healthcare portfoio cover 2014.pub

Gould Turner GroupGould Turner GroupGould Turner Group

Healthcare PortfolioHealthcare PortfolioHealthcare Portfolio

Transforming dreams into designs Transforming dreams into designs Transforming dreams into designs of lasting distinction since 1980. of lasting distinction since 1980. of lasting distinction since 1980.

In Nashville and nationwide, Gould Turner Group, P.C. is known for its architects’ no-nonsense approach—

their ability to strike a balance between creativity and practicality—in designing a variety of structures.

Local projects include Palmer Plaza, One Belle Meade Place, The Bank of Nashville, and Croft Middle School.

Gould Turner Group, P.C.

Founded in 1980, Gould Turner Group,

P.C. (GTG) is a Nashville-based,

full-service architectural, planning, and

interior design firm. Since its founding,

this firm has acquired a national reputa-

tion for excellence in health care design

and enjoys local recognition for a

multitude of building types, including

educational, public, and commercial

facilities. Committed to designing

buildings that are attractive and opera-

tionally efficient, GTG’s architects work

in collaboration with clients across the

country and deliver to all their projects

a variety of specialized talents and a

depth of knowledge and experience.

Linda S. Marzialo, AIA, ACHA, a principal

and the president of GTG, brings more

than 30 years of experience to the

company. Marzialo describes the firm’s

underlying philosophy: “Our role is to

assist our clients in achieving their vision.

We carefully listen to our clients in order

to understand the challenges and oppor-

tunities they face, and work with them

in partnership to provide unique solu-

tions.” Marzialo, who holds an American

College of Healthcare Architects (ACHA)

board certification, states that for health

care design, this means helping GTG’s

clients to create facilities that provide

a comforting, calming, healing environ-

ment for patients and families as well

as a supportive workplace for staff.

Perfecting Evidence-Based Health Care DesignA successful example of GTG’s medical

facility design approach may be found

in its design for the Northwest Medical

Center of Oro Valley in Oro Valley,

Arizona. This project was featured in

the “Architectural Showcase” issue

of Healthcare Design magazine in

September 2005 and is an honorable

mention winner of the 2006 prestigious

ASHE (American Society for Healthcare

Engineering) Vista Partnering award.

This project embraces the evidence-

based design ideology, which maintains

that thoughtful design can produce

positive measurable results to a facility’s

bottom line. Working closely with hospital

staff, GTG incorporated such details as

decentralized nursing stations to bring

Gould Turner Group, P.C.

(GTG) specializes in health

care architecture that

is both functional and

aesthetically compelling and

has created beautiful, state-

of-the-art facilities nationwide.

Above left and center:

Among GTG’s notable

projects is the Northwest

Medical Center of Oro

Valley—a 2006 ASHE Vista

Partnering honorable mention

winner—located in Oro Valley,

Arizona. Above right: Another

GTG stand-out is The Agility

Center, which provides

advanced neurological and

musculoskeletal care, located

in Bentonville, Arkansas.

174 PORTRAITS OF SUCCESS Profiles of Companies and Organizations

nurses closer to patients, wireless com-

munication devices to lessen noise

distractions, and views of nature and

abundant day lighting to enhance

patients’ hospital experience. The result

is a striking facility that boosts caregiver

productivity, is operationally efficient, and

champions patient healing and wellness.

Advancing EducationGTG brings to its educational clients

innovative translations of their

educational programs into architectural

solutions that offer not only efficient

and cost-effective school buildings

but also facilities that are exciting

and highly conducive to the learning

process. Ted Stanton, a senior architect

with GTG, notes, “We want our school

buildings to play a key role in advancing

the school’s educational programs.”

Croft Middle School in Nashville,

Tennessee, exemplifies this concept.

Sited adjacent to the Nashville Zoo

at Grassmere, the school takes advan-

tage of its exceptional location to

highlight programs in natural history,

biology, zoology, and conservation

by featuring centers for “up close”

animal encounters and exhibits under

the supervision of zoo personnel.

Demonstration centers in the facility

are also available for use by other

schools and by community groups.

Leading in SustainabilityGTG architects remain at the forefront

of environmentally responsible and

sustainable design. Members of the

firm are LEED (Leadership in Energy

and Environmental Design) accredited

and are active in the U.S. Green

Building Council. GTG’s design for

McKenzie-Willamette Medical Center,

a new health care facility in Eugene,

Oregon, is one of a limited number of

new hospital designs in the nation to

pursue LEED certification.

Ed Wansing, Director of Sustainability

for GTG, explains the benefits of

environmentally responsible design:

“By focusing on water and energy

efficiency, owners can expect to see

long-lasting operational cost savings.

Through the use of materials that

contribute to good indoor air quality,

we are able to create healthier interior

environments for the building’s

occupants; and due to reduced environ-

mental impact and increased open

space, the entire community benefits

when thoughtful consideration is given to

the positioning of a building on its site.”

Succeeding through CommitmentThroughout the design process,

GTG principals and project architects

maintain a hands-on design and delivery

approach and remain active during each

phase of the project. GTG architects

and interior designers use their experi-

ence and knowledge to blend creativity

with practicality. GTG manages every

opportunity with the attitude of provid-

ing value and service to its clients.

By developing long-term relationships

with clients, Gould Turner Group, P.C.

enjoys a high level of repeat business

from a long list of satisfied customers.

Top left: GTG was honored

with the 2006 IIDA

(International Interior Design

Association) award for health

care interior design for its

creation of the Swedish

Southwest Urgent Care facility

in Englewood, Colorado.

Top center: GTG designed the

illuminated canopy of Wesley

Medical Center’s Critical Care

Tower in Wichita, Kansas, to

act as a beacon to welcome

visitors. Top right and above

right: GTG’s award-winning

HealthCenter Northwest in

Kalispell, Montana, success-

fully blends the high-tech of

surgery and imaging services

with the high-touch of

soothing colors, natural

materials, and day lighting.

Below, both photos: GTG also

designs innovative school

facilities, including Croft

Middle School (shown here)

in Nashville, Tennessee. This

school was the 2003 Tennessee

School Board Association’s

first place winner in the middle

school design category.

175Real Estate, Development, and Construction Services

Gould Turner Group, P.C. Architects Planners Interiors

TTTABLEABLEABLE OFOFOF CCCONTENTSONTENTSONTENTS

Section 1

Firm Introduction

Section 2

Project Experience

Section 3

Interior Design

Section 4

GTG Differentiators & Design Philosophy

Section 5

Leadership

About Us

Firm History

Meet the President & CEO

Personnel Accreditations

Where We Have Worked

Services Offered

Publications & Awards

Representative Healthcare Experience

Representative Master Planning

Representative Medical Office Buildings

Representative Behavioral Health Experience

Healthcare Project Profiles

Interior Design

Why GTG

GTG Design Philosophy

Resumes

Firm Introduction

Firm Introduction

Firm Introduction

111


Gould Turner Group, P.C. (GTG) is a Nashville-based full service architectural, planning, and interior design firm. Since its founding in 1980, GTG has acquired a national reputation for its strength in healthcare design as well as recognition for the design of educational, public, and commercial building types. Committed to the design of buildings that are attractive and operationally efficient, GTG's architects and designers work in collaboration with clients across the country on projects that range from additions and renovations to campus master plans and new construction. GTG principals and project architects recognize the importance of quality client service and maintain a hands-on design and delivery approach. We realize that the cost of erecting facilities is far less significant that the cost of operating them in terms of personnel, maintenance and energy costs. Today, as when our company began, our design commitment remains the same: to create environments that are functional, yet aesthetically compelling – economically constructed, yet durable and easily maintained. GTG is a woman owned, certified WBE firm.

AAABOUTBOUTBOUT UUUSSS


Gould Turner Group (GTG) was founded in 1980 in Glenwood Springs, Colorado by Mike Gould and Steve Turner. Mike and Steve envisioned an architectural firm founded on teamwork, exceptional client service, and innovative, quality design. The firm began by designing commercial projects in Colorado, and soon thereafter, entered the field of medical design. Within a year of its founding, GTG found itself relocating to Nashville where it had acquired as a client the largest for-profit hospital system in the country. GTG grew in size and in project experience, adding additional healthcare clients, as well as hospitality, educational, and institutional building types to its resume. In 1989, Mike Gould left GTG for health reasons and the firm transitioned to Steve Turner and Linda Marzialo to continue GTG’s legacy. GTG deepened its commitment to the fields of medical and educational design. In 2005, upon Steve Turner’s retirement, Linda Marzialo took over leadership of the firm and today GTG is Nashville’s largest woman owned architectural firm. The firm continues to specialize in healthcare and educational project types, and GTG’s core values remain the same as when our company began. We believe in providing value, we believe in quality client service, we believe in collaboration and teamwork, and we believe in good design. GTG has an extraordinary retention rate of both its employees and clients – a testimony of commitment to our core values.

FFFIRMIRMIRM HHHISTORYISTORYISTORY


Linda S. Marzialo, AIA, ACHA President & CEO Ms. Marzialo is President and CEO of Gould Turner Group, a Nashville, Tennessee based architectural, interior design, and planning firm. She began her career as an intern with Earl Swensson Architects and Yearwood & Johnson Architects in Nashville, Tennessee. In 1981, she joined Gould Turner Group as a project manager where she managed and designed many of the firm’s largest projects. In 1991, Ms. Marzialo was promoted to President of Gould Turner Group, P.C. and in 2005, she became the firm’s CEO. Ms. Marzialo is a registered architect in 43 states. She graduated from Vanderbilt University in 1975 and has served on the boards of the American Institute of Architects Middle Tennessee Chapter and the Nashville Healthcare Council. For over 30 years, she has specialized in healthcare architecture and is one of two architects in the State of Tennessee to hold certification by the American College of Healthcare Architects. Ms. Marzialo currently serves on Design Professional’s Risk Control Group (DPRCG) peer review committee, DPRCG’s Practice Management and Education Subcommittee, and is currently Vice President of AIA Middle Tennessee.

MMMEETEETEET THETHETHE PPPRESIDENTRESIDENTRESIDENT & CEO& CEO& CEO


GTG serves our clients from our sole office in Nashville, Tennessee. Members of Gould Turner Group hold the following accreditations, certifications, licenses, and memberships:

Licensed architect in 48 states National Council of Architectural Registration Boards (NCARB) American Institute of Architects (AIA) American College of Healthcare Architects (ACHA) American Society of Healthcare Engineering (ASHE) LEED Accredited Professional United States Green Building Council (USGBC) The Center for Health Design Certified Construction Specifier (CCS) Nashville Healthcare Council National Fire Protection Association (NFPA) International Code Council National Council of Interior Design Qualification (NCIDQ) International Interior Design Association (IIDA) American Society of Interior Design (ASID)

PPPERSONNELERSONNELERSONNEL AAACCREDITATIONSCCREDITATIONSCCREDITATIONS


WWWHEREHEREHERE WWWEEE HHHAVEAVEAVE WWWORKEDORKEDORKED

Represents states in which GTG has worked

Nashville Based, National Practice Licensed in 48 states and District of Columbia Clients include public and private entities


Gould Turner Group offers the following services in-house: Planning

Functional Planning

Space Allocation Programming

Master Planning

Architectural Design

Schematic Design

Design Development

Construction Documents

ADA Design

Sustainable Design and LEED Consulting

Insurance (Factory Mutual) Design Coordination

Preliminary Construction Cost Projections

Preliminary Pre-Qualification Assistance

Construction Phase Services

Post Occupancy Review

3-Dimensional Modeling and Renderings

Coordination of Medical Equipment Planning

Coordination of Information Systems and Telecom

Coordination of Engineering Consultants Interior Design

Interior Master Planning

Interior Concept Development

Color and Materials Selection

Signage and Graphics/Way Finding

Existing Furniture Inventory

Furniture Selection/Specification

Furniture Layouts/Installation Plans

Artwork Selection

Procurement Process Administration

Installation/Placement Coordination and Assistance

SSSERVICESERVICESERVICES OOOFFEREDFFEREDFFERED


Gould Turner Group teams and coordinates, as necessary, with outside consultants to bring these resources to your project: Civil Engineering Landscape Architecture Structural Engineering Mechanical and Electrical Engineering Fire Protection Services Roofing and Building Envelope Consultation Artwork Specialized Acoustics and Lighting Design Food Service Design Medical Equipment Planning Telecommunications Planning Detailed Cost Estimating

