Introba Healthcare Brochure

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We are the curious Unlocking potential

Building Systems, Sustainability Strategy, Digital Advisory, and Analytics

Introba is a global building engineering and consulting firm with over 1,000 engineers, planners, designers, and consultants in offices across the United States, Canada, the United Kingdom, Ireland, Serbia and Australia.

History

Introba was formed in 2022 by the coming together of Integral Group — pioneers of deep green engineering — and Ross & Baruzzini, a leading technology, security, and engineering firm, founded in 1953.

Mission

To transform the built environment by designing Living Systems.

Living Systems are dynamic, responsive, intelligent, resilient, adaptable, and interconnected.

We work with our clients to envision, analyze and design the next generation of buildings, districts, and communities with these vital attributes embedded.

Practices

Our Living Systems approach supports our clients across the entire project life cycle: from strategy, through design and construction, to asset performance optimization.

We offer a unique and cohesive range of services across building systems engineering, sustainability strategy, digital advisory, and analytics.

Our services include:

• Technology Systems

• Medical Equipment Planning

• Digital Advisory

• Security & Resilience

• Climate & Sustainability

• Design Analytics

• Fire Engineering

• Lighting Design

• MEP Engineering

1,000+

Employees and growing

70+years

Company history

100+

Net Zero Energy projects

700+

Certified projects under LEED, BREEAM, Living Building Challenge, and Green Star sustainability rating systems

Learn more about Introba: introba.com

Have a challenge for us? hello@introba.com

Boulder Commons – Colarado, USA © Bruce Damonte
Franciscan Health Cancer Center Lafayette – Lafayette, Indiana, USA © 2024 Dana Leek / Mirage Studio, LLC.
Cleveland Clinic Abu Dhabi – Abu Dhabi, UAE. © Creative Family

Designing Living Systems Transforming Built Environments

A Better Way of Tackling the Most Complex Challenges

Think big

At Introba, we take a different approach. We look at the whole system, instead of focusing on the parts.

Welcome to Living Systems.

Be inspired.

Our Living Systems approach is inspired by the resilience of natural, living systems.

They are characterized by high levels of interconnectivity, interdependency, resource sharing, and constant change.

The same attributes are key to transforming the built environment at all scales, from the city block down to the intricacies of designing and equipping an operating room.

Inquiring minds

We are the curious. We thrive when challenged. Rather than see problems, we see opportunities for better.

Whole systems thinking

Buildings are not standalone. They are connected parts of complex systems. By understanding the connections, we can improve a system’s performance as an integrated whole.

Unlocking potential

For every project, we ask, “what if?”

To break away from business as usual requires creative courage. Each project presents unique opportunities to be harnessed with distinctiveness.

Embracing change

As context changes, living systems adapt and evolve. We design for a dynamic future by embedding resilience, adaptability, and flexibility into our clients’ projects. We face up to uncertainty and harness disruptive innovation.

Get in touch to begin a conversation about how Introba could unlock potential for you: hello@introba.com

Discover the power of Living Systems: introba.com/about/living-systems

Regenerative mindset

Living systems are self-sustaining. We are committed to protecting and enhancing the natural environment through our work and as a business.

Google Bay View Campus – Mountain View, CA, USA © Iwan Baan
Peel Memorial Centre – Brampton, ON, Canada © Diamond Schmitt Architects
Hackbridge Primary School – London, UK © Jack Hobhouse, Architype
King Abdulaziz International Airport Terminal

Healthcare

Elevating Care in Communities

From designing a major new hospital to renovating an outdated medical office building, we blend innovation, engineering expertise, and sustainable practices to create high-performance healthcare environments.

We provide fully integrated technology consulting, medical equipment planning, systems engineering, design analytics, climate resilience planning, and sustainability consulting.

Engineering Building Performance

Our team transforms healthcare environments with sustainable, high-performing engineering solutions. Our specialists design mechanical, electrical, plumbing, medical gas, fire engineering, and fire protection systems that ensure patient comfort and safety. Using BIM, we deliver exceptional performance and occupant wellness from net zero medical office buildings to LEED and WELL-certified facilities.

Medical Equipment Planning

Our equipment planning team is comprised of architects, nurses, biomedical engineers, and medical technicians working together to shape spaces from concept to final installation. Their mission is to empower caregivers with the medical equipment they need to provide world-class treatment, optimal functionality, and seamless integration within clearly defined budget parameters.

Technology Integration

We weave cutting-edge technology systems into the fabric of healthcare facilities, creating a connected ecosystem that supports health professionals and enhances patient experience at every stage — from diagnostics to recovery care.

Sustainable Healthcare Facilities

We combine high-performance green design and engineering principles with an understanding of occupant wellbeing.

Our integrated approach to sustainability improves outcomes for patients, medical professionals, the communities they serve, and the planet we share.

2,000+

Healthcare clients

70+ Years of Experience

15 of the top 20 hospitals in the USA, based on US News & World Report

RECENT AWARDS

2023 ASHRAE National Technology Award – Santa Rosa Medical Office Building, CA, USA 2023 ENR New Jersey Project of the Year – Helena Theurer Pavilion Hackensack – UMC, NJ, USA

Have a challenge for us? healthcare@introba.com introba.com/work/sectors/healthcare

Surrey Kidney Care Clinic – Surrey, BC, Canada © Calvin Owen Jones Photography
Sidney & Lois Eskenazi Hospital – Indianapolis, IN, USA © HOK

Engineering Services Solutions for Better Care

Providing practical, high-performance solutions that prioritize patient safety, comfort, and operational efficiency.

300+

LEED-Certified healthcare projects

85%

Work is repeat businesses

100%

Trusted Engineering Partners

With over 70 years of experience, we are a trusted partner in delivering innovative, reliable infrastructure systems for healthcare facilities. Our MEP/ FP engineering solutions enhance performance and patient care in both new and existing healthcare environments.

