Atrium Health, Sanger Heart & Vascular Institute
We build beautiful buildings that matter in the lives of people.
The only constant in the healthcare industry is change. At Beck, we understand the challenges and opportunities that current owners embrace to deliver quality care. For over 60 years, and through a unique team collaboration, we have worked closely with clients to develop a vision for the project that meets current needs while also anticipating and planning for future success. We are a diverse team with decades of knowledge, strategic and operational planning, design, and development that challenges traditional solutions and project delivery methods.
We appreciate advanced design concepts and care delivery methods that promote healing, improve the patient experience and create staff efficiencies through evidence based design. Beck values the projects that present an opportunity to create an environment that can significantly impact healing, patient and staff safety, efficiency and operations, and, ultimately, the quality of care given - all while balancing efficient planning with beautiful design.
Who is Beck? From the first meeting, you will notice Beck has a unique approach. We create teams across all departments and areas of expertise to work on a common goal – your project. We believe a better process and outcome result from working together. We focus on building long-term relationships with our clients and seek every opportunity to bring quality, value and integrity to each project we touch. Founded in 1912, The Beck Group has worked in 42 states and nearly a dozen countries after 108 years in business.
1912
60+
Founded by Henry C. Beck, Sr.
Years in Healthcare
125+
840+
Healthcare Design & Construction Professionals
Beck Employees
top 50
top 100
Hospital Architects in the U.S. by GC Magazine
Design-Build Firms by ENR
One Integrated Firm
+90% Work is from repeat clients
OUR SERVICES Design Construction Program Management Medical Equipment Planning Conceptual Estimating Preconstruction
Denver
OUR OFFICES
Charlotte
Austin
With locations strategically across the Southeast, we are able to service our clients throughout the U.S., from Seattle, to Michigan, to Florida.
Atlanta Dallas Fort Worth Monterrey
Mexico City
Tampa
South Florida
Why Beck?
Our clients collaborate with us because of the way we think, so we can design better and build better.
What makes us different from other designbuild teams is that we are one integrated firm, consisting of design and construction healthcare professionals—working together—and focused on a unified measure of excellence: your target! From the beginning, we look projects holistically. We develop a plan, commit the resources, and bring expert disciplines onboard at the right time to ensure success.
01 THINK
Integrated Mindset and Approach
03 BUILD
02 DESIGN
UNIFIED VISION: REDUCED OWNER RISK IN AN INTEGRATED APPROACH Our integrated model eliminates the disconnect between design documents and construction costs by incorporating continual feedback from the full team throughout the design phase. This alignment allows us to guarantee the cost earlier in the process, resulting in less fee spent and an earlier decision to build.
Beck’s integrated model reduces the Owner’s risk by utilizing a single contract, which transfers risk to the integrated design‑build entity. In the traditional designbid-build approach, the Owner pays for the scope gaps created by individually contracting with the architect and contractor.
Decision to Build Traditional Design-Bid-Build
SD
DD
CD
CA + Construction
Months Integrated Enterprise
Design + Construction
Decision to Build
25% Less Time
WHY BECK?
Unified Vision Target Value Delivery is an essential component of Beck’s integrated model to ensure alignment.
Now more than ever, changes made during the evolution of the design have the potential to significantly impact cost and schedule. Beck healthcare works as an integrated team, and it is our job to ensure timely and transparent communication. The combination of Beck’s Integrated Model and a Target Value Design delivery reduces change orders compared to both traditional design-bidbuild and CM @ Risk.
Integrated Enterprise Early + Accurate Budgets with zero change orders
Cost
Target Value Delivery (TVD) is an essential part of the Beck Integrated Model and critical to ensuring that, throughout the design process, the entire team is aligned on the goals of the project and focused on hitting your strategic targets.
Traditional DBB
SD
DD
CD
CA + Const.
DESIGN-BUILD & TARGET VALUE DELIVERY CASE STUDY: ATRIUM HEALTH PROVIDENCE MEDICAL OFFICE BUILDING Beck’s integrated design-build framework resulted in multiple successful outcomes for Atrium Health, ultimately improving the patient experience: • Total $730,863 in construction savings (7.3%) • On-time project delivery • Multiple enhancements ($307,662 total) without change orders through target value design process: » Monumental Stair, $206,092 » Brick in-lieu of plaster, $79,745 » Metal panel soffit in-lieu of plaster, $21,825
MATERIAL ENHANCEMENTS THROUGH BECK’S DESIGN-BUILD FRAMEWORK ELEVATE THE DESIGN AND PROVIDE A WELCOMING GESTURE FOR PATIENTS ARRIVING FOR TREATMENT.
WHY BECK?
Diversity Commitment
We are committed to advancing our mutual goals of equity and inclusion for our industry, and the communities we serve.
OUR INITIATIVES Beck Better Together Employee forum to celebrate and foster diversity and inclusion Beck School of Construction Program for minority businesses
At Beck, we are committed to building and lifting up our communities. This means, hiring, developing and promoting a diverse workforce and harnessing a culture of inclusion. It also means proactively working with minority- and women-owned business enterprises. We do this because we care. We do this because it allows us to be better innovators and problemsolvers, and to have a broader perspective.
Beck-Envision Partnership developed from mentor program Beck-EJ Smith Past partnerships for Parkland Hospital, American Airlines, and AT&T Discovery District +25% Women and Minority hire rate increase since 2018
MENTOR PROTÉGÉ PROGRAM We want to develop successful and meaningful long-term partnerships. The Beck Mentor Protégé program is seven months long and provides diverse companies the knowledge to grow their businesses, build networks and develop relationships to pursue work with The Beck Group and similarly scaled construction managers. It exemplifies our efforts to nurture and empower our community in a way that has lasting impact.
MWBE SPEND BY CLASSIFICATION Asian American
4.9%
4.1%
2.6%
Other
Native American
21.9%
32.6%
33.9%
Hispanic American
African American
Non-Ethnic Female
WHY BECK?
How We Collaborate
Beck’s design thinking does not stop, we constantly iterate to develop the optimal solution.
At its core, design is problem solving and decision making. There are thousands of decisions that make up a building. Most clients have a fuzzy idea of what they want and our iterative process allows us to collaborate with them to help answer these questions and develop the project.
