Qualifications for Orange Regional Medical Center ACC

qualifications for

Orange Regional Medical Center

ambulatory care center and cancer center expansion December 2013

Forum Studio | A

B |

1. A place, meeting, or medium where ideas and views can be exchanged.

2. A collaborative, multidisciplinary culture.

At Forum Studio, we are flexible and diverse. We are architects, designers, planners, and engineers. We are urbanists, conceptual thinkers, artists, environmentalists, builders, and problem-solvers.

We are tinkerers, inventors, communicators, technologists, and field experts. We are dreamers and pragmatists, thinkers and doers, bigpicture strategists and sweat-the-small-stuff tacticians. Together, we are a forum — a place for robust exchange and collaboration.

And together, working with colleagues and clients, we achieve infinitely more than any one of us alone ever could.

Forum Studio | 1

2 |

OUR vision

we design for...

life

PASSIONATE ABOUT IMPROVING THE QUALITY OF PEOPLE’S LIVES, WE ARE COMMITTED to CREATING ARCHITECTURE at THE CONFLUENCE OF HUMAN NEED, ENVIRONMENTAL STEWARDSHIP, AND MEASURABLE VALUE — AT THE iNTERSECTION OF SCIENCE AND ART.

Forum Studio | 3

St. Louis County John C. Murphy Health Center

4 |

OUR perspective

the rising demand for ambulatory care centers Ambulatory Care Centers (ACCs) will grow as a result of an increased desire for outpatient services and the rising demand for physician alignment with hospitals.

ACCs – WHY THE RISING DEMAND?

There are several factors driving the demand for the construction of these new Clinics.

• Between the baby boomers entering Medicare at the rate of 3 million per month; the addition of approximately 16 million people entering Medicaid as a result of the Affordable Care Act (ACA); and the addition of an estimated 16 million more people forced into the healthcare system through newly formed State Exchanges, there will be over 32 million additional covered lives entering the healthcare system by the end of this decade.

• As a result of the need to address the new regulatory compliance of the ACA, and the headwinds to reimbursement that are inherent in the law, providers are seeking less expensive venue’s to deliver their healthcare services.

Medicare rates. Traditionally, those rates barely cover all costs, so hospitals will have to quickly address their fixed costs, and there is no better way than to shift services to an outpatient environment.

The reforms of the Affordable Care Act present additional challenges, including new reimbursement models such as Value Based Purchasing; Bundled Payments; Accountable Care Organizations; Medical Homes; Reduced Readmissions; and Quality Based Reimbursement; some of which encourage hospitals and physicians to become partners in payment. All of this requires new thinking as to how to deliver healthcare services.

• The integration of physicians into hospital systems is creating a need for medical office space as well as a more fundamental environment to provide a more coordinated level of care.

By 2019, when all of the ACA provisions are planned to kick in, the public sector covered population will stand at 117 million people, representing almost 50% of total reimbursement. This change represents a dramatic increase in the public sector from the beginning of the decade. It will be vital for hospitals to learn to operate on Medicaid/

Forum Studio | 5

Why?

These newly insured patients will need a place to receive medical attention. The space doesn’t exist now. No industry is better positioned than health care to take advantage of the reduced pricing and lower lease rates.

6 |

The baby boomers are maturing and will be increasing their consumption of medical services.

The 2012 U.S. Supreme Court ruling upholding the Affordable Care Act and the certainty that millions more people will be added to insurance rolls (millions of uninsured who will gain coverage in 2014) is happening.

Why now?

The recent burst in construction is believed to be a result of several factors: • Demand that built-up during the 2007-09 recession when many projects stalled or never got started.

3

• 2012 US Supreme Court ruling upholding the Affordable Care Act.

Current trends driving ACCs 1. More acute care and emergency services will increasingly begin to move off of hospital campuses and into community office settings as a result of increased pressure from insurers to change more procedures to outpatient status.

2. Construction of freestanding emergency centers that will stand alone, rather than being integrated into more expensive new hospital construction.

3. More partnering among hospitals, physicians, health systems and for-profit or nonprofit companies, creating the need for new or expanded space.

3 Health reform my boost Ambulatory Care Center market – American Medical News, Victoria Stagg Elliott, April 18, 2011 Source: Duke Realty, Indianapolis

OUR perspective

Implications on real estate and construction As more physician practices move to hospital ownership, an Ambulatory Care Center’s hospital affiliation, or lack thereof, is an increasingly important indicator of asset value.

