Kimmerle Group Healthcare Brochure

KIMMERLE GROUP

KIMMERLE NEWMAN Architects

H E A LT H C A R E QUALITY OF ENVIRONMENT MATTERS

We believe the environment plays an integral role in the healing of the mind, body, and spirit. Our healthcare work is based on the concept of a healing environment promoting a

“Culture of Health�

TA B L E O F C O N T E N T S Firm Overview / Introduction

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Hospital Design / Acute Care

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Ambulatory Care / Staff Support

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Primary Care / Specialty Practices

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Special Needs / Development Services

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FIRM OVERVIEW Kimmerle Group and Kimmerle Newman Architects are pleased to present this overview of our Healthcare experience.

We are a full-service Healthcare firm that prides itself on our abilities to Master Plan, Program, Design, assist with Construction, and also provide Interior Design, Furniture Selection and Procurement, as well as Facilities and Project Management services all from one platform on an as-needed basis.

Our Portfolio ranges from Community Hospitals to Level 2 Trauma and Tertiary Care Facilities, to Medical Research Laboratories, Medical Office Buildings as well as ALF and SNF Residential Facilities

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We are a regional firm that works nationally and internationally.

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Our firm’s size of 40+ dedicated professionals located in our Harding, NJ and NYC offices, allow our Healthcare Studio to draw as many from this group as necessary to meet your needs and deadlines.

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We maintain budgeting and cost control, including full-scope reviews of contracted work and purchases and provide critical, seamless, project budget control.

• When appropriate, we work with MedDev, our Kimmerle

Group affiliate, as developers and developer advisors at

some of the most pre-eminent Healthcare institutions in the tri-state area.

Beyond this, we value our role as your advocate, and we strive to make our client’s needs and interests our own in every undertaking. We are also proud to say that our work has received numerous awards which we believe serves as testimony of our attention to your needs first and foremost.

W H AT W E C A R E A B O U T. . .

Families

Seniors

The Disabled

The Caregivers

George J. Kimmerle, AIA, PP, NCARB Firm Founder and CEO, Managing Director of Kimmerle Group’s CT Community Design Workshop.

Leads KG’s Master Planning and Development Advisory Services. NJBIZ Public Health Hero Finalist 2017, Speaker at Rutgers 2016 Healthcare & Real Estate Symposium. Multiple Healthcare Conferences: Dallas, NYC, NJ. Teaching & Lecture positions at multiple institutions. Qualified PhD at Rutgers Bloustein School of Urban Planning and Public Policy.

Paul Newman, AIA, CID Principal and Managing Director of KNA and KG’s Harding, NJ office. AIA NJ Firm of the Year 2017. Multiple conference speaking roles including Tri-State RE Health Conf. 2017. Currently Master Architect for over 13.6 million sf of developed space statewide.

DESIGNING & DELIVERING THE BEST HEALTHCARE

S O L U T I O N S

Meghan Barlotta Managing Director of KG Workspace: FFE and Equipment Procurement for Medical-focused Projects

Gary Schmidt Senior Project Manager of KG Project Management: Facilities and Owners’ Representative

Michael Azarian, AIA, LEED AP Practice Leader and Managing Director of Healthcare Studio and Hospital Practice located in NYC and Harding Twp., NJ.

2018 NJBIZ Best 50 Women in Business

Robert Kimmerle CFO and Managing Director of MedDev LLC, KG Real Estate Medical Development affiliate

Patrick Luzzi Managing Director of KG Real Estate Services and Health Property Acquisition and Disposition Program

L E A D E R S H I P - H E A LT H C A R E F O C U S

2017 NJBIZ Forty Under 40

Cindy Cui, AIA, LEED AP BD+C Practice Leader and Managing Director of KGs Branding Studio. Principal of KNA and over twenty -five years of diverse architectural and urban design practice experience.

KIMMERLE GROUP

William Kimmerle, AIA, NCARB Practice Leader and KG Urban Design and Facilities Planning.

Managing Director of KG’s Urban Studio / NYC Office and a Principal of KNA.

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HEALTHCARE / HOSPITAL DESIGN & ACUTE CARE

Hospital Design MAINFRAMES

Kimmerle Group is well-versed in the design of hospital mainframes, be they primary care community hospitals, or tertiary care trauma and teaching centers.

The hospital paradigm is changing, and major hospitals will need to undergo a variety of physical changes to meet ongoing developments in the healthcare marketplace. Those physical changes will take the form of restorations, renovations, additions, and in some cases full replacement hospitals.

