ORGANIZATIONAL HISTORY
Shady Grove Fertility Clinic & Surgery Center
about e4h environments for health architecture
E4H Environments for Health Architecture is a planning and design firm focused exclusively on the healthcare industry. E4H is dedicated to creating flexible environments for health that enhance the well-being of patients and families. We have more than four decades of experience, 10,000 projects completed, over 240 team members, and eleven locations. E4H is the top healthcare-dedicated firm in the nation, which means we understand the healthcare industry and the current forces that impact Academic Medical Centers such as Brigham and Women’s Hospital.
CULTURE
E4H was built over time, based on cultivating long-term relationships with our clients. We pride ourselves on providing an elevated level of healthcare design and service, as well as construction administrative support. 90% of E4H ‘s revenue is generated from repeat legacy clients that we have been serving for over 10 years.
REPRODUCTIVE HEALTH EXPERTISE
With a deep empathy and understanding we bring experience with leaders in the reproductive medicine space. We understand the priorities of creating thoughtful, stress reducing, and positive environments that empower patients experiencing infertility. In addition, with experience comes a level of understanding about the lab process of IVF and the important role that the space can play in the success rates of an IVF practice.
#1 ENR Ranked Healthcare Only Design Firm
e4h team differentiators
• Our mission to elevate hope directly aligns with BWH’s goal to establish a facility that adheres to the highest standards of reproductive medicine.
• A passion to actively listen and deliver innovative, yet efficient, solutions
• 10 0% dedicated to health design and solutions
• Internal strategic and planning experts with over 15 IVF projects and more than 200 women and children’s projects.
• Comprehensive strategy team assembled to focus on benchmarking, current trends, clinical advisement, operation assessments, and future ready - attainable planning
• Thought Leaders across multiple specialties with national awareness
E4H’s approach to our pioneering project has been equally innovative and heartfelt. They work closely with our leadership team, as well as our diverse Project Committee, which includes our residents’ families. E4H ensures everyone has a voice because they live the adage: “None of us is as smart as all of us.” This humility fosters a collaborative, trusting and enthusiastic partnership where everyone feels heard as we work together toward our shared goal.
Patricia Tursi, Chief Executive Officer, Elizabeth Seton Center
E4H MISSION
We design environments to enhance healing, advance health research, and elevate hope.
E4H VISION
Our firm continuously cultivates expertise to deliver impactful transformative design.
E4H VALUES
We serve our clients with inclusivity, empowerment, and empathy, to connect, grow, and inspire.
PROJECT EXPERIENCE
LOCATIONS
New York, NY
Chesterbrook, PA
Atlanta, GA
Tampa, FL
Raleigh, NC
Richmond, VA
San Francisco, CA Orlando, FL Jacksonville, FL
locations throughout MD, PA, VA, GA, and DC. E4H has created standards for this clinic and rolled out fertility centers at nine locations.
The Rockville, MD project involved full design services for 50,000SF relocation and expansion to their largest IVF lab and surgery center in the Mid-Atlantic. Amongst the many project initiatives, a significant effort was directed towards improving the overall experience for patients and workspaces for staff.
Zero VOC finishes, increased quantity and privacy of sub-wait areas, use of technology for self-check in, and video monitors in procedure rooms were complimenting project goals. Curved walls and access to natural light make for a dynamic and patient-friendly environment. The patient-focused interior design considered the high stress infertility can bring and featured a calming palette. New finishes were selected with low volatile organic compounds including mastics and sealants which can interfere with reproductive health. The new space focused on improving the overall experience for patients, many of whom need to visit the facility daily to be monitored. Waiting rooms are flooded with natural light and feature custom built in benches and a variety of other seating options divided by translucent panels. Floating custom beverage stations offer tea and water to waiting patients.
The 22,000SF Chesterbrook, PA project includes outpatient surgery, laboratory space, cryogenic storage, exam rooms, collection rooms, and administrative/office space. The interior design creates a patient-focused environment that fosters a sense of tranquility for patients undergoing fertility treatments, a process that is both physically and emotionally exhausting. Amongst the many project initiatives, a significant effort was directed towards improving the overall experience for patients and workspaces for staff. Special consideration was given to office space ensuring that staff had natural light, area for breakout meetings, and a built-in coffee bar.
Focusing on material health was a critical factor in making design decisions, impacting both people and the planet. To eliminate the negative effects that traditional materials have on reproductive health, the design team selected low- and zero-VOC finishes, mastics, and sealants. All carpet tiles meet Cradle to Cradle guidelines, meaning they have been designed and assessed for environmental and social responsibility across material health, material reuse, renewable energy, carbon management, water stewardship, and social fairness. The carpets are carbon neutral and are manufactured in a carbon neutral manufacturing facility.
