Healthcare Assessments and Construction Consulting
PR&A has played an expansive role in supporting our nation's healthcare system by thoroughly assessing and providing construction oversight for a wide array of medical office buildings and healthcare facilities. Our portfolio includes high-rise towers, expansive healthcare campuses, regional portfolios, and specialized environments such as life science and biomanufacturing facilities.
Healthcare Assessments and Construction Consulting
PR&A has played an expansive role in supporting our nation's healthcare system by thoroughly assessing and providing construction oversight for a wide array of medical office buildings and healthcare facilities. Our portfolio includes high-rise towers, expansive healthcare campuses, regional portfolios, and specialized environments such as life science and biomanufacturing facilities.
By the Numbers
12 M +
SF of Healthcare Facilities
27 +
Years of Service
250 +
Properties Assessed
50
States Served
Our Services
Property Condition Assessments by experienced professionals with a broad knowledge of all building systems. Our assessments are defined by:
- Timely execution for due diligence schedules.
- Thorough field engineering and document analysis.
- Detailed and reliable opinions of cost.
- Comprehensive reporting and photographs.
Development consulting services rooted in engineering & architectural principles; with services that span the project lifecycle:
- Site & Development Feasibility Analysis
- Comprehensive Document and Design Review.
- Construction Monitoring, Oversight, and Draw Review.
- Close-Out Reporting and Warranty Inspections
Engineering and construction services for owned assets:
- Capital Projects & Planning Assessments
- Tenant Improvements & Obligation Review
- Emergency Repairs & Insurance Claim Oversight
- Sustainability, Resilience & Building Optimization projects.
Seasoned engineers and architects with experience addressing unique challenges and specialized building systems and an institutional network of established specialty subconsultants for every building system and assessment type.
- Assessments for all building systems.
- Actionable recommendations.
- Extensive and high quality specialist network.
Sustainability, risk, and resilience assessments integrated with our development consulting, asset management, and property condition assessment services. This approach enables stakeholders to explore sustainable and risk-adverse initiatives during investment evaluations and during capital project assessments. This includes:
- Sustainability and efficiency assessments for acquisitions, developments, and owned assets.
- Climate Risk & Resilience assessments for asset managers, risk managers and ESG+R leadership.
Property Types
High-Rise Medical Office Buildings
Assisted Living
Regional Healthcare Portfolios
Campus Hospitals
Life Science and Biomanufacturing
Medical Office Buildings
Who We Serve
Healthcare Property REITS
REITs focused on owning, managing, and sometimes operating income-generating properties, offering investors regular income from healthcare properties.
Institutional & Private Equity Investors
Pension funds, insurance companies, or private equity firms, that allocate significant capital into healthcare properties.
Lenders & Banks
Lenders and banks that provide financing for office acquisitions, development, or renovations, offering loans for healthcare properties.
Developers
Plans, finances, and oversees the construction of healthcare properties, ensuring design, construction, and operational goals align with market demands and profitability.
Office and Healthcare Managers
Teams that manage the day-to-day operations of a property, including tenant services, staff management, maintenance, marketing, and ensuring profitability and high service standards.
Hospital Systems
A group of hospitals, often including clinics and other healthcare facilities, that are operated, owned, or maintained by a single entity, allowing for coordinated care across multiple locations under a unified management structure.
Experience with leading office and healthcare investors, operators, and developers.
Representative Projects

