Healthcare Master Planning by Page Southerland Page, Inc.

Architecture Engineering Interiors Healthcare Consulting Master Planning

Think What’s Possible Page is a powerfully imaginative and collaborative architecture and engineering firm: one that’s ready for today and designed for what comes next. We pair form with function, reason with emotion, and ideas with expert implementation. At Page, the potential of what’s possible is paired with the practicality of how to make it happen. Our purpose is designing places smarter, while improving the experiences of those who work, live, and learn in them. From thought to finish, Page experts—of all disciplines—see the big picture, figure the best way forward, and deliver solutions in inventive and amazing ways. Imagine that.

Visit our website at pagethink.com Visit our website at pagethink.com

We start with your vision. We design for the future.

CORE MARKETS Academic Advanced Manufacturing Aviation Civic / Community / Culture Commercial / Mixed-Use Government Healthcare Mission Critical Science / Technology

Firm Overview Page is known for our well-researched program-driven solutions aided by integrated multidisciplinary expertise and a strategic mindset. We bring global thinking and experience to bear on projects that build communities. Our portfolio reflects a commitment to visionary design, a record of innovation and fresh ideas and most importantly, demonstrated success with complex projects. We develop a uniquely created design for every project that reflects the building type, client, need and location. We take pride in knowing that a Page project is one of the best possible solutions to the needs of its multiple stakeholders from owner to operator to neighbor. Market/Building Type Expertise With ten carefully chosen market specialties, Page brings a depth and breadth of project and building-type expertise that few other firms offer. Each of our market sector teams is extremely successful in its own right, working across the U.S. and abroad. Furthermore, our clients benefit from the cross-over expertise from multiple market specialists. For example, academic medical centers benefit from having one firm to handle their clinical, research, academic, workplace, and housing projects. Our healthcare clients appreciate having a collective team that expands upon on our thought leaders within healthcare, complemented with designers from our various sectors, from mission critical design to hospitality concepts for staff and patient centric considerations. Such combinations are part of the Page advantage, and one of the reasons for long list of repeat clients.

Healthcare / Master Planning

This we believe. As agents for positive change, we are driven by the ideals we hold dear. In the delivery of our services, we are guided by three core values: Creativity

Think curiosity/innovation/ imagination/optimism/originality.

Collaboration

Think sharing/community/ camaraderie/civility/teamwork.

Commitment

Think integrity/respect/giving/ discipline/rigor.

Comprehensive Services Over our 120-year history, we have developed a comprehensive range of services carefully tailored to meet our clients’ needs. Today, our services include the following specialties: § Strategic Consulting, including programming, master planning, and strategic facility planning § Predictive Analytics, including simulation modeling and dataintensive analyses § Land Planning, including campus planning and city planning § Architecture, including design, planning, and construction specialists § Landscape Architecture, including hardscape design and outdoor furniture selection § Engineering, including civil, structural, mechanical, electrical, plumbing, fire protection, and IT/low voltage § Laboratory Planning, including specialized programming, planning and equipment planning § Interior Design, including workplace design § Sustainable Design, including resilient design § Furniture Planning, including procurement § Branding & Graphics, including wayfinding and signage § Commissioning, including new building commissioning, retrocommissioning, and healthcare facility commissioning This range of services allows us to provide an integrated “total design” team approach. Our clients benefit from the highest levels of interdisciplinary coordination, quality control and quick response demanded on today’s complex and technically sophisticated projects.

Page Southerland Page, Inc.

Creating places where people can grow and prosper.

Healthcare / Master Planning

At Page, we believe good design transforms lives.

Page believes the roots of Healthcare design must always remain focused on issues of a human level. It is more than a business; it is a commitment to creating positive experiences for patients, families, visitors and staff. Health facilities must be sustainable, affordable, and comforting. We elevate the design experience by creating environments that improve not only individual lives but entire communities. Almost eight decades ago, Page embarked on a journey promoting health and wellness with the design of Brackenridge Hospital, the first public hospital in Texas. Today, as global healthcare design leaders, our passion for creating adaptive and innovative healing environments extends from community clinics to academic medical centers. We develop customized health solutions for every project through close client collaboration. Our interdisciplinary teams also include nurses, clinical experts, PhDs, administrators and guest advocates. This integrated approach balances the needs of our clients, their communities and the demands of ever-changing economics and new technologies. Our teams are built by matching specific expertise to your needs, combining traditional healthcare backgrounds with an enormous wealth of non-clinical specialists. Our healthcare experience benefits from our work on data centers and mission critical facilities, research labs, workplace environments, hospitality, housing, and academic building types. Our portfolio of work includes more than just buildings. It also includes complexes, campuses and cities. Our Page Planning experts develop master plans that are innovative and that include detailed strategies for implementation and development. The manifestations of our plans are destinations that build upon unique qualities and spirit of place – places where people can grow and prosper.

