Log in
LEED v2009
Healthcare
Minimum Program Requirements
Must be a complete, permanent building or space

LEED CREDIT

Healthcare-v2009 MPR2: Must be a complete, permanent building or space Required

See all forum discussions about this credit »

LEEDuser expert

Tristan Roberts

LEED AP BD+C, LFA

Vermont House of Representatives
Representative

LEEDuser’s viewpoint

Frank advice from LEED experts

LEED is changing all the time, and every project is unique. Even seasoned professionals can miss a critical detail and lose a credit or even a prerequisite at the last minute. Our expert advice guides our LEEDuser Premium members and saves you valuable time.

Credit language

USGBC logo

© Copyright U.S. Green Building Council, Inc. All rights reserved.

Requirements

All rating systems
All LEED projects must be designed for, constructed on, and operated on a permanent location on already existing land. LEED projects shall not consist of mobile structures, equipment, or vehicles. No building or space that is designed to move at any point in its lifetime may pursue LEED Certification.
New Construction, Core & Shell, Schools, Retail – New Construction, Healthcare
LEED projects must include the new, ground-up design and construction, or major renovation, of at least one commercial, institutional, or high-rise residential building in its entirety.
Commercial Interiors, Retail – Commercial Interiors
The LEED project scope must include a complete interior space distinct from other spaces within the same building with regards to at least one of the following characteristics: ownership, management, lease, or party wall separation.
Existing Buildings: O&M
LEED projects must include at least one existing commercial, institutional, or high-rise residential building in its entirety. See all forum discussions about this credit »

What does it cost?

Cost estimates for this credit

On each BD+C v4 credit, LEEDuser offers the wisdom of a team of architects, engineers, cost estimators, and LEED experts with hundreds of LEED projects between then. They analyzed the sustainable design strategies associated with each LEED credit, but also to assign actual costs to those strategies.

Our tab contains overall cost guidance, notes on what “soft costs” to expect, and a strategy-by-strategy breakdown of what to consider and what it might cost, in percentage premiums, actual costs, or both.

This information is also available in a full PDF download in The Cost of LEED v4 report.

Learn more about The Cost of LEED v4 »

Addenda

11/1/2011
LEED Interpretation
Inquiry:

May projects using LEED rating systems other than LEED for Core and Shel include incomplete spaces at the time of their final LEED certification application? Are we able to pursue LEED 2009 Core and Shell certification and exclude small, incomplete spaces from the LEED submittals?

Ruling:

Buildings and spaces that receive LEED certification should be completed by the time they have submitted for their final LEED certification review. Complete means that no further work is needed and the project is ready for occupancy. For LEED for Commercial Interiors and LEED for Retail: Commercial Interiors projects, spaces are considered incomplete if they do not include the furnishings, fixtures, and equipment (FF&E) intended for regular operations of the space. This LEED Interpretation clarifies the requirements of MPR #2: MUST BE A COMPLETE, PERMANENT BUILDING OR SPACE for projects using LEED 2009 rating systems (other than LEED for Core and Shell) that contain incomplete spaces at the time they are submitted for final certification review. No more than 40% of the certifying gross floor area of a LEED project may consist of incomplete space, unless the project is using the LEED for Core and Shell rating system. Additionally, projects that include incomplete spaces must utilize Core and Shell Appendix 1 in the LEED 2009 Reference Guide for Green Building Design and Construction to establish the occupant counts for incomplete spaces. For projects using a rating system other than LEED for Core and Shell that contain incomplete spaces the project team must provide the following supplemental documentation:Mandatory for all projects with incomplete spaces: All projects containing incomplete spaces must be accompanied by a Letter of Commitment, signed by the Owner, indicating that the remaining incomplete spaces will satisfy the requirements of each prerequisite and credit achieved by this project if and when completed by the Owner. This letter may cover the commitment in general terms and need not address each prerequisite or credit individually. It should be uploaded along with a brief narrative of the project\'s special circumstances in the Additional Details section of Project Information Form 1 in LEED Online v3. For credits and prerequisites with established baselines, such as WEp1 and EAp2 (performance path only), and the other credits dependent upon the calculations in these two prerequisites, the proposed (i.e. design) case must be held equivalent to the baseline for the incomplete spaces. For all other prerequisites and credits, project teams may either demonstrate that the present LEED project\'s scope of work is sufficient to satisfy the requirements for the incomplete space(s), or indicate that the Letter of Commitment ensures that future fit-outs by the LEED project Owner will comply with these requirements. Future fit-outs by Tenants (i.e., parties other than the Owner) are not bound by this Letter of Commitment. Additional requirement for projects with incomplete spaces that are intended for future fit-out by Tenants: In addition to the mandatory requirements described above, any project containing incomplete space(s) intended to be fit-out by Tenants (i.e. parties other than the Owner) must be accompanied by a set of non-binding Tenant Design and Construction Guidelines. Criteria for acceptable Tenant Design and Construction Guidelines can be found in the LEED 2009 Reference Guide for Green Building Design and Construction, in the section for LEED Core and Shell SS Credit 9: Tenant Design and Construction Guidelines. These guidelines must provide project-specific strategies and information concerning how the future fit-out of the space can fulfill the LEED for Commercial Interiors rating systems and how the future fit-out of the space can fulfill the requirements of prerequisites and credits achieved by the completed portions of the project. These guidelines should also be uploaded as documentation of Special Circumstances in the Additional Details section of Project Information Form 1 in LEED Online. No Innovation in Design points will be awarded for providing these guidelines.It is understood that in some cases the Owner will not be certain about whether the incomplete space(s) in the LEED project will be fit-out by the Owner or a Tenant. In the special circumstances narrative for Project Information Form 1, the project team must explain the basis for their assumptions about who will be fitting-out the incomplete space and then provide the appropriate supplemental documentation as per the requirements above. Applicable internationally.

