Healthcare Design by CMTA

Proven Expertise in

High-Performance Healthcare Design

About CMTA

CMTA was founded in 1968 and is recognized as a national leader in high performance, sustainable design within the engineering industry. Our firm has leveraged our expertise in high performance, energy-efficient design into a nationwide practice that includes consulting engineering, performance contracting and zero energy design, technology solutions, and commissioning services. CMTA prides itself on its data-driven, performance-based design process. Performance-based design uses benchmarking of our projects’ real-world energy usage as a challenge to our engineers to continuously improve energy performance. CMTA’s first signature performance-based design project was Richardsville Elementary School, the nation’s first operational Zero Energy school. Since then, our Zero Energy projects have led our firm into the national spotlight. Because we walk the talk, we are true partners vested in sharing our knowledge with our clients. Our corporate headquarters in Louisville, Kentucky and our Lexington, Kentucky offices are both zero energy buildings with perfect ENERGY STAR scores. And our CMTA Energy Solutions corporate office in Louisville is the first in the U.S. to operate as Zero Energy and achieve WELL Gold certification. CMTA strives to create strong relationships with building owners and managers while also focusing on the health and comfort of the people who live, work, and play in spaces we design.

CMTA Headquarters Campus Louisville, Kentucky 2

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Local + National Healthcare Effective engineering services in healthcare is a passion of ours, and it shows in the care and attention to detail we put into every project. Whether it’s a small clinic or large hospital, specialized expertise must be a top priority across the design team. The mechanical, electrical, and plumbing systems are critical elements to these buildings. We understand special attention must be given to the design regarding infection control, equipment functionality, illumination levels, indoor air quality, and comfort levels for patients, visitors, and staff. We bring our energy efficient focus to healthcare design and work with our hospital clients to improve their energy efficiency and reduce maintenance and operations costs.

300M SF

Healthcare Design

$24B

Construction Value

Our Expertise ― Ambulatory Care Centers

― Hybrid ORs

― Behavioral Health

― Laboratories

― Cardiac Cath Labs

― Cancer Treatment Centers

― Long-Term Care

― Central Sterile

― Central Plants

― Medical Office Buildings

― ED Additions / Renovations

― Endoscopy Centers

― MRI & Imaging Centers

― Operating Rooms

― Heart Centers

― Nursing Units

― ICUs

― Pharmacies (USP 800)

― Proton Beam Therapy Centers

― LDRs

― Radiopharmaceutical Facilities

― Gero Psych

― Technology / Security ― NICUs

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Long-Lasting Healthcare Partnerships

Norton St. Matthews Women and Children’s Louisville, Kentucky

Quality partnerships are built on mutual respect and trust. We value our clients and the trust they place in us as engineers — a trust that is earned not only through high-quality engineering, but exceptional service and innovative, sustainable solutions. CMTA has maintained long-lasting and productive relationships with clients in the healthcare industry across the nation. We have completed numerous master planning, MEP infrastructure renovations and new construction projects for a wide-variety of hospital types ranging from critical access hospitals to sprawling medical campuses. A few of these notable relationships are highlighted below.

30+ years

25+ years

20+ years

15+ years

10+ years

of service

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Complex MEP Healthcare Design For more than 50 years, we have provided services for some of the nation’s largest and complex medical campuses. We understand the impact that design decisions and construction processes can have on care delivery, and are acutely familiar with the maze of regulations and standards that affect design and construction. Altru Hospital Grand Forks, North Dakota – 530,000 SF Expansion and Remodel Baptist Health Various Locations, Kentucky Baptist Health Hamburg – New Healthcare Campus with Full 400-bed hospital Baptist Health Hardin – Expansion and Replacement of Central Plant to support entire 950,000 SF Campus Baptist Health Lexington – 450,000 SF Patient Tower Addition, 900,000 SF Renovation, 500,000 SF Parking Garage, and New Central Utility Plant Bon Secours Mercy Health Various Locations Lourdes Hospital – New central plant, 65,000 SF tower renovation, envelope – 48,000 SF Patient Tower 2nd & 7th Floor Renovation – 17,000 SF New Cancer Center St. Mary’s Hospital – 350,000 SF New Tower/Renovation – New 4800-ton chiller plant 8

