City of Hope|Antelope Valley


The Medical Pavilion

The second phase of GLB's development of the Saint Agnes Medical Center administrative campus, the Medical Pavilion provides offices for physicians affiliated with the SAMC.

Space Available: 6,963 s.f./4,479s.f.
Contact Cindy Letson - 559-454-7744


The Medical Plaza

The first phase of GLB’s planned three-phase development of the Saint Agnes Medical Center administrative campus, the Medical Pavilion provides medical offices and the SAMC Women’s Center co-located with an ambulatory surgery center.



Oak Valley Medical Plaza

Developed on the Oak Valley Hospital District campus in partnership with the hospital and local physicians, the building design compliments the replacement hospital project scheduled for opening in 2012.

Space Available: 1,809 s.f./1,635 s.f./2,150s.f.
Contact Cindy Letson - 559-454-7744


Kaiser Radiation Oncology Center

As Kaiser's content expert for community cancer centers, GLB constructed this three-vault template in 9 months. Since completing construction, GLB has completed design-build retrofits for onboard imaging and BrainLAB.

GL Bruno is a recognized Veteran Owned Small Business

G.L. Bruno Associates is a development and design/build construction firm, specializing in the unique needs of the healthcare industry. With decades of experience and proven expertise, we're well-equipped to manage your entire project, from initial concept to successful completion. More »

GLB Medical Project List by Category

Medical Office Buildings

  • Antelope Valley Medical Pavilion (In Development)
  • BSV Medical Plaza
  • Clovis Medical Office Building Phase I
  • Coalinga Medical Office Building
  • Emanuel Medical Plaza
  • Hanford Medical Pavilion
  • Leopold & Murphy Dental Offices
  • Mariposa Medical Clinic
  • Mark II Prosthetic Center
  • Mark III Medical Office Building
  • Mendocino Coast Medical Plaza
  • Oakhurst Priority Health Services
  • Oak Valley Medical Plaza
  • Occupational Health Associates
  • Pleasant Valley Medical Building Phase I
  • Pleasant Valley Medical Building Phase II
  • Rosenburg & Bruno Medical Pavilion
  • Sierra Associates Medical Office Building
  • Sierra Kings Medical Office Complex I
  • Sierra Kings Medical Office Complex II
  • Sierra Kings Physical Rehabilitation Center
  • South Valley Medical Plaza
  • STEGA Occupational Health Associates
  • Triangle Eye Institute Delano


  • Adventist Cardiopulmonary Care Center
  • Adventist Medical Plaza -Dinuba
  • Adventist Women's Center
  • California Oncology of Turlock
  • Center for Wound Care
  • Corcoran Hospital Phase I: Outpatient Center (In Development)
  • Dialysis Center -- R&D Associates
  • Emanuel Women's Center
  • Kings River Surgery Center
  • Oasis Surgical
  • Plaza Surgery Center
  • Saint Agnes Women's Center
  • Sierra Kings Ambulatory Surgery Center
  • Sieera Kings Dialysis Center
  • Sierra Kings Emergency Center

Cancer Centers

  • Fresno Cancer Center
  • Kaiser Roseville Oncology Center
  • Kaiser Rancho Cordova Oncology Center
  • Rio Bravo Cancer Center (In Development)
  • South Sacramento Cancer Center
  • Stanford Emanuel Cancer Center (OSHPD3)

Alzheimer's Assisted Living Facilities

  • Somerford Encinitas
  • Somerford Redlands
  • Somerford Stockton


  • Children Hospital Central California PC Expansion
  • Sierra Kings Women's Health & Birthing Center


  • BAART Clinics Fresno (Tenant Improvement)
  • BAART Clinics Visalia (Tenant Improvement)
  • Emanuel Women's Center (Breast MRI)
  • Kaiser Roseville Oncology Center (BrainLAB/OBI)
  • Kaiser Rancho Cordova Oncology Center (HDR)
  • Sierra Kings Dialysis Center
  • Somerford Fresno (Exterior Remodel)
  • Somerford Rosville (Exterior Improvements)
  • Vision Care Selma

Imaging Centers

  • Adventist Women's Center
  • Corcoran Women's Center (In Development)
  • Emanuel Women's Center
  • Rio Bravo Imaging Center (In Development)
  • Saint Agnes North Diagnstic Breast Center

“Every GLB project is a collaborative partnership.”