**Update 1/27/2017
Additional guidance for projects where up to 10% of the building gross square footage or 20,000 gsf (whichever is smaller) contains incomplete space.
LEED 2009 BD+C (except LEED Core & Shell 2009) and LEED 2009 ID+C
For the ease of documentation, project buildings where up to 10% of the building gross square footage or 20,000 gsf (whichever is smaller) contains incomplete space, will not be required to provide an Owner’s Letter of Commitment or Tenant Guidelines during the LEED certification submittal. These projects are required to comply with all other provisions outlined in this LEED Interpretation.

LEED 2009 Core & Shell
Incomplete space up to 10% of the building’s gross square footage or 20,000 gsf (whichever is smaller) is exempt from providing binding Tenant Sales and/or Lease Agreements for the purpose of demonstrating compliance with the following prerequisites and credits listed in LEED CS 2009 Appendix 4 Case C: EAp3 Fundamental refrigerant management, EAc4 Enhanced refrigerant management, IEQp1 Minimum indoor air quality performance, IEQc1 Outdoor air delivery monitoring, IEQc2 Increased ventilation, IEQc5 Indoor chemical and pollutant source control, IEQc6 Controllability of systems - thermal comfort, and IEQc7 Thermal comfort - design.

Campus Applicable
No
Internationally Applicable:
Yes
5/9/2011
LEED Interpretation
Inquiry:

May parking garages pursue LEED certification?

Ruling:

Parking garages may not pursue LEED certification. More specifically, buildings that dedicate more than 75% of floor area (regardless of whether or not they are covered, enclosed, and/or conditioned) to the parking and circulation of motor vehicles are ineligible for LEED.UPDATE August 12th 2011: Parking garages for cars and trucks may not pursue LEED certification. More specifically, buildings that dedicate more than 75% of floor area all square footage, to the storage and circulation of cars and/or trucks are ineligible for LEED. Square footage should be considered even if it is not covered, enclosed, or conditioned. This LEED Interpretation does NOT apply to vehicle maintenance shops of any kind, airport hangers, border facilities, car salesrooms, transit centers, or other buildings that deal with cars and trucks in a capacity other than parking, OR with vehicles other than cars and trucks.UPDATE October 1, 2012:So as not to penalize projects for consolidating parking in garages, and to make this LEED Interpretation more consistently applicable across a broad spectrum of project types, please note that the specific limit on the amount of parking a project may include is hereby removed. Instead, the USGBC wishes to clarify that parking areas themselves are not now, nor have they ever been eligible for LEED-certification. It is the "gross floor area" of a project (which, by definition excludes parking areas) which is the basis for determining LEED certification fees and the focus of the certification analysis. Like other features of the site or location, parking, whether structured or at-grade, has an impact on certain credits, but it does not actually receive LEED certification.Applicable internationally.