System consolidations and the drive for greater efficiencies, ongoing physical deficiencies, and changing catchment areas underlie much of this activity. Beyond this, overall operational cost reductions and new-found technologies and demands of acuteness require drastic refocusing of current facilities.

Master planning for any major hospital project is a required necessity, along with creative programming for what is still an unknown healthcare future.

An institution’s Vision consisting of its goals and needs must equally drive the process and the resultant design. We have learned much from the mistakes of 20th century hospital planning, especially regarding growth and adaptation.

Flexibility, operational efficiency and a larger appreciation for areas of excellence remains at the core of our design process.

NEW-FOUND ACUTENESS

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HEALTHCARE / HOSPITAL DESIGN & ACUTE CARE

Rehabilitation & Renovation TEACHING FACILITIES

A tremendous amount of our work at mainframe campuses addresses renovation and redeployment of existing in place facilities.

This is due to the fact that financial constraints, scarcity of land, timing, zoning, and changing healthcare realities drive the alternatives that are available to hospital administrators in making facilities decisions.

While new facilities provide easy phasing, overall project costs usually make this prohibitive.

Renovations and rehabilitation become the most affordable option, phasing difficulties notwithstanding.

The accompanying illustration is an extensive renovation and expansion of SUNY Buffalo’s Dental School that integrates teaching operatories, classrooms, seminar rooms, a student center, research labs, and a conference facility across a full building repositioning with new building additions as a part of the development program.

CHANGING HEALTHCARE REALITIES

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HEALTHCARE / HOSPITAL DESIGN & ACUTE CARE

Surgical Suites INPATIENT SERVICES

Acute treatment facilities, such as operating rooms in mainframes or off campus, are becoming more complex. In many cases, expansion drives the program. In all cases, new technology and treatment modalities are instituted, such as robotics, laparoscopy, and hybrid OR’s.

As equipment needs grow, there can be no other possible response but to expand and reconfigure these core facilities. And these new technologies impact design with increasing compliance difficulties.

Our experience with the latest codes and trends involving OR suites of multiple complexities at a variety of institutions allows us to stay ahead of the curve on this evolving treatment modality.

IMPACTING DESIGN

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HEALTHCARE / HOSPITAL DESIGN & ACUTE CARE

Intensive Care Units INPATIENT CARE

Acute Care Facilities, such as specialized patient rooms, ICU’s, PICU’s, SICU’s, or CCU’s, are evolving to include PCU’s to provide a better transition of care beyond the normal step-down experience.

We expect additional future change will create even more overlap, or inclusiveness, resulting in the saving of space, staffing modifications, and changing patient care.

Beyond this, the demands for visual access from nursing stations, central or corridor located, with patient monitoring at multiple levels and quick transport to critical treatment facilities is something unlikely to experience great change.

PAT I E N T MONITORING

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HEALTHCARE / HOSPITAL DESIGN & ACUTE CARE

Patient Rooms BED FLOORS & SINGLE ROOM CONVERSIONS

The typical patient room continues to evolve from a stark bedroom to a room that more and more resembles a modern hotel room.

This movement is a result of primarily two factors: codes requiring single patient rooms in lieu of semi-privates, and Evidence-Based Design which has shown that single patient rooms provide better and quicker recoveries.

The use of warm, friendly materials such as wood surfaces and carpet, soft and variable interior lighting, and the use of natural light enhance the patient setting.

Pressure to incorporate HIPAA compliance, include family presence, and to provide built-in privacy and isolation capability are additional issues generating change. We incorporate these needs into every patient room we undertake.

EVIDENCE BASED DESIGN

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HEALTHCARE / HOSPITAL DESIGN & ACUTE CARE

Emergency & Urgent Care TREATMENT FACILITIES

Urgent care and hospital emergency departments both treat different emergent cases.

Urgent care facilities are generally under private ownership and are staffed to handle ‘lumps and bumps’ and a few more complex issues. They have replaced many primary care physicians and are a response to changing attitudes about the provision of primary care.

Walk-ins tend to be the primary users. Most UC facilities can do basic testing and imaging on-site. They tend to resemble doctor’s offices, and many will accept patients of all means.

Emergency departments have traditionally been associated with hospitals, but recently, several ED’s have been built away from mainframe campuses. Hospital ED’s can handle any case, even the most complex, within the department itself. Should more complex D & T be required, the connected hospital is right there to administer treatment. Walk-ins and ambulance deliveries are the primary users.

Designated trauma centers can handle the most serious cases and critically injured patients may be sent to a trauma center. Upon arrival at either type of facility, a patient is triaged in a special room, or in a cubicle. Some very serious cases may be admitted to the hospital immediately or after stabilization.