Sustainable, High-Performance Design

Our MEP/FP specialists design sustainable, energyefficient systems that promote patient safety, comfort, and infection control. Whether for new healthcare facilities or renovations, we create highperforming mechanical, electrical, plumbing, and fire protection systems that benefit both the environment and occupants.

Holistic Project Approach

From project inception to final commissioning, we integrate green design principles with a deep understanding of healthcare needs. Our in-house teams use

Building Information Modeling (BIM) to ensure seamless coordination and communication throughout the project lifecycle.

Experts in Healthcare Engineering

Our engineers and consultants work alongside healthcare leaders to solve complex challenges in today's healthcare systems. From equipment planning to decarbonization, we scale solutions that optimize patient and provider experiences.

Global Expertise for Local Impact

With a presence in five countries, our team brings global expertise to healthcare projects that transform communities. We design dynamic, resilient, and smart systems that drive exceptional performance while creating healthier, more sustainable environments.

Learn more on our website: https://www.introba.com/work/solutions/engineering

Emory Winship Cancer Institute – Atlanta, Georgia, USA © SOM

Medical Equipment Planning Expert-driven Solutions

Blending state-of-the-art technology with budgetary needs for seamless approach 1500+

Projects completed

USD $7M+

Value of equipment procured every week

USD $10B

Worth of medical equipment planned

Healthcare Experts

Our team includes healthcare professionals such as former hospital administrators, radiology techs, biomedical engineers, nurses, and healthcare architects. This expertise ensures we deliver patientcentered solutions from project initiation to facility operation.

Complete Project Coverage

We provide comprehensive medical equipment planning for healthcare, science, and education projects. From planning to installation and relocation, we support some of the most significant healthcare projects across the U.S. and beyond.

Technology-Driven Planning

We integrate cutting-edge technology to meet the demands of modern healthcare, ensuring seamless equipment placement and future-proofing facilities with adaptable, patient-focused solutions.

Budget-Focused Planning

Managing equipment budgets is critical in today's healthcare environment, where costs and inflation impact every decision. Our proprietary system, PlanView, uses data from completed projects to forecast accurate estimates, helping clients make informed, budget-conscious choices without compromising care.

Collaborative Success

Our planning approach focuses on optimizing design, reducing errors, and selecting the right technologies to maximize integration and patient outcomes. With every project, we aim to reduce costs, avoid delays, and deliver facilities that support the future of healthcare.

Lutheran Medical Center Replacement Hospital – Indianapolis, Indiana, USA © Dan Schwalm, HDR

Technology Systems Smart Solutions

Integrating digital innovations into healthcare operations

USD$50B+

Total value of transformational healthcare projects delivered

120+ Technology staff

300+

We have engineered and consulted on technology systems in over 300 hospitals worldwide

Technology Trailblazers

Our hospital operations experts, engineers, and technology consultants specialize in developing integrated hospital operations and technology applications that enable hospital workflow and procedures to operate more intelligently by enabling real-time information exchange among hospital stakeholders and patients.

Cutting-edge Concepts

Digital advisory strategies help hospitals best use emerging technologies such as smart/ intelligent buildings and data analytics. These are essential for enhancing operational efficiencies and patient experiences while advancing security measures.

Driven by Data

From integrating IoT sensors for real-time data capture to harnessing AI and machine

learning for predictive analytics, we seamlessly align hospital processes with rapidly evolving digital solutions to enhance operational efficiencies, improve patient experiences, and advance security measures in real time.

Smart Hospitals

Semantic data models can revolutionize hospital infrastructure by streamlining energy usage, maintenance, and interconnectivity across AV, HVAC, lighting, and personnel systems. By employing a standardized language for data interpretation and management, hospitals can achieve greater energy efficiency, optimize resource allocation, and enhance overall sustainability while meeting the evolving demands of modern air travel and regulatory requirements.

Learn more on our website: https://introba.com/work/solutions/technology-systems

McMaster Children’s Hospital, Ron Joyce Children’s Health Centre – Hamilton, ON, Canada © Delta Group and Perkins&Will

Climate & Sustainability Championing Well-Being

Using the latest thinking and technology to combat climate change, the biggest health issue of the 21st century

100+

Team members

70+

Net Zero Carbon projects

30+

Leading publications and reports

We champion the health and well-being of patients, medical providers, and staff by integrating the natural environment with the built environment to tackle the complex challenges of climate change and foster a resilient, healthy future for all.

We blend creative problemsolving, thoughtful engagement, and comprehensive qualitative research with the technical rigor expected from a best-in-class engineering consulting firm.

Our practice maximizes impact and deliver work across all scales, from developing international standards for Net Zero carbon development to optimizing individual building components to minimize their resilience and whole-life carbon impact.

The climate and sustainability landscape challenges both public and private sectors to stay ahead of the curve. We know this because we are at the table, shaping policy, regulations, codes, and industry standards.

Advisory

We shape effective sustainability policies, regulations, codes, standards, and development strategies for both publicand private-sector clients.

Design Analytics

We empower design teams to make better-informed integrated decisions — founded on comprehensive analysis and supported by empirical modeling — ranging from driving whole building performance to optimizing the performance of entire districts.

Assurance

We lead the integration and certification of sustainability and wellness targets for buildings, portfolios, and organizations.

Performance

We act as performance advocates for our clients, empowering building owners and occupiers to operate and maintain their buildings efficiently and effectively.

Learn more on our website: https://introba.com/work/solutions/climate-sustainability

Healthcare Projects

Franciscan Health Michigan City – Michigan City, Indiana, USA © Dana Leek / Mirage Studio, LLC.

