Night & weekend crewsHealthcare roofing · San Antonio, TX
Repairs, phased replacements and helipad roofs for hospitals, surgery centers and medical office buildings. Our crews plan the work around your patients, your shifts and your air intakes.
The short answer
CRSA is a San Antonio commercial roofing contractor for hospitals, surgery centers, medical office buildings and senior care facilities. We repair, restore and replace TPO, PVC, modified bitumen, metal and coated roofs across Bexar and surrounding counties, with ICRA-aware crews, night and weekend scheduling, and a live 24/7 leak line that puts a crew on site within 4 hours.
Facility teams we roof for (sample names)
A hospital roof is not a warehouse roof with more paperwork. These are the habits that keep our crews invited back.
Every foreman is trained on Infection Control Risk Assessment classes and builds barriers your infection preventionist signs off.
Background checks, badges, immunization records and safety orientation are ready before we set foot on campus.
We map every intake and air handler, then schedule adhesive and odor work for when your engineers can shut them down.
Noisy tear-off happens away from patient wings. Quiet work keeps going after hours, with the same people you met.
Daily logs, hot-work permits, fire watch records and photo reports in one binder for your environment-of-care files.
Water coming through a ceiling at 3 am reaches a live roofer, not voicemail. A crew is on site within 4 hours.
From one leaking curb above a nurses’ station to a full tower roof replaced in phases.
Live 24/7 line, crew on site within 4 hours, temporary dry-in the same night and interior protection coordinated with your EVS team.
The roof is split into zones that match the units below. No zone is opened unless it can be closed watertight the same day.
Waterproofing under and around pads, with pad closures planned with flight operations.
Silicone coatings that add 10 to 15 years, often paid from the operating budget instead of capital.
Air handlers, exhaust fans, med-gas and generator penetrations sealed and flashed to the manufacturer’s detail.
Two inspections a year plus after every major storm, with reports formatted for your environment-of-care rounds.
Pick a system to see how it is built and how it behaves on a campus that never closes.
Our usual pick over kitchens, labs and exhaust fans
Why it fits: Heat-welded seams and strong resistance to grease, chemicals and exhaust residue, which hospital roofs collect around fans and kitchen hoods.
Watch out: Costs more than TPO. Worth it where exhaust lands on the roof, not always across the whole campus.
Best value for large, open roof areas
Why it fits: White, reflective and welded with hot air instead of flame. A quiet install that keeps cooling loads down under a Texas sun.
Watch out: Keep it away from heavy grease exhaust, or plan walk pads and a PVC section there.
Adds 10–15 years without a tear-off
Why it fits: No tear-off, no dust over ceilings and very little noise. Applied over a sound existing roof, often in weeks instead of months.
Watch out: Only works when less than about 25% of the insulation is wet. We confirm it with a moisture scan first.
Tough surface for busy mechanical roofs
Modified bitumen roofing details
Why it fits: Multiple plies take foot traffic from service techs well. Cold-applied versions avoid torches near occupied buildings.
Watch out: Hot or torch-applied versions bring odor and fire-watch rules. We specify cold or self-adhered near intakes.
For medical office buildings and canopies
Standing-seam metal roofing details
Why it fits: Long life on sloped roofs, entry canopies and covered drop-offs, with very little maintenance afterwards.
Watch out: Needs slope. Not a fit for most flat hospital tower roofs.
Every hospital project follows the same six steps. The schedule is written with your facilities and infection prevention teams, not handed to them.
We map the roof against the units under it: patient rooms, ORs, pharmacy, imaging. Every air intake and air handler is marked.
Infection prevention, facilities and safety agree on an ICRA class for each zone and sign the permits before work starts.
Zones are sized so each one can be opened and closed watertight in a single shift. No unit loses its roof cover overnight.
Intakes are filtered or shut during adhesive work. Where we tear off above ceilings, the rooms below get dust barriers first.
Crane lifts before visitors arrive, loud work away from patient wings, quiet welding later and nothing noisy at night.
Warranty, a roof map of everything installed, photo report and a maintenance plan your team can budget against.
A typical day on a hospital roof
Planned aroundyour shifts
Six departments feel a roof project. Each one gets a named contact on our side and an agreed set of rules.
Dept. 01
ICRA permit, barrier checks and a daily sign-off for every open zone.
Named contact on our sideDept. 02
Air-handler shutdowns, utility lockouts and roof access routes.
Named contact on our sideDept. 03
Interior protection and cleanup timed around room turnovers.
Named contact on our sideDept. 04
Badges, escorts and after-hours access for crews and deliveries.
Named contact on our sideDept. 05
Pad closures, rotor-wash tie-downs and crane lift windows.
Named contact on our sideDept. 06
Noise windows near patient rooms and a direct line if something bothers a unit.
Named contact on our sideSample 2026 ranges for the San Antonio area. Healthcare jobs run higher than a plain warehouse because of after-hours work, containment and coordination, and we show those costs as separate lines.
Healthcare line items we show separately
Phase the roof by wing so each year’s capital plan carries one piece, with the worst zone first.
We give you a ranked list: repair now, restore in two years, replace in five, with a number on each line.
A coating can move a replacement out by a decade and is often paid from the operating budget.
“They replaced the roof over our surgical floor in eleven nights and we never cancelled a case. My engineers still talk about the intake plan.”
Drive times are from downtown San Antonio. Active leaks anywhere inside Loop 1604 usually see a crew within a few hours.
Pick an areaDrive times from downtown San Antonio.
Facility teams ask us these before almost every project. Something else? Call a project manager.
Yes. We split the roof into zones sized to be opened and closed watertight in one shift, schedule loud work away from patient wings and protect the rooms below before any tear-off. On our healthcare projects to date, no unit has had to close for roof work.
We map every intake and air handler during the first walk. Adhesive and primer work near an intake is scheduled for when your engineers can shut it down or add carbon filters, and we favor low-odor, water-based or heat-welded systems near sensitive areas.
ICRA stands for Infection Control Risk Assessment. It sets the dust and contamination controls for construction in a healthcare building. A roof replacement can drop debris through the deck into ceilings, so the roofer should follow the same permit and barrier rules as any interior contractor. Our foremen are trained for it.
Yes. Hospital schedules usually mix early crane lifts, daytime tear-off away from patient wings and quieter evening work. The same crew covers all shifts, so your staff is not briefing new people every night.
Yes. Pad closures are planned with flight operations in advance, loose materials are tied down or removed before every flight, and the crew leaves the pad zone on a set signal. Emergency flights always come first.
Most replacements land between $10 and $17 per square foot in 2026, plus after-hours premiums, containment and crane costs that we list separately. A restoration coating, where the roof qualifies, runs $4 to $8 per square foot. A free assessment gives you a fixed written number.
Yes. You get daily logs, hot-work permits and fire watch records, photo reports and a closeout binder with warranties and a roof map. Many clients file our maintenance reports with their environment-of-care documentation.
Yes. The same crews handle outpatient clinics, ambulatory surgery centers, medical office buildings, imaging centers, rehab and senior living. Smaller buildings get the same infection control and noise planning, sized to the building.
Tell us about the building and the people under the roof. A healthcare project manager calls back within 2 business hours, or right away for an active leak.
Something went wrong. Please call (210) 384-6843 or try again.
A healthcare project manager will call you within 2 business hours. Need us sooner? (210) 384-6843