SSSERVICESERVICESERVICES OOOFFEREDFFEREDFFERED


Publications Gould Turner Group, or members of its staff, have been featured in or contributed articles to the following publications: “Cover Healthcare In Laminate”, Commercial Building Products, May 2013 “Top 60 Architectural Firms” Modern Healthcare magazine’s annual Construction & Design Survey 2012 “Architectural Showcase, Acute Care Hospitals”, Healthcare Design Magazine, Sept. 2012 “Nashville’s Largest Women-Owned Businesses”, Nashville Business Journal, May 2012 “Largest Nashville-Area Architectural Firms”, Nashville Business Journal, August 2012 “Bringing Rejuvenation to the Renovation”, HealthcareDesign magazine, May 2011 “Cedar Park Regional Medical Center”, Hill Country News, January 23, 2008 “The Rise of the Rural Replacement Hospital”, Medical Construction & Design, March/April 2008 “Best of 2007”, South Central Construction, December 2007 “Gould Turner Group,” firm profile, Nashville Amplified, March 2007, Cherbo, publisher. “Cane Ridge High will Give Students Multiple Career Options”, Brentwood Journal, January 23, 2007 “A Healing Combination. Design, Performance and Cost Goals for New Hospital Met by Armstrong Floors” Commercial Flooring, Solution Spotlight, December 2006 “Largest Nashville-Area Architectural Firms”, Nashville Business Journal, December 2006 “Top Healthcare Architects,” Healthcare Building Ideas, October/November 2006.

PPPUBLICATIONSUBLICATIONSUBLICATIONS & A& A& AWARDSWARDSWARDS


Publications “Healthcare Top 100,” Nashville Business Journal, September 2006, Nashville Business Journal, publisher. “Top 100 Design Firms,” South Central Construction, September 2006. “Valley View Medical Center,” Healthcare Design, the Architectural Showcase Issue, September 2006. MedQuest Communications, publisher. “Swedish Southwest Emergency Center,” Healthcare Design, the Architectural Showcase Issue, September 2006. MedQuest Communications, publisher. VISTA -- 2006 Award Recipients,” Inside ASHE, March/April 2006. American Society of Healthcare Engineering for the American Hospital Association, publisher. “Integrated Design: A Multidisciplinary Approach in Healthcare Construction,” Nashville Medical News, February 2006. Medical News Papers, Inc., publisher. "Bringing Together Disparate Client Groups," Contract Magazine, October 2005. VNU Business Publications, publisher. "Healthcare Profiles 2005-2006," Nashville Medical News, October 2005. Medical News Papers, Inc., publisher. "Healthcare Top 100," Nashville Business Journal, September 2005. Nashville Business Journal, publisher. “Coastal Carolina Medical Center,” Healthcare Design, the Architectural Showcase Issue, September 2005. MedQuest Communications, publisher. “Northwest Medical Center Oro Valley,” Healthcare Design, the Architectural Showcase Issue, September 2005. MedQuest Communications, publisher. “Perfect Pods,” HealthCare Construction & Operations, January/ February 2005. Emlen Publications, publisher. “More Than Just a Pretty Space,” Scholastic Administrator, January/February 2005. Scholastic, Inc., publisher.



Publications Designing for Privacy and Related Needs, copyright 2005. Fairchild Publications, Inc., publisher. “Laverne Middle Honored in Architectural Excellence,” The Daily News Journal, 15 December 2004. The Daily News Journal, Murfreesboro TN, publisher. “Wesley Medical Center,” Healthcare Design, the Architectural Showcase Issue, September 2004. MedQuest Communications, publisher. "Healthcare Top 100," Nashville Business Journal, September 2004. Nashville Business Journal, publisher. “Southern Arizona Activity Report,” Southwest Contractor, May 2004. McGraw-Hill Construction, publisher. “Croft Middle Design Center,” Learning by Design, 2004. National School Boards Association, publisher. “Zoo-based Education,” American School and University, March 2004. An INTERTEC/PRIMEDIA publication. “High-tech Meets Hospitality,” Healthcare Design, March 2004. Medquest Communications LLC, publisher. Texas 500 Top Construction Projects, Palestine Regional Medical Center, 2003. Reed Construction Data, publisher. “Siegel Middle School,” Learning by Design, 2003, 2002. National School Boards Association, publisher. “Park Avenue Elementary School,” American School & University, Architectural Portfolio, November 2002, 2000. An INTERTEC/PRIMEDIA publication. “Far from New York City, Austin’s Central Park Surgery Center Serves Its Patients, Staff, Physicians & a Few Celebrities,” FASA Update, May/June 2002. Federated Ambulatory Surgery Association, publisher. “Denton Regional Medical Center,” Texas Construction Review, November 2001. Construction Communications, publisher



Publications "A Perfect Match," F. W. Dodge Southwest Contractor, October 2000. The McGraw Hill Companies, Inc., publisher. Collegiate Residence Halls, June 1999, College Planning & Management. A Peter Li Education Group publication.

Emergency Department Design, 1993. Leonard M. Riggs, Jr., M.D. American College of Emergency Physicians, publisher. Construction Digest, March 1992. Southern Business Communications, publisher. 1991 - 92 Architecture for Justice, 1991. American Institutes of Architects Press, publisher. Nashville: Upbeat and Down to Business, 1990. Amy Lynch and Margaret E. Dick, Windsor Publications, Inc., publisher. Health Care Systems, November 1982. The Gralla Publications. Building Design and Construction, August 1982. Cahners Publishing, publisher. American Society of Healthcare Engineers Pioneers of CAD in Architecture, 1985. Alfred M. Kemper, Horland/Swenson, publisher. Awards American Society of Interior Designers Gold Award, Architectural Health Care Gateway Medical Center, Clarksville Tennessee September 2008 Associated Builders and Contractors (ABC) Construction Awards of Excellence Cedar Park Regional Medical Center, Cedar Park Texas December 2007 International Interior Design Association, Silver Award Healthcare, Swedish Southwest Urgent Care, Englewood CO September 2006.



Awards Honorable Mention, VISTA Partnering Award Northwest Medical Center Oro Valley, Tucson AZ December 2005 Tennessee School Boards Association Middle School Category, Second Place Laverne Middle School, Laverne TN November 2004 Pittsburgh Corning Corporation Regional Winner, 2003 Circle of Design Excellence Award Surgery Addition, Frankfort Regional Medical Center, Frankfort KY March 2004 Montana Contractor’s Association Commercial Category, First Place Health Center Northwest Surgical & Diagnostic Hospital, Kalispell MT December 2003 Tennessee School Boards Association Middle School Category, First Place Croft Middle Design Center, Nashville TN November 2003 Associated Builders and Contractors, Mid-Tennessee Chapter Excellence in Construction, Institutional $25-50 million Northwest Medical Center of Benton County, Bentonville AR October 2003 Tennessee School Boards Association Middle School Category, First Place Siegel Middle School, Murfreesboro TN November 2002 Associated Builders and Contractors Excellence in Construction, First Place Austin Diagnostic Clinic, Austin TX 1995


Project Experience

Project Experience

Project Experience

222


Acadian Medical Center, Eunice LA Acute care replacement hospital, totaling 101,413 SF and 60 all private beds. $18,000,000 construction cost. (2006) Alliance Medical Center, Fort Worth TX New 30 bed greenfield hospital expandable to 120 bed. $39,500,000 construction cost. (2014) The Agility Center, Bentonville AR 31,000 SF medical complex housing aquatic therapy, neurological and musculoskeletal services. $6,700,000 construction cost. (2003) Arrowhead Hospital, Glendale AZ Expansion and renovation encompassing 168,000 SF of intensive care, emergency and patient beds. $41,000,000 construction cost (2007) Bayonet Point Medical Center, Hudson FL 13,300 SF renovation of ER and Outpatient staging. $2,400,000 construction cost (2011) Bayshore Medical Center, Pasadena TX Additions and renovations involving surgery, cath lab, imaging, outpatient staging and endoscopy; 16,680 SF new and 45,150 SF renovation. $14,600,000 construction cost (2007) Bayshore-Fairmont Outpatient Services/Urgent Care, Pasadena TX Renovation of 14,000 SF. $4,000,000 construction cost (2006) Blake Medical Center, Bradenton FL Reskin and mechanical upgrade $10,200,000 construction cost (2013) BreatheAmerica, Columbus OH Allergy and Sinus Center $465,000 construction cost BreatheAmerica, Albuquerque NM Allergy and Sinus Center $520,000 construction cost

RRREPRESENTATIVEEPRESENTATIVEEPRESENTATIVE HHHEALTHCAREEALTHCAREEALTHCARE EEEXPERIENCEXPERIENCEXPERIENCE


BreatheAmerica, Richmond VA Allergy and Sinus Center $460,000 construction cost BreatheAmerica, Broken Arrow OK Allergy and Sinus Center $460,000 construction cost Capital Medical Center, Olympia WA Radiation therapy renovation and build-out (2007) Capital Regional Medical Center, Tallahassee FL Vertical expansion and bed addition $11,500,000 construction cost (2013) Carolinas Health System, Florence SC 84,000 SF medical office building. $6,000,000 construction cost Cedar Park Regional Medical Center, Cedar Park TX New 75 bed acute care facility with 75 shelled beds; 281,000 SF. $63,000,000 construction cost (2007) Claremore Hospital, Claremore OK Diagnostic and ambulatory surgery center addition. $4,000,000 construction cost. 45,000 SF medical office building. $7,000,000 construction cost Coastal Carolina Medical Center, Hardeeville SC New acute care facility, totaling 85,941 SF and 41 all-private beds, and attached medical office building. $16,000,000 construction cost (2004) Colorado River Medical Center, Needles CA Operating suite expansion and obstetrics expansion. $2,000,000 construction cost Corning Hospital, Corning NY 65-bed replacement hospital $82,500,000 construction cost (2014)



Dauterive Hospital, New Iberia LA Additions and renovations, including operating rooms, ICU, powerhouse and physical therapy. $12,000,000 construction cost (2001) Denton Medical Center, Denton TX 185-bed replacement hospital, 276,000 SF $35,000,000 construction cost (1999) Denton Regional Medical Center, Denton TX ICU renovation and telemetry bed expansion. $11,300,000 construction cost (2006) Doctor’s Hospital, Opelousas LA Surgery addition and renovation. $2,000,000 construction cost El Dorado Medical Center, Tucson AZ Emergency expansion. $8,000,000 construction cost Addition of 60 patient beds. $10,000,000 construction cost Ambulatory surgery center. $3,000,000 construction cost Ennis Regional Medical Center, Ennis TX 60-bed acute care replacement hospital, totaling 104,500 square feet. $23,500,000 construction cost. 30,300 SF MOB. $3,800,000 (2007) Frankfort Regional Medical Center, Frankfort KY Operating room expansion and renovation. $1,822,802 construction cost. ICU addition; renovation of obstetrics, psych and LDRs. $6,700,000 construction cost. Surgery additions and renovations. $5,400,000 construction cost (2002) Gadsden Regional Medical Center, Gadsden AL Cath Lab and ICU, 62,400 new SF, 21,500 SF renovation. $20,000,000 construction cost. (2009) Gateway Medical Center, Clarksville TN 270 bed acute care replacement facility; 516,480 SF. $122,000,000 construction cost (2008)



