HOK Healthcare Qualifications

H E A LT H C A R E Q U A L I F I C AT I O N S CONTRIBUTING TO THE CARE OF HUMANKIND, T H R O U G H I N N O VAT I V E D E S I G N

HOK is among the world’s leading healthcare planners and architects.

Organized as healthcare focus groups, we have individual centers of excellence throughout the world. This allows us to draw upon the resources of and experiences of an international firm while simultaneously providing localized personal knowledge and relationships.

“HOK has consistently demonstrated this in-depth knowledge of healthcare architecture and the flexibility to apply it in difficult situations. They have won the confidence of our senior administration and Board of Directors�

LARRY COLVIN, Vice President, Cedars-Sinai Medical Center

HOK’S GLOBAL NETWORK HOK has always been guided by a singular mission: to enrich people’s lives through innovative, thoughtful design. With a collaborative network of worldwide offices, the firm has an active presence in most continents and knowledge-based design in many market sectors.

VANCOUVER

CALGARY

LONDON OTTAWA

SEATTLE

SAN FRANCISCO LOS ANGELES

TORONTO DENVER

CHICAGO ST. LOUIS

DALLAS HOUSTON

NEW YORK

WASHINGTON, DC ATLANTA TAMPA MIAMI

ABOUT HOK

HOK has 24 offices and more than 1,600 employees

Hellmuth, Obata + Kassabaum, Inc. (HOK) is a full-service

worldwide. Our staff of professionals is experienced in

design organization with 58 years of experience. Our

a wide variety of assignments for major corporations,

diversified practice includes comprehensive architectural,

developers, state and local agencies, sports facilities,

engineering and interiors services as well as services in a

hospitals, colleges and universities, the U.S. government

wide range of related disciplines from facilities consulting

and governments in Canada, the Caribbean, Central

to development of master plans.

and South America, the Middle East, and Asia.

BEIJING

SHANGHAI

HONG KONG

DUBAI

HO CHI MINH CITY

SINGAPORE

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W E X N E R M E D I C A L C E N T E R AT T H E O H I O S TAT E U N I V E R S I T Y

About HOK Healthcare 7

A B O U T H O K H E A LT H C A R E

COMPREHENSIVE PL ANNING AND DESIGN SERVICES At HOK, we bring a unique architectural perspective to the healthcare market.

We actively engage stakeholders and collaborate in a problem-seeking/problem-solving approach that results in built solutions custom to each environment.

Our professionals provide a range of integrated or stand-alone services including: Architecture

Interiors

Planning

Engineering

Urban Design

Landscape Architecture

Programming Project Management Construction Services

Lighting Design Visual Communications

D E S I G N C O N C E P T- PAT I E N T R O O M

A B O U T H O K H E A LT H C A R E

HOK HEALTHCARE FOCUS GROUP Organized as Healthcare Focus Groups, HOK utilizes individual centers of excellence throughout the world.

This organization permits us to draw upon the resources and experiences of an international firm while simultaneously providing localized personal knowledge and relationships.

Our healthcare projects have included a range of facility and project types:

Academic Medical Centers Ambulatory care centers/clinics

HOK: INTERNATIONAL HEALTHCARE EXPERTS HOK healthcare is recognized as an international leader in the planning and design of innovative, effective and efficient healthcare environments. We’ve lent our expertise to top healthcare systems around the world: United Kingdom HCA Corporation St. Bartholomew’s and the Royal London Hospital Royal National Orthopaedic Hospital Scotland Royal Infirmary of Edinburgh Vietnam Cho Ray Hospital

Singapore Parkway Novena Hospital Jurong General Hospital Canada University Health Network Ontario Cancer Institute The Toronto Hospital Turkey Acibadem Healthcare Nigeria

Community hospitals Facility consolidation projects Greenfield replacement hospitals Public hospitals Renovations and expansions Speciality Facilities Strategic facility master planning Urban hospitals

HOK HEALTHCARE: BY THE NUMBERS Ranked as the 5th largest healthcare architectural practice in the United States by Modern Healthcare.

We have more than 40 years of specialization in the planning and design of healthcare facilities.

Our completed projects total more than $5 billion in construction cost in the last 10 years. This includes more than 500 projects in acute and ambulatory care.

Our practice includes more than 200 healthcare professionals. We have healthcare studios in eight offices around the world.

HOK is ranked the 6th largest healthcare practice by Engineering News Record.

HOK is ranked the 7th largest healthcare interiors practice by Interior Design magazine

N E W YO R K P R E S B Y T E R I A N H O S P I TA L , A M E N I T I E S U N I T

A B O U T H O K H E A LT H C A R E

REPRESENTATIVE HEALTHCARE EXPERIENCE Planning | Design | Lighting | Landscape | Interiors

Academic Research Facility

Cancer Center

• John Hopkins University Asthma and Allergy Center

• Barnes-Jewish Hospital and Washington University School of Medicine Center for Advanced Medicine

• University of Oklahoma Children’s Hospital

• Columbia St. Mary’s Hospital Water Tower Medical Commons

• Beaumont Hospital North and South Tower Additions

• Nebraska Medical Center The Lied Transplant Center • Wexner Medical Center at The Ohio State University - James Cancer Hospital and Solove Research Institute and Critical Care Tower • University of Texas M.D. Anderson Cancer Center Renovations