G.L. Bruno Associates offers comprehensive design, development, and construction services.

We believe focused, tightly integrated teams work more efficiently and more effectively. That’s why we assemble project-specific teams of the most talented and qualified designers and contractors, and then we all work together with the client to meet the clients' individual needs.

Our innovative development process results in the highest quality construction, and provides the best value for our clients and the communities they serve.

Development Design Construction

From the conceptual stages of a development project to the final ribbon cutting, GLB helps ensure success by managing every aspect of the process.

  • These are just a few of our development services:
  • Coordinate among environmental stakeholders to ensure environmental compliance and secure regulatory approvals necessary for development
  • Develop initial feasibility studies and market analysis
  • Consult with members of the medical community
  • Establish economic and design principles
  • Identify and acquire the best land for the project
  • Assemble design/build team, and coordinate with architects, designers, owners, and users
  • Establish an ownership entity and coordinate share offerings
  • Identify and negotiate with potential tenants and users
  • Negotiate with lenders to secure the best financing options
  • Coordinate permits and entitlements with government officials to ensure the project meets all financial, regulatory, and planning requirements
  • Coordinate among environmental stakeholders to ensure environmental compliance and...

We provide expertise and a guiding hand, every step of the way.

Services Development

Successful construction projects require technical prowess, attention to detail, and a track record of success. GLB is up to the task.

As general contractor or construction manager, we’ll guide your project through the intricate process of medical facility construction. We manage budgets and schedules to ensure your project is completed on time and on budget. Specializing in fast track design-build construction, our flexible detail oriented approach to construction ensures the highest quality building at the best price.

Rio Bravo Medical Campus - Update

Project Update

Rio Bravo Medical Campus
View the latest updates on Phase I.

View project

Even when GLB is not directly involved with your project, you can benefit from our experience. Our consulting services provide insight into the development and construction processes.

We'll give your project the same individualized attention as our other projects, providing guidance wherever it's needed.

  • Some of our consulting services:
  • Feasibility studies, market analysis, and medical community assessments
  • Land evaluation and acquisition
  • Development of project economics and budget
  • Design/use programs
  • Government and community relations, including entitlements and permits
Rio Bravo Medical Campus - Update

Project Update

Rio Bravo Medical Campus
View the latest updates on Phase I.

View project

For more than 35 years, GLB has specialized in the development and construction of medical projects throughout California and the western United States.

Our core business includes outpatient and ancillary health care facilities, including surgery centers, imaging centers, medical office buildings, and other sub-acute care facilities.

We partner with local medical professionals and host hospitals (both large and small) to develop medical projects that meet the unique needs of their communities, with designs that integrate seamlessly with existing hospital campuses. We understand the important role of these facilities in the community. That’s why we continue to focus on these projects, providing the highest quality and most innovative solutions available.

“We understand the important role of these facilities in the community.”

Rio Bravo Medical Campus - Update

Project Update

Rio Bravo Medical Campus
View the latest updates on Phase I.

View project

About GLB

About GLB

G.L. Bruno Associates is a family-owned development and design/build construction company. For more than 35 years, we’ve specialized in sub-acute health care facilities and other medical projects. We offer comprehensive development and construction services, as well as consulting services for every stage of the process.

In addition to California, we’ve developed projects throughout the western United States, including Arizona, Colorado, Idaho, Nebraska, Nevada, and Utah. Our projects are as varied as our clients—who include hospitals, physicians, and healthcare systems—but we approach every project with the same dedication to our founding principles.

