We are not architects who do healthcare. We are healthcare architects
What does this mean?
It means we chose this profession so we can do more than just design buildings. We chose it to design solutions that can change people’s lives significantly. Because when a transplant patient receives a new heart, or a mental health patient reaches a breakthrough, or a physician develops a medical procedure that improves the lives of thousands, it happens inside a space designed by a healthcare architect. This is why we arrive every morning with our sleeves rolled up and ready to work.
Our Firm
in Brief
With four decades of experience serving healthcare clients, we’ve learned that it’s never just about the building. Every problem and challenge our clients face are unique opportunities to adapt, improve or transform—and they all require something different.
That’s why we are so much more than just healthcare architects. Our integrated services align analysts, advisors, and architects to provide a complete continuum of project exploration and execution.
Guided by process, powered by collaboration, and built around an innovative culture
100%
7
3
dedicated to healthcare planning and design strategically located offices throughout the country: unique perspectives for a comprehensive approach:
• Charleston, SC
42
years serving healthcare clients
• Charlotte, NC
• Durham, NC
• Fort Lauderdale, FL
• New York, NY
• Philadelphia, PA
• Washington, DC
• Architects
• Advisors
• Analytics
ARCHITECTS | WE ARE DESIGN
Array Architects is committed to improving healthcare outcomes by providing design solutions informed by integrated insights from perspectives across the organization. No brick is placed without considering its placement. No wall is raised without determining its integrity. No systems are installed, no colors are applied, no impact is made without a careful reasoning for doing so. We don’t address needs—we address your needs—taking into account the context of a project and assembling a roster of experts whose combined strengths align to give your project life, value and spirit beyond its basic function.
• Healthcare thought leaders
• Cross-disciplinary teams
• Process-led Lean design
• Data-driven decision-making
• Customer-focused design
ADVISORS | WE ARE STRATEGY
Array Advisors is a multi-disciplinary team providing custom solutions to optimize healthcare operations and solve business challenges.
When addressing the distinct needs of any healthcare business, there is no solution without informed preparation and consideration. It requires a nuanced approach of dedicated professionals with a variety of viewpoints. We uncover the opportunities buried within your challenges by untangling the complexities of those problems, and then engineering a solution using industry-leading tools and techniques.
• Capacity analysis
• Strategic planning
• Change management
• Lab & pharmacy optimization
• Lean operational improvement
• Transformation
ANALYTICS | WE ARE TECHNOLOGY
Array Analytics is an innovative think tank of analysts and product developers dedicated to helping healthcare systems identify and contextualize business drivers.
These days, big data is critical to making informed decisions, but information must be distilled and interpreted to truly be valuable. To ensure the quality and accuracy of our data, we created a technology incubator within our firm, which has evolved into Pivotal Analytics. Pivotal is a subscription SAAS platform enabling our customers access to a powerful geospatial-based claims-driven demand analytics.
• Data integration
• Market analysis
• Predictive analytics
• Real estate strategy
• Strategic capital allocation
Integrated Our Services
STRATEGY
We are an innovative think tank of analysts and product developers dedicated to helping healthcare systems identify and contextualize business drivers.
• Market analysis & demand forecasting
• Dynamic scenario planning
• Consumer segmentation & profiling
• Identifying optimal service locations
FACILITIES
We are a multidisciplinary team that provides custom solutions to optimize healthcare operations and overcome business challenges.
• Facilities assessments
• Programming and pre-design
• Feasibility & CON studies
• Architecture & interior design
• Patient experience design
OPERATIONS
We are committed to improving healthcare outcomes by providing design solutions informed by integrated insights from perspectives across the organization.
• Throughput analysis & simulation modeling
• Process design & value stream mapping
• Clinical practice modeling
• Design thinking & Lean education
• Lab & pharmacy optimization
Array Advisors Services Brochure
Discovering Your Healthcare Solutions Together.
WHAT WE DO
Array Advisors partners with health systems to strategically position them for success. Our approach goes beyond conventional planning services and focuses on developing sustainable business solutions for an evolving healthcare environment. Using Lean principles as a foundation, we develop a tailored plan to help you overcome challenges, prepare for value-based models, and seize capital planning opportunities to improve health outcomes.
WHO WE ARE
We are healthcare experts, innovators, planners, and engineers— inspired by transforming our clients’ operations through custom solutions to demanding challenges. Our team members have active listening best practices in their DNA, leading with a collaborative process rooted in Lean methodologies and unparalleled data analysis. And at the heart of everything we do is an unrelenting drive to help clients achieve exceptional health care, create healthier communities, and realize the quintuple aim.
OUR APPROACH
We layer strategy, transformation, and dynamic planning into our approach, pairing an understanding of how clients work with the right cross-functional perspectives to gain consensus around future goals.
Jonathan Bykowski, AIA President 610-755-6452
jbykowski@array-advisors.com
Michael Rovinsky Vice President, Strategic Planning 678-641-9316 mrovinsky@array-advisors.com
Laura Moran Health Systems Engineer 610-755-6423
lmoran@array-advisors.com
Jillian Barbaro Strategic Planner 202-788-5631
jbarbaro@array-advisors.com
Our Services
We help clients deliver more efficient and effective care, stake a more competitive position in the market, and plan to ensure facilities embody their operational vision.
STRATEGIC PLANNING
We work with health systems to develop strategies that drive sustainable business models across the continuum of care. We help you reach consensus around strategy to supercharge your plan for the future.