Today’s ACC is normally 15% rented by hospital, and 85% rented by private physician groups. As a result, the financing for these buildings is taxable, or in today’s market, would be about 6-7% cost of money. But, the ACC of the future will be different. Because of the hospital-physician integration, the physicians will be connected to the hospital, so new buildings could qualify for tax exempt financing, or 4-8% in today’s market for fixed, and even less for variable rates, a major difference for the ACC pro forma.4 Rates will always vary based on credit levels and the current market conditions.

The healthcare systems will continue to push for strategically located ACCs to form the backbone of their increasingly dispersed facility networks and to be positioned to benefit from the ACAs reimbursement program.

ULI (February 2013 report) stated the need for 64 million sf of additional ACC space would be required during the next decade. Some of this space is on hospital campuses, but much of it is off campus.

ACCs will likely be larger than in the past and include ambulatory surgery and imaging facilities.

One thing is for certain – change is upon us. We will all need to continue to adapt to these changes and to be flexible and able to change as our client’s needs change.

Hospitals have many needs. They will continually use money from monetization of exsisting assets for IT and Physician Integration as well as for new ACC construction.

4 Commercial Investment Real Estate, Patricia Wassik, CCIM, CPM, and Deborah Carlson, CCIM, CPM

Forum Studio | 7

8 |

OUR perspective

the ambulatory care center of the future The world of healthcare is forever evolving. Hospitals are adapting their infrastructure to respond to the changing needs that the Affordable Care Act (ACA) is demanding.

From our position as a design/build company, and one that understands the need to have the proper facility infrastructure in place to enable the healthcare team to do their job, there are common needs that need to be addressed: • Customer Experience - more patient friendly • Staff/Care Giver Experience • The ACC of the Future • Utility Strategies • Technology delivers projects on-time and on-budget

• The visual environment needs to put a customer at ease, and reduce anxiety for often stressful situations. This is accomplished thru calming colors, appropriate lighting, soothing music, etc.

Staff/Care Giver Experience • The workplace that maximizes the staff’s efficiency is increasingly important.

Convenient access to technology, equipment and supplies is one way of meeting the needs.

• Collegial atmosphere to work and consult with colleagues

• Facilities built with sustainability in mind • Cost savings approach Customer Experience When creating the ACC of the future the types of customer experiences expected by the healthcare system and the patient include: • A space that clearly orients the customer.

Way Finding is the key to help a customer move from where they are to where they need to be • Facilities that recognize the customer’s presence. Technology is leading the changes through tools like card reader systems for easy client registration, or registration kiosks, etc

Forum Studio | 9

• Connection to the outdoors to reduce burn-out and minimize human error, and places where care givers can take patients for a change of scenery where both patient and care giver can be reenergized.

The ACC of the future – What does it look like?

• The ACCs are increasingly adding retail components to their real estate mix. Fresh food markets, durable medical equipment and maternity clothing are three examples.

These will be merchandised more as specialty shops and less like a pharmacy or big box store.

• Community Centers will be created to provide a place for ‘the community’ to convene for hospital sponsored preventative healthcare classes, exercise classes, or a public place to have a meeting. A place that says ‘This is your neighborhood ACC – your neighborhood wellness center’.

• The building floor plate will be 100,000sf + • The buildings are being created to minimize the number of staff needed to provide any episode of care and the same level of care • Creating facilities that can help reduce staff, yet deliver the same level of service Utility Strategies The trend by progressive portfolio owners is to develop a facility that operates in concert with the climate. We agree with this and always plan for mechanical/electrical

10 |

infrastructure that is responsive to locational needs.

Technology Delivers Projects On-Time and On-Budget Building Information Modeling (BIM) and Virtual Design and Construction (VDC) are ways to integrate everything we believe in: excellence in design, integration of sustainable principles, and better service to our clients. We are capable of fulfilling the promise of working in a virtual environment. BIM, for example, shortens the schedule, reduces changes, allows for more prefabrications (shortens schedule and lowers cost), reducing field labor, which increases safety. Our commitment to this process leaves no doubt with our clients that their vision of progress is shared through the collective effort of all team members, which reduces the chance for errors, thereby, saving time and money.

Sustainable Design Our team has extensive experience and a passion for sustainable design and construction. We have and has achieved tremendous results through a creative, cost effective implementation of environmentally responsible practices. We approach sustainable design and construction not only to achieve a green building assessment standard such as LEED certification, but as an entire process of engaging a client, designers, contractors and building users

OUR perspective

on tangible solutions to meet project sustainability goals. During this process we are always looking for ways to improve energy efficiency, improve indoor air quality, improve water efficiency and reduce construction waste.

