2018 MMA Medical + Healthcare Portfolio by Massa Multimedia Architecture

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M U LT I M E D I A

A RC H I T E C T UR E

M E D I C A L + H E A LT H C A R E P O RT FO L I O

TABLE OF CONTENTS 4. 22. 24. 26. 30. 32. 34. 35. 36. 38. 40. 44. 46. 48.

Hyperpod St Mary’s Expansion Endoscopy Birthing Center & NICU NeoNatal Intensive Care Diagnostics Center Rooftop Expansion Energy Plant Infrastructure Adult Intensive Care Master Planning Surgical Services Renovation Neuro Operating Room Renovation Cath / EP Lab Long Range Facilities Planning St Joseph’s TBI Center

50. 52. 58. 60. 62. 64. 66. 68. 70. 72. 77. 78. 80.

Neuroscience Expansion University of Georgia Health Center Registration and Admissions Limited Land Master Planning Process Driven Ambulatory Care University Medical Care Prototype Replacement Acute Care Hospital Greensboro Critical Access Hospital Dimentia & Alzheimer’s Care Caremore - Washington DC Praise Project List Office Locations / Contact

Here at MMA, Intelligent Design is key. All of our projects are designed with practicality and proper aesthetic design in mind. MMA are experts in providing innovative, efficient, and flexible customer centered designs in todayâ&#x20AC;&#x2122;s limited resource environment.

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Redefining the ICU GREENVILLE HEALTH SYSTEM GREENVILLE, SC

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HYPERPOD

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Redefining the ICU GREENVILLE HEALTH SYSTEM GREENVILLE, SC Evidence Based Design MMA has set itself apart from all other design firms with its depth, breadth, and critique of evidence-based literature. As hospitals grow incrementally over time, healthcare needs coupled with site limitations present new and unique challenges for every project. Many large hospital spaces are not designed or used as effectively as they could be. This ineffective design leads to inefficient use of staff time and ultimately decline of patient care. MMA is skilled at designing technologically complex environments in antiquated spaces and we are configuring optimal solutions under difficult constraints. MMAâ&#x20AC;&#x2122;s designs put staff, operational, and economy of scale efficiencies first. This in turn leads to healthier and happier patients.

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HYPERPOD ICU

SERVICE SPACES

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LIGHTWELL

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Revolutionary Concept In the ever changing climate of Healthcare design and development, one aspect stands out as a true challenge to any Owner. How do you meet your census needs with ever increasing room size requirements set by industry standards and hospitals while only having a limited amount of space to expand? MMA was recently tasked with the challenge of designing a new 60 bed ICU in an existing space that conventionally could only support 40 beds. MMA’s design team culled from its vast database of research and evidence based design calculations and came to one conclusion. It was possible. The design was coined the HYPERPOD™. An MMA Registered Trademark Design. This design effectively reduced the linear footage requirements along an outside wall by up to 35%, while still meeting the code driven natural light requirements to patients. By using internal “Lightscapes”, a small room designed to pass light to another room, MMA was able to fit 8 rooms in the space that could originally only support 5. The design of this concept additionally allowed for increased staff productivity by allowing a single nurse to comfortably monitor 4 or even 8 rooms with a minimal amount of walking. Each HYPERPOD™ consists of 4 rooms served by a single access hallway or portal. Patients may be observed either from this portal or from nurse landing stations along the main corridor.

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ST. MARY’S ATHENS, GA

St. Mary’s, Athens, Georgia was voted Georgia Alliance of Community Hospital’s ‘Large Hospital of the Year’ for 2006. In a rapidly growing competitive marketplace, St. Mary’s moved quickly to open up a significant new ambulatory services site on busy Atlanta Highway. MMA complied with the Owner mandate for a 6 month start to finish design-build project including active MRI and CT environments. The 44,000 square foot interior upfit project was delivered on budget, on-time.