MASTER PLANNING
Master planning should not occur in a silo. We integrate strategy, operations, facility, and financial considerations in an iterative process to develop a master plan that can be implemented and provides the flexibility to accommodate future unknowns.
PRE-DESIGN PLANNING & OPTIMIZATION
Building a new facility is not always the right answer. Before you go down that path, we work with you to understand whether you are experiencing a physical issue, an operational issue, or both. We use lean methodologies and simulation modeling to analyze your workflows and pinpoint the root cause of your problem leading to a more focused investment of your capital dollars.
LEAN PRACTITIONER TRAINING
Array’s Lean Practitioner Course provides an overview of systems-thinking using the PDSA (Plan, Do, Study, Adjust) cycle as its framework for problem-solving. Participants will learn the history, philosophy, and principles of lean improvement. At the end of this three-day program, attendees will better understand how to identify waste in a process, uncover the root cause(s) of a problem, and formulate a countermeasure that considers the voice of the stakeholders. The Lean Practitioner Course is available as a certificate program if participants complete an improvement project following the class.
Array Advisors Growth Strategy Capabilities
What questions can we answer for your organization?
Our strategy team is dedicated to answering C-suite questions about their organization’s future and providing options to navigate that future. As a market- and data-driven group, we enter that discussion without preconceptions about barriers to those options or the solutions themselves.
Should we enter this target market?
Where are the growth opportunities in the market?
Who could we partner with locally?
Can you help provide us some nontraditional service line development or partnership options?
Supporting Analytics
• Customer analysis (e.g., demographic growth, use rates, insurance coverage)
• We identified the right service identity and physician complement to enter a new more upscale market.
• Our team quantified market upside and payor risk for a set of hospital acquisitions and tiered physician acquisition targets based on practice size, CIN/ACO affiliations, geographic location, and referral patterns.
Supporting Analytics
• Performance review (from the market in: market share, functionally and geographically, or internal out: ops review, leakage analysis)
Recent Use Case:
• Upon a thorough market and operational review, we discovered that a hospital’s ED performance opportunity outweighed any elective volume opportunity - a finding that became a central tenet to their new strategy.
Supporting Analytics
• Top down: system competitive landscape (e.g., continuum of care, payor alignment, system synergies)
• Bottom up: Physician/site of care analysis (e.g., what do local docs own and who operates there?)
Recent Use Case:
• We identified a specific set of physician practices that might be good partners to co-develop an ASC based on SL ASC need, scale requirements, existing ownership relationships, cannibalization risks and practice patterns.
Supporting Analytics
• Partnership review (e.g., payors, community groups, entrepreneurs, government)
• Clinical/market white space analysis
Recent Use Case:
• We developed an oncology strategy around genetics that would allow a system to leapfrog a competitor’s traditional facility and technology investments.
• We also created an incubator partnership strategy for one system to engage payors, entrepreneurs, and government officials –none of which had traditionally engaged with the health system.
What is the root cause hindering my ED or IP throughput?
If I build new capacity based on existing operational performance, what level of capacity do I need? If I change models, how will that impact planned capacity?
How
do I manage ongoing capital needs in HOPD areas?
Can we afford to make these strategice investments within our current capital and operating margin guardrails?
• We uncovered that high inpatient ED boarding was a result of poor access to telemetry in existing medical beds allowing them to better leverage existing assets and improve throughput.
Supporting Analytics
• Volume projections
• EMR analytics
• National benchmark data
Recent Use Case:
• Created facility specific benchmarks based on current provider performance by case type to determine the number of required operating rooms for an ASC in a new market.
• Developed a simulation model that showed the impacts of applying a new operating model on throughput, calling for a smaller expansion than was originally anticipated.
Supporting Analytics
• Volume modeling
• Regulatory/compliance review
• Cost estimation
Recent Use Case:
• We modeled out by payor the HOPD exposure for several services, factored in changed care setting and evolving operating times when we estimated capital replacement needs, and tied back to operational implications (e.g., there will be enough regulated business to keep the ORs busy but with a wide range of procedures making quality and cost management difficult.)
Supporting Analytics
• Integrated cross functional budgeting – from business case volumes to capital expenditure detailing
Recent Use Case:
• We partnered with a system’s finance team to have an integrated budget inclusive of cost take out needs, cash flow management, capital expenditures and market goals.
For more information, please contact Michael Rovinsky, Vice President, Strategic Planning mrovinksy@array-advisors com | 678-641-9316
OUR SOUTHEAST PRESE N CE
Array’s growing presence in the Southeast is fueled by partnerships with forwardthinking healthcare leaders such as MUSC Health, McLeod Health, UNC Health, and Northside Hospital—all shaping the future of care delivery. The firm’s acquisition of IHR Architecture strengthens Array’s ability to meet rising demand with greater capacity, a deeper bench of experts, and a strong local presence across the region. The new Durham studio adds to Array’s continued momentum, following recent expansions in Charleston, SC (2023) and Charlotte, NC (2025).
Partnering with Array Architects brings the advantage of deep experience across delivery models—from Design-Bid-Build to DesignBuild and Integrated Project Delivery. At the heart of it all, we believe success is built on strong relationships and a highly trained, client-focused team.
OUR CLIENTS
Our project was highly complex, requiring a multi-phase implementation. The Array team navigated it seamlessly, simplifying the process while engaging our clinical user group with professionalism and care. Their expertise and dedication made a significant, positive impact.”