Children’s Healthcare of Atlanta

North Druid Hills campus will provide a transformative level of care for patients, community, and state

Consistently ranked as one of the nation’s leading pediatric healthcare systems, Children’s Healthcare of Atlanta is a place that families across Georgia and the United States rely on for advanced pediatric care. Managing more than one million patient visits each year, Children’s is one of America’s largest pediatric clinical care providers and the only freestanding pediatric healthcare system in the state of Georgia.

To carry out its vision to do everything possible to make anything possible for kids, Children’s needed to respond to the growing demand for access to specialized pediatric care. The result is the new North Druid Hills campus, a 78-acre space, that will be transformative for Children’s patients, their community, and the state as a whole.

The campus includes Arthur M. Blank Hospital and the attached South Tower — scheduled to open in fall 2024 — as well as the existing Center for Advanced Pediatrics and staff support center. The hospital is a 19-story, twomillion-square-foot facility with 446 patient beds, each with its own video conferencing system,

and more than 20 acres of outside green space to promote physical and mental wellness. The facility even has 90 robots with dedicated elevators to facilitate materials movement within the building.

For almost 10 years, our team has been collaborating with Children's in the design and implementation of its technology systems and solutions for the new campus. Our scope has included technology visioning, systems design, implementation/ integration coordination, and overall program management.

We are rigorously working to complete the implementation of the technology systems prior to the first patient's arrival at the hospital this fall.

The campus design includes integrated devices, location awareness tools, video, and patient engagement technology, all of which can aid clinicians in making better decisions and providing a great patient experience. The result of this project will be an innovative campus aimed at improving clinical outcomes and supporting clinicians in delivering specialty care to kids today and for generations to come.

LOCATION: Atlanta, Georgia, USA

CLIENT:

Children’s Healthcare of Atlanta

ARCHITECT: ESa & Page

PROJECT SIZE: 2 million ft²

COMPLETION: 2024

SERVICES PROVIDED:

Technology Program Management

Technology Infrastructure Engineering

Technology Visioning

Strategic Consulting Smart Hospital Integration

"Our vision for the hospital’s design is to empower healthcare professionals to deliver high quality care through innovative and intelligent systems."
Paul Remke Director, Technology at Introba
© Brian Robbins
© Brian Robbins

Lions Gate Hospital

New acute care tower will include state-of-the-art operating rooms plus big focus on Indigenous traditions

The new Paul Myers Tower at Lions Gate Hospital (LGH) will transform the future of healthcare services in North Vancouver and beyond. The tower will be technologically advanced, replacing aging infrastructure and incorporating innovations that will enable LGH to deliver the highest possible quality of care.

This new high-tech facility will serve as a hub for acute care in the Vancouver Coastal Health (VCH) Coastal Community of Care, serving the North Shore and the Sea-to-Sky corridor, Sunshine Coast, Powell River, Bella Bella and Bella Coola on the Central Coast, and surrounding First Nations.

Its patient-centred design will improve the experiences of both patients and their families, acting as a healing environment with quiet spaces, views of nature, and other points of access to daylight.

There will be 108 patient beds in 84 single rooms and 12 semi-private double rooms, which will all have their own private ensuite washroom.

The health facility will include eight state-of-the-art operating rooms. Its perioperative suite will optimize surgical outcomes while reducing recovery times and improving the overall patient experience.

There is a big focus on Indigenous traditions. Advisors from the Squamish and Tsleil-Waututh nations collaborated with VCH on key aspects of the project, including welcome figures and other Indigenous art, the Two Sisters Outdoor Gathering Area, an elder-in-residence office, and sacred spaces.

The gathering area is named after the local Two Sisters mountains, also known as the Lions. The project aims to promote the connection between land and nature.

There is also a greater focus on outdoor space and sustainable facilities, including a roof garden with walking paths. VCH, the BC Ministry of Health, and a $100-million fundraising campaign by LGH Foundation are financing the project.

LOCATION: North Vancouver, British Columbia, Canada

CLIENTS: Vancouver Coastal Health, the BC Ministry of Health, & LGH Foundation

ARCHITECT: HDR Architecture

PROJECT SIZE: 258,333 ft²

CONSTRUCTION VALUE: CAD$250 million

COMPLETION: Ongoing

SUSTAINABILITY: LEED Gold Target

SERVICES PROVIDED: Mechanical Engineering Electrical Engineering Sustainability

"The new tower will enhance the experience of patients and families accessing care with an innovative patientcentred design.”
Vivian Eliopoulos, President and CEO, Vancouver Coastal Health

Kaiser Permanente Santa Rosa Medical Office Building

Our sustainability-first approach helped make this California the first LEED zero energy certified healthcare facility in the USA

We provided engineering and consulting services for this three-story healthcare facility in southern California, which is the first medical office building to be LEED Zero Energy certified in the country, according to the US Department of Energy.

The building includes 95 exam rooms, eight procedure rooms, a healthy living and technology center, and facilities for primary care, including family medicine, health education, gynecology, supporting imaging, laboratory, and pharmacy units. It also has an on-site café, 497 parking spaces, and more than a dozen electric vehicle charging stations.

The sustainable design includes a 29,000-square-foot photovoltaic (PV) canopy that doubles as an architectural rooftop feature, natural ventilation, green rooftop areas, and spandrel glazing to minimize solar heat gain. The facility’s water-saving features include drought-tolerant landscaping with native plants watered by weather-based drip irrigation, low-flow plumbing fixtures, and on-site treatment and infiltration of stormwater.

Through our team’s energy modeling efforts, the photovoltaic (PV) energy produced and captured on-site exceeds the energy used during full occupancy without emitting greenhouse gases. Since the building’s operations are all-electric, it is also Net Zero Carbon.