Over time hospital ED’s have created adjacent ‘fast-track’ examination departments for simple cases so that the throughput of more serious cases is unimpeded. Fast tracks are the precursors of the urgent care facilities of today.

FAST - TRACKING E X A M I N AT I O N S

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HEALTHCARE / HOSPITAL DESIGN & ACUTE CARE

Imaging & Radiology DIAGNOSTIC TESTING AND TREATMENT FACILITIES

As some of the most technology driven facilities in a hospital, imaging and radiology tend to be amongst the most expensive investments and cost centers in a healthcare facility. And ever evolving technology requires regular and ongoing investment to maintain a state of the art, competitive advantage.

Imaging centers are an example of this. Attention must be focused on location within a building, access, shielding, and turnaround time. The equipment is extremely expensive and can drive costs to near stratospheric levels.

We note building location because radiology equipment is extremely heavy, requiring structural floor reinforcement – this is easier if the units are on ground floor slabs or in the basement. Specialized shielding which can run to several feet thick of concrete for a LINAC, to lead-lined sheetrock and doors for other units. Operation considerations as well including exposure zones required by codes for some units can consume a great amount of space if not well defined.

Understanding these constraints is critical in the design and layout of these facilities and attention to patient comfort for these otherwise forbidden zones is an important underlying consideration as well.

ADVANCING TECHNOLOGY T H AT E N H A N C E S T H E HEALING PROCESS

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HEALTHCARE / HOSPITAL DESIGN & ACUTE CARE

Infusion CONTINUOUS TARGETED THERAPIES

A patient’s infusion experience is not a pleasant one. It requires continuous and repetitious visits for treatment, with each visit a constant reminder of the patient’s issues and whether progress towards remission or at least stasis, is being made.

To mitigate these feelings and provide for a minimally negative impact on the patient, Evidence-Based Design tells us that the treatment experience should be normalized and made as comfortable and uplifting as possible.

Material surroundings, interior light control, patient privacy, comfortable seating, media distractions, and natural light with views to the exterior all go into normalizing treatment.

We strive to create comfortable spaces in all our Infusion facility endeavors that will help expedite the patient’s healing experience for oncology, dialysis, or other intravenous infusion procedure.

C R E AT I N G THE HEALING ENVIRONMENT

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HEALTHCARE / HOSPITAL DESIGN & ACUTE CARE

Rehabilitation & Wellness INPATIENT CARE

Rehabilitation and the art of achieving and maintaining wellness is very much a process.

For patients who seek recovery, it requires physical and emotional contact by dedicated therapists who slowly, through a series of small steps, raise the physical capacity of the body but also assist in transitioning a person’s mind set from patient to one who is fully functional and capable of being on their own.

Much can be accomplished by a rehab process that gradually strengthens the body. Patients who gradually increase their physical capacity also concurrently increase their overall outlook on life. Rehabilitative exercise is one such methodology for accomplishing this, as is increasing positive attitudes.

Wellness also includes maintaining a healthy lifestyle of good nutrition and exercise, and facilities that cater to enhancing these activities should be more prevalent.

C R E AT I N G C R E AT I N G THE RIGHT THE RIGHT PROGRAM PROGRAM

CHANGING HEALTHCARE REALITIES

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HEALTHCARE / AMBULATORY & STAFF SUPPORT

Medical Teaching HEALTHCARE EDUCATION

Continuing education and teaching programs of all scales are an integral component of many instructions.

Academic health institutions abound and university affiliations including institutionally owned academic practice groups require in-place educational settings of all types.

The combined record of accomplishments for our medical practice team includes all types and styles of teaching assets from conference and meeting spaces, to laboratory settings, observational surgical theaters and a host of classroom and mentoring environments for public and private institutions.

Our work also includes corporate partners with extensive work in the pharmaceutical industry for such major organizations as Johnson & Johnson and Bristol Myers Squibb.

MENTORING ENVIRONMENTS

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HEALTHCARE / AMBULATORY & STAFF SUPPORT

Ancillary Support Systems AMENITY SPACES

Focused on safety and security as well as the needs of medical and nursing staff, KG has provided a wide range of support areas for our medical and institutional partners.

Beginning with campus and system wide security monitoring centers that are extended for our pharmaceutical clients to global platforms, our work in this area includes child and adult daycare programs and facilities, cafe and cafeteria and kitchen spaces, wellness and fitness centers, as well as quiet, prayer, and lactation areas.