This process helps our team to: • Understand. We seek empathy and understanding of the problem (usually a building with a specific program). • Inspire. We then seek inspiration or aspiration for what the building could be (framed by history, novelty, ambition). We brainstorm and workshop with a client to generate ideas. • Iterate. We then create and develop those ideas into some testable form. • Refine. Through a process of review and validation, we let the best ideas win and test then against constructability, cost, and schedule.
Go slow, to go fast. THINK 01
Ask + Emphasize Interview, discovery, collect data
02
Utilize Precedent + Brainstorm Build on best practice and tailor to the client
03
Charrette + Engage the Experts! Balance the needs of users and leaders
04
Test + Refine + Validate Refine for constructibility, cost, & schedule
DESIGN
Comprehensive engagement leads to clarity and reliability in design. BUILD
1 Hour of planning saves 10 hours in construction.
WHY BECK?
Our Design Philosophy
How we approach Design at Beck: Integration. Beck’s architectural practice is organized as a collaborative team of architects, designers, interior designers, and planners who work on a common goal— your project. When you work with us, you will notice that Beck has a unique approach, because of our integrated nature as architects and construction experts, we leverage our best resources to bring you value. Our design team leans on our cost estimators to deliver cost-certain design, and our superintendents to inform us on constructibility.
We are better designers because we are builders, and better builders because we design. Healthcare design is about designing through the lens of your patients and caregivers. First, we are focused on understanding your processes, whether they change and are set for improvement or if they operate as is. Our expertise as designers and consultants allows us to consider and mitigate key pain points, including staffing, market conditions, and operational bottlenecks. While considering all these dimensions, our design philosophy includes triangulating these and designing a space that functions well for your patients, caregivers, administrators, and all others. By understanding all processes by engaging your users and administrators, we can build the optimal space, blocking, and stacking that is functional for the life of the building. As an integrated design firm, we have the ability to think about project cost at the onset, to ensure your building is constructible within your defined budget.
We are guided by four values: CONTENT
CONTEXT
Program
Engage & Enhance
Well Made
Intuitive
CRAFT
CLARITY
Master Planning
Our multi-disciplinary healthcare practice allows us to provide comprehensive plans that are strategic and cost certain.
Aligning a master plan with the goals and objectives of the healthcare system is the foremost priority. Once defined, the Beck team assembles a framework that evaluates and proposes a strategic vision for existing or future spaces. By evaluating the systems involved in the facilities and provide an assessment of ways to maximize efficiencies of services lines while allowing growth in the most fiscally responsible manner. The goal of a master plan is to ensure that the healthcare provider continues to contribute world-class services and has the facilities to complement their work.
OUR SERVICES Short and Long-Term Planning Master Plan Analysis Schematic Design Analysis Campus Planning Surgical Platform Planning Demolition Phasing Planning Capital Planning Analysis Cost Estimating Program Management
BAYLOR SCOTT WHITE HEALTH & BAYLOR UNIVERSITY MEDICAL CENTER INNOVATIVE CAMPUS DEVELOPMENT OPTIONS (CREATED FOR PURSUIT PURPOSES)
MASTER PLANNING
Our Planning Process Our master planning design team has a unique process that is always tailored to you. We believe meeting you where you are, building on your past success, is the key to developing a next generation long-term plan.
To begin our process with you, we need to think local, to act globally. We need to analyze the innovation, technology, research, and any other cutting-edge industry activities that are happening in your area to create an informed master plan. At Beck, we offer national expertise that is accustomed to leveraging our insights from across the globe to your project. We help our clients balance the needs of their patient care responsibilities, while also infusing next-generation practices happening at world-class institutions in patient, visitor, and user experiences.
Our option development infuses the needs of your users, while also discovering ways to enhance the management of your resources. This includes implementing options that are flexible and adaptable to our ever-changing healthcare industry.
Planning Process
STRATEGIC PLAN
MASTER PLAN
Key Objectives
Discovery
Solutions
Design Guidelines
Establish Values, Mission + Vision
History, Zoning, Community, District Dynamics
Parcel Plan, Diagrams, Reports
Aesthetic Standards
Existing Facilities, Program Needs
Program, Massing, Illustrative Plan, Figure Ground, Diagrammatic Plans, Phasing
Landscape Requirements, Sustainable Guidelines
Infrastructure, MEP, Technology, Safety
Site Investigation Report
Wayfinding
Connectivity, Mobility, Roads, Intermodal, Walkability
Circulation, Street Sections, Pedestrian Paths
Future Flexibility, Implementation Strategy
Open space, plazas, parks, quads
Scale Diagrams, Vignette Views
Phased Capital Plan
Establish Strategic and Operational Goals
IMPLEMENTATION
Operational Analysis
Physical Needs Assessment
Real Estate Analysis
New Process / New Benchmarks
Clinical Support Validation
New Clinical Services
System-Based Rationalization Plan
+
Estimates, Schedule
Preconstruction
Preconstruction is more than costestimating, its early engagement for a cost certain future.
Thanks to evolution in the industry over the last 20 years, owners can engage preconstruction teams much earlier in the design process. We are passionate about offering enhanced preconstruction services because we know the 10x return on investment that each additional of planning provides during project construction. Beck preconstruction and construction team members engage in the project to assist the team in establishing an accurate overall project budget and advise on constructibility issues to eliminate impacts to cost and schedule. This allows a greater degree of accurate cost information earlier in the process and affords the opportunity for the team to explore more options and achieve a higher level of design within the established budget.
HIGHLIGHTS Enhanced Preconstruction Integrated Estimating State-of-the-art Technology Budget Benchmarking
PHIPPS PLAZA MIXED USE DEVELOPMENT, ATLANTA, GEORGIA
PRECONSTRUCTION
An Integrated Mindset
INTEGRATED ESTIMATING
BENCHMARKING
Instead of waiting on a BIM model and design documents, we utilize a collaborate process to ensure on-going design is within budget. Beck’s preconstruction team can connect directly to the project’s Revit model to support estimating and analysis as a single source of truth. This unique workflow increases the accuracy and integrity of the estimating process.
Our preconstruction team can quickly establish a cost model using our national database of similar projects, adjusted to local market costs, and based on the various space types and levels of infrastructure considered during the accelerated programming effort.