By using thermodynamically zoned heat pumps, we eliminated large amounts of pipes, saving one million dollars in HVAC construction costs. Other sustainability measures that we put in place include electrochromic glazed glass and building orientation optimization.

Collaboration and prefabrication were key in this design-assist delivery. Our team coordinated with the contractors during the design phase to provide fully-coordinated construction documents, which eliminated shop drawings and expedited construction.

The facility has a central plaza that allows people to move between the nearby shopping center and a residential neighborhood to the west.

LOCATION: Santa Rosa, California, USA

CLIENT: Kaiser Permanente

ARCHITECT: Hawley Peterson Snyder

PROJECT SIZE: 87,300 ft²

CONSTRUCTION VALUE: USD$42 million

COMPLETION: 2018

SUSTAINABILITY:

LEED Platinum Certified

LEED Zero Energy Certified International Living Future Institute: Zero Energy

SERVICES PROVIDED: Mechanical & Electrical Engineering Energy Modeling

Plumbing Engineering

Sustainability Consulting

"We are proud of the way our medical office is helping to reduce the carbon footprint in our local community.”
Dr. Catherine Gutfreund, Kaiser Permanente, Santa Rosa
© HPS Architects - Kaiser MOB, Santa Rosa
© Introba
© HPS Architects - Kaiser MOB, Santa Rosa

Frankston Hospital

Major redevelopment set to transform healthcare services in southeast Melbourne

The Victorian Health Building Authority (VHBA) and Peninsula Health have engaged our team as the engineering advisor on the major redevelopment of Frankston Hospital.

This AUD$1.1 billion expansion will boost the local community by bringing world-class healthcare and hundreds of jobs and is the largest-ever health structure investment in Melbourne’s southeast region.

The redevelopment will transform health services by delivering a multi-level tower with the capacity for an extra 130 beds, 15 new operating theaters, and new spaces for mental health and oncology services.

With more families moving to Frankston, the redevelopment will also feature expanded women's and children's services, such as new maternity, obstetrics, and pediatric wards, a women's clinic, and a special care nursery.

An expanded emergency department will provide a new

mental health, alcohol, and other drugs hub, as well as a dedicated pediatric zone with specialist care for patients, families, and carers.

Our team is delivering the project as part of a publicprivate partnership [PPP], acting as a liaison between the consortium and the government. A key challenge for the design team is ensuring that the new expansion is seamlessly integrated into the existing hospital and creates minimal disruption to the remainder of the campus.

We have been key in developing the services strategy for the master plan development and the reference design for the project. We have completed the site investigation, master planning, and reference design, and finalized the technical specifications.

Once the project is complete, the redeveloped hospital be able to treat around 35,000 more patients every year.

LOCATION: Frankston, Victoria, Australia

CLIENT:

Victorian Health Building Authority & Peninsula Health

ARCHITECT: Jacobs

PROJECT SIZE: 100,000m²

CONSTRUCTION VALUE:

AUD$1.1 billion

COMPLETION: 2025

SERVICES PROVIDED: Mechanical & Electrical Engineering

Fire Protection

Fire Safety Engineering

Hydraulics

Sustainability

ICT & Security

Vertical Transportation

"This project will be a gamechanger for the southeast... it will cut wait times and ease pressure on other hospitals.”
Paul Mercurio, State MP for Frankston
© VHBA

MetroHealth Glick Center

New community-focused facility blends cutting-edge technology with modern design to improve patient care

This recently opened acute care hospital sits at the heart of an entire neighborhood transformation in Cleveland, Ohio. It delivers on MetroHealth’s promise to turn its main campus into a “hospital in a park” by providing a bucolic space for the community in an area lacking public green space.

The new hospital is currently surrounded by three acres of green space. Once MetroHealth completes its demolition of the former facilities and redevelops the grounds, that will grow to become a 12-acre park.

The 270-bed hospital tower connects to the existing critical care pavilion complex, serving as a major node in the Glick Center’s transformation program. In total, the new facility comprises 11 floors, 380 beds, and 316 patient rooms.

Our teams delivered all the medical equipment planning and technology systems design consulting for the project. The technology systems included structured cabling, security and surveillance, audiovisual, nurse call, RTLS, patient entertainment, and distributed antenna.

The center now encompasses a completely new campus technology architecture and includes the construction of the new central utility plant. The associated tunnel connector construction included approximately 57,000 square feet of space.

Advanced technology is omnipresent throughout. Every patient room is equipped to deliver intensive care if needed. There is also a sleeping area for family members with a large flatscreen monitor that displays the patient’s care plan and allows remote communication with friends and family members who cannot come in person.

By using digitally coded ID badges to protect patient privacy, visitors can only access the floor where their loved one is under treatment. Caregivers have smart badges that help them communicate with each other.

The building is LEED-certified and nationally recognized for environmental sustainability and is the first EcoDistrictcertified hospital in the USA.

LOCATION: Cleveland, Ohio, USA

CLIENT: MetroHealth System

ARCHITECT: HGA

PROJECT SIZE: 800,000 ft²

CONSTRUCTION VALUE: USD$1 billion

COMPLETION: 2022

SERVICES PROVIDED: Technology Visioning Low Voltage Design Technology Construction Management Medical Equipment Planning

"The Glick Center is one of the most modern, technologically advanced inpatient facilities in the state.”
Akram Boutros, MetroHealth, Former President and CEO
© Nic Lehoux

St Vincent’s Heather

New Vancouver long-term care facility will provide support and supervision for elderly with complex care needs

Providence Health Care is creating a new 13-story building that will include 240 long-term care beds and services and support for seniors in Vancouver, Canada. Once complete, St Vincent’s Heather (SVH) will replace aging care facilities elsewhere in the city.