Justin Lia
Justin Lia is the Chief Growth Officer and Co-President of Pond, Robinson & Associates and brings over 25 years of diverse experience in commercial real estate. Having grown up in a family of contractors, engineers, architects and developers commercial real estate is a big part of Mr. Lia’s life. Mr. Lia has worked as a contractor, a construction inspector, a design engineer, a forensic engineer, a broker, a developer, and extensively as a real estate due diligence advisor for both transactional and occupier clients. His specialty is leveraging his extensive experience in commercial real estate to understand complex real estate transactions and guide clients through technical scopes of work that mitigate risk in their investments and manage the lifecycle costs of their buildings. Mr. Lia has been a registered professional engineer for over 20 years.
As a civil engineer, Mr. Lia was responsible for preparing commercial and residential site plans, due diligence reports/feasibility analyses, entitlements, infrastructure assessments (projects up to $3.7B), building inspections, and various structural and geotechnical engineering services. Clients include both public and private on a host of projects ranging from a runway extension on an air force base, slope stability for a Department of Energy particle collider, to the feasibility of large mixed-use sports and gaming complexes, to the structural design and retrofit of retail centers, to large earth retaining and waterfront structures, and a variety of others across all asset types. Mr. Lia has guided clients through the physical, environmental and capital planning due diligence process on many of the largest, most valuable buildings in the United States including: The Bellagio Hotel and Casino, the Willis Tower, multiple movie studios, a 15MM SF industrial/warehouse portfolio, large hospital/MOB portfolios, large multifamily portfolios, sale-leaseback transactions, retail malls, and many large office complexes. Mr. Lia is a subject matter expert in site, civil, geotechnical engineering, and real estate due diligence, and has served as an expert witness.
Education
Bachelor of Science, Civil Engineering, University at Buffalo
Introduction to Corporate Finance, University of Pennsylvania
Registrations
Professional Engineer, New York, 2004
STAAD Certified Engineer
OSHA 10 Hour Construction Safety and Health
A.CRE Accelerator Certificate (CRE Financial Modeling)
LEED AP Building Design + Construction, USGBC

Kyle Christiansen
Kyle Christiansen has 4 decades of experience as a licensed architect. His design work includes healthcare, educational, multifamily, single family, linear park, and public projects including new construction, renovation, adaptive re-use, and historic preservation. He has performed PCAs for lenders and investors for office, retail, industrial, hospitality, healthcare, educational, mixed-use, manufactured housing, amusement, military-base, and marina properties. He has conducted portfolio FCAs for healthcare, k-12 schools, colleges, universities, municipalities, states, libraries, conference centers and various commercial facilities. He has also worked with multiple regional national engineering and building science companies to perform testing services and has served as expert witness in 10 states for disputes related to condition assessments.
He has extensive experience with PCAs, FCAs, Construction Document and Cost Reviews, Energy and Accessibility Reviews, and has engaged with ESA (as a licensed asbestos inspector), seismic, and zoning assessments. As an executive leader, he has served as Director of Engineering or Regional Manager of multiple national due-diligence and engineering companies. His national leadership includes work on 3 ASTM committees, performing expert witness services in 10 states, speaking engagements at multiple regional and national industry conferences, and published articles in multiple industry journals. He has hired and trained more than 100 architects and engineers. He has extensive experience performing construction consulting services and commercial real estate due diligence services for property owners, developers and lenders.
Mr. Christiansen possesses a comprehensive understanding of a variety of building systems and types, design and construction techniques, building codes and standards, and maintenance and repair strategies, which allows him to provide a qualified and focused approach to construction management, commercial property review, assessment and due diligence investigations.
Education
- Bachelor of Science – Architecture, University of Illinois
- Master of Science – Architecture, University of Buffalo

Rebecca Fischer
Rebecca L. Fischer is the Director of Construction Services at Pond, Robinson & Associates and brings over 25 years of facilities and construction consulting experience to the firm. Ms. Fischer has been involved in the design and construction of several new facilities, development and construction monitoring of large projects, and the assessment of existing buildings nationwide. She has over 21years of experience at PR&A working with our Investment and Asset Management clients on high profile development projects including high-profile resorts, office and residential complexes, and multi-family projects with total project costs of up to $935M. Through her experience with development and construction projects she has cultivated an understanding of site development, building construction administration, specifications, scheduling, quality assurance, cost control, and project management issues. She is a registered LEED® AP BD+C professional which has helped clients achieve their sustainability goals within their portfolio.
As Director of Construction Services, Ms. Fischer is tasked with client relations, coordination of services, mentorship and management of personnel, continuing education, and the quality maintenance of the construction related services and reporting. She is also actively involved in the construction administration and monitoring of several projects. Her years of experience allow here to add value for her clients related to budget, scheduling, quality control, and assessment of building components and design including the building envelope and accessibility.
Education
Bachelor of Science, Civil Engineering, Texas A&M University, 1997
Master of Engineering, Civil Engineering, Texas A&M University, 1999
Registrations
Professional Structural Engineer, Texas since 2003
LEED® AP BD+C since 2012