Cost-Savings Approach The Clayco/Forum approach is completely transparent. We provide detailed estimates and detailed cost accounting for every assignment. Our methodology allows us to partner with our clients and realize best

value solutions in design, construction, and procurement. We work with our suppliers to develop innovative, cost saving alternates.

We are committed to protecting the Program, Quality, Budget, and Schedule while delivering innovation. In order to maximize value and eliminate waste, our team develops alternates inclusive of all data, necessary for clients to make informed timely selections and feel comfortable they have made the right decisions.

Forum Studio | 11

transforming the delivery and operations of healthcare facilities a conversation with Erik Andersen and Scott Lumsden Erik Andersen: Healthcare executives

are anxious. It’s a fast changing, uncertain market with high pressure, low margins and the implementation of the Affordable Care Act less than a year away. New facilities designed to adapt to ongoing advances in medical research, technology, and treatment will be a critical part of healthcare’s evolution but new construction projects often add to the pressure.

Erik Andersen Design Principal forum studio SCOTT LUMSDEN Technical Assurance Director, FORUM Studio

Scott Lumsden: Part of the anxiety comes from unpredictability. While we can’t change the healthcare market, we have changed the way that we deliver new facilities. It’s a proven approach that reduces uncertainty about cost and constructability early on by getting all of key team members together to review the project and make decisions.

EA: There’s a parallel in the collaborative team approach in medicine, where the specialist physicians and clinicians treating a patient share diagnoses and treatment decisions to improve care and outcomes.

Collaboration and shared responsibility for results have the power to change everyone’s perspective.

SL: Integrated delivery leads to more

holistic thinking about the issues. We work as partners, all in it together, not in silos — planners, architects, engineers, builders. We share ideas and make decisions towards a common goal in real time, not sequentially.

You’re right, it’s empowering.

EA: And it’s not just the design and building team at table, the client is a critical collaborator, a co-author of their project.

With their participation and our leadership we learn what the building or the campus really needs to do. Through the lens of their goals we establish guiding principles, create a road map and monitor progress at each stage of the project.

SL: We are also able to bring state-ofthe-art 3D technology that helps clients visualize and understand the process.

Using Building Information Modeling or BIM

“At the end of the project we present the client with a complete and current 3D model that enables them to better manage and adapt the facility going forward.”

— Scott Lumsden

12 |

OUR perspective

from programming through construction allows the team to track every decision and make intelligent, informed decisions.

Everyone participates because everyone can understand.

EA: With the increased understanding

that our integrated platform provides expectations become more closely aligned.

We can benchmark the new facility against the original requirements. We are not just delivering a building, we are achieving our common goals together.

SL: No building project is static. Our technology not only helps us monitor changes throughout the design and construction process, at the end of the project we present the client with a complete and current 3D model that enables them to better manage and adapt the facility going forward. In that way we can help healthcare administrators meet the inevitable operations and change management challenges they will face.

EA: While we can provide our clients with a

clear list of measurable benefits from faster delivery and cost savings to better quality and reduced risk, our integrated approach represents more than the direct benefits.

When we say transformation we mean it.

The interdisciplinary team and the inclusivity of the process change how we think about our work and our responsibility to our client.

SL: We become stewards for the project

in the broadest sense. By helping clients make informed decisions we enable them to do their work better, too. In the case of healthcare that is vitally important.

EA: Every dollar saved through smart and efficient design and construction is a dollar that can be directed towards better patient care. At Clayco and Forum Studio we are actively working to make certain we are making the best use of our client’s capital resources.

Forum Studio | 13

the collaboratory where cooperation meets concentration

In workplaces, as in life, the one thing you can always count on is change.

The way you interact with colleagues. The way you process information. The way you welcome clients. The way you innovate and create. Even the way you sit at your desk. These changes are real and they are rapid.

Is your workplace designed to keep up? Is it designed to anticipate change?

Collaboration has been the watchword of interior architecture for nearly a decade. As demographics of office workers skew younger and the baby boom generation is exiting the workplace, new models for cooperation have emerged. Private offices have given way to “benching� in partition-free environments. Cubicle walls have been lowered to enable open communication. And density per square foot has increased.

But can a workplace function on collaboration alone?

