Randy Keiser, senior vice president, director of national healthcare, Turner Construction Company (Brentwood, Tenn.)
Editor’s Note: This article is part a Healthcare Design’s Industry Predictions series. Throughout January, HCD will share perspectives from respected industry voices on where the sector may head in 2026 and what challenges and opportunities are on their radar.
Courtesy of Turner Construction Company
Healthcare Design’s 2026 Healthcare Design Industry Predictions series continues with Randy Keiser, senior vice president, director of national healthcare, Turner Construction Company (Brentwood, Tenn.).
Here, Keiser discusses some of the opportunities and challenges he sees for 2026, including growing momentum for freestanding emergency departments and continued financial tightening as healthcare reimbursement challenges persist.
Healthcare Design: What lessons did the industry learn from 2025’s challenges?
Randy Keiser: The industry continues to face long lead times for major mechanical and electrical equipment. Lessons learned include the importance of identifying key equipment early and developing early bid packages to maintain project schedules.
Project teams must remain nimble and methodical, clearly distinguishing between wants and needs to control program costs and align with hospital pro forma requirements.
HCD: Where do you think the healthcare design industry will head in 2026?
Keiser: The industry will continue to experience financial tightening as healthcare reimbursement challenges persist.
Design and construction teams will need to prioritize efficiency in both design and execution to deliver more cost-effective solutions.
HCD: What emerging trends or opportunities are you most excited about—and why?
Keiser: There is growing momentum in constructing freestanding emergency departments (FSEDs) and other hospital components within manufacturing environments. Assembling these components off-site increases efficiency and reduces on-site labor demands.
This trend shows strong potential for improving delivery outcomes for FSEDs, clinics, and small hospitals.
Anne DiNardo is editor-in-chief of Healthcare Design and can be reached at [email protected].