Greenbrier Valley Medical Center, Ronceverte WV Renovations and additions to imaging and ICU. $9,000,000 construction cost. Renovations and additions to imaging, admissions and outpatient services; upgrades in patient rooms. $2,000,000 construction cost (2006) Gulf Coast Medical Center, Panama City FL Additions and renovations to cath lab, administration and wellness. $13,000,000 construction cost (2002) Havasu Regional Medical Center, Lake Havasu City AZ New outpatient center and bed tower addition, major renovation to two existing facilities. $26,000,000 construction cost (2006) Health Center Northwest Surgical and Diagnostic Hospital, Kalispell MT Freestanding surgical and diagnostic specialty hospital 131,755 SF. $17,700,000 construction cost. (2003) Integrated Surgery Center, Scottsdale AZ 60,000 SF medical office complex providing outpatient services. $7,000,000 construction cost Kingwood Medical Center, Kingwood TX Women’s tower addition and renovation, 200,000 SF $52,000,000 construction cost (2014) Laser Surgery Center of West Palm Beach, Palm Beach FL Freestanding, 20,000 SF laser surgery center. $4,000,000 construction cost Los Alamos Medical Center, Los Alamos NM Emergency and fire alarm addition/renovation. $2,500,000 construction cost (2006) Surgery renovation. $700,000 construction cost Admissions and physical therapy renovation. $500,000 construction cost Lovelace Westside Medical Center, Albuquerque NM Re-skin, and Obstetrics build-out, 17,500 SF $5,000,000 construction cost (2011)



Madison Hospital, Madison AL New 60 Bed Hospital plus 60 shelled beds. 235,000 SF.. $55,000,000 construction cost. (CON submittal) McKenzie-Willamette Medical Center, Eugene OR 148 bed replacement facility, 420,000 SF. $133,000,000 construction cost (CON submittal) Medical Center of Acadiana, Lafayette LA CVOR / hybrid OR / cath lab addition and renovation $3,000,000 construction cost (2012) Minden Medical Center, Minden LA Rehabilitation unit. $3,000,000 construction cost Neshoba County General Hospital, Philadelphia MS Replacement hospital design and CDs. $30,000,000 construction cost (2010)

Northeast Baptist Hospital, San Antonio TX Patient tower and ancillary additions and renovations. 292,000 SF, $56,000,000 construction cost (2006)

Northeastern Nevada Regional Hospital, Elko NV New 75 bed, all private, acute care replacement hospital. $24,000,000 construction cost. 51,000 SF medical office building. $4,000,000 construction cost (2001)

Northpoint ACS, Dallas TX ACS build out of approximately 8,740 SF. $1,668,000 under construction in 2008. (2009) North Suburban Medical Center, Thornton CO OR expansion / renovation of 18,593 SF. $13,000,000 estimated construction cost (2011)

Northwest Medical Center, Tucson AZ Four-story patient tower addition, with 60 all private beds. $25,000,000 construction cost. Expansion of Sonora Women’s Center. $8,000,000 construction cost. (2002)



Northwest Medical Center of Benton County, Bentonville AR New 121 bed hospital. $37,000,000 construction cost 56,000 SF medical office building. $9,500,000 construction cost (2004) Northwest Medical Center of Tucson , Tucson AR Med/surg and ICU tower addition and support services expansion $27,600,000 construction cost (2003)

Northwest Medical Center of Tucson , Tucson AR Parking garage $8,700,000 construction cost (2007) Northwest Medical Center of Tucson , Tucson AR ER and imaging expansion and renovation $7,300,000 construction cost (2009) Northwest Medical Center Oro Valley, Oro Valley AZ New 144 bed hospital. 243,500 SF. $45,600,000 construction cost (2005) Northwest Medical Center Oro Valley, Oro Valley AZ Fourth floor patient care unit build out and CT/MRI addition $8,200,000 construction cost (2007) Northwest Medical Center of Springdale , Springdale AR Women’s services addition and renovation $3,000,000 construction cost Oak Hill Hospital , Brooksville FL Surgery and Bed tower addition $28,500,000 construction cost (2013) Ottumwa Regional Health Center , Ottumwa IA ED and ICU renovations (2011) Paris Regional Medical Center , Paris TX Rehabilitation Unit renovation $3,000,000 construction cost (2013) Paris Regional Medical Center , Paris TX Endoscopy CVICU, and food service addition and renovation $4,000,000 construction cost (2013)



Paradise Valley Medical Center, Phoenix AZ Patient tower and surgery additions. $30,000,000 construction cost. Emergency and diagnostic imaging expansion. $5,000,000 construction cost (2003) Labor and delivery expansion, lab and emergency expansion. $8,000,000 construction cost Pearland Medical Center, Houston TX New 30 bed greenfield hospital expandable to 120 bed. $41,400,000 construction cost. (2015) Portsmouth Regional Hospital, Portsmouth NH Expansion of cath lab, cardiac step down unit and endoscopy. $10,000,000 construction cost (2005) ER renovation and addition. Four-story medical office building attached to existing hospital. $3,000,000 construction cost. ASC and physician suite build-outs. (2003)

Presbyterian/St. Luke’s Medical Center, Denver CO NICU expansion and oncology relocation. $2,200,000 construction cost (2004)

Rapides Regional Medical Center, Alexandria LA Expansion involving the addition of 123 med/surg beds, intensive care, and emergency totaling 128,000 SF. $32,000,000 construction cost (2009) Reston Hospital Center, Reston VA Cancer Center renovations (2010) Seirra Vista Medical Center, Sierra Vista AZ New 100 bed replacement hospital $52,000,000 St. David’s South Austin Medical Center, Austin TX 4th floor renovation $4,850,000 construction cost (2012) St. David’s South Austin Medical Center, Austin TX Vertical expansion and renovation, 110,724 SF $34,154,000 construction cost (2012)



St. Joseph’s Hospital, Parkersburg WV Three-story addition housing emergency, outpatient surgery and eight operating suites. $18,000,000 construction cost (2000)

St. Mark’s Hospital, Salt Lake City UT New women’s facility with two-level connector to main hospital. $18,000,000 construction cost (2002) ICU renovation. $7,000,000 construction cost Conference Center addition to West Tower (concept planning). $1,500,000 construction cost (2001) St. Luke’s Baptist Hospital, San Antonio TX Renovation of orthopedics, lobby and first floor. $5,000,000 construction cost (2007) St. Mary’s Regional Medical Center, Russellvile AR ER and admitting renovation $2,500,000 construction cost (2006) South Bay Hospital, Tampa FL Emergency and operating suite expansion. $10,000,000 construction cost (2002)

SouthCrest Hospital, Tulsa OK Additions and renovations to fifth and sixth floors. $8,000,000 construction cost Southwest General Hospital, San Antonia TX Surgery and obstetrics addition and renovation $5,000,000 construction cost (2008) Southwest Medical Center, Lafayette OK Cath lab $2,376,000 construction cost (2008)

Southwest Medical Center, Lawton OK Surgery, ICU, and support addition and renovation $4,714,773 construction cost (2009) Southwest General Hospital, San Antonio TX Emergency addition and renovation. $1,321,500 construction cost (2008)



Stonespring Medical Center, Loudoun County VA Freestanding ED, 9,888 SF $6,719,646 construction cost Swedish Emergency Center, Englewood CO Free standing ER and imaging center, 29,123 SF, $8,200,000 construction cost. (2005) Palestine Regional Medical Center, Palestine TX Master planning for 65,000 SF expansion. Radiology renovation. $1,200,000 construction cost. Addition and renovation to surgery and PACU. $5,500,000 construction cost Swedish Medical Center, Englewood CO Bed tower addition and renovation, affecting 200,000 sf. $50,000,000 construction cost. Surgery and ICU expansion. $20,000,000 construction cost (2010) Summit Medical Center, Lebanon TN Urgent care and diagnostic center $2,000,000 construction cost (2008) Terre Haute Regional Hospital, Terre Haute IN Addition and renovation to ICU, imaging and outpatient services. $25,000,000 construction cost Trinity Medical Center, Birmingham, AL New 424 bed hospital plus 54 shelled beds; 820,000 SF. $183,000,000 construction cost. (CON submittal) Tulane—Lakeside Hospital, New Orleans LA Bed tower nursery and NICU addition and renovation $4,500,000 construction cost. (2011) Tulane University Hospital, New Orleans LA Bed tower addition of approximately 68,000 SF. $11,000,000 to begin construction in 2009. Vanderbilt University Medical Center, Nashville TN Stepdown unit and dialysis unit renovation $3,000,000 construction cost (2013)



Valley View Medical Center, Mohave Valley AZ New acute care replacement hospital and medical office building, totaling 103,574 SF with 60 all private beds. $21,000,000 construction cost (2005) Vaughan Regional Medical Center, Selma AL Expansion of ambulatory surgery, imaging and cath lab. $8,000,000 construction cost (2007) West Houston Medical Center, Houston TX Womens services and parking addition of approximately 40,000 SF. $17,286,000 (2009) Wesley Medical Center, Wichita KS 68,000 SF patient room renovations and upgrades. $16,000,000 construction cost (2009) Major additions and renovations of 185,000 SF, including LDR, SICU, CCU, MICU, PACU, imaging and wound care. $49,000,000 construction cost (2004) Wesley Medical Center, Wichita KS Women’s Services renovations $65,500 construction cost (2014) West Florida Regional Medical Center, Pensacola FL Operating room expansion and renovation. $7,500,000 construction cost (2001) Women’s and Children’s Hospital, Lafayette LA 85,000 SF expansion housing NICU, obstetrics and gynecology, LDRs, ICU and operating rooms. $20,000,000 construction cost Woodland Heights Medical Center, Lufkin TX Bed tower renovations and lobby addition $6,800,000 construction cost (2007)



Arrowhead Community Hospital, Glendale AZ Comprehensive campus and facility master plan, focusing on strategic expansion, renovation and finishes, totaling 209,420 square feet Claremore Health Center, Claremore OK Scheme I: 271,104 square feet Scheme II: 326,724 square feet Campus facility and medical office master plan (analysis of expansion on existing site vs. replacement) Denton Regional Medical Center, Denton TX 800,000 square feet Campus, facility, and medical office master plan Fort Wayne Orthopedic Hospital, Fort Wayne IN 82,000 square feet Campus master plan for new orthopedic specialty hospital Greenbrier Valley Medical Center, Ronceverte WV 87,500 square feet Facility master plan including: Surgery, outpatient surgery, central sterile, critical care beds, inpatient beds, imaging, administrative and support services and medical office Havasu Regional Medical Center, Lake Havasu City AZ 33,500 square feet Facility master plan including: Intensive care, obstetrics, patient beds and open heart services HealthSouth Medical Center, Birmingham AL 235,000 square feet Campus master plan for new outpatient services and medical office complex Lander Valley Medical Center, Lander WY 115,000 square feet Facility master plan Logan Memorial Hospital, Russellville KY 112,500 square feet Facility master plan

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Longview Regional Medical Center, Longview TX Campus, facility, and medical office master plan Lovelace Medical Center, Albuquerque NM Campus, facility, and medical office master plan Metrowest Medical Center, Framingham MA Framingham Union Hospital facility master plan North Okaloosa Medical Center, Crestview FL 40,000 square feet Facility master plan North Suburban Medical Center, Thornton CO 150,000 square feet Campus facility and medical office master plan Northeast Baptist Hospital, San Antonio TX Campus and facility master plan, focusing on strategic expansion, renovation and finishes, addressing emergency, medical/surgical beds, LDR beds, critical care, step down unit, imaging and a new six-story medical office building, totaling 448,650 square feet Northlake Regional Medical Center, Atlanta GA Campus and facility master plan, focusing on expansion of oncology, conference center, medical/surgical beds, and medical office space and renovation of emergency, surgery, and radiology, totaling 45,000 square feet Northwest Medical Center, Tucson AZ 342,010 square feet Campus and facility master plan Palestine Regional Medical Center, Palestine TX 65,000 square feet Facility master plan Paradise Valley Hospital, Phoenix AZ Facility master plan including: Expansion of existing 146,486 sf medical campus, with strategic expansion to emergency, diagnostic imaging, surgery, critical care and nursing, creating a new campus totaling 252,475 SF



