Existing facilities
Existing foundations and basements may sit close to the proposed excavation. Their location and sensitivity to movement affect the wall layout and required support.
Market
Healthcare Project Structural Engineering
Shoring and foundations for healthcare construction beside existing buildings, utilities, and routes needed by an operating campus.
Discuss your projectEngineering for your project
Excavation and retaining walls for healthcare facilities
A hospital expansion or new central plant can put excavation beside occupied buildings, active utilities, and essential access routes. Nearby foundations, buried services, and limited work areas all affect where piles, anchors, and equipment can go.
Healthcare projects by Cefali & Associates include Cedars-Sinai, Hoag Memorial Hospital, St. Joseph Hospital Orange, and Cottage Hospital. At Hoag, Cefali designed permanent tied-back shoring for the central plant, accounting for groundwater, seismic loads, and a nearby property line.
Design and construction
What affects the shoring and foundations.
Utilities and access
A service corridor or buried utility can occupy the space needed for a pile, anchor, or drilling rig. The design uses information from the facility and construction teams to account for those conflicts.
Construction stages
Temporary shoring must support the excavation while leaving room to build the permanent structure. The support arrangement may change as excavation and foundation work advance.
Our experience
Related projects
Structural engineering support for healthcare projects where construction constraints and existing facilities require careful coordination.
Hoag Memorial Hospital
At Hoag Memorial Hospital, Cefali designed a permanent tied-back retaining wall for the central plant site, accounting for groundwater, seismic loading, and a nearby property line.
Additional projects
Related services
Shoring and foundation engineering.
Our services cover excavation support, retaining systems, and specialty foundations. The right combination depends on the ground conditions, existing structures, and work you are building.
Planning guides
Read about the constraints behind this work.
Hospital Expansion Shoring in Orange County: Excavating Beside an Operating HospitalHow an active hospital campus affects excavation support: existing utilities, neighboring buildings, service access, and construction of the new basement.Do You Need a Shoring Engineer, Structural Engineer, or Geotechnical Engineer?See how ground investigation, building design, and excavation support fit together, and where a shoring or specialty foundation engineer can join your project team.
Discuss your project
Tell us what you are planning.
Send the plans and site information you already have. Include your schedule, known access limits, and the engineering work you need help with.
Send project informationUseful information to send
- Proposed excavation and building plans
- Existing structural and utility records
- Geotechnical report and access constraints
Project photos
Portfolio
Additional projects
01CEDARS-SINAI
Project overview
Project photos from Cefali & Associates.
02CHILDREN'S HOSPITAL OF ORANGE COUNTY
Project overview
Project photos from Cefali & Associates.
03COTTAGE HOSPITAL
Project overview
Project photos from Cefali & Associates.
04HOAG MEMORIAL HOSPITAL
Project overview
Project photos from Cefali & Associates.
05ST. JOSEPH HOSPITAL ORANGE
Project overview
Project photos from Cefali & Associates.
