331 Hospital

Designed as complete health care facilities, hospitals typically include a number of different health services within one building or groups of buildings. Typical areas found include diagnostic, surgery, patient care, delivery, nursery, emergency, administration, service areas and pharmacies.

The amount of actual area associated with all or some of these specific areas varies with the size of the building and the number of people serviced by the hospital. The types of facilities available in the hospital generally are commensurate with the overall quality of the structure.

Lower quality hospitals have a large ward area while higher quality ones have a large amount of private rooms. These quality variations result in the amount of area per bed ranging between 625 and 1,700 square feet.

Exterior finishes vary with decorative marble, granite, concrete, and metal and glass panels in the better qualities and brick, block, and masonry veneers with very little ornamentation at the lower quality.

Plaster or drywall is found on the interiors with suspended acoustic tile ceilings. Floor finishes are commonly ceramic, vinyl or some other type of resilient floor cover. Signal systems, special oxygen piping and pneumatic conveyors are commonly found. They conform to the overall quality and design of the structure. Most hospitals have complete heating, ventilating and air conditioning systems and emergency power equipment.

The costs include Group I equipment that is installed in or attached to the building as a part of the general contract.

Since hospitals have higher requirements for heating, cooling and ventilation, use component 617 (Complete HVAC) for HVAC costs.

The following are not included in the costs: Canopies and balconies; Group II equipment that may be installed and becomes a part of the real property, but is typically not a part of the general contract (such as autoclaves, permanent surgical lights and other equipment); and Group III equipment that is movable personal property (such as furniture, fixtures, instruments, etc.).

Availability of Elevators by Area for this occupancy: Yes

Marshall Valuation Service sections: 15 and 45.

Typical Lives:

					Class
Quality	A	B	C	D	H	M	P	S	W
Low	45	45	40	35	--	--	--	35	--
Average	45	45	40	35	--	--	--	35	--
Good	50	50	45	40	--	--	--	40	--
Excellent	50	50	45	40	--	--	--	40	--

Quality Selection Guide:

Class A (Fireproof Structural Steel Frame)

Quality	Exterior Walls	Interior Finish	Mechanicals	HVAC
Low	Concrete panels, brick, very plain, small entrance	Drywall, acoustic ceilings, vinyl composition, minimum detail	Signal system, adequate lighting & plumbing	Complete HVAC.
Average	Metal and glass, concrete, brick panels, little ornamentation	Drywall, acoustic ceilings, vinyl and ceramic floors, linoleum	Signal system, oxygen piping, adequate lighting & plumbing	Complete HVAC.
Good	Brick, metal and glass, stone trim, some ornamentation	Plaster or drywall, best enamels or vinyl walls, ceramic, vinyl, rubber tile	Signal system, oxygen piping, pneumatic conveyors	Complete HVAC.
Excellent	Marble, granite, best metal and glass, highly decorative	Plaster, vinyl and tile wall surfaces, best ceilings and floors	Oxygen, pneumatic conveyor, signal, much automation	Complete HVAC.

Class B: Reinforced Concrete Frame

Quality	Exterior Walls	Interior Finish	Mechanicals	HVAC
Low	Concrete panels, brick, very plain, small entrance	Drywall, acoustic ceilings, vinyl composition, minimum detail	Signal system, adequate lighting & plumbing	Complete HVAC.
Average	Metal and glass, concrete, brick, little ornamentation	Drywall, acoustic ceilings, vinyl and ceramic floors, linoleum	Signal system, oxygen piping, adequate lighting & plumbing	Complete HVAC.
Good	Brick, metal and glass, stone trim, some ornamentation	Plaster or drywall, best enamels or vinyl walls, ceramic, vinyl floors	Signal system, oxygen piping, pneumatic conveyors	Complete HVAC.
Excellent	Marble, granite, face brick, highly decorative	Plaster, vinyl and tile wall surfaces, best ceilings and floors	Oxygen, pneumatic conveyor, signal, much automation	Complete HVAC.

Class C (Masonry Bearing Walls)

Quality	Exterior Walls	Interior Finish	Mechanicals	HVAC
Low	Brick, block, tilt-up, small entrance, very plain	Plaster or drywall, acoustic tile, vinyl composition, minimum detail	Adequate lighting & plumbing, signal system, few extras	Complete HVAC.
Average	Metal and glass, brick, block, concrete, little ornamentation	Plaster or drywall, acoustic ceilings, vinyl or tile floors, some ceramic	Signal system, oxygen piping, adequate lighting & plumbing	Complete HVAC.
Good	Brick, metal and glass, stone, good ornamentation	Plaster or drywall, best enamels or vinyl walls, ceramic, vinyl floors	Signal system, oxygen piping, good lighting & plumbing	Complete HVAC.
Excellent	Stone ashlar, best metal or concrete and glass panels	Plaster, vinyl and tile wall surfaces, best ceilings and floors	Oxygen, pneumatic conveyor, signal, much automation	Complete HVAC.

Class D (Wood or Steel Framed Exterior Walls)

Quality	Exterior Walls	Interior Finish	Mechanicals	HVAC
Low	Stucco or siding, little trim or ornamentation	Drywall or plaster, acoustic tile, vinyl composition, minimum extras	Adequate lighting & plumbing, minimum signal system	Complete HVAC.
Average	Brick veneer, good stucco or siding with brick or stone trim	Plaster or drywall, acoustic ceilings, vinyl or tile floors, some ceramic	Adequate lighting & plumbing, signal system, some extras	Complete HVAC.
Good	Brick veneer, EIFS, good entrance and ornamentation	Plaster or drywall, enamel or vinyl, ceramic tile and vinyl floors	Signal system, oxygen piping, good lighting & plumbing	Complete HVAC.

Class S (Metal Frame and Walls)

Quality	Exterior Walls	Interior Finish	Mechanicals	HVAC
Low	Insulated panels	Metal or drywall, acoustic tile ceilings, vinyl composition	Minimum general hospital facilities	Complete HVAC.