Healthcare Design — Cancer Centers
CMTA Project Experience
About CMTA
CMTA is a multi-specialty firm that focuses on building systems engineering – designing cost-effective, energy-efficient, highperformance buildings. We function as a trusted partner and guide for the owner and design team bringing energy reduction, decarbonization, and health and wellness goals to fruition. As CMTA strives to improve the built environment, we also invent products, set national goals, and work to transform the market to improve results for everyone. We define our innovative approach to engineering as Building Science Leadership.
We are data-driven and results-proven. Over the last 20 years, we have collected utility data on our projects, which enables us to continually improve our approach. This database means we design from verified information and not engineering theories, as well as understand how to make these buildings a reality without extra first costs.
National Leader in Energy Efficient Design
Local + National Healthcare
Effective engineering services in healthcare is a passion of ours, and it shows in the care and attention to detail we put into every project. Whether it’s a small clinic or large hospital, specialized expertise must be a top priority across the design team. The mechanical, electrical, and plumbing systems are critical elements to these buildings. We understand special attention must be given to the design regarding infection control, equipment functionality, illumination levels, indoor air quality, and comfort levels for patients, visitors, and staff. We bring our energy efficient focus to healthcare design and work with our hospital clients to improve their energy efficiency and reduce maintenance and operations costs.
Complex Healthcare Design
For more than 50 years, we have provided services for some of the nation’s largest and complex medical campuses. We understand the impact that design decisions and construction processes can have on care delivery, and are acutely familiar with the maze of regulations and standards that affect design and construction.
Select Project Experience
Baptist Health Lexington Lexington, KY
– 450,000 SF Patient Tower Addition
– 900,000 SF Renovation
– 500,000 SF Parking Garage
– New Central Utility Plant
Cape Cod Hospital Hyannis, MA
– New 190,000 SF High-Rise Clinical Building with 2 Linear Accelerators
– New Central Plant
Baptist Health Hardin
Elizabethtown, KY
– 950,000 SF Campus Expansion
– Replacement of Central Plant
St. Elizabeth Cancer Care Center
Edgewood, KY
– 582,000 SF Replacement Facility
Altru Health System, Hospital Expansion Grand Forks, ND
– New 500,000 SF Facility
Massachusetts General Hospital Boston, MA
– New 10-story 515,000 SF Acute Care Facility
North Shore Medical Center Salem, MA
– 226,000 SF IR & Cardiology Addition
– LEED Gold
Norton Brownsboro Hospital
L ouisville, KY
– 300,000 SF Facility (2009), 172,000 SF Addition (2020)
– ENERGY STAR score: 97
– LEED EB Certified
Oncology + Radiation Therapy
Our team has completed 625+ free-standing and addition / renovation projects for oncology and radiation therapy in the last 30 years. We understand the unique issues involved in designing cancer treatment environments where there is a need for complex, cutting-edge technology in conjunction with a calm, soothing environment. We value early communication and collaboration with the full design team and owner. Our goal is to help create safe, supportive healing environments where the latest technology improves care without increasing patient anxiety and staff stress. Our projects are delivered with a focus on risk mitigation and ease of use for both patient care providers and facility maintenance staff. We bring the decades of healthcare experience and understanding required to ensure a facility functions as well in 15 years as it does the day it opens.
Select Project Experience
University of Kentucky Health, Cancer Center Lexington, KY
Mayo Health System — St. Mary’s Campus, Radiology Renovations Rochester, MN
Mayo Health System — Downtown Campus, Radiology Renovations Rochester, MN
Altru Health System, Cancer Center Grand Forks, ND
University of Minnesota, Masonic Cancer Research Building 705 Minneapolis, MN
St. Elizabeth Healthcare, Cancer Center Edgewood, KY
Lake Region Healthcare, Cancer Center Fergus Falls, MN
Sanford Health, Roger Maris Cancer Center Fargo, ND
Baptist Health, Hardin Outpatient Medical Pavilion Cancer Center Elizabethtown, KY
Baptist Health, Floyd Memorial Hospital, Cancer Center New Albany, IN
MeritCare Medical Center, Radiology Department Fargo, ND
Veterans Administration Medical Center, Radiology Expansion Boise, ID
Mercy Health, Paducah Cancer Center Paducah, KY
Oncology + Radiology Projects
University of Kentucky Medical Center
Lexington, Kentucky
IU Regional Academic Health Center
Bloomington, Indiana
Healthcare Technology + Security Expertise
We provide comprehensive technology solutions for healthcare clients nationally.
Our team understands that today’s modern hospitals are made up of complex, missioncritical technology systems in order to meet patients’ and healthcare teams’ needs. Our team strives to design, integrate, streamline, and procure these systems to be as simple as they can be.
An average hospital technology system runs a complicated combination of
infrastructure, communication, and security features, many of them wireless and essential to daily patient care. Our team designs technology to be a staff multiplier, increase efficiency and allow the healthcare team greater flexibility as they perform their duties, ultimately improving patient care while ensuring privacy and safety.
