431 Outpatient (Surgical) Center

These buildings are freestanding outpatient or same-day surgery facilities. This category will also include specialized radiation and imaging treatment and diagnostic centers. They include clinical surgery, diagnostic, lab, administrative and public areas. Operating rooms on average represent 2.5 percent of the total floor area. Most centers have complete heating, ventilating and air conditioning systems and emergency power equipment.

Since outpatient/surgical centers have higher requirements for heating, cooling and ventilation, use component 617 (Complete HVAC) for HVAC costs.

The cost includes fixed equipment only but does not include the following: 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: No

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) and Class B: Reinforced Concrete Frame:

Quality	Exterior Walls	Interior Finish	Mechanicals	HVAC
Average	Brick, concrete panels, metal and glass, little ornamentation	Drywall, vinyl & tile wall surfaces, good ceilings and floors, some shielding	Adequate lighting & plumbing for surgical facilities, some extras	Complete HVAC.
Good	Brick, metal and glass, stone trim, some ornamentation	Plaster or drywall, best enamels or vinyl walls, ceramic, vinyl, rubber tile	Good lighting & plumbing, best surgical, good imaging center	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	Minimum treatment facilities, dialysis, some diagnostic	Complete HVAC.
Fair	Brick, ornamental block, some metal and glass and trim	Plaster or drywall, acoustic ceilings, vinyl composition, some carpet	Adequate therapeutic, wellness facility, good dialysis	Complete HVAC.
Average	Metal and glass, brick, block, concrete, little ornamentation	Plaster or drywall, acoustic ceilings, vinyl or tile floors, carpet	Adequate lighting & plumbing for surgical or cancer facilities	Complete HVAC.
Good	Brick, metal and glass, stone, good concrete, good entrance	Plaster or drywall, best enamels or vinyl walls, ceramic, vinyl, shielding	Good lighting & plumbing, small lab, some extras, good imaging	Complete HVAC.
Excellent	Stone ashlar, best metal or concrete and glass panels	Plaster, vinyl and tile wall surfaces, best ceilings and floors	Best diagnostic and research, best radiation therapy	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 diagnostic facilities	Complete HVAC.
Fair	Siding, brick veneer, some metal and glass and trim	Plaster or drywall, acoustic ceilings, vinyl composition, some carpet	Adequate therapeutic, wellness facility, good dialysis	Complete HVAC.
Average	Brick veneer, EIFS, ornamental stucco, metal and glass	Plaster or drywall, acoustic ceilings, vinyl or tile floors, carpet	Adequate lighting & plumbing for surgical or cancer facilities	Complete HVAC.
Good	Face brick or stone veneer, good entrance and trim	Plaster or drywall, best enamels or vinyl walls, ceramic, vinyl, shielding	Good lighting & plumbing, small lab, some extras, good imaging	Complete HVAC.
Excellent	Ashlar stone veneer, best metal and glass panels	Plaster, vinyl and tile wall surfaces, best ceilings and floors	Best diagnostic and research, best radiation therapy	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 extras	Minimum treatment facilities, dialysis, some diagnostic	Complete HVAC.
Fair	Insulated panels, some trim	Plaster or drywall, acoustic ceilings, vinyl composition, some carpet	Adequate therapeutic, wellness facility, good dialysis	Complete HVAC.
Average	Insulated panels, some metal and glass	Plaster or drywall, acoustic ceilings, vinyl or tile floors, carpet	Adequate lighting & plumbing for surgical or cancer facilities	Complete HVAC.