Academic Medical Center Experience • Baylor College of Medicine—Hospital and Clinic • John Hopkins University Asthma and Allergy Center • Nebraska Medical Center—The Lied Transplant Center • New York Presbyterian Hospital—Expansion and Modernization • Northwestern Memorial Hospital—Campus Redevelopment Project • Wexner Medical Center at The Ohio State University - James Cancer Hospital and Solove Research Institute and Critical Care Tower • University Health Network—Toronto General Hospital Clinical Services Building • University Medical Center of Princeton at Plainsboro - Replacement Hospital • University of Texas M.D. Anderson —Cancer Center Renovations

Ambulatory Care Facility • Barnes-Jewish Hospital and Washington University School of Medicine Center for Advanced Medicine • Columbia St. Mary’s Hospital Ozaukee Campus Expansion • Harlem Hospital Center Major Modernization • Loyola University Medical Center Expansion Project • U.S. Department of Veterans Affairs Ambulatory Surgery/Outpatient Diagnostic Support Center (Fort Myers)

• Methodist Sugar Land Hospital Cancer Center • Mount Clemens Cancer Center • University of Missouri Health Care Center Ellis Fischel Cancer Center

Clinic • Baylor College of Medicine Hospital and Clinic • Cedars-Sinai Medical Center Advanced Health Sciences Pavilion • Clarian Neuroscience Center of Excellence • SIU Physicians and Surgeons

Conference/Learning/ Training Center • Florida International University College of Nursing and Health Sciences • Royal Infirmary of Edinburgh and University of Edinburgh Medical School • St. Louis University School of Nursing • Washington University School of Medicine Farrell Learning and Teaching Center

Hospital - Academic Medical Center • Baylor College of Medicine Hospital and Clinic • New York Presbyterian Hospital Expansion and Modernization • Northwestern Memorial Hospital Campus Redevelopment Project • University Health Network - Toronto General Hospital Clinical Services Building

• St. Louis Children’s Hospital

Hospital - Community • Columbia St. Mary’s Hospital Lake Drive Campus • Community Hospital of the Monterey Peninsula • Methodist Hospitals and HCA Corporation Stone Oak Hospital • Missouri Baptist Medical Center • Wishard Health Services—Sidney and Lois Eskenazi Hospital

Hospital - Psychiatric • Alaska Psychiatric Institute • Department of Veterans Affairs Long Beach Mental Health Facility and Community Living Center • Evansville State Hospital Psychiatric Hospital • Madison Psychiatric Hospital • Oregon State Hospital Replacement Psychiatric Hospitals

Medical/Professional Office Building • Columbia St. Mary’s Hospital Prospect Medical Commons • Deaconess Hospital • Kettering Health Network Indu and Raj Soin Medical Center • Saint Joseph Regional Medical Center • Our Lady of Lourdes Regional Medical Center

Rehabilitation Facility

• University Medical Center of Princeton at Plainsboro - Replacement Hospital

• Clement J. Zablocki Medical Center Spinal Cord Injury Disorder Center

Hospital - Children’s

• Walter Reed National Military Medical Center

• Children’s Healthcare of Atlanta • Driscoll Children’s Hospital Renovation and Expansion

• Toronto Rehabilitation University Centre

B J C P R O G R E S S W E S T H E A LT H C A R E S Y S T E M

A B O U T H O K H E A LT H C A R E

REPRESENTATIVE HEALTHCARE EXPERIENCE Planning | Design | Lighting | Landscape | Interiors

Patient Bed Tower Experience Baylor College of Medicine—Hospital and Clinic University of Missouri Ellis Fischel Cancer Center St. Joseph Regional Medical Center St. John Hospital and Medical Center Advocate Good Shepherd Carilion Roanoke Memorial Hospital Columbia St. Mary’s Hospital - Ozaukee Campus St. Joseph’s Hospital St. Bartholomew’s and The Royal London Hospitals Saint John’s Hospital and Health Center University of Alabama at Birmingham Hospital

C O L U M B I A S T. M A R Y ’ S O Z A U K E E C A M P U S

ZI

A B O U T H O K H E A LT H C A R E

REPRESENTATIVE HEALTHCARE EXPERIENCE Planning | Design | Lighting | Landscape | Interiors

HOK brings concepts to community hospitals that we apply to leading academic medical centers: acuityadaptable floor plans and operational-driven layouts.

Representative Community Hospital Experience Beaumont Hospital—North and South Tower Additions Columbia St. Mary’s Hospital—Lake Drive Campus Community Hospital of the Monterey Peninsula Methodist Hospitals and HCA Corporation—Stone Oak Hospital Missouri Baptist Medical Center Wishard Health Services—Sidney and Lois Eskenazi Hospital

M E T H O D I S T S T O N E O A K H O S P I TA L

A B O U T H O K H E A LT H C A R E

REPRESENTATIVE HEALTHCARE EXPERIENCE Planning | Design | Lighting | Landscape | Interiors

HOK’s approach to outpatient spaces balances good business with providing a convenient and dignified patient experience.