Administrative and executive offices, accounting/ finance, and clerical work spaces also demand special attention to ensure workplace efficiency and staff effectiveness.

Perhaps no industry has as long-standing a demand for staff needs on a 24/7, multi-shift basis.

Management’s commitment to these devoted teams of practitioner, nursing, and staff is demonstrated by the level of care and treatment for these important and associated components of medical campus facilities.

EVALUATING THE EFFECTIVENESS OF HEALTHCARE TEAMS

WORKPLACE EFFICIENCY & EFFECTIVENESS

HEALTHCARE / IINTRODUCTION

Kimmerle Group: Sole Source Platform

Urban Studio Kimmerle Newman Architects PROGRAM

Workspace Inc.

Urban design, site planning and public entitlements (ap-

DESIGN

provals) at the state,

Architecture and

county or local levels

interior architecture for new or renovated requirements

KG Project Management FF&E

KG Branding Studio

Furniture, fixtures and furnishing standards and imple-

OWNER REP. SERVICES

mentation, national

Managing and over-

contract negotiation

sight of applications for Dept. of Health Certified Facilities and Certificates of Need and State Health Department plan review process

BRANDING Interior design and healthcare branding and messaging assignments

OUR CAPABILITIES EXTEND BEYOND THE TRADITIONAL FIRM • KG’s sole source platform is a resource available to every client organization on an as-need

• 30-Years of consistent professional performance for a wide range of industries including health has demonstrated the effectiveness of this approach.

• The array of senior level expertise offered through this program assures our clients that their requirements will be serviced at a comprehensive level with an attention to total project excellence, unmatched by our competitors.

• Consistent with this long-term posture KG offers both development advisory and real estate services to our medical and hospital clientele and we have been providing these services to multiple healthcare institutions for the past decade.

• Armed with available capital in excess of $250 million, KG has the capacity to deliver a complete turnkey experience for Ambulatory Care, Medical Office and Skilled Nursing and Assisted and Senior Living requirements.

S O L E S O U R C E P L AT F O R M

basis.

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HEALTHCARE / AMBULATORY & STAFF SUPPORT

LEAN Design METHODOLOGY & EVALUATION

Kimmerle Group’s approach to group practice spaces and floors is keyed to the development of multi-use and multi-scheduled practice spaces that maximize throughput, while providing organized, modular and graphically distinct practice clusters.

Careful separation of front-end processing, counseling and payment areas, separation from treatment spaces and controlled and separated practitioner support spaces are fundamental to this approach which has been termed a “retail” approach to medical office design.

Important to the successful implementation of this program is the careful design of medical office building floor plates to anticipate this model.

For instance, side-loaded cores for medical practice floors offer a clear advantage over center-core building plans.

The illustration [pictured] represents the generic model. KG has successfully implemented this planning model for a long list of institutions.

Our recently completed facility for Summit Medical Group, a 52,000 sf multi-practice MOB and ambulatory care center located in Livingston, NJ, is a wonderful example of these principles in practice.

PRACTICE SPACES THE EVALUATING THAT M A X I M I Z E EFFECTIVENESS OF THROUGHPUT

HEALTHCARE TEAMS

PRACTICE SPACES THAT MAXIMIZE THROUGHPUT

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HEALTHCARE / AMBULATORY & STAFF SUPPORT

Medical Office Buildings MULTIDISCIPLINARY OUTPATIENT FACILITIES

Freestanding medical office buildings have been a fixture of the healthcare industry for decades. KG and KNA have been engaged over the entire spectrum from freestanding individual practice buildings to expansive group practice facilities for both hospitals and physician owned organizations.

Our portfolio includes ground up structures, major additions to hospital campuses, and extensive repositioning and renovations of existing buildings for this dedicated use.

Brand and image are always a component of these undertakings and our final designs have ranged from modern glass and metal buildings to traditional structures derived from historic and contextually based sources.

In all these undertakings a deep appreciation for the needs of individual physicians, their support staff, as well as a concern for the underlying patient experience forms the parameters for how these structures are conceptualized and organized in their final form.

Cost to construct is always a consideration and our work has historically hit those benchmarks over a consistent and predictable program of work.

CAPTION THIS

PAT I E N T

PAT I E N T E X P E R I E N C E FORMSDIAGNOSTICS THE PARAMETERS

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HEALTHCARE / AMBULATORY & STAFF SUPPORT

Independent Diagnostic Services HOSPITAL TESTING FACILITIES

Hospital testing facilities as diagnostic tools for determining medical issues range from in-house laboratories, to advanced imaging, to physical exploration.