Because we know healthcare technology is a rapidly advancing field, our teams’ designs provide flexibility in the short-term and
expandability for future needs, all while maintaining a focus on bottom-line costs. We believe that the key to managing these criteria successfully is to engage the facility owner and the design team at the start of a project. Our team leads charrettes and work groups to gather input and develop a technology and security plan that achieves the client’s goals and creates buy-in from the design team, department-level endusers, and facility managers alike.
Zero-Energy + Decarbonization
CMTA’s zero-energy and decarbonization strategy is simple: design for drastic energy reduction, then consider renewable-energy options. And while decarbonization looks at overall carbon emissions reduction, lowering the project’s energy use is an important piece in that process.
CMTA strives to be on the cutting edge of energy and carbon reduction driven by our innovative teams, research-based ideas, and data-driven results. This ideal is supported by our completed and in-progress projects as well as the positive impact of our projects on our owners and end-users.
10.1+M SF in Zero Energy Facilities
6.5M SF in Zero Carbon Facilities
887+
ENERGY STAR Projects 550 scoring over 75
150MW Renewable Power Designed / Installed
6,556 Miles of Linear Geothermal Wells Designed / Installed
High-Performance Healthcare
We bring our energy efficient focus to our healthcare and work with our hospital clients to improve their energy efficiency and reduce maintenance and operations costs. Since a significant portion of a hospital’s life cycle cost is attributed to energy costs, we understand that a dollar saved in energy can result in 20 dollars of additional revenue equivalent (based on a typical healthcare profit margin). Efficient buildings use less power and frequently allow the emergency power generation resources to serve more of the building than would otherwise be possible.
Two of our recent replacement facilities are among the most energy efficient hospitals in the United States. Riverview Health Westfield Hospital in Indiana has an Energy Use Intensity (EUI) of 96, while Perry County Memorial Hospital has an EUI of 99. And our most recent replacement hospital has an EUI of 125 using conventional boiler and chillers.
Occupant Health + Wellness
CMTA’s buildings are moving beyond energy efficiency and sustainability to lead the industry’s focus on improving occupant health. Our team has a vast understanding of the building performance metrics and design strategies that improve the built environment for occupant comfort and wellness. This knowledge allows us to be successful in incorporating strategies that improve the health and wellbeing of the occupant while still maintaining budget and energy efficiency goals.
Our continuous drive for improvement fuels our research into Indoor air quality, lighting, and comfort as markers for occupant wellness. This allows us to incorporate proven strategies into every project we complete. We focus on delivering the best value for the building owner and the occupants,
which goes beyond costs, and improves human health while maintaining budget and energy-efficiency goals.
Patient and Staff Experience
We want patients to feel as if at home — lighting is a large part of creating this inviting atmosphere. By using the latest technology and cost effective strategies, we aim to create a more comfortable, less-institutional feel, while still being functional.
In addition to providing natural daylight, circadian lighting strategies are utilized to help support the sleep health of both patients and staff. This is accomplished by providing high-energy melanopic lighting during the day, and warmer, more soothing lighting after hours.
We spend about 85% of our lives in buildings, and it is essential that architects and engineers understand how the built environment affects the health and wellness of its occupants.
Cancer Treatment Center & Ambulatory Surgery Center
UK Healthcare | Lexington, Kentucky
UK’s existing Markey Cancer Center has experienced a 57% increase in patient load in recent years, this project will expand patient care services and ease access to the facility that serves all of central and eastern Kentucky by constructing a new cancer treatment and ambulatory surgery center on the south end of UK’s campus, adjacent to the existing medical center, and connected to Pavilion A via an elevated pedestrian bridge over South Limestone.
Currently in design, the project will provide approximately 560,000 SF of clinical space support a state-of-the-art ambulatory cancer treatment center including infusion space, procedure rooms, diagnostic and therapeutic imaging services, pharmacy, retail, outpatient clinics, meeting spaces, and associated support spaces. The project includes a 2,085-vehicle parking structure and a loading/service dock intended to serve the cancer and ambulatory facility. In addition to building design, there is extensive site and roadway development and significant expansion of campus utility infrastructure.
Project at a Glance
Completion: 2025 Estimated
Size: 560,000 SF
Cost: $500,000,000
Project Type: New Construction
St. Elizabeth Cancer Center
St. Elizabeth Healthcare | Edgewood, Kentucky
St. Elizabeth Medical Center is leading the way in cancer care and treatment in the Northern Kentucky and Cincinnati areas by designing and constructing a new, $126 million cancer center addition. The project consists of a 235,000 SF six-story addition that will be accompanied by a 70,000 SF, three-story 140-bed patient tower located on top of the existing fully-functioning fourstory patient tower.
Garren Colvin, CEO of St. Elizabeth Medical Center, wanted this building to be a “Key component in fulfilling our ongoing vision to lead Northern Kentucky to become one of the healthiest communities in America.”