- Carlos Washington, System Director of Construction Services NORTHSIDE HOSPITAL
OUR SOUTHEAST LEADERSHIP
Array Architects is proud to have experienced, talented, and dedicated leaders in the Southeast. Prepared to take on the challenges and opportunities, our growing team includes industry-leading planners, award-winning designers, and technical leaders. Supported by the expertise and resources of our offices nationwide, the Southeast team delivers innovative solutions backed by the collective knowledge of the firm.
An integrated practice, Array layers design, strategy, and technology to help clients overcome challenges and thrive. The firm serves a growing client base and has a proven track record of increasing depth and sophistication in providing design services over 40 years in the industry.
DAVID
MARTIN
AIA, LEED AP
Regional Vice President, Southeast
With nearly 30 years of experience in healthcare planning and design, David has worked with healthcare systems across the country to master plan and implement projects ranging from academic medical center expansions to targeted equipment replacements. He believes that successful client and project encounters are grounded in personal relationships based on mutual trust, respect, and active listening to a client’s needs and priorities. An accomplished team leader with a keen ability to streamline complex processes, David fosters collaboration and ensures teams remain in sync and performing at their best.
LINDSEY STANG AIA,
GCP
Principal | Practice Area Leader, Planning
With over 18 years of experience, Lindsey brings a wealth of expertise in architectural design, medical space planning, building information coordination, and interior design for healthcare environments. As a trusted advisor to her clients, she helps them understand the context of future growth opportunities, capital investment strategies, and how innovative design solutions can further their mission. These planning skills also infuse rigor into the design process, allowing Lindsey to successfully distill complex programming and planning challenges into clear, simple design solutions.
MICHAEL ROVINSKY MBA VP Strategic Planning, Array Advisors
Michael is a healthcare strategist with more than 35 years of experience assisting community hospitals, health systems, physician groups, and ambulatory and post-acute care organizations. He has helped develop strategic plans and master facility plans for numerous hospitals and health systems and completed market analyses for hundreds of programs and services. During his career, Michael has planned and developed more than 750,000 square feet of medical office, imaging, and ambulatory surgery space for health systems and medical groups.
NATHAN ISLEY AIA, LEED AP BD+C
Principal | Studio Director, Durham
Nathan brings 35 years of experience and deep expertise in the planning and design of complex facilities for healthcare, academic medical center, and research clients. He has worked extensively with universities and schools of medicine, developing projects that balance long-term flexibility with immediate clinical and educational needs. He is continually inspired by the breakthroughs in medicine, technology, and care delivery that drive his clients’ work. The patient experience remains central to Nathan’s design approach, guiding decisions from concept through construction.
JULIE RISK AIA, LEED AP BD+C, NCIDQ
Principal | Senior Project Architect
With 24 years of experience, Julie is a seasoned design professional with a strong background in healthcare architecture, complemented by work in civic and higher education projects. This breadth gives her a well-rounded perspective when addressing diverse user needs and operational goals. She is skilled at navigating complex requirements with the belief that every problem has a solution, and she is known for leveraging emerging tools and sustainable design principles to deliver thoughtful, detail-oriented results at every phase of the process.
MALCOLM HAWKINS AIA, EDAC
Principal | Senior Project Architect
Malcolm has nearly four decades of experience focused on healthcare and higher education design. Known for his hands-on approach, he maintains a high level of involvement throughout all project phases to ensure quality outcomes aligned with client goals. He provides leadership in technical coordination and documentation, helping teams navigate complex regulatory and infrastructure requirements. His experience includes extensive work on campus facilities dating back to the 1930s, where he has guided renovations to enhance operational longevity, improve accessibility, and address evolving code and infrastructure requirements.
MICHELLE HERTEL IIDA, ASID, NCIDQ
Associate
Principal | Interior Designer
During her 19 years in the interior design industry, Michelle has amassed a diverse portfolio of healthcare experience. Her approach to each project beings with understanding the clients needs and requirements, followed by creative problem-solving to achieve functional and aesthetically pleasing spaces. As a lead interior designer, she works closely with her team to provide expertise on services from space planning to art selections. Michelle prioritizes team-wide collaboration and communication, all to ensure the clients goals are met, and their expectations are exceeded.
AWARD-WINNING DESIGN
Over four-plus decades, Array has been honored with numerous awards for excellence in healthcare design and staff achievement. Recognized for innovative solutions, quality craftsmanship, and a strong impact on patientcentered care, our projects and team exemplify our commitment to advancing healthcare architecture with creativity and dedication.