DESTINI ESTIMATOR BECK DESIGNED TOOL TO LINK DESIGN MODEL AND ESTIMATING SEAMLESSLY
BENCHMARKING QUICK ANALYSIS IS POSSIBLE WITH OUR NATIONAL DATABASE, ADJUSTED TO LOCAL MARKET COSTS AND SPACE TYPES
With enhanced preconstruction services, we will go above and beyond the standard collaboration processes. True, continuous integration is naturally occurring in an integrated firm, offering greater communication, insights, and value. Working with all stakeholders, we create real-time project dashboards for open and transparent communication for important project stats.
National knowledge of material and labor pricing trends are extremely important to cost control. We generate and release our Beck Cost Report to our clients throughout the nation; the elaborate research that goes into creating the report makes us very aware of our markets. This allows our projects to prepare for problem areas we see coming, such as the increase in metal and copper costs and lead times.
WINTER 2022 | BIANNUAL REPORT BY THE BECK GROUP
NATIONAL EXPERTISE
COST REPORT
REAL-TIME DASHBOARDS
PAGE 18
BIANNUAL COST REPORT BY THE BECK GROUP [ WINTER 2022 ]
MARKET COST ANALYSIS HIGHER EDUCATION COST/SF
ATLANTA
AUSTIN
CHARLOTTE
DALLAS/ FORT WORTH
DENVER
SOUTH FLORIDA
TAMPA
$365-541
$355-526
$359-532
$348-516
$372-550
$403-597
$358-530
$431-580
$419-564
$424-570
$411-553
$439-590
$476-639
$423-568
$711-1,005
$691-978
$699-989
$678-958
$723-1,023
$784-1,109
$697-986
$483-677
$470-658
$475-666
$461-645
$492-689
$533-747
$474-664
$296-329
$288-320
$291-324
$282-314
$301-335
$327-363
$290-323
$223-272
$217-265
$219-268
$212-260
$227-277
$246-300
$218-267
$576-703
$560-684
$566-692
$549-671
$586-716
$635-776
$564-690
$200-245
$195-238
$197-241
$191-233
$204-249
$221-270
$196-240
RESIDENCE HALLS
Cost represents a mid-rise structure utilizing a CIP flat slab superstructure. Exterior envelope is comprised of moderate architectural detailing with 25% punched openings and 75% solid materials. Interior elements include all areas from public, BOH & service areas, and residence rooms. Related ground and structured parking, FFE, and sitework are excluded.
GENERAL CLASSROOM AND OFFICE BUILDINGS
Cost represents a mid-rise office building, utilizing a CIP flat-plate superstructure. Exterior envelope is comprised of moderate architectural detailing, including 50% curtainwall elements and 50% solid materials. Interior elements include all areas from public, BOH & service areas, classrooms and office. Related parking and sitework are excluded.
SCIENCE & LAB BUILDINGS
Cost represents a low to mid-rise building, utilizing a CIP pan slab plate superstructure. Exterior envelope is comprised of moderate architectural detailing, including 50% curtainwall elements and 50% solid materials. Interior elements include classrooms, research spaces, and laboratories. High-level BSL containment and other special considerations are excluded. Related parking and sitework are excluded.
MEDICAL EDUCATION BUILDINGS
Cost represents a low to mid-rise building, utilizing a CIP pan slab plate superstructure. Exterior envelope is comprised of moderate architectural detailing, including 50% curtainwall elements and 50% solid materials. Interior elements include teaching classrooms, simulation and nursing skills labs, and research spaces. High-level BSL containment and other special considerations are excluded. Related parking and sitework are excluded.
RESIDENCE HALLS RENOVATION
Cost represents renovation of existing residence hall rooms, limited to new MEP systems, interior finishes and fixtures only. It specifically excludes reconfiguration or layout of spaces.
GENERAL CLASSROOM AND OFFICE BUILDINGS RENOVATION
Cost represents renovation of existing office and classrooms areas, limited to new MEP systems and interior finishes only. It specifically excludes reconfiguration of layout of spaces.
SCIENCE & LAB BUILDINGS RENOVATION
DASHBOARDS DATA WITH SCOPE TREND REPORTS (BOTTOM) ALLOW USE TO PULL TRENDS REPORTS TO UPDATE THE PROJECT’S BUDGET CONTINUOUSLY
Cost represents renovation of existing office and classrooms areas, limited to new MEP systems and interior finishes only. It specifically excludes reconfiguration of layout of spaces.
MEDICAL EDUCATION BUILDINGS RENOVATION
2022 WINTER COST REPORT
Cost represents renovation of existing office and classrooms areas, limited to new MEP systems and interior finishes only. It specifically excludes reconfiguration of layout of spaces.
Interior Design
We employ a evidence based design approach to create designs that balance delighters and functionality.
Along with our medical equipment planning services, The Beck Group provides comprehensive interior design services for healthcare projects. Our design philosophy and approach is to provide interior design excellence that results in positive outcomes for our clients. Working collaboratively, with mutual respect, and an open dialog allows us to build effective teams. We build trust with our clients and their staff by listening closely and designing solutions that are not only beautiful but also effective in achieving optimal results to fit their needs.
OUR SERVICES Interior Design Programming, Space Planning and Master Planning Furniture Programming and Planning Interior Finish, Material Selection, Specification Architectural Interior Design Support Interior Renderings Interior Design Project Management Signage & Wayfinding Consultation Artwork Consultation
ATRIUM HEALTH SANGER HEART & VASCULAR INSITTUTE
INTERIOR DESIGN
CLIENT EXPERIENCE 01
Atrium Health
02
Texas Health Resources
03
Iredell Health System
04
Emory Healthcare
CoxHealth Denver Health The Medical City Rose Medical Center Swedish Medical Center The Keith Corporation Rose Medical Center Moffitt Cancer Center Tampa General Hospital Adventist Health System Grand Bahama Health Services The Princess Margaret Hospital Baylor Scott & White North Texas University of South Florida Health
01
02
03
04
Medical Equipment Planning
The Beck Group provides comprehensive medical equipment planning services for healthcare projects.