Representative Ambulatory Care/Clinic Experience Barnes-Jewish Hospital and Washington University School of Medicine—Center for Advanced Medicine Columbia St. Mary’s Hospital—Ozaukee Campus Expansion Harlem Hospital Center—Major Modernization Loyola University—Medical Center Expansion Project U.S. Department of Veterans Affairs—Ambulatory Surgery/Outpatient Diagnostic Support Center Baylor College of Medicine—Hospital and Clinic Cedars-Sinai Medical Center—Advanced Health Sciences Pavilion Clarian Neuroscience Center of Excellence SIU Physicians and Surgeons

C O L U M B I A S T. M A R Y ’ S H O S P I TA L— P R O S P E C T M E D I C A L C O M M O N S

A B O U T H O K H E A LT H C A R E

OUR HEALTHCARE MISSION

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2

3

4

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EXPERTLY FUNCTIONING SYSTEMS

CONTRIBUTING TO THE HEALTH OF COMMUNITIES

COMMUNICATIVE OF A LARGE IDEA

BEAUTIFUL OBJECTS AND SPACES

SUSTAINABLE AND REGENERATIVE

Effective healthcare

As a practice on the

Many of our clients

Healthcare facilities are

planning starts at the

cutting edge of planning

enjoy the benefit of

essentially civic structures

system and campus

and design; combined

contributing to a broader

by nature, size and

levels. We uncover

with a global platform, we

body of knowledge.

importance. They deserve

elegantly simple

possess the potential to

Other clients serve a

an architectural response

campus solutions from

shape the delivery of care

culturally important role

commensurate with their

a maze of physical,

at all scale levels: local,

in the community. All

inherent value.

cultural and financial

regional, national and

clients deserve a building

hurdles. Our passion

global.

which can express these

is helping you reign in costs while moving your development plan forward.

With solid campus planning your buildings can function as one system. Additionally, these buildings are complex clinical and operational processes. Our medical planners act as fluent interpreters between process improvement professionals and architects. This results in buildings that compel efficient care delivery.

ambitions.

We embrace the importance of our role in the protection of the environment and recognize that we have an important duty to incorporate sustainable practices within our design solutions. More broadly, we wish to drive our facilities beyond sustainably responsive, but more specifically to being potentially regenerative.

A B O U T H O K H E A LT H C A R E

HOK CHICAGO Established in 1995, the Chicago office of HOK provides full architectural services, interior design, medical planning, and strategic consulting services to a wide variety of markets.

HOK CHICAGO HEALTHCARE CLIENTS Our professionals provide a range of integrated services. We work with some of the most prestigious healthcare organizations in the region, which include: Wexner Medical Center at The Ohio State University Loyola University Medical Center Northwestern Memorial Hospital William Beaumont Health System Advocate Health Care Southern Illinois University School of Medicine HealthEast Care System

H O K C H I C A G O — L E E D ® P L AT I N U M

M A RCH LIFECA RE CA MPUS

Consulting Services

A B O U T H O K H E A LT H C A R E

HOK HEALTHCARE CONSULTING SERVICES Health systems, whether confined to a region or spread across a continent, are challenged to distribute services across a network of buildings in a way that capitalizes on the needs the population. With facility investments becoming more costly, overbuilding to cover unknowns is rarely an option. Only by defining a strategic network delivery model, aligning services among buildings and aligning services within buildings can an organization be confident that its capturing the most market share per dollar invested.

The HOK Healthcare Consulting Services team integrates the strategic, operational, clinical, and functional components of healthcare planning.

C O N S U LT I N G

We look to optimize efficiencies while ensuring sufficient and appropriate capital resources for hospital and healthcare system clients nationwide.

Our firm provides consulting services to healthcare clients commencing within the translation of institution’s business strategy into a strategic facility plan and through to a viable functional and space program.

A RCHIT ECT URE

RESE ARCH

Strategic Facility Planning is about the positioning as opposed to the site location of facilities. The strategic facility planning process bridges the market, business plans, and economic strategies with the need for facility and capital resources. This often requires configuring facilities around a service strategy instead of the constraints or opportunities of the site.

Visualizing your future with advanced modeling tools: the Virtuoso速 Suite How will population changes impact healthcare needs in your marketplace? Which service lines have the best potential for helping you capture market share? Do you need to add space or simply realign services to accommodate change?

Our Healthcare Consulting Group uses innovative software to help you visualize your future. With these tools we can show needs over time. We can show you an overall view of your market, or zoom in to illustrate how campus service lines integrate and flow. The ultimate what-if tool, we can model multiple facilities and multiple scenarios for growth or consolidation. This system is backed by benchmark data. We populate additional variables with statistical data from your system and your region.

A B O U T H O K H E A LT H C A R E

Facility Master Planning is an assessment of the buildings’ physical characteristics including age, system capacity, expandability, and key functional relationship

STEPS

HOK HEALTHCARE CONSULTING SERVICES

OUTCOMES

HOK has developed a process for strategic facility planning that aims to achieve a clearer perspective for long-range capital planning in a rapidly changing world of health care. The ability to develop scenarios across a hospital systems or regions allows a greater efficiency in use of limited resources spread throughout a broader market area. Our approach provides a step-by-step methodology of integrating strategic planning initiatives into an effective, long term capital plan.

