Medical Office Buildings and Ambulatory Care Centers

Architecture Engineering Architecture Medical Office Interiors and Engineering Buildings Planning Interiors Ambulatory Care Consulting Consulting Centers

With roots extending back to a two-person partnership formed in 1898, Page is one of the most prolific and enduring architecture enduring architecture and engineering and engineering design practices. design practices.

Page architects, Page architects, engineers, engineers, interiorinterior designers, designers, planners, planners, strategic analysts and strategic analysts technical and technical specialists specialists provide services provide throughout services the United States throughout the United and abroad.

States and Ourabroad. diverse,Our international diverse, portfolio includes international portfolio projects includes in the projects academic, in the advanced academic, manufacturing, advanced manufacturing, aviation, civic, aviation, corporate, civic, corporate, government, hospitality, housing, government, hospitality, healthcare, housing,mission healthcare, critical, mission and science and technology critical, and science sectors. and technology sectors.

The Page portfolio consists largely of complex projects that benefit from our integrated disciplines and that make a significant impact on the communities they serve. We are guided by the three core values of creativity, collaboration, and commitment, and commitment, and through and through the force the force of these of these ideals, ideals, we live we up to our live uppromise to our promise of design of design that makes that makes lives better. lives better.

Visit our website at pagethink.com

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

CORE MARKETS Academic Aviation Civic / Community / Culture Corporate / Commercial Government Healthcare Housing / Hospitality Industrial Life Sciences Science / Technology SERVICES Architecture Engineering Interior Design Planning / Urban Design Lab Planning / Design Branding & Graphics Strategy & Analytics Building Sciences Commissioning 2

Firm Overview Page is one of the nation’s top-ranked integrated design firms, with 1400+ people in 20 offices across the U.S. plus international affiliate offices. We are known for well-researched, program driven solutions.

Clients tell us we excel at complex projects and exceptional design.

Some of the key characteristics that distinguish Page from other design firms are: Market / Building Type Expertise We recognize that good talent can be applied to complex projects regardless of industry. And good talent becomes great when it gains experience in a variety of situations. We create crossover teams so that individuals can work on different projects and share their own expertise and insights with other team members.

Our collective commitment to visionary design is reflected in our portfolio of successful, complex projects. 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 designers with true Hospitality experience on the team. Senior Living projects benefit from a combined Housing and Healthcare team. Such combinations result in valuable synergies that are part of the Page advantage, and they are one of the many reasons why we have such a long list of repeat clients.

Medical Office Buildings and Ambulatory Care Centers

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 125-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.

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Healthcare Curating Care: Design that Thinks as Big as You

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Medical Office Buildings and Ambulatory Care Centers

Healthcare Leadership Mattia Flabiano III aia, acha Senior Principal / Healthcare Board Representative mflabiano@pagethink.com Tushar Gupta faia

Principal / Market Sector Leader tgupta@pagethink.com

Sarah Walter aia

Principal / Children’s Health Director swalter@pagethink.com

Kurt Neubek faia, LEED AP

Principal / Healthcare Director kneubek@pagethink.com

Mark Vaughan FAIA, FACHA, LSSBB

Principal / Healthcare Planning Director mvaughan@pagethink.com

Tracy Lemons Healthcare Sector Manager tlemons@pagethink.com

Medical Office Buildings Page has designed Medical Office Buildings (MOBs) across the country, from master planning and design of the core and shell to the design of countless tenant suites. With this level of experience, Page brings our clients significant best practices and lessons learned. MOBs should be visible and easy to drive to, with convenient parking. The architecture and signage should reflect and reinforce the brand identity. They must be internally efficient from a rentable area perspective and cost-effective to build. The bay depths and ceiling heights should accommodate a wide range of potential uses, from individual doctor suites to multi-specialty practices, imaging centers, and ambulatory surgery centers.

The building layout should allow physicians and staff to access the building and their suites without having to walk past patients in the lobby or waiting rooms. The building must be easy to navigate for patients and families and should provide ample daylight and views to the outdoors. Access to adjacent buildings and garages should be protected from the weather. To accommodate the possibility of ambulatory surgery, elevators must be appropriately sized, covered drop-off provided, and consideration given to a separate discharge area. Ambulance access and emergency generators must also be anticipated.