Henry Ford Health Detroit, Michigan – Downtown Campus Electrical Substation Study – Macomb Campus Energy Reduction Audit and Strategies – Master Plan for a new, 18 floor, 2.6M SF Medical Center Replacement IU Health, Academic Health Center Bloomington, Indiana – New 620,000 SF Medical Center – 115,000 SF Academic Facilities Salem Hospital Salem, Massachusetts – 226,000 SF Addition – LEED Gold Norton Brownsboro Hospital Louisville, Kentucky – 300,000 SF Facility (2009), 172,000 SF Addition (2020) – ENERGY STAR score: 97 St. Elizabeth Cancer Care Center Edgewood, Kentucky – 305,000 SF Replacement Facility

Altru Hospital Grand Forks, North Dakota

Mass General Hospital Boston, Massachusetts

Salem Hospital Salem, Massachusetts

Baptist Health Hospital Lexington, Kentucky

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IU Regional Academic Health Center Bloomington, Indiana

University of Kentucky Medical Center Lexington, Kentucky

Healthcare Technology + Security Expertise We provide comprehensive technology solutions for healthcare clients nationally. Our team understands that today’s modern hospitals are seeing an increase in technology to meet patients’ and healthcare teams’ needs. Our team strives to design, integrate, streamline, and procure systems to be as simple as they can be. Healthcare facilities are supported by some of the most complex, mission-critical technology systems designed today. An average hospital technology system runs a complicated combination of infrastructure,

communication, and security features, many of them wireless and essential to daily patient care. Our technology/security team brings decades of experience designing lowvoltage systems for the healthcare market across the country. We design healthcare technology to be a staff multiplier, increasing efficiency and allowing the healthcare team greater flexibility as they perform their duties, ultimately improving patient care while ensuring privacy and safety. Another key feature of our team’s focus is flexibility and expandability. Healthcare

technology is a rapidly advancing field; our team designs to provide flexibility in the short-term and expandability for future needs. We achieve these results while maintaining a focus on bottom-line costs. We believe that the key to managing these criteria successfully is to engage the facility owner and the design team at the start of a project. Our team leads charrettes and work groups to gather input and develop a technology and security plan that achieves the client’s goals. This project also creates buy-in from the design team, departmentlevel end-users, and facility managers alike.

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Novak Center for Children’s Health Louisville, Kentucky

Occupant Health + Wellness CMTA’s buildings are moving beyond energy efficiency and sustainability to lead the industry’s focus on improving occupant health. Our team has a vast understanding of the building performance metrics and design strategies that improve the built environment for occupant comfort and wellness. This knowledge allows us to be successful in incorporating strategies that improve the health and wellbeing of the occupant while still maintaining budget and energy efficiency goals. Our continuous drive for improvement fuels our research into Indoor air quality, lighting, and comfort as markers for occupant wellness. This allows us to incorporate proven strategies into every project we complete. We focus on delivering the best value for the building owner and the

occupants, which goes beyond costs, and improves human health while maintaining budget and energy-efficiency goals.

Patient and Staff Experience We want patients to feel as if at home — lighting is a large part of creating this inviting atmosphere. By using the latest technology and cost effective strategies, we aim to create a more comfortable, less-institutional feel, while still being functional. In addition to providing natural daylight, circadian lighting strategies are utilized to help support the sleep health of both patients and staff. This is accomplished by providing high-energy melanopic lighting during the day, and warmer, more soothing lighting after hours.

We spend about 85% of our lives in buildings, and it is essential that architects and engineers understand how the built environment affects the health and wellness of its occupants.

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Regional Academic Health Campus IU Health | Bloomington, Indiana

IU Health’s Regional Academic Health campus includes a new 735,000 square foot acute care facility along with an educational facility tied to Indiana University. The facility brings state-of-the-art equipment and procedures to the residents of Bloomington and surrounding areas. Services include, obstetrics, diagnostics, ICU, and surgery, to name a few. At the start of the project, IU Health had an aggressive plan for involving the local design community to help with the many pieces of this facility. CMTA was a part of that design group, and at the time, our Technology Solutions group was the only firm selected to work on all buildings and parts of the project. As the project started to develop and schedules refined, CMTA was asked to meet the design needs of the entire acute care facility.

