Healthcare facilities present unique challenges for acoustical, noise and vibration design. Medical buildings typically require substantial mechanical systems. Noise from these can impact patients/staff and adjacent properties, leading to community noise issues, while vibration can affect sensitive instruments. Patient privacy rules, OSHPD-driven limitations on noise control materials, and special facilities like MRI suites and helipads can pose additional acoustical and vibration design challenges for hospitals and medical centers. Below are some of our projects in healthcare settings.