“We're committed to innovation, integrity, and quality.”

G.L. Bruno Associates succeeds because of the talent and commitment of our people.

G.L. Bruno

Gary L. Bruno
President/Chief Executive Officer

“The quality of our work is a reflection of our team– and we hire only the best. We consider our team a part of the family.”
- Gary L. Bruno

Our founder Gary Bruno has over 33 years of real estate development and general construction experience, including development of more than 60 projects, with 1.3 million square feet of commercial property and an additional 80 acres of raw land. In addition to overseeing and guiding all aspects of GLB’s business, Gary focuses on conceptual development, client engagement, financing, and creating budget projections to ensure successful project completions.


G.L. Bruno

Mike Bogna
VP. Construction

Mike Bogna joined GLB in 2001 before serving a tour of duty as a United States Marine in 2003. After his service, Mike returned to GLB and now oversees all our construction efforts, providing expertise in value engineering and construction processes. He has personally overseen more than 25 complex medical buildings and associated tenant improvements.

G.L. Bruno

Elizabeth Rojo
Vice President Operations

Elizabeth Rojo assumed responsibility for all of GLB's day-day operations and management in 2014.   She focuses on the systems and procedures required to accomplish GLB’s mission and goals and works directly with the CEO on a broad range of matters including finance.  Elizabeth assumed her current position after 8 years with GLB.

Meet the rest of the team
  • Tim Butler, Project Manager
  • Leo Duran, Project Manager 
  • Petra House, Construction Administrator
Property Management and Human Relations:
  • Cindy Letson, Property Manager
Finance and Accounting:
  • Miriam Yep, Controller
  • Anna Perez, Accounting Clerk
  • Krystal Gardea, Receptionist
  • Amy Dixon, Marketing Coordinator
Field Team
  • Jim Wandler, Superintendent
  • Ron Hiser, Project Superintendent
  • Rick Vivian, Project Superintendent


In 1978, Gary L. Bruno founded G. L. Bruno Associates, Inc., based on three principles: innovation, integrity and quality.

Since then, GLB has grown to become a leader in the development and construction of complex outpatient medical facilities. We’ve worked with countless physicians, medical groups, hospitals, and national healthcare systems. Our breadth and depth of experience and our history of success, means we’re well prepared for all the details of your next project.

Company Highlights

Gary L. Bruno Founds G. L. Bruno Associates, Inc.

GLB completes its first medical project in joint venture with physician partners

Gary L. Bruno Founds the G. L. Bruno Family Foundation to support local healthcare causes

GLB partners with Saint Agnes Medical Center and local physicians to develop its first medical master plan

Kaiser Foundation Hospital Designates GLB its “content expert” for community cancer centers and GLB develops and constructs Kaiser’s two and three vault facility templates

G.L Bruno Associates is committed to giving back to our community directly through the company and through the G.L. Bruno Family Foundation.

For more than 15 years, the foundation’s annual golf tournament has helped raise money for local charities, including Children’s Hospital of Central California–which provides high- quality health care services for children, regardless of their family’s ability to pay–and the Saint Agnes Holy Cross Center for Women, which provides educational services to disadvantaged women and children in downtown Fresno.

» G.L. Bruno Family Foundation

The G.L. Bruno Family Foundation has helped raise more than $350,000 for local nonprofit organizations. For more information, visit the G.L. Bruno Family Foundation website.

Rio Bravo Medical Campus - Update

Project Update

Rio Bravo Medical Campus
View the latest updates on Phase I.

View project

Bidding Opportunities Request

Personal Information

Personnel info needs to be completed for whomever will have authority to sign contracts, for a project manager if different from contracting authority and for whomever will submit invoices for your company)


855 M Street, Suite 1010
Fresno, CA 93721

559-454-7744 Phone
559-454-7748 Fax

Google Maps

Job Opportunities:
Construction Project Manager

Please email your resume to:
Attn: Elizabeth Rojo

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