Project at a Glance Completion: 2021 Size: 765,000 SF Cost: $557,000,000 Project Type: New Construction Awards / Certifications: – Targeted LEED Silver

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Altru Health System Hospital Grand Forks, North Dakota

Altru Health System has a vision of a new era in healthcare. This vision includes prioritizing the patient and family experience, implementing cutting-edge technology, expanding clinic services, and integrating physical, emotional, and spiritual healing. The design team is helping bring this vision to life through a collaborative and innovative process. The site is surrounded by green space, which is utilized in the hospital campus design to provide a calm and healing atmosphere. Each of the 200 patient rooms contains at least one window providing views of the outdoors. Our lighting

designers emphasize the natural light to minimize the use of artificial light when necessary. One unique feature of the mechanical design is the use of a water-side economizer. This eliminates the need for air side economizers, which reduces humidification loads and normalizes building pressure.

Project at a Glance Completion: 2024 Estimated Size: 500,000 SF Cost: $305,000,000 Project Type: New Construction

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Baptist Health Hamburg Hospital Lexington, Kentucky

Baptist Health has engaged the design services of CMTA to masterplan and design a new healthcare campus in the Hamburg area of Lexington, Kentucky. This new campus is to be built on the 129-acre greenfield and includes a full 400bed hospital, full service of outpatient facilities, specialty clinics, and other healthcare facilities. We helped Baptist define their vision of a center for healthcare that does not feel like a hospital. Baptist wants a warm campus that serves the community and is inviting to the people that it serves as a regional destination for great health care service. The CMTA team evaluated numerous strategies to accomplish a sustainable building that is highly energyefficient, which is one of Baptist’s core project objectives. CMTA performed sunlight studies on the building to help guide the adding of shading on the windows most affected by direct sunlight. In addition, CMTA designed a heat recovery chiller in the variable flow primary central plant design that will take the waste heat that is produced in the normal process of making chilled water for the campus and use it to provide “free” heat to the campus.

Project at a Glance Completion: 2024 Estimated (Phase I) Size: 400 Beds Cost: $230,000,000 Project Type: New Construction

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Welia Health Hospital Mora, Minnesota

The Welia Health (formerly FirstLight Health System) hospital renovation and addition were completed to enhance the overall patient experience. As a leading healthcare services provider in East-Central Minnesota and Western Wisconsin, it was critical that changes and improvements were made to accommodate the community’s growth and reflect medical and technological advancements being made in the medical community. The various additions include updates to the birthing center, physical therapy,

emergency department, inpatient pharmacy, intensive care unity, and surgery, imaging, and infusions areas. The campus also has new parking areas, a courtyard, a relocated helipad, and improved campus access from MN Hwy 65.

Project at a Glance Completion: 2021 Size: 120,000 SF Cost: $52,000,000 Project Type: Renovation & Addition

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Riverview Health Westfield Hospital Westfield. Indiana

100 ENERGY STAR SCORE

The project team was tasked to design a full-service facility that included 20 private patient rooms, a combined urgent care emergency department, and state-of-the-art surgery rooms. The upper floors of the facility include outpatient services. This design was required to meet the owner’s sustainability goals, while maintaining brand consistency. The outstanding energy results of Riverview Health’s Westfield Hospital match its beauty. Comparing the ENERGY STAR hospital portfolio manager to a median hospital, this facility utilizes almost half the energy. This facility’s energy costs are around $2 per square foot, while the average median facility would use nearly $4 per square foot. Westfield Hospital has been requested by the American Society of Healthcare Engineers to discuss the methodology used to have a hospital performing with an EUI of less than 100.

Project at a Glance Completion: 2018 Size: 108,000 SF Cost: $35,000,000 Project Type: New Construction Awards / Certifications: ― AIA Healthcare Design, 2019

“

CMTA provided great energy modeling data to ensure the financial performance of the geothermal system. Now that the system has been in operation for a year, its energy use is extremely low, and we are realizing the predicted return on the investment. — Scott Tripp, Riverview Health

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Novak Center for Children’s Health

University of Louisville | Louisville, Kentucky For years, it was the goal of the University of Louisville Physicians Group to bring all services together under one roof to provide a single location for high-quality pediatric primary and specialty healthcare. CMTA’s consulting and commissioning teams helped to make that vision a reality by delivering one of the healthiest, most energy-efficient medical office buildings in Kentucky. The Novak Center is the first medical office building in Kentucky to utilize a highly efficient chilled beam heating and cooling system. The HVAC system is fully ducted and ventilated by a dedicated outside air system, and all recirculated air is local to the

zone filtered with both MERV 8 and MERV 13 filters. CMTA’s Commissioning team oversaw high-level programming of the control system, verified advanced dewpoint alarm sequences, direct digital temperature controls, building automation, lighting, metering, plumbing, and fire protection.