Our approach is to provide the professional staff and technical support needed to support projects through all phases – space programming, design and development, procurement, construction, occupancy and post occupancy. Continuity of staff and process throughout the entire project result in better outcomes and a project that meets or exceeds expectations. We have worked with not-for-profit healthcare systems, community and critical access / rural hospitals, and academic medical centers to create efficient and appealing healthcare environments nationwide. Our clients trust us to provide innovative and cost-effective solutions centered on operationally efficient planning.
OUR SERVICES Pre-Design Design & Planning Construction Coordination Procurement Post-Occupancy Review
USF CAMLS SIMULATION LAB
MEDICAL EQUIPMENT PLANNING
OUR PROJECTS 01 Atrium Health Providence Free Standing Emergency Department, Charlotte, NC 02
Emory School of Nursing, Atlanta, GA
03 Texas Health Huguley Hospital, Burleson, TX 04 Iredell Mooresville, Community Care Clinic, Moorseville, NC 05 Atrium Health, Sanger Heart & Vascular Institute, Charlotte, NC Atrium Health New Bed Tower, Charlotte, NC Texas Health MOB, Mansfield, TX Atrium Health, Providence MOB, Charlotte, NC Midland Medical Center, Midland, TX Valley Baptist Medical Center, Harlingen, TX Carolina’s Rehab Center, Charlotte, NC Tenet Healthcare, El Paso, TX
01
02
03
04
05
Selected Experience
SELECT PROJECTS
Texas Health Resources Huguley Hospital
Seeking to enhance patient experience, Texas Health Huguley hired Beck to master plan the addition of a new patient tower for their campus. The final design includes a new public lobby and administrative areas on the ground floor, a women’s services floor with two c-section suites, eight LDRs, 20 post-partum rooms and a nursery, three levels with med/surg units and 36 inpatient beds per floor. The top level remained as a shell floor to accommodate future growth of the Fort Worth community. Reflecting changes in healthcare over the past three decades, while the hospital’s original private patient rooms were just 147 SF each the rooms in the new facility they are 300 SF each, giving more space for equipment and visiting family members.
CLIENT
SERVICES
Texas Health Resources
Integrated Design Build
LOCATION
COMPONENTS
Fort Worth, Texas
Inpatient Rooms, Women’s Services, Labor & Delivery, Ortho/ Rehab, Administrative Support Space
SIZE
233,000 SF COMPLETED
2016
SELECT PROJECTS
Atrium Health Atrium Health Sanger Heart & Vascular Institute
Located near downtown Charlotte, yet away from the hustle and bustle of the main hospital, this state-of-the-art medical office facility anchors itself in the new urban fabric of Midtown. Each clinic module is a repeatable, standard “neighborhood,” with standard exam rooms with demountable walls that can accommodate future changes with minimal disruption. The building is truly focused on a multi-disciplinary approach—patients and families have access to several comprehensive amenities for a seamless experience. With many patients focused on heart health, the cardiac rehabilitation gym is located on the first floor, along with a demonstration kitchen, and a pharmacy for easy access.
CLIENT
SERVICES
Atrium Health & Pappas Properties
Architecture, Medical Planning, Interior Design, Medical Equipment Planning, Preconstruction
LOCATION
Charlotte, North Carolina SIZE
400,000 SF COMPLETED
2021
COMPONENTS
Heart & Vascular Clinics, Cardiovascular Gym, Pharmacy, Infusion, Teaching Kitchen, Auditorium and Conference
06/15/20 OFFICE NURSE MGR
OFFICE PRACTICE MGR
STAIR 1
OFFICE SHARED
EXAM
EXAM
EXAM
EXAM
EXAM
PASSAGE
PASSAGE ALCOVE EDUCATION/ FLEX
TOILET
Each clinic is designed as a repeatable “neighborhood” with standardized patient rooms for adaptability and flexibility.
NURSE WORK EXAM PROVIDER
STORAGE
ALCOVE
COUMADIN/ FLEX ROOM
STAFF LOUNGE
PROV PROV
PROV
PASSAGE
PASSAGE
PASSAGE
EXAM
NURSE WORK ALCOVE
COUMADIN
PASSAGE
CORRIDOR
MONITOR WORKSTATION PARKING DECK
EXAM
EXAM
EXAM
EXAM
EXAM
EXAM
EXAM
EXAM
EXAM
EXAM
WAITING CORRIDOR
WHEELCHAIR ALCOVE
TOILET PASSAGE ALCOVE
TOILET
STORAGE
NURSE WORK
EXAM (B) S19
PROVIDER
PROVIDER
VEST CORRIDOR
PROVIDER
PROVIDER
ELECTRICAL EXAM
ELEV 5
STAIR 3
PASSAGE
NURSE WORK
CORRIDOR
ALCOVE
CORRIDOR
PASSAGE NURSE VISIT
S23
EXAM
TELECOM
EXAM
S23
EVS
MECHANICAL
EXAM
STAFF LOUNGE
TOILET
EXAM EXAM
SOILED HOLD ELEV 2
EXAM
STORAGE
WAITING
ELEV 1
EXAM
OFFICE TRIAGE
TOILET
ELEV 3
EXAM OFFICE NURSE MGR
ELEV 4
EXAM PASSAGE
E 24" 24"
ELEVATOR LOBBY BRIDGE CONNECTION
CHEST X-RAY
CHECK-OUT
WAITING
OFFICE PROVIDER
CHECK-IN NURSE WORK
WAITING
TREATMENT
WORK SPACE
PASSAGE
STORAGE PASSAGE
CONFERENCE
CONFERENCE
PFT
PASSAGE
CONSULT
TOILET
STOR
SOILED HOLD
PFT
CORRIDOR
VESTIBULE
OFFICE
TOILET PUBLIC F
CONFERENCE VITALS
PFT
WAITING NURSE WORK
EXAM
PFT EXAM EXAM
TOILET PUBLIC M
TOILET
EXAM EXAM
TOILET EXAM
PASSAGE
EXAM
EXAM
VITALS VIRTUAL
EXAM
PROVIDER
EXAM
INFUSION
BAY 2 OFFICE SHARED
PASSAGE
EXAM BAY 3
EXAM EXAM
STAFF LOUNGE
PASSAGE
NURSE WORK
PASSAGE
NURSE WORK
CLOSET
EXAM WORK
VESTIBULE
PROVIDER
WORK / COPY
PROVIDER
PASSAGE
PASSAGE
NURSE WORK
EXAM
STAIR 2
NURSE WORK
PASSAGE
PROVIDER
CLOSET EXAM
PROVIDER EXAM
PROVIDER
EXAM (B)
TOILET
WAITING
BAY 1
PASSAGE
TOILET
EXAM EXAM
EXAM
PASSAGE
EXAM EXAM EXAM
PROVIDER PROVIDER PROVIDER EXAM VIRTUAL
PASSAGE
EXAM EXAM VIRTUAL
EXAM
EXAM
EXAM
SELECT PROJECTS
Moffitt Cancer Center Ambulatory Cancer Center Prototype
Moffitt Cancer Center wanted to develop a new model for ambulatory cancer care and deliver it to the Tampa Bay community. As the market grows rapidly, Moffitt needs to respond quickly to build new centers as real estate becomes available. Our process started with engaging key operational and clinical stakeholders to understand how their existing ambulatory environment functions. The team collaborated with users and leadership to understand challenges and their vision among key dimensions of performance by capturing tensions and trade-offs. Our team developed a governance structure with Moffitt leadership to guide the project process. The governance decision-making is guided by the following indicators: patient experience (perception and timeliness), quality and safety, research mission, team experience and engagement, financial stewardship (productivity and cost), and growth.
