

MICROHOSPITALS PORTFOLIO



100% Healthcare & Health Science Design
10,000+ Healthcare Projects
11 Offices 40+ Years in Business

WHAT WE DO
We Take Care of Patients and Families
E4H is the largest healthcare-only architecture firm in the U.S., dedicated to designing efficient, healing environments that support better outcomes for patients and families. We’re proud to partner with healthcare systems in this mission-driven work.
Highest Level of Service
Our values align with yours—improving health through compassion and innovation. We collaborate closely using live design tools, engaging diverse stakeholders to deliver thoughtful, tailored solutions.
Expertise
Our people are our strength. With deep healthcare experience and a culture of mentorship, our dedicated team brings hands-on leadership and passion to every project, driving healing and innovation through design.

WHAT SETS US APART
Feasibility Studies
Master Planning
Business & Strategic Planning
Laboratory Planning
Oncology Care
Behavioral Health
Community Health
Ambulatory Surgery Centers
Free-Standing ED/ Urgent Care
Multi-Specialty Care Centers
Inpatient Beds
Diagnostic & Treatment
Emergency Care
Pediatric Care
Fertility Science
Women’s Health
Rehabilitation Facilities
Proton Therapy

WHERE WE MAKE AN IMPACT
Planning
Architecture
Interior Design
Graphic Design
Wayfinding
Virtual Reality
Standards and Guidelines
Lean StrategiesRehabilitation
Facilities
Proton Therapy

HOW WE SHARE VALUES
Excellence
Compassion
Innovate
Quality
Patient-Centered
Respect
Enhance Lives
Collaborate
Investigate
Safety
Pioneer
Explore
Equity
Commitment
Integrity
Diversity
Nurture
Accountability
HEALTHCARE EXPERTISE
PROJECT DELIVERY
» Attentive, Client Focused and service oriented philosophy
» 92% client retention rate
» Lean Process focused on value building
» Evidenced Based and patient-centered design approach
SUBJECT MATTER EXPERTISE
» 100% Healthcare Dedication attracts leaders in the field
» Specialized expertise focused on all environments that touch modern medicine
» Cohesive design process focused on exploration, analysis, and informed decision making
» Diverse and creative thinking for every project
PROJECT TEAM
» Principal led teams
» Trust building approach, match client and project teams long-term
» Team continuity from vision to delivery
» Dedicated to quality control and quality assurance processes
TECHNOLOGY
» BIM 360 for shared architectural files
» Experts in all major project management platforms such as ProCore, Trimble, CMiC, etc.
» COVE.Tool for daylighting analysis and sustainability ROI
» Augmented Reality and VR for immersive design experiences
» BlueBeam and SmartDesign for live design review and feedback


HEALTH, HEALING & HOPE
committed to health & innovation

Champions of value-based, person-centered design for wellness & innovation. Creating spaces that demonstrate empathy, passion, & expertise.
STRATEGICALLY SMALL
BIG IMPACT
15,000SF to 100,000SF
Economical and operationally efficient
Thrive in urban, suburban, and rural areas
Patient-friendly model of care
Affordable, effective way to provide a large variety of big-hospital services in the community
Includes surgery, radiology, emergency departments, and related services

PROTOTYPE MICRO
dignity health micro-hospital laveen
LOCATION
Laveen, AZ
Prototype design also implemented in AZ, OH, and TX
CLIENT
Dignity Health
SIZE
39,500SF
COST
$12.5M
FEATURES
» Greenfield hospital
» 16 medical surgical beds
» 2 operating rooms
» Radiology suite
» 6-bed emergency department
» 2 Trauma rooms
» Laboratory
» Pharmacy
» Dietary

HEALING SPACES
kettering troy hospital
LOCATION
Troy, OH
Prototype design with additional locations in OH
CLIENT
Kettering Health Network
SIZE
155,000SF
COST
$81M
FEATURES
» Greenfield hospital
» Inpatient beds
» Emergency department
» Lab and imaging
» Surgery center
» Medical office building
» Oncology
» Radiation Oncology


FSED PROTOTYPE
kettering middletown
LOCATION
Middletown, OH
Prototype design with additional locations in OH
CLIENT
Kettering Health Network
SIZE
67,000SF
COST
$30M
FEATURES
» 24/7 emergency department with 12 beds
» 8 extended observation rooms
» Outpatient lab
» Imaging services
» Cardiac testing
» Attached medical office building


PIQUA FSED
kettering health network piqua
LOCATION
Piqua, OH
Prototype design with additional locations in OH
CLIENT
Kettering Health Network
FEATURES
» Outpatient diagnostic suite (MRI, RF, CT, ultrasound)
» Freestanding emergency department with 14 positions
» Retail pharmacy
» Retail bistro


HEALTHY SPACES
watercross medical campus
LOCATION
Covington, LA
CLIENT
Watercross Medical Campus
SIZE
40,000SF
COST
$30M
FEATURES
» Microhospital with medical office building
» Ambulatory surgery center
» Retail clinic suits
» Emergency department with 4 exam rooms
» 10 patient rooms
» Imaging
» Pharmacy
» 6 ORs


BARIATRIC CARE
first baptist medical center
LOCATION
Dallas, TX
FEATURES
» 4 Operating rooms
» 1 Procedure room
» 10 Standard patient rooms
» 4 VIP patient/family rooms
» 4 Intensive-care beds