Project at a Glance Completion: 2018 Size: 176,000 SF Cost: $48,000,000 Project Type: New Construction Awards / Certifications: ― LEED Gold

Performed EUI

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Boston Medical Center Boston, Massachusetts

“

CMTA’s knowledge and attention to detail made this difficult project a major success with energy savings of $1.5M. Thanks to their expertise, we have the most resilient hospital cogen plant in Boston. — Bob Biggio, Boston Medical Center

$1.5M Annual Utility Savings

Boston Medical Center’s (BMC) main objectives for a cogeneration plant were to reduce energy cost, reduce their carbon footprint, and increase the resiliency of their inpatient care buildings, totaling 1.5 million square feet during a major campus consolidation effort. A single 2 Megawatt internal combustion engine cogen system offered BMC the best return on investment and enough power to keep their most critical inpatient care buildings energized and heated in the event of an extended normal electric power outage or another catastrophic event. This cogen system provides $1.5M of annual operating savings. As significant energy reductions are a cornerstone goal for BMC, so is carbon neutrality. As a result, BMC engaged in the largest collaborative power purchase agreement (PPA) in the United States. 16 megawatts of the 60 megawatt solar field is allocated to BMC to make BMC a zero-energy campus. Through the cogen, PPA, and campus consolidation strategies, BMC has reduced its carbon footprint by 90% since 2011.

Project at a Glance Completion: 2019 Size: 1,500,000 SF Cost: $13,500,000 Project Type: Existing Facility Planning & Design Awards / Certifications: ― Zero Energy / Carbon Neutral ― Practice Greenhealth: Top 25 Green Hospital Nationally ― Becker’s 60 Greenest Hospitals in America

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Essentia Health Hospital Fargo, North Dakota

CMTA began its partnership with Essentia Health Fargo, a full-service regional medical center, in 2003 following a massive expansion project. We have since completed 70+ projects with Essentia Health throughout North Dakota and Minnesota. The Essentia Fargo Hospital addition added five stories to the south side of the building and two stories on the west/front side of the building. Included in the renovation were the Inpatient Pharmacy, Infusion Center/CEU/PET/CT Scan, Cardiac Telemetry/PCU, NICU/Post-Partum/Birthing Center, and mechanical infrastructure upgrades to the 4th, 5th, and 6th floors. What makes this addition to Essentia truly unique are the surgery suite additions. Surgery suites contain incredibly complex systems and require exceptional expertise. Operating rooms (ORs) are very technical from an airflow and HVAC standpoint as the systems filter out micron levels of dust using High-Efficiency Particulate Arrestance (HEPA) filters. Proper ventilation is a critical element of the space.

Project at a Glance Completion: 2019 Size: 130,000 SF Cost: $60,000,000 Project Type: Renovation & Addition

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Madigan Army Medical Center

USACE Little Rock, Madigan Healthcare System | Joint Base Lewis McChord- Tacoma, Washington Selected to renovate the Army’s secondlargest hospital in the world, Madigan Army Medical Center, CMTA proudly provided MEP/Fire Protection engineering to update the 1,233,000+ square-foot facility. Although the facility has been meticulously maintained over the years, the design team brings decades of expertise to this project. In typical CMTA fashion, we challenged conventional thinking and offered innovative, high-value solutions to the government. The existing emergency system was 480 volt, and if left at that, it would drastically expand the amount of equipment needing to be replaced due to this equipment being unable to handle the fault current. The design team’s solution utilizes 13.8 KV

medium voltage to reduce the fault current (safer), limits the equipment impacted (lower first costs), and helps maintain operations in the critical hospital facility that must remain operational 24/7/365 (and also lower first cost). The design team used this opportunity to modernize the system by paralleling the utility company to simplify the monthly testing requirements without outages. The resulting system is safe, cost-effective, resilient, and redundant.

Project at a Glance Completion: 2021 Size: 1,233,000 SF Cost: $42,000,000 Project Type: Renovation 12MW Power Generation

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Building Science Leadership