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When asked by St. Mary’s to demonstrate their unique problem solving abilities, MMA responded with an intensive 3 week charette. MMA’s response revitalized a stalled master planning effort launched by another healthcare architect that drug on

for over a year without a consensus being reached. The result was a bold imaginative design that completely revitalized the St. Mary’s image, bolstered morale and enabled a CEO decision to move forward. MMA’s master plan concept provides for

120,000 new square feet without the loss of a parking spot, reconfigures outpatient traffic patterns for customer oriented service, and provides the latest in healing healthcare environments.

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EXPANSION ENDOSCOPY ATHENS, GA This new unit was initially designed as an elevated addition with parking for the GI Docs below. The contractor had prepared a design development budget for the project that met the Ownerâ&#x20AC;&#x2122;s pro forma. Then the oil and gas crisis hit. In 8 weeks MMA and its consultants redesigned the project to sit on the ground floor saving $600,000.00 which equalled the price increase. The project moved forward with the same program elements and features that the original design had but without the covered parking. The Docs were satisfied however because they were involved all along and understood that marketplace pressures beyond the contractorâ&#x20AC;&#x2122;s control forced a revision to the design solution. With MMA as your partner, team members, hospital leadership and physicians stay informed and always have options at their disposal.

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EXPANSION ENDOSCOPY ATHENS, GA St. Maryâ&#x20AC;&#x2122;s chose to consolidate several existing ambulatory service programs located in various facilities throughout the city into one strategic location on busy Atlanta Highway. An opportunity arose for St. Maryâ&#x20AC;&#x2122;s to lease an entire brand new Class A business site for these services. MMA modified

infrastructure to suit the needs of health care and designed user friendly, private and convenient facilities. Included are diagnostics, registration, lab, neurosciences labs, rehabilitation and physical fitness programs

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NEW BIRTHING CENTER AND NICU ATHENS, GA

St. Mary’s needed an improved Women’s program and they needed it fast. Hospital leadership and privileged physicians stated that whoever applied for the CON first would gain the marketshare advantage. In 21 days MMA prepared detailed conceptual drawings and computer animation on which the CON was based. The first budget ended up being the final budget and the hospital is now the proud owner of a facility that has taken everyone by surprise. OB’s that initially were against moving to single room care are now outspoken advocates for family oriented birthing. The design concept made it easy for those physicians who were initially against single room care to endorse the design as it allowed for a transition from LDR to LDRP as practice habits gradually changed. The physicians have also been impressed with how the design supports operational and staff efficiencies. MMA can help create an advantage for you.

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FAMILY CENTERED BIRTHING & NICU ATHENS, GA

St. Maryâ&#x20AC;&#x2122;s new single room maternity suites have all the amenities an expectant mom would want for her family to be comfortable before, during and after the birth. Overnight accommodations, DVDâ&#x20AC;&#x2122;s, data points, Sanijet NSF approved whirlpools, etc. create the Ritz impression. Private foyers outside the room allow family to step outside while the Doc examines and serves as a staff communication point in between births. Suites are ACOG parametered, acoustically isolated and visually screened. The unit is designed for maximum staff efficiencies whether for high or low volume. Support services are located close by to improve staff efficiency. Daylight floods the unique interior 3 story Birthing Atrium and supports the Renaissance Revival design concept. Staff and Docs were heavily involved through field trips and mock-up validation. All this in a 12 foot floor to floor height!

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NEONATAL INTENSIVE CARE ATHENS, GA

The latest in neonate healing environment design and how emotions relate to space is incorporated into St. Maryâ&#x20AC;&#x2122;s new 20 infant NICU unit. The apprehension an expectant mom might have about where her new baby might be cared for if needing help is now gone as NICU and maternity are now visually connected. Many new facilities locate NICU remote from Birthing. MMAâ&#x20AC;&#x2122;s design provides emo-

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tional comfort and security. Transverse daylight axis design concept was accomplished in a building only 85 feet wide! Staff epicenter has visual connectivity with all ares of the unit including the staff lounge. Depending on the infants care plan, families have control over a private or a transparent environment. Overnight accommodations are provided for inside and outside the infants room.