14 |

OUR perspective

Today, we are embracing the notion of a “collaboratory�: a space that can serve as a lively forum for discussion and knowledge-sharing as well as an intensive, research-based lab. Collaboratories are, by their very nature, creative and adaptable. They assemble groups of like-minded scientists, academics, healthcare providers, and anyone else who has a stake in a positive research outcome.

They prize individual creative freedom without sacrificing the best traits of collaboration.

Collaboratories aren’t merely the product of space planning and design. They are, rather, the result of a broader cultural shift. Employers are recognizing that focused, individual pursuits must still happen within increasingly collaborative environments.

As we anticipate a more diverse labor force with multiple workstyles, the collaboratory model can help us strike a balance between cooperation and concentration.

Ron Johnson associate principal, interior DESIGN

Forum Studio | 15

a family of experts At Forum Studio, we provide responsive, responsible and respected architectural, interiors, landscape architecture, urban design, and planning solutions for our clients by creating great environments for their customers and communities.

“We will deliver the best process to suit the project’s needs and sometimes we find ourselves combining traditional and design-build approaches on the same project. The point is that clients want good ideas, whomever they come from, and collaborative design teams simply develop more good ideas.” chris cedergreen president & senior principal forum studio

16 |

Nimble and diverse, we tailor our integrated processes to accomplish the specific goals of each client and project. With experience, adaptability, and attitude, we seek the best solutions for each client, pursuing the right answer—not always the easy one. That’s how we have built a unique portfolio with a range of project types, delivered traditionally or designbuild, that prove their contention.

Our design teams believe that clients deserve quality design and optimum results, high value, and cost efficiency, providing options—not trade offs.

Our firm leaders are experienced hands, having worked for a number of the country’s leading architectural firms on a wide range of projects.

Together we are creating a new model of practice with a focus on integration in the broadest sense of the word. Integration of disciplines, to be sure, but also the integration of ideas, of goals, of talent, and of the best of human energies.

planning

interior design

landscape architecture

sustainability

BIM

urban design

architecture

estimating

engineering

TAG

Forum Studio | 17

Our approach

Forum Integrated Thinking

We founded our design firm to be that single forum that would bring together all of the capabilities of the master builder in a collaborative, creative, and inclusive process. We convene the needed expertise, when it is needed, at our table.

Beyond the disciplines of architecture and interior design, we’ve added deep bench talent in planning, landscape architecture, and urban design to our team.

Further, we regularly partner with experts, from economists to biologists, to expand our capabilities and benefits to our clients. Forum Studio—where trust creates the time and space for innovation.

architecture

interior design

planning

landscape architecture

urban design

Programming

Interior Architecture

Site Design

Mixed-Use Development

Functional Planning

Programming

Visioning + Strategic Planning

Campus Design

Town Centers

Site Integration

Space Planning

Conceptual Design

Workplace Strategy

Regional + Community Planning

Greenways + Waterfronts

Urban Parks + Public Spaces

Sustainability Systems

Change Management

Master Planning

Parks + Trails

Plazas + Streetscapes

Value Design

Sustainability Systems

Campus Planning

Plazas + Public Spaces

Urban Revitalization

Site Planning + Design

Green Roofs

Brownfield Development

Regulatory Agency Approval

Sculptures + Memorials

Design Guidelines

Building Systems Technologies Construction Documents BIM + VDC Building Representation Commissioning Post Occupancy Evaluation

Tenant Improvements Facility Management Interior Systems Technologies Acoustic + Lighting Design FF&E Procurement Interiors Representation Post-Occupancy Evaluation

18 |

Public Engagement Portfolio Optimization

Restorative Gardens Storm Water Strategies Ecosystem Restoration Product Design

Forum Studio is committed to next practices in sustainability, technical assurance, and virtual design to deliver the best possible design solution. sustainability

tag

bim

Sustainability is an integral part of how we practice. Embracing the principles of green design, we have established an active program that helps to educate our clients about the value of sustainably designed and built facilities, including the pursuit of LEED certification.

TECHNICAL ASSURANCE GROUP

BUILDING INFORMATION MODELING

Quality control and consistency are traditional hallmarks of design and construction’s best practices. With our focus on next practices, we are integrating an experienced team of planners, architects, and engineers, who know how to maximize construction quality and minimize costs, into our team of holistic problem solvers.

BIM is but one of several powerful programs within the Virtual Design and Construction (VDC) toolbox.

More than simply a 3D representation of project and a phenomenal storehouse of building information, BIM technology facilitates the collaboration that is essential for integrated project delivery.

