Healthcare • Medical • Behavioral
GOULD TURNER GROUP Architects • Planners • Interiors
Our People • Our Firm • Our Work P / 615.297.3122 T / 800.593.3122 W / GOULDTURNER.com
Nashville-Based National Architecture Practice
TriStar Skyline, Gould Turner Group
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WHAT MAKES US DIFFERENT
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OUR WORK - HEALTHCARE
Firm History and Culture
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Wesley Children’s Hospital
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Community Outreach
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North Alabama Medical Center
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Pearland Medical Center
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The Agility Center
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Sierra Vista Regional Health Center
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Women and Children’s Center at Kingwood
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Memory Care of Westover Hills
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TABLE-TALK: OUR VISION Commitment Toward Wellness
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Creating Responsible Care Environments
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3D Technology for the Entire Design Process
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Considering Significance of the Building
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Energy Efficiency and Conservation
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New Canyon Vista Medical Center, Gould Turner Group
Firm History and Culture Gould Turner Group, P.C. (GTG) is an architectural, planning, and interior design firm based in Nashville, Tennessee that was founded in 1980. Led by Linda Marzialo, AIA, ACHA, our team of architects and support staff work with facilities across the United States, on projects that range from renovations and additions to campus master plans and new facilities. Our office is a certified Women Business Enterprise (WBE) as defined by the State of Tennessee. Principals and Project Architects are responsible for professional services and are actively involved with the delivery of services. Our process is a planned, systematic quality control process that involves the owner, users, occupants, operations and maintenance staff, design professionals, and contractors. We have found that each project is unique and complex requiring diligence, knowledge, creativity, and a willingness to overcome challenges to ensure that the design is appropriate and can meet an array of project needs. Over time, the cost of erecting facilities is far less significant than the cost of operating them when personnel, maintenance, and energy costs are considered. Today, our design commitment remains the same as it did when the firm was founded which is ‘To design environments that people will thrive in, that are functional, aesthetically compelling, economically constructed, durable and easily maintained.’ We hope this portfolio will provide you with useful insight.
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Designing for the future.
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New Corning Medical Center, Gould Turner Group GOULDTURNER.com | 3
Architecture . Campus Planning . Interior Design
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Wesley Medical Center Pediatric and Envelope Renovation, Gould Turner Group GOULDTURNER.com | 5
Our Culture is Community.
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Rebuild Together Nashville Dragon Boat Festival + Race Light the Night Leukemia Walk N Barefoot Republic
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Light the Night Leukemia Walk Toys for Tots GTG Bowling Championship Mobile Green Lab Launch
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Antioch Cluster Groundbreaking Breast Cancer Walk TN Women in Science and Engineering Gingertown Nashville - 1st Place
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Healthcenter Northwest, Gould Turner Group
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Who we are. Registered Architects As architects registered in 48 states, we are adept in learning how to collaborate with new project teams. Our full-service design firm works closely with clients to provide them with thoughtful, creative, and responsive solutions. Professional We support our professional organizations. Linda Marzialo is Past President of AIA Middle Tennessee, and Brent Shivers is a founding committee member of the AIA Middle Tennessee Academy of Architecture for Health. The firm has 11 Registered Architects, and 5 Interior Designers. Stability
Over one third of the GTG team has been with the firm for over 20 years. We benefit from the blending of the wisdom and experience of our more seasoned employees with the enthusiasm and advanced technological skills of our younger associates.
We Use Metrics Data is stronger than opinion, which is why we internally track historical data which often informs future project solutions. Our data considers response time, request for information categories, and project scheduling. Sustainability We advocate that each project diminish the use of energy, reduce the use of nonrenewable resources and account for water, material, and environmental impacts within our projects. 4 of our team members are LEED Accredited. Location With healthcare, education, commercial, and community projects in 48 states across the country, we are well suited to travel to better serve our clients, regardless of their location. We operate from our home office in Nashville, TN.
