About

Toftely Construction Services (TCS) is a construction consultancy firm with a unique niche in new and existing hospital construction. Though originally founded in California in 2009, TCS relocated to Austin, Texas, in 2023. 

We’ve done it all – from small renovations to ground-up work – but our true passion lies in complex phased projects in occupied facilities. Through years of experience in different hospital settings (operating rooms, linear accelerators, MRI replacements, and morgues, to name a few), TCS has, in essence, mastered a craft that only a few know. 

Due to the nature of this work, we manage, coordinate, and collaborate with an extensive list of parties. The design team, GCs, hospital staff, and project stakeholders rely on us to understand their needs and act in their best interests. We develop phasing plans around each hospital’s schedules or negotiate and compromise with staff when needed. TCS provides designers and contractors with safety insights within the occupied hospital setting, mitigating safety risks, infection control, and noise concerns.

We view each new project through the lens of budget and schedule. From programming through bidding and contract execution, and from design through closeout, we manage the client and design relations through every stage of the project. TCS is especially skilled with schedule control and has saved its clients millions of dollars with early project finishes.

Patient care is our top priority. We manage infection control – from anticipating the safety risks during design to inspecting protective barriers. We build relationships with hospital staff to ensure their daily needs and ultimate goals are always considered. We work closely with the maintenance and EHS teams, so we understand existing protocols and improve policies where possible. We know construction is often the last thing doctors and patients want, so TCS is committed to partnership and minimizing hospital impact so that its healthcare professionals can continue their work in a safe environment. 

We prioritize our clients’ needs and forge powerful partnerships with top-tier design professionals and contractors, ensuring that each project exemplifies expertise, precision, and innovation. With TCS in your corner, you can rest assured that your hospital will meet and surpass the highest standards in healthcare construction. 


Healthcare institutions served include: 

  • Hoag Hospital - Women’s Tower

  • Los Robles Medical Center

  • Marian Regional Medical Center

  • UCSF

  • El Camino Women's Hospital

  • Alameda Health System

  • San Mateo County Medical Center

  • Stanford Medicine

Mike Toftely
Mike and wife skiing
Mike and family

Meet Mike Toftely, Owner

Mike Toftely is a dynamic leader with over 22 years of experience in healthcare construction management. He founded TCS in 2009 to better serve his major healthcare client in Northern California. Most recently, he served as the Director of Construction for a major California healthcare system in Silicon Valley. Under his leadership, the system successfully completed numerous projects, including a $1.5 billion capital improvement program for their adult hospital.

Mike's responsibilities often consist of managing budgets, developing conceptual designs, leading multidisciplinary teams, and ensuring timely project execution. His unique skills in change order and contract negotiations, risk mitigation, occupied hospital safety, phasing development, design-build projects, and CPM scheduling set him apart in the industry. 

As the owner and principal of TCS, Mike leads and guides his team to deliver exceptional work, saving clients valuable time and capital. With a proven track record of serving 13 different healthcare organizations, his expertise and leadership are highly sought after.

Outside of work, Mike enjoys spending his time with his wife and three daughters. He frequents his home states of Minnesota and Montana for fishing, skiing, and lake sports.

Let’s Work Together