RECENT AWARDS & RECOGNITION
• Healthcare Design Magazine (HCD)
– Healthcare Design Showcase Award of Merit, Och Spine at NewYork-Presbyterian/The Spiral (2025)
– Interior Design Competition Finalist, Och Spine at NewYork-Presbyterian/The Spiral (2025)
– HCD 10 Interior Designer, Stephanie Story (2024)
– Rising Star Award, Elizabeth Schmitt (2024)
– Renovation / Remodel Competition – Silver Award, Children’s National Behavioral Health Unit (2019)
• Association of Medical Facility Professionals (AMFP), Greater New York – Award Winner – Excellence in Healthcare Remote Outpatient Facility Design, Och Spine at NewYork-Presbyterian/The Spiral (2025)
• Urban Land Institute (ULI) Philadelphia
– Award for Excellence, Cooper University Health Care Moorestown Campus (2025)
• Association of Medical Facility Professionals (AMFP), North Central NJ
– Award Winner – Ambulatory Projects Over $50M, Cooper University Health Care Moorestown Campus (2025)
• American Society of Interior Designers (ASID), Pennsylvania East
– Interior Design Award, Commercial – Healthcare First Place, Cooper University Health Care Moorestown Campus (2024)
• Healthcare Facilities Symposium & Expo (HFS)
– Symposium Distinction Award – Adaptive Reuse, Cooper University Health Care Moorestown Campus (2024)
• International Design Awards (IDA)
– Healthcare Architecture Design / Pediatric Clinics Gold Winner, Children’s Hospital of The King’s Daughters Children’s Pavilion (2024)
• International Interior Design Association (IIDA)
– Healthcare Design Award – Ambulatory Surgery Center Category Winner, Cooper University Health Care Moorestown Campus (2024)
– Healthcare Design Award – Hospitals/Psychiatric Category Winner, Children’s Hospital of the King’s Daughters Children’s Pavilion (2023)
– Best in Science & Research, Children’s National Research and Innovation Campus (2022)
– Best in Healthcare, Tower Health MedSpa (2019)
• Building Design + Construction (BD+C)
– Top 200 Architecture Firms (2024)
• Interior Design Magazine
– Healthcare Giants – Ranked #20 (2023)
NEWYORK-PRESBYTERIAN
Och Spine at The Spiral
CLEVELAND CLINIC INDIAN RIVER HOSPITAL
Health & Wellness and Cancer Center
Vero Beach, FL
In conjunction with Anchor Health Properties and Cleveland Clinic Indian River Hospital, Array designed a new ambulatory care campus built on approximately eight acres adjacent to the medical center. This new interdisciplinary development features an integrated medical home model, multi-specialty health and wellness center, and a cancer center. The project facilitates cross-disciplinary care coordination and a unified patient experience and is a market differentiator within the Vero Beach community. The wellness center is designed to promote preventative care, health education, and healthy living while providing specialty care, chronic disease management, diagnostic imaging, and primary care services. The design eases customer service operations from registration and greeting through the visit with clear wayfinding cues. A universal clinic
design allows for flexibility by session across all of the medical and surgical subspecialties.
Along with the new outpatient center, the health system engaged the same design team to bring a new cancer center to the community. The new Scully-Welsh Cancer Center, affiliated with Duke University, brings state-of-the-art, compassionate care to the Indian River community. The cancer center features multi-modality clinics, integrated treatment planning, infusion, radiation therapy, pharmacy, resource and education programs and access to clinical trials and research. At its core, the program and its facility seek to treat the whole patient and their family. Our focus on operational improvement during early design led to a 45-minute reduction in the average length of stay for all infusion patients.
CLEVELAND CLINIC
INDIAN RIVER HOSPITAL
Health & Wellness and Cancer Center
CLEVELAND CLINIC
INDIAN RIVER HOSPITAL
Health & Wellness and Cancer Center
Designed to promote interdisciplinary collaboration and connections, a healing garden with outdoor dining forms the pedestrian link between the cancer center and health & wellness center. The design of both the cancer center’s patient experience and the building establishes the hospital’s brand for the expanded cancer program. Together, the cancer center and the health & wellness center form a new outpatient campus conveying Cleveland Clinic’s strong brand and the comprehensive care available.
CHILDREN’S HOSPITAL OF THE KING’S DAUGHTERS
Children’s Pavilion
Norfolk, VA
CHKD’s Children’s Pavilion is a new 14-story, 367,000 SF tower built to address a pressing need for pediatric mental health services in the Norfolk community. Opened in July 2022, the colorful, light-filled facility is infused with leading-practice patient, family, and staffcentric design features.
Children’s Pavilion integrates comprehensive inpatient, intensive outpatient, and partial hospitalization mental health services with primary and specialty physician practices, lab and imaging services, and an innovative conference and training center. A core principle—that mental healthcare is healthcare, and that access to mental health services
should be convenient and visible to all in need—shaped both the program and physical manifestation of this guiding principle.
The tower includes 60 pediatric inpatient behavioral health beds as well as shell space to accommodate another 24 beds. In addition to the expected multipurpose dining, activity, and classroom spaces, the inpatient zones include a large art studio, music therapy, and an attached indoor gymnasium and exercise therapy room. It is capped off with a rooftop recreation space comprised of basketball court, soccer zone, and horticultural zone, with interspersed casual play zones.
Learn more about the Children’s Pavilion
Click here or scan the QR code to explore Array’s Designs Delivered feature on the Children’s Pavilion, delving further into the strategy behind the facility’s planning and design as well as the extensive art program that was an integral part of the project.
CHILDREN’S HOSPITAL OF THE KING’S DAUGHTERS
Children’s Pavilion
COOPER UNIVERSITY HEALTH CARE
Moorestown
Moorestown, NJ
Campus
Cooper University Health Care’s transformation of a retail structure at the Moorestown Mall into its largest outpatient facility is more than just adaptive reuse—it’s a revolution in accessible community care. By repurposing this space, Cooper brings cutting-edge medical services closer to the Moorestown, New Jersey community, eliminating the need for lengthy trips to the main hospital while expanding their presence in a new market.
The three-story, 166,000 SF facility is designed to integrate seamlessly into the bustling commercial area while also standing out as a beacon of health and vitality. Through bold architectural choices like “Cooper Red” perforated metal screens and large expanses of glass, the building revitalizes the area and becomes a focal point for both healthcare and community engagement.
