E4H PACE Centers

PACE COMMUNITY CENTERS

enhance healing, advance health research, & elevate hope.

WHAT CAN WE DO FOR YOU? Partner-led team providing critical direction Same team from project inception to completion

planning architecture

Proven results in design for efficiency

interior design

Expertise of a large firm, attention of a small firm

graphic design

Board Certified American College of Healthcare Architects (ACHA) Nationwide firm working on small and large projects Philosophically lean

wayfinding virtual reality lean processes

Challenges the status quo

Consistent Team. Elevated Design.

HEALTHCARE EXPERTISE COMMITMENT TO PLANNING INNOVATION

BEST PRACTICES FOR YOUR LOCATION

Creative solutions incorporate:

» Listen carefully and understand Client goals

» Client’s unique brand

» Draw upon our diverse experience at hospitals across the nation

» Patient-centered multidisciplinary care

» Design unique solutions for each Client

» Financial and business needs of the organization

» Incorporate patient volume data and community needs

» Technical constraints of current space/services » Healthcare planning expertise and real estate knowledge

E4H SMART DESIGN SYSTEM » Proprietary software for real-time planning

FLEXIBILITY FOR THE FUTURE

» Fosters good communication and dialogue

» Plan for the ability to grow, shrink and change without expensive renovation

» Modify diagrams and floor plans live

» Plan for flexibility in future technology, codes, operations and practice size

» Inspires participation from patient representatives, staff, and administration » Illustrate requirements and constraints

FINANCIAL FEASIBILITY

» Opportunity to incorporate lean methodologies

» Design for operational efficiencies in staffing, energy management, and throughput

» Identify and analyze the future needs of the facility

» One FTE supports $1.25-1.5M in debt service

» Envision how to respond to fluctuations in patient volume

» Explore how major market forces can impact design » Look at flexible options for future changes in use and patient care

COMMITMENT TO SUSTAINABILITY GREEN BUILDING DESIGN

THE WELL BUILDING STANDARD

E4H employs best practices of sustainable design in our buildings including:

» The WELL Building Standard is the premier standard for buildings, interior spaces and communities seeking to implement, validate and measure features that support and advance human health and wellness.

» Site strategies to minimize impact, and maximize occupant comfort » Selecting building materials which are responsibly sourced, contain high recycled content and are healthy for patients and staff

» 1%-3% additional construction cost

» Select building systems which are energy efficient including; mechanical systems, plumbing fixtures, energy efficient lighting and day lighting strategies

CARBON NEUTRAL

LEED CERTIFICATION Every project is designed to high-performance, green standards. E4H’s LEED Accredited staff work with clients to ensure each design accomplishes the team’s sustainability goals. » Instant recognition for your building » Lower use of energy, water and other resources » Enhances your brand and establishes you as a leader in green building » 1%-4% additional construction cost

» Achieving net zero-carbon emissions by balancing a measured amount of carbon released with an equivalent amount sequestered or offset, or buying enough carbon credits to make up the difference. » 1%-4% additional construction cost

NET ZERO » The net accounting of zero energy generated, electricity generated, or greenhouse gas (GHG) emissions generated. » 2%-5% additional construction cost

Alexandria Memory Care, Alexandria, VA

E4H LEED CERTIFIED PROJECTS » NYP Hospital Vivian & Semour Milstein Family Heart Center, New York, NY – LEED Gold » UVM Mother Baby Unit, Burlington, VT – LEED Gold » The Steven & Alexandra Cohen Children’s Medical Center of New York, New Hyde Park, NY – LEED Silver » UVM Miller Building, Burlington, VT – LEED Silver » Forest Park Medical Center, Southlake, TX – LEED Silver » Alexandria Memory Care, Alexandria, VA – LEED » Portneuf Medical Center, Pocatello, ID – LEED F

9,000+

HEALTHCARE PROJECTS

Acadia Hospital, Bangor, ME Addison Gilbert Hospital, Gloucester, MA Adirondack Medical Center, Lake Placid, NY Baylor Healthcare System, Denton, TX Baylor Medical Center Frisco, Frisco, TX Baylor Medical Center Trophy Club, Trophy Club, TX Baylor Scott & White Health, Frisco, TX Bergen County Medical Center, Paramus, NJ Beverly Hospital, Beverly, MA Bronx Psychiatric Center, Bronx, NY Brooklyn Children’s Psychiatric Center, Brooklyn, NY Brownwood Medical Center, Brownwood, TX Central Maine Medical Center, Lewiston, ME Central Vermont Medical Center, Berlin, VT Cohen Children’s Medical Center, New Hyde Park, NY College Station Medical Center, College Station, TX Community Counseling Center, Portland, ME Community Health Systems, Multiple States Cooley Dickinson Hospital, Northampton, MA Dartmouth-Hitchcock Nashua, Nashua, NH Deaconess Medical Center, Oklahoma City, OK Deaconess Medical Center, Spokane, WA Eastern Maine Medical Center, Bangor, ME Eastern New Mexico Medical Center, Eastern, NM Fanny Allen Hospital, Winooski, VT Gerald Champion Medical Center, Alamogordo, NM Hospital for Special Services, West Palm Beach, FL LHP Hospital Group, Pocatello, ID LifePoint Hospital Palestine, Palestine, TX LincolnHealth, Damariscotta, ME Maine Behavioral Health, South Portland, ME