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NEW & EXPANDED DIAGNOSTICS CENTER ATHENS, GA

MMA completely reoriented and significantly expanded St. Mary’s existing Diagnostics unit to present a new face in the new 100,000 square foot Phase 1 Women’s / NICU / Diagnostics expansion. A new private high throughput digital Women’s imaging unit was created, a Toshiba MRI environment was provided, 2 CT scanners were relocated in a back to back configuration to improve staff efficiency and to directly support ED, a new digital ED support acquisition room was provided and several other key spaces to improve patient throughput and staff operations.

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ROOFTOP EXPANSION ATHENS, GA

MMA was awarded Mission Impossible for this rooftop expansion after St. Mary’s dismissed the former Top 10 Healthcare architect for not sticking to budget. The need to implement this program to capture available market place beds was critical. MMA’s mission was not only to put the project back on track but to also increase unit size from 16 to 20 beds with little additional space. MMA configured an efficient net to gross circulatory concept that worked within an extremely limiting existing floor structure that greatly constrained plumbing and mechanical rough- in placements. MMA utilized all future floor load bearing capacity of the existing underlying bed tower to meet new stringent seismic design criteria for this single story addition. Brasfield & Gorrie Contractor and Collins Project Management successfully enabled construction in 7 months during the winter season.

Mission Impossible: -Fit 20 beds in roughly the same square footage and budget as the original architect’s 16 bed scheme and maintain $1.68 M construction cost. -Meet newly enacted IBC 2000 seismic requirements on an existing 1970’s structure. -Immediately create a Phase 1 partial 2 bed unit to capture 2003 Medicare reimbursement advantage. -Construct over an ICU Unit at the front entrance. -Seven month construction schedule which included a $2.5 million Infrastructure/ utility backbone.

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ENERGY PLANT INFRASTRUCTURE ATHENS, GA

To support 120,000 square feet of long range growth at St. Maryâ&#x20AC;&#x2122;s and to bring power distribution to current code, MMA implemented a major new rooftop utilities backbone connecting the Central Energy Plant to the areas of new expansion. The extraordinary technical challenge involved independent structural analysis of 6 previously built additions to confirm the existing structureâ&#x20AC;&#x2122;s ability to support the 700 pounds per lineal foot of utility / rack weight and support design to accommodate new seismic criteria. Included is a new 4 branch power distribution penthouse with 45,000 pounds of electrical gear constructed over the existing surgical suite (equivalent to 3.5 MRI magnets)

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ADULT INTENSIVE CARE ATHENS, GA

St. Maryâ&#x20AC;&#x2122;s challenge to MMA was to cosmetically improve the outdated appearance of the adult ICU unit. MMA initialized the design process by analyzing the functional effectiveness of the support and staff core and proposed both a functional and visual reordering of the unit. The result is a modern unit with greater efficiency and less clutter, improved infection and security control, and increased patient information confidentiality. The design allows for future core expansion under the Womenâ&#x20AC;&#x2122;s Center project as well as future HVAC upgrades.

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MASTER PLANNING SURGICAL SERVICES ST MARY’S

St. Mary’s was experiencing a bed shortage and turning away 800 ED admissions a year. The solution was unclear. Lack of a coherent long range plan caused space that was originally earmarked for surgery to be lost to other needs. When asked by St. Mary’s to solve OR space shortages, plan for growth and combine their remote outpatient site with IP surgery for operational savings, MMA responded with a comprehensive look at all the ‘halo’ conditions surrounding not just the OR but other interventional service lines as well. The result was the refinement of an option that combines AM Admit, extended care and other pre surgical testing beds in one location connected to a comprehensive flexible post anesthesia arena greatly enhancing staff and anesthesia efficiencies as well as patient convenience and privacy. Surgical patients can be discharged without having to go back through the main lobby. The suite is configured for future growth. Improvements include all new electrical and code compliant filtered air distribution to the existing OR’s.

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RENOVATION NEURO OPERATING ROOM 9 ST MARYâ&#x20AC;&#x2122;S.