CLIENT
SERVICES
Moffitt Cancer Center
In collaboration with NBBJ: Planning, Programming, Architecture, Cost Estimating
LOCATION
Tampa, Florida SIZE
75,000 SF COMPLETED
2022
COMPONENTS
Rad/Onc, Imaging, Infusion, Exam Rooms, USP 800 Pharmacy
SELECT PROJECTS
Moffitt Cancer Center Southshore Ambulatory Cancer Center
Moffitt’s new radiation / oncology ambulatory center will be a catalyst for localized and community-based healing and discovery for world-class cancer services. The new ambulatory center will be consistent with the main campus’ operations and culture that celebrates a concierge patient experience. Patients will be welcomed to a light-filled lobby with no lines due to well-orchestrated appointment times with different flows for new and daily patients. Treatment and waiting zones throughout will offer dignity and privacy, while being close to clinical care to assure patients they are not forgotten. Rad/ onc treatment spaces will be large and airy, infusion bays will be private, and exam rooms will be designed to put the focus on the patient.
CLIENT
SERVICES
Moffitt Cancer Center
Architecture, Programming, Planning, Medical Equipment Planning, Interior Design, Cost Estimating
LOCATION
Tampa, Florida SIZE
76,000 SF COMPLETED
Est. 2024
COMPONENTS
Rad/Onc, Imaging, Infusion, Exam Rooms, USP 800 Pharmacy
SELECT PROJECTS
Texas Scottish Rite Hospital for Children Orthopedic and Sports Medicine Center
The Texas Scottish Rite for Children Orthopedic and Sports Medicine Center is a fivestory ambulatory surgery center with outpatient clinics. After working with HKS and Beck for more than 30 years, Scottish Rite chose to collaborate with the team again to create a facility that would allow them to continue their mission of being a worldrenowned leader in treating orthopedic conditions. The facility is an ambulatory care center that offers clinics and day surgeries for children with orthopedic issues. Beck collaborated with the Owner and HKS throughout design using target value delivery to deliver the project under budget and on-time. In addition, the team worked with the Scottish Rite and HKS early to define operational goals for post-occupancy. The project is the winner of a 2018 DBJ Best Real Estate Deal and a 2019 TEXO Distinguished Building Award.
CLIENT
SERVICES
Texas Scottish Rite Hospital for Children
Beck: Construction Architect: HKS
LOCATION
COMPONENTS
Frisco, Texas
Exam Rooms, Imaging, Movement Science Lab, Speciality Clinics, 2 ORs, PACU, Adminstrative Space
SIZE
345,000 SF COMPLETED
2018
SELECT PROJECTS
Texas Health Mansfield Hospital
Texas Health and AdventHealth partnered to create a new North Texas campus on a 34acre greenfield site in Mansfield, Texas. As a trusted advisor, the client asked The Beck Group to create an integrated team create a community hospital that was emblematic of their two brands. A key guiding principle for the project was thoughtful site design to ensure patients could easily access the hospital and medical office building, also designed by Beck. The site allows for expansion, and the interior flow is planned to handle the growth of multiple programs as the needs of the community change. The bed tower patient rooms are standard, repeated same-handed beds for caregiver familiarity and efficiency as they move between units. Various amenities and finishes were also used throughout the building, conveying a sense of serenity, timelessness, and confidence.
CLIENT
SERVICES
Texas Health Resources
Integrated Design Build, Preconstruction, Interior Design, Sustainability
LOCATION
Mansfield, Texas SIZE
205,000 SF COMPLETED
2021
COMPONENTS
Inpatient beds, Women’s Services, Surgical Platform, Imaging, Emergency Department, Pharmacy, Central Sterile Processing
SELECT PROJECTS
Texas Health Recovery and Wellness Center
In this facility, those seeking professional help to resolve addictions are able to experience recovery through an evidence-based residential treatment program. Both adults and adolescents who come to the facility voluntarily, either for inpa-tient or outpatient services, participate in addiction education, individual and group counseling, and activities amidst amenities such as a yoga studio, massage therapy, movie room, fitness room, large gym, and a swimming pool. The project is located within the DallasForth Worth metroplex with convenient access to the airport, making it able to serve the local population as well as those elsewhere in the country.
CLIENT
SERVICES
Texas Health Resources
Integrated Design Build, Master Planning, Interior Design
LOCATION
Mansfield, Texas
COMPONENTS
SIZE
Inpatient, Outpatient, Adult, Adolescent, Addiction Recovery
79,500 SF COMPLETED
2017
Patient / Private RECYCLE SOIL
CREATE BERMS
Public / Office
Breeze Way CREATE BREEZE WAY
Visitor Entrance / Vertical Circulation GUEST PODS ON TOP
Drop-Off Lobby
CREATING SERENITY
SELECT PROJECTS
JPS Health Network Psychiatric Emergency Center
The Beck Group, along with architecture+ and Gensler, are designing a large emergency center that will serve adolescents and adults in the Fort Worth community. The facility will be on a steep urban site which requires an innovative approach to situate the building with concealed entrances for patient privacy, whether they are arriving by car, foot, or via law enforcement. The new facility will extend access to care with a fast-track triage area and observation units on the first floor, while patients requiring additional monitoring will be moved to the second floor for a 23-hour stay. Beck is leveraging their design expertise, along with its construction experience to enhance the design process by providing continuous cost estimating. This is important with the current supply chain, inflation, and project escalation fluctuations.