Taking advantage of the expansive floor plates and high floor-to-floor heights, the first level is anchored by a large central spine linking the entrance and registration area to the mall’s main circulation axis. This “medical mall” concept includes a self-service café marketplace, connected care technology hub, visitor support services, and other amenities, adding convenience for patients and integrating Cooper Moorestown into the overall mall experience. The overall interior aesthetic emphasizes warmth and tranquility, using warm wood tones and textural finishes to create a home-like environment. Technology and artistry are thoughtfully integrated, with immersive screens displaying calming natural scenes to help reduce the stress of medical visits.
COOPER UNIVERSITY HEALTH CARE
Moorestown Campus
PENN MEDICINE
Multispecialty Outpatient Care Facility
Philadelphia Suburbs, PA
Aiming to expand patient care and access to the Philadelphia suburban community, Penn Medicine selected an undeveloped site to construct a new multispecialty outpatient care facility. Array Architects serves as part of a curated team, including a construction manager, engineers, and other specialty consultants, working in an Integrated Project Delivery (IPD) model to enhance collaboration and innovation. Identifying under the principles of Culture, Optimization, Respect, and Efficiency (CORE), the project team adopted the CORE moniker to reinforce their guiding tenets.
The new facility builds on recent Penn Medicine projects, with inherent flexibility for individual service lines to grow over time. Planning for the unknown in the future of outpatient care delivery, the provider clinics are modularly designed, which allows for both easy shifting of assigned spaces to align with utilization as well off site prefabrication to improve quality and reduce time and cost of construction.
Including a full range of diagnostic and treatment services, the center is intended not only to extend and expand Penn Medicine’s market reach and access, but to provide patients a full spectrum of care, even for more complex diagnoses, without traveling to the main academic medical center campus. To that end, it is designed to optimize operational and financial goals within each area of care.
Designed to achieve LEED Gold certification, the project contains thoughtful building material selections that aim to be aesthetically appealing as well as environmentally conscious. The team is pursuing carbon neutral design targets. A native plant healing garden, requiring minimal maintenance throughout the year, will benefit both staff and patient experience while supporting the project’s sustainability goals.
Multispecialty
Outpatient Care Facility
MUSC HEALTH
Leatherman Behavioral Care Pavilion
Florence, SC
Seeking to expand much-needed behavioral health resources in the Pee Dee region, the Medical University of South Carolina (MUSC) engaged Array to develop an initial design concept for a new behavioral care facility at their Florence campus. Grounded in behavioral health best practices and person-centered care principles, the design concept prioritized scalability for future expansion, cost-conscious regional material choices, and planning for patient autonomy and choice.
Following approval of the concept, Array progressed to full design services for the Jean and Hugh K. Leatherman Pavilion, which will include a combination of triage, crisis stabilization, telehealth, outpatient, and inpatient services. The inpatient units will accommodate adults and adolescents requiring more acute care, complemented by
separate crisis services units to rapidly stabilize patients. The pavilion’s layout supports therapeutic flexibility and patient mobility with private unit gardens, off-unit treatment spaces, and multiple courtyards designed to accommodate both active and passive uses.
Discreet patient intake access is balanced with a welcoming public-facing entry for outpatient and visitor services, supporting operational efficiency while minimizing stigma. Centrally located amenity and treatment zones— including therapy suites, recreation spaces, and staff support areas—are organized around an activity mall to promote care continuity and reinforce patient dignity within a secure, adaptable environment. To support growth of the program, the building’s structural and MEP systems have been specifically designed to easily accommodate future expansion.
MUSC HEALTH
Leatherman Behavioral Care Pavilion
NEMOURS CHILDREN’S HEALTH
Outpatient & Surgery Center
Deptford, NJ
When a national children’s hospital decided to move into a new market, they needed to move quickly. As with all ambulatory projects in today’s competitive environment, being first to market with the right product at the right cost is critical. But it’s tough to move quickly when you are building a project unlike any other in your system.
Array Architects and Nemours Children’s Health used a process-led design approach to rapidly define and design a new, fully integrated multispecialty outpatient center that features flexible provider clinics, physical therapy, diagnostic imaging, wellness and ambulatory surgery. Our approach, using Lean as a foundation, allowed Nemours to work through complex questions about integration, resource
deployment and business/revenue implications while studying physical configurations and cost structures to support them. All of this was achieved without sacrificing commitment to capital budget objectives as well as schedule.
Process-led design employs a rigorous and engaging approach to quickly define goals and obstacles. Process-before-design encourages the integrated team to focus on experience, quality, outcomes and workflow before specific spatial configurations begin to limit innovation. Process mapping, visual programming, virtual and physical mock ups as well as rapid prototyping were used in parallel during the early design phases to ensure the optimal solution.
NEMOURS CHILDREN’S HEALTH
Outpatient & Surgery Center
DUKE HEALTH
North Pavilion
Addition & Renovations
Durham, NC
This transformative three-story addition to Duke Health’s North Pavilion Medical Clinic was strategically integrated into existing surroundings through several carefully sequenced renovations. At the terrace level, the project reconstructed the existing loading dock and introduced a fully equipped compounding pharmacy, optimizing logistical workflows and medication dispensing. On the plaza level, a newly designed Blood Cancer Center was added alongside an expanded infusion therapy area— supporting extended outpatient cancer care and reducing inpatient admissions.