Offering the latest in Stryker digital communications and PACS integration, St. Maryâ&#x20AC;&#x2122;s new neurological operating theatre is part of a comprehensive new neurosciences initiative. MMA assisted the hospital in combining improved stat digital ED diagnostics with a new dedicated NCCU and neurosciences bed unit to launch this strengthened service line. The challenging aspect of this initiative was the reallocation of non surgical space within an already undersized OR to create the room needed for the new operating room.

A new operating room in an already crowded suite

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Melanie Nash, OR Director was skeptical at first. CSPD was undersized, the anesthesiologists complained about lack of space. The physicians locker rooms were too small, the hallways were used for storage and pre and post op were marginal at best. Sounds familiar? How were we going to fit in a new OR without any additional space. St. Maryâ&#x20AC;&#x2122;s asked MMA to help. Through long range surgical planning, building relationships with the staff and the Docs, a level of trust was created that allowed the tough inevitabilities to be forged and agreed upon. The result is the launching of a needed marketplace initiative and revenue generating service without having to expand the building. MMA can be your partner for your tough assignments as well.

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ST MARYâ&#x20AC;&#x2122;S MEDICAL OFFICE BUILDING

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TRANSFORMING SPACES C R E AT I N G T H E A RT O F STYL I S H E NVI R O N M E N TS

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RENOVATION CATH / EP LAB ATHENS, GA MMA is skilled at designing technologically complex environments in antiquated space. Accommodating new Phillips Allura bi-plane systems, with overhead rolling weights that of a small car , in low 12 foot floor to floor heights with insufficient structural capacity to carry the load is MMAâ&#x20AC;&#x2122;s specialty. The final design is not perceived as a renovation at all but instead appropriately as a flagship service line of the hospital. MMA, with its history of accomplishing technically challenging initiatives, had to assure the Owner in the first 2 weeks of the engagement that the new technologies would work in their 1966 era building. Going beyond just meeting the demanding parameters of this project, MMA also showed Hospital Leadership how non-invasive diagnostics could be connected the labs and to the Emergency Department below.

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ST. MARY’S ATHENS, GA

LONG RANGE FACILITIES PLANNING: Projects resulting from MMA’s Phase 1 and Phase 2 $54 million Master Facilities Plan for St. Mary’s Health Care System inc. Athens, Georgia. Several of these projects were designed and executed simultaneously by MMA: • 100,000 square foot Women’s/Diagnostics/NICU facility • Adult Intensive Care Unit modernization • ED Pediatric renovations • CT Scanner consolidation • Gift Shop • Physician’s Lounge • Operating room renovations/ new OR • Inpatient Neuro Sciences/ NCCU renovations • Central Scheduling Unit • EMS facility planning • Infusion Therapy renovations • $2.5 Million Endoscopy unit • Chapel • $2.4 M rooftop utility infrastructure • Rooftop 20 bed Inpatient Acute Rehab Unit • Inpatient Rehab gym/ therapy area.

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From LDR to LDRP/ Putting Families First When asked by St. Mary’s to redesign for a change in operational birthing concepts, MMA responded with an even more vigorous three week effort than the previous LDR (Labor, Delivery, Recovery) effort. The new design yielded greater program advantages than the original design including more square feet without a budget increase. MMA’s continued investigation and understanding of the issues facing St. Mary’s since the original three week master solutions exer-

cise allowed MMA to sharpen their pencils and create an even better benefit for the dollar. The result is a state of the art LDRP (Labor, Delivery, Recovery, Postpartum) Women’s and NICU Center that is destined to gain St. Mary’s a strategic marketplace advantage in those service lines.

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ST. JOSEPHâ&#x20AC;&#x2122;S HOSPITAL, CHANDLER NEUROSCIENCES, TBI SAVANNAH, GA A previous architect master planner devised plans on the assumption that existing facilities were designed for future vertical expansion. The Owner developed project implementation plans and capital expenditure budgets based on those recommendations. When MMA was commissioned to design the first phase of a complete neurosciences services overhaul they immediately conducted and in depth survey of existing conditions including deep piling investigations that confirmed that the existing 1960 era facilities were not structured for vertical expansion. MMAâ&#x20AC;&#x2122;s expertise in configuring optimal solutions under difficult constraints enabled the Owner to move forward with a rooftop expansion even under stringent seismic and hurricane forces. The new NICU design is extremely efficient, flexible and is designed to work integrally with the Phase 2 step down Neuroscience expansion.