CLIENT
SERVICES
JPS Health Network
Full Architectural Services: The Beck Group
LOCATION
Fort Worth, Texas SIZE
95,000 SF COMPLETED
Est. 2024
Design: Gensler Programming & Planning: architecture+ COMPONENTS
98 Bed Emergency Center
SELECT PROJECTS
Iredell Mooresville Community Care Clinic
The Beck Group collaborated with Iredell to design an ambulatory surgery center and urgent care to provide excellent care in the community that is more cost-efficient than an inpatient surgery or emergency department visit. The architecture inspires movement as patients navigate through the space, making a journey to better health. The experience is focused on reducing stress with the integration of natural elements in the lobby, areas for respite, and interior features that give the feeling of being outside. Patients are welcomed to a central double-volume lobby with floor-to-ceiling windows that flood the space with light. The planning and design provide clear sightlines to urgent care, surgery pre-op, and imaging. Patients can easily move to the second floor for multi-disciplinary clinic appointments and infusion.
CLIENT
SERVICES
Iredell Health Systems
Architecture, Medical Planning, Interior Design
LOCATION
Mooresville, North Carolina
COMPONENTS
SIZE
Ambulatory Surgery, Urgent Care, Imaging, Specialty Clinics
68,000 SF COMPLETED
2021
G TLT 71 SF
EXAM 2 143 SF
EXAM 3 145 SF
EXAM 4 147 SF
TLT 74 SF
EXAM 5 145 SF
OBS 2 168 SF
OBS 1 145 SF
ISO TLT 66 SF
ANTE 40 SF
EXAM 6 177 SF PROVIDER 62 SF
F
PAT TLT 59 SF
MEDS/NOUR 100 SF
ISO EXAM 155 SF
VEST 218 SF
SUBWAIT 280 SF
WHEELCHAIR STOR
LOBBY
URGENT CARE
VEST 86 SF
UP
Urgent Care Radiology Prep/Recovery Surgery Infusion Outpatient Physical Therapy
E EXAM 7 142 SF
SUBWAIT 92 SF
TLT 71 SF
EXAM 8 241 SF
COFFEE BAR 113 SF
LAB 281 SF
TLT 72 SF
DECON 108 SF
ATM
PREADMIT
REGISTR/ ADMIT 339 SF
STAFF LOUNGE 177 SF
ELEV MACH ROOM 31 SF
EXAM 125 SF
MGR 80 SF
HSKP 61 SF
1 95 SF MDF 145 SF
CONSULT 119 SF
SOILED 84 SF RAD 313 SF
FUTURE RAD SHELL 314 SF
STOR 83 SF
TLT 59 SF
RADIOLOGY
CONTROL 119 SF
DICT 66 SF
TLT 62 SF
SUBWAIT 263 SF
TLT 63 SF
ULTRASOUND 170 SF
TECH 171 SF
MANAGER 102 SF
BUS OFFICE 102 SF
SOILED 124 SF
BOILER 249 SF
7 85 SF
LOUNGE 145 SF
10 83 SF
4 129 SF
C
12 107 SF
11 82 SF
EQUIP STOR 99 SF
B
STOR 595 SF
PROCEDURE 600 SF
OR 602 SF
STOR 609 SF
LOCKER 503 SF HSKP 48 SF
BIOHAZ 80 SF
DECON 129 SF
STERILE WRAP 224 SF
RECEIVING 181 SF
OFFICE 94 SF
9 83 SF
8 81 SF
SURGERY
ANES WORK/STOR 102 SF
SOILED STOR. 80 SF
BULK STORAGE 593 SF
DEMARC 104 SF
MED GAS 101 SF
TLT 54 SF
CONTROL 136 SF
MAIL 77 SF
EMERGENCY 173 SF
TLT 54 SF
TLT 47 SF
6 100 SF
EQUIP STOR 140 SF
CLEAN CORRIDOR 1470 SF
MAT. MGMT
CLEAN 135 SF
EQ 54 SF
ANES OFFICE 104 SF
LOCKER 411 SF
TLT/SHWR 78 SF
3 129 SF
STAFF TLT 73 SF
CLEAN LINEN STOR. 86 SF
UP
NORMAL 180 SF
D
TLT 53 SF
STOR 116 SF
STAFF LOUNGE 449 SF
TECH 70 SF
HSKP STOR. 140 SF
OFFICE 105 SF
2 138 SF
DICT 71 SF
HSKP 81 SF
MAMMOGRAPHY 166 SF
5 92 SF
PREP/ RECOVERY
TLT 59 SF
TRAINING 426 SF
CT 479 SF
OFFICE 105 SF
4 100 SF
1 138 SF
TLT 54 SF
IT
OFFICE 105 SF
3 100 SF
2 79 SF
STOR 67 SF
OFFICE 96 SF
BUS OFFICE 107 SF
CONTROL 50 SF
OFFICE 110 SF
OFFICE 108 SF
ADMIN 185 SF
HSKP 67 SF
VEND 37 SF IT MGR 97 SF
COFFEE/STOR TLT 61 SF
CONSULT 118 SF
STOR 119 SF
ELEC 97 SF
COPY 67 SF
UP
STOR 60 SF
CONF 246 SF
ADMIN SUBWAIT 205 SF
EXAM/EKG 124 SF
SHARED OFFICE 230 SF
SOILED 136 SF
CLEAN 142 SF
TLT 64 SF CLEAN 82 SF
REC 96 SF
TLT 63 SF
STERILE CORE 1013 SF
HSKP 38 SF
A
DN
9
8
7
6
5
3
4
2
UP
Level 1 1
True North OFFICE 106 SF
Iredell Clinic
OT 312 SF
1/8" = 1'-0"
CLEAN 91 SF
WORK 206 SF
A2.10 FLOORPLAN- LEVEL 1
Project North
G
EQ STORAGE 93 SF
PT TREATMENT 120 SF
PT TREATMENT 120 SF
SOILED 93 SF
PHYSICAL THERAPY PT TREATMENT 106 SF
RECEPTION 173 SF LOCKERS 329 SF
PT TREATMENT 108 SF
PT TREATMENT 110 SF
F
LOCKERS 406 SF
OPEN TO BELOW WAITING 383 SF
PT TREATMENT 112 SF
E
OUTPATIENT CLINICS 6 90 SF
7 90 SF
TLT 72 SF
8 90 SF
5 87 SF
9 105 SF
INFUSION
EXAM 117 SF
EXAM 117 SF
EXAM 118 SF
EXAM 105 SF
IT 103 SF
ELEC 103 SF
EXAM 104 SF
EXAM 104 SF
EXAM 118 SF
TLT 71 SF
EXAM 105 SF
SHELL
4 87 SF 10 104 SF 3 84 SF
EXAM 104 SF
NOUR 81 SF
PROVIDER 81 SF
11 105 SF
2 87 SF
12 105 SF
EXAM 106 SF
EXAM 105 SF EXAM 112 SF
CLEAN / EQ 111 SF TLT 67 SF
EXAM 104 SF
PROVIDER 81 SF
EXAM 106 SF
D
EXAM 105 SF
PROVIDER 84 SF
PROVIDER 84 SF
1 87 SF SOILED 81 SF
EXAM 106 SF
EXAM 105 SF
MEDS 96 SF
TLT 71 SF
EXAM 106 SF
EXAM 105 SF EXAM 112 SF
EXAM 112 SF TLT 49 SF
TLT 49 SF
EXAM 112 SF TLT 67 SF
C
PROCEDURE 175 SF CLEAN 116 SF
SOILED 156 SF
EQUIP STOR 116 SF
STAFF LOUNGE 367 SF PROCEDURE 173 SF OFFICE 96 SF
OFFICE 94 SF
HSKP 52 SF
Level 2
B
SELECT PROJECTS