The second floor upgrades shelled out space to support future operating rooms and upfit a new USP 797/800-compliant clinical pharmacy and sterile storage room, aligning with the hospital’s modern surgical standards. The team
also planned a complete reorganization of the prep and recovery bays and support spaces to compliment the increased patient throughput that will accompany the future ORs. The third floor underwent comprehensive interior renovations, creating a new clinical lab and ambulatory surgery center offices.
Across all phases, the design emphasized seamless patient flow, enhanced clinical staff efficiency, and a healing environment. Careful coordination ensured that critical services remained operational throughout construction. The integration of new and existing architecture reflects a thoughtful, process-led approach that aligns with the broader campus vision.
This project was completed by IHR Architecture prior to joining Array Architects.
DUKE HEALTH
North Pavilion
Addition & Renovations
DUKE HEALTH
Knightdale Medical Plaza Outpatient Clinic
Knightdale, NC
The Duke Medical Plaza project represents the successful realization of a large-scale suburban healthcare development, anchored by a new 40,000 square foot medical office building. Designed to provide accessible and comprehensive care, the facility offers a modern environment that supports both patients and healthcare providers. Its welcoming architecture combines warm brick, expansive glass, and contemporary detailing to create a professional yet approachable identity for the Duke Health system.
This building is part of a larger master plan encompassing three buildings totaling 200,000 square feet, along with ample parking solutions to accommodate future growth. The ten-acre site was carefully designed to balance patient convenience with operational efficiency, incorporating surface parking and a proposed deck with capacity for up to 1,000 cars. The
planning effort ensured that the campus could serve immediate needs while also supporting long-term expansion as the community grows.
The project delivery timeline was a remarkable achievement, with programming, masterplanning, building design, jurisdictional approvals, construction, and occupancy completed in just nineteen months. This accelerated schedule was the result of close collaboration between the design, construction, and healthcare teams, who worked together to streamline decision-making and align the project vision with Duke Health’s operational goals.
Ultimately, the Duke Medical Plaza not only provides a state-of-the-art clinical environment but also establishes a strong architectural presence in its suburban setting. Its design reflects Duke Health’s commitment to excellence, innovation, and accessibility, setting the stage for continued growth and community impact.
DUKE HEALTH
Knightdale Medical Plaza Outpatient Clinic
UNC HEALTH HILLSBOROUGH
Radiation
Therapy Addition
(A State Construction Office Project)
Hillsborough, NC
The UNC Health Hillsborough Radiation Therapy Addition (SCO) is a 5,433 square-foot expansion to the existing medical office building on the Hillsborough campus. Designed to strengthen the campus’s comprehensive cancer care services, the addition provides a highly specialized environment that supports both patients and providers. Its program includes a state-of-the-art linear accelerator vault, dedicated support spaces, and circulation improvements that enhance overall patient flow and connectivity within the campus.
A central feature of the project is the extension of the front concourse, which not only integrates seamlessly with the existing medical office building but also establishes a direct connection to a future masterplan building planned to the east. This forward-thinking approach ensures that the addition is not only functional today but also adaptable to the evolving needs of the Hillsborough campus.
Equally important to the design is the incorporation of an interior courtyard. This space preserves natural light and views for the existing infusion bays, supporting a therapeutic environment that promotes patient comfort and well-being. The courtyard reflects UNC Health’s commitment to patient-centered care by balancing technical functionality with thoughtful architectural design.
The Radiation Therapy Addition demonstrates how specialized medical facilities can be carefully integrated into broader healthcare campuses. By combining advanced treatment spaces with strategic masterplanning and a focus on healing environments, the project strengthens UNC Health’s ability to deliver comprehensive cancer care while enhancing the overall patient experience at Hillsborough.
UNC HEALTH HILLSBOROUGH
Radiation Therapy Addition (SCO)
UNC HEALTH HILLSBOROUGH Oncology Clinic
Hillsborough, NC
The UNC Health HBH Oncology Clinic in Hillsborough, NC is a 7,429-square-foot renovation of the first floor of the campus medical office building. The project expands the clinic’s capacity to care for patients by reconfiguring and modernizing the space to support both exam and infusion services.
The renovation increased the number of exam rooms from 15 to 18 and nearly doubled infusion capacity from 11 to 18 bays, providing a significant boost in patient throughput and
efficiency. In addition, updated support spaces were incorporated to improve workflow for staff and enhance the overall care environment.
By expanding clinical capacity and improving functionality, the project strengthens UNC Health’s oncology services in Hillsborough. The redesigned space not only meets current demand but also reflects a patient-centered approach that supports comfort, accessibility, and high-quality care delivery.
NORTHSIDE HEALTH SYSTEM
Master Plan, Design & Construction Project
Cumming, GA
Driven by one of the fastest-growing population rates in the country, a robust expansion will be required to enable the campuses to support their future community healthcare needs. While the Northside system leaders embraced this need for expansion, they also recognized that the evolution of the campuses, including potential future bed towers, must be in sync with system-wide brand promise of clinical excellence, without sacrificing community expectations grounded in a personalized, family-centered hospital experience that patients have come to expect at Northside Hospital to receive care.
Northside Forsyth
The Northside Forsyth campus’ master plan involved simultaneously analyzing several areas of focus simultaneously to develop the framework for a thoughtfully zoned campus. The implementation includes adding inpatient capacity, accompanying diagnostic and treatment capabilities, emergency department expansion, proportional support services, parking availability and connectivity, administration and education spaces, and technologic innovation. As the campus continues to expand, a core tenet was to ensure the ability to get where you need to go no matter how you enter the facility and maintaining on-stage/off-stage separation throughout.