Page Southerland Page, Inc.

Center / 6Hackensack Meridian Health Jersey Shore Medical Healthcare / Master Planning Brick, New Jersey

Texas Children’s Hospital - West Campus / Houston, Texas

Master Planning for Healthcare Systems Page recognizes that the depth of resources required goes beyond physical facilities planning - it requires a holistic view of emerging models of care. We understand the intricacies of developing a facilities master plan tied to strategic clinical and business goals, as well as educational and community mission. Page planners have created award winning master plans for clients and competitors across the world. Each project gives us the opportunity to employ our exploratory and research-focused methodology. Regardless of the size of the space, we intend it to have a connection with the community in which it’s located and to be an asset. Large-scale master planning combines research, synthesis, and analysis with meaningful community and stakeholder engagement.

Healthcare Master Planning Leadership

Mattia J. Flabiano, AIA, ACHA Senior Principal mflabiano@pagethink.com

Tushar Gupta faia

Senior Principal / National Healthcare Sector Leader tgupta@pagethink.com

Jennifer Conrad edac

Associate Principal / Director of Business Development, Healthcare jconrad@pagethink.com

DESIGN THE PROCESS Each client and planning project is unique. In order to engage the appropriate stakeholders in the most effective way and at the point in the project where their input will have the greatest impact, we develop a tailored workplan and engagement strategy.

Jennifer Faseler Associate Principal / Market Sector Manager jfaseler@pagethink.com

MAXIMIZE THE IMPACT Long-term planning establishes a decision-supporting framework to address current knowns and streamline response to future changes. We are adept at generating and communicating the customized deliverable that will clarify the logic of the proposed plan while guiding adjustments as the future unfolds.

Tracy Lemons Associate Principal / Market Sector Manager tlemons@pagethink.com

Page Southerland Page, Inc.

We start with your vision.

Articulate the vision and inspiration Every facility, real estate and consulting effort benefits from stepping back at the very beginning to distill the thought leadership at the root of the project and position the effort within the larger client, organizational and external context. Transformative leaders look further into the future, their experience and instincts anticipate changes before their peers and colleagues. During visioning with Page we combine skillful listening and idea distillation with extensive cross-market experience in the most recent spatial and program innovations. Collaboratively, we work to prioritize, strengthen and focus the project genesis and formalize the decision maker or makers’ priorities and goals. Establish priorities for project definition When working with organizations, we take the time to understand the ground rules, aspirations, and concerns of the entire stakeholder team before commencing project analysis and design. This approach highlights the key challenges and determines the investigations needed to effectively support client decision making. Vision workshops Vision workshops are used for high level, long range planning. We gather key leaders from within (and sometimes outside of) your organization to discuss possibilities for the future in an organized, facilitated setting. We employ an intensive, interactive forum to engage participants and build consensus. Skilled facilitation Our facilitators are specially trained in listening, summarizing, and bringing clarity to complex problems. They strive to always see the big picture first, which puts other decisions in perspective and in context. Their specialized tools and techniques foster interaction, encourage innovation, and build consensus. The real-time documentation allows all the participants to see the consensus of ideas as they emerge, and to question or test any idea put forth. Our clients tell us “it’s magical” and “it works.”

Healthcare / Master Planning

Master Planning Approach Our team’s approach addresses key elements that are woven together addressing challenges, innovations, and trends that impact the system’s business, operations, consumer expectations with the delivery of healthcare. As well as addressing the environmental response, performance, and resiliency over time to the connecting buildings, and overall campus. We utilize methods and tools through our process that aide in facilitating, documenting, and testing concepts to metrics to generate the optimal design solution for the project. Our General Project Approach is comprised of processes and steps for allowing a seamless approach and constant communication between your project team and ours. Thus, the indicator of added value Page/ provides to every client and unique practices that make Page/ unique and stand out as a leader in our industry.

1 M O BIL IZ ATIO N Collect data for the Discovery Phase, the preparation of project base maps. The purpose of the preliminary effort is to finalize scope of services, project schedule, logistics, and confirm project goals and deliverables

2 D ISC O V E RY Develop a program addressing expansion opportunities for inpatient/ outpatient capacity with facility needs for research, educational, and administrative functions. Assess site capacity and analyze site conditions, including density, urban design framework, landscape and open space, transportation and parking, wayfinding, and utility infrastructure.

3 ID E ATIO N

Provide alternative campus development and program accommodation options. Identify and investigate up to four options, evaluate the alternatives, and select a preferred option as the basis for this concept planning effort.