Culture We care about an office environment that shapes lives. We are accommodating and respectful of one another, and work in collaboration to gain the benefits of each other’s thoughts and ideas. Technology Our in-house visualization team utilizes state-of-the art software to produce captivating digital rendering and animations. With our 3D printer, we are able to provide our clients with a tangible image of their project. Community
Gould Turner Group (GTG) and its employees support our community through donations to organizations, such as the Nashville Symphony, Cheekwood Botanical Gardens, and the Frist Art Museum, and by actively participating in numerous charitable events, including those that support leukemia and breast cancer research, the Vanderbilt Children’s Hospital, and Second Harvest Food Bank, among others.
Digital Modeling
In the early 2000s, Gould Turner Group became one of the first firms in Nashville to adopt three-dimensional Building Information Modeling (BIM) technology. Today, all of our production team members are trained on Autodesk Revit Architecture. Advanced members of our team assist with the ongoing training of others, as well as with the implementation of CAD processes that help standardize production throughout the office.
Workplace
GTG’s open studio spaces are conducive to collaboration, teamwork, creativity, good communication, and to a free exchange of ideas. We have a very open door policy and a do-what-it-takes attitude.
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Use of shadows to create depth in facade
Strategically Placed Conference Rooms
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Windows sized for suitable interior daylighting
Suitable material treatment on the south orientation
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Shade trees to reduce the ‘heat-island effect’ + Stormwater reduction
Consistant proportions of durable material
Inviting Entry
Table-talk: Our Vision Architecture . Campus Planning . Interior Design
Guiding Design Principles. Aided by research, evidence-based design, and technology, these principles guide our healthcare design process.
Commitment Toward Wellness
Creating Responsible Care Environments
The concept that the built environment can have a positive impact to health outcomes is a generally accepted fact in today’s environments.
With each of our designs, it is our intention to encourage responsible architecture. We feel it is important to investigate how buildings relate to their environment and consider how they may adapt over their life span. Each building can be designed so that it makes a positive contribution to its surroundings, including adjacent buildings, streets, and pedestrian ways. Noninstitutional environments, easy access, and clear wayfinding lessen patient anxiety and support ease of use.
Research has proven that hospital and medical facility planning can support health initiatives as use functions continue to change and organizations consider how to anchor their services among the community. We are aware of the many challenges facing healthcare providers today, including reimbursement models that reward hospitals for value and outcomes over volume. The incorporation of proven evidenced based design concepts can have a measurable effect of shortening hospital stays and improving patient outcomes, which directly effect the hospital’s bottom line. We understand that healthcare facilities must be flexible, adaptable, and responsive to changing needs. There is not a one-size-fits-all approach. We design to accommodate function, flow, and operational efficiency, as well as from a wellness perspective that respects the patient, family, and caregivers.
Responsible care as a design focus affords us opportunities to bring natural daylight into our buildings, develop views internally and externally, and to make connections that bridge activities within a building to the life and activity beyond. Building entrances are places of meeting and gathering for people. They can be designed to welcome and encourage visitors by being comfortable, highly visible, and well lit. Responsible architecture brings security and richness to people’s lives. GOULDTURNER.com | 11
Table-talk: Our Vision Architecture . Campus Planning . Interior Design
3D Technology for the Entire Considering the Significance Design Process of the Building GTG’s project team embraces multiple visual design platforms, collaborative model-based drafting programs, and digital printing instruments throughout the architectural process. We are able to test the look and feel of a space, print a test model to visualize the components of a building, and translate complex Building Information Modeling (BIM) information to our project engineers and consultants. Beyond the core design and production capabilities of our digital modeling platforms, 3D modeling helps to improve project coordination across disciplines.
The process of adapting a hospital or other type healthcare facility within its region or neighborhood can create a sense of belonging for the patient that contributes to the vitality of the community. As we undertake each project, we are dedicated to understand how the neighborhood functions within its regional setting to determine features that might deserve special consideration. Understanding attributes that have significance can extend the boundary of the healthcare facility into the community.
Energy Efficiency and Conservation As architects, we are accustomed to working together with our engineers and contracting team to arrive at solutions that provide an efficient use of energy and natural resources. Components such as demand controlled ventilation, day-lighting, exterior shading to redirect light, building orientation, advanced building controls, and other systems may be considered. All of these components can contribute to a healthy building, enhance the value of the structure, and reduce the energy costs over the lifespan of the building.