UNC HEALTH NASH
Facilities Master Plan and Design & Construction Project*
Rocky Mount, NC
Having recently added both an ED and Heart Center, the UNC Health Nash campus had underutilized space as well as some departments spread across multiple locations, leading to inefficiency and added operational cost. In addition, there were outpatient buildings on the campus with capacity but several outpatient services still provided in the hospital with suboptimal access.
After touring the facility with our engineering partners and establishing a clear scope of required infrastructure upgrades, we turned to clinical data analysis and operational assessment. Inpatient units were of note as they were located in an outdated tower with significantly undersized patient rooms, inadequate charting and support spaces, and problematic layout for staffing optimization. In addition to the inpatient findings, departments that could be consolidated, expanded, or more efficiently located quickly emerged, allowing us to work with service line leaders to quantify future volumes and space needs. While conducting our assessment, we found that the recently-completed ED was already
* in association with Novus Architects
suffering from overcrowding and long wait times. We worked with the team to dive deeper in both EMR data and patient flow to identify operational opportunities to improve throughput with minor space modifications. Creating a transformation plan for the team at UNC Nash, we armed them with the to-do list for operational improvement.
We developed programs for each service and identified possible facility planning solutions and associated costs. These options were then quantified and ranked using PACE Charts, Choosing By Advantages, and Lean tools that assist steering committees with complex decisions, among many options. With a prioritized scope, we worked with the CFO to determine the appropriate threshold for investment, possible operational savings, and an ultimate recommended project roadmap for the campus grounded in quality, efficiency, and economic viability. We assisted senior leadership in presenting the analysis and recommendations to their public board of directors.
BROADER PORTFOLIO IN PRACTICE
Baptist Health
South Florida Miami Cancer Institute Miami, FL
Capital Health
Hopewell Greenfield Hospital & MOB Pennington, NJ
Children’s Hospital of Philadelphia Primary Care Centers Multiple Locations, PA
Children’s National
Walter Reed Campus Development & BH Unit Washington, DC
Duke Health
North Pavilion Addition & Renovations Durham, NC
EmblemHealth
Medical Office Building Brooklyn, NY
Hackensack Meridian Health
Carrier Clinic Child & Adolescent Expansion Belle Mead, NJ
Inspira Health
Greenfield Hospital & Campus Development Mullica Hill, NJ
Inspira Health
Satellite ED & Behavioral Health Pavilion Woodbury, NJ
Inspira Health Vineland Campus Bed Tower Overbuild Vineland, NJ
Jefferson Health
Navy Yard Multispecialty Outpatient Center Philadelphia, PA
Johns Hopkins
Bayview Medical Center Patient Tower Baltimore, MD
Kaiser Permanente
Regional Clinical Lab & Office Space MidAtlantic, US
Kennedy Krieger Institute
Pediatric Innovative Care Center Baltimore, MD
MaineHealth
Behavioral Health Center Sanford, ME
Montefiore Health System
Hutchinson Campus Ambulatory Care Center Bronx, NY
Mount Sinai
Bed Tower & ICU Improvements New York, NY
MUSC Health
Leatherman Behavioral Care Pavilion Florence, SC
NewYork-Presbyterian
Milstein Hospital Building Modernization New York, NY
NewYork-Presbyterian
Och Spine Centers
New York, NY
Nicklaus Children’s Health System
Orthopedics & Spine Institute Miami, FL
Northside Health System
Cherokee & Forsyth Campus Implementation Canton/Cumming, GA
NYC Health + Hospitals
Henry J. Carter Specialty Hospital New York, NY
RWJBarnabas Health
New Brunswick Campus Expansion & Renovations New Brunswick, NJ
St Elizabeth Healthcare
Ambulatory Care Center Covington, KY
Vero Orthopaedics &Neurology
Medical Office Building Vero Beach, FL
Virtua Health Our Lady of Lourdes Patient Tower & Care Transformation Project Camden, NJ
White Plains Hospital
In-and Outpatient Projects White Plains, NY
MASTER PLANNING EXPERIENCE
Capital Health
Facilities Master Plan Trenton, NJ
Cleveland Clinic Indian River Hospital
Surgical Master Plan Vero Beach, FL
Community Health Partners
Facility Master Plan Lorain, OH
Department of Veterans Affairs
Ohio Veterans Home Facilities Master Plan Columbus, OH
Hackensack Meridian Health
JFK Medical Center Facilities Master Plan Edison, NJ
Inspira Health
Behavioral Health Master Plan Mullica Hill, NJ
Inspira Health
Strategic Facilities Planning & Implementation
Mullica Hill, NJ
Johns Hopkins Bayview Medical Center
Campus Master Plan Baltimore, MD
Jupiter Medical Center
Medical Center Master Plan Jupiter, FL
MedStar Health
Franklin Square Hospital Center Facilities Master Plan Baltimore, MD
Montefiore Health System
Wakefield Hospital Facilities MP & Implementation New York, NY
NewYork-Presbyterian
Gracie Square Hospital Master Plan New York, NY
NewYork-Presbyterian
Morgan Stanley Children’s Hospital Surgical MP New York, NY
Northside Health System
Cherokee Campus Master Plan & Implementation Canton, GA
Northside Health System
Forsyth Campus Master Plan & Implementation Cumming, GA
NYC Health + Hospitals
Master Planning Term Contract Various Locations, NY
NYC Health + Hospitals
Elmhurst Hospital Facilities Master Plan Queens, NY
NYC Health + Hospitals
Queens Hospital Facilities Master Plan Queens, NY
Opelousas General Health System
Campus Master Plan Opelousas, LA
RWJBarnabas Health
Shoreline Behavioral Health Expansion Study Somerset, NJ
RWJBarnabas Health
Somerset Medical Center Facilities Master Plan Somerville, NJ
St John West Shore Medical Center
Facilities Master Plan & Implementation Westlake, OH
Trinity Holy Cross Health Multi-Campus Master Plan Silver Spring, MD
UNC Health Nash
Facilities Master Plan Rocky Mount, NC
UnityPoint Health
Central Illinois Campus Optimization Plan Illinois & Iowa
UnityPoint Health
Quad Cities Campus Optimization Plan Illinois & Iowa
University Hospitals
Facilities Master Plan & Implementation Cleveland, OH
Wheaton Franciscan Healthcare System Master Plan Milwaukee, WI
SOUTHEAST: IN-PROGRESS HIGHLIGHTS
Our team is continually shaping innovative healthcare environments that balance functionality, flexibility, and compassion. Current projects on the boards reflect a commitment to improving patient experiences, supporting caregivers, and integrating advanced technologies into thoughtfully designed spaces. Each design solution is guided by collaboration with clients and stakeholders, ensuring that facilities are responsive to evolving needs and built to serve communities well into the future.