CMTA embraced this and wanted the engineering of the building to be a part of this vision. Examples of this include additional filtration and airflow treatment for the conditioned air of the building and silver ionization water treatment improving the water quality for the patients.
Project at a Glance
Completion: 2021
Size: 305,000 SF
Cost: $126,000,000
Project Type: Addition & Renovation
Baptist Health Patient Tower Addition
Baptist Health | Lexington, Kentucky
The Baptist Health Lexington hospital project involved an addition of a 450,000 SF patient tower to house a new state-ofthe-art cancer center and a new women’s center.
The new cancer center included radiation therapy, a patient-centered chemotherapy/ infusion center, an expanded multidisciplinary oncology clinic, and CyberKnife. The women’s center included labor and delivery, perinatology, antepartum, surgery suites, nursery, NICU and gynecology beds.
In addition to the new patient tower, the project includes a new 30,000 SF dining and dietary facility, a new 12 story parking garage, and an addition/renovation to the campus central utility plant.
Project at a Glance
Completion: 2016
Size: 915,000 SF
Cost: $250,000,000
Project Type: Addition & Renovation
Norton Healthcare Cancer Institute
Norton Healthcare | Louisville, Kentucky
Norton Healthcare invested $38 million in a new comprehensive cancer center in Louisville in an effort to focus on the unique needs of the region’s cancer patients and their families. The facility houses an array of oncology services, including radiation oncology, medical oncology, infusion therapy, and support services, along with hematology, neuro-oncology, and surgical oncology specialties in one location.
The new, three-story 48,590 SF freestanding Cancer Center is designed according to the following program: The first floor is used for radiation treatment
with two state-of-the-art linear accelerators and the Prompt Care Clinic, providing urgent care for oncology patients; the second is primarily used for exams and offices; the third is for infusions and treatments.
Project at a Glance
Completion: 2018
Size: 48,590 SF
Cost: $38,000,000
Project Type: New Construction
Riverview Health Westfield Hospital
Riverview Health | Westfield, Indiana
The project team was tasked to design a full-service facility that included 20 private patient rooms, a combined urgent care emergency department, and state-of-the-art surgery rooms. The upper floors of the facility include outpatient services. This design was required to meet the owner’s sustainability goals, while maintaining brand consistency.
The outstanding energy results of Riverview Health’s Westfield Hospital match its beauty. Comparing the ENERGY STAR hospital portfolio manager to a median hospital, this facility utilizes almost half the energy. This facility’s energy costs are around $2 per SF, while the average median facility would use nearly $4 per SF. Westfield Hospital has been requested by the American Society of Healthcare Engineers to discuss the methodology used to have a hospital performing with an EUI of less than 100.
Project at a Glance
Completion: 2018
Size: 108,000 SF
Cost: $35,000,000
Project Type: New Construction Awards / Certifications:
– AIA Healthcare Design, 2019
“CMTA provided great energy modeling data to ensure the financial performance of the geothermal system. Now that the system has been in operation for a year, its energy use is extremely low, and we are realizing the predicted return on the investment.
— Scott Tripp, Riverview Health
Fauquier Health Cancer Center Medical Office
Fauquier Health | Warrenton, Virginia
The new Cancer Center Medical Office Building at Fauquier Hospital encompasses approximately 24,000 SF and includes a single-story new facility on the Healthcare Campus. The new facility houses an Infusion Center, exam center suites, Pharmacy and includes space for a future Linear Accelerator and Simulator spaces.
The primary air conditioning systems for the addition consist of several variable volume rooftop air handling units with each suite utilizing electric reheat at each terminal unit.
Due to the inclusion of an Infusion area, a medical gas system was requested to be included in our design for this area. CMTA designed the Pharmacy area which included IV Prep, Ante, and Chemo Rooms per USP Standards. Fan Filter Diffusers were used in the Pharmacy area in order to achieve the filtration and air change requirements.
A new 1,200 amp 277/480V utility electrical service was provided to the facility. A new 200-KW emergency power back-up generator was installed to maintain power during outages. Three new automatic transfer switch units were installed for new emergency power life safety branch panels, critical branch panels and equipment branch panels. Nurse Call systems were provided within the Infusion Center and a specialized doorbell system was installed within the Pharmacy suite to alert staff of visitors.
Project at a Glance
Completion: 2019
Size: 24,000 SF
Cost: $9,000,000
Project Type: New Construction
Hoffman Paschke Breast Clinic
Mayo Clinic Health System Mankato, Minnesota
Mayo Clinic Health System’s new Hoffman Paschke Breast Clinic creates a singular, comprehensive space for breast cancer patients to receive same-day access to providers. The technology-advanced clinic offers consultations and surgical services for benign breast conditions, high-risk breast disease, ongoing oncologic care, as well as cosmetic procedures.
The clinic provides a one-stop-shop for breast health care services, while before the renovation, these services were in different clinics. The space is convenient for efficient and effective care, offering advanced imaging, physical therapy, and medical supply resources.
Project at a Glance
Completion: 2023
Size: 10,500 SF
Cost: $4,700,000
Project Type: Renovation