

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
Proven results in design for efficiency
Expertise of a large firm, attention of a small firm
Board Certified American College of Healthcare Architects (ACHA)
Nationwide firm working on small and large projects Philosophically lean
Challenges the status quo
planning architecture
interior design graphic design wayfinding virtual reality lean processes


Consistent Team. Elevated Design.


HEALTHCARE EXPERTISE
COMMITMENT TO PLANNING INNOVATION
Creative solutions incorporate:
» Client’s unique brand
» Patient-centered multidisciplinary care
» Financial and business needs of the organization
» Technical constraints of current space/services
» Healthcare planning expertise and real estate knowledge
FLEXIBILITY FOR THE FUTURE
» Plan for the ability to grow, shrink and change without expensive renovation
» Plan for flexibility in future technology, codes, operations and practice size
FINANCIAL FEASIBILITY
» Design for operational efficiencies in staffing, energy management, and throughput
» One FTE supports $1.25-1.5M in debt service

BEST PRACTICES FOR YOUR LOCATION
» Listen carefully and understand Client goals
» Draw upon our diverse experience at hospitals across the nation
» Design unique solutions for each Client
» Incorporate patient volume data and community needs
E4H SMART DESIGN SYSTEM
» Proprietary software for real-time planning
» Fosters good communication and dialogue
» Modify diagrams and floor plans live
» Inspires participation from patient representatives, staff, and administration
» Illustrate requirements and constraints
» Opportunity to incorporate lean methodologies
» Identify and analyze the future needs of the facility
» Explore how major market forces can impact design
» Envision how to respond to fluctuations in patient volume
» Look at flexible options for future changes in use and patient care

COMMITMENT TO SUSTAINABILITY
GREEN BUILDING DESIGN
E4H employs best practices of sustainable design in our buildings including:
» 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
» Select building systems which are energy efficient including; mechanical systems, plumbing fixtures, energy efficient lighting and day lighting strategies
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
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
THE WELL BUILDING STANDARD
» 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.
» 1%-3% additional construction cost
CARBON NEUTRAL
» 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

Acadia Hospital, Bangor, ME
9,000 + HEALTHCARE PROJECTS
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
Braddock Glen PACE Program Renovation, Fairfax, VA
Inspira LIFE New LIFE Community Center, Williamstown, NJ*
Wyoming PACE New PACE Community Center, Cheyenne, WY*
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*
Trinity PACE Site Assessment Services, South Bend, IN*
LIFE St. Francis Site Assessment and Programming Study, Metuchen, NJ*
LIFE St. Francis New LIFE Community Center, Bordentown, NJ*
LIFE St. Francis Feasibility and Programming Study for Program Expansion, Trenton, NJ*
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 Location Studies for Program Expansion, Middlesex County, NJ*
LIFE St. Francis Facility Master Plan for a LIFE Community Center, Edison, NJ*
LIFE St. Francis Renovation Study, Edison, NJ*
LIFE St. Francis Renovation of former
Boiler and Laundry Facility for new LIFE Center, Edison, NJ*
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 Test Fit Schematic Design for a New Building, Vineland, NJ*
Inspira LIFE Concept Study for Purpose Built LIFE 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 * 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.