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ST. JOSEPH’S EXPANSION

SAVANNAH, GA St. Joseph’s/ Candler Health System, Savannah, Georgia is a leading Magnet health care provider in a rapidly expanding market. The 2 hospital system contacted MMA to design their new flagship state of the art Neurosciences Intensive Care Unit as the first phase of improvements to the entire neurosurgical service line. The design incorporates all of the leading patient care and family design features and is configured for future growth. Located at the front door to the hospital, the new design will establish an aesthetic platform from which subsequent projects will borrow from to begin the modernization of the 60’s era plant.

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UNIVERSITY OF GEROGIA HEALTH CENTER ATHENS, GA

UGAâ&#x20AC;&#x2122;s recently completed $17 million expansion and renovation to their comprehensive student health services facility will make it one the largest in the nation. MMA was commissioned to identify various alternatives to help

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meet growing demand and to develop a whole new image for one the most important emerging East Campus gateways. MMA developed detailed conceptual options up to F (any of which would have solved the functional

and space challenges) but Option C best met the University President and Administrations identity and corner resolution vision. MMA resynthesized and corrected detailed space programming prepared by a previous architect.

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UNIVERSITY OF GEROGIA HEALTH CENTER ATHENS, GA

$17 million student center recently completed on time and on budget. 110,000 square foot comprehensive health services facility comprised of office based, ambulatory and outpatient care environments and is JCAHO certified. According to Dr. Jean Chin, MD, MBA, Director: “MMA solved what we thought was an unsolvable problem”. MMA’s scope formulation, budgeting and programming accuracies yielded a final deviation of only 200 sf from the original conceptual phase program prepared by MMA.

MMA ARCHITECTS

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UNIVERSITY OF GEROGIA HEALTH CENTER ATHENS, GA

Wayfinding clarity, discreet mental health and health promotion settings and built in ability to expand are several hallmarks of the new design. New and improved fast track and emergent care functionality, security, quality control and error reduction objectives in key clinical settings were several core design prerequisites. Environments improve staff morale, utilization and efficiency, customer satisfaction and are great places to work. The Women’s Clinic Nurse Manager said it best: ‘The renovations are functionally perfect’.

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COORDINATED REGISTRATION & ADMISSIONS ATHENS, GA

MMA reconfigured patient intake patterns as part of St. Maryâ&#x20AC;&#x2122;s largest capital expansion. Outpatient registration had been handled in the ED intake area and for a 40,000 visit ED this was not patient friendly. MMAâ&#x20AC;&#x2122;s solution consolidated inpatient registration and outpatient admissions, same day surgery and inpatient surgery case scheduling, and adjunct scheduling operations to make the patient/ organization interface as transparent , friendly and as organized as possible. The new service is located not more than 75 feet from the patient parking deck and just across the main lobby from vehicular drop-off. All coordinators, intake personnel and volunteers are in visual contact with one another and patients/ families are always connected with a person. The new atrium is a calming, organizational feature that is designed to initiate the wayfinding process in an understandable way. MMA is expert at distilling key functional flaws within a healthcare setting and proposing creative, cost saving solutions.

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LIMITED LAND MASTER PLANNING ATHENS, GA

Maximizing Program in Limited Space

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When St. Mary’s Hospital, Athens, Georgia embarked on the largest capital facilities expansion in their history, they needed the confidence they could do so without preempting future growth alternatives. St. Mary’s had limited land on which to expand and MMA developed a plan that allowed them to ultimately replace their entire acute campus component with only 10% additional land. The history of hospital expansion speaks for itself. Just when you think you have enough land, you don’t. MMA treats all master planning exercises as an urban high density land planning challenge. This does not mean that non institutional healing environments, greenspace and clear wayfinding are sacrificed. MMA is expert at showing a client how their campus can achieve a maximum density configuration in an intelligible, attractive way.