RURAL HEALTH
covenant health hobbs hospital
LOCATION
Hobbs, NM
FEATURES
» 60 Patient beds
» 12 Exam rooms
» 14 Procedure rooms
» 8 LDRP
» 8 ICU
» 44 Med Surg


MESA MICRO
abrazo mesa hospital
LOCATION
Mesa, AZ
Prototype design with 5 locations in AZ
CLIENT
United Surgical Partners International
SIZE
32,250SF
COST
$11M
FEATURES
» 13 ER exam rooms
» 1 operating room
» 1 procedure room
» 3 bed post-anesthesia recovery units
» 8 inpatient beds
» Imaging suite with x-ray, ultrasound and CT
» Separate hospital and ER reception/waiting areas


EL PASO CARE
complete emergency care
LOCATION
El Paso, TX
Multiple locations – Prototype
SIZE
23,500SF
FEATURES
» Triage
» 5 emergency positions
» CT and X-ray room
» 6 semi-private patient rooms
» 1 operating room
» 1 pre-operative treatment position
» 1 PACU position
» Central sterile department




CO COMMUNITY
UCHealth Grandview
LOCATION
Colorado Springs, CO
Multiple locations – Prototype
SIZE
77,000SF
FEATURES
» Greenfield hospital
» 46 medical surgical beds
» 4 intensive critical care beds
» 3 operating rooms
» Radiology suite
» 9-bed emergency department
» Trauma room
» Laboratory
» Pharmacy
» Dietary
MACRO MODEL 3-STORY, 50-BED
EMERGENCY
» 7 Emergency positions
» Triage
» Trauma room
» Treatment
» 4 Fast track bays
LABORATORY DIAGNOSTICS
» CT room
» R&F X-ray
» MRI
SURGERY
» 4 Operating rooms
» 6 Pre-Op Treatment Positions
» 8 PACU positions
» 2 Step down discharge positions
» Central sterile department
ENDOSCOPY
» 1 Endo room
» Central sterile department
PATIENT ROOMS
» 46 Private inpatient med/ surg patient rooms
ICU PATIENT ROOMS
» 4 ICU/MOSU patient rooms
PHARMACY SUPPORT
» Dietary
» Materials management
» Central plant
» Admin/business offices
TOTAL 93,670SF





MACRO MODEL 2-STORY, 22-BED
EMERGENCY
6 Emergency positions
Triage
Trauma room Treatment
LABORATORY DIAGNOSTICS
CT room
R&F X-ray
SURGERY
3 Operating rooms
3 Pre-Op treatment positions
5 PACU positions
2 Step down discharge positions
Central sterile department
PATIENT ROOMS
» 18 Private inpatient med/ surg patient rooms
ICU PATIENT ROOMS
» 4 ICU/MOSU patient rooms
PHARMACY SUPPORT
» Dietary
» Materials management
» Central plant
» Admin/business offices
MICROHOSPITAL
24-BED w/o SURGERY
EMERGENCY
» 7 Emergency positions
» Triage
» Trauma/ortho room
» Treatment
» 4 Fast track bays
LABORATORY DIAGNOSTICS
» CT Room
» R&F X-ray
PATIENT ROOMS
» 24 Private inpatient medical patient rooms
PHARMACY SUPPORT
» Dietary
» Materials management
» Central plant
» Admin/business offices

DIAGNOSTICS
PATIENT ROOMS
TOTAL 51,250SF
FIRST FLOOR
MICROHOSPITAL
16-BED w/ SURGERY
EMERGENCY
» 6 Emergency positions
» Triage
» Trauma room
» Treatment
LABORATORY DIAGNOSTICS
» CT room
» R&F X-ray
ICU PATIENT ROOMS
» 4 ICU/MOSU rooms
PATIENT ROOMS
» 12 Private inpatient med/ surg patient rooms
SURGERY
» 2 Operating rooms
» 2 Pre-op treatment positions
» 4 PACU positions
» 2 Step down discharge positions
» Central sterile department
PHARMACY SUPPORT
» Dietary » Materials management
» Central plant
» Admin/business offices

TOTAL 38,925SF
PATIENT

EMERGENCY
» 6 Emergency positions
» Triage
» Trauma/ortho room
» 4 Fast track bays
» Laboratory diagnostics
» CT room
» R&F x-ray
PATIENT ROOMS
» 12 Private inpatient medical rooms
PHARMACY SUPPORT
» Dietary » Materials management
» Central plant
» Admin/business offices NANO-HOSPITAL
TOTAL
30,950SF
EMERGENCY
» 5 Emergency positions
» Triage
» Trauma room
» Treatment
LABORATORY DIAGNOSTICS
» CT room
» R&F x-ray
PATIENT ROOMS
» Central sterile department NANO-HOSPITAL 5-BED + OPT. SURGERY
» 5 Private inpatient med/ surg patient rooms
PHARMACY SUPPORT
» Dietary
» Materials management
» Central plant
» Admin/business offices
OPTIONAL SURGERY
» 1 Operating Room
» 1 Pre-Operative treatment position
» 1 PACU position
TOTAL 29,850SF

WHEN ONE SIZE DOESN’T FIT ALL
E4H understands that a uniform hospital size will not meet the demands of every community. That is why we have designed an expandable, modular floor plan to support the unique needs and available space of each location. As illustrated, our free standing emergency departments (FSED) and neighborhood/microhospitals are scalable and expandable depending upon the desired modalities.
AS SHOWN:
34,100SF

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