ACTIVITIES

Our Process

Baseline Assessment

Strategy & Space

Establish and build scenarios for service planning strategies

• Capacity • Usage • Conditions

Affordability

Concepts & Configurations

Facility Options

Define market strategies and projects space requirements for various options and facilities.

Assess the feasibility of developing strategies given market and financial conditions.

Understand the issues and operations related to serviceline planning across multiple hospital sites

Implement the strategic vision, service configuration and economic indicators.

• Consolidation • Expansion • Distribution

• Investment feasibility

• Facility and service configurations

• 25 - 10 year capital and strategic facility plan

• Capital targets

• Operational plan • Phasing

Operational Planning

Current State

assists healthcare institutions in their ability to deliver care with the highest efficiency whether it relates to design or purely function.

Lean-infused Planning & Design In applying Lean techniques to care delivery , a graphic tool called a value stream map can be used to document the flows of patients, material, and information as these elements progress through the process of care of the “value stream.� It is important to map the current state and the future state, or ideal state.

The goal is to imagine the ideal, and through a series of future state map iterations, eliminate the inefficiencies that are identified. The performance metrics to identify success of the future state will be in the areas of productivity, access, service delivery/patient loyalty and revenue generation. Application of these findings can result in measurable time savings for both patients and staff.

Future State

U N I V E R S I T Y M E D I C A L C E N T E R AT P R I N C E T O N

Healthcare Experience

H E A LT H C A R E P R O J E C T E X P E R I E N C E

WEXNER MEDICAL CENTER AT THE OHIO STATE UNIVERSIT Y JAMES CANCER HOSPITAL AND SOLOVE RESE ARCH INSTITUTE AND CRITICAL CARE TOWER Since 2006, HOK has been the executive design architect for the South Campus Master Plan Implementation. The project is a growth and replacement of the Arthur G. James Cancer Hospital and associated translational research facilities, critical care beds, surgery and imaging.

This plan will create a contemporary academic healthcare environment that merges research, clinical and educational missions to help propel Wexner Medical Center into the top quartile of academic medical centers.

Additionally, HOK will position Wexner to address the rising demands for services and enhance the center’s identity through increased visibility and accessibility. The project scope also includes development of parking garages, master site planning and backfill renovation of existing hospital departments and engineering systems.

HOK/Moody Nolan was awarded the Architect of Record role for this project, continuing HOK’s design and planning work by overseeing the remaining phases of implementation.

LOCATION Columbus, Ohio SIZE 1.6 million sq. ft. | 420 beds SERV ICES Master planning, Medical planning, Architectural design, Landscape architecture COMPLETION 2014

OUTCOMES By leveraging state-of-the art robotic technology: The hospital expects a savings of $2.1 million in first costs, and more than $7 million over the life of the facility.

H E A LT H C A R E P R O J E C T E X P E R I E N C E

UNIVERSIT Y OF MISSOURI PATIENT CARE TOWER /ELLIS FISCHEL CANCER CENTER

The University of Missouri Health Care System selected HOK to design a new eight-story hospital expansion to include the Ellis Fischel Cancer Center.

The tower is being built adjacent to University Hospital at the University of Missouri main campus.

The Ellis Fischel Cancer Center has a rich tradition that will be fostered by its new proximity to other hospital functions. The lower two floors of the new addition will contain a new entrance for the cancer center, a cancer screening area, clinics, radiation oncology, infusion and imaging modalities including PET/CT. The center is developing Lean operational processes to gain the best efficiencies in the new building.

The upper floors will include components to grow other programs aligned with existing facilities: •

• •

Expansion of the surgery program with six new operating rooms plus six shelled, PACU and new private room patient intake areas Expansion space for the interventional imaging program Sixty new medical/surgical/step-down patient beds plus shelled space for another 30 stepdown patient beds.

LOCATION Columbia, Missouri SIZE 311,000 sq. ft.

SERVICES Architecture, Interior design, Master planning, Structural engineering, Lighting design COMPLETION 2013

H E A LT H C A R E P R O J E C T E X P E R I E N C E

ST. JOSEPH’S HOSPITAL EXPANSION AND RENOVATION

HOK served as the design architect for a major expansion and renovation project for St. Joseph’s Hospital. The project consisted of approximately 175,000 square feet of new space for a patient tower with 90 private patient rooms, radiology and outpatient services, a 15,000-square-foot emergency department expansion, and additional hospital renovation. Additionally, a 16,000-squarefoot material management facility with a 290-space parking ramp was developed. Another goal of the renovation at St. Joseph’s was to have 100 percent private rooms for the medical and surgical patients.

HOK was the associate architect providing all medical planning and design. BWBR was the executive architect for the project.

LOCATION St. Paul, Minnesota SIZE 175,000 sq. ft.

SERVICES Architecture, Medical Planning, Interior Design COMPLETION 2009

H E A LT H C A R E P R O J E C T E X P E R I E N C E

ST. JOHN HOSPITAL AND MEDICAL CENTER

NORTH PAVILLION MASTER PL AN IMPLEMENTATION With ambitious goals for future growth, St. John Hospital and Medical Center developed the North Pavilion project as the first component of a phased replacement of beds within the medical center.

