Harborview Medical Center has selected H&M Harborview JV, a partnership between McKinstry and Hermanson Company, to provide mechanical and plumbing design-build services for a major campus improvement program funded through the Harborview Bond Program.
The project represents a significant investment in healthcare infrastructure and is intended to modernize facilities while expanding Harborview's ability to serve patients throughout King County and the broader Pacific Northwest.
As the region's leading Level I trauma center for adults and children, Harborview plays a critical role in emergency and specialized medical care, making operational continuity a central priority throughout construction.
Under the agreement, the joint venture will oversee the design and delivery of mechanical and plumbing systems supporting a future patient care tower, associated facility renovations, and campus infrastructure improvements.
The work also includes upgrades to essential systems needed to support the expanded healthcare facilities while ensuring the hospital can continue operating without interruption during construction.
Delivering large-scale improvements within an occupied healthcare environment presents unique challenges that require detailed planning, phased execution, and close coordination among contractors, hospital staff, and project stakeholders.
Hospitals and healthcare systems across the United States are increasing investments in modernization projects as facilities address aging infrastructure, growing patient demand, sustainability goals, and evolving healthcare technologies.
Mechanical, electrical, and plumbing systems are often among the most critical components of healthcare construction projects due to strict performance, reliability, infection control, and regulatory requirements.
The Harborview initiative reflects a broader trend toward resilient healthcare infrastructure capable of supporting future growth while improving operational efficiency and patient outcomes.
The H&M joint venture brings extensive experience working on Harborview's campus, providing familiarity with existing utilities, facility operations, and infrastructure constraints. This institutional knowledge is expected to support design decisions, construction sequencing, and risk management throughout the project.
The bond program is being delivered through a collaborative team that includes Mortenson, Perkins&Will, UW Medicine, and King County, with support from local preconstruction and fabrication resources.
For healthcare owoners and public agencies, the Harborview project highlights the continued value of design-build delivery for complex institutional projects. Early contractor involvem
The selection also underscores ongoing demand for specialized healthcare construction expertise, particularly in mechanical and plumbing systems that support mission-critical operations. As hospitals continue upgrading aging campuses, integrated project delivery models are expected to play an increasingly important role in managing cost, risk, and performance.
Source: Hermanson.