Forum Studio | 19

unrivalled expertise collectively, the experts on Our team have planned, designed, and built major healthcare and life sciences facilities for premier global and u.s. institutions, including:

20 |

•

Acibadem

•

Nationwide Children’s Hospital

•

Advocate Healthcare

•

New York Presbyterian Hospital

•

Allied Health

•

Northwestern Memorial Hospital

•

Beaumont Hospital

•

Novus

•

BJC Healthcare

•

The Ohio State University Medical Center

•

Cedars Sinai Medical Center

•

Oklahoma Children’s Hospital

•

CenterPointe Hospital

•

Princeton University Medical Center

•

Columbia St. Mary’s Hospital

•

Rochelle Community Hospital

•

Cortex

•

Rolling Ridge Medical Center

•

Hannibal Clinic

•

Spectrum Health

•

Henry Ford Health System

•

St. Joseph’s Regional Medical Center

•

Indiana University Medical Center

•

St. Louis County Health

•

Karmanos Cancer Center

•

University of Alabama Medical Center

•

Manning Regional Health Care

•

University of Arkansas

•

Mayo Clinic

•

The University of Chicago

•

Mercy Health

•

University of Illinois Medical Center

•

Methodist Willowbrook Hospital

•

University of Nebraska Medical Center

•

Missouri Baptist Hospital

•

Washington University

•

Mitchell County Regional Health Center

•

Wishard Health Services

Forum Studio | 21

Washington University Orthopedics and Barnes–Jewish Hospital Outpatient Orthopedic Center Location Chesterfield, Missouri SIZE 60,000 SF

CenterPointe Hospital Location St. Charles, Missouri SIZE 77,000 SF

22 |

BJC Progress West HealthCare Medical Office Building Location O’Fallon, MissourI SIZE 60,000 SF

Rollingridge Medical Center Location Naperville, illinois SIZE 40,000 SF

Forum Studio | 23

Dankner Medical Building Location St. Peters, Missouri SIZE 12,000 SF

Mitchell County Regional Health Center Location Osage, Iowa SIZE 16,000 SF

24 |

St. Luke’s Medical Office Building at CityPlace Seven Location Creve Coeur, Missouri SIZE 15,000 SF

Hannibal Clinic Location Hannibal, missouri SIZE 21,500 SF

Forum Studio | 25

BJC Healthcare Administrative Office Building Location St. louis, Missouri SIZE 200,000 SF

St. Luke’s Rehabilitation Hospital Location Chesterfield, Missouri SIZE 29,000 SF

26 |

Baylor Medical Plaza Location Grapevine, texas SIZE 62,476 SF

Missouri Baptist Hospital Medical Office Building Location St. Louis, Missouri SIZE 92,250 SF

Forum Studio | 27

St. Louis County Health Clinic

leed certified

Laboratory & Office

“You have taken the time to understand the many facets of how we work and will use the space, and as a result have been able to design a building that is an excellent fit for our needs.”

Edward Mueth Deputy Director Saint Louis County Department of Health

LOCATION St. Louis, Missouri size 9,300 sM 2-story SERVICES provided Master Planning Architectural Design Interior Design

The St. Louis County Department of Health required a new campus to replace an aging and inefficient facility in north St. Louis. The project, serving as a beacon for healthy living, incorporates new clinic space environmental labs, and the consolidated offices of the Department of Health.

Two prominent entrances create a clear and inviting arrival; it is a reflection of the client’s mission to make healthy living welcoming to the community. A two-story solution was chosen to promote fitness, efficiency, employee interaction, and communication between multiple departments.

The interior of the facility is organized around a central two-story gallery space, incorporating the soothing features of a water wall, artwork, and trees. Daylighting concepts were further emphasized in the “open office” layout of the building. Beyond aesthetics, the gallery serves as a central core for the building’s wayfinding, allowing users to see all destinations from a single point of origin.

28 |

Forum Studio | 29

The design features encourage wellness, tranquility, and a comfortable experience—the goal is to improve the quality and delivery of health services for residents of St. Louis County.

30 |

Forum Studio | 31

Missouri Baptist Medical Center Bed Tower, Clinical learning institute, and parking garage

BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and mid-Missouri regions.

