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Designing for Change: Adaptive Healthcare Spaces Through Modular & Prefabricated Solutions

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Healthcare facilities are no longer designed for a single, fixed purpose. From pandemic response and patient surges to evolving infection control standards and care delivery models, today’s hospitals must be built for flexibility. In this SVL Coffee Break, Jeff Peterson welcomed Amy VanWagner, National Sales Director for AJ Manufacturing, to discuss how modular construction and prefabricated HVAC solutions are helping healthcare facilities design for long-term adaptability without sacrificing performance, compliance, or speed to occupancy.

The central theme of the discussion was clear: adaptability is no longer a luxury in healthcare design—it is a strategic necessity.

Why Adaptable Healthcare Design Matters

Healthcare environments demand high standards of performance and flexibility:

  • Shifting patient volumes and acuity levels
  • Outpatient growth and decentralized care
  • Pandemic preparedness and surge capacity
  • Stricter infection control requirements
  • Evolving codes and standards

Traditional construction methods can struggle to keep pace with these pressures. Modular and prefabricated systems offer a faster, more predictable alternative—supporting future-ready healthcare facilities that can adjust as needs evolve.

What Modular & Prefabricated Solutions Mean for HealthcareCeiling-Mounted Criti-Clean Ultra Fan Filter Units

By shifting construction to a controlled manufacturing environment, project teams gain:

  • Reduced onsite construction time
  • Improved installation accuracy
  • Enhanced quality control
  • Better schedule predictability
  • Reduced disruption in occupied facilities

For healthcare HVAC systems specifically, prefabrication supports tighter coordination between trades—minimizing field conflicts and accelerating commissioning.

Infection Control & Air Distribution: The HVAC Priority

One of the most critical elements of adaptive healthcare design is ventilation performance. Healthcare spaces must meet strict requirements for:

  • Air changes per hour (ACH)
  • Pressure relationships (positive and negative isolation)
  • HEPA filtration
  • Redundancy and reliability
  • Code compliance (ASHRAE 170, FGI Guidelines)

Amy emphasized the importance of designing air distribution systems that can accommodate room-use changes. For example, converting a patient room into an airborne infection isolation room requires thoughtful planning around duct routing, dampers, and pressure control.

Modular plenum systems with structural supports allow engineers to build in this flexibility from the start.

Scalability & Phased Expansion

Healthcare campuses rarely stay static. Expansion phases, department relocations, and renovation projects are part of long-term growth strategies.

Designing for scalability reduces lifecycle costs and avoids major system overhauls when future demands arise.

Speed to Market Without Sacrificing Quality

Healthcare projects are often on aggressive schedules. Prefabricated mechanical systems help compress timelines while maintaining precision.

Factory-built assemblies:

  • Reduce field labor
  • Improve installation consistency
  • Enhance patient safety
  • Simplify inspections
  • Improve operational efficiency

For facilities undergoing renovations, modular solutions minimize downtime and disruption to active patient care areas—an increasingly important consideration in occupied hospitals.

Designing for Long-Term Performance

The discussion reinforced that adaptive healthcare design is not about short-term flexibility—it’s about strategic resilience.

Engineers must evaluate:

  • Long-term energy performance
  • Maintainability and service access
  • Code evolution
  • Surge capacity planning
  • Integration with future technologies

By incorporating modular and prefabricated strategies early in design, project teams can reduce risk and build healthcare environments capable of evolving alongside patient care demands.

Preparation Over Reaction

Healthcare systems cannot afford reactive design. The future will continue to bring regulatory changes, technology advancements, and shifting patient expectations.

Designing for adaptability today—through modular construction, prefabricated HVAC systems, scalable infrastructure, and flexible air distribution—positions facilities to respond quickly without compromising safety or compliance.

Need Support for Your Healthcare Project?

If you’re designing or retrofitting healthcare facilities, SVL can help evaluate modular HVAC solutions, prefabricated assemblies, infection control strategies, and scalable infrastructure planning tailored to your application.

Don’t Miss the Next SVL Coffee Break

Be sure to catch the next SVL Coffee Break—our exclusive 50-minute webinar series featuring the HVAC industry’s most innovative voices. Whether your focus is on decarbonization, IAQ, or long-term energy planning, SVL is your trusted partner in delivering sustainable HVAC solutions.

