our purpose
Mission
We design environments to enhance healing, advance health research, and elevate hope.
Vision
Continuously cultivate our expertise to deliver impactful transformative design.
Values
We serve our clients with inclusivity, empowerment, and empathy, to connect, grow, and inspire.
500+
HEALTHCARE + HEALTH SCIENCE CLIENTS
AnMed Health
Baylor Scott & White Health
Beth Israel Lahey Health
Cape Regional Health System
Carbon Health
Care New England
Children’s Health System of Texas
ChristianaCare Health System
Cleveland Clinic
Cooper University Health Care
Covenant Health
Dana-Farber Cancer Institute
Dartmouth-Hitchcock Health
Eastern Maine Medical Center
Hackensack Meridian Health
Harvard Medical School
Hill Country Mental Health
Hospital for Special Surgery
Inova Health System
Intermountain Healthcare
Johns Hopkins Medicine
Kettering Health Network
Main Line Health System
Mass General Brigham
MD Anderson Cancer Center
Memorial Sloan Kettering Cancer Center
Mount Sinai Health System
NewYork-Presbyterian
Northwell Health
Novant Health
NYC Health + Hospitals
NYU Langone Health
Oceans Behavioral Health
Roper St. Francis Healthcare
RWJBarnabas Health
Shady Grove Fertility
The University of Vermont Medical Center
UCHealth
UMass Memorial Health
United Surgical Partners International
University of Pennsylvania Health System
University of Utah Health
Valley Health System
VHC Health
Weill Cornell Medicine
Yale New Haven Health
select client list
WHAT CAN WE DO FOR YOU?
planning architecture
interior design
graphic design
wayfinding
virtual reality standards and guidelines
lean processes
Advancing Design
E4H is part of MOREgroup, a family of architecture, design, and engineering brands that collaborate with passion and purpose to serve communities across the nation.
With MOREgroup, we are proud to focus on spaces that make a profound contribution to a strong social infrastructure where generations thrive. Our brands serve education, healthcare, and public architecture clients to create environments that inspire!
Together, we are more, and we are poised to leave an impact of excellence on the communities we serve. To learn more, visit: wearemore.com.
HEALTH SCIENCES
MEDICAL EXAMINER
confidential state pathology lab + medical examiner facility
This State jurisdiction (confidential) required a new pathology lab and medical examiner facility to replace the existing, outdated building. The new 18,000SF, 2-story building will include a BSL-3 autopsy suite for cases requiring isolation. The design prioritizes environmental sustainability by incorporating renewable energy and energy efficient strategies to reduce overall emissions. The project is currently in design.
CONSOLIDATED LABRATORY
confidential centralized lab planning
E4H is working with a confidential healthcare system to perform a feasibility study and conceptual design to investigate the operational design and facility validation for the consolidation of Clinical & Anatomic Pathology Labs. The intent of this project is to centralize all necessary clinical and pathology laboratory testing of each health system hospital lab into one future location to create a more efficient process for lab functions, reduce cost test, and to free up real estate within the existing hospital’s facilities.
E4H is performing
• Lean Operational Design Services
• Facility Validation
• Evidence Based Design Review
• Support of Conceptual Estimating & Preliminary Schedule
The function of this program will leverage digitization and automation in a high tech facility and the end result will be to create enough capacity to support a broader test menu of lab services.
LOCATION
Massachusetts
SIZE
Review of 143,000SF
PATHOLOGY PLANNING
academic medical center pathology
lab master plan
E4H developed a comprehensive Master Plan for a confidential academic medical center. The client wanted to consolidate and expand their entire clinical laboratory operations in a new multi-use facility on the main hospital campus.
FLOOR KEY
A specimen transport hub
B passenger elevators
C freight/passenger elevators
1 laboratory information systems office
2 central administration office
3 multipurpose room
4 atrium/break room
5 genetic & molecular pathology faculty offices
6 bioinformatics cluster
7 locker room
8 PCR suite anteroom
9 specimen prep/extraction
10 pre-PCR
11 tissue culture
12 fluorescence microscopy
13 HLA
14 TC pod
15 cytogenetics screening room
16 cytogenetics
17 clinical research
18 PCR instruments/analysis
19 refrigerated storage
20 ambient temp storage
21 patient records storage
22 chemical waste holding
23 chemical storage
24 biohazard waste holding
Serving more than 250 outreach sites, The Pathology Department processes approximately 35,000 surgical specimens, over 36,000 cytopathology specimens, and performs over 16 million clinical tests and 200 autopsies annually. Part of the master plan strategy included the consolidation and co-location of the Genetic and Molecular Pathology Division, which is currently scattered across several buildings. The 5th floor of the new facility will be dedicated to this division, which includes all major DNA-based testing.