Maine Medical Center, Portland, ME Memorial Medical Center, Las Cruces, NM Mercy Health Partners, Scranton, PA Mercy Tyler Emergency Department, Scranton, PA Mimbres Memorial Hospital, Deming, NM Montefiore Medical Center, Bronx, NY Mountain View Regional Medical Center, Las Cruces, NM Navarro Regional Medical Center, Corsicana, TX New Hampshire Veterans Home, Tilton, NH NYU/Lutheran Medical Center, Brooklyn, NY New York-Presbyterian Hospital, New York, NY New York-Presbyterian Hospital, Westchester, NY Northern Maine Medical Center, Fort Kent, ME Northwell Health, New York, NY OASIS Hospital, Phoenix, AZ Oceans Behavioral Health, Various Locations, TX Palo Pinto General Hospital, Palo Pinto, TX Parkland Hospital, Dallas, TX Pen Bay Medical Center, Rockport, ME Portneuf Medical Center, Pocatello, ID Regional Medical Center, Sunnyvale, TX Retreat Health Care, Brattleboro, VT Scarborough Terrace, Scarborough, ME Seacoast Mental Health, Exeter, NH Seton Medical Center Harker Heights, Harker Heights, TX Spring Harbor Hospital, Westbrook, ME St. Ann Home, Dover, NH St. Joseph Healthcare, Bangor, ME Sundance Behavioral Healthcare, Fort Worth, TX TX Health Resources, Denton, TX VA Medical Center Northampton, Leeds, MA

select client list

PACE CENTER EXPERIENCE Our team has recent and relevant experience with the development of PACE facilities as follows:

Kinship Health Prototype PACE Rollout, Multiple Locations

Trinity PACE Site Assessment Services, South Bend, IN*

LIFE St. Francis Facility Master Plan for a LIFE Community Center, Edison, NJ*

Braddock Glen PACE Program Renovation, Fairfax, VA

LIFE St. Francis Site Assessment and Programming Study, Metuchen, NJ*

LIFE St. Francis Renovation Study, Edison, NJ*

Inspira LIFE New LIFE Community Center, Williamstown, NJ*

LIFE St. Francis New LIFE Community Center, Bordentown, NJ*

Wyoming PACE New PACE Community Center, Cheyenne, WY*

LIFE St. Francis Feasibility and Programming Study for Program Expansion, Trenton, NJ*

LIFE St. Francis Renovation of former Boiler and Laundry Facility for new LIFE Center, Edison, NJ*

Wyoming PACE Programming and Site Assessment, Cheyenne, WY* Eddy Services PACE Programming, Site Assessment and Facility Test Fit, Schenectady, NY* Trinity PACE Site Assessment and Facility Test Fit, Newark, NJ* Neighborhood PACE Programming and Design Consultation Services, Boston, MA* East Boston Neighborhood Health Center Existing PACE Center Assessments, Boston, MA* LIFE St. Francis Renovation Study and Test Fit, Piscataway, NJ* St. Joseph PACE New PACE Community Center, Mishawaka, IN*

LIFE St. Francis Facility Renovations, Trenton, NJ* Public Health Management Corporation New PACE Community Center, Philadelphia, PA* Public Health Management Corporation Conceptual Study and Site Assessment, Philadelphia, PA* CAN HealthPlan Location Studies and Site Assessment Services, Long Beach, CA* Public Health Management Corporation Location Studies for a new PACE Community Center, Philadelphia, PA*

LIFE St. Francis Conceptual Study for new LIFE Community Center at Roosevelt Care Center, Edison, NJ* Volunteers of America Site Assessment Services for new PACE Community Center, Passaic County, NJ* Public Health Management Corp.

Design Study for a New LIFE Community Center, Philadelphia, PA* Inspira LIFE New LIFE Community Center, Vineland, NJ*

Inspira LIFE Building Assessment for Renovation into a PACE Community Center, Vineland, NJ* Inspira LIFE Building Assessment for Renovation into a PACE Community Center, Millville, NJ* Inspira LIFE Location Studies and Site Assessment Services, Various Sites* LIFE St. Francis Renovation for New LIFE Community Center, Hamilton, NJ* LIFE St. Francis Location Studies and Site Assessment Services, Trenton, NJ* LIFE St. Francis Programming and Design Study - Greenwood Ave Site, Trenton, NJ* Mercer Street Friends Feasibility Study for ADHC/PACE Program, Trenton, NJ

Inspira LIFE Test Fit Schematic Design for a New Building, Vineland, NJ* Inspira LIFE Concept Study for Purpose Built LIFE Center, Vineland, NJ*

LIFE St. Francis Location Studies for Program Expansion, Middlesex County, NJ* * Projects completed by Richard Carroll while at a previous firm.