To stay informed about upcoming sessions, sign up for our marketing emails, opt-in now.

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                      Jim Lubratt

                      President & Chief Executive Officer

                      Jim Lubratt has been president of SVL since 2006. He first joined the company as a sales engineer in 1992 and was made a partner in 2000. He holds a Bachelor of Science in mechanical engineering from Southern Methodist University and first entered the HVAC industry as a marketing engineer for a heat pump manufacturer in Texas.

                      In addition to his role at SVL, Jim is vice president of AQC Industries, LLC, a manufacturer of specialized underground ductwork systems. He is also an investor and board member for Hydromx, Inc., a manufacturer of heat transfer nanofluids, and Crotega, Inc., creators of personal and building security solutions.

                      Jim and his wife, Tracy, met in college and married in 1993. They have three children, two of whom have graduated college in Texas, while their youngest is attending Grand Canyon University in Arizona.

                      Outside of work, Jim places a priority on his faith, family, friends, and fitness. He enjoys helping people-supporting charities, time with his wife and kids, road-biking with friends and efforts to stay physically fit.

                      A message from Jim on the achievements of SVL

                      SVL started in February 1967 by Charlie Schwab and Craig Vollhaber. Schwab-Vollhaber, Inc. (as it was named at the time) steadily grew and, in 1985, welcomed Paul Lubratt as another partner, becoming Schwab-Vollhaber-Lubratt, Inc. SVL’s founders had the determination to build the most talented, customer-focused HVAC representative in the Midwest. Our original drive and passion still shape the company and culture to this day. The achievements of an organization are the results of the combined efforts of every individual. From humble beginnings, SVL founders paved the way to industry success with hard work and determination. “Today, SVL is strongly organized with great people to lead our industry forward as we are challenged with fast-paced changes to reduce our environmental impact,” says Jim. Now, 55+ years later, SVL is under the leadership of two new principals who share the same vision and drive that has propelled SVL throughout the years. Built on a foundation of integrity, Jim Lubratt, and Charlie Vollhaber strive to ensure opportunities for personal growth, improved work environment, and shared life enrichment. The achievements of our organization are the results of the combined efforts of every individual.

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                      Charlie Vollhaber

                      Executive Vice President & Officer

                      Charlie Vollhaber is a third-generation employee at SVL, as a grandson of company co-founder Craig Vollhaber and son of former CEO Todd Vollhaber. Charlie holds a Bachelor of Science in mechanical engineering and an MBA, both from the University of Minnesota. He became an outside salesman for SVL in 2013, was made a partner in 2019, and then executive vice president and officer in 2022.

                      He grew up playing sports, including football, basketball, golf, and track, and enjoys the competitive nature of the HVAC industry. “I like that no two days are ever the same as there are always questions to answer and problems to solve,” he says. “Most of all, I enjoy working with great people and coordinating together on challenging projects to achieve positive results together.”

                      Outside of work, Charlie enjoys spending time with his wife, Lesley, and their three boys. He’s also fond of golfing, traveling, and attending concerts and sporting events. One of his favorite quotes is from the book of Philippians: “Do nothing from selfish ambition or conceit, but in humility count other more significant than yourselves. Let each of you look not only to his own interests, but also to the interests of others.” Because HVAC and construction is such a team effort, he says, “this mindset helps to create positive results in a vast majority of situations.”

                      A message from Charlie on the culture of SVL

                      “At SVL, we strive to cultivate a unique culture that revolves around finding and empowering exceptional individuals. We believe in equipping our team members with the right tools and resources to succeed.

                      As we’ve grown the business, we have deliberately maintained a small firm culture, fostering an environment where collaboration thrives. We encourage open dialogue and promote a sense of comfort among our employees, allowing anyone to ask questions and seek guidance from anyone else, regardless of their level within the organization.

                      We foster a workshop-like atmosphere where everyone’s contribution is valued. Presenting your work to another individual or a group of teammates provides a platform for collaboration, where ideas are shared, dissected, and improved collectively. We firmly believe in the power of mentoring and provide various avenues for both formal and informal guidance. Whether it’s through structured training programs or casual conversations, we encourage team members to discuss a wide range of topics, from work-related successes or issues to everyday personal life topics.