Portsmouth Regional Hospital, Portsmouth NH 169,000 square feet Facility master plan including: Cardiac services, womens services, imaging, emergency, psych, administrative and support areas Riverton Memorial Hospital, Riverton WY 112,500 square feet Facility master plan Riverview Regional Medical Center, Gadsden AL Comprehensive facility master plan. Santa Rosa Medical Center, Milton FL Comprehensive facility master plan. St. Luke’s Baptist Hospital, San Antonio TX Facility master plan SouthCrest Hospital, Tulsa OK 1,030,632 square feet Campus, facility, and medical office master plan Stringfellow Memorial Hospital, Anniston AL Comprehensive facility master plan. Terre Haute Regional Hospital, Terre Haute IN 77,888 square feet Facility master plan including: Womens services, imaging, emergency, outpatient surgery, outpatient diagnostics and administrative services Valley Regional Medical Center, Brownsville TX 164,000 square feet Facility master plan Wesley Medical Center, Wichita KS 794,000 square feet Campus and facility master plan Woodland Heights Medical Center, Lufkin TX 92,000 square feet Facility master plan including: Womens services, inpatient beds, support services, laboratory functions and imaging



Acadian Medical Center MOB, Eunice LA 43,094 SF Alleghany Highlands Medical Center, LowMoor VA 25,560 SF Ashley Valley Medical Center Building, Vernal UT 22,000 SF Brigham City Medical Office Building, Brigham City UT 11,816 SF Claremore Regional Hospital MOB, Claremore OK 45,000 SF Colorado Plains Medical Center, Fort Morgan CO 37,602 SF Colorado River Medical Center, Fort Mohave AZ 34,472 SF Conroe Medical Office Building, Conroe TX 81,500 SF Coastal Carolina Medical Center, Hardeeville SC 85,500 SF Crest Medical Office Building, Tulsa OK 122,224 SF Dauterive Medical Office Building II, New Iberia LA 6,800 SF DeTar Hospital MOB, Victoria TX 149,900 SF Diagnostic Center Hospital MOB, Houston TX 145,500 SF Edmond Regional Medical Center, Edmond OK 155,000 SF Ennis Regional Medical Center, Ennis TX 30,151 SF

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Eunice Community Medical Center, Eunice LA 93,094 SF Florence Medical Office Building, Florence SC 59,000 SF Glenwood Medical Associates, Glenwood Springs CO 6,400 SF Henrico Doctors’ Hospital MOB, Richmond VA 66,000 SF Heritage Medical Office Building, Tarboro NC 64,000 SF Highland Hospital Clinics, Shreveport LA 125,361 SF HSC Medical Center, Birmingham AL 110,000 SF J.C. Blair Memorial Hospital MOB, Huntingdon PA

24,000 SF CostLake View Medical Office Building, Bountiful UT 37,000 SF Lewis Gale Hospital MOB, Salem VA 106,666 SF Longview MOB, Longview TX 106,000 SF McKinney MOB, McKinney TX 62,000 SF Medical Center of Plano, Plano TX 118,530 SF Northeastern Nevada Regional Hospital MOB, Elko NV 51,683 SF Northlake MOB, DeKalb County GA 74,529 SF



Northwest Medical Center of Benton County MOB , Bentonville AR 67,000 SF North Hills MOB, N. Richland Hills TX 66,000 SF Oak Hill Hospital MOB, Spring Hill FL 67,965 SF Opelousas Medical Office Building, Opelousas LA 53,460 SF Palestine Medical Office Building, Palestine TX 37,590 SF Parkview Regional Hospital MOB, Mexia TX 24,658 SF Spring Branch MOB, Houston TX 111,900 SF Southeast Medical Office Building, Tulsa Oklahoma 80,000 SF Southwestern Medical Center MOB, Lawton OK 32,871 SF South Arlington Medical Center, Arlington TX 83,100 SF South Seminole Community Hospital MOB, Longwood FL 35,340 SF South Seminole Medical Office Buildings, Longwood FL 25,000 SF Starke Memorial Hospital MOB, Knox IN 19,297 SF Tallahassee Community Hospital MOB, Tallahassee FL 61,000 SF Terre Haute MOB, Terre Haute IN 31,500 SF



Valley Regional Hospital MOB, Brownsville TX 62,000 SF Valley View MOB I, Fort Mohave AZ 32,775 SF Valley View MOB II, Fort Mohave AZ 24,812 SF West Park Medical Office Building, McKinney TX 65,000 SF Wesley Medical Center MOB, Wichita KS 96,159 SF Women’s & Children’s Hospital MOB, Lafayette LA 88,000 SF



Hartselle Geropsych Unit Hartselle AL Portsmouth Regional Psychiatric Pavilion Portsmouth NH Holly Hills Psychiatric Hospital Renovation Raleigh NC Roanoke Valley Psychiatric Center Salem VA West Park Medical Center Psychiatric Services McKinney TX Ashley Valley Medical Center Behavioral Health Unit Vernal UT Arlington Community Hospital Behavioral Health Unit Arlington TX Northwest Medical Center of Springdale Behavioral Health Unit Springdale AR Sun Belt East Hospital Behavioral Health Unit Houston TX Parkland Medical Center Behavioral Health Unit Derry NH Great Plains Regional Medical Center Behavioral Health Center North Platte NE Wesley Medical Center Behavioral Health Unit Wichita KS Bayshore Medical Center Behavioral Health Unit Pasadena TX West Park Psychiatric Facility Behavioral Health Unit McKinney TX North Clark Community Hospital Behavioral Health Unit Charlestown IN

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Women's' & Children's Hospital Behavioral Health Unit Lafayette LA Plano Medical Center Behavioral Health Unit Plano TX Columbia St. Mark's Hospital Geropsych Unit Salt Lake City UT Columbia Hospital North Adult & Adolescent Psych Unit Springfield MO Palestine Regional Medical Center Behavioral Health Unit Palestine TX St. Joseph's Hospital Behavioral Health Unit Parkersburg WV Starke Memorial Hospital Behavioral Health Unit Knox IN Town & Country Hospital Adult Behavioral Health Unit Tampa FL Southwest Medical Center Behavioral Health Unit San Antonio TX Memorial Hospital of Tampa Behavioral Health Unit Tampa FL Northwest Med Center Behavioral Health Unit Springdale AR Palms of Pasadena Hospital Geropsych Unit St. Petersburg FL Westover Hills Memory Care Building San Antonio, TX

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Kingwood Medical Center - The Women & Children’s Center Houston, Texas

With natural stone accents and an additional 155,400 square feet of space, expectant mothers throughout the northeast quadrant of the Houston area will have a new level of care. The Kingwood Medical Center is comprised of three floors providing state-of-the-art care to mothers and their babies. The first floor of The Women & Children’s Center includes eight high-risk antepartum suites, 12 spacious labor and delivery suites, a 24 bed Level II and Level III Neonatal Intensive Care Unit, two C-section rooms and a four bed OB Triage suite. The second floor includes a well-baby nursery and 36 postpartum suites, while the third floor will consist of a 14 bed pediatric unit and a 22 medical/surgical unit. Additionally, the project also included renovations to other areas of the facility such as the relocation and expansion of admitting and administration departments, relocation of the chapel and gift shop, the future development of a corridor connecting the North and South Towers, the expansion and remodeling of the cafeteria and the development of a new central energy plant. 155,400 SF $80,000,000 Construction Cost Summer 2014

HEALTHCARE


The Agility Center Bentonville, Arkansas This new 31,000 square foot, state-of-the-art medical complex sets the standard for neurological and musculoskeletal care in northwest Arkansas. Located on 28th Street, the Agility Center is adjacent to the Northwest Medical Center of Benton County. The complex is comprised of three individual buildings: orthopedic surgery, neurosurgery, and rehabilitation. The center also offers services for hand surgery, neurology, rheumatology, and extensive physical therapy. The rehabilitation center features a warm water swimming pool inside the facility. This facility addresses the common complaints of bone and joint injuries, hip and knee replacements, neck and back pain, brain tumors, stroke, herniated disk, as well as the Center for the Aging Spine. This facility also houses physicians’ office suites. 31,000 SF $6,700,000 construction cost Opened November 2003

HEALTHCARE


Oak Hill Hospital Brooksville, Florida

This major addition to the existing Oak Hill Hospital added 36 new universal care patient beds, enlarged the surgical department to 10 operating rooms with shell space for two more, and added a new 18 bay PACU. A new covered outpatient entrance was developed to provide convenient access to registration and to the new 22 position pre-operative suite for patients requiring drop off assistance. Other areas of renovation and expansion included the central sterile suite, infusion suite, admitting and pre-admission testing departments. The new addition is structured for three additional floors to accommodate future bed expansion. Careful phasing of construction was required to assure that the hospital remained fully operational while under construction. The new addition was designed with state of the art technology, including digital systems, computerized drug dispensing, electronic medical records, and wi-fi throughout. Interior design took into consideration appealing and welcoming aesthetics, patient visual and acoustical privacy, and clear way finding. 112,155 SF $29,000,000 Construction Cost Opened 2013

HEALTHCARE


St. David’s South Austin Medical Center Bed Expansion and Facility Addition & Renovation Austin, TX

This project entailed the new construction of three nursing floors on top of the existing four story hospital to accommodate medical/surgical and universal care beds. It also included the renovation and expansion of such vital hospital departments as surgery, PACU, nursery, continuing care nursery, food service, nuclear medicine, and education. The project was intrusive to many areas of the hospital, as renovations took place on all floors and new construction occurred adjacent to and over critical areas of the hospital. Significant phasing was required to maintain hospital operations without disruption. Existing stairs and elevators were extended vertically to serve the new floors and the building infrastructure was upgraded to comply with high rise codes. A major design challenge was to tie the new and existing areas of the facility into one cohesive look. Rather than abandon the building’s existing design concept, GTG chose to build upon it by incorporating a few existing design elements, such as wood accent panels, listello tiles, crown molding, and specialty lighting, to create a signature look for the facility. The result is a transitional design that blends new with old, has a welcoming appeal, and reflects Austin’s eclectic culture. 75,317 SF New / 35,407 SF Renovation $34,154,000 Construction Cost Opened 2012

HEALTHCARE


Health Center Northwest Surgical and Diagnostic Hospital Kalispell, Montana This new freestanding surgical and diagnostic hospital is attached to Kalispell Regional Medical Center by underground connector. With separate entrances for surgery and diagnostics, the facility features six operating rooms (with capability for expansion to eight), a distinct eye surgery center, and 20 inpatient beds. The diagnostic center houses mammography, ultrasound, CT scan, magnetic resonance imaging, and R&F modalities. Underground parking provides 65 spaces for patients, physicians, and visitors. Interiors take advantage of the nearby mountain vistas through large expanses of glass, and the use of copper and stone reflect the region’s history as a mining area. 131,755 SF $17,700,000 Construction Cost Opened 2003

HEALTHCARE


Gateway Medical Center Clarksville, TN Gateway Medical Center is a 270-bed acute care replacement hospital of approximately 516,480 SF, located in Clarksville Tennessee. This state of the art healthcare facility features cutting edge technology, including all digital systems, electronic medical records, wi-fi capability throughout, and technologically advanced microsurgery suites. Technology is designed to integrate with the treatment areas as naturally and invisibly as possible, allowing the facility to have an upscale hospitality atmosphere and appearance. Clearstory windows and an interior courtyard bring natural light deep into the building. Way finding throughout the facility is simplified with easy and direct access from the front door to admissions, all outpatient functions, and the visitor elevators. Cross traffic between inpatients, outpatients, public, and service activities is virtually eliminated. The facility easily accommodates both in-patients and out-patients and is designed with the flexibility to adapt and expand as Clarksville and the surrounding communities grow. 516,480 SF $123,000,000 construction cost Opened 2008

HEALTHCARE


Cedar Park Medical Center Cedar Park, Texas

This new green field hospital houses 150 all-private patient rooms on a 48-acre campus with an adjoining MOB.