4 SYN TH E SIS Create a planning and urban design framework providing a program accommodation strategy for all functions including strategies for improvements/renovations, additions, and new buildings. Improvements to landscape and open space, transportation and parking, wayfinding, utility infrastructure, with a progressive phasing strategy outlining a rational sequence for building and site improvements tied to growth.

Healthcare / Master Planning

Data + Research Inputs SYSTEM LEADERS STRATEGIC PRIORITIES

STAKEHOLDERS PARTNERS

Priorities STATISTICS

INSIGHTS

Data Analytics

Best Practices

FORECASTING

REGIONAL CONDITIONS

EXISTING SITE

PAGE TEAM EXPERIENCE

Types of Master Plans Space Forecast Granularity

Primary Focus

Land & Roads

Long Term Projections (often round estimates)

Long Term Land Uses, Buy/Sell Opportunities Vehicular Traffic & Parking Building Areas & Parking

Buildings & Parking

Major Space Category (e.g. IP, OP)

Site Zoning Vehicle & Ped Circulation Locate Buildings, Parking Utilities, Infrastructure

Departments & Corridors

Program or Department

Internal Circulation Adjacencies Expansion Strategies Building Condition

Rooms & Finishes

Room Type

Interior Standards Branding & Graphics

Primary Units

Land Use Master Plan

Campus Level of Detail

Master Plan

Facilities Master Plan

Interiors Master Plan

Page Southerland Page, Inc.

Master Planning Experience

Atlantic Health, Morristown Memorial Hospital A. I. du Pont Enterprise-wide Master Plan Bay Area Regional Medical Center Baylor College of Medicine, Texas Medical Center Baylor Regional Medical Center Plano Baylor Scott & White Central Texas Campuses Baylor Scott & White Lakeway Medical Center Billings Clinic Centura Health, Littleton Adventist Hospital Centura Health, Porter Adventist Hospital Chickasaw Nation Medical Center Children’s Health Plano Campus CHRISTUS Santa Rosa CHRISTUS St. Frances Cabrini CHRISTUS St. Michael CHRISTUS Spohn CHRISTUS Trinity Mother Frances Columbus Regional Medical Center Dalian Sports City Health Campus Driscoll Children’s Hospital Exempla Healthcare Hamad Medical Corporation Greenwood LeFlore Hospital Hackensack Meridian Health, Jersey Shore University Medical Center Hackensack Meridian Health, Ocean Medical Center Hackensack Meridian Health, Riverview Medical Center HCA Parkridge Hospital HCA East Ridge Houston Methodist Baytown Houston Methodist Clear Lake Houston Methodist Cypress Campus Houston Methodist The Woodlands Houston Methodist West Hospital Houston Methodist Willowbrook Houston Methodist San Jacinto Houston Methodist Hospital, Texas Medical Center Houston Methodist Sugar Land Hospital Kennedy Krieger Institute Knapp Medical Center MD Anderson Cancer Center Memorial-Hermann Hospital Memorial City Memorial-Hermann Hospital SE Medical College of Virginia Memorial Hermann Hospital, Texas Medical Center Memorial Hermann The Woodlands Hospital Memorial Hermann Katy Hospital Memorial Hermann Sugar Land Hospital Memorial Hermann Southwest Hospital Memorial Hospital Pasadena Mission Hospitals Nacogdoches Memorial Nemours Healthcare Campus Northeast Medical Center

Norman Regional Hospital North Oaks Medical Center Orthopedic Hospital of Wisconsin Parkland Health & Hospital Facilities Master Plan Peebles Hospital Phoebe Putney Medical Center Piedmont Mountainside Hospital Platte Valley Medical Center Presbyterian/St. Luke’s Prisma Health Greenville Memorial Hospital Sarasota Memorial Hospital Seton Hospital Seton NW Hospital Saint Francis Health System Yale Campus St. Luke’s Sugar Land Hospital St. Luke’s The Vintage & Beltway 8 Stamford Health Stanford University Medical Center St. Joseph Regional Medical Center Suburban Hospital Texas Children’s West Campus Texas Children’s North Campus The Institute of Rehabilitation & Research The University of Texas Health Science Center at Tyler University Hospitals, Cleveland Medical Center University of Colorado Health University of Texas at Austin Dell Medical School UNC Health UNC Rex Healthcare VA Dallas Medical Center VA Reno Medical Center Valley Baptist Medical Center Victory Medical Center

Chickasaw Nation Medical Center / Ada, Oklahoma

Healthcare / Master Planning

Children’s Medical Center Legacy Campus / Plano, Texas UNC Rex Healthcare / Raleigh, North Carolina

VA DallasHealthcare Medical Center / Dallas, TexasFlorida Nemours Campus / Orlando,

CURRENT STATE ANALYSIS CAMPUS MAP SWANSGA

CAMPUS LEGEND Texas Children’s West Campus / Houston. Texas Stamford Health /Hospital Stamford, Connecticut

Lakeway Regional Medical Center / Ohio Lakeway. Texas Cleveland Medical Center / Cleveland,

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SKY LIGHT

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CAMPUS SITE LEGEND

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EXISTING BUILDING, PHASED INTERVENTION

D OCTOR

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PRIMARY GATEWAY

PARKING STRUCTURE

AREA OF FOCUS

SECONDARY GATEWAY TERTIARY GATEWAY

CAMPUS PUBLIC ROAD

2000

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GROVE RD.