Work With Developers § Remedy Medical Properties Highlands Ranch MOB § Alexandria Real Estate Alexandria Center North Tower § The Akridge Companies The Victor Building § CarrAmerica 1750 H Street Office Building § Columbia Development ZEN Building § Cor Development Syracuse Development § Duke Realty Rex Healthcare Medical Office Building § Heritage Properties Medical Office Building § Howard Hughes Corporation MD Anderson Cancer Center § MedCraft Healthcare Real Estate, LLC Stamford ICP § Newman Development Twin River Commons § Pope & Land Real Estate Piedmont Healthcare

#9 Medical Office Building Architecture + AE Firm Building Design + Construction, 2023

§ Signet Corporation Exchange Street Development § Stonehenge Development Group OGA Associates MOB § Transwestern Development TAMU EnMed Building § United Development Multiple SUNY development projects § Waterstone Properties Rock Row Medical Office Building § Yorkshire Development Albany Development

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200+ Medical Office and Clinical Building Projects

Medical Office Buildings and Ambulatory Care Centers

Select Medical Office Building Experience § Remedy Health Highlands Ranch Medical Office Building / Highlands Ranch, Colorado § UCHealth Longs Peak Medical Center, Ambulatory Care Center / Longmont, Colorado § UCHealth Longs Peak Surgery Center / Longmont, Colorado § UCHealth, Memorial Hospital North Expansion / Colorado Springs, Colorado § UCHealth Anshultz Tower / Aurora, Colorado § MedCraft Stamford Hospital Integrated Care Pavilion / Stamford, Connecticut

Adamsville Regional Health Center / Adamsville, Georgia

§ SCL Platte Valley Medical Center, Two Medical Office Buildings / Brighton, Colorado § Bozeman Billings Clinics Ambulatory Care / Bozeman, Montana § MD Anderson Cancer Center, The Woodlands Regional Cancer Center / The Woodlands, Texas § MedCraft NuHealth Medical Office Building / Brooklyn, New York § Piedmont Health System Primary Care Clinic / Atlanta, Georgia § Piedmont Health System Outpatient Spine and Imaging Center / Atlanta, Georgia § Adamsville Regional Health Center / Adamsville, Georgia § Grady Health System Camp Creek Medical Office Building / Atlanta, Georgia § Roosevelt Warm Springs Center for Orthotics and Prosthetics Medical Office Building / Warm Springs, Georgia

University of North Carolina Rex Healthcare Holly Springs Medical Office Building (Duke Realty) / Holly Springs, North Carolina

§ Georgia Regents Hospital and OP Clinics / Augusta, Georgia § Obstetrical and Gynecological Associates (OGA) Medical Office Building / Houston, Texas § Duke Realty Rex Health Holly Springs Medical Office Building / Holly Springs, North Carolina § North Oaks Medical Center Medical Office Building / Hammond, Louisiana § University of Virginia Battle Building Ambulatory Care and Surgery Center / Charlottesville, Virginia § UNC at Chapel Hill Outpatient Surgery Clinic / Chapel Hill, North Carolina

Spring Valley Medical Plaza and Parking Garage / Houston, Texas

§ CHRISTUS St. Michael, 2 Medical Office Buildings and Tenant Fit-out / Texarkana, Texas § East Texas Physician’s Alliance Medical Office Building and Tenant Fit-out / Palestone, Texas § Memorial Hermann The Woodlands Hospital Medical Office Building / The Woodlands, Texas § University of New Mexico Sandoval Regional Medical Center Medical Office Building / Rio Rancho, New Mexico

Page Southerland Page, Inc.

SCL Platte Valley Medical Center Medical Office Building No. 2 / Brighton, Colorado

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§ CHI St. Joseph Regional Health Center MOB / Bryan, Texas § Orlando Health Orthopedics Center of Excellence / Orlando, Florida § Nemours Healthcare Campus / Orlando, Florida § Baptist Medical Center Weaver Tower and Surgery Center / Jacksonville, Florida § Radiology Associates & Imaging Center / Tallahassee, Florida § Gwinnett Cardiovascular Center with Surgery / Lawrenceville, Georgia § Kennedy Krieger Institute Outpatient Center / Baltimore, Maryland § University of Louisville MOB / Louisville, Kentucky § Advanced Heart Associates MOB / Plano, Texas § Andrew’s Institute for Orthopedic and Sports Medicine Complex / Fort Worth, Texas § Baylor Scott & White All Saints MOB / Fort Worth, Texas § Baylor Scott & White Marble Falls MOB / Marble Falls, Texas § Baylor Scott & White Medical Center and MOB II / College Station, Texas Gwinnett Investment Group Cardiovascular Medical Office Building / Lawrenceville, Georgia

§ Baylor Scott & White Lakeway / Lakeway, Texas § Baylor Scott & White MOB / Austin (Oak Hill), Texas § Baylor Scott & White South Loop Clinic / Temple, Texas § Baylor Scott & White UMC Clinic and MOB / Temple, Texas § Cambridge Group of Companies MOB / Houston, Texas § Children’s Health System of Texas Specialty Center / Austin, Texas § Columbia Medical Center MOB / College Station, Texas § Dell Children’s Comprehensive Care Clinic at Rosedale School / Austin, Texas § Dell Medical School Health Transformation Building Outpatient Clinics / Austin, Texas