The long-term care beds will be configured as 20 “households,” with each having 12 residents in single-bed rooms. There will also be the shared social and recreational spaces that are usually found in a home, such as a dining room, living room, and an activity space.

Couples and families will be able to stay together via connecting doors, and each bedroom will have a wheelchair-accessible ensuite bathroom. In terms of services, there will also be an adult day program, a community hall, a faith/sacred space, a restaurant, an exercise and therapy area, dental and primarycare services, and a childcare facility for up to 37 young ones.

Outside, there will be green space, walking routes, and a planned garden. Climate resilience is a key design consideration and has been embedded into the design process for the new

facility. SVH is one of the first facilities in British Columbia to fully carry out the new Climate Resilience Guidelines for BC Health Facility Planning & Design.

Our team first carried out a climate risk assessment during business planning, followed by a resilience review to set design requirements to guide the detailed design process. This proactive design process has enabled key climate-resilient strategies in the early stages of design.

These included a combination of a high-performing envelope and an HVAC system designed for future summer temperatures, patient control, and a flexible ventilation system to enable natural ventilation to balance energy for heating and cooling; critical equipment to be above flood levels to avoid damage during extreme rainfall; and an emergency refuge, along with critical spaces connected to 72 hours of backup power in case of a prolonged regional power outage.

The building incorporated energy modelling from an early stage to help guide the selection of the mechanical system to ensure that all the project energy and carbon goals were achieved.

LOCATION: Vancouver, British Columbia, Canada

CLIENT: Providence Health Care

ARCHITECT:

DYS Architecture

PROJECT SIZE: 215,000 ft²

CONSTRUCTION VALUE:

CAD$135 million

COMPLETION: 2028

SERVICES PROVIDED:

Mechanical Engineering Energy Modeling Fire Protection

Sustainability Consulting

"We want to drive innovation to create conditions to provide the best care to seniors and the elderly.”
Fiona Dalton, President & CEO, Providence Health Care

The Hospital for Sick Children (SickKids)

Our team worked on the Peter Gilgan Centre for Research and Learning at SickKids, which has brought together 2,000 researchers and staff into what is reputed to be the largest health center in the world devoted to children's health research. The center includes 17 floors of lab space with high-tech equipment to aid in breakthrough research and progressive learning. The project comprised several sustainability initiatives, including energy recovery systems, low-emitting materials, bike racks, and showers to encourage commuting and rainwater harvesting to reduce the demand on the municipal infrastructure system. By incorporating a highperformance envelope to reduce the overall size of the mechanical cooling and heating systems we addressed energy consumption by passive rather than active means. The building also connects to the local district steam energy system, further enhancing energy efficiency.

REIMAGINING CARE PATHWAYS

St Paul’s Hospital

Our team is playing a crucial role in ensuring compliance for the new St. Paul's Hospital, through expertise in sustainability and safety, particularly in LEED and fire protection. We are providing ongoing support to Providence Health Care (PHC) to ensure the new hospital reflects a high standard of green and climate-resilient design. As part of this work, we designed a streamlined process for carrying out the province’s first-ever climate resilience compliance process for healthcare building design. This aligns with the Climate Resilient Guidelines for BC Health Facility Planning & Design, featuring a checklist and reporting mechanism for the meaningful integration of climate resilience into facility design.

The climate resilience compliance process is deeply interwoven with the LEED sustainability compliance review process. Our team is also delivering the complete sprinkler and standpipe system design, including an innovative design solution for sprinkler protection of mobile storage shelving.

LOCATION: Toronto, Ontario, Canada

CLIENT:

The Hospital for Sick Children

PROJECT SIZE: 750,000 ft²

CONSTRUCTION VALUE: CAD$400 million

COMPLETION: 2013

SUSTAINABILITY: LEED Gold

SERVICES PROVIDED: LEED Commissioning Services Energy Modelling Services

LOCATION: Vancouver, British Columbia, Canada

CLIENT:

Providence Health Care

PROJECT SIZE: 1.2 million ft²

CONSTRUCTION VALUE: CAD$2.2 billion

COMPLETION: Est 2027

SERVICES PROVIDED: Sustainability Consulting Fire Protection

© Tom Arban Photography
© Diamond Schmitt Architects

ULTRAMODERN PATIENT CARE

Sunshine Private Hospital

Our team provided a wide variety of services for the first stage of this new private hospital. The facility focuses on patient experience and includes a private mental health inpatient unit designed to enhance safety and create a therapeutic environment. The design of the infrastructure offers the potential for the building to be developed both horizontally and vertically to a future 120 beds and a further four operating theatres.

We designed the sizing and locations of essential infrastructure such as transformers, main switchboard, standby power, chillers, and central heating infrastructure for expansion and flexibility to accommodate internal changes to the multiple tenancy areas. Services such as HVAC, power infrastructure, water, and drainage systems allow flexibility to accommodate different operating configurations from consulting spaces through the future in-patient units.

SCIENTIFIC EXCELLENCE

Emory Winship Cancer Institute

This new 17-story facility combines Emory University’s excellence in scientific research with top-ranked hospital care in Georgia. Designed with input from patients, faculty, and staff, the institute has been built around patients’ needs and comfort by bringing all the necessary doctors, staff, and services to the patient. The building includes 64 inpatient beds, 26 observation beds, plus six operating rooms for both inpatient and outpatient procedures, a modern radiation oncology facility, and state-of-the-art imaging modalities.

The new facility houses communities of care focused on patients with specific types of cancer: breast and gynecologic oncology; head and neck tumors; sarcoma and endocrine cancers; genitourinary and gastrointestinal cancers; and lung cancer, lymphoma, and multiple myeloma. The communities consist of clinical research, infusion facilities, clinical examination rooms, and spaces for rehabilitation.