The facility is designed to respect patient privacy and dignity, while promoting efficiency of use for caregivers and providing a welcoming environment for patients and their families. Circulation is arranged to separate public and patient travel and departments are positioned to maximize the functional relationships between them. Major ancillary services are aligned along exterior walls for ease of expansion.

The facility interiors are warm and welcoming. Art work fills the lobbies, corridors, and patient rooms. The use of clear story windows allows natural light to filter deep into the first floor interior. The application of native limestone on the exterior of the building rings familiar to this Texas community.

State of the art technology can be found throughout the hospital in wireless and digital technology, computerized drug dispensing, and in electronic medical records. 281,000 SF $65,300,000 Construction Cost Opened 2008

HEALTHCARE


Rapides Regional Medical Center Alexandria, Louisiana

This new four story tower addition houses 72 new all-private medical/surgical patient care rooms, a new 25 position emergency department, and 26 new intensive care beds. The project increased the facility’s licensed bed count by 42 beds, bringing the new total to 314 beds. State Highway 1208 was re-routed around the facility to facilitate a land purchase from the state that provided the facility with the acreage necessary for this addition. The project also included the renovation of the hospital’s clinical laboratory. 5,000 SF Renovation / 125,226 SF Addition $32,412,994 Construction Cost Opened 2008

HEALTHCARE


HEALTHCARE

Lovelace Westside Hospital Albuquerque, New Mexico This project added a new lobby and main entrance to the front of the hospital and renovated the hospital’s admitting department and gift shop. A vacated medical/surgical wing was redesigned and renovated to accommodate new LDRP and c-section suites. The project also included re-detailing the hospital’s early 1980’s exterior to create a more appealing and updated image. The new main entrance and canopy dramatically improved the visibility of the hospital’s front door from surrounding streets and established a clear destination point for patients and visitors using the facility.

1,940 SF New / 14,304 SF Renovation

$4,200,000 construction cost

Opened February 2011


Northwest Medical Center Benton County Bentonville, Arkansas This architectural commission was awarded to GTG based upon the results of a design competition for a new facility with future growth capabilities. The new 221,000 square foot replacement facility supports 124 private acute care beds, perinatal services, geriatric care, and extensive diagnostic services. The first floor is arranged to allow for the ease of future expansion for major ancillary departments with minimal disruption to ongoing operations. The hospital’s physical environment is designed to be non-institutional and to enhance the patient’s experience during what can be a stressful time. Selected finishes and fabrics in both the public and treatment areas include the extensive use of warm tones and soft lighting to create a less institutional air. Specialty lighting adds to the calming environment. Home to the headquarters of Wal-Mart, the Bentonville area has experienced enormous growth; this new facility was designed to accommodate the area’s growing population and changing demographics .

HEALTHCARE

221,000 SF $38,217,666 construction cost Opened 2005


Shoals Building, Portsmouth Regional Hospital Portsmouth, New Hampshire This renovation project converted a two story psychiatric hospital to a state-of-the-art heart pavilion. Beginning at the entrance to the facility, the redesigned drop-off canopy provides a new identity for the building and welcomes visitors and patients upon approach. Sconces wash the canopy with soft light at night. Within the lobby, visitors and patients are greeted at a broad reception desk and guided to their destination by a clear way finding defined by warm tones of wood and granite walls that make reference to New Hampshire’s moniker of “The Granite State”. Art work features photographs of familiar and nearby historical sites. The redesigned building houses cardiac diagnostic services, cardiac catheterization laboratories, and patient prep and recovery suites. 49,290 SF $7,250,000 construction cost Opened 2005

HEALTHCARE


Wesley Medical Center, Critical Care Building Wichita, Kansas

This major expansion and renovation project, for the teaching facility affiliated with the University of Kansas School of Medicine, was completed nine months ahead of schedule. The project is the implementation of the second phase of a master plan developed by the Gould Turner Group for the facility. The four-story, 185,000 square foot facility houses intensive care units for surgery, cardiac, and medical patients. Individual waiting rooms and private consultation areas are located on each floor, with window walls overlooking the interior courtyard. Seventy-eight private patient rooms are equipped with state-of-the-art technology. Outpatient services for radiation therapy, chemotherapy, and wound care are located on the first floor, easily accessible from the new adjacent parking area. New equipment includes a larger hyperbaric oxygen chamber in the wound care unit. This project centralized Imaging services, including diagnostic radiology, ultrasound, CT scan, nuclear medicine, and angiography, on the first floor for patient convenience. The entrance from the interior courtyard features ornamental stone salvaged from Huston Hall, former home of the Wesley School of Nursing which was located on the site of the new critical care building. School alumni raised over $42,000 for a brick courtyard walkway memorializing graduates of the three-year program from the School's inception in 1915 until its closure in 1982.

HEALTHCARE

185,000 SF $49,000,000 construction cost Opened 2004


Summit Medical Center Outpatient Center and Urgent Care Facility Lebanon, Tennessee Summit Medical Center Outpatient Diagnostic Center and Urgent Care Facility is part of the TriStar Health System and provides full-service emergency care to the residents of east metropolitan Nashville / Davidson County and Wilson County areas. The objective of this project was the development of a facility that would bring quick and convenient emergency care services to the area’s outlying community, and would relieve capacity increases at the main medical campus, due to the population growth of the area. Strategically located at the convergence of Interstate 40 at Central Pike & Old Hickory Boulevard, this project was designed within an existing multi-story medical office building, and encompasses a ground floor emergency care center and an imaging center. The Urgent Care Center includes six examination/treatment rooms, a screening/interview room, and a radiography room. A separate women’s diagnostic center and imaging center are located adjacent to the emergency treatment suite. The women’s diagnostic center includes rooms for ultrasound, mammography and bone densitometry. The imaging center houses a CT scan, shell space for a future MRI, a nuclear medicine room, a stress test room, and an R/F room. The facility design allows for the separation of emergency care from the diagnostic center while maintaining the adjacencies and ease of patient flow to the required areas for treatment. The interior design presents a calm and professional appearance through the use of wood finishes and soothing colors. Materials and fabrics were also selected for their durability and appropriateness of use. 16,201 SF renovation $3,200,000 construction cost Opened September 2007

HEALTHCARE


Coastal Carolina Medical Center Hardeeville, South Carolina This acute care replacement facility is located on approximately 30 wooded acres. Totaling 85,491 square feet, the full-service facility features 41 all private beds, comprehensive imaging services, outpatient surgery, physical therapy and cardiac rehabilitation, and women's services. The design of this building supports clear way finding, good access to services for outpatients, and privacy and comfort for inpatients. All major departments border exterior walls to allow for minimally disruptive future expansions. The exterior design harmonizes with its local South Carolina surroundings through the use of exterior sloped metal roofs, clerestory glass, and warm, soothing interior and exterior colors.

85,500 SF

$15,540,000 construction cost

Opened November 2004

HEALTHCARE


Ennis Regional Medical Center Ennis, Texas This 60 bed replacement facility designed to expand to 150 beds is located on 25 acres in a new planned unit development area. The placement of the building on the site anchors the corner of the citiy’s new growth center. The development was a unique joint venture between the local community and a major for profit health care company. The community influenced design blends the elements of the town's new middle school across the street with the hospital's arts and craft style inspired design. A tower structure, representing a beacon of light and hope for health and healing throughout the community harmonizes with the local east Texas turn of the century architecture. This 104,500 square foot, full service acute care facility features 10 private Emergency Treatment Rooms, 5 Operating Rooms plus one room shelled for future, 10 LDRP rooms, 6 ICU Patient Rooms, and 44 Medical Surgical Beds, Outpatient Services and Diagnostic Treatment departments are designed for patient and family convenience and quick expandability. 104,500 SF $23,600,000 Construction Cost Opened 2007

HEALTHCARE


Gadsden Regional Medical Center Gadsden, AL The Gadsden Regional Medical Center Project consists of a four story critical care tower addition of approximately 60,765sf and the renovation of the 4th floor surgical suite of approx 15,172sf. A connector from the new tower is provided at each floor to connect back to the existing hospital. The project includes the design of a new entrance with a covered drop-off canopy. A centrally located lobby connects the first floor of the new tower to the existing hospital. The second floor of the critical care tower consists of two new Cath labs and shell space for a third room with the required support spaces. A vascular lab/echo suite and 10 pre-post positions support the cath labs. The third and fourth floors were designed to accommodate Coronary Care and Intensive Care Units. The CCU is located on the third floor directly above the cath lab suite and the ICU is located on the fourth floor adjacent to the surgery suite. A new oversized elevator is dedicated to serve the cath lab and the critical care units. This project also renovated the hospital’s fourth floor surgical suite and added two additional operating rooms. The existing cath lab space was renovated to provide a 10 bay holding area for pre-op patients; the existing pre-op area was then renovated to expand the existing PACU to a 16 bed unit. Both areas were brought up to current codes.

HEALTHCARE

60,765 SF new construction 15,672 SF renovation

$21,697,309 construction cost Opened 2009


HEALTHCARE

BreatheAmerica Asthma & Allergy Clinics Albuquerque, NM El Paso, TX

Tulsa, OK BreatheAmerica Centers incorporate exam and treatment rooms, pulmonary function testing rooms, CT scanners, skin testing stations, and educational facilities in a allergist led model dedicated to improving healthcare services for patients who suffer from chronic airway diseases. Gould Turner Group partners with BreatheAmerica in the design of these centers across the country. The following is a statement from Breathe America’s Executive Vice President of Operations: "Our company looked for an architect with plenty of experience with designing outpatient health care facilities, but we also needed a firm that could grasp the uniqueness of our clinical model and provide us with an innovative space that created the right patient flow and the right patient experience. We are absolutely thrilled with our first center and feel The Gould Turner Group really captured our vision and helped us to bring it to life. From our first meeting, they understood and embraced the essential role our facilities play in our making our clinical model work. GTG really took the time to appreciate what we were trying to accomplish. They were good listeners, responsive, reasonable and innovative. In fact, we are now working with GTG to design our second location and look forward to a very long relationship as we together build centers around the country.“ Ron Charpentier, Executive Vice President, Operations BreatheAmerica, Inc. 7,200 SF


West Houston Medical Center Houston, Texas

The addition and renovation project at West Houston Medical Center adds a new main entrance and two story lobby, expands cardiac services, and adds patient beds. A new three story patient tower, expandable to six floors, is designed to house a cardiac cath suite of four procedure rooms, twenty two critical care beds, and six progressive care beds. The top floor of the tower is designed as shell space for future conversion to patient beds. All floors of this new tower are designed to connect to the adjacent medical office building. This project also includes the addition of a new second floor over existing occupied space housing the hospital’s emergency and imaging departments. This new second floor is designed to accommodate the hospital’s obstetrics program of 18 post-partum beds, 6 LDR rooms, 24 well baby bassinettes, and 8 continuing care bassinettes. A portion of the new addition is also designed to house central sterile processing and a new cardiovascular operating room. Renovations to the adjacent surgery department improve waiting areas, create a new neurological operating room, and expand the hospital’s pre-op and PACU suites. Renovations for a new endoscopy suite and the conversion of the existing endoscopy suite to patient rooms complete the project. The additions and renovations for this project are adjacent to, and above, sensitive functioning areas of the hospital, and required that the project be designed to accommodate multiple phases of construction in order to minimize disruptions to ongoing operations. 95,500 SF New / 40,000 SF Renovation $47,116,820 Construction Cost Opened 2012

