Bill Fuller began his career in Denver, CO in the early 1980s working as a young engineer for a firm that specialized in providing structural design services for hospital construction. Mr. Fuller has continued to build on that early experience over the years and has developed a team of professionals at Fuller with the experience and expertise needed to continue to meet the health care industry’s structural design needs. In addition, Fuller now offers building envelope services to the health care industry to not only ensure that the hospitals and other facilities are safe, but to also ensure that they are enduring.

Our health care experience includes critical care facilities, patient bed additions, VA hospitals, medical office buildings, and other infrastructure support primarily in Georgia and the Carolinas.

Clemson University School of Nursing

  • Greenville, SC
  • 78,000 square feet
  • $31.5 million construction costs
  • Concrete Frame with One-Way Wide Module (Skip) Joist Concrete Floor System
  • Architecture by Batson & Associates, Inc.
  • General Contracting by Brasfield & Gorrie

According to a 2017 report by the U.S. Health Resources and Services Administration, South Carolina is projected to have a shortage of over 10,000 registered nurses by 2030. This building is a collaborative effort between the Greenville Hospital System and the Clemson University School of Nursing to partially address this need.

Fuller Group designed the superstructure as a concrete moment frame system with a one-way wide module (skip) joist concrete floor system. The facility design included several structural challenges that had to be resolved. An auditorium on the ground level required the floor slab above to be supported with post-tensioned clear span girders. The connecting link between the Nursing School and the nearby School of Medicine was designed to support two stories of classrooms and collaborative space over an existing access road. Finally, due to the presence of fill on the site, Fuller Group designed the building to be supported on deep foundations using auger-cast piles drilled 40’ below ground.

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Bon Secours St. Francis Millennium Cancer Center

  • Greenville, SC
  • 65,000-square-foot, two-story building designed in the International Style of architecture
  • Steel superstructure with composite concrete floors and moment frames for lateral resistance
  • Signature glass tower at front entrance with cantilevered stair
  • Architecture by McMillan Pazdan Smith Architecture
  • General Contracting by Rodgers Builders

This building is the first freestanding outpatient cancer center for St. Francis and is part of the Phase One construction of a hospital-owned outpatient campus. The facility provides outpatient services for radiation treatments, medical oncology and infusion. The building also includes a pharmacy, café, classrooms, research department, chapel, and library. The facility opened to patients in 2014 and has already won local and state awards for its architecture.

One of the unique challenges for the design of this building was that the second floor was rotated five degrees in plan from the first floor, requiring additional coordination between the architect and engineer. Due to the large amount of exterior glass, Fuller Group selected to utilize moment frames to resist the lateral forces caused by wind or earthquakes. The building analysis was performed utilizing RAM 3D finite element software. The structure was then modeled in Revit for coordination with the other disciplines and for construction document creation.

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St. Joseph’s Emergency Department Renovation & Expansion

  • Savannah, GA
  • St. Joseph’s/Candler Hospital System
  • 17,770-square-foot addition along with 14,000 square feet of renovations
  • Completed utilizing Integrated Project Delivery (IPD)
  • Architecture by Batson & Associates, Inc.

This project involved a single-story addition to an existing emergency department. The addition was designed to support future vertical expansion for an upcoming ICU on the upper level. Fuller Group was hired to provide structural design for the emergency department structure, as well as the two-story volume atrium servicing the emergency department and the renovated outpatient surgery areas. Site structures in Fuller’s scope included the drive-through canopies, the ambulance canopy, and a new helipad.

The expansion is constructed of a composite concrete slab supported by conventional steel framing and an auger-cast grout pile deep foundation system. Original hospital construction consisted of concrete frames and therefore required isolation of the new steel system from the existing structure.

The atrium is the signature architectural feature and consists of a two-story volume with an arc along the south wall. The atrium is steel framed clad in a full height curtain wall system. This structure was challenging in terms of designing moment frames required to resist the large wind and seismic forces possible for this site and building occupancy. We designed built-up columns to provide the structure of the moment frames.

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