Portfolio
With a 100% focus on health design, we understand the current forces that impact your business.
Our processes support clients’ existing and future service lines, with an understanding of competitiveness, system dynamics, and economics.
Our team designs for community hospitals, academic medical centers, life science laboratories, R&D spaces, children’s hospitals, mental health facilities, ambulatory care centers, rehabilitation facilities, assisted living, and medical office buildings, among others. We work collaboratively with clients to improve outcomes for patients and families.
Featured Projects

Creating a Safe and Supportive Healing Environment for Seniors
Johnson Memorial Hospital Geriatric Wellness Pavilion
Stafford Springs, CT

Capturing Suburban Markets and Improving Patient Access
Mass General West Clinics
Waltham, MA

Proton Beam Therapy & Gamma Knife Radiosurgery
Atrium Health Levine Cancer Institute Center for Advanced Radiation Therapy
Charlotte, NC

Supporting a “Patients First” Mission
Spring Fertility IVF Center
New York, NY

To Identify and Treat Lower Acuity Patients
Mount Sinai Guggenheim ED Rapid Medical Evaluation Unit
New York, NY

Tailored Specifically for Women & their Families
Weill Cornell OBGYN & Primary Care
New York, NY

Full Lifespan Behavioral Healthcare
Maine Behavioral Healthcare, The Center for Autism & Developmental Disorders
South Portland, ME

Patients at the Center
UVM Medical Center Miller Building
Burlington, VT
view project
Diversity of Spaces Allow for Choice of Engagement
UMass Memorial Medical Center Psychiatric Unit
Worcester, MA

High Efficiency Microhospital
Northwest Medical Center Sahuarita
Sahuarita, AZ

Planning & Implementing Modernization
Eastern Maine Medical Center, Bangor, ME
view project
Providing Convenient Access to Healthcare in Eastern New Mexico
Covenant Health Hobbs Hospital
Hobbs, NM

Designed with Covid-19 in Mind
Virginia Hospital Center 4A Patient Unit
Arlington, VA

Affordable Senior Housing
Residences at Kenilworth Park
Washington, DC

Operational Flexibility
Cape Regional Medical Center – Claire C. Brodesser Surgery Center
Cape May, NJ

Growing Research Operations
Genosco Laboratory Office Renovation
Billerica, MA

Adaptive Re-use Warehouse
Northwell Pediatric Cardiology & Surgical Outpatient Clinic
Lake Success, NY

Growing Company
MicroMedicine, Waltham, MA
view project
Orthopedic Excellence
USPI Hospital for Special Surgery Orthopedic Center of Excellence
West Palm Beach, FL

Advanced, Community-Focused Care
UCHealth Grandview Microhospital
Colorado Springs, CO

A Focus to Keep Quality & Safety Satisfaction High
UMass Memorial Medical Center H8 Medical Surgical Nursing Unit & Compounding Pharmacy
Worcester, MA

Prototype Microhospital
Abrazo Mesa Hospital, Mesa, AZ
view project
Improving Efficiency and Wellness
Valley Health Winchester Medical Center, Winchester, VA
view project
A Coordinated Approach to Healthcare
Kettering Health Network Troy Hospital, Troy, OH
view project
Critical Overall Flow and Patient Circulation
Yale New Haven Health & USPI Guilford Endoscopy Clinic
Guilford, CT

Collaborative Medical Education
Harvard Medical School Learning Center & Offices, Boston, MA
view project
A Place for Children
Northwell Health, Cohen Children’s Medical Center, New Hyde Park, NY
view project
“Green Field” Rehabilitation Hospital
Kindred Rehabilitation Hospital of Northeast Houston
Houston, TX

Lakeside Medical Office
LincolnHealth MOB, Damariscotta, ME
view project

A Soothing Environment
Central Surgical Hub for Kettering Health Network, Kettering, OH
view project
Next Generation Design
Neighborhood Hospital Prototype of the Future, Design Competition
view project
Strict Tolerances Required
MSKCC Electron Microscopy Suite
New York, NY

Upgraded ED
INOVA Mount Vernon Hospital, Alexandria, VA
view project
Multi-Specialty Surgery Center
Park Hill Medical Pavilion, Fort Worth, TX
view project
Calming Palette
Shady Grove Fertility, Rockville, MD
view project
Prototype Medical Retail
TruDerm, Multiple Locations, TX
view project
Decrease Patient Stress
Lahey Outpatient Center – Ambient MRI Experience, Danvers, MA
view project
Accelerated Delivery
Portneuf Medical Center, Pocatello, ID
view project
From the Heart
Baylor Scott & White The Heart Hospital Plano, Plano, TX
view project
Upgrades & Growth
Lawrence General Hospital, Lawrence, MA
view projectThank you for your professionalism and expertise in partnering with me and the rest of the Northwell team on this very long but very successful journey. Other top children hospitals will now have to compete against us! So thank you and know that your team was part of making this all happen.
Enrico M. Ligniti, PharmD, MSCP, CPSO, Director, Dept. of Pediatric Pharmacy Services
COHEN CHILDREN'S MEDICAL CENTER
Working with E4H
Services
A passion for the welfare of patients and staff keeps our focus on improving outcomes. See how we create exceptional environments for health.
SmartDesign
Listening and leading drives collaborative solutions informed by national best-practices.