HOK served as the lead designer and planner for the new four-story tower which houses a renovated emergency department, relocated and consolidated radiology department, cardiovascular services including non-invasive cardiology and vascular/cath labs, four 36-room nursing units and miscellaneous support services.

The new building also provides for an additional four stories of nursing units in the future. The project’s new entry and lobby enhance the identity of the hospital and provide connectivity to existing campus facilities.

St. John is a member of Ascension Health System, one of the largest Catholic health systems in the country. HOK provided architecture, medical planning, and interior design services. Harley Ellis Devereaux served as architect of record.

LOCATION Detriot, Michigan SIZE 270,000 sq. ft.

SERVICES Architecture, Certificate of Need (CON) Assistance, Interiors, Master planning COMPLETION 2007

H E A LT H C A R E P R O J E C T E X P E R I E N C E

ADVOCATE GOOD SHEPHERD

BED TOWER EXPANSION AND RENOVATION HOK is completing the design validation phase for in-patient and interventional platform expansion for the Advocate Good Shepherd Hospital in Barrington, Illinois. Earlier design stages included feasibility studies and lean process planning (including current state / future state analysis and finding ways to bring more services to the patient). The project will be delivered via an Integrated Project Delivery process with early involvement of design-assist subcontractors and construction is expected to begin in August of 2013.

Development of patient care units includes implementation of Advocate design standards in coordination with the facility’s development of new operational strategies. The planning and design team have developed a positive and collaborative project environment with a shared commitment to key project objectives, including enhancement of the “Advocate Experience” of patient and familycentered care and development of the most operationally efficient project based on value-driven assessment of space and functional needs.

LOCATION Barrington, Illinois SIZE 350,000 sq. ft.

SERVICES Architecture, Master planning COMPLETION 2017

H E A LT H C A R E P R O J E C T E X P E R I E N C E

NEW YORK PRESBY TERIAN HOSPITAL FACILIT Y ASSESSMENT & RE AL ESTATE MASTER PL AN

The University Hospital of Columbia and Cornell charged HOK to study how their facilities can best accommodate the future of healthcare in the context of aging facilities and infrastructure. The scope includes both their uptown and downtown Manhattan campuses. Working with the Hospital’s leadership at all levels we are qualitatively understanding potential growth and/or replacement opportunities in the highly competitive New York City healthcare market.

New York-Presbyterian Hospital is a nationally ranked institution, but within the context of today’s economic uncertainty they must plan for the future to remain competitive. Planning studies encompass an urban scale vision of the Hospital fifteen to thirty years into the future as well as a macro level assessment of the existing facilities and infrastructure. Program and goal definitions enable the team to assess alternative growth strategies. Understanding the key role ambulatory procedures will play and developing strategies for the accommodation of faculty practices are two important components of the study.

LOCATION New York, New York SIZE 2 million sq. ft.+ SERVICES Master planning and facility assessment COMPLETION On-going

H E A LT H C A R E P R O J E C T E X P E R I E N C E

HARLEM HOSPITAL CENTER

MAJOR MODERNIZ ATION

Harlem Hospital is a campus of disparate and unconnected buildings built over ninety years on an urban site in upper Manhattan. The site lacks a strong overall plan for departmental location and growth as well as a coherent institutional image.

Certain buildings are no longer appropriate for health care, and a new master plan study indicated that a new central pavilion with reconfiguration of existing buildings is a strong solution for modernization and future growth.

The project is a large modernization and expansion program that will substantially improve the physical and therapeutic environment and provide more state-of-the-art services to the Harlem Community and its surrounding neighborhoods. This will be the hospital of choice for the present and future Harlem community, meeting community needs for growth of key programs, growth of medical specialties and sub specialties and research with affiliated medical schools.

LOCATION New York, New York SIZE 800,000 sq. ft.

SERV ICES Master planning, medical planning, interiors, programming, architecture COMPLETION 2012

H E A LT H C A R E P R O J E C T E X P E R I E N C E

UNIVERSIT Y MEDICAL CENTER OF PRINCETON AT PL AINSBORO REPL ACEMENT HOSPITAL

The new hospital designed as part of a joint venture by HOK and RMJM Hillier incorporates the most current thinking and best practices in healthcare design. Features of the new facility include an abundance of natural light; spacious and flexible operating rooms to accommodate robotics and other emerging technologies; advanced imaging and treatment areas; and allprivate, patient rooms designed to reduce falls, minimize risk of infection and enhance privacy, with room amenities such as wireless Internet access, dedicated ventilation and temperature control systems and room service dining.

The new hospital will also incorporate the latest in sustainable design, featuring a broad spectrum of energy and resource conservation innovations to make it one of the most environmentally-advanced hospitals in the nation.

LOCATION Plainsboro, New Jersey SIZE 636,000 sq. ft. | 266 beds SERV ICES Master planning, medical planning, programming, architecture, interiors, sustainablilty consulting COMPLETION 2012

H E A LT H C A R E P R O J E C T E X P E R I E N C E

RHODE ISL AND HOSPITAL LIFESPAN HE ALTH SYSTEM

Based on a Master Plan developed by HOK with Lifespan Health System for the hospital, HOK was commissioned to implement the phased Master Plan recommendations. The major new construction and related renovations provide a new Emergency Department with the ability to respond to catastrophic events, new state-of-the-art Operating Rooms directly above accommodating the latest surgical technologies, and a three story vertical expansion for critical care and acuity adaptable beds.

