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Hospitals NPC-5 Compliance

California Hospitals Expected To Comply With HCAI NPC-5 Water Rationing Plan

Meeting HCAI NPC-5 Compliance with Confidence

California hospitals and acute care facilities are under increasing pressure to ensure emergency preparedness in the face of droughts, seismic activity, and infrastructure disruptions. The California Department of Health Care Access and Information (HCAI) requires facilities to meet the NPC-5 (Non-Structural Performance Category 5) standards, including a water rationing plan that guarantees a minimum 72-hour on-site water supply for essential operations. The NPC-5 requirements include potable and industrial/process water used to operate the facility.

National Storage Tank (NST) is based in Santa Rosa and has satellite offices throughout the state to serve the water storage needs of every Hospital and Acute Care facility from San Diego to Los Angeles and north to San Francisco and Sacramento. Rural or Metro, we have the experience to ensure your compliance with this critical preparedness requirement. For the past 20 years, we have been a trusted provider of high-quality, code-compliant water storage solutions that help healthcare facilities across California meet and exceed NPC-5 water storage mandates.

The California Department of Health Care Access and Information (HCAI) Logo

Why NPC-5 Matters

NPC-5 is the highest standard for non-structural components in California healthcare facilities. It ensures that systems critical to patient care—such as water, power, and medical gases—remain operational during and after a disaster. Unfortunately, the lack of water resources during such events led to this new requirement.

For water storage, this means having a dedicated, seismic-rated, and properly engineered system that can store thousands of gallons of potable and non-potable water to sustain hospital operations for at least the 96-hour minimum, including:

NST’s water storage tanks comply with HCAI NPC-5 guidelines and are designed for seismic zones like California. Each of our hospital applications is engineered to not only adhere to the law but also provide each medical hospital and campus with the perfect storage system that can be either above ground or below ground for property appeal.

Our Solutions for Healthcare Facilities

Bolted Steel Tank

1. Seismically Rated Bolted Steel Tanks

Engineered to withstand seismic forces, our bolted steel tanks are customizable in size and layout, with options ranging from 10,000 to over 6,000,000 gallons. They are ideal for above-ground potable and process water storage applications and comply with all NPC-5 expectations.

Stainless Steel Tanks

2. Stainless Steel Tanks

Perfect for high-purity water applications, our stainless-steel tanks resist corrosion and ensure safe storage for sensitive hospital operations. Our stainless-steel tanks are the finest available, with each meeting or exceeding NSF61, NFPA22, CBC2010, AWWA, UL 142, and API 650 requirements.

Underground Fiberglass Tanks

3. Underground Fiberglass Tanks

Space-constrained? Our underground tanks offer high-capacity water storage without sacrificing above-ground real estate and provide the ultimate visual appeal. UV-resistant and corrosion-proof, each of our Fiberglass-Reinforced Plastic (FRP) tanks is perfectly engineered and proven over decades.

National Storage Tank Logo

4. Complete Turnkey Systems

From engineering and permits to installation and inspections, NST provides complete turnkey water storage systems that streamline compliance for all hospitals, small and large, and every rural hospital serving the entire county and sometimes two.

Why Hospitals Trust National Storage Tank

Get Ready for 2026: HCAI NPC-5 Compliance Deadline

The deadline for NPC-5 compliance is rapidly approaching. By January 2026, each hospital owner must submit to HCAI construction documents deemed “ready for review,” with a final rating achieved at the latest in 2030.  Don’t wait until the last minute to implement a water storage solution. Let NST help you prepare with the following:

  • Site assessments and compliance planning
  • Custom tank design and engineering
  • Construction and installation services
  • Post-installation maintenance and support
Modern hospital building exterior with curved architecture, glass windows, and illuminated hospital sign at dusk

Contact Us for a Free Consultation

Whether you’re in charge of a rural clinic or a large urban hospital, National Storage Tank has the expertise to guide your facility toward full compliance with HCAI NPC-5 water storage requirements.