GREENVILLE MEMORIAL HOSPITAL ROGER C. PEACE REHABILITATION CENTER CANCER INSTITUTE SHRINERS HOSPITALS FOR CHILDREN MEMORIAL MEDICAL OFFICES (MMO) INTERNAL MEDICINE CLINIC, CME, HOME HEALTH MARSHALL I. PICKENS HOSPITAL THE BROWNELL CENTER HEALTH SCIENCES ADMIN. EMPLOYEE SERVICES CENTER HEALTH SCIENCES EDUCATION BUILDING SC DEPT. OF MENTAL HEALTH CHILD & ADOLESCENT CENTER INFORMATION SERVICES CENTER FACILITIES DEVELOPMENT CENTRAL ENERGY PLANT CHILDCARE CENTER LIFE CENTER CAROLINA CARDIOLOGY CONSULTANTS CENTER FOR FAMILY MEDICINE CORNERSTONE FAMILY MEDICINE ENDOCRINOLOGY SPECIALISTS SOUTH DECK PARKING NORTH DECK PARKING PARKING FOR SHRINERS PARKING FOR CANCER INSTITUTE (ITOR) PARKING FOR MMO EMPLOYEE PARKING GHS OUTPATIENT RADIOLOGY JERVEY EYE O/P SURGERY SPINE CENTER, PHYSICAL MEDICINE, ORTHO NEURO SURG THE HAVEN IN THE VILLAGE AT CHANTICLEER SOUTHERN EYE ASSOCIATES UROLOGY / GHS (SUBL TO PROAXIS) UROLOGY BIRTHING CENTER / MID-WIFERY PEDS CLINIC PED SURGERY / CROSS CREEK IM VA CLINIC HORIZON COMMUNITY CLINIC WELLS FARGO BANK

2010

-250

250

500

PUBLIC / SERVICE ROAD

SERVICE ROAD

Prisma Health Greenville Memorial Hospital / Greenville Memorial Hospital Facilities / Client MASTERPLANNING Greenville, South Carolina Project GREENVILLE MEMORIAL GREENVILLE HEALTH SYSTEM 19 JULY 2017 2020

CAMPUS MASTERPLAN

Project Number 317002

Hamad Corporation / Doha, Qatar NormanMedical Regional Hospital Healthplex Campus / Norman, Oklahoma

ON-STAGE

OFF-STAGE

Page Southerland Page, Inc.

Case Study THE WOODLANDS

CYPRESS WILLOWBROOK Precedent

WEST

MEDICAL CENTER

BAYTOWN

SUGAR LAND Future

Project Details Project Size 6 Master Plans / 6 Campuses Willowbrook / Baytown / Clear Lake / West / Woodlands / Cypress

Services Provided Master Planning / Architecture / Engineering / Interiors / Programming

CLEAR LAKE

Houston Methodist Campus Master Plans Various Locations, Texas Page and the Houston Methodist Health System have been teamed together for more than 15 years. In 2006, the Page team was awarded the Houston Methodist West Master Plan and from that project on we have implemented additional masterplans and hundreds of projects for the system on 8 of their campuses. Each Master Plan is uniquely different, but all are intentionally designed for maximum flexibility and projected growth. In addition to Master Planning Services, the Page team has also provided health care programming, medical planning, campus planning, architectural and interior design for Houston Methodist. By examining ways to introduce or improve Lean Thinking in the design process for these projects, Page has been delivered multiple projects through the design assist/fast track delivery method. In addition, the Page team also utilizes our integrated Post Occupancy Evaluations (iPOE) after the completion of each project to gain knowledge and lessons learned for improvement on the next. Success is best measured by the intentional desire to repeat that success. The concept has been working so well that Page and Houston Methodist continue to partner bringing the surrounding Houston communities high-quality, cost effective care.