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BIM model for Canyon Vista Medical Center, Gould Turner Group
BIM GOULDTURNER.com | 13
Architecture . Campus Planning . Interior Design
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North Alabama Medical GOULDTURNER.com Center, Gould Turner Group | 15
Wellness enhanced by design. “We consider the needs of patients, families, and caregivers in looking for ways to cultivate healthy environments while remaining mindful of the significance of operational efficiency, adaptability, and budget.� Linda Marzialo, AIA, ACHA, President and CEO
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Our Work Architecture . Campus Planning . Interior Design
Oviedo Medical Center LOCATION: TYPE: SIZE: COST-FINAL: COMPLETE:
Oviedo, FL Hospital 185,177 SF $60,412,323 Jan. 2017
NARRATIVE: Oviedo Medical Center is a newly designed 64-bed hospital and 40,000sf Medical Office Building built on 48 acres and integrated with an existing freestanding emergency center opened in 2011. The facility provides full service healthcare to the area including, diagnostic, surgical, laboratory and pharmacy services. The patient care areas include 48 Medical/ Surgical beds, 10 ICU beds, and 6 Labor Delivery suites. The building is structured to add an additional 120 beds for the growing needs of the community 30 miles northeast of Orlando, Florida.
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Our Work Architecture . Campus Planning . Interior Design
North Alabama Medical Center LOCATION: TYPE: SIZE: COST-FINAL: COMPLETE:
Florence, Alabama Hospital 485,000 SF $145,000,000 Dec. 2018
NARRATIVE: The North Alabama Medical Center is a new replacement hospital with 263 all-private patient rooms that is located on a 30-acre Medical Campus in Florence, Alabama. Designed with a contemporary architectural style, the interior spaces have a local charm, reminiscent of color tones found within the community and along the Tennessee River. As a memento to Shoals history, open-web trusses in the lobby draw inspiration from ‘The Old Railroad Bridge at Florence,’ which is a historic landmark symbolic of growth and a connection to the greater Muscle Shoals area. Modern healthcare facilities promote patient privacy and dignity while enhancing the efficiency of use for caregivers, patients, and families. In this project, circulation is arranged to maximize the functional relationships between all departments while separating the public guests from inpatient and outpatient care. All major hospital ancillary departments are located along the perimeter of the building on the first floor and are planned to expand horizontally. The building is a multi-story six-floor vertical design with the structure planned to permit portions of the building to expand vertically. A Medical Office Building is attached directly to the hospital and a future Cancer Center is planned for the site.
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Wesley Children’s Hospital LOCATION: TYPE:
SIZE: COMPLETE: COMPLETED:
Wichita, Kansas Converted-Use Renovation Rebranding 43,100 GSF August 2015 January 2017
PROGRAM: Children’s Hospital lobby, administrative area, patient rooms, support space. RECOGNITION: • KSN-TN News ‘ Wesley Hospital Lights Up the Night’ • KWCH News ‘Wesley Opens-Up in a “Super” Way!’ FEATURES: • Implemented Integrated Project Delivery strategies to solve challenges encountered in older construction. • Low floor-to-floor heights required careful consideration. • Renovation addressed three existing buildings with unique challenges originally constructed between 1920 and 1970. • Opened ahead of schedule.
NARRATIVE: This project entailed renovation and expansion to transform an old 1955 traditional hospital structure to a modern, vibrant, welcoming Children’s Hospital. Along with the requirement of meeting a sophisticated functional program, a great deal of emphasis was placed upon image, aesthetics and the appropriateness of materials for a young population. The building had to be eye catching and transformative from first view and had to present a stress-free environment for the children. Because the building structure was old and accurate existing plans were not available, the design team had to provide good early due diligence and work closely with the contractor to attempt to mitigate any negative impact unknown conditions could have had on the budget. Wesley Children’s Hospital is located street side within an urban setting. The opportunity to create a covered drop off lane to serve the main entrance was extremely limited and required creativity and thoughtful design.