Location Town & Country, Missouri SIZE 22,500 Sm 46o car garage 339 car garage Helipad services provided architectural design construction management

This transformative 22,500-square-meter addition to Missouri Baptist Medical Center features critical new spaces, including a new Clinical Learning Institute for the School of Nursing, a new bed tower with medical office building, operating room expansion, new pre- and post- operating spaces, a helipad relocated to the roof of an existing bed tower, a 460-car above grade parking structure and various new mechanical and electrical support spaces.

The design-build team built the 12,000-square-meter garage that consists of three levels of parking with a total of 339 spaces. The upper floors of the garage are served by two glass enclosed stairs and two traction elevators. Architectural tilt-up concrete panel walls create the stair shaft for the main stair. The first floor of the garage is a cast-in-place structural concrete deck. Below the first floor of the garage is a stormwater detention structure with a footprint of 2,500 square meters. The new 4,300-square-meter Clinical Learning Institute (CLI) sits on top of the garage at the 4th floor.

The CLI includes obstetrics/pediatrics/surgical/skills simulation labs; distance learning and education classrooms, a resource center, computer lab, student commons and faculty office space. The exterior skin was selected as an extension of the current campus aesthetic, utilizing brick tile and precast concrete panels. This is the first true Integrated Project Delivery (IPD) contract in the region and Clayco implemented Lean construction and design principles, which led to improved efficiencies regarding the planning and execution of the entire project from design to construction. A very strong emphasis was placed on Virtual Design and Construction (VDC) technology which contributed to the successful implementation of Lean and sustainable building principles. The first phase of Site Work was completed ahead of schedule and under budget.

32 |

Forum Studio | 33

34 |

virtual design A very strong emphasis was placed on Virtual Design and Construction (VDC) technology which contributed to the successful implementation of Lean and sustainable building principles

Forum Studio | 35

Mercy Chesterfield Health Campus world headquarters

The buildings are carefully sited and integrated to minimize site impacts and maximize natural features that establish this campus as a medical healing community.

Location Chesterfield, Missouri SIZE Site & Master plan: 40+ Acres Phase 1—200,000 SF 48-bed Orthopedic Hospital and Clinic 15,000 Sm Virtual Care Center and 680car structured and on-grade parking Phase 2—20,000 SM Class-A office with 1,130-car below grade parking structure 60,000 Sm Learning/ Community Center Phase 3—160,000 Sm Class-A office with 400-car below-grade parking structure Phase 4—135,000 Sm Class-A office and Data Center with 430-car structured parking Services Provided Site Master planning Architectural Design Interior Design Landscape Design

36 |

The Health Campus brings together Mercy’s research, clinical diagnosis, treatment, and ministry groups. State-of-the-art facilities include a 15,000-square-meter Virtual Care Center, a 20,000-squaremeter, 48-bed Orthopedic Hospital and Clinic, 50,000-square-meter of Class-A office and data center, and 2,640 structured and surface parking spaces (870,000 square feet). The project will be completed over four phases of continuous development.

The intent of the project is to establish a medical campus where Mercy guests can work and effortlessly engage with one another and their community to enhance the reach of their mission. Incorporating wood, glass, and regionally sourced Missouri limestone, each building has been developed to provide a fully integrated functional program which harmonizes with and showcases the scale and diversity of the site’s existing nature.

Our planning carefully conceals the majority of the parking in land voids and each building engages site context and topography while intersecting with another to create the integrated campus.

Forum Studio | 37

38 |

The proposed Mercy health campus includes large expanses of glass that take advantage of natural sunlight. warm wood in the interior and views of the wooded site promote a sense of wellness in a serene setting.

Forum Studio | 39

University of Chicago Medical Center

green globes (expected)

West Campus Center for Care and Discovery Parking Garage

The building’s significant mass is modulated to respond to the grander campus scale while also engaging the pedestrian community of students, residents, medical staff, and patients.

Location chicago, illinois SIZE 76,000 Sm Parking Area 1,800 spaces 6,300 SF Street Level Shell Area 4,900 SF Dock & Support Areas 87,230 sm Total Building Area services provided Architectural Design Interior Design

40 |

The multi-use parking and infrastructure support facility is connected by a pedestrian bridge to the new $900 million Center for Care and Discovery to extend the campus’ second level public circulation system. A new lower-level service tunnel connects the new dock and services area with the existing campus material distribution tunnel system. The western portion of the garage structure is hardened to accept a future 30,000-square-meter doctors’ office building above the garage.