Campus Applicable
No
Internationally Applicable:
Yes
5/23/2007
LEED Interpretation
Inquiry:

We are requesting a ruling on the application of NCv2.2 to a partial building renovation and addition project. We currently have two projects that require clarification. The first is an 11,542 sf urban office building. Project scope includes renovation of the 5,771 sf second floor and a new rooftop addition of 576 sf, for a total of 6347 sf. We intend to use this area consistently across all credit calculations. The rooftop addition will house meeting space available for city and community groups to showcase sustainable building techniques. Major components of the project include installation of a geothermal heating system throughout the building, a new green roof on 69% of the site, envelope improvements including skylights for daylighting, energy efficient lighting, and photovoltaic electricity generation. The second project is a private school of 130,687 sf. It includes renovation of 17,000 sf and an 11,000 sf addition, total project area is 28,000 sf. Strategies include replacing the current boiler system with a geothermal system, enhanced natural ventilation, photovoltaic panels and a possible wind turbine for alternative energy. A living machine will provide graywater reuse for greenhouse plants. A green roof for the addition and renovation areas, rainwater capture, and bioswales will help to improve stormwater management. For both projects, the owners intend to bring the remainder of the buildings up to LEED standards in the future, as funds become available. We feel that the Administrative CIR dated 6.1.04 relates to our question, and clarifies that LEED-NC is applicable to a partial building renovation. Their emphasis appears to be on the project scope rather than the building. We also feel that the Administrative CIR dated 2.24.05 is related, as are numerous Site Selection CIRs which reinforce the definition of project scope. These include CIRs dated 5.16.03, 2.6.03, and 8.2.01. In summary, we feel that LEED-NC is the best product for this project type for the following reasons: - LEED-NC acknowledges the extensive site, building envelope, and building systems emphasis of the projects, while LEED-CI does not. - Previous rulings indicate that LEED-NC has been used on numerous occasions for this project type, suggesting that applications should be based on the project scope, rather than the building. - The projects can achieve a higher rating under LEED-NC than LEED-CI. Since LEED for Interiors doesn\'t fit the projects, our alternative would be applying LEED-NC to just the additions. This would substantially reduce the overall LEED certifiable area, thereby reducing the environmental benefits by a considerable extent.

Ruling:

The applicant is requesting a ruling on whether or not LEED-NC applies to a partial building renovation project and an addition project. LEED for New Construction is intended to be used as a whole-building Rating System. All NC applications should include data for the entire building regardless of the scope of work. The one exception to this case is an addition. Additions may be certified independently, provided that the project title clearly identifies the project as an addition. Prior to the release of LEED for Commercial Interiors in 2004, many partial building projects were given the guidance to pursue NC because an appropriate Rating System did not exist. For your urban office building and school project, you have the following options: 1. LEED-NC (entire building) - To certify the entire building as NC, you would have to include data from the entire building in your application. For example, if pursuing EQc8, you would have to include the unrenovated spaces in your calculations. 2. LEED-NC (addition only) - To certify the addition as NC, you would include only data from the addition in your application. Therefore, the renovated and unrenovated spaces of the existing building would not be included and would not be certified. 3. LEED-CI - You can pursue CI for any portion of the building that can be clearly defined as an independent tenant space. Internationally applicable.UPDATE July 1, 2012: The applicability matrix for this LI was revised 7/1/12 to change NC v2009 & SCH v2009 from "not applicable" to "applicable". CI, CS, EB, Retail: CI, Retail: NC were changed from "undertermined" to "applicable". EBOM, ND, and Homes were changed from "undetermined" to "not applicable". For v3/2009 rating systems, projects using the LEED Building Design and Construction (BD+C) rating systems must either include or exclude the entire existing building (both renovated and un-renovated portions) when certifying an addition. They cannot just include renovated portions of the existing building with the addition in a single LEED BD+C project. Please note that vertically-attached additions must meet additional criteria to seek separate certification, as indicated in the LEED 2009 MPR Supplemental Guidance Applicable Internationally.

Campus Applicable
No
Internationally Applicable:
Yes
7/1/2012
LEED Interpretation
Inquiry:

Since the Energy Star Portfolio Manager allows exceptions for K-12 schools, hospitals, hotels, resorts, and resort properties to be evaluated as a campus or plaza rather than as a single structure, may the same exception be applied for LEED project certification? More specifically, can a school, hospital facility, hotel, resort, or resort property be considered a "single building" for the purposes of LEED project submission?