Kaiser Permanente Eagle County Medical Office Building / Edwards, Colorado

§ Department of Veterans Affairs Austin Outpatient Clinic / Austin, Texas § Department of Veterans Affairs Charleston Outpatient Clinic / Charleston, North Carolina § Department of Veterans Affairs Fayetteville Medical Center / Fayetteville, Arkansas § Department of Veterans Affairs Fort Worth Satellite Outpatient Clinic / Fort Worth, Texas § Department of Veterans Affairs Reno Clinic Expansion / Reno, Nevada § Driscoll Children’s Hospital Saratoga Urgent Care Clinic and MOB / Corpus Christi, Texas

Southwest Medical Village Medical Office Building / Austin, Texas

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Medical Office Buildings and Ambulatory Care Centers

Ambulatory Care Experience As one of the leading providers of healthcare design services in the U.S., Page has designed hundreds of ambulatory care centers across the country and abroad.

With experience ranging from large comprehensive outpatient care centers to individual doctors’ suites, we understand clinical operations, medical equipment, and subtler issues such as evidence-based design, branding, and employee satisfiers.

Outpatient facilities are distinctly different from hospitals, and it is essential that the design team understands the detailed and sometimes subtle differences. With dwindling reimbursement and the continued shift to delivering 90% of lifetime healthcare needs outside of hospitals, ambulatory facilities must meet higher expectations than ever.

Phoebe Putney Memorial Hospital Medical Tower II / Albany, Georgia

Excellent ambulatory care facilities share the following characteristics: § Emphasis on providing patients with the right level of care at the right time and place. Concepts such as a patientcentered medical home, team-based care and telemedicine are changing the way ambulatory care is delivered § They are easy for patients to find and access § The buildings reinforce the provider’s brand in the community § Extreme focus on streamlining operations. Being able to accommodate even one more patient per day affects the bottom line. We use Lean design methodologies and can provide simulation modeling to further fine-tune the program or layout § Designing modular layouts increases long-term flexibility. Outpatient facilities need flexibility and adaptability. A clinic may be used by one specialty today and another tomorrow. Multiple medical teams may rotate through the same spaces throughout the day. Overtailoring a design to one specialty or one vocal provider reduces the usability of that space § Designing expandability from the beginning. Decades of experienced have reinforced the value of planning for the future today. Later, when changes or additional space is needed, the facility will still be efficient and easy to use for patients and staff

Modern Spine / Sugar Land, Texas

Comanche County Memorial Hospital Drewry Family Emergency Center / Lawton, Oklahoma

Page Southerland Page, Inc.

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Case Study - Medical Office Buildings Piedmont Healthcare Kennesaw Medical Office Building Kennesaw, Georgia

PROJECT DETAILS Project Size 41,000 Square Feet

Services Provided Architecture / Medical Planning / Interior Design

This 41,000-square-foot medical office building is located on a beautiful wooded site on the corner of Chastain Road and Chastain Meadows Parkway. The primary tenant is Piedmont Healthcare. They offer primary care and cancer treatment.

Services include medical oncology, infusion with pharmacy lab, radiation oncology with a linear accelerator, and imaging.

There is also planned space for future growth.

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Medical Office Buildings and Ambulatory Care Centers

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Case Study - Medical Office Buildings Waterstone Properties / New England Cancer Specialists Westbrook, Maine

PROJECT DETAILS Project Size 140,000 Square Feet

Services Provided Full Architectural Services / Building Envelope Design / Lighting Design / LEED / Sustainable Design / Lean Programming / Healthcare/Medical Planning

Page was hired to master plan and design infrastructure for the 10-acre medical campus of this multi-phase development. The first phase includes site planning and design of a new 160,000 SF medical office building with New England Cancer Specialists (NECS), the anchor tenant, occupying 40,000 SF on the ground level. The MOB design offers flexibility to suit a range of tenant programmatic needs including Imaging, Nutritional Health, Ambulatory Surgery, Imaging, and Infusion. In alignment with the developer’s vision to create a welcoming environment that incorporates the natural landscape, Page’s design integrates natural materials, treatment spaces with peaceful “porch views”, healing gardens, and walking paths. A 500-car parking garage is also located on the site with connections to residential and community amenities, as well as biking and running trails.

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Medical Office Buildings and Ambulatory Care Centers

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Case Study - Medical Office Buildings Children’s Healthcare of Atlanta Pediatric Outpatient Center for Advanced Pediatrics Atlanta, Georgia LEED gold

PROJECT DETAILS Project Size 275,000 Square Feet

Services Provided Architecture / Medical Planning / Interior Design

From specifically trained doctors and nurses to colorful, friendly waiting rooms, everything at Children’s Healthcare of Atlanta is designed expressly for kids.