The exterior incorporates the campus’ primary vocabulary of stone and glass materials. The primary structure of the garage is articulated and organized to express a hierarchy of scale between the mass of the building’s structural system with a secondary scaling element of an infill texture of a staggered pattern of metal-framed translucent glass and open panels. Additional panels of “kinetic-art” wind veils respond to wind currents and activate these large wall surfaces further enhancing the textural quality of the building skin. This approach allows the building’s significant mass to respond to the grander campus scale while also engaging the pedestrian community of students, residents, medical staff, and patients.

Forum Studio | 41

Acibadem Altunizade Hospital New state-of-the-art hospital for one of Turkey’s leading healthcare institutions.

Location Istanbul, turkey SIZE 77,5,00 sM Services Master Planning site design Architectural Design

One of Turkey’s leading healthcare institutions, AcĹbadem Healthcare Group, has provided extensive state-of-the-art healthcare services to national and international clients since 1991.

They currently operate 12 general hospitals and 8 medical centers throughout Turkey. Forum was asked to develop a master plan and concept design for their proposed 77,500-square-meter Altunizade Hospital, located on a 17,000-square-meter site in a dense urban and primarily residential section of Istanbul.

The new design will combine both inpatient and outpatient services into a single facility. A separate clinic tower and 200 bed inpatient tower will be linked by a common podium base of public amenities and diagnostic & treatment services. A multi-story concourse extending the length of the podium will have distinct points of entry for inpatient, outpatient, and urgent care. This main circulation and gathering space will provide great clarity and ease of movement for patients, family, and caregivers as they navigate their way through this state of the art facility

42 |

Forum Studio | 43

Zirve University Hospital A new center for specialty patient care and research in a fast growing region of eastern Turkey

Location Gaziantep, Turkey SIZE 200,000 Sm 16 Hectares SERVICes provided master planning architectural design landscape design

A large new university hospital campus is being developed adjacent to Zirve University, a major regional education hub located in eastern Turkey near the Syrian border. The master plan calls for the development of a campus that integrates patient care and research, combined with hospitality and residential components. Conceived as a multiple-phase project, an initial 280-bed specialty hospital will be expanded to include an additional 196 beds, a conference and education center, and a 30,000 square-meter medical research facility.

The campus organization is intended to foster collaboration between clinicians and researchers, and facilitate the development of innovative treatments in neuroscience and organ transplantation. The campus will also include physician villas, nursing dormitories, a 120-room hotel, and gymnasium.

44 |

Forum Studio | 45

the art of exploration Discovery and visual dialogue The first sketch is not the beginning of our creative process; it’s the start of a visual dialogue generating new ideas and excitement. Our passion for architecture is palpable.

Exploring possibilities through the language of design, we reimagine the world. In the give and take of discovery, we rethink real world requirements into spaces that shape how we live.

early sketches for acibadem altunizade healthcare campus emphasize light, views, ease of access, and open green spaces for patients

Forum Studio | 47

We build our teams with a focus on how we can better design for the new realities of the ways people live, work and play.

BOB CLARK Chairman and CEO, Clayco

We started Clayco 28 years ago with the goal of finding new and better ways to do business.

I am proud that by establishing and nurturing a culture of innovation, collaboration and a can-do attitude Clayco has become one of the top full-service real estate, design and construction firms.

It is my job to make certain that we continue to be the best option for clients that expect the exceptional.

48 |

CHRIS CEDERGREEN, AIA PRESIDENT, SENIOR PRINCIPAL, FORUM STUDIO

As President and Senior Principal, my primary role is to provide business leadership while overlooking design and creation at every project phase.

My passion is to integrate art, science, planning, and architecture into all of our work.

The combination of these areas is crucial to a successful project.

I will assure that you receive responsive, responsible and respected architecture, interior, planning and design solution congruent with your expectations and satisfying your needs.

erIK ANDERSEN PRINCIPAL, FORUM STUDIO

CHIP CRAWFORD FASLA

HANS HECKER, AIA, LEED AP

SENIOR PRINCIPAL, FORUM STUDIO

PRINCIPAL, FORUM STUDIO

Having Planning is, at worked on the heart, problem design of leading solving and that’s academic medical what I do, keeping centers, healthcare in mind the place systems and of the projects in health science their environment. facilities across We now have the the U.S. and opportunity to seed throughout the a better future world, my role is rather than fixing to keep our team focused on helping problems for the short term. healthcare clients meet the complex Leading a team requirements of an of planners, evolving profession. landscape architects and We need urban designers, transformation to keep the academic my role is to stimulate creative medical core mission of teaching, thinking and problem solving, research, and and bring expertise patient care viable and fresh thinking for current and to meet the future generations challenges of an of students, evolving world. researchers, and patients and we are committed to enabling that change.

