

RESULTS BEYOND ARCHITECTURE
![]()


RESULTS BEYOND ARCHITECTURE


Our Purpose:
To partner with our clients, their patients and care providers in the creation of hopeful, healing and healthy built environments.
Master Planning
Cancer Centers
Children’s Healthcare
Surgery / Orthopaedics / SPD
Bed Towers
Emergency Department
Pharmacy
Hospice
MOB & Clinics

Every patient, first and foremost, is a person - a person whose expectations are shaped by his/her ordinary day-to-day interactions with a variety of products, companies, and offerings. Is it any wonder that their healthcare expectations are based on these same interactions?
These experiences can be drawn from someone’s office, their neighborhood bakery, their local grocery store, their last vacation or shopping online. They want the ease of mobile boarding passes, the time-saving convenience of meal kit services, the immediacy of ride-hailing apps, the intimacy of boutique hotels and the personalization of online personal-styling services.
In understanding these expectations and establishing the framework from which to build, customer experience design strategy is leveraged to connect the often disparate moments across the healthcare experience continuum.
Solve customers emotional needs & wants
Provide practical, relevant solutions
BRAND ATTACHMENT
Connect with customers & build brand loyalty
REGENERATIVEDESIGNMINDSET
Understanding the Parameters & Constraints Infusing Innovative Thinking
Asking the Deeper Questions
TRANSDISCIPLINARY APPROACH
Shaping Design Ideas



TRANSDISCIPLINARYAPPROACH

ELEVATEYOURPERFORMANCETHROUGHDESIGN
Delivering Results Enriching Human Performance
REGENERATIVE DESIGN MINDSET
Optimizing Building Performance
Integrating Disciplines
REGENERATIVEDESIGN MINDSET
Implementing the Design Solution
TRANSDISCIPLINARYAPPROACH
Results Beyond Architecture is a promise we make to every client; it means that we will elevate their success in ways they would never expect from their design firm.





NEW PARKING DECK
HORIZONTAL EXPANISON
5 Levels 72 - 96 Beds
HORIZONTAL EXPANISON
5 Levels 72 - 96 Beds

VERTICAL EXPANSION
2 Levels 96 Beds

Since its opening, Cape Fear Valley Hospital has grown from a 200-bed county hospital into today’s major medical center with 524 licensed beds and specialties in heart care, cancer treatment and surgical services. As demands continued to stress the original facility, Little was engaged in 2017 for campus master planning to identify growth zones for both inpatient and outpatient services, generate site options for adding parking, develop concepts for improved and expanded inpatient rooms, recommend future expansion options both horizontal and vertical.
Little River, SC
The design team at Little Diversified Architectural Consulting developed a master plan for McLeod Health at Seacoast Hospital in Little River, SC. They conducted interviews, reviewed the existing facility, and created options for campus expansion. The final plan includes site circulation, infrastructure improvements, additional parking, and an expanded central energy plant. New construction will include surgery and ICU expansion, a bed tower, and an enlarged emergency department. Existing services like the lab, pharmacy, and imaging will be renovated. The hospital will grow by 136 beds. The team worked with a contractor to develop construction phases and cost estimates. They are currently building a staff parking deck to address shortages and create space for expansion.










First cancer network in the world to earn the top distinction in patient-centered care.
Best at putting patients first.

Charlotte, NC
260,000 sf
The Levine Cancer Institute, the first multi-site cancer center in the world to be certified by the Planetree Organization, has a mission of providing a comforting experience for patients, families, and caregivers as they journey toward healing. Patient experience workshops, facilitated in collaboration with the Patient/Family Advisory Council, informed the design’s guiding principles of celebrating interaction, supporting the journey, providing holistic care, and honoring mind/body/spirit. These principles are embodied in the numerous experience elements found throughout, namely the interfaith chapel, centralized lab/registration area, improved dining facilities, infusion bays with vegetative roof views, and extensive natural light.











Charlotte, NC 30,893 sf
The pedestrian bridges linking to Level 03 to the north and the east sides of campus lead to the decision to locate the Pediatric Conference Center and the Cancer and Blood Disorder Clinic here. Similarly to Level 5 and 4 , Level 3 incorporates the “city” theme into it’s graphics throughout to aid in wayfinding and playful dsitractions. The Cancer and Blood Disorder Clinic, consists of a welcoming lobby, 18 exam rooms in 2 clinical neighborhoods, 2 infusion area with 8 and 17 private infusion rooms, lab, pharmacy, multipurpose room, and art / activity room and administrative areas. The Conference Center, which will host both staff meetings and larger multidisciplinary evens, includes a large conference room for eighty that can be divided into three smaller rooms, a small 15 seat conference room, and a pre-function area with a catering kitchen.