HEALTHCARE


Swedish Medical Center Englewood, Colorado This project involved the development of a new main entry and lobby for the hospital, new and renovated patient floors, and renovation to expand and upgrade the NICU with private patient rooms. New construction of a patient tower on the sixth and seventh floors, over existing mechanical and surgical spaces, was designed to house forty private inpatient beds. This new addition was structured to expand vertically two more floors in the future. Connections were made back to the existing nursing units at each floor. This project also renovated four floors of the hospital’s existing high rise ten-story patient tower. Design challenges included completely “gutting” and building back the twenty-bed nursing units in place, while keeping the units operational. The project also involved bringing the existing patient tower into compliance with high rise codes, and updating the existing fire command center. Renovation of the existing NICU to improve and expand it required careful planning to maintain the unit’s sensitive operations without disruption. The age of the existing tower and the condition of the existing mechanical and electrical systems made this portion of the renovation extremely challenging and required thoughtful consideration of systems and phasing by all team members during design and construction. 65,500 SF New / 128,000 SF Renovation $47,000,000 Construction Cost Opened 2011

HEALTHCARE


Northwest Medical Center Oro Valley Oro Valley, Arizona The design of this new acute care hospital meets market demands for an outpatient-focused hospital. In addition to 144 inpatient beds, the facility includes an 18-bay emergency department, four operating rooms, outpatient services (imaging/ diagnostic, cardiopulmonary testing, endoscopy, day surgery, and lab), and outpatient physical therapy for orthopedics and sports medicine. State of the art technology features filmless radiology, wireless phones and computers, computerized drug dispensing, wireless cardiac monitoring, high definition imaging and cardiac cath lab, and minimally invasive surgery suites. The exterior is an example of community-influenced architecture, featuring a color palette based on three tones of a single color derived from natural colors of the site. Blue tinted glass reflects the color of the Arizona sky, while helping to reduce energy costs. 243,500 SF $45,600,000 construction cost Opened January 2005

HEALTHCARE


Swedish Southwest Emergency Center Littleton, Colorado Swedish Southwest Emergency Center provides full-service emergency care to the residents of Jefferson County, Colorado and the southwest metropolitan Denver area. The approach was to provide emergency care services in an area of need to minimize the transportation to the main hospital campus. This community-based free-standing facility allows for advanced emergency care “close to home,” while drastically reducing the number of visits to Swedish Medical Center’s main campus emergency department. The Center offers the benefits of immediate intervention for emergencies in which treatment time is critical and of overnight monitoring and testing of patients, including chest pain cases. Featuring 18 examination/treatment rooms, including five holding/observation rooms, this facility also offers diagnostic imaging including CT Scan, radiography, ultrasound, stress testing and laboratory services. Scans and X-rays can be digitally transferred to the main campus and to physicians’ offices for shared viewing. The facility is designed to allow patients to flow immediately into examination rooms through the walk-in entrance or through a separate ambulance entrance. An on-site helipad allows air transfer capabilities to Swedish Medical Center, should the need arise. 29,123 SF $7,970,490 construction cost Opened October 2005

HEALTHCARE


Wesley Medical Center Bed Tower, Surgery, and NICU Addition and Renovation Wichita, Kansas

This expansion and renovation project for the teaching facility affiliated with the University of Kansas School of Medicine, was completed ahead of schedule and within budget. The project is the implementation of a third phase of a master plan developed by the Gould Turner Group for the facility. The surgery department was renovated and expanded above the existing emergency department to add six new state of the art operating rooms sized for major procedures in the areas of orthopedic and neurology. Other OR renovations included cystoscopy, OB/GYN, eye surgery and a hybrid operating room, used for cardiac imaging, diagnostic catheterization and surgical procedures. The tenth floor of the existing tower was renovated allowing 32 private patient rooms to be brought back on line for medical and surgical patient care. The existing level two neo-natal intensive care unit was renovated to double the unit’s original size, and to provide a mixture of private, semi-private, and triple capacity universal neo-natal intensive care rooms. This design will allow the facility to use these rooms as any level of care for neo-natal patients. The design encourages more family centered care, as many of the patients in this unit are brought from other areas of the state and surrounding communities. Families are allowed to stay in the room with the infant throughout their stay, and remain active in the care of the patient on a day to day basis. Nurse work stations are positioned between groups of two to three rooms providing them with quick access and visibility of the infants, without intruding on the family.

HEALTHCARE

10,000 SF New / 58,000 Renovation $18,200,000 construction cost Opened December 2008


Havasu Regional Medical Center Lake Havasu City, Arizona The existing facility operated as three separate, stand-alone structures. This project involved the demolition, renovation, and expansion of the West Wing and the main Hospital Building, along with the construction of a new outpatient center/patient bed addition, to create a facility which functions as one building. The new infill structure connects the West Wing and hospital to form one continuous building. The two-story facility can accommodate future horizontal and vertical expansions. The first floor houses pharmacy, dietary, laboratory, business office, emergency expansion, imaging expansion, main lobby, central registration, and a new main entrance. The second floor contains a 30 private bed patient unit, ambulatory staging unit, cardiopulmonary diagnostics, endoscopic procedure unit, surgery, a 16 bed recovery unit, and ICU waiting. The future third floor is home to a 38 bed patient unit. The project encompassed 98,921 total square feet of new construction and renovation. A phased construction schedule was required to maintain hospital operations throughout the construction process. 516,480 SF $123,000,000 construction cost Opened 2008

HEALTHCARE


Acadian Medical Center Eunice, Louisiana The Lobby serves as a focal point for visitors and walk-in services for this 60 private bed, 101,413 square foot replacement acute care facility in western Louisiana. This central hub provides access to many of the services provided for short-term care, such as cardiac and physical rehabilitation therapy, laboratory and diagnostic services, and the same-day surgery suite. The building design utilizes a suite concept along a public spine, originating in the central lobby. Patient transport and service supplies occur along secondary pathways, separate from public traffic. Each major medical service suite is located along the primary circulation spine. 101,413 SF Approx. $23,666,000 construction cost Opened Feb 2006

HEALTHCARE


Valley View Medical Center Ft. Mohave, Arizona

This new 60 bed acute care medical center and adjacent medical office building represent a $35+ million investment in the future of healthcare for the Tri-state community.

Located approximately two miles from the converging borders of Arizona, California, and Nevada, the facility serves a broad and geographically diverse population. Design of this new hospital supports comprehensive medical services, future expansion, digital communication, and state of the art technology.

The building is designed utilizing a suite concept along a public spine, originating in the central lobby. Inpatient and outpatient traffic is clearly separated, with patients easily accessing outpatient surgery and diagnostic departments from the lobby.

103,500 SF $18,400,000 Construction Cost Opened 2006

HEALTHCARE


Northeast Baptist Hospital San Antonio, Texas This 250,000 square foot expansion and renovation project represents Phase I of a master plan that reorients the hospital to a new entrance. The new lobby features a rotunda and clerestory windows, flooding interior spaces with natural light. Warm, welcoming colors, marble floors, and granite wall panels greet patients and visitors as they enter. The four-story addition is designed to accommodate future expansion of up to eight floors. New emergency and radiology departments are located on the first floor, as well as the relocation of cardiac services (both invasive and non-invasive) to a new suite. The second floor houses critical care units for medical ICU and surgical ICU and 40 step-down patient rooms. Labor/delivery services are located on the third floor, including 12 LDRs, two C-section rooms, 40 post-partum beds, and a 16-bed neonatal intensive care unit. The fourth floor will accommodate a future med/surg bed expansion.

HEALTHCARE

250,000SF $55,970,000 construction cost Opened 2006


The Women’s Pavilion at St. Mark’s Hospital Salt Lake City, Utah

This new freestanding facility is housed on the campus of the 300-bed St. Mark’s Hospital. The Women’s Pavilion was designed to accommodate comprehensive women’s services at St. Marks from childbirth to senior health. A 15-bed labor/delivery/recovery/postpartum (LDRP) unit, dedicated C-section suite, and a 32-bed neonatal intensive care unit (NICU) share one floor of the building. Education and diagnostic facilities are readily accessible from the main lobby. Convenient basement level parking is provided for physicians and patients with a direct elevator connection to all levels of the facility. The top two floors of the Women’s Pavilion are reserved for physician office suites. Security features to protect patients and newborns are incorporated into the building’s design. Warm tones, natural woods, and soft lighting create a welcoming environment at The Women's Pavilion at St. Mark’s. 180,000SF $31,500,000 construction cost Opened 2003

HEALTHCARE


Northwest Medical Center Tucson, Arizona This four-story bed tower addition and ancillary renovation was the implementation of the second and third phases of a campus master plan. The project adds inpatient beds and creates a new main entrance for the facility, as well as enhances the physicians’ lounge, dining and administration areas. It also expands laboratory, endoscopy, surgery, imaging, and emergency. The project adds sixty private beds, 40 medical / surgical and 20 critical care. The facility is designed to accommodate a future two-story vertical expansion. 248,500 SF $51,978,464 construction cost Project span 2002-2009

HEALTHCARE


Denton Regional Medical Center Denton, Texas

This 185 bed facility is based on a prototypical hospital design, with heavy emphasis on outpatient services. The five-story structure takes into consideration the relationship of shared spaces, allowing the opportunity to optimize staffing and resources. The second floor is dedicated to women’s services and designed to expand into adjoining soft space. A 21-bed ICU is located on the third floor and designed to maximize nursing efficiency and overflow. The facility also features a cross functional area for open heart, cath lab, and general surgery recovery areas, resulting in one centrally located recovery area. Ancillary services are located on outside walls for future expansion. A sixth floor patient floor addition of 29 private telemetry beds was added in 2005. This project also included the conversion of 13 medical/surgical patient beds on the hospital’s third floor to an 8-bed intensive care unit. Original Project 6th Floor Patient Floor Addition 276,293 SF 30,600 SF New / 5,600 SF Renovation $35,000,000 Construction Cost $11,000,000 Construction Cost Opened October 1999 Opened 2006

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St. David’s South Austin Medical Center Bed Expansion and Facility Addition & Renovation Austin, TX



Gateway Medical Center Clarksville, Tennessee

The interior design of this new 274-bed medical center provides a welcoming and inviting at-mosphere for patients, families, and staff through the use of natural materials, warm col-ors, organic shapes, and abundant daylight. This project was awarded an ASID Gold Award for Health Care Interior Design in 2008.



Cedar Park Medical Center Cedar Park, Texas

The interior design for this new 150-bed hospital incorporates a classic, upscale interior design concept through the use of natural woods and warm colors. The result is a facility design that lessons patient anxiety and is calming and reassuring for both patients and their families.



Oak Hill Hospital Bed Expansion and Facility Addition & Renovation Brooksville, FL



Northwest Medical Center of Oro Valley Oro Valley, Arizona

The interior design of this new 144-bed hospital em-braced the community’s art initiative with the installa-tion of hand-selected artwork throughout the facility. The result is a hospital that is connected to its com-munity and suggests more the appearance of a hotel than a medical facility. This project won Honorable Mention for the 2006 ASHE VISTA Partnering Award.



Northwest Medical Center of Tucson Tucson, Arizona

This project involved a major addition and renovation to an older medical facility. The interior designer seamlessly blended the renovated areas of the pro-ject with the newly constructed areas in both patient and public spaces to create a modern, attractive, and uplifting facility that serves well its patients, families, and caregivers.



Ennis Regional Medical Center Ennis, Texas

The interior design for this 60-bed replacement hospital incorporates decorative lighting, floor patterns, and other visual clues to assist in way finding throughout the building. Soft curves and dark wood accents deinstitutionalize the building and enhance user experiences.



Swedish Southwest Emergency Center Littleton, Colorado

A freestanding Emergency Care Center, located at the foothills of the Rocky mountains, was designed to create a mountain lodge feel with a contemporary edge. This project received the Silver Design Award for Healthcare from the Tennessee IIDA.



Rapides Regional Medical Center Alexandria, LA

This project entailed the addition to the facility of a new main entrance, emergency department, and critical care tower. GTG worked with the hospital to create a non-institutional, culturally responsive, and uplifting design.



Rapides Women's and Children's Hospital Alexandria, LA

The interior design for this project transformed a “plan vanilla” interior into a lively and vibrant space for women and children. “I think it’s one of the premier designs in the nation,” said Cheryl Wilson, Rapides Regional Medical Center chief operating officer. “I don’t think you’re going to find anything that brings together the youth of children and the warmness of mothers, like this design does. We tried to make it warm and fun – and I think we succeeded.”