LOCATION:

St Albans, Victoria, Australia

CLIENT:

Australian Unity

PROJECT SIZE: 15,000m²

CONSTRUCTION VALUE:

AUD$150 million (stage one)

COMPLETION: Ongoing

SERVICES PROVIDED:

Mechanical & Electrical Engineering

Fire Protection & Safety Engineering

Hydraulics

Sustainability

Vertical Transportation

LOCATION: Atlanta, Georgia, USA

CLIENT: Emory Healthcare

PROJECT SIZE: 450,000 ft²

CONSTRUCTION VALUE: USD$500 million

COMPLETION: 2023

SUSTAINABILITY:

LEED BD+C NC (New Construction) Silver

SERVICES PROVIDED:

Medical Equipment Planning

© Australian Unity

REGIONAL CARE HUB

Manukau Health Park

The Manukau Health Park redevelopment will provide additional specialist healthcare services across radiology, renal, breast care, ophthalmology, and women's health departments, as well as additional operating theatre capacity to serve the South Auckland region. This sitewide expansion includes refurbishing three new buildings to the existing hospital. The project will expand and enhance the resilience of the existing electrical and technology infrastructure, including new substations, standby generators, and diverse fiber optic backbone cabling.

We provided leadership and coordination with a design focus on the new northern building, which includes radiology, renal, and other specialist functions. The design was completed to construction with digital delivery, which included eliminating all design clashes through detailed 3D modeling and clash detection and resolution using Revizto software.

TRANSFORMATIVE PATIENT CARE

Siteman Cancer Center

Our team is providing engineering design services for a new major cancer treatment center in the heart of the Barnes-Jewish Hospital and Washington University School of Medicine (BJC/WUSM) downtown academic medical campus. The program includes clinical spaces such as examination, infusion treatment, radiology services, and associated support space. There will also be specialty research and support areas such as a laboratory and compounding pharmacy.

To meet the university's campus goal of energy savings greater than 30% of the minimum adopted standard, our team used both design analytics and energy modeling to analyze energy characterization (estimated breakdown of energy and end-uses by load components to identify opportunities and improve performance); optimizing the envelope (assessment of optimal performance characteristics for each envelope component to maximize energy savings); and parametric analysis (study of the effects between adjusting various envelope values and the net energy use).

LOCATION:

Manukau, Auckland, New Zealand

CLIENT:

Health New Zealand Te Whatu Ora

PROJECT SIZE: 5,000m²

CONSTRUCTION VALUE: NZD$316 million

COMPLETION: 2025

SERVICES PROVIDED:

Mechanical & Electrical Engineering

Hydraulics

Technology

Medical gases

Sustainability Consulting

LOCATION: St. Louis, Missouri, USA

CLIENT: BJC Healthcare & Washington University School of Medicine

PROJECT SIZE: 650,000 ft²

CONSTRUCTION VALUE: USD$190 million

COMPLETION: 2024

SERVICES PROVIDED:

Mechanical & Electrical Engineering

Plumbing Engineering

Fire Protection Engineering

Low Voltage Engineering

LEED Consulting

Energy Modeling

© Australian Unity © Perkins Eastman

LONG-TERM PARTNERSHIP

MD Anderson Cancer Centers

For more than 15 years, our team has provided medical equipment planning, procurement, and installation services for MD Anderson (MDA) for inpatient and outpatient services in the Houston area. Every project required the coordination of clinical specialties for the reuse, relocation, and new equipment. We worked with a range of architecture and engineering teams on planning services and directly with MDA on all procurement, installation, transition planning, and warehouse and move-related services. Major projects included the relocation and expansion of services for four community locations around Houston. Our team coordinated the new equipment and the installation of new major equipment for radiation, imaging, lab, pharmacy, and other equipment supplementing the medical and surgical clinic programs, imaging, lab, pharmacy, and other equipment supplementing the medical and surgical clinic programs.

SMART HOSPITAL

LOCATION: Houston, Texas, USA

CLIENT: MD Anderson

COMPLETION: Ongoing

SERVICES PROVIDED: Medical Equipment Planning

Hackensack University Medical Center

The Helena Theurer Pavilion is an expansion at Hackensack University Medical Center, which is part of the Meridian Health System, a major healthcare provider for the greater New Jersey region. The new ninestory pavilion incorporates the latest technology into a modern working environment that enhances the patient, team, and physician experience. The facility includes 24 stateof-the-art operating rooms, 75 intensive care beds, and 150 medical and surgical private patient rooms, including a 50-bed orthopedic institute with supporting Pre-Op/PACU space at the building's platform. Our team provided technology visioning services. We developed requirements, designed, and wrote specifications, and managed the bid process for the audio-visual, patient entertainment and education, and digital wayfinding systems. We also provided coordination and advisory services for the RFID, RTLS, DAS, and OR integration systems. The work was recognized as a 2023 Engineering News-Record New Jersey Project of the Year.

LOCATION: Hackensack, New Jersey, USA

CLIENT:

Hackensack Meridian Health System

PROJECT SIZE: 530,000 ft²

CONSTRUCTION VALUE: USD$714 million

COMPLETION: 2023

SERVICES PROVIDED:

Technology Visioning Procurement Assistance

Technology Construction Management

© Jim Olive © Jonathan Hillyer

Memorial Sloan Kettering Cancer Center

Memorial Sloan Kettering (MSK) built a new, 23-story outpatient cancer care facility that includes treatment for patients with lung, head, neck, and hematologic cancers and a stateof-the-art outpatient bone marrow transplantation program. The David H. Koch Center for Cancer Care also supports a broad range of early-phase clinical trials to discover new cancer treatments and leading-edge radiation oncology and radiology services.