The positioning of Medical Office Buildings on a hospital campus has significant master planning implications. St. Mary’s new 80,000 sq. ft. MOB and parking deck design was originally devised by the developer’s

non-medical architect. MMA protected St. Mary’s long range growth interests with a different design that even the developer acknowledged was a better design. MMA became part of the design team as a result.

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PROCESS DRIVEN AMBULATORY CARE PROTOTYPE

31,000 square foot, 8 component, process engineered ambulatory care facility designed for low cost, highest net to gross efficiencies, and optimal staff to physician/care giver ratios. MMA developed the detailed plans you see here and achieved complete buy in from all 8 user groups within 6 weeks from being authorized to commence work. Environments are evidence based driven, peer reviewed, and mock tested so upon opening day no process, whether it be IT or materiel related will be untested. Facility is expandable along major axis with clear intuitive wayfinding. MMA is a member of the collaborative healthcare research team at NXT and other research driven enterprises advancing thought on the patient experience. MMAâ&#x20AC;&#x2122;s straightforward design process involves all stakeholders in a collaborative, cross pollination environment where process improvements are the natural outcome. MMA client testimonials document a vast improvement in staff and workplace satisfaction in completed projects.

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UNIVERSITY MEDICAL CENTER PROTOTYPE

The Center Pointe ambulatory care centerâ&#x20AC;&#x2122;s primary purpose is to be a community based primary and subspecialty care integrated group practice. Center Pointe is designed to fundamentally alter referral patterns and utilization in a tertiary systemâ&#x20AC;&#x2122;s secondary catchment markets. The experience of 500 on-staff physicians, having practiced and continuing to practice in multiple facilities though the upstate, was brought to bear in configuring the idealized patient and provider centered environments in the first of its kind group practice model for the states largest tertiary medical system.

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REPLACEMENT ACUTE CARE HOSPITAL CEDAR POINT

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GREENSBORO CRITICAL ACCESS HOSPITAL GREENSBORO, NC

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TRANSFORMING SPACES C R E AT I N G T H E A RT O F STYL I S H E NVI R O N M E N TS

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ST. MARY’S DEMENTIA & ALZHEIMERS CARE ATHENS, GA

MMA’s clients and other experts say it best: “It has been a week since our CEO – Stan Anderson and I visited St. Mary’s Center for Alzheimer’s and Dementia Care. Both of us felt the design and the construction set a new standard for memory care units. We hope to showcase the St Mary’s facility as a center of excellence which will bring attention to your design work and our technology”. Howard Bradley , SimpleC, LLC

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CAREMORE FLAGSHIP CLINIC WASHINGTON DC

Primary care providers serve as the frontline player in our delivery of care. They are the first contact for our patients, providing the level of touch that every patient deserves. Present in all neighborhoods of our communities, they are the gatekeepers of the health of our patients. CareMore serves as an extension of primary care, supporting primary care providers with interdisciplinary care teams, Care Centers, and Extensivists for advanced patient care and chronic disease management. With CareMore, patients get access to a host of extra services and resources centered on them. Many of these services are available at our Care Centers. Care Centers are one-stop outpatient facilities designed to give additional attention to chronic conditions, general health, and prevention.

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UNIVERSITY OF GEORGIA UNIVERSITY HEALTH CENTER ATHENS, GA

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PRAISE

“The facility is absolutely stunning. I was overtaken by it. We are very proud.” – Cindy Fox Miller, Baptist Easley Foundation Chair

“The design is unbelievable. This is a great day for the Athens community.” – St. Mary’s Healthcare System Board Member

“Our architect, solved what we thought was an unsolvable problem.” – Dr. Jean Chin, CEO, MD, MBA, Diplomate ABIM, UGA Health Services Director

“The layout is perfect from the patient care workflow perspective.” – Ronald Forehand, MD, FAAFP, UGA DIrector of Medical Services