Equipment can be inexpensive, expensive or very expensive based on the complexity of the treatment necessary.

While many simple patient diagnostics have migrated off-campus, more serious conditions require the more sophisticated and expensive equipment at the hospital main frame.

We do see and are engaged in the development of off-campus testing sites, co-located with private practice facilities, as an emerging trend.

And in these cases, off-campus locations also act as direct feeders for the mainframe’s resources.

In all of these cases, certified facilities require approval at both the Dept of Health along with a plan review process that requires state oversight.

This additional regulatory oversight demands a design and project management team familiar with both the process and personnel at the state board level. The KG team has a demonstrated success level in addressing these more complex approvals in a timely predictable process and program.

DIAGNOSTIC TOOLS FOR ON AND OFF CAMPUS FACILITIES

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HEALTHCARE / PRIMARY CARE & SPECIALTY PRACTICE

General Practice Facilities PHYSICIAN PRACTICES

No component of the health system is undergoing as extensive a transition as the traditional private practice organization.

A trend that is still evolving, physicians as independent practitioners are one component of health delivery under intense scrutiny by affiliated institutions, insurance organizations and state regulators.

As the bedrock of the patient experience, direct access to individual physicians is still seen the first and most important interface a family or individual can experience.

At the same time physicians are being urged to process more and more patients in a limited time frame. These seemingly contradictory needs represent challenges for both doctor, staff, patient and of course the design professional charged with creating environments that serve these ends.

KG has over the course of three decades of medical practice designed hundreds of practice spaces of every possible variety and in every specialty area.

This experience has placed us front and center in meeting these contemporary challenges in practice design.

While the fundamentals of patient flow and staff support are ever-present, we go beyond to fashion unique and calming environments and interior spaces that enhance the individual experience of patients and their caregivers.

IMPROVING EVERY I N D I V I D U A L’ S EXPERIENCE

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HEALTHCARE / PRIMARY CARE & SPECIALTY PRACTICE

Specialty Practices INDEPENDENT PRACTICES

Mainframe, separate and independent physician practices continue onward in two forms:

• •

Freestanding medical office building group practices, many with salaried hospital-based doctors Specialty physician practices, in or out of networks or with hospital affiliations

Physically speaking, physician practices contain waiting rooms, reception areas, exam rooms and offices (sometimes combined), small nursing stations, supply, and storage, soiled linen rooms, labs and perhaps a treatment and imaging room.

Specialty practices however address larger needs including surgery and therapy areas with larger and more complex treatments occurring as these practice types evolve.

We are often called to design individual or group practices, including radiology or outpatient surgical facilities, as part of our service.

Many of these projects are the result of recommendations from hospitals or other physicians we have worked with.

PRIMARY C A R E

DESIGNING PROGRAMS FOR SINGLE & MULTIPRACTICE PHYSICIANS

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HEALTHCARE / PRIMARY CARE & SPECIALTY PRACTICE

Continuum of Care SENIOR LIVING ENVIRONMENTS

Facilities anchored by senior housing, including transitional settings for assisted living, skilled nursing and hospice support is an emerging model for senior living and adult care.

For many years this model was built and managed by faith-based organizations, today this approach is being adopted by private sector senior housing developers to great effect.

This enlarged and renovated facility envisioned at the NY Archdiocese’s Terence Cardinal Cooke Nursing Center was developed for a regional skilled nursing organization at the site of the former and historic NY Medical College on 5th Avenue at 106th Street and fronts on Central Park’s Conservatory Gardens.

TRANSTIONAL SETTINGS

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HEALTHCARE / PRIMARY CARE & SPECIALTY PRACTICE

Senior Program Facilities SKILLED NURSING FOR SENIORS & THE DISABLED

Our work in senior care includes support of organizations dedicated to the needs of the home health network with nursing and daycare alternatives.

The Somerset Visiting Nurses Association and Somerset County Day Care Facility [pictured] has been honored on a regional basis and was cited by former New Jersey Governor and 911 Commission Chairman, Thomas Kean, as a national model for integrated senior services.

The two-building campus also includes an adult nutrition center and a county-operated senior education program. This joint venture approach of not-for-profit organizations working in conjunction with quasi-governmental agencies was a component envisioned and promoted by Kimmerle Group and one which provides a wonderful synergy for allied partners on site.

DEDICATED TO THE NEEDS OF HOME H E A LT H C A R E

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HEALTHCARE / SPECIAL NEEDS & DEVELOPMENT ADVISORY SERVICES

Special Needs Community INTERMEDIATE CARE FACILITY

Medical care for the special needs populations comes with a host of extraordinary challenges.

