UCSF Health’s Playbook for Stabilizing All-Electric Buildings After Turnover

This NexusCon 2025 presentation features Gabe Sandoval, Senior Controls & Commissioning Engineer at UCSF Health, alongside Michael Conway, Partner at GMC Commissioning. They break down what actually happened after UCSF turned over two large, all-electric outpatient centers—and why “day one performance” is mostly a myth on complex healthcare projects.

Drawing from real projects in the San Francisco health system, the talk digs into design decisions, controls architecture, commissioning execution, and why both buildings took 6–12 months post-occupancy to truly hit design intent. The focus isn’t theory—it’s what UCSF learned by living through the consequences.

Behind the paywall, you’ll hear what UCSF would absolutely do again—and what they wouldn’t. The presenters explain why extending commissioning and controls support past occupancy mattered more than adding new layers like MSIs or standalone data platforms, and how one “check-the-box” commissioning firm nearly derailed outcomes. They also get blunt about legacy control systems, why modern all-electric plants expose decades-old control tech limitations, and how UCSF now evaluates controls vendors based on real R&D maturity.

If you’re an FM, EM, or OT leader inheriting complex projects and spending your first year fixing what should’ve worked, this recording will feel uncomfortably familiar—in a useful way.

Watch the full recording inside Nexus Pro →