500 sf / Charlotte, NC
Atrium Health
In creating Charlotte’s first MIBG therapy suite, the client sought to develop a care environment that promotes a more holistic approach to healing and well-being. Little was able to alleviate the prolonged isolation MIGB patients experience due to the radioactive nature of treatment by converting two existing rooms into a unique therapy suite design; one that features a treatment room for the patient and a protected adjoining room for parents, caregivers and staff, with a lead-lined window between. The environment of the patient room is further enhanced through a specialized, fiber optic light system that mirrors a starry night with planets and shooting stars.



Charlotte, NC
5,000 sf
This Pediatric BMT and Cellular Therapies Unit was a 5,000 sf renovation. The goal of the project was to create a new eight-bed hematologic oncology suite to serve pediatric and young adult patients. It is the only one of its kind in the region and one of three in the entire state. The suite includes the development of a new playroom that gives patients a space to escape while still being in the required positive pressure environment. The playroom is a critical factor in holistic healing, providing young patients a sense normalcy and control.










Levine Children’s Hospital: Pediatric Therapy Room Charlotte, NC 870 sf
Children’s Hospital: Play Room Charlotte, NC





Charlotte, NC
25,000 sf
Atrium Health
As the first project selected from a full building master plan, the pediatric cancer center is being relocated and will expand to 25,000 sf. A primary design goal was to improve both the patient experience and the staff workflow. The clinic expands from the existing 10 exam rooms to 25 exam rooms housed in three neighborhood clinic modules. To help accomplish this impactful project, former Pro Bowl Tight End for the Carolina Panthers, Greg Olson and his family generously donated $2.5 million through his charity Receptions for Research: The Greg Olson Foundation.

Wilmington, NC
19,500 sf
The Wilmington Health Ambulatory Surgery Center is a 19,500 SF multi-specialty Ambulatory Surgery Center for a private physician practice. The project is located on a greenfield site, just a few miles from the region’s major medical center located in downtown Wilmington, NC.
The project will be developed in two phases with phase one being four operating rooms and sixteen prep post stations with separate drop-off and discharge canopies. Phase two will consist of a 5,000 SF, two operating room expansion with associated support space. The building design has been developed to align with major design elements of the existing Wilmington Health medical facilities. The project is being done with a developer-led team on a fast-track schedule with early document submissions for foundation and structural steel to accelerate the schedule.







Charlotte, NC
160,000 sf
With the goal to create a destination for expanded Musculoskeletal Medicine procedures and education, Atrium Health established a Musculoskeletal Institute on their Mercy Hospital Campus in Charlotte, NC. This is a net new program for the fastest growing healthcare system in the region. They have gotten some of the top surgeons and researchers to join under one umbrella and advance Musculoskeletal care for Charlotte and beyond. They also plan to use the Institute to teach and recruit new residents/surgeons.
To accommodate the growing needs of the program, Little’s Healthcare team came on board to design extensive renovations and expansions to the 117-year-old hospital. These enhancements include adding four new, state-of-the-art modular operating rooms and modernizing two existing operating rooms into procedure rooms. Additionally, to properly support the added operating rooms with optimum efficiency, the Sterile Processing Department required a full renovation plus an expansion to existing space.




Orange City, FL
In addition to the Lake Mary Ambulatory Surgery Center and GI Clinic, Gastro MD reached out to us to design a second Ambulatory Surgery which would also house their regional business offices. The wood and glass natural design elements continued on to this project. Creating a modern yet holistic atmosphere. Unlike the Lake Mary ASC, Orange City has two canopies, one for receiving and one for discharge creating a seamless flow for patients and visitors. The ASC is comprised of one operating room, three GI procedure rooms and 16 swing prep and recovery bays. The new business section of building allows Gastro MD to centralize all their business operations, allowing the nearby clinics to now focus on increasing patient volumes.
Fayetteville, NC
Since its opening, Cape Fear Valley Hospital has grown from a 200-bed county hospital into today’s major medical center with 524 licensed beds and specialties in heart care, cancer treatment and surgical services. As demands continued to stress the original facility, Little was engaged in 2017 for campus master planning to identify growth zones for both inpatient and outpatient services, generate site options for adding parking, develop concepts for improved and expanded inpatient rooms, recommend future expansion options both horizontal and vertical.