Beyond the obvious problems of dealing with the physical and emotional limitations of the clients, providing a reassuring and informed setting for family participation is a vital component of the whole.

Our work in this area has also embraced the issues of early onset Alzheimer’s, which is prevalent in this population and just emerging as a widely identified national issue.

Spectrum for Living’s facility in Closter, NJ embraces all these challenges with an eye towards client and staff comfort in a supportive family-focused and accessible environment.

PROVIDING REASSURING SETTINGS

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HEALTHCARE / SPECIAL NEEDS & DEVELOPMENT ADVISORY SERVICES

Special Needs Community ADULT TRAINING CENTERS

This new training facility for developmentally disabled adults in Ringwood, NJ, on the campus of the former Mount Saint Francis Convent, presented many challenges including intense environmental security for this Highland’s Region site. Retaining and expanding an existing two-story timber frame barn on site formed the solution for addressing not only the client’s program but the constraints on this New Jersey Department of Environmental Protection regulated site.

The new facility reinvents the structure into program rooms, common spaces with soaring ceilings, and canopied outdoor patios for protected client activity.

Many of the state’s facilities for the developmentally disabled are housed in institutional settings, this center in rural Ringwood, NJ is a unique alternative, conceived as a New England farmhouse complete with barn and outbuildings - a daytime training center that engages natural landscape in its daily program activities.

REINVENTING & REPOSITIONING

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HEALTHCARE / SPECIAL NEEDS & DEVELOPMENT ADVISORY SERVICES

Master Planning Services GROWTH & FUTURE HEALTHCARE DEVELOPMENT

Kimmerle Group’s approach to medical master planning is keyed first and foremost to advancing an insight and appreciation for the special attributes of each individual system.

Positioned around the promotion of Centers of Excellence that emphasize and endorse particular specialties and key areas of practice, these facilities form a new identity and sense of purpose for aging campuses.

Rebranding of healthcare institutions is an important component of our work and a central focus of our master planning exercises.

Our Urban Studio affiliate, located in NYC has a deep understanding of the real estate, development and zoning particulars that underscore the contexts for these assignments and their analysis.

In this case, a joint venture between a major health institution and a local university spawned with KG/US’s guidance and input, envisioned the redeployment of over 750,000 sf of available TDRs, between the joint campuses.

This asset has the ability to contribute a value more than $175 million towards needed campus facilities while enabling 700 units of market and affordable housing in Brooklyn’s neighborhood of Fort Greene.

A cutting-edge planning program that meets the needs of multiple organizations while maximizing their in-place assets towards a brighter future for each institution.

CENTERS OF OF CENTERS EXCELLENCE EXCELLENCE

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HEALTHCARE / SPECIAL NEEDS & DEVELOPMENT ADVISORY SERVICES

Development Advisory Sevices FUNDING & IMPLEMENTATION

Seeking the vision and means to develop a 150,000 SF medical office building on campus, Maimonides Medical Center in Borough Park, Brooklyn came to Kimmerle Group and its affiliate MedDev, LLC to implement that program.

Now under construction and due for completion in 2019, KG/MedDev, LLC not only provided overall master planning and preliminary design services but led early entitlement approvals and tax abatement negotiations with the NYEDC. More importantly, KG/MedDev, LLC conducted a wide-ranging search for funding. Ultimately, we delivered HCREIT, now Welltower, as the project’s funding source.

A transaction that incorporates a multi-term offbalance sheet FASB compliant lease arrangement, along with a $95.0 million turnkey development program fully funded and implemented by this source.

KG’s ability to fully manage development programs from inception, and to analyze and deliver these kinds of complex financial transactions is unique.

These efforts conducted over the past decade of service to institutions of all scales has now culminated in commitments from outside institutional funds in the range of hundreds of millions of dollars to fund similar programs for our health care clientele.

Ambulatory care, MOB and skilled nursing facilities are the targets for these dollars, both on and off campus.

This is one resource very few firms of any caliber can offer and another asset that sets KG apart in the health care industry.

TURNKEY PROGRAM

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Over 250 years of combined & diverse hospital & medical design experience.