What’s possible from the moment a child arrives at the Center for Advanced Pediatrics? The best care and the best experience! The adventure begins with a step through the waterfall.

After passing through cheerful gardens, patients, families, and visitors are greeted by two stair towers. Representing the earthen edges of a waterfall, the towers frame a blue-glass curtainwall with curved mullions, playfully replicating the random way water moves down the falls. As day becomes night, LED fixtures in the horizontal fins light the vertical tower elements, using colors and patterns to transform the stairs.

Entering the building, expansive windows offer ample daylight and views to the garden. A wood wall and textured ceiling panels curve to create an abstract, whimsical tree canopy that assists with wayfinding as you move through check-in and into the waiting area. Pops of color emphasize destinations, and color and imagery make for a soothing patient experience in the exam rooms. Open ceilings and curious finishes enliven the top two administrative floors to complete the healing experience for patients, families, and clinicians.

When it comes to pediatric care, first impressions matter. Page’s Nurture through Nature approach to design blurs the lines between the outdoors and indoors, creating a playful, kids-first atmosphere and setting the tone for this healing environment.

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Medical Office Buildings and Ambulatory Care Centers

Page Southerland Page, Inc.

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Case Study - Medical Office Buildings UCHealth Longs Peak Medical Center and Ambulatory Care Center Longmont, Colorado

PROJECT DETAILS Project Size 106,000 Square Feet

Services Provided Architecture / Interior Design / Master Planning / Programming

The Longs Peak Medical Center follows the success of Longs Peak Hospital and is a continuation of the campus master plan. The four-story building will accommodate outpatient services including multi-specialty clinics, women’s clinics, outpatient imaging, breast center, rehabilitation, virtual health, conferencing space, and community space.

This new construction also includes tenant lease space, shell space for future expansion, new clinics, and space for other outpatient services. Site improvements include expanded parking and connectors / walkways to the existing buildings on the campus.

The project includes multiple high technology modalities such as an imaging center with fluoroscopic, PET-CT, MRI, and ultrasound capabilities, along with a women’s health center, physician offices, and clinic space for multiple specialties.

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Medical Office Buildings and Ambulatory Care Centers

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Case Study - Medical Office Buildings Duke Health Arringdon Ambulatory Surgery Center and Medical Office Building Durham, North Carolina

PROJECT DETAILS Project Size 200,000 Square Feet

Services Provided Architecture / Healthcare Planning / Interior Design

As healthcare services are shifting to outpatient, Duke Health is developing a destination ambulatory center for a majority of their complex services. This ambulatory center is a 200,000-square-foot building with a 40,000-square-foot ambulatory surgery center (ASC) supporting four operating rooms and four procedure rooms.

Page’s planning and design team has planned a full function sterile processing department (SPD) as part of the ASC to support the needs of surgery center and other clinical services in the building. This small SPD is about 2,300 square feet with space for cart washing, decontamination, prep and packing of instruments, and sterilizations. Plumbing and HVAC systems were carefully planned and designed due to its location on the fifth floor of the building.

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Medical Office Buildings and Ambulatory Care Centers

Page Southerland Page, Inc.

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Case Study - Medical Office Buildings Billings Clinic Bozeman Ambulatory Care Center and Ambulatory Surgery Center Bozeman, Montana

PROJECT DETAILS Project Size 120,000 Square Feet Total 28,000-Square-Foot 1-Story Ambulatory Surgery Center 92,000-Square-Foot 3-Story Ambulatory Care Center

Services Provided Master Planning / Programming / Medical Planning / Design Services / Interior Design / Furniture

Following a Master Planning engagement, Page is providing medical planning and design services to Billings Clinic for its new Ambulatory Care (ACC) and Surgery Centers (ASC). Billings Clinic is seeking to create a community healthcare campus that is welcoming and an important asset. Goals include excellent care, efficiency, wellness, and retention of care providers.

The new Ambulatory Care and Surgery Centers will be housed across one single-story building and one three-story building. The healthcare campus design will reflect the regional aesthetics and the layouts will promote efficient, healthy, fun, comforting, and social places.

The overall design will seek to create a dynamic multi-use experience that has a “sense of place” and provide the Gallatin Valley with a friendly neighborhood place to visit and receive care. Page collaborated as associate architect to Cushing Terrell Architects.

Ambulatory Care Center Service Lines § OB/GYN § Ophthalmology § Orthopedics § Urology § Vascular § GI § ENT surgeries § Conference Center

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§ Retail and Infusion Pharmacies § Imaging Services § Urgent Care § Oncology and Infusion § PT/OT § Primary Care § Other Specialty Clinics

Medical Office Buildings and Ambulatory Care Centers

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