Healthcare / Master Planning

Projects Implemented from Masterplan Baytown Campus - 78 beds ED Expansion – 73,000 SF Phase IIA - 172,100 / 1-bed tower Total - 245,100 SF Clear Lake Campus - 92 beds New Bed tower addition - 252,000 Breast Center (MOB 2 renovation) – 22,000 West Building (Renovation) – 25,600 MOB 3 Renovation – 4,900 Total - 304,500 SF Willowbrook Campus - 80 beds New Bed tower addition - 272,000 SF

FUTURE PUBLIC PARKING GARAGE

Willowbrook Campus

West Campus - 271 beds Phase 1 – 685,000 SF (2-bed towers) Phase 2 - 234,000 SF (1-bed towers) MOB 1 – 161,000 SF MOB 2 – 161,000 SF MOB 3 – 161,000 SF Total - 1,402,000 SF The Woodlands Campus - 814 beds Phase 1 – 656,000 SF (2-bed towers) Phase 2 - 289,000 SF (1-bed towers) MOB 1 – 161,000 SF MOB 2 – 161,000 SF Total - 1,267,000 SF

San Jacinto Campus Baytown Campus

Cypress - 100 beds Phase 1 – 570,000 SF (2-bed towers) MOB - 300,000 SF Total -870,000 SF Others Sugarland MOB 4 - 161,000 SF Dunn Tower Level 6 renovation 15,000 SF Cinco Ranch Physicians Clinic + ECC expansion - 53,000 SF ECC Multiple locations – 70,000 SF Childcare Woodlands and Medical Center 20,000 SF Total 4,679,600 SF

Houston Methodist West

MOB West

The Woodlands

Childcare Center

Page Southerland Page, Inc.

Case Study

Project Details Page has built more than 18 million GSF of buildings and additions for the Texas Medical Center, more than any other architecture firm 9,200+ patient beds 21 hospitals 8 million annual patient visits 2.1-square-mile medical district Largest medical complex in the world Services Provided Master Planning / Architecture / Engineering / Interiors / Programming / Wayfinding

Texas Medical Center Master Plan & Implementations Houston, Texas On any given day strolling across the Texas Medical Center’s expansive grounds—a veritable brain trust of healthcare professionals, professors, researchers, students, and entrepreneurs—you might overhear conversations about a new cancer drug, an innovative medical device, or a promising vaccine. You might even get an invite to an outdoor performance by the Texas Medical Center Orchestra. The largest medical complex in the world, Texas Medical Center (TMC) is at the forefront of advancing life sciences by nurturing crossinstitutional collaboration, creativity, and innovation to push the limits of what’s possible. Home to scores of hospitals, universities and schools, and medical research institutions, people from across the country and around the world travel to TMC to receive care from the top specialists in their fields. Page has partnered with TMC on more than a dozen projects. These include medical research and patient-care projects, such as Houston Methodist’s Research Institute, Outpatient Center, and Walter Tower; and Memorial Hermann’s Institute for Rehabilitation and Research, Sarofim Pavilion, Hermann Pavilion 1 and Centennial Tower.

Healthcare / Master Planning

18M+

Architect of Record Renovation & Transformation Projects

PAGE HAS DESIGNED OVER 18 MILLION SF IN THE WORLD’S LARGEST MEDICAL CENTER Notable Projects Baylor College of Medicine College of Medicine 1,000,000 SF

MD Anderson Cancer Center Mid-Campus Building 1 1,400,000 SF

Specialty Care Center 357,427 SF

School of Health Professions Education* 400,000 SF

Houston Independent School District DeBakey HS for Health Professions 150,000 SF

Pickens Academic Tower 720,000 SF

Houston Methodist Outpatient Center 1,600,000 SF Research Institute 440,000 SF

South Campus Vivarium 74,000 SF Parking Garage 875,000 SF Renovation (Special Projects) 250,000 SF

Walter Tower 960,000 SF

Memorial Hermann Hermann Pavilion 850,000

Centennial Tower * 1.23 million GSF

Sarofim Pavilion 1,340,000 SF

Josie Roberts Admin Building Parking Garage 830,000 SF

Outpatient Services 55,000 SF

Prairie View A&M College of Nursing 545,000 SF

Harris County Institute of Forensic Science 220,000 SF

Texas A&M Intercollegiate School of Engineering Medicine EnMed Building Renovation 280,000 SF

United Memorial Medical Center Premiere Hospital University Medical Plaza 203,765 SF

Texas Children’s Hospital Children’s Hospital 100,000 SF

Cambridge Parking Garage 416,725 SF

West Tower Renovations 274,600 SF

Michael E. DeBakey VA Medical Center Administration Building 18,000 SF

University of Houston Building 701 Renovation 50,000 SF

Outpatient Behavioral Health 23,750 SF

UTHealth Medical School Expansion 200,000 SF Research Park Complex 485,000 SF

Page Southerland Page, Inc.