The design is based on a flexible open-lab module that can accommodate a variety of diagnostic testing work cells, including those based on very large instruments, and also allows future modifications to be made easily. To reduce the risk of contamination, the lab includes a large pre-PCR suite with an anteroom leading to a variety of positive pressure specimen prep/ extraction rooms and PCR hood rooms, allowing prep work to be separated according to type (bacterial, viral, general).
The lab workflow is planned around a specimen delivery/receipt hub that is vertically connected with other lab floors via dumbwaiters and pneumatic tubes. Offices and support spaces are located adjacent to the labs with areas of visual connection using glass walls.
MEDICAL LABRATORY inova central laboratory
E4H provided project design, budgeting and contract administration services for a 22,000SF interior fit-out in an existing medical office building for a new state of the art medical laboratory. The project required complete removal and replacement of existing building mechanical, plumbing and electrical systems including a 100% backup generator system. The layout of the laboratory is based on LEAN principals and is setup for optimum flexibility over time. The 1st floor laboratory is outfitted with cutting edge automated analyzers and a BSL-3 lab. The 2nd floor laboratory is for histology and pathology as well as administrative functions. A new dumbwaiter was installed to transport specimens from the 1st floor receiving/ accessioning area to the 2nd floor lab. A new outpatient blood draw center was also included in the new fit-out.
LOCATION
Fairfax, VA
SIZE
22,000SF
ENABLING A VISION
regeneron tarrytown campus expansion
Tarrytown, NY
E4H is the Laboratory and Vivarium Planner for the Tarrytown Campus Expansion for Regeneron. The campus expansion includes over 1.5 Million GSF of new research, development and process space, including the new Loop Road campus, which includes three new laboratory research buildings, a new vivarium building, four new office buildings and a new central utility plant. The entire complex is connected through a below grade plinth with parking for over 2,500 cars. The below grade parking is covered with two landscaped quads that tie the campus amenities together along the Main Street. The research floors are connected with a “people collider” designed to foster collaboration.
E4H is emerging as a leader in the planning and design of facilities for Cryo-Electron Microscopy. This requires strict tolerances including but not limited to the sensitivity to room temperatures, heat dissipation, magnetic fields, acoustic and floor vibration, structural support, and room
The Harvard Cryo-Electron Microscopy Center for Structural Biology is a joint effort by Harvard Medical School, DanaFarber Cancer Institute, Boston Children’s Hospital, and Massachusetts General Hospital to provide state-of-the-art cryo-EM instrumentation and expertise for the Harvard structural biology community. This user facility offers consultation and training by staff in specimen preparation, microscope operation, image acquisition, and data analysis. The facility houses two Titan Krios election microscopes and one Talos Arctica electron microscope, all equipped with Gatan K3 Summit direct electron detectors.
MEMORIAL SLOAN KETTERING CANCER CENTER
This Titan Krios G2 TEM System required a full review of the building’s existing MEP and Structural infrastructure. New radiant cooling panels, a dedicated UPS, and tieins with the existing building chilled water were added. Additionally, as the room is located above an active parking garage, extensive structural support was added to support the new EM and provide the vibration isolation necessary.
Biogen is one of the first pharmaceutical companies to install a Cryo-Electron Microscope. E4H is in the design
MOON SHOT memorial sloan-kettering cancer center epigenetics lab
The Rockefeller Research Laboratories building is home to Memorial Sloan Kettering Cancer Center’s cell biology, developmental biology, molecular biology, molecular pharmacology, and hospital research programs. E4H has worked with MSKCC on a multi-year phased renovation of several departments since 2015. Projects include an 80,600SF renovation of the 4th floor for a new epigenetics program; a 15,600SF renovation of the 13th floor to support ongoing chemistry, biology, and proteomics research; and the renovation of corridors, existing offices, and conference spaces on floors 2-10.
This project involved the renovation of the 13th floor of the Rockefeller Research Laboratory building to create new chemistry, biology, proteomics labs to support 4 Principal Investigators. The 15,600SF project includes a Mass Spectrometer with NMR situated in the center of the floor plan, with wet and dry labs situated around the perimeter. The project also includes chemical storage, staff support rooms, and administrative space. A new roof-top air handling unit was constructed to support the Mass Spec equipment.
LOCATION
New York, NY
TRANSLATIONAL SCIENCE
dana farber cancer institute
dana 14 laboratory renovation
This project is the renovation of 15,000SF of existing laboratory and office space located on Dana Farber’s Boston Campus. The multi-phased renovation of the entire floor will bring the space up to DFCI current laboratory standards. E4H led the programming and design process for nine individual Principal Investigators (PI) being relocated to the floor. This process required significant understanding of all the equipment being proposed for the floor to ensure redundancies were eliminated. The consolidation of equipment and functions allowed for more laboratory and support spaces.
LOCATION
Boston, MA
SIZE
15,000SF
FEATURES
» BSL2 Laboratories
» Computational space
» Tissue culture and lentiviral culture rooms
» Central Core Equipment Suite
» Office space
“Throughout the process, E4H has demonstrated an excellent understanding of the needs of our community they understand the importance of listening to the faculty and staff who advise and serve students, and to the students who study and learn in the building. Harvard Medical School has benefited greatly from our collaboration with the E4H team.”
