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Healthcare Construction · Dallas-Fort Worth · Texas

Healthcare construction across Dallas-Fort Worth.

Hospitals, medical office buildings, ambulatory surgery centers, outpatient clinics, and behavioral health facilities. Bonded to $50M per project. ICRA-certified superintendents on every healthcare job since 2014.

2.3M
sq ft of healthcare delivered since 2014
38
years building in DFW
$50M
single-project bonding capacity
100%
on-time delivery, 2022 to 2025
Request a bid for your healthcare project

What we build for Dallas-area healthcare clients

Acme Commercial delivers ground-up and renovation work across the full spectrum of healthcare facility types. Every project runs out of our Dallas office with a dedicated healthcare-construction team.

Hospitals

New towers, renovations to occupied units, ICU and OR build-outs, central plant upgrades. Class IV ICRA standard.

Medical Office Buildings

50,000 to 250,000 sq ft MOBs. Multi-tenant fit-out coordination. Day-one occupancy delivery for anchor practices.

Ambulatory Surgery Centers

2-OR to 8-OR ASCs. Medical-gas rough-in, OR HVAC, scrub sinks, recovery bays. AAAHC/JCAHO-ready turnover.

Outpatient Clinics

Primary care, urgent care, imaging centers, infusion suites. Fast-track delivery from lease signing to first patient.

Behavioral Health

Inpatient and outpatient behavioral health facilities. Anti-ligature hardware, sightline planning, secured pharmacy.

Cancer Centers

Linear accelerator vaults, PET/CT imaging suites, infusion bays. Radiation shielding coordination with the physicist.

Renovations

Phased work in occupied hospitals. ICRA Class IV containment. Negative-pressure isolation during construction.

Central Plant Upgrades

Chiller replacements, medical-air compressor systems, emergency power, fuel-oil. Done without losing patient services.

Why DFW healthcare developers shortlist us

Acme separates from the field on the four things owners and developers actually evaluate healthcare GCs on: portfolio depth, experience working in occupied clinical environments, preconstruction and VDC depth, and the long-standing relationships we hold with Texas hospital systems.

1. Active healthcare portfolio depth

2.3 million square feet of healthcare delivered across Dallas-Fort Worth since 2014. Active project book covers hospital towers, medical office buildings, ambulatory surgery centers, behavioral health facilities, cancer centers, and central plant work. Healthcare is not a service line for us. It is roughly 60% of revenue, every year, for the last decade.

2. Experience in occupied clinical environments

Every Acme superintendent assigned to a healthcare project holds a current ICRA certification. We deliver per-phase ICRA plans to the infection-control team before work begins and maintain Class IV negative-pressure containment during construction in occupied clinical areas. Our renovation crews work nights and weekends so patient services continue uninterrupted.

3. Preconstruction and VDC capabilities

In-house VDC team with BIM coordination, clash detection, and 4D scheduling on every healthcare project. Preconstruction is led by senior estimators with healthcare-specific experience ... cost certainty and schedule certainty land before guaranteed maximum price, not after. Owner-driven workflow integration from day one.

4. Texas health system relationships

38 years of healthcare construction across DFW. Long-standing relationships with the major Texas hospital systems and the developers who build for them. Many of our superintendents have returned to the same campus across three or four projects with different general contractors. That kind of continuity is the asset.

The operating controls beneath the four pillars

Portfolio depth without the right controls behind it is just a list of completed projects. Here is what backs ours.

Bonding

$50M single-project bonding capacity. $200M aggregate. Co-surety arrangements available above the single-project ceiling. Surety relationship maintained since 1991.

Multi-state licensing

General contractor licenses held in TX, OK, AR, LA. Specialty endorsements where required for healthcare work in each state, including the Texas MED-GAS installer endorsement held in-house.

Self-perform critical scopes

Medical-gas rough-in, headwall installation, and zone-valve commissioning self-performed by Acme crews. No sub-tier coordination risk on the highest-stakes healthcare scope.

Federal funding compliance

Davis-Bacon and prevailing-wage compliance built into project controls. Weekly WH-347 reporting. HRSA, USDA, and HUD-funded healthcare work delivered without a single wage finding.

AHJ and regulatory coordination

Direct working relationships with the local authorities having jurisdiction across DFW. AAAHC, JCAHO, and TJC turnover readiness coordinated as a deliverable, not as a punch-list item.

MEP coordination depth

Senior MEP coordinators in every healthcare project's preconstruction phase. Mechanical room layouts, medical-gas zone valves, and emergency power distribution coordinated before drywall.

Frequently asked questions

Are you bonded for hospital and large healthcare projects?

Yes. Acme Commercial carries a single-project bonding capacity of $50M and aggregate bonding capacity of $200M through our surety carrier. Larger projects can be quoted with co-surety arrangements.

Do you have experience with ICRA (Infection Control Risk Assessment) for occupied-hospital construction?

Yes. Every Acme superintendent assigned to healthcare projects is certified in ICRA training. We deliver per-phase ICRA plans before work begins and maintain negative-pressure containment per Class IV requirements during construction in occupied clinical areas.

Which Dallas-area healthcare systems have you built for?

Our healthcare portfolio includes work for major DFW hospital systems, regional MOB developers, and ambulatory surgery center operators. Project examples available under NDA during the proposal phase.

Can you self-perform medical-gas and headwall installation?

Yes. We hold the Texas MED-GAS installer endorsement in-house and self-perform medical-gas rough-in, headwall installation, and zone-valve commissioning. This reduces schedule risk vs sub-contracting these scopes.

How do you handle Davis-Bacon / prevailing wage on federally-funded healthcare projects?

We run certified payroll for all federally-funded work and submit weekly WH-347 reports through the contracting officer. Our payroll system is configured for Davis-Bacon and Texas state prevailing-wage projects simultaneously.

What states are you licensed in for healthcare construction?

Acme Commercial holds general contractor licenses in Texas, Oklahoma, Arkansas, and Louisiana. We also carry the specialty licenses required for healthcare work in each state (TX-MED-GAS, OK-MECH-MED, etc.). Reciprocity arrangements available for adjacent-state projects.

Request a bid for your healthcare project

Tell us about the project. We'll respond within one business day with the team we'd assign, the proposed schedule, and a bid timeline.

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