We served as the IT consultant, providing overall program and project management for the technology equipment and systems. Our team also developed the requirements, design, and written specifications for the nurse call, RFID, RTLS, DAS, and FRS and interfaces/integration of the IPI devices. We worked with MSK to implement an integrated patient tablet solution in every room that enables patients to control lights and room temperature, call the nurse, order food, and more by operating a tablet at their bedside.

STATE-OF-THE-ART CARE

LOCATION:

New York City, New York, USA

CLIENT:

Memorial Sloan Kettering

PROJECT SIZE: 750,000 ft²

CONSTRUCTION VALUE: USD$1 billion

COMPLETION: 2019

SERVICES PROVIDED:

Technology Visioning

RTLS/DAS Design

Technology Construction Management

Technology Inter-System Integration

MedStar Georgetown University Hospital

MedStar Georgetown University Hospital optimized its healthcare delivery by designing a new facility to meet current and future healthcare demands. The surgical pavilion houses 156 private patient rooms, a helipad with direct access to 31 state-of-the-art operating rooms, and 32 exam rooms in a modernized emergency department. This is one of the largest new healthcare developments in Washington, DC, for more than 10 years.

We served as IT consultants, providing overall program and project management for the technology equipment and systems. This included technology strategy and visioning, IT gap analysis, design oversight, and procurement management. We also developed the structured cabling system, nurse call and code blue, public address and overhead paging, and television signal distribution. Our team also provided medical equipment planning, procurement, and logistics for the surgical pavilion.

LOCATION: Washington, DC, USA

CLIENT:

MedStar Georgetown University Hospital

PROJECT SIZE: 477,000 ft²

CONSTRUCTION VALUE: USD$635 million

COMPLETION: 2023

SERVICES PROVIDED:

Technology Strategic Planning

Low Voltage Design

Technology Project Management

Medical Equipment Planning

© Andrew Rugge/Perkins Eastman (MSK David Koch)
© Judy Davis, Architectural Photographer

EXPANDING ACCESS TO ADVANCED CARE

Lutheran Medical Center Replacement Hospital

The new replacement hospital is set to transform healthcare in Wheat Ridge and Jefferson County, providing 200 stateof-the-art inpatient beds, a modern parking structure, and a central utility plant. Designed with the future in mind, the hospital also makes room for future medical office buildings on campus, ensuring long-term growth and expanded healthcare access for the community.

At the heart of this project, we played a vital role in bringing the hospital to life, managing medical equipment planning, procurement, and installation across essential departments. From emergency and critical care to surgery and dialysis, every clinical area was designed to support the highest level of patient care with cutting-edge technology.

CONSOLIDATED CARE

Indianapolis Downtown Hospital

Indiana University Health (IU Health) plans to build a world class 864bed hospital that will consolidate its two Indianapolis adult hospitals on an expanded downtown medical campus. The academic teaching hospital will combine adult services into one location with 47 operating rooms (ORs) including ortho, general, cardiac, transplant, trauma and neuro specialties; two hybrid; one iMRI. There will also be five linear accelerators, three cath labs, four EP labs, five IR (interventional radiology) rooms, two NIR (near-infrared spectroscopy) rooms, four ERCP rooms, nine floors of inpatient and observation beds, plus an emergency department with helipad.

The new core hospital will offer pre-eminent care for Indiana over the next 50 years. Combining the operations of the two hospitals eliminates costly duplication of high-acuity services while furthering IU Health’s mission by providing world-class, patient-centered care.

LOCATION: Wheat Ridge, Colorado, USA

CLIENT:

Intermountain Health (formerly SCL Health)

PROJECT SIZE: 804,000 ft²

CONSTRUCTION VALUE:

USD$650 million

COMPLETION: 2024

SERVICES PROVIDED:

Medical Equipment Planning

Procurement

Installation Management

LOCATION: Indianapolis, Indiana, USA

CLIENT:

Indiana University Health

PROJECT SIZE: 2,560,000 ft²

EQUIPMENT VALUE: USD$450 million

COMPLETION: 2028

SERVICES PROVIDED:

Medical Equipment Planning

© Dan Schwalm, HDR ©Curis

Expertise Assembled

Right Team, Right Place, Right Time

Buildings

Our work is delivered by four integrated practices. We unlock potential for our clients at every stage of the built environment’s transformation: from strategy, through design and construction, to asset performance and optimization, backed by analytics at every stage.

Our regional teams understand deeply the needs of their local markets and are just as confident working collaboratively on projects further afield as part of our global network.

Planning, consulting, engineering, and design.

We provide mechanical, electrical, fire protection, and water systems engineering for buildings and districts.

Our engineers design systems that enhance building performance for the benefit of owners and investors, occupiers, communities, and the environment.

These core MEPF engineering capabilities are supported by a continually evolving range of planning, consulting, engineering, and design specialisms.

Architectural Lighting & Daylight Design

Building Systems Commissioning

© Catherine Chan/Introba

Strategy

Translating bold ideas into action.

We develop innovative policy frameworks, performance standards, and delivery roadmaps.

We work with policymakers, government agencies, institutions, and businesses to develop strategies for organizations, projects, campuses, portfolios, districts, cities, and regions.

We put guardrails around strategic objectives while offering ongoing support to monitor their implementation.

Digital

Connecting the digital to the real.

We help clients to build better with digital insights and expertise.

We fuse the power of data, emerging technologies, intelligent buildings and transportation, and domain expertise to transform how buildings and communities work.

From technology visioning to data-driven operations, our teams map our clients’ needs to deliver emerging solutions for impact, resilience, and success.

Analytics

Putting data behind decisions.

Our design analysts combine expertise from the fields of architecture, engineering, physics, computer and data sciences.

We work closely with our buildings, strategy, and digital practices to undertake parametric performance analyses, create specialized modeling tools and develop new ways to visualize, explore and understand data.