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Our Work Architecture . Campus Planning . Interior Design
The Agility Center LOCATION: TYPE: SIZE: COST-FINAL: COMPLETE:
Bentonville, Arkansas Medical Office + Rehab 31,000 SF $6,700,000 Nov. 2003
NARRATIVE: 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
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Sierra Vista Regional Health Center LOCATION: TYPE: SIZE: COMPLETE:
Sierra Vista, Arizona Hospital 177,000 SF April 2015
NARRATIVE: This new hospital contains 106 all private patient rooms on a 74 acre medical campus with adjacent Medical Office Buildings. The hospital is connected to an existing Ambulatory Surgery Center and Diagnostic Center. The facility is designed to be noninstitutional, easily accessible, and to have clear wayfinding. Major departments are designed for future expansion. Circulation throughout the building is arranged to separate public and patient traffic. State of the art technology can be found throughout the hospital in wireless and digital technology, computerized drug dispensing and electronic medical records. The interior colors and furniture are representative of natural colors found in the Sierra Vista area. Local art work fills the four lobbies, corridors and patient rooms. The exterior is an example of the regions architectural influence featuring a color palette of stucco and stone derived from natural colors of the site and nearby mountain ranges. Blue tinted glass reflects the color of the Arizona sky while reducing energy costs.
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Our Work Architecture . Campus Planning . Interior Design
Womens and Children’s Center at Kingwood LOCATION: TYPE: SIZE: COMPLETE:
Houston, Texas Hospital 155,400 SF April 2015
PROGRAM: New Women’s Center, antepartum, labor and delivery, neonatal intensive care, well-baby nursery, medical/ surgical unit. FEATURES: • Architecture, structure, and MEP/FP Systems designed with future vertical expansion considerations. • “This marks the beginning of a new era for Kingwood Medical Center,” Melinda Stephenson, chief executive officer of Kingwood Medical Center, said at the grand opening. NARRATIVE: The Women and Children’s Center is a 155,400 square foot ground-up three-floor building that is among the Kingwood Medical Center campus. With soft natural colors and materials, emblematic of the regional Houston environment, the design is intended to comfort expectant mothers and their babies while providing state-of-the-art medical care. Design considerations to meet future needs concerning life safety, roof structural connections, exterior details, elevator expansion, utility tie-in locations, and equipment capacities enable the facility to expand the building vertically. The goal of these coordinated efforts is intended to expedite future design and construction processes due to building expansion. The first floor of the building includes eight high-risk antepartum suites, 12 labor and delivery suites, 24 bed Level II and Level III Neonatal Intensive Care units, 2 C-section rooms, and a four-bed OB Triage suite. On second and third floors the project provides a well-baby nursery with 36 postpartum suites, a 14-bed pediatric unit, and 22 bed medical/surgical unit. Renovations and expansions also included admission, administration, chapel, gift shop, dining, parking, landscape, and a new central energy plant.
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Memory Care of Westover Hills LOCATION: SIZE: MARKET: Living COMPLETED: SERVICES: SCOPE:
San Antonio, Texas 43,370 SF Healthcare/Senior January 2016 Architecture, Interiors Memory Care
NARRATIVE: Completed for Memory Care America and Embree Healthcare Group, the Memory Care of Westover Hills design encourages residents to be physically active and socially engaged. The design intent is to meet the ongoing needs of Alzheimer’s and dementia patients. The 45,370 square foot facility features a total of 64 beds, 50 of which are private, and the remaining 14 are double-occupancy. Located near San Antonio, Texas, Westover Hills will focus on improving the quality of life through the customization of care plans that begin with a precise assessment of each resident’s individual needs. Westover Hills is anticipated to be the first of several new projects throughout Texas for Memory Care America, an affiliate of Texas-based Trident Healthcare Properties, and Embree Healthcare Group.
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Thank you. We look forward to partnering with you soon. GOULD TURNER GROUP
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Architecture . Campus Planning . Interior Design
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GOULD TURNER GROUP 4400 Harding Pike, Suite 1000 Nashville, TN 37205 GouldTurner.com 615-297-3122 1-800-593-3122
Our path is a shared endeavor and our successes come from individual employees, our region, clients, and partners. We’d love to keep the conversation alive. Thank you, please contact us soon. Linda Marzialo, AIA Principal and CEO lmarzialo@gouldturner.com