The building design expresses the modernity of the approach to care within. It is a major conceptual and urban statement as both a physical bridge linking important clinical components on two sides of a major street, and a bridge to the future of care at Rhode Island Hospital.

LOCATION Providence, Rhode Island SIZE 321,000 sq. ft.

SERV ICES Programming, facility assessment, master planning, medical planning, research planning, campus/urban panning and design COMPLETION 2008

H E A LT H C A R E P R O J E C T E X P E R I E N C E

MIRIAM HOSPITAL

LIFESPAN HE ALTH SYSTEM

HOK provided a master plan for the growth of the Miriam Hospital. The first building, the Clinical Services Building, includes a new and expanded imaging center on the first floor, completely new surgical facilities on the second floor and a new bed floor on the third floor incorporating state-of-theart bed accommodations for a range of acuities.

Phases 2 and 3 provide an expanded Emergency Department, diagnostic and treatment areas, and a second new building, the Patient Services Facility, housing the remaining complement of new beds.

The facilities plan for growth was done in collaboration with an active community who participated in a series of meetings so that broad consensus was achieved prior to formal submission to regulatory agencies. This collaboration extended to massing and building design, resulting in a building design that minimized bulk, is sensitive to its surroundings, and is designed with innovative materials expressing the hospital’s vision for the future for care delivery.

LOCATION Providence, Rhode Island SIZE 283,500 sq. ft.

SERV ICES Programming, facility assessment, master planning, medical planning, research planning, campus/urban panning and design, phased construction COMPLETION 2009

H E A LT H C A R E P R O J E C T E X P E R I E N C E

WALTER REED NATIONAL MILITARY MEDICAL CENTER AT BETHESDA The new Walter Reed National Military Medical Center at Bethesda (WRNMMC) is a state-of-the-art medical, academic, and research center that integrates world class talent from the Navy, Army, Air Force, Marines, Coast Guard, Public Health and NOAA. HOK and AECOM developed the medical master planning, design bridging documents and the Design-Build Request for Proposal for the renovation and construction of patient care space for the WRNMMC. The project includes a 520,000 sq. ft. new ambulatory care addition, a 162,000 sq. ft. diagnostic and treatment addition, upgrades to the central energy plant and utilities, two new parking structures providing 2,150 parking spaces and 418,000 sq. ft. of renovation within the existing medical facility to support patient care. The project houses 344 patient beds and realigns the facilities’ diagnostic and treatment, inpatient and outpatient facilities for ease of access and efficiencies. In addition to the development of the RFP and bridging documents, AECOM & HOK have been awarded the post construction award services (PCAS) contract.

LOCATION Bethesda, Maryland SIZE 1,127,000 sq. ft.

SERV ICES Programming, Facility Assessment, Master Planning, Medical Planning, Interior Design, Campus/Urban Planning, Architectural Design COMPL ETION Bridging Documents: 2009 Construction: 2012

H E A LT H C A R E P R O J E C T E X P E R I E N C E

WISHARD HEALTH SERVICES

SIDNEY AND LOIS ESKENA ZI HOSPITAL 4 Pursuing LEEDÂŽ certification

Wishard Hospital leaders were presented with an opportunity to create a contemporary public academic healthcare environment that merges research, clinical and educational missions. HOK is leading a team of 38 consultants to complete this 1.4 million-square-foot replacement medical center on a 37-acre site.

The project will mark a new era for public hospitals by creating a welcoming, beautiful space for anyone seeking care. Additionally, it is a part of a growth strategy to propel Wishard into the top quartile of medical facilities. The campus program is organized around a central community green space, Wishard Commons, and includes inpatient care, ambulatory care, administrative, faculty office and research space. Wishard’s image will be enhanced through increased visibility and accessibility. Architects will define a strong external presence for the hospital. They will develop pedestrian, vehicular and open space connections within the campus and adjacent public areas.

LOCATION Indianapolis, Indiana SIZE 1.4 million sq. ft. | 319 beds SERV ICES Master planning, site/campus planning, medical planning, programming, architecture, structural engineering, interiors, landscape architecture COMPLETION 2013

OUTCOMES By efficiently allocating space, the HOK team expects: Ability to see 20% more patients in 1/3 of the space 45% less energy use 12% lower operating costs

H E A LT H C A R E P R O J E C T E X P E R I E N C E

L AC+USC MEDICAL CENTER

MASTER PL AN AND REPL ACEMENT PROJECT

The LAC+USC Medical Center represents a consolidation and replacement of hospital functions presently located in 130 different facilities. The overall goal for the site was to program an ideal organization of the entire complex. To accomplish this, the architects created a vision for efficient organization focusing on the three main functions of the hospital: inpatient care; outpatient care; and diagnostic and treatment services.

The diagnostic and treatment component of the facility contains over 500,000 square feet of usable space. Each floor is configured to accommodate both outpatient and inpatient access to services, which separates the patient populations to maintain privacy and deinstitutionalize the ambulatory environment.