PREMIERE FACILITY life st. francis LOCATION Trenton, NJ As the first PACE center in New Jersey, it was vital to design a facility that was functional, stimulating and interactive.

This project consisted of the adaptive reuse of an existing two story food market. The spaces feature vibrant color palettes, fully accessible facilities, significant amounts of daylight and comfortable furnishings.

This project was completed by Richard Carroll while at a previous firm.

“

Working with Rich Carroll on the LIFE St. Francis project has been a wonderful experience. His energy, enthusiasm and commitment are exceptional. The design that they developed for the center reflects our understanding of the PACE model of care as well as sensitivity to the needs of frail seniors.”

Jill Viggiano, Original Executive Director LIFE St. Francis, Trenton NJ

PERSONAL CARE st. joseph pace LOCATION Mishawaka, IN St. Josephs’ provides participants with a variety of comfortable social spaces, a large dining area, private personal care rooms, large medical and therapy areas and an outdoor patio and therapy garden. Staff areas include a spacious break area, a variety of meeting spaces and open and modern work areas.

2016 Excellence in Construction Award, Michiana Area Construction Industry Advancement Fund This project was completed by Richard Carroll while at a previous firm.

NEW & IMPROVED life st. francis LOCATION Boredentown, NJ Building upon the lessons learned from their first site, the center features robust day spaces with a variety of settings from large group exercise to single person quiet spaces; an expanded Health and Wellness Suite; a large purpose built therapy suite; large private shower rooms and modern staff areas with natural light, formal meeting facilities and informal team huddle spaces.

This project was completed by Richard Carroll while at a previous firm.

ACTIVITIES HUB inspira life – vineland LOCATION Vineland, NJ Formerly South Jersey Healthcare LIFE, the center serves as the activities hub for participants who go to the center for services such as medical care, physical and occupational therapy, personal care, recreation, dining, and social interaction with friends. The facility provides high visibility, abundant daylight and a flexible interior environment. The spaces feature fourteen-foot ceilings in the activities spaces, vibrant colors, spacious personal care rooms and significant amounts of daylight.

This project was completed by Richard Carroll while at a previous firm.

“

We have been extremely pleased with Rich Carroll’s vision and ability to design flowing spaces that are architecturally pleasing and accommodating to frail seniors. His team have proven to be highly responsive and efficient partners with the Inspira LIFE and have done a wonderful job collaborating with key stakeholders in the design process.

Wayne Pendleton, Original Executive Director, Inspira LIFE, Vineland NJ

EXPANDED PROGRAMS wyoming pace LOCATION Cheyenne, WY While at a previous firm, Rich Carroll developed a design that responded to the client’s needs for larger social spaces, a large clinical suite with private exam rooms, an expanded physical therapy suite and access to the outdoors with a new large patio to enjoy the wonderful weather. We oriented the spaces to maximize the windows, finished with local materials and created a new Home for the program.

Working with a talented consultants, contractors and suppliers, the project was completed in six months and fully operational weeks later to the delight of the program leadership and most importantly, the seniors they serve.

“

Rich and his team transformed a dark, empty building to a light-filled, warm and welcoming environment that allows for optimal care of our frail, elderly population.”

Rebecca Carey, Executive Director Wyoming PACE

POSITIVE OUTCOMES inspira life – williamstown LOCATION Williamstown, NJ The new Inspira LIFE – Williamstown, is the second PACE center opened by Inspira Health. Serving vulnerable seniors from Gloucester County, the facility provides abundant daylight, a flexible interior environment, and access to a safe exterior patio.

The variety of interior spaces gives participants opportunities to socialize with friends, engage in meditation or prayer, enjoy a meal prepared by visiting chefs, receive personalized care. Staff enjoy the workday in a modern senior-care setting that is designed to help them achieve positive outcomes every day.

This project was completed by Richard Carroll while at a previous firm.

RICHARD CARROLL, AIA, LEED AP SUBJECT MATTER EXPERT

Over the course of his 30+ years as an architect, Rich has been a business owner, illustrator, urban designer, planner, set designer and college professor.

He believes strongly in projects and designs that promote healthy and vibrant communities. A nationally recognized thought-leader and expert in the design of environments for frail seniors, Rich’s practice focuses primarily on serving PACE organizations around the country. He recently completed a white-paper that looks at PACE center planning issues in the post-pandemic world.

Contact Information 888.781.8441 e4harchitecture.com