Tulane – Lakeside Medical Center Metairie, Louisiana

The goal of this interior build-out was to create spaces where toddlers and teens could come together in an environment that was inspiring and stimulating. All age groups can appreciate the bold color and use of shapes to create visual interest in the spaces. The same vibrancy that was used in the waiting space was carried to the exam spaces where chil-dren would spend the majority of their visit.



Mercy Regional Medical Center Lorain, Ohio

Projects spanning over four years include the reno-vation of the hospital’s public spaces, physical ther-apy suite, and inpatient rehabilitation unit. GTG has worked with the hospital to revitalize its spaces through the use of durable materials and timeless finishes. Efficient and modern patient room config-urations and convenient nurse charting and support spaces have enabled staff to more effectively pro-vide patient care.



The Agility Center Bentonville, Arkansas

This building blends office space for neurological and orthopedic practices with gymnasium and aquatic spaces for rehabilitation and exercise. Through the introduction of wood, fabrics, patterns, and natural light, the interiors were designed to be non-institutional and welcoming to the building’s users, while maintaining high functionality.



Middle Tennessee Prosthodontists Brentwood, Tennessee

The interior design for the dental office of Allen & Clayton encompassed 4,600 square feet. The designer’s goal was to create a warm and time-less environment that was visually welcoming and comforting to patients, while inconspicuously incorporating the latest technology necessary for their care.



Wesley Medical Center, Wichita, Kansas

Projects spanning over ten years include the ren-ovation of a vacated patient care unit to bring inpa-tient beds back on line for the facility, as well as ex-pansions to surgery, levels II and III NICU, the cath lab suite, and a new addition to house 72 bed critical care beds. Particular attention to lighting and acoustics was paid for the neo-natal and intensive care suites.



Summit Medical Center Hermitage, TN

The Outpatient Diagnostics and Urgent Care Center project involved an interior build-out of both an Urgent Care Center and Diagnostic Center for Summit Medical Center. The goal for the project in working with the facility, was to create a healing and comforting environment.



HealthCare Center Northwest Kalispell, Montana

HealthCenter Northwest is a diagnostic and surgical facility that caters primarily to outpatients. Special effort was made to create a welcoming, homelike, noninstitutional atmosphere throughout the facility. The lobbies feature natural water fountains of local-ly quarried stone and varied seating arrangements of sofas, chairs and tables, and computer work-stations to accommodate patients and their fami-lies.



Swedish Medical Center Englewood, Colorado

Converting the hospital to an all-private patient room facility was the goal for adding two new floors of patient beds and for the renovation of four existing patient care units. Privatization of the neo-natal intensive care unit resulted in a much improved environment of care for patients and their families.



West Houston Medical Center Addition and Renovation Houston, TX

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Nearly all the designs we have created over the years are for healthcare facilities. That focused expertise, coupled with our low staff turnover rate, and an average length of service of 15 years, gives our staff the ability to reach a unique depth of knowledge in designing facilities, including new construction and complex renovation and addition projects. While our team members are markedly proficient in handling the subtle and complex challenges of healthcare design, the client also does not have to be concerned about problems resulting from an unstable workforce or establishing new relationships during the life cycle of the project. This combination of expertise, dependability, and close collaboration with the principals awards us with long-term client relationships.

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Differentiators and Experience GTG differentiates itself from its competitors in these ways:

GTG principals are actively involved in projects throughout the process.

Healthcare design is what we do. Healthcare design has consistently represented approximately 95% of GTG’s business. The firm has experience with a wide range of health care projects of varying types, sizes, and locations.

GTG has healthcare design experience with both not-for- profit and for-profit clients, as well as with JVs between the two. We have benefited from the blend of these experiences in our ability to understand the importance of community, staff, and physician involvement, and how to engage this involvement. We also understand the importance of holding a schedule and a budget and how vital this is to honoring hospital and physician commitments, as well as to realizing a return on investment. Lastly, these experiences have taught us how to incorporate organizational and operational efficiencies into our designs without sacrificing those details that contribute to quality patient care and comfortable environments for patients, families, and caregivers.

The majority of our work comes from repeat clients. We

have renovated and added on to our own projects enough times to understand the importance of designing for future expansion and flexibility.

We are a woman owned firm.

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GTG Design Philosophy Today's hospitals are confronted with issues of aging workforces, fewer professionals entering the workplace, and difficulties hiring and retaining staff. Caregivers treat more acutely ill patients, many of whom have the greater expectations of the baby boomer generation, and, in many instances, care is being provided in old, outdated and poorly illuminated facilities with too little space and aged infrastructures unable to accommodate emerging technologies. At GTG, we understand hospital operations, function, and flow and we recognize the importance of technology, flexibility, expandability, and adaptability in our hospital designs. We design to promote operational efficiency and staff convenience as well as to provide for patient safety and comfort. We understand that the elements of a caring environment and a physical structure are pre-requisites to supporting performance improvement in health care organizations. We understand that each facility's goal is to deliver the highest standards of healthcare safety and quality, and that thoughtful and evidenced based design is an effective way to assist caregivers, patients, and families in achieving this outcome. Nature, color, air quality, lighting, cultural responsiveness, way-finding, incorporation of technology, integration of services, and physical security are many of the elements we consider as we design our buildings. In addition, we recognize the importance of holding a budget and schedule and we are committed to honoring these on every project. To illustrate our design philosophy, we offer the following examples of two recently completed greenfield hospital projects.




Northwest Medical Center of Oro Valley, is located in a northern suburb of Tucson and is a referral hospital to the tertiary care hospital, Northwest Medical Center of Tucson. The design team's challenge for this new facility was to create a facility that would meet the needs of the community's largely retired population, as well as provide the flexibility to transform itself into a suburban hospital that could support a rapidly growing population of young families and children who were beginning to migrate to the area. The owner required a facility with a comprehensive array of primary and geriatric services that would meet the needs of his community and a facility that would assist him in recruiting and retaining talented physicians, clinicians, and technical staff. He wanted a facility that was adaptable and flexible, one that could grow with the community and one that promoted wellness and healing. Community members craved the convenience of a nearby hospital but wanted assurance that the building would blend with its surroundings and not obstruct their views of the Catalina Mountains. The city of Oro Valley mandated that this new facility spend one percent of its construction budget on public art. As a result, an ambitious collaboration between owner, design team, community, and city officials began early in the planning process and continued throughout the post occupancy phase of this project. Enhanced Staff Productivity Improving operational and staff productivity was a focal point for the team. Discussions with the nursing staff led to a redesigned nursing unit with resource substations included on every floor. The design incorporates a supply station servicing four patient rooms in each direction. As a result, nurses spend much less time traveling back and forth to a central supply area throughout the day and can spend much more time providing patient care. This design element also has the potential to reduce staffing, since nurses have more bedside time. Another idea was a wireless communications system, which has been installed throughout the facility. Small transmitters are clipped to each staff member's clothing. This gives them the ability to contact any other staff member directly and avoid noisy overhead paging that increases patient anxiety. Staff members are also better able to concentrate on their tasks because they don’t have to stop and listen to pages.



Shadow-free lighting and ceiling-mounted tools will also enable the surgical teams to operate more efficiently, which will decrease throughput time for procedures. The Emergency Department was designed more like an ICU with all rooms and equipment surrounding a central core from which the nurses and physicians can view all rooms. Medical Imaging was also located immediately adjacent to the ED so that patient transport time is cut to a bare minimum. Restorative Views, Daylight, and Public Art One of the biggest attractions to Oro Valley is the view of the mountains. The hospital was sited to maximize those views from patient and family waiting rooms. Each patient room is private and has a view of either the surrounding desert landscape or those spectacular mountains. Natural light abounds throughout the facility. Large windows in the family waiting rooms on each patient floor, in the staff lounges, and at the end of the halls on the nursing units bring in lots of daylight and afford opportunities for glimpses of the surrounding desert landscape. The main lobby and registration area are flooded with light from the clerestory windows that open into these spaces. The project team embraced the city's art initiative concept and saw it as a key to making a connection with the community. The resulting hospital has as much the feel of an art gallery as a medical facility, which helps reduce stress for both the staff and the patients and their families. In order to select just the right combination of art, GTG, the Greater Oro Valley Arts Commission staff, and hospital administration scoured over 1,000 submissions to find either individual pieces to include in the facility or to find artists whose skill and style would enhance the hospital with commissioned work. The result is a hospital filled with art that is both as familiar to its occupants as it is useful. Pieces were selected for utilitarian as well as aesthetic reasons.



Staff and families dine at outdoor tables with commissioned mosaic tile table tops and families wait under canopies on artist designed benches, visitors are reminded of the compassionate care given to them at the hospital as they pass the sculpture of a physician and child that greets them at the front door, and the soothing sounds of the water tricking down the copper wall fountain calms those in the outpatient waiting area as they wait for diagnostic tests. Environmental Awareness Brainstorming sessions with contractors led to the development of decentralized air handling for the nursing wings. This provides a number of benefits. First, environmental control can be maintained on each wing, which will eliminate the "hot in the summer, cold in the winter" problems that some facilities encounter and reduces patient complaints. Second, if a unit goes out, a complementary unit on the adjacent wing can provide air handling until the damaged unit is fixed. Third, the decentralized configuration is more energy efficient and will save the owner money. Exterior lighting and signage was designed to have minimal impact on the visibility of the nighttime desert sky. The hospital exterior is as calming and reassuring to approaching patients at night as it is during the day. Flexibility of Design To prepare for the coming growth and demographic changes, a fourth floor of shelled space was designed as part of the facility, which is expected to be used for a new obstetric service to open in the future. Since the space is shelled, build-out will allow the new beds to be quickly put on-line and construction will have a limited impact on the operational nursing units below. Ancillary wings were designed so that expansion could happen "organically" through the easy extension of hallways. For example, anywhere a potential expansion port was created, a storage room or some other non-clinical room was placed in that spot so future expansion would not require existing service areas to be shut down or disrupted. All major ancillary departments, such as surgery, emergency, imaging, etc. are located on exterior walls for ease of future expansion whether it is major or incremental.



Flexibility was built into space such as the surgery suite where all operating rooms are a standard size, each large enough to meet the space requirements for use as a major OR, whether for orthopedics, neurology, or cardiovascular surgeries. Because of its innovative and flexible design, the Oro Valley hospital will be able to grow as the community grows for decades with less expense and less inconvenience, which will enable the owner to reap a greater return on its investment. Good Business and Economic Performance As a testimony to the business benefits of evidenced based design, Paul Kappleman, CEO writes, "The new hospital has brought more and better access of healthcare services to an aging and growing population. Because of this location, unique design, focus on quality, safety, and customer service, we have seen double digit growth month after month since opening… Northwest Medical Center has played a major economic development role in the town. Opening with over 300 employees, six months later the hospital has 450 employees. Also, the hospital has been able to attract many new doctors to the area with over 20 brand new physicians coming to the community. Our medical staff has grown from 50 to over 250 in six months. The community was engaged in the process from the beginning and therefore feels loyalty and support towards the hospital." In a letter to the editor of the Arizona Star Daily, Oro Valley mayor Paul Loomis wrote, "The hospital created advisory committees and met with nearby homeowners to ensure that Northwest Medical Center - Oro Valley would be built as a community friendly hospital. We all benefit from the peace of mind of knowing superior medical care is available for all citizens."