LOCATION Los Angeles, California SIZE 1.65 million sq. ft. | 600 beds SERV ICES Programming, Master planning, Medical planning, Campus/Urban planning Architectural design, Interiors COMPLETION 2008

H E A LT H C A R E P R O J E C T E X P E R I E N C E

SAINT BARTHOLOMEW ’S AND THE ROYAL LONDON HOSPITALS NEW HOSPITAL

HOK was selected to redevelop St. Bartholomew’s (Bart’s) and The Royal London Hospitals. The new development for the Royal London Hospital will replace old buildings with a coherent structure, purpose-built to support the delivery of 21stcentury clinical care. Bart’s Hospital will become a Cancer and Cardiac Centre of Excellence, incorporating services from The London Chest Hospital.

The state-of-the-art facilities for cancer will include a Breast Care Centre, and patients will be investigated or treated for heart disease using the most up-to-date equipment. The proposals for Bart’s blend the hospital’s historic Georgian buildings with the modern architecture of a new building designed for 21st -century clinical care.

The proposals for The Royal London, together with those for Bart’s, will provide a total of up to 1,248 beds.

LOCATION London, United Kingdom SIZE 2 million sq. ft. | 1,248 beds SERV ICES Master planning, medical planning, architecture, interiors COMPLETION 2012

H E A LT H C A R E P R O J E C T E X P E R I E N C E

BJC HEALTH SYSTEM

KINGS HIGHWAY BOULEVARD CAMPUS RENEWAL PROJECT

HOK was recently selected to be the Executive architect for BJC Health System on the long-term project to renew the Kingshighway Boulevard medical center campus, which encompasses Barnes-Jewish Hospital, St. Louis Children’s Hospital and Washington University School of Medicine.

Phase I of the project is over 800,000 sq. ft. of new construction and renovation including 453 new beds, Mother and Infants, Cancer, Surgery, Administration, Education, Research and Parking.

LOCATION St. Louis, Missouri SIZE New: 833,000 bgsq. ft. / Reno 166,000 bgsq. ft.

SERVICES Facilities Assessment, Master Planning, Program, Alternative Concepts, Campus Master Plan Implementation Strategy, Medical Planning, Design Implementation SIZE New: 833,000 bgsq. ft. / Reno 166,000 bgsq. ft.

COMPLETION 2019

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CEDARS-SINAI MEDICAL CENTER ADVANCED HE ALTH SCIENCES PAVILION

The Advanced Health Sciences Pavilion (AHSP) at Cedars-Sinai is designed as a state of the art building, bringing together all functions represented by a ‘cutting edge’ medical center.

The Pavilion will include facilities for the nation’s top researchers and physicians to work together in contiguous space in order to bring the most current knowledge and practice to the community.

The building is situated on a public edge of the Cedars-Sinai campus, adjacent to its primary circulation spine. Due to this high profile location, the AHSP will create a new symbolic entry to the medical center. A gentle, curving facade invites visitors and provides a welcoming public face to the surrounding community. This curve is accentuated with a glass ‘lantern’ at the northernmost edge.

LOCATION Los Angeles, California SIZE 450, 000 sq. ft.

SERV ICES Architecture, interiors COMPLETION 2013

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UNIVERSIT Y HEALTH NET WORK

TORONTO GENER AL HOSPITAL CLINICAL SERVICES BUILDING The Toronto Hospital resolves a range of planning issues related to effective health care delivery on an urban site adjacent to Toronto’s main civic boulevard. Four individual hospitals have been consolidated into three new facilities. The project represents a carefully-measured response that appropriately reflects the need to adapt to changing technology and enhanced quality in patient care accommodations.

The new Hospital includes 224-beds of highacuity-level nursing units. In addition, 22 new operating rooms have been developed, two of which integrate imaging and surgical protocols.

The surgical suite is aligned with Cardiovascular and Surgical ICUs as well as a Short Stay unit creating a surgical platform-of-care with direct and easy access. A spectacular four-story Patient Court is a glowing centerpiece for the building. It provides communal campus space in a protected environment and provides a landscaped, lightfilled, soaring space that serves as an area of respite for ambulatory patients, staff and visitors.

LOCATION Toronto, Ontario, Canada SIZE 750,000 sq. ft. | 224 beds SERV ICES Master planning, medical planning, programming, architecture, interiors COMPLETION 2003

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METHODIST HEALTH SYSTEM AND HCA CORPOR ATION STONE OAK HOSPITAL

What began as the winner of HCA’s nationwide design competition for the Hospital of the Future eventually became the final design for Stone Oak Hospital in one of the fastest growing communities in the country. The hospital embodies a forwardthinking brand and modern image balanced with rational concepts that address streamlined staffing and cost-effective phased construction.

The goal of the design was to improved care, offer greater efficiency, and a superior patient environment by bringing together the best patient care ideas and the design concepts that support them. Within the first month of opening the hospital experienced higher-than-expected census numbers. Patients and practitioners have praised the easy access to portals of care for all services.