Winship at Emory University Hospital Rollins Immediate Care Center
Winship Cancer Institute needed to create and operationalize a new service line and clinic to encourage preventative care and to keep cancer patients out of the emergency department. Beck’s integrated team engaged with over 60 stakeholders to design and build a clinic inclusive of a diverse range of cancer treatment services. This new clinic “template” is designed with cancer patients in mind, including ensuring family support space is available physically and operationally. Beck’s integrated approach allowed for the project to be designed quickly by utilizing full-scale mock-ups for user consensus. The mock-ups served as early design documentation so the team could move straight to CDs, effectively cutting the project schedule in half.
CLIENT
SERVICES
Winship Cancer Institute of Emory University
Integrated Design-Build, Operational Planning, Medical Planning
LOCATION
Atlanta, Georgia
COMPONENTS
SIZE
Treatment Rooms, Staff Support Space
4,950 SF COMPLETED
2022
2
2
3 1
4
5
1.
Treatment Rooms
2.
Exam Rooms
3. Nursing Station and Medication 4.
Supplies
5.
Staff Break Room
Grady Memorial Hospital Bed Tower | Critical Care West Tower
Beck recently completed the renovation of Levels 9 and 10 of Grady Memorial Hospital’s Critical Care West Tower. The new space provides Grady with an additional 52 ICU beds, nurse stations, clean rooms, and staff support spaces. This bed expansion offsets the closure of a nearby medical center and helps to alleviate the current bed shortage present at Grady and in the City of Atlanta.
CLIENT
SERVICES
Grady Memorial Hospital
Integrated Design-Build,
LOCATION
COMPONENTS
Atlanta, Georgia
Treatment Rooms, Staff Support Space
SIZE
30,000 SF COMPLETED
2023
SELECT PROJECTS
Tampa General Hospital Physician’s Lounge Build-Out and Renovation
Beck provided design / build services to renovate and expand the space with glass roof conservatory that offers respite for busy physicians. The space features: a new conservatory with a glass roof; workspaces in soundproof rooms; coffee lounge and eatery space; and a variety of seating zones offer physicians to connect with one another in a calm setting. The project was approved by AHCA three weeks ahead of schedule. Many of the design elements were custom made including the interior glass doors, natural walnut conference table with live edges, and oak floors.
CLIENT
SERVICES
Tampa General Hospital
Architecture, Preconstruction, Construction
LOCATION
Tampa, Florida SIZE
3,310 SF COMPLETED
2021
COMPONENTS
Physician Support Space, Cafe
SELECT PROJECTS
USF Health Center for Advanced Medical Learning and Simulation (CAMLS)
The USF Health Center for Advanced Medical Learning & Simulation (CAMLS) is envisioned as a world-class, state-of-the-art, approximately 90,000 square foot medical education conference facility. Beck was both the architect and general contractor for CAMLS, a first-of-its-kind for the nation that revolutionizes how to learn, practice and perfect advanced medical skills of tomorrow. The facility, located in Downtown Tampa, will transform the training of healthcare with simulation-based education. CAMLS also focuses on designing and testing new medical devices and technologies in the Research and Innovation Lab. USF desired to develop an urban location for its academic programs and Beck designed a facility that integrates seamlessly with the pedestrian friendly corridor in Downtown Tampa.
CLIENT
SERVICES
USF Health
Integrated Design Build
LOCATION
COMPONENTS
Tampa, Florida
Surgical Skills Labs, Operating Suites, Lecture Halls, Exhibition Halls, Auditoriums, Robotics Lab, Virtual Hospital / Simulation Center, Research and Innovations Labs, Office and General Classroom Space
SIZE
90,000 SF COMPLETED
2012
SELECT PROJECTS
CoxHealth Emergency Department
CoxHealth outgrew their Emergency Department that had only 23 treatment rooms and an annual volume of 67,000 patients. The need for a new facility was critical. Beck’s integrated design/build team established a program that called for 57 exam rooms, five trauma rooms and 26 dedicated observation rooms. Beck designed the ED as a series of pod racetracks with a clinical spine to enhance staff flow and ease of access from lowacuity rapid evaulation unit, to trauma bays. The ED also includes a dedicated radiology department adjacent to the exam rooms for easy access and for faster decision making. Uniquely, the team helped Cox create an ED that responded to disasters and pandemics by allowing the ambulance bay to quickly transform into mass casualty and bioharzard patient intake.