* Under Construction

Case Study

Project Details Project Size Porter Campus 458,705 SF / 195 Beds Healthplex Campus 407,520 SF / 195 Beds Moore Campus 117,986 SF / Outpatient Services Provided Master Planning / Campus Planning / Analytics / Programming / Clinical Planning / Structure Analysis / MEP Assessment

Norman Regional Health System Master Planning Norman, Oklahoma Following master planning and design of the Norman Healthplex Campus, Page was selected to complete a Comprehensive Master Plan for both the Porter Street and Healthplex Campuses at Norman Regional Health System in Norman, Oklahoma. The goals of the proposed master plan were to develop scenario based expansion, reconfiguration and long term plans for Norman Regional Health System facilities that will align with system-wide healthcare initiatives. The plan defines campus and facility (re)configuration strategies that meet the service needs of Norman Regional and the medical needs of the surrounding community. The Page team utilized data supporting demographic analysis and service area overlays provided by Norman Regional, the Census Bureau and Crimson (The Advisory Board Company). The plan was developed in absence of a formal strategic plan or business analysis case, and thus is to be utilized to help frame strategic discussions for future informed planning and implementation. A current state report and full inventory of all facilities and land in the system was developed, and high level capacity analysis was run across all volumes and service lines for which data could be developed. Page’s predictive analytics team worked closely with NRHS to pull inpatient and outpatient data, and in-turn, verify gaps in data so that an accurate outmigration understanding could be developed.

Healthcare / Master Planning

The recommendation that the majority of hospital-based care should be relocated and consolidated on the Healthplex Campus will save the system significant operational cost and reduce needless duplication of services. In addition to the hospital expansion, a new medical office building and dedicated cancer center are proposed on the Healthplex site for service alignment. With the hospital almost doubling in size, it will also be necessary to build a parking structure to support both the hospital and proposed additional structures. In addition to Acute Care Consolidation, Page began initial planning for the re-use of the Porter Street Facility. Multiple Options were developed, including partial demolition of the former hospital, salvaging only the portions deemed through analysis to be suitable for future delivery of care, to full demolition of the facility and redevelopment of new purpose-built free-standing post-acute care, ambulatory care, and urgent/free-standing emergency facilities.

Page Southerland Page, Inc.

Case Study

Project Details Project Size 647,000 GSF 235-bed capacity Services Provided Master Planning / Campus Planning / Programming / Architecture / Interiors

Stamford Hospital Master Planning & Project Implementations Stamford, Connecticut 2003: Page completed a Comprehensive Master Plan for the Hospital’s four major campuses including an existing conditions assessment; traffic and parking analysis; projection of future space needs; and development of facility options. The deliverable was a set of living documents that were integrated into Stamford’s ongoing financial and operational planning. 2004: We developed a Five-Year Plan, and worked with the Hospital to progressively implement the projects identified. 2007: We assisted the Hospital in investigating the question of whether to “Stay or Replace.” Our Due Diligence Study projected long-range space needs and values of construction and energy costs, and site suitability characteristics, informed by a review of published studies, organizational issues, possible community impact, and longrange costs. The Study revealed multiple deficiencies in the existing facilities, leading the client to engage Page on a Master Plan project which indicated the need for a 30-acre site for a new hospital facility. Stamford ultimately expanded its site to accommodate growth and renewal projects, including the construction of a new hospital pavilion.

Healthcare / Master Planning

New Stamford Hospital

In-Patient Drop-off

Emergency Drop-off

Green Roof

Existing, Main Building

Existing Hospital

Whittingham Pavilion

1 4 3

Stamford Hospital, East View

Page Southerland Page, Inc.

Case Study

Project Details Project Size 380,000 Square Feet 240 Inpatient Beds Services Provided Master Planning / Site Analysis / Programming

Austin State Hospital Brain Health Master Plan Austin, Texas In early 2014, as part of a comprehensive, multi-site master services agreement with Texas Facilities Commission (TFC), Page authored a Preliminary Master Plan that described a concept to replace the Austin State Hospital (ASH) and commercially develop portions of the hospital campus. The master services agreement also included master planning for Texas Health and Human Services (HHSC) administrative offices, Camp Mabry and the Texas Capital District. The preliminary plan for the ASH campus had two primary attributes. The first was to consolidate all services provided at the hospital into a new, modern facility. The second was to allocate approximately 57 of the total 97 acre ASH campus to a mixed-use, commercially developed property. The primary purpose of the commercial development was to provide HHSC with operational income for the new hospital. In order to develop the concept, the planning team Page partnered with architecture+ with Francis (Frank) Murdock Pitts, had to create a preliminary space need assessment for the new hospital and in so doing met several times with HHSC leadership, ASH clinicians and administrators and TFC leadership. The new facility is to include 240 inpatient beds for forensics, acute care, long-term acute, geriatric and juvenile/adolescents, along with support services, administration, and collaborative care continuum buildings. One of the most significant elements of the concept was an implementation and phasing plan. The entire commercial development and new hospital would need to be built while maintaining operations in the existing hospital facilities during the construction process. Further, the plan also provided an incremental development plan that would coincide with actual market demand for housing, retail and commercial space. The new master plan will strive to address the entire care continuum with acute inpatient and crisis care services, in addition, focusing on education, academic alignment, research and implementation, supportive housing, long-term memory and IDD care, outpatient services, and public engagement. Breaking down the stigma of brain health within the surrounding communities.