Ruling:

Clarification is requested regarding whether K-12 schools, hospitals, hotels, resorts, and resort properties may be submitted as a "single building" submittal for the purposes of LEED project certification.K-12 School projects, hospitals (General Medical and Surgical), hotels, resorts, and resort properties, as defined for ENERGY STAR building rating purposes, are eligible to include more than one physically distinct structure in a single LEED project certification application without having to utilize the Application Guidance for Multiple Buildings and On-Campus Building Projects (AGMBC) in accordance with the following requirements:1. The buildings included in the LEED certification must be a part of the same identity. For example, the buildings are all part of the same elementary school and not a mix of elementary school and high school buildings together in the same certification.2. The project must be analyzed as a whole (i.e. in aggregate) for all Minimum Program Requirements (MPRs), prerequisites, and credits in the LEED rating system.3. The buildings included in the LEED certification must share a common site/campus that can meet the requirements of MPR 3 for defining a single, shared, and reasonable site boundary, as explained in the LEED 2009 MPR Supplemental Guidance.4. The submittal documentation for the certification of these projects must include all of the square footage for all of the buildings as well as all land area defined in the LEED project boundary.5. There is no specific limit on the number of building structures but the total aggregate square footage of gross floor area that can be included in a single project shall not exceed 1 million.6. Any single building structure in such a complex that is larger than 25,000 square feet must be registered as a separate project, or treated as a separate building in a group certification approach using the AGMBC. EXCEPTION: For LEED EBO&M group certification of K-12 schools, hospital (General Medical and Surgical), hotels, resorts, and resort properties projects with single building structures exceeding 25,000 square feet, a single Energy Star Rating may be used to document compliance with EA Prerequisite 2, and the AGMBC requirements for EA Prerequisite 2 do not apply. However, the AGMBC requirements do apply to building structures larger than 25,000 square feet for all other relevant credits and prerequisites described in the AGMBC.While these projects are also allowed to register and certify each structure as a separate building--where it individually meets the MPRs and other rating system eligibility criteria-- this LEED Interpretation allows them to be treated, for all intents and purposes, as a single building with one LEED project registration and one LEED project certification without having to utilize the group certification requirements of the AGMBC. Applicable internationally.

Campus Applicable
No
Internationally Applicable:
Yes
See all forum discussions about this credit »

Documentation toolkit

The motherlode of cheat sheets

LEEDuser’s Documentation Toolkit is loaded with calculators to help assess credit compliance, tracking spreadsheets for materials, sample templates to help guide your narratives and LEED Online submissions, and examples of actual submissions from certified LEED projects for you to check your work against. To get your plaque, start with the right toolkit.

LEEDuser expert

Tristan Roberts

LEED AP BD+C, LFA

Vermont House of Representatives
Representative

Get the inside scoop

Our editors have written a detailed analysis of nearly every LEED credit, and LEEDuser premium members get full access. We’ll tell you whether the credit is easy to accomplish or better left alone, and we provide insider tips on how to document it successfully.

USGBC logo

© Copyright U.S. Green Building Council, Inc. All rights reserved.

Requirements

All rating systems
All LEED projects must be designed for, constructed on, and operated on a permanent location on already existing land. LEED projects shall not consist of mobile structures, equipment, or vehicles. No building or space that is designed to move at any point in its lifetime may pursue LEED Certification.
New Construction, Core & Shell, Schools, Retail – New Construction, Healthcare
LEED projects must include the new, ground-up design and construction, or major renovation, of at least one commercial, institutional, or high-rise residential building in its entirety.
Commercial Interiors, Retail – Commercial Interiors
The LEED project scope must include a complete interior space distinct from other spaces within the same building with regards to at least one of the following characteristics: ownership, management, lease, or party wall separation.
Existing Buildings: O&M
LEED projects must include at least one existing commercial, institutional, or high-rise residential building in its entirety.

LEEDuser expert

Tristan Roberts

LEED AP BD+C, LFA

Vermont House of Representatives
Representative

See all LEEDuser forum discussions about this credit » Unsubscribe from discussions about Healthcare-v2009 MPR2