“His collaborative approach with our medical staff and employees has resulted in a highly functional and very well accepted facility. Patient and community response has been overwhelmingly positive.” – Tom Fitz, President and former CEO of St. Mary’s Healthcare System “MMA are schematic geniuses.” – Kenn Flynn, Project Manager “The renovations are functionally perfect.” – UGA Women’s Health Services Director “I’ve participated in hundreds of architect presentations to hospital boards, MMA’s presentation is the only one I can recall where the Committee and Physicians applauded upon conclusion.” – Judy Smith, National Birthing Consultant with Smith Hager Bajo, Boston “My spirit is uplifted when I come into this space.” – Dr. Middendorf, Intensivist “Tom Fitz, President and former CEO of St. Mary’s asked MMA to create something ‘uplifting, comfortable, and really inspiring.’ Mr. Fitz asked the 200 visitors their opinion; guests responded with rousing applause.” – Athens Banner Herald “I can think of no way to improve the design.” – Fremont P. Wirth, MD, Past President of American Association of Neurological Surgeons, Director of American Board of Neurosurgery “Fantastic facility. Great attention to detail.” – St. Mary’s Health System Anesthesiologist

“I have agreement that your latest design was brilliant.” – Dr. Jean Chin, CEO, MD, MBA, Diplomate ABIM, UGA Health Services Director “None of our four ophthalmic surgeons could find anything wrong with the design – and that’s scary.” – Bonnie Butler, Surgery Center Manager “After a year of operations, I can not think of one thing we would change. I am very very pleased with how things turned out.” – Diane Hinely, MSN, RN, Neurosciences Manager with St. Joseph’s / Candler Health System “We are super, super pleased with the design. Everything is so impressive that even after a year of operation we continue to receive compliments. The process is evidenced in the design. You can see it.” – Neurosciences Director “I’ve completed over 110 surgery centers and Athens Eye Surgery Center was the best project to date.” – Jennie Simmons, President of Surgery Center Consultants “It was a blessing working with these guys.” – Will Gaither, PM with Brasfield and Gorrie Contractors “The architect really captured what I was after. I could not be more pleased.” – President and CEO of St. Mary’s Healthcare System “This is a great place to work. It is really fantastic. We are very lucky.” – Dr. Gary Persons, MD, Obstetrician “This is the most amazing thing I’ve seen.” – Dr. Dicks, Neurosurgeon Chief of Staff

“The ICU at St. Mary’s ranks in the top 10th percentile.” – NCR Picker

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PROJECT LIST St. Mary’s 200 Building Tenant Upfit for Oconee Heart and Vascular 300 Building Tenant Upfit including MRI/CT 2002 Masterplan 2005 Masterplan Arrhythmia Broad Street Renovations Cath Lab Central Scheduling Chapel Colony Square Renovation C- Section CT Scan Doc Lounge Emergency Department Toilet Emergency Pediatrics Emergency Department Triage Endoscopy Addition Endoscopy Renovations EP Lab Executive Board Room Extended Recovery Gift Shop Health Information Services Highland Hills Dementia Addition ICU Core Renovation Rooftop Infrastructure Infusion Therapy Mammography NCCU Neuro Lab Neuro Diagnostics Operating Room 9 Palliative Care Rehab Addition Rehab Gym Respiratory Therapy Women’s Center Addition Private Dining Emergency Department Canopy Emergency Department EMS Lounge COO Office Board Room OB Sleep 7th Floor Nurse Station 1st Floor Hall Finishes Foundation Project Doc Lounge Extended Recovery

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Lab Draw Area Kitchen Sewer Emergency Department Masterplan 200 Building Renovations Financial Counselling Beltran Office Renovations Hospice House Signage Emergency Department Exam Dining Med School 6th Floor Patient Room Improvements Cath Lab Renovations Respiratory Therapy Sterile Processing Addition Colony Square Suite 229 Xray Dressing Room Flower Suite Industrial Medicine 200 Building Renovations OR Expansion – Threshold Capital 7th Floor ICU Dementia Fire Safety Plan Highland Hills Masterplan 1st Floor GME Renovations Classic City OBGYN Cashiers Mission Services – Computer Training Lab 7th Floor Patient Shower Renovation SMH Hospice House Addition CEP Expansion and Renovation 2nd Floor OR and Support Spaces Renovation 4th Floor ICU Waiting and Staff Areas Renovation 7th Floor Patient Bathroom Renovation Good Samaritan Life Safety Plans Sacred Heart Life Safety Plans Good Samaritan Workflow Analysis Good Samaritan Emergency Department Renovation Sacred Heart Emergency Department Renovation 3rd Floor EP Lab Equipment Upgrade Existing Conditions Plans