I see myself as a player coach with hands-on responsibility not just for the delivery of our services, but also for the high quality of our buildings.

While I have years of experience, I also bring my creativity and common sense to the process.

Working with our integrated project design and construction team, our ultimate goal is to deliver measurable value to you, our client.

OUR team Members

Scott lumsden principal, director of Technical assurance group, clayco

My goal is to ensure project requirements are met and a quality set of design and construction documents are produced which in turn enables for a successful project to be produced.

Ultimately, I believe that if a project exceeds your expectations, you will want to use this design team again without any hesitation or thought of even looking elsewhere.

My impact is always to be the client’s advocate with the design and construction team.

tomislav Žigo, aia, LEED AP, CM-bim Director of Virtual design and construction, clayco

The impact of BIM is greatly dependent on the team’s expertise.

Imperatively, as a leader of Clayco’s VDC services, is delivering the project where the use of this technology is second to none.

Realizing that in a client-centric organization the value comes from understanding client’s requirements and transposing them into a realm of digital project delivery.

BIM is a critical part of our process and our team is a guarantee that industry innovations are thoughtfully implemented for the benefit of the client.

TYLER MeyR

Jonny noble

ASSOCIATE PRINCIPAL, FORUM STUDIO

project architect, forum studio

To address the complex challenges of the urban environment, you need a diverse mix of strategic vision, conceptual thinking, and practical implementation.

I am passionate about design and believe in its power to solve some of the most complex challenges that we face today.

Working with the multi-discipline teams at Forum Studio, my role is to push design forward to achieve thoughtful solutions that are better than you could have imagined.

We can also be a link to help clients meaningfully engage the community as they plan for future expansion.

I know that the power of design, coupled with a pursuit of innovation, can help us build a more sustainable, equitable, and prosperous planet.

Together with the integrated team at Forum Studio, I am confident that we can create great places by using smart, designfocused solutions.

Amy luchun, leed ap, BD+C project architect, Forum STudio

As a Project Architect, I strive for perfection in the coordination of all disciplines. I believe in open communication between project team and the client throughout the design process.

My passion is to learn what is important to your firm in your working environment by asking those odd questions that may not seem important.

My impact is creating a comfortable and creative work environment for end users-whether they are employees, clients, or visitors.

Ron Johnson Project Manager, FORUM STUDIO

As a Project Manager for Forum, I want clients to benefit from a true partnership: the thoughtful and high quality integrated delivery displayed by our team.

My hands-on management style, coupled with passion for design, makes me uniquely suited to mitigate risk and deliver the project seamlessly.

From design aesthetics to construction pragmatics, my impact on is to connect design and implementation.

Aligning these two is critical to a successful project and measurable results.

Forum Studio | 49

OUR perspective

The Future is Now We believe the exchange of ideas, information, tools, and materials is easier because our technology platforms and the people that operate them are moving in sync and at speed.

Advancements in nearly every aspect of our lives are propelling us fast forward towards a future whose contours are becoming clear.

It’s a place where: Systems and people work together seamlessly. The exchange of ideas, information, tools, and materials is easier because technology platforms and the people that operate them are moving in sync and at speed. Teams do more than collaborate, they co-create.

Such interoperability allows for the rapid assimilation of new processes and systems.

It allows us to be more nimble and responsive. We produce a higher quality concept and buildings, more quickly, using our resources more efficiently.

Working more effectively, we concentrate on creating measurable value, be it operational efficiencies, workplaces that improve productivity or return on investment for shareholders and community shareholders alike.

More focus, less friction. Energy and enthusiasm. It’s an environment that invites design and process innovation, a place with room to test solutions, to explore the potential of ideas and to ask what more can be done.

It’s a dynamic, challenging world—it’s where we thrive.

Forum Studio | 51

making your mark

52 |

What will be your legacy?

Your vision will shape projects for years to come, your priorities will give form to the building, and your decisions today will be a template for the future.

Your challenges are our inspiration. Our energies are focused on the opportunity to create meaningful, effective, and enduring new environments. Working together we can help you achieve your goals and make your mark.

We look forward to being part of your visionary team.

Forum Studio | 53

Contact us

erik Andersen principal d 312 884 88015 m 773 742 5581 andersena@forumstudio.com 35 East Wacker Drive, Suite 1300 Chicago, Illinois 60601 forumstudio.com