                      In summary, our culture is built on the foundation of attracting exceptional individuals, empowering them with the necessary tools, and fostering a collaborative environment where mentorship and growth thrive. We are committed to creating an atmosphere where every team member feels supported, valued, and encouraged to reach their fullest potential.”

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                      Al Gramse

                      Vice President of SVL Service Corporation

                      Al Gramse has been in the HVAC industry for over 30 years. He began as a service technician.  Then over his career worked in technical support, building automation, then service manager prior to his current role.

                      How did Al end up in the HVAC industry?  “After high school, I took a couple years to figure out what I wanted to do.   Where I was working at the time, a grumpy old coworker, who I didn’t get along with, walked up to me and said ‘What are you doing here?  Go back to school.’”  I said, “For what?”  He said “There’s a tech school down the street.  Go down there and pick something that interests you”. Then he walked away.  That weird interaction, with someone I didn’t get along with, sent me down a 30-year path in the HVAC industry.   Never underestimate the potential of a little encouragement.   Even if it is from a strange source.

                      Al has been with SVL for 15 years and is the head of our SVL Service division. “The people here are some of the best in the industry,” Al says. “A bunch of team-oriented, knowledgeable, go-getters.” His personal mantra is “figure it out,” “Do a little fact-finding on your own. Use your own brain before you use someone else’s. But know when to ask for help.” he prescribes. “It’s amazing what you can accomplish on your own if you dig in a little bit.”

                      Outside of work, Al has lots of outdoor hobbies, including hunting, fishing, and motorcycling, though his favorite pastime is simply hanging out with family.

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                      Jennifer Roach

                      Director of Marketing, Events & Administration

                      More than just a creative director, Jen brings 30 years of marketing and leadership magic to SVL. Her journey began in the trenches of graphic design, quickly evolving into crafting eye-catching campaigns for iconic brands like Target, Gabberts, Gander Mountain and Camping World. As a seasoned director and agency veteran, she honed her skills with recreational vehicle giant Parts Unlimited before leading creative teams at HOM Furniture and, ultimately, landing at SVL during a crucial growth phase.

                      Jen thrives on "servant-leadership," empowering her team and fostering a culture of trust and mutual respect. "It unlocks their potential, fuels creativity, and leads to work we're all proud of," she says. "I want my team to care, collaborate, and push boundaries together."

                      When not shaping impactful campaigns, Jen enjoys weekend adventures with her husband, Scott, and son, Crew. Their lives are a tapestry of shared passions, from bike rides and baking experiments to cheering on Simley High School wrestlers. And with her recently built forever home in Cottage Grove, her free time now includes a new, thrilling chapter: weekend renovation warrior!

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                      Mike Ruff

                      Vice President of Information Technology

                      Mike Ruff, the Vice President of Information Technology at SVL Inc., is a seasoned professional with an impressive 24-year tenure in the IT industry. His journey in the field is marked by extensive experience and expertise in various domains, including serving as a Cloud Architect focusing on Azure Software as a Service (SaaS), Infrastructure as a Service (IaaS), and both B2B and B2C solutions. Mike’s skills extend to being a Security Architect, where he has honed his knowledge in safeguarding digital assets, and he is also proficient in the Microsoft 365 stack, virtualization, routing, switching, and wireless technologies.

                      Beyond his professional roles, Mike is deeply passionate about technology in all its forms, which is evident in his career and personal hobbies. His love for technology is not just limited to his work but also spills over into his leisure activities. In the summertime, Mike enjoys the thrill of riding his motorcycle, embracing the freedom and adventure it brings. When winter arrives, he switches gears to snowboarding, seeking the excitement and challenge of the snowy slopes. These hobbies reflect Mike’s dynamic personality and continuous pursuit of technically engaging and physically exhilarating activities.

                      Mike Ruff's blend of professional expertise and personal passions make him a unique and valuable asset to SVL Inc., embodying a perfect synergy of technical acumen and a zest for life's adventurous aspects.

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