COLLECTIVE TEAM EXPERIENCE

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CLIENTS HOSPITALS Mass General Hospital, Boston, MA Jersey City Medical Center, Jersey City, NJ St. Charles Hospital & Rehab, Port Jefferson, NY Hackensack University Medical Center Montefiore Medical Center Cancer Center, Morristown, NJ CentraState Hospital, Freehold, NJ Chilton Memorial Hospital, Pompton Plains, NJ Cooper Hospital, Camden, NJ Hackensack University Medical Center Maimonides Medical Center, Brooklyn, NY Newark Beth Israel Medical Center, Newark, NJ Princeton Hospital, Princeton, NJ Raritan Bay Medical Center, Perth Amboy, NJ Robert Wood Johnson, New Brunswick, NJ Robert Wood Johnson, Princeton, NJ RWJ Barnabas Medical Center, Livingston, NJ SUNY Downstate, Brooklyn, NY

Patient Tower Expansion and Renovation Wilzig Replacement Hospital New Patient Wing, ED, ORs New 4 LINAC Outpatient Cancer Center Mainframe Sited, Outpatient and Inpatient Hematology and Oncology Treatment Center Radiology/MRI/Cat Scan Facility Master Planning & Strategic Development, New Buildings Conversion of office building to MOB, Due Diligence Study Radiology Center and Nuclear Cardiology Center Master Planning & Redevelopment Miscellaneous Projects including Child Advocacy Center Radiology, Rehabilitation Center Master Planning & Medical Office Building Finance Healthcare Offices IT Group Facility Misc. Projects Medical Center Doctor’s Building, Parking Garage, Blood Lab, Infusion Center, ENT, Pediatrics, Surgery, OB/GYN, Urology, Dental Offices

SPECIALTIES / PRACTICES / RADIOLOGY-IMAGING Atlantic Health Network, Morristown, NJ Physical Therapy Center, Oncology Center Atlantic Neurological, Morristown, NJ Regional Office, Radiology Suite, Pediatric Neuro Center Aesthetic Smiles of New Jersey, Morristown, NJ Dental Offices The Dermatology Group, various NJ locations (6) offices, including labs; (3) new, (2) renovations; (1) expansion in Northern NJ Dialysis Clinic, Morristown, NJ Dialysis Treatment Center Dr. Belofill, Ridgewood, NJ OB-GYN Offices, Lab, ER’s Dr. Boccia, Cardiology, Morristown, NJ Exam and Treatment Center Dr. Geller, Chester, NJ Dermatology Specialist Offices & Lab Dr. Maser, Morris Township, NJ Orthopedist Specialist Offices E-Medical Urgent Care Center Freehold Radiology Group, Freehold, NJ MRI, CAT Scan, Radiology Center Freehold MRI Center, Freehold, NJ MRI Upgrades/Replacements Fort Lee Imaging Center, Fort Lee, NJ MRI/Nuclear Radiology, Offices Hematology-Oncology Center of Northern NJ Infusion Treatment Center and Offices Laser Vision Center, Morristown, NJ Medical Offices, Treatment and Recovery Mann Dental Group, Morristown, NJ Dental Facilit and Labs Morris County Imaging, Morristown, NJ MRI, Nuclear Radiology Center

Neurology Center, Morristown, NJ Oak Tree Medical Associates, Edison, NJ Open MRI Associates, Morristown, NJ Osteoarthritis Center, Morristown, NJ Spinal Implant Surgery Center, Paramus, NJ Spinal Therapy Center, Morristown, NJ Dr. Widman, Morristown, NJ

Medical Offices Medical Offices, Labs/Patient Care, Urology, Pediatrics, Orthopedist Radiology/MRI Center Offices, Treatment Center Implant Surgical Center and Training Facility Exam Rooms, treatment, testing and PT center Internal Medicine and Infusion, Lab facility

MEDICAL OFFICE BUILDINGS 55 Madison Avenue, Morristown, NJ Full Medical Building Exterior Facade Renovations ongoing Planning and Leasing Services 101 Madison Avenue, Morristown, NJ Full Medical Building, Ongoing Planning & Leasing Services 310 Madison Avenue, Morris Township, NJ Conversion of Building to full MOB, Subdivision of site to add Parking Deck & Residential Building Medical Office Building, Florham Park, NJ Ground Up New Medical Building Hampshire Medical Office Building, Madison, NJ Ground Up New Medical Building Middlesex Medical Associates, Edison, NJ Ground Up Medical Offices, Labs & Patient Care Oaktree Medical Building, Edison, NJ Ground Up New Medical Building Summit Medical, Summit, NJ Ground Up New Medical Building Doctor’s Building and Parking Garage SUNY Downstate Medical Center, Brooklyn, NY MEDICAL LABORATORY FACILITIES Columbia Health Sciences, New York, NY Bio-Reference Lab, Morristown, NJ Labcor, Morristown, NJ