CLIENT
SERVICES
CoxHealth
Integrated Design Build
LOCATION
COMPONENTS
Springfield, Missouri
57 Exam Rooms, 5 Trauma Rooms, 26 Dedicated Observation Rooms, Radiology
SIZE
87,000 SF COMPLETED
2015
Flexible Support Physician Area Supplies
Care Team Area
Isolation Room & Toliet
12 Critical Care Rooms
Typical ED Pod
Trauma Supplies Isolation Rooms
Trauma Rooms Care Team Area Physician Area Flexible Support
Trauma Pod
Care Team Area Sub-Waiting Intake
Vertical Care Stations Financial Counseling
Rapid Medical Evaluation Pod
SELECT PROJECTS
CoxHealth Dee Ann White Women’s and Children’s Hospital and Jared Neuroscience Center
In planning for the region’s growing and changing population, CoxHealth wanted to ensure its position as a leading healthcare provider in Southwest Missouri. Beck worked with hospital officials to design and build a new 10-story patient tower that supports two of the organization’s strongest departments, neuroscience and women’s and children’s services. The planning and design balances the needs for maternal medicine, med/surg, and pediatric services, the building also The design and construction team implemented evidence-based design methodologies to promote a healing environment, focused on patient safety, as well as staff well-being.
CLIENT
SERVICES
CoxHealth
Integrated Design Build
LOCATION
COMPONENTS
Springfield, Missouri
130 Inpatient Beds, Outpatient Neuroscience Offices and Exam Rooms, NICU, PICU, Pediatrics, Post-Partum, Oncology, Neuroradiology Suite
SIZE
343,000 SF COMPLETED
2015
SELECT PROJECTS
Atrium Health Carolinas Medical Center Main Campus New Bed Tower and Carolinas Rehabilitation Hospital Master Plan
Beck was responsible for master planning the redevelopment of Atrium Health’s flagship campus in Charlotte, North Carolina. Working with over 3,000,000 sf on 72 acres in the heart of Charlotte, Beck devised the rezoning strategy, program, conceptual building designs, budgets and schedules for more than 1,900,000 sf of new buildings and 1,200,000 sf of renovation. The master plan required the team to understand the current state of the system and develop a series of strategic moves over several years, including sequencing inpatient beds, operating rooms, support services, and other key programmatic elements. The resulting plan allows for CMC to grow by adding a new bed tower and rehab hospital that supports the Charlotte community and the modernization needs of the system.
CLIENT
COMPLETED
Atrium Health
2019
LOCATION
SERVICES
Charlotte, North Carolina
Master Planning, Cost Estimating
SIZE
3 million SF
SELECT PROJECTS
Atrium Health Pineville Hospital Departmental Master Plan
Beck master planned and budgeted a multi-phased expansion and renovation of CHS Pineville. The scope included a 200-bed inpatient tower, emergency department expansion, surgical suite renovation, and parking deck. Beck utilized target value delivery and advanced planning and budgeting to create conceptual, continuous cost estimates for the life of the project. The draft and final deliverable allowed Atrium Health to quickly determine additional needs and wants based on the cost estimate and graphic including site options, stacking, and 3D programming for the long-term strategy of their Pineville hospital. Overall, Beck’s work was streamlined by bringing strategies from Atrium Health’s main campus (CMC) master plan that was also created by Beck.
CLIENT
COMPLETED
Atrium Health
2015
LOCATION
SERVICES
Pineville, North Carolina
Master Planning, Cost Estimating
SIZE
270,000 SF
SELECT PROJECTS
Princess Margaret Hospital Master Plan
Beck was responsible for helping the Bahamian Ministry of Health create a comprehensive strategic master plan for the nation. The primary effort was centered on the redevelopment of the PMH campus in Nassau. We assembled a team of planners, designers, contractors and estimators to determine the best solutions for every department within the hospital and several adjacent out patient facilities.
CLIENT
COMPLETED
Public Hospital Authority Bahamas
2015
LOCATION
SERVICES
Nassau, Bahamas
Master Planning, Cost Estimating
SIZE
450,000 SF
SELECT PROJECTS
Parkland Hospital Maple Avenue Garage
The design of the parking garage is a response to Parkland Hospital’s need to provide parking for the newly constructed OPC2. The five-story, cast-in-place concrete garage with one-way helical ramp provides 1400 parking spaces including 100 valet parking spaces and space for 73 bicycles. The queueing depth for the three entry and three exit lanes has been carefully designed for ease of entry and exit, to prevent back up into the interior circulation, to minimize spill out of vehicles into the public street, and to minimize idle time. Beck’s integrated and target value design delivery allowed the team to meet their design intent and to meet the established budget seamlessly.
CLIENT
SERVICES
Dallas County Hospital District Parkland Health & Hospital System
Integrated Design Build
LOCATION
Dallas, Texas SIZE
478,377 SF COMPLETED
2021
COMPONENTS
5-Levels Cast-in-Place Concrete, 100-foot Long Skybridge, Exterior Perforated Metal Paneling, Solar Panels
Atrium Health Providence Free-Standing Emergency Department
Located adjacent to Atrium’s new medical office building, also design and built by Beck, this new freestanding ED responds to the needs of the Charlotte community. The facility is comprehensive by including not only trauma rooms, but imaging, pharmacy, laboratory and rapid medical evaluation services. The racetrack flow allows for providers to have a view of nearly every patient in the ED, including trauma and exam rooms. The caregiver space has vaulted ceilings that allow for light to penetrate the middle of the ED.
CLIENT
SERVICES
Atrium Health
Integrated Design Build
LOCATION
COMPONENTS
Charlotte, North Carolina
Exam Rooms, Two Trauma Rooms, Two Observation Rooms, Rapid Medical Evaluation, Imaging, Laboratory
SIZE
12,000 SF COMPLETED
2020
Contact Sarah Mueller, LEED AP National Director of Healthcare SarahMueller@BeckGroup.com 614 271 6985