Healthcare / Master Planning

Page Southerland Page, Inc.

Case Study

Project Details Project Size 2,000,000 Square Feet 939 Licensed Beds Services Provided Architecture / Engineering / Design / Interiors / MEP Engineering / Planning / Programming / Contract Administration

Phoebe Putney Health System Master Planning Albany, Georgia For almost 25 years, Page has master planned and designed healthcare projects for Phoebe Putney Health System (PPHS). The first project was an eight-story, 200,000-square-foot medical office building with comprehensive cancer center, imaging center, ambulatory surgery center and physician suites, which then led to designs for more than 1,500,000 square feet of new and renovated facilities across multiple acute care and ambulatory campuses. In late 2010, PPHS acquired an additional 43 acres of land housing over 300,000 square feet of health facilities, including additional 248-licensed beds, from HCA. When PPHS acquired the facilities, PwC and Page were asked to lead the initial engagement for service line planning and best use of the facilities across three major campuses in Albany, Georgia: Main, North and Meredyth. Most recently, Page has been fully re-engaged to master plan the multi-campus and service line distribution. In light of the changes in the healthcare marketplace over the past five years, and through a series of workshops with senior leadership, a new approach focusing on acute care consolidation and appropriate re-utilization of aging assets and off-campus outpatient/ambulatory facilities is being developed. Behavioral health, sub-acute and post-acute services, along with facility strategy are now being addressed in greater detail. Following this assessment, baseline performance, and agreed upon strategic targets, Page will develop a robust, strategy-driven plan for long-term facility capacity needs.

Healthcare / Master Planning

Over 100 Projects Implemented from Masterplan Masterplan Development Service Line Identification Volume :: Capacity Utilization National to Regional Trends Infrastructure Assessment Campus Identity Wayfinding Improvements Community Outreach Objectives Capital Improvement Projects Assessment of Masterplan Critical Infrastructure Assessment Feasibility Studies Cost Modeling Outpatient / Ambulatory Care Expansion Medical Village Medical Office Building Community Clinics / Urgent Care Diagnostic Expansion / Renovations Inpatient Rooms to All Private Corporate Offices Parking Garages Site Improvements Infrastructure Upgrades Central Plant Upgrades Life Safety / ADA Updates

Page Southerland Page, Inc.

Case Study

Project Details Project Size North Carolina Heart & Vascular Hospital 306,000 Square Feet 114 Licensed Beds

Services Provided Master Planning / Architecture / Design / Interiors / Planning / Programming / Contract Administration

UNC Rec Healthcare Vision 2030 Master Plan & North Carolina Heart & Vascular Hospital Raleigh, North Carolina The Vision 2030 Master Plan that Page partnered on with UNC Rex recommended planning for growth from 400 to 750 beds, with 1+ million GSF of development over a 15-year span. Key service lines identified for growth potential or substantial renovation were: ▪ Surgical Services ▪ Clinical Laboratory ▪ Imaging ▪ Heart and Vascular Services ▪ Cancer Services

Healthcare / Master Planning

Page Southerland Page, Inc.

Case Study

Project Details Project Size 433,400 Total Square Feet 144 Beds

Services Provided Master Planning / Healthcare Planning / Architecture / Interior Design / Wayfinding

Hackensack Meridian Health, Jersey Shore Medical Center Master Plans Brick, New Jersey Jersey Shore University Medical Center (JSUMC) is the region’s only academic university-level teaching center and clinical research facility. In order to advance its mission and respond to the demands of a growing community, JSUMC engaged Page to perform a longrange campus master plan to prioritize programs for expansion and renewal. Following a multi-day Vision Session with System leadership, the “Transformation” project began — setting the future for this hospital. The centerpiece is a new, 144-bed patient care pavilion featuring private rooms and an innovative model of nursing care, as well as a new emergency department and Level 1 trauma center with the capacity to annually treat more than 100,000 patients. The state-of-the-art diagnostic and treatment building also offers the latest in diagnostic technology and surgical suites, as well as a new 12-bed cardiac care unit. Having completed and occupied the facility, research is now being conducted to better understand the impact of the design on interdisciplinary communication, quality of care and patient safety. The geometry of the dramatic new entrance and curved, four-story atrium are inspired by the geometry of a sail at full mast, referencing the area’s coastal heritage. Public spaces including multi-story concourses and healing gardens provide positive distractions, promote social support, and offer patients, families, and staff experiences from education and art and access to nature. In addition to extensive renovations throughout existing buildings and a new central utility plant, improvements include a new loop road; site development to organize vehicular traffic; and garage. The project was informed by the best design evidence available, and received LEED Gold certification and is a Center for Health Design Pebble Project. Research continues to track the effects of the new environment, opened in July 2009, and the project has been recognized both international and national awards.