Hammer Bldg: Research Facility Lab Renovation Blood Science Lab Pathology Lab and Blood Testing Facility, Research Center

MEDICAL IMPLANT/EQUIPMENT GROUPS Arjo Huntleigh Healthcare, Eatontown, NJ Maquet Medical Group, Bound Brook, NJ NuVasive Spine Technology, Paramus, NJ Zimmer Trabecular Metal Technology, Cedar Knolls, NJ

Offices, Showrooms for Medical Equipment & Solutions Offices, Showrooms, Equipment OR Rooms Operative Theatres & Training Center Manufacturing Facility, Research Lab and Offices

PROJECTS WITH MEDICAL COMPONENTS County of Morris Corrections, Morristown, NJ Peapack-Gladstone Ambulance Squad, Peapack, NJ Spectrum for Living, Westwood, NJ

Closter, NJ

Teaneck, NJ

Ringwood, NJ

Medical and Human Services Renovations and Expansions Adult Day Care and Training Center Assisted Living Center with Medical and Nursing, Treatment Facility Educational Center and Adult Day Care Training Center

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AWARDS & RECOGNITION AIA National Design Awards Great Swamp Environmental Science Center, Harding, NJ Morris County Child Advocacy Center - Dierdre O’Brien House, Morristown, NJ Morris County Correctional Facility, Morris Township, NJ AIA NJ Service and Design Awards Architectural Firm of the Year 2016 - 2017 47-11 Austell Place, Long Island City, Queens, NY Kimmerle Group Headquarters, Harding, NJ Suburban Propane Corporate Headquarters, Whippany, NJ American Standard Corporate Headquarters, Piscataway, NJ NJ Business and Industry Design Awards Kimmerle Group Headquarters, Harding Twp., NJ Spectrum for Living, Training Facility, Ringwood, NJ Visiting Nurses Association of Somerset, Basking Ridge, NJ Carriage Court, Morristown, NJ as Designer and Developer 10 Park Place Expansion and Renovation, Morristown, NJ Ultimate Corporation Headquarters, East Hanover, NJ Association Awards United Way Impact Award Solarius Headquarters and 30 Lanidex Plaza, Parsippany, NJ NJBIA Environmental Quality Awards Kimmerle Group Headquarters, Harding, NJ CPE Distinguished Achievement Award, 1st Place Best Design 2017 Kimmerle Group Headquarters, Harding, NJ Downtown NJ Association Award 10 Park Place Expansion and Renovation, Morristown, NJ

NJBIZ Magazine Awards Series

2017 Coolest Office – KG Harding Twp. Headquarters 2017 Healthcare Heroes – George J Kimmerle, AIA 2018 Best 50 Women in Business Honoree – Xin Cindy Cui,

AIA, LEED AP BD+C 2017 40 Under 40 Honoree – William J Kimmerle, AIA Interiors Magazine Design Program School DePalma Headquarters, Manalapan, NJ LEED Certified Awards Bernards Township Sewerage Authority, Bernardsville, NJ Realogy Headquarters, Madison, NJ – Gold Crum and Forster Headquarters, Morristown, NJ – Silver Principal’s National Awards with Prior Associations Battery Park City, Urban Design Plan, NY, NY Blanton Resident Hall, Montclair, NJ Carnegie Center Renovation, NY, NY 500 Park Avenue Tower, NY, NY Mr. Azarian’s awards in the field of medical architecture and planning AIA Design Awards AIA Boston Wellesley College Science Center, Wellesley, MA AIA Buffalo/WNY SUNY Buffalo School of Dental Medicine, Buffalo, NY AIA NYC Warner Child Life Center, NYP Presbyterian, Cornell Weill AIA WHV Fesjian Pavilion, Montefiore New Rochelle Medical Center Progressive Architecture Awards Seeley G. Mudd Chemistry Bldg., Vassar College RWJ Barnabas, Jersey City Medical Center Business and Industry Design Awards Seeley G. Mudd Chemistry Bldg., Vassar College Banco Santander USA Headquarters, NYC Northwell Staten Island University Hospital NYU Dental Pediatric Intake Floor NYU Wagner Graduate School of Public Service Deloitte Consulting NYC Headquarters

FIRM OF THE YEAR

2016 - 2017

KIMMERLE GROUP

CONTACT US kimmerle.com NJ 973.538.8885 | NY 212.858.9512 1109 Mt. Kemble Ave | Harding Twp., NJ 07960 127 West 20th St., #1 | New York, NY 10011 121 Water Street | Stonington, CT 06378