A second example is Coastal Carolina Medical Center. This replacement hospital successfully manages space efficiency, expandability and atmosphere. The massing of the building form lifts the lines of the single story elevation, expressing its importance as a landmark while respecting the community's fabric and scale. A tower structure recalls the lighthouses which dot the South Carolina coast, representing a beacon of light and hope for health and healing throughout the community. Clerestory windows flood interior spaces throughout the facility with natural light, and internal lighting creates a soft glow during the nighttime hours. A hospital’s front entrance is often influential in how patients and their families perceive the quality of healthcare services. The lobby at Coastal Carolina Medical Center was designed to lessen patient anxiety, stress, and confusion through the blending of natural colors, materials and forms that distracts patients from the challenges of diagnosis and treatment. The space is a study of textural surfaces and sculpted planes, and lighting is used as a design feature. The lobby is a balanced of planes and shadow lines that contrast with the soft visual textures of the floor and wall coverings. The building is designed utilizing a suite concept along a public spine, originating in the central lobby, which serves as the central hub. Inpatient and outpatient traffic is clearly separated, with patients easily accessing outpatient services from the lobby. To maintain dignity, patients are transported along secondary pathways, separate from public traffic. Similarly, supplies are routed in this way to reduce public corridor activity. Spatial relationships provide convenient patient access for both critical and urgent needs, while incorporating multi-use areas for walk-in services. Spaces are configured to flow naturally between related functional areas without compromising patient care or operational efficiency.



The outpatient surgery suite features groupings of rooms for patient staging and recovery with televisions, a nourishment station and comfortable space for the family. Other service suites, such as critical care, medical/surgical, rehabilitative, and obstetric care are also located along the spine. Childbirth occurs in family-centered spaces emulating a home-like atmosphere, where natural materials and colors are introduced to enhance the birthing experience. Every detail was designed, from the shape of the chair and type of art displayed to "on demand" food service. Patients can order room service by phone from the kitchen at any time, day or night. The food is then delivered on trays to the patient's room. The designers' goals were to create a healing environment for the whole patient experience, while remaining sensitive to the cost and continuous improvement of providing health care services safely and efficiently.

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Corporate Responsibilities Chief Executive Officer GTG Executive Group Business Development Professional Experience Over 35 years of experience GTG since July 1981 Project Expertise Master Planning Space and Functional Planning Design Education Vanderbilt University, BS, 1975 Professional Registrations Architectural registration in 44 states NCARB Certification Certified, American College of Healthcare Architects (ACHA) Professional Affiliations and Recognitions American Institute of Architects (AIA) Vice President, AIA Middle Tennessee Chapter Nashville Top 100 Healthcare Leaders, multiple years Member, Nashville Health Care Council Past Board Member, Nashville Health Care Council Corporate affiliate, The Center for Health Design Member, Nashville Area Chamber of Commerce Member, DPRCG Risk Management Peer Review Committee Member, DPRCG Practice Management & Education Sub Committee

REPRESENTATIVE PROJECTS Master Plans Wesley Medical Center, Wichita KS Terre Haute Regional Hospital, Terre Haute IN Portsmouth Regional Hospital, Portsmouth NH Northwest Medical Center, Tucson AZ SouthCrest Hospital, Tulsa OK Northeast Baptist Hospital, San Antonio TX Arrowhead Community Hospital, Glendale AZ St. Luke’s Hospital, San Antonio TX Lovelace Medical Center, San Antonio, TX New Health Care Facilities Denton Regional Medical Center, Denton, TX Northwest Medical Center Oro Valley, Tucson AZ The Woman’s Pavilion at St. Mark’s Hospital, Salt Lake City UT Health Center Northwest Surgical & Diagnostic Hospital, Kalispell MT The Agility Center, Bentonville AR Gateway Medical Center, Clarksville TN Neshoba County Regional Hosp., Philadelphia MS Corning Hospital & Cancer Center, Corning NY Northwest Medical Center of Benton County, Bentonville AR Cedar Park Regional Medical Center, Cedar Park TX Addition and Renovation Projects Northwest Medical Center Bed & Ancillary Expansion, Tucson AZ Wesley Medical Center Critical Care Building & Women's Pavilion, Wichita KS St. Joseph’s Hospital Emergency & Surgery Expansion, Parkersburg WV Gadsden Regional Medical Center Critical Care Tower, Gadsden AL Shoals Heart & Lung Center, Portsmouth, NH MTSU AMG ADA Upgrades, Murfreesboro TN MTSU Cummings and Corlew Hall Renovations, Murfreesboro TN

PPPRESIDENTRESIDENTRESIDENT & CEO& CEO& CEO

Gould Turner Group, P.C. Gould Turner Group, P.C. Gould Turner Group, P.C. Architects Planners Interiors

LLLINDAINDAINDA S. MS. MS. MARZIALOARZIALOARZIALO, AIA, ACHA, AIA, ACHA, AIA, ACHA

Gould Turner Group, P.C., 4400 Harding Pike, Suite 1000, Nashville, TN 37205 / 615-297-3122 / www.GouldTurner.com

Corporate Responsibilities GTG Executive Group Account Management Business Development Project Expertise Master Planning Space and Functional Planning Design Project Management Program Management Education Memphis State University, BS, 1973 Professional Registrations Architectural registration in Tennessee NCARB Certification Professional Affiliations and Recognitions American Institute of Architects (AIA) Tennessee Society of Architecture AIA Middle TN Chapter American Society of Healthcare Engineers Contributor, Facility Design Manual for American College of Emergency Physicians, 1993 Member, Nashville Health Care Council Professional Experience Over 39 years of experience GTG since May 1988

REPRESENTATIVE PROJECTS Master Plans Ottumwa Regional Health Center, Ottumwa, IA Commonwealth Eye & Ear institute, Richmond VA Allegheny Regional Hospital, Low Moor VA Clarion Hospital, Clarion VA Leesburg Regional Medical Center, Leesburg FL Owensboro Deviess County Hospital, Owensboro KY Lewis Gale, Salem VA Gritman Memorial Hospital, Moscow ID Bon Secours, Baltimore MD Glynn Brunswick Memorial Hospital, Brunswick GA Edmond Memorial Hospital, Edmond OK Great Plains Medical Center, North Platte NE Oak Hill Medical Center, Spring Hill FL Allentown Osteopathic Medical Center, Allentown PA Oshawa General Hospital, Oshawa, Ontario Southwest General Hospital, San Antonio TX New Health Care Facilities Coastal Carolina Medical Center, Hardeeville SC Acadian Medical Center, Eunice LA Ennis Regional Medical Center, Ennis TX Valley View Regional Medical Center, Fort Mohave AZ Northeastern Nevada Regional Hospital, Elko NV Medical Center of Northeast Missouri, Hannibal MO Palms West Hospital, Loxahatchee FL Addition and Renovation Projects Vaughan Regional Medical Center, Selma, AL Havasu Regional Medical Center, Lake Havasu City AZ Southwest General Hospital, San Antonio TX North Okaloosa Medical Center, Crestview FL Colorado River Medical Center, Needles CA Palestine Regional Medical Center, Palestine TX Springs Memorial Hospital, Lancaster SC Southwestern Medical Center, Lawton OK Memorial Medical Center, Las Cruces NM Iberia Medical Center, New Iberia, LA



MMMICHAELICHAELICHAEL A. JA. JA. JONESONESONES, AIA, AIA, AIA

VVVICEICEICE PPPRESIDENTRESIDENTRESIDENT

Corporate Responsibilities GTG Executive Group Account Management Document Production and Scheduling Project Expertise Master Planning Space and Functional Planning Design Project Management Education Nashville State Technical Institute, 1974 Professional Experience Over 35 years of experience GTG since December 1980

REPRESENTATIVE PROJECTS Master Plans Greenbrier Valley Medical Center, Ronceverte WV Denton Regional Medical Center, Denton TX Wesley Medical Center, Wichita KS Lovelace Medical Center, Albuquerque NM SouthCrest Medical Center, Tulsa OK Medical Center of NW Tucson, Tucson AZ New Health Care Facilities Northeastern Nevada Regional Hospital and Medical Office Building, Elko NV Denton Regional Medical Center and Medical Office Building, Denton TX Valley Regional Medical Center & MOB, Brownsville TX The Agility Center, Bentonville AR Northwest Medical Center of Benton County, Bentonville AR Northwest Medical Center of Oro Valley, Tucson AZ Cedar Park Medical Center, Cedar Park TX Gateway Medical Center, Clarksville TN HealthCenter Northwest, Kalispell MT Corning Hospital and Cancer Center, Corning NY Addition and Renovation Projects Northwest Medical Center Bed & Ancillary Expansion, Tucson AZ El Dorado Hospital Surgery & Emergency Expansion, Tucson AZ Woodland Heights Medical Center Bed & Ancillary Expansion, Lufkin TX Gadsden Regional Medical Center Critical Care Tower, Gadsden AL Breathe American Allergy & Sinus Centers, Albuquerque NM; Broken Arrow OK; El Paso TX

Willow Creek Women’s Hospital NICU Renovations, Johnson AR JC Blair Memorial Hospital Additions & Renovations, Huntingdon PA Clarion Hospital Addition & Renovation, Clarion PA Good Samaritan Medical Center Cath Lab Renovation, West Palm Beach FL Lovelace Westside Medical Center Lobby, Exterior, and Obstetrics Renovations, Albuquerque NM Northwest Medical Center of Springdale Obstetrics & Behavioral Health Renovations, Springdale AR Northwest Medical Center of Tucson Parking Garage, Tucson AZ


SSSTEVENTEVENTEVEN J. DJ. DJ. DELANYELANYELANY



Corporate Responsibilities GTG Executive Group Account Management Project Expertise Master Planning Space and Functional Planning Design Project Management Education University of Tennessee, 1989 Bachelor of Architecture Professional Registrations Architectural registration in 11 states NCARB Certification Professional Affiliations American Institute of Architects (AIA) Member, Nashville Health Care Council Member, Nashville Area Chamber of Commerce Professional Experience Over 20 years of experience GTG since July 1990

REPRESENTATIVE PROJECTS Master Plans Marlboro Park Hospital, Bennettsville SC North Suburban Medical Center, Thornton CO Portsmouth Regional Hospital, Portsmouth NH Dauterive Hospital, New Iberia LA Lakeview Regional Medical Center, Covington LA South Bay Hospital, Sun City Center FL Palms West Hospital, West Palm Beach FL Overland Park Medical Center, Overland Park KS New Health Care Facilities Denton Regional Medical Center, Denton TX The Woman’s Pavilion at St. Mark’s Hospital, Salt Lake City UT Swedish Emergency Center, Englewood CO Stonespring Freestanding ED, Loudon Co. VA Addition and Renovation Projects North Suburban Medical Center Surgery Expansion and Renovation, Thornton CO Tulane Medical Center, multiple renovation projects, New Orleans LA Reston Hospital Center Oncology, Reston VA Denton Regional Medical Center ICU/Telemetry, Denton TX Rapides Regional Medical Center ED/ICU/patient Tower, Alexandria LA Swedish Medical Center Surgery, NICU, & Bed Tower, Denver CO Wesley Medical Center Surgery & NICU, Wichita KS Paradise Valley Hospital Surgery & Outpatient Services, Phoenix AZ Bayshore Medical Center, multiple expansion and renovation projects, Pasadena TX Portsmouth Regional Medical Center, multiple expansion and renovation projects, Portsmouth NH Terre Haute Regional Medical Center, multiple expansion and renovation projects, Terre Haute IN Idaho Falls Medical Center Cath Lab, Idaho Falls ID Oak Hill Medical Center Surgery and Bed Tower, Brooksville FL Shoals Heart & Lung Center, Portsmouth, NH


J. BJ. BJ. BRENTRENTRENT SSSHIVERSHIVERSHIVERS, AIA, AIA, AIA



Gould Turner Group Gould Turner Group Gould Turner Group Architects Planners Interiors Architects Planners Interiors Architects Planners Interiors

4400 Harding Road4400 Harding Road4400 Harding Road Nashville, TN 37205Nashville, TN 37205Nashville, TN 37205

615.297.3122 Tel615.297.3122 Tel615.297.3122 Tel 615.292.4786 Fax615.292.4786 Fax615.292.4786 Fax

www.GouldTurner.comwww.GouldTurner.comwww.GouldTurner.com

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