MUSC Health Florence Cancer Center
Florence, SC
Located on the MUSC Health Florence campus, the new Cancer Center will be a two-story, free-standing facility designed to provide comprehensive oncology services. This project will include medical and radiological oncology exam and treatment spaces, featuring a CT simulator suite, linear accelerator suite, and a dedicated Women’s Center with diagnostic imaging and reading rooms. Additional clinical support areas will include an infusion suite, an in-house laboratory with blood draw capabilities, and a USP 797/800-compliant pharmacy with space for investigational drugs.
The design will also incorporate provider workspaces, teleconference and collaborative teaching rooms, a retail boutique, and outdoor respite areas for patients, families, and staff. Site improvements will involve new surface parking, infrastructure relocations, circulation enhancements, and structural upgrades to the adjacent building to support the new facility.
UNC Health Meadowmont Renovation
Chapel Hill, NC
The UNC Health Meadowmont Renovations build upon Scheme 9A developed during the study phase, transforming key clinical and administrative spaces on levels 1 and 3. To better serve patients and providers, Heart and Vascular, Wound and Podiatry, PVL, and administrative offices will move from level 3 to a newly renovated level 1, creating room for the VIR and GI clinics to establish a strong presence on level 3. Some areas will undergo intensive renovation, with walls demolished and rebuilt to accommodate new needs, while other spaces will see lighter upgrades focused on refreshed finishes. Even in these minor renovation zones, improvements such as new sinks, casework finishes, and LED lighting will enhance the quality and longevity of the environment.
MUSC Health EmPATH Projects
Charleston, Orangeburg, and Camden, SC
The MUSC EmPATH Projects will expand and enhance behavioral health crisis stabilization services across South Carolina through dedicated EmPATH units.
These units—located at University Hospital Main (2,793 SF), Shawn Jenkins Children’s Hospital (1,678 SF), Orangeburg (6,059 SF), and Kershaw (3,393 SF)—are designed to provide immediate, compassionate care in a therapeutic environment. When complete, these projects will strengthen the state’s behavioral health service capacity and infrastructure to better respond to psychiatric emergencies.
KNOWLEDGE SHARING
Array has built a culture of knowledge sharing that drives innovation and continuous improvement. Our research and public relations initiatives have caught the attention of clients, industry peers, and leading news organizations.
Array in the Press
Contributing to the Conversation in Healthcare Design
The Value of In-Concert Design Planning by Array Architects President Noah Tolson
Fresh Approach: Planning Pediatric Care in a New Market by Array Advisors President Jonathan Bykowski
Understanding Integrated Project Delivery from Multiple Industry Lenses by Array Architects Senior Regional VP and Design Practice Leader, Kent Doss
Thought Leadership
Designing For Staff Safety In Healthcare Facilities
Learn how behavioral health design strategies can improve safety and care across many healthcare settings.
Constructing with Care Podcast: Achieving Conviction in Capital Planning
The three-part podcast series examines practical strategies for aligning capital investments with long-term organizational vision.
Master Planning in Today’s Environment
Our master planning approach is catching the attention of industry publications, peers and new clients at a rapid rate.
Discover the value of in-concert design planning in this Healthcare Design article by Array President Noah Tolson.
Behavioral Health: Re-Imagining Care
Exterior Design Feature: Children’s Hospital of the King’s Daughters Mental Health Tower
Website Spotlight
2025 Briefing: 7 Recommendations for Health System Leaders in an Era of Unprecedented Uncertainty
Array Advisors’ latest briefing outlines 7 actionable strategies to help healthcare leaders plan with clarity and confidence—even in the face of change.
Blog: Empathy and Experiential Approach to Pediatric Behavioral Health Environments
Discover the key to creating healing and hopeful pediatric behavioral health environments in collaboration with clients and family advisory groups.
Blog: Eliminating Rework by Taking Advantage of Prefabrication
Explore how the Array team closely coordinated prefabrication of the exterior panels that clad Inspira Medical Center Mullica Hill’s 473,000 SF hospital.
