — infection control, redundant power, and continuous ventilation aren’t optional features, they’re code requirements — and our San Antonio healthcare practice is built specifically around meeting them.

San Antonio is one of Texas’s largest healthcare markets, anchored by University Health, Baptist Health System, Methodist Healthcare, Christus Health, and Brooke Army Medical Center at Fort Sam Houston. That scale, combined with San Antonio’s significant military medical presence through Joint Base San Antonio, gives our team experience across both civilian and federal healthcare project requirements.

MEP Systems Built for Healthcare’s Highest Standards

Healthcare facilities operate under a stricter regulatory framework than almost any other building type, and our San Antonio team designs to that standard on every project:

• Ventilation and pressurization: Air change rates, pressure relationships, and filtration requirements engineered to ASHRAE Standard 170 for spaces ranging from operating rooms to isolation rooms to sterile processing.
• Essential electrical systems: Life safety, critical, and equipment branch power distribution designed for continuous operation during a utility outage, with generator and transfer-switch systems sized for real facility load.
• Medical gas systems: Oxygen, medical air, and vacuum system design and coordination for facilities ranging from outpatient clinics to acute care hospitals.
• Infection control coordination: MEP scope sequenced and detailed to support Infection Control Risk Assessment (ICRA) requirements during construction in and around occupied healthcare space.
• Facility guideline compliance: Design that follows the Facility Guidelines Institute (FGI) Guidelines for hospitals and outpatient facilities, in addition to Texas-specific licensing requirements.

Featured Project: CHRISTUS Children’s Hospital

Our work on CHRISTUS Children’s Hospital reflects the standard our San Antonio healthcare team designs to on every project — MEP systems engineered for a pediatric acute care environment, where ventilation, medical gas, and essential power requirements carry the same rigor as adult acute care with additional considerations specific to pediatric patient populations.

Serving San Antonio’s Full Healthcare Landscape

Our San Antonio healthcare MEP practice supports the full range of facility types across this market — outpatient clinics, ambulatory surgery centers, diagnostic and imaging facilities, and specialty care facilities. For acute care hospital work specifically, see our San Antonio Hospital MEP page. For medical office buildings and physician practice space, see San Antonio Medical MEP.

San Antonio’s healthcare sector continues to expand alongside the region’s population growth, which increasingly means renovation and addition work inside operating facilities — projects where MEP systems have to be upgraded without interrupting patient care in adjacent spaces. Our team scopes and sequences that work with the constraint built in from the start.

Start Your San Antonio Healthcare MEP Project With Cleary Zimmermann

Whether you’re planning a new outpatient facility, a hospital expansion, or a renovation that has to stay operational throughout construction, our San Antonio healthcare MEP team can help you scope the project accurately from day one. Contact Cleary Zimmermann Engineers to talk through your project, or learn more about our building MEP capabilities.