University of Georgia University Health Center UHC Vision Clinic Renovation Gold Clinic Renovation Lab Interior Upgrades

St. Joseph’s / Candler

King Manor Care & Rehabilitation Center

Candler Emergency Department Renovations Neurosciences ICU Addition Keller Crymes and Demarco Athens Eye Surgery Center Barrow Regional Medical Center Hyperbaric Wound Care Mary Black Health System MRI Addition

Redesigning a new entry for the facility Renovating the 2 main nurses stations Physical therapy suite Introduction of a robust ADL (advanced daily living suite)

Greenville Health System

IS 174X School Based Health Center 456 White Plains Road, Bronx, NY 10474 IS 145 School Based Health Center 1000 Teller Avenue, Bronx, NY 10456 MS/HS 272 School Based Health Center 3710 Barnes Avenue, Bronx, NY 10467 PS 391 School Based Health Center 2225 Webster Avenue, Bronx, NY 10458 Susan E. Wagner HS School Based Health Center 1200 Manor Road, Staten Island, NY 10314 IS229 School Based Health Center Roland Patterson School 275 Harlem River Park Bridge, Bronx, NY 10453

USC Pharmacy Renovation Bed Scheduling Renovation LDR 6 East Renovations Peace Hospital 2nd and 3rd Floor Nurse Station Renovations Medical Center Powdersville Marshall I. Pickens Classrooms / DE Pharmacy Renovation Au Bon Pain Oakwood Orthopedics Renovation HSAB Renovations 3rd Floor Offices ICU Renovations HYPERPOD North Greenville Campus MRI Canopy Addition Pediatric Neurology – Patewood ‘A’ Heart Education Center Compounding Pharmacy 1st Floor Admin Offices and Medical Library Renovation 5th Floor Dialysis Unit Renovation Echo-EKG Unit Renovation Roger C. Peace 2nd Floor Sub-Acute unit patient room shower renovation Kidnetics Renovation Kitchen Floor Structure Remediation below Proposed MRI Telemetry Surveillance Room Chapel Renovation Vascular Access Relocation Door Hardware Standards Development

New York School Construction Authority

Caremore Primary Care Facility Temporary Care Facility

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OFFICE LOCATIONS HEADQUARTERS

NEPTUNE, NEW JERSEY 3297 Route 66 - Neptune, NJ 07753 732.918.2300

DC OFFICE

WASHINGTON D.C. 1054 31st St. NW - Suite 138 Washington DC 20007 202.450.5895

SOUTH CAROLINA OFFICE GREENVILLE, SOUTH CAROLINA 1002 East Washington St. Greenville, SC 29601 864.467.9871

SATELLITE OFFICE TALLAHASSEE, FLORIDA 2757 West Hannon Hill Dr. Tallahassee, FL 32309

SATELLITE OFFICE TAMPA, FLORIDA 8524 Tidal Bay Ln. Tampa, FL 33635

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GREENSBORO HOSPITAL SURGICAL & TRAUMA ICU GREENSBORO, NC

MASSA

NEPTUNE, NJ 3297 Route 66 Neptune, NJ 07753 732.918.2300

M U LT I M E D I A

WASHINGTON D.C. 1054 31st St. NW Suite 138 Washington DC 20007 202.450.5895

A RC H I T E C T UR E

GREENVILLE, SC 1002 East Washington St. Greenville, SC 29601 864.467.9871

TAMPA, FL 8524 Tidal Bay Ln. Tampa, FL 33635

TALLAHASSEE, FL 2757 West Hannon Hill Dr. Tallahassee, FL 32309