Jane M. Neill, Associate Dean for Medical Education Planning, Harvard Medical School
MEDICAL EDUCATION + R&D
HARVARD MEDICAL SCHOOL
STUDY & COLLABORATION CENTER
Part of HMS shelf contract work, this 7,650SF project transforms the former Academic Society centers into a state-of-the-art facility that reinforces the HMS mission of community based approach to medical education. The renovation provides medical, graduate and dental students with an environment to commingle, collaborate and exchange ideas with a variety of small group and individual concentrated study spaces while enhancing faculty’s ability to foster the individual and professional growth and development of HMS students. The center will also serve as a canvas for students to exhibit their art.
SELECT HARVARD R&D PROJECTS
• Department of Cell Biology
» Haigis/Van Vactor Lab - Gygi Lab Renovation renovation
» Shao Lab Renovation
• Department of Biological Molecular Pharmacology
» Sloan Devlin Lab
• Department of Neurobiology
» Gu Lab Expansion
» Weitz Lab Relocation
• Student Services
» Dean of the Faculty of Medical Office Renovation
» TMEC Atrium Furniture Upgrades
» Offices of Student Affairs
» Campus IT Upgrades
• Harvard School of Engineering and Applied Sciences (SEAS)
» Neuromotor control lab
CLINICAL EDUCATION
BILH umass chan lahey regional medical school
E4H worked closely with the Dean of Students, Lahey facilities, and UMass Chan faculty and staff, to ensure that the environment created would promote learning and collaboration while also providing areas for quiet study and decompression.
LOCATION
Burlington, MA
SIZE
10,000SF
FEATURES
» Multiple classroom environments to accommodate varying class sizes
» Student lounge with kitchenette
» OSCE educational exam room space
» Administrative offices
» Conference room
» Lactation room
» Respite room
STUDENT HEALTH
washington & lee university lindley center for student wellness
University Counseling operates out of an individualized care model that allows the most students to access our services, which range from less intensive to more intensive, depending upon need. The Student Health Center provides primary and 23-hour care for students.
LOCATION
Lexington, VA
RENDERING PUBLIC SPACE
FEATURES
New 2 story building
Targeting LEED SIlver
Counceling Center for 10 providers
Student Health Center with Exam & After Hours
CONTINUING EDUCATION university of utah
This project converted an existing two level brick office building in the University of Utah’s Research Park, into a Continuing Education & Community Engagement facility. The project included updating the building shell and mechanical systems. A totally new floor plan layout was created and includes state of the art technology enabled classrooms, computer learning classrooms, and classes for the Arts. Also, new reception areas, conference rooms, open and private offices were created for staff and student interns. The facility includes a new staff operated warming kitchen and a student lounge. All interior finishes were upgraded for a clean and contemporary look, including walls, ceilings and flooring. Exterior improvements included new accessible parking stalls, new sidewalks and new bus stop.
LOCATION
Salt Lake City, UT
SIZE
34,700SF
HEALTH CENTER
university of utah
This University of Utah Health Center has an ambulatory surgical center, endoscopy center, Huntsman Cancer Institute, Moran Eye Center, Orthopedic Specialty Center, primary care, OB/GYN, and other specialists including dermatology, cardiology, ENT, and internal medicine. A full-service pharmacy, lab, café, and call center were also included.
LOCATION
Farmington, UT
SIZE
130,000SF
MULTI-DISCIPLINE
BUILDING
university of maryland human & health sciences center
E4H worked with University of Maryland to provide planning, programming and design for the Human and Health Sciences Center, the program included Brain and Behavioral Institute, School of Public Health, Center for Child Development, and Center for Innovation.
LOCATION
College Park, MD
FEATURES
» 3T & 7T MRIs
» Vivarium
» Pet/CT Scanners
» Motion Capture Lab
» Robotics & Prosthetics Lab
» Brain Sensor Lab
» Rehabilitation & Nutrition
» Sleep Labs
ART& INNOVATION
arkansas state university art & innovation center
In collaboration with local architects WER, E4H provided concept design for Windgate Hall for ASU, which is envisioned as a ground-breaking opportunity for collaboration across Arkansas State University colleges toward the goals of infusing art into a wide range of other academic disciplines. The goal of the Windgate Hall of Art and Innovation is to create new curriculum that fuses together art, science, design and innovation. Windgate Hall will open collaborations between art and engineering, art and science, art and business, art and computer programming, art and a wide range of disciplines. This building will be a key part of establishing the Art and Innovation District. Among the features envisioned for the district are numerous Art Walks and outdoor art display areas which will tie into the existing campuswide bicycle and pedestrian master plan. A new outdoor performance amphitheater will serve multiple functions from large outdoor classroom to concert venue to open collaboration space.
LOCATION
Jonesboro, AR