The field of infertility continues to evolve rapidly and is becoming less cost prohibitive. The client offers a Shared Help Discount Program for patients based on income and insurance coverage, or lack thereof. This program is offered to patients regardless of marital status or living arrangements, helps to reduce barriers to access for patients seeking fertility treatment.
Chesterbrook, PA
Rockville, MD
This New York City based 10,100SF fertility procedure and monitoring suite is located on the 5th and 6th floor of a 15-story medical office building, built in 1962 in midtown Manhattan. The program includes a procedure room, IVF Lab, five prep and recovery bays, Andrology/Endocrinology Lab, Collection rooms, Cryo Storage, and Exam Rooms. Both the size and the geometry of the New York City building footprint provided some challenges for the typical program.
The design team was tasked with fitting 12,000SF of program into the 10,000SF floor plate. The narrow building footprint made certain adjacencies challenging to plan. The design team was able to maximize the space and locate the Procedure room, IVF Lab, Transfer room, and Cryo Storage adjacent to one another to optimize operational practices. In addition, the design team had to coordinate the design and location of a rooftop unit, generator, panels, and ATS on the 5th floor terrace, adjacent to the tenant space.
The interiors team worked with Shady Grove Fertility to provide a clean elegant space with strong lines, soft hues, ethereal fabrics and unique accent lighting throughout to create a unique Shady Grove experience that embodies the look and feel of New York City.
New York, NY
Fairfax, VA
New York, NY
Spring Fertility is one of the leading fertility clinics in the United States, with eight locations across California, New York, and Canada. The clinic was the first in the world to introduce a laboratory technology that mimics the atmosphere of a woman’s fallopian tubes. While they are scientists, Spring staff members pride themselves on putting the patient first and offering superior reproductive services.
E4H supported their “Patients First” mission by providing a full renovation of 20,000SF for their newest clinic located near Bryant Park in New York City.
Renovations included the development of a new lab, IVF facilities, administration, and clinical spaces. The design of this renovation is patient-centric, with an interior design that offers an inviting but modern space that puts clients at ease through biophilic design and spa like finishes.
Kindbody offers fertility and wellness services in modern, tech-enabled clinics in 24 locations across the country. Their services range from fertility treatments, including IVF and egg freezing, to wellness, and LGBTQ+ care. In addition to IVF services they also offer genetic testing, cryo services along with nutrition counseling and therapy.
E4H is working on four locations for this client. Each 5,000SF clinic is located in a retail space and includes a Procedure Center, Embryology and Andrology/Endocrine Laboratories, examination, screening, consultation, monitoring, materials handling and Administrative support spaces.
Kindbody Prototype facilities
Kindbody Prototype facilities
Kindbody Prototype facilities
reproductive endocrinology and infertility
northwell health REI clinic
Northwell Health engaged E4H and Axis Construction for a design-build project located at the Manhattan Eye, Ear & Throat Hospital (MEETH) campus at 222 East 64th Street in New York.
The MEETH Reproductive Endocrinology and Infertility (REI) clinic is one of the most advanced REI clinics in the world. This project is designed with minimal VOC and off-gassing, which will have a positive impact on fertility. The project is located on the 6th and 1st floor of the building, and includes related support spaces. The 6th floor includes 7,016SF of space and includes waiting and reception, patient and staff lockers, andrology, collection rooms, cryo, embryology, transfer, retrieval and recovery. The 4,405SF clinic on the 1st floor includes waiting and reception, endocrinology, phlebotomy, exam rooms, counseling Rooms, and nurse/ MD and staff offices.
reproductive endocrinology and infertility johns hopkins REI clinic
LOCATION
Lutherville, MD
CLIENT
Johns Hopkins SIZE
17,000SF
COST
$7.8M
The expanded Johns Hopkins Fertility Center provides a complete range of services for a comprehensive care experience combining teams of infertility specialists, reproductive endocrinologists, clinical nurses and embryologists, with experts throughout Johns Hopkins.
The Johns Hopkins Fertility Center is a 17,000SF tenant fit-out in an existing building. The facility includes both a clinic and a licensed Ambulatory Surgery Center. The Ambulatory Surgery Center includes 1 OR, 1 Transfer room, 5 prep/recovery bays, 1 IVF lab, 1 Andrology lab, 3 collection rooms, and a variety of staff support spaces. The clinic has a centralized nursing huddle room nestled between 8 exam rooms and 10 private consult spaces for staff to have a variety of private conversations regarding financing, fertility plans, and test results. This model allows for the staff to have the highest degree of efficiency and flexibility specifically during the morning monitoring process.