LOCATION San Antonio, Texas SIZE 300,000 sq. ft. | 132 beds SERV ICES Programming, Master planning, Medical planning, Architectural design, Interiors COMPLETION 2008

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COMMUNIT Y HOSPITAL OF THE MONTEREY PENINSUL A PAVILION EXPANSION

The Community Hospital of the Monterey Peninsula (CHOMP) project consists of approximately 270,000 square feet of new and renovated construction including a new patient bed wing and a new diagnostic and treatment wing. The hospital features 100 percent single-bed, multi-acuity patient rooms developed around a series of healing gardens.

The design team faced the challenges of incorporating the new facilities into an environmentally-protected area and maintaining the character and integrity of the original design.

HOK worked with the landscape architect and CHOMP to site the new wings so as to minimize intrusion into the forest and maintain existing views of nature, while creating critical adjacencies that are important for hospital functionality. In addition, the design team is adhering to CHOMP’s expressed desire to maintain the look of Stone’s original design so that the new construction falls within the contextual character of the existing building.

LOCATION Monterey, California SIZE 270,000 sq. ft.

SERV ICES Architecture, master planning, interiors, COMPLETION 2007

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COLUMBIA ST. MARY’S HOSPITAL L AKE DRIVE MAIN HOSPITAL

HOK designed a new hospital campus to integrate the existing Columbia and St. Mary’s Hospital campuses into a single new facility constructed on a prominent site overlooking Lake Michigan. Tasked to improve the patient experience, HOK developed an innovative diagnostic and treatment chassis that will separate inpatient and outpatient traffic while maintaining flexibility in perioperative space and other support space. The design will support an intuitive traffic pattern from campus entry to the point of care. An overall improvement in flow is expected to reduce travel distances, increase the proportion of time caregivers spend with patients and boost patient and staff satisq. ft. action.

The new medical campus consists of 463 beds, expansive ambulatory care facilities, clinic space for over 150 physicians, and structured parking. A second facilities expansion project at the Ozaukee Campus includes a new inpatient tower with 160 beds and a new medical office building.

LOCATION Milwaukee, Wisconsin SIZE 705,000 sq. ft. | 463 beds SERV ICES Master planning, site/campus planning, medical planning, architecture, structural engineering, interiors, landscape architecture COMPLETION 2010

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COLUMBIA ST. MARY’S HOSPITAL

PROSPECT MEDICAL COMMONS

HOK has completed a five-story medical officeretail complex for Columbia St. Mary’s Hospital - the first phase of the health system’s new Lake Drive Campus. The four upper stories (96,000 square feet) of the complex house medical office space for about 70 physicians including Columbia St. Mary’s Community Physicians (CSMCP) and other independent physicians. Whole Foods Market occupies the first floor (54,000 square feet) of the building.

A five-story parking structure provides additional parking, which is available after hours for visitors to the surrounding business district. Whole Foods Market offers 161 parking spaces underground for its customers, and Columbia St. Mary’s offers 306 above ground parking spaces for patients and visitors.

LOCATION Milwaukee, Wisconsin SIZE 165,000 sq. ft.

SERV ICES Architecture, master planning, landscape architecture, interiors, structural engineering COMPLETION 2007

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COLUMBIA ST. MARY’S HOSPITAL WATER TOWER MEDICAL COMMONS CANCER CENTER

As part of Columbia St. Mary’s replacement and expansion project on the Lake Drive campus, HOK was selected to be the Architect of Record, with Kahler Slater as Associate Architect, to design a cancer center within the new Water Tower Medical Commons. The Cancer Center, which overlooks Lake Michigan, combined Columbia St. Mary’s nationally recognized cancer services staff, treatment and technology on Milwaukee’s east side.

Columbia St. Mary’s was chosen as one of three Ascension Health hospitals nationally and the only health system in Wisconsin, by the National Cancer Institute (NCI) as a pilot site for NCI’s Community Cancer Centers Program. The goals of the pilot program were to bring the latest scientific advances and the highest level of innovative and integrated, multi-specialty care to a much larger population of cancer patients, especially those who are under served.

LOCATION Milwaukee, Wisconsin SIZE 162,000 sq. ft.

SERV ICES Architecture, master planning, site/campus planning, landscape architecture, interiors, structural engineering COMPLETION 2008

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MOUNT ELIZ ABETH HOSPITAL

HOK designed a new private hospital in Novena, Singapore. The vision for the project is a “hospital of the future� that meets the needs of patients and medical professionals with the latest technology and design innovations. The hospital will focus on cardiology, orthopedics and oncology specialties.

The patient-focused elements provide a positive healing environment. The hospital has a hospitality feel with 100-percent private patient rooms and balconies on patient floors, as well as gardens and rooftop landscaping to enhance the inclusion of light and nature.

The physician-centered elements include merging of inpatient and outpatient services with diagnostic and treatment to provide patients a continuum of care, medical offices organized as Centers of Excellence and traditional medical suites.

LOCATION Novena, Singapore SIZE 779,000 sq. ft. | 500 beds SERV ICES Medical planning, master planning, programming, architecture, interiors, site/ campus planning, landscape architecture COMPLETION 2011

CO N TACT US Paul Strohm, aia, acha, leed ap bd+c Senior Vice President | Director, Healthcare 314.754.4196 paul.strohm@hok.com