Conway, SC
60,000 sf
Conway Medical Center was and is committed to improving both the quality of their facility and the already high level of care provided for their patients. The new three-story Bed Tower features 64 large, all-private patient rooms designed to create a quality patient care zone for the staff while providing dedicated spaces for families and visitors in the patient rooms as well as in public areas. The patient rooms, designed to accommodate differing levels of patient acuity, are modular such that they can be easily retrofitted in the future should the patient mix change. In addition to the modularity of the patient room design, the overall floor plan is divided into groups of eight-bed nursing pods surrounding a central core of support areas.





Clermont, FL
40,000 sf
This two-story freestanding emergency department has an on-site laboratory, outpatient imaging and rehabilitation services, and is one of two commissioned by South Lake Hospitals. The main objective was to provide access to the same quality of care closer to the patients’ homes and create a comforting and healing environment. The 24-hour emergency department features 12 treatment rooms, a specialized infant resuscitation room, imaging, helipad, and medical pavilion. A 21’ oval clearstory “skylight” above the nurses station provides a WELL biophilic feature by bringing light to the center of the emergency room.




Leesburg, FL
41,348 sf
This 40,000 sf health campus includes an emergency department and an outpatient diagnostic platform as well as an attached medical office building. It is designed to be able to operate and sustain services as a “mini hospital” while also being connected to the main campus via a helicopter, ambulance and supply chain.
The vision was of a building full of light and providing a connection to the outdoors. The connector between the buildings becomes a place of respite allowing both staff and visitors to connect to the garden. The interior utilizes biophilic design strategies to create signature moments in the patient experience and provide comfort to anxious patients.

Charlotte, NC
Offering six patient suites, this facility combines the comforts of home with expert medical care to improve the lives of patients and their families at a most critical time. Large patient suites provide privacy during nursing visits and accommodations for family overnight stays. Guest spaces feature cozy living areas complete with sleeper sofa, guest chairs and built-in desks with computer access. The interior design palette includes soothing shades of grey with coordinating furniture that blend to create a calming atmosphere.




Hospice of the Upstate established the first hospice in SC in 1998 on a 55 acre campus in the eastern area of the county. The recent changes to Hospice care reimbursement created the opportunity for their Board of Directors to undertake a master facility plan to align their new strategic plan with their aging facility of 50,000 SF. The Little team kicked off the project with a visioning session focused on gaining input from diverse representatives from the community, the clinical and support staff, and the families of current and former patients. Followed by intense on-site workshops the final master plan identified four areas of improvements: facilities, site access, infrastructure, and brand recognition in the community. Planned initiatives range from improved staff workflow with larger patient rooms, enhanced family amenities, additional staff respite areas, vehicular entry upgrades, community walking trails, and rebranding their more patient focused strategy with the community.

Technology Upgrades Servery Renovation
PATIENT ENTRANCE Staff and Patient Entrance/Exit
SADLER CENTER REFRESH Technology Upgrades Aesthetic Renovation




Central Florida
41,000 sf
This design for a new regional Health Park redefines the traditional medical office environment and patient experience. Responding to the client’s requirements of promoting a strong sense of community and patient interaction through a rich sequence of shared and social spaces that provide a connection to the community. Places of collaboration, comfort, and contemplative solitude are created through thoughtful spaces and control of light. With this unique focus on wellness, as opposed to a traditional medical planning with a clinical tenant, the paradigm of sterile and often uninviting medical clinics shifts by introducing experiential and programmatic elements throughout the patient’s journey. This promotes better interactions with caregivers, transforming an otherwise often anxious moment, into a calmer, more beneficial one.






Confidential Fortune 10: Health Clinics Nationwide
Confidential Fortune 10 Client: Eye Specialty MOB Muncie, IN







Fredericksburg, VA
470,000 sf
The Fredericksburg Veterans Affairs Medical Center will be the largest privately-owned VA medical centers in the country. Located near Interstate 95 and at the center of a carefully crafted 48-acre site, the site includes a healing garden and veterans memorial, with the new state-of-the-art facility focuses on elevating the quality of life and productivity of veterans while also protecting the health, safety and welfare of veterans, visitors and staff. Drawing inspiration from the old town of Fredericksburg, VA, the clinic aims to act as a neighborhood or village creating a sense of comfort, familiarity, and welcomeness.

2 AMERICAN COLLEGE OF HEALTHCARE ARCHITECTS MEMBERS
3 WELL CERTIFIED ARCHITECTS 2025 MODERN HEALTHCARE RANKING
1 LEAN SIX SIGMA BLACK BELT
16
6
OFFICE LOCATIONS
49 YEARS OF HEALTHCARE EXPERIENCE HEALTHCARE PROJECTS IN
35 STATES

www.littleonline.com