We equip clients and design teams with the insights they need to make well-informed strategic decisions.

– Policy and Planning

– Masterplan Visioning

– Climate & Sustainability

– Corporate ESG Strategy

– Circular Economy

– Sustainability Certification & Assurance

– Building Health & Wellness

– Digital Advisory

– Digital Transformation

– Reality Capture

– Digital Twins

– BIM

– Immersive Applications

– Automation & AI

– Smart Buildings, Mobility and Infrastructure

– Policy & Infrastructure Analysis

– Building Energy Modeling

– Climate Resilience Assessment

– Life Cycle Analysis

– Whole Life Carbon

– Computational Fluid Dynamics

– Data Analytics & Visualization

– Microclimate Assessment

– Building Envelope Optimization

– Indoor Environmental Quality

© Cosmin Serban
© Catherine Chan/Introba

Your projects Our passion

An award-winning portfolio of commissions at every scale

Our sector leadership model combines our technical expertise and local specialist knowledge to best support the needs of our clients.

Market Sectors

We provide our full range of services across six sectors, tackling developments involving multiple building types by assembling cross-sector teams:

Healthcare

– Clinics

– Hospitals

– Medical Offices

– Medical Research

– Surgery Centers

– Cancer Centers

– Care Facilities

Commercial – Offices – Residential – Retail – Hotels – Hospitality – Sports – Leisure – Stadia – Entertainment – Mixed Use

– Arts & Culture – Industrial

Science & Technology

– Laboratories – Data Centers

– Pharmaceutical

– Advanced Manufacturing

– Research Facilities – Clean Rooms

Education – Schools – Colleges – Universities – Campuses – District Energy – Student Accommodation

Government

– Justice

– Civic – Federal Healthcare – Defense – Workspace – Public Safety – Mission Critical – Law Enforcement – Policy & Code Advisory

Mobility – Aviation – Rail & Transit – Highway Facilities – Maritime – Port Facilities

Yasodhara Ashram Temple of Light - Kootenay Bay, BC, Canada © Amy Allcock
Ohana House Montage Health – Monterey, CA, USA © NBBJ
Boden Headquarters
London, UK
Jefferson Smith
Providence Care Hospital – Kingston, ON, Canada © Adamson Associates Architects
MetroHealth Glick Center – Cleveland, Ohio, USA © Nic Lehoux
Bendigo Law Courts – Bendigo, VA, Australia © Tim Griffith
Google Bay View Campus - Mountain View, CA, USA © Iwan Baan

Inspiring Change Empowering Changemakers

Leading by Example, Walking the Talk

Thought Leadership

We give clients access to internationally recognized thought leaders in their fields.

We identify talented young professionals with the potential to become changemakers, providing a platform for them to grow and achieve impact.

introba.com/people/thought-leaders

Industry Engagement

Introba plays an active role in support of professional bodies and industry initiatives.

We are active members of US, Canadian, Australian, and UK Green Building Councils and regularly contribute time and expertise to taskforces, working groups and research initiatives.

Defining Best Practices

We work with professional bodies, industry partners and independently to advance the current state of knowledge across the fields in which we practice.

Recent contributions include:

– PARAS 0016 : Airport Security Vulnerability Assessments

– Refrigerants & Environmental Impacts: A Best Practice Guide

– The Radiant Whole Life Carbon Study

– Whole Life Carbon of PV Installations

– CIBSE TM 65 : Embodied carbon in building services

– Renewable Natural Gas : What Role Will It Play in Decarbonization in B.C.?

– World Green Building Council : Beyond Buildings

Click on the links above to access these resources.

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Impact Fund

Running on an annual basis, our Impact Fund supports thought leadership and transformational initiatives around sustainability and digital innovation, and encourages collaboration with external partners.

introba.com/impact-fund

Net Zero Carbon Buildings Commitment

We are founding signatories of the World Green Building Council (WorldGBC)’s Net Zero Carbon Buildings Commitment. Introba is Net Zero Carbon for Scopes 1 and 2.

MEP 2040 Challenge

We are signatories of the Carbon Leadership Forum’s MEP 2040 Commitment to advocate for and achieve net zero carbon in our projects: operational carbon by 2030 and embodied carbon by 2040.

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ESG

We published our first annual corporate social & environmental responsibility report in 2017.

We are now leading the development of the ESG program of our parent company, Sidara. This will provide a platform to share our ongoing performance, alongside other companies within Sidara.

introba.com/esg

CONNECTED TO SUCCESS

Introba is part of a global alliance whose members are consulting and engineering firms with unique and complementary specializations, serving the buildings, transportation, and water sectors.

Together we provide our clients with the resources and reach of a truly global company and the innovative thinking and deep focus of a best-in-class specialty firm.

INTROBA OFFICE LOCATIONS:

Canada

Calgary Edmonton Kelowna Toronto Vancouver Victoria Serbia Belgrade

OUR LEADERSHIP TEAM

Mike Swanson Vice President, Healthcare

Alexandra Faugeras

Managing Principal, Medical Equipment Planning

United Kingdom London Oxford Ireland Dublin Australia Brisbane Melbourne Sydney

Gary Hamilton

Senior Vice President, Growth Leader

Mike Maselli

Managing Principal, Technology

Bruno Vahedi

Senior Principal

Pia Engel-Moss

Managing Principal, Sustainability

Our alliance enables us to tailor and scale our solutions to our client’s specific needs. Through technical excellence, local knowledge, and future insight we empower positive change in our communities and for our planet.

United States

Atlanta

Austin

Chicago

Dallas

Denver

Houston

Indianapolis Kansas City

Los Angeles

Miami New Haven New York

Oakland San Diego Seattle St. Louis Washington

James Gungl

Senior Principal

Carl Emery Principal, Business Development

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