Healthcare / Master Planning

Page Southerland Page, Inc.

Case CaseStudy Study

Project Details Project Size 630,000 Gross Square Feet, new 14,524 Square Feet (Emergency Department) 95 beds 60-acre site

Services Provided Architecture / Master Planning / Healthcare Planning / Interior Design / Environmental Graphic Design

Nemours Health System, Campus Master Plan & Children’s Hospital Orlando, Florida As Florida’s first freestanding hospital in 20 years, the Nemours Foundation sought to provide an extension of its Delaware hospital and develop a southern anchor in Florida with a one-of-a-kind facility that improves access to pediatric care in the region. With close proximity to major medical education and research entities, the strategic location also advances Nemours research efforts and role in training the next generation of pediatric specialists. Today, Nemours Children’s Hospital brings a full spectrum of what’s possible in pediatric healthcare to Central Florida. Featuring the area’s only emergency department designed especially for children, the new facility offers patients care with everything from life’s little mishaps to big emergencies and long-term needs. What can design do to create a unique healing environment and connect with the community? Nemours Children’s Hospital hums with world-class medical technology, state-of-the-art equipment, and a family-focused environment. Nemours’ family-friendly design houses the ambulatory and acute care spaces for medical specialties in adjacent wings of the same floor with shared waiting spaces. Whether hospitalized or visiting a clinic, children see the same physicians and clinical staff. Familiar faces and continuity of care reassure both patients and parents. As good neighbors, Nemours Children’s Hospital is also one of three Florida children’s hospitals to achieve LEED Gold certification. Its sustainable environment is based on green design and construction features that positively impact the broader community. Offering the best possible care, featuring sustainable design, and harassing the power of play — can you imagine the healing that happens at Nemours?

Healthcare / Master Planning

L F

I G

Inpatient Hospital Phase I

Ronald McDonald House

B. C. D. E. F.

Inpatient Hospital Phase II Outpatient Clinic Phase I Outpatient Clinic Phase II 600-Car Parking Deck Central Energy Plant

H. I. J. K. L.

Education/Conference Emergency Medical Office Building Research Child Development Center

Page Southerland Page, Inc.

Case Study

Project Details Project Size 1,731,000 Square Feet 1,500 Beds Services Provided Master Planning / Medical Planning / Concept Design / Programming

Dalian Medical Center Dalian, China This master plan was selected as the winner of an international design competition that included top healthcare design firms from around the globe. Designed by Page with Chinese architects from Urban Design & Development, the new medical center will include: § General Hospital – 500 beds, 500,000 square feet § Women’s Hospital – 500 beds, 500,000 square feet § Pediatric Hospital – 500 beds, 500,000 square feet § Disease Control and Prevention Center – 193,000 square feet § Population and Family Planning Service Center – 38,000 square feet The 55-acre site is part of a massive redevelopment zone in northern Dalian near a new sports complex that includes residential neighborhoods, technology parks and research complexes, all interconnected by subways and a vehicular transportation network. The master plan and concept design are based on a thoughtful blend of the best of Chinese and Western medicine. The overall arrangement of each hospital, including the location of entries, separation of inpatient and outpatient flows, and central atrium for shared public spaces, was noted as “state of the art.”

Healthcare / Master Planning

Case Study

Project Details Project Size 8,890,990 Square Feet Services Provided Master Planning / MEP Engineering

Hamad Medical Corporation Doha, Qatar Hamad Medical Corporation (HMC) has seven existing hospitals on its main campus totaling approximately 151,000 m2 (1,625,350 square feet). Page reviewed and accessed the facilities’ infrastructure and plans for future expansion of all departments. The primary focus was on the development of a “road map” as to how and where their future growth should occur. Additionally, there are three new hospitals on their Medical City campus, approximately 250,000 m2 (2,690,978 square feet), that were only core and shell. HMC completed tender documents for the finish out of these buildings, and Page reviewed the planning documents for them prior to release for tender. In addition, there was another 300,000 m2 (3,229,173 square feet) of building area in the housing facilities for nurses and married employees for which Page provided parking and transportation planning. Page also prepared plans for a 100-bed, 35,000 m2 (376,737-square -foot) hospital approximately 60 kilometers from Doha as well as a new 90,000 m2 (968,752-square-foot) hospital. Primarily, Page planned the growth for each facility and the resulting documentation provided the basis of design for future tenders.

Page Southerland Page, Inc.

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