Lean Design & Consulting

  • Dr. F.H. Wigmore Regional Hospital

    Lean and integrated.

    Read More
  • SUNY Upstate Medical & Ambulatory Care Center

    A new model that enables the delivery of integrated care.

    Read More
  • Kelowna Hospital & Vernon Hospital Expansions

    A healthcare tale of two cities.

    Read More

Doing more with less

Lean design, with its emphasis on getting rid of waste and improving operational processes, helps you make the needed transformation in this new era of minimized resources. With our knowledge of 3P process and our embrace of multi-disciplinary teams, use of multi-scale mockups and real time operational enactments, we help you build or repurpose your facility to eliminate redundancy and inefficiency.

It’s an exciting and challenging time to work in an industry undergoing rapid change—together, we’re shaping the future of healthcare.

Herschel Block Senior Associate

Tending the Garden of Generative Space

How do you design a space that not only fulfills its purpose but also continues to improve the user’s experience? Read More
Expert Spotlight

Barry Kowalsky, Senior Principal, Architecture

I’ve been on the owner’s side for years. I get why a facility has to be lean and cost effective, and I enjoy helping organizations achieve that.
Barry Kowalsky Senior Principal, Architecture Read More

Andrew Brimble, Principal, Architecture

Healthcare planning is like being caught in quicksand––the more you move the deeper you go. I hope I never find the bottom.

Jeff Hankin, Senior Principal, Electrical Engineering

My passion is to connect people and ideas.
Jeff Hankin Senior Principal, Electrical Engineering Read More

Brenda Bush-Moline, Vice President, Buildings, Global Health Sector Leader

Discovering our client’s culture allows us the opportunity to enhance their mission and advance health within their communities.
Brenda Bush-Moline Vice President, Buildings, Global Health Sector Leader Read More

Barry Kowalsky

Senior Principal, Architecture

Andrew Brimble

Principal, Architecture

Jeff Hankin

Senior Principal, Electrical Engineering

Brenda Bush-Moline

Vice President, Buildings, Global Health Sector Leader

Related Services


Architecture We create spaces that are engaging and uplifting that contribute to our collective sense of health and well-being, and encourage the sustainable stewardship of our communities.
Interior Design As humans, we spend a significant portion of our daily lives inside. We believe our emotional and physical well-being is dramatically impacted by the places where we live, work, and play.
Buildings Engineering With decades of innovation and experience under our belts we’re engineering a promising future leveraging the best in building systems, technology, energy analysis, and sustainable performance.
Sustainability & Building Performance We blend art and science to help clients realize the full potential of their projects in terms of life cycle cost, energy efficiency, carbon reduction, human health, and wellness.
Urban Design & Planning Our plans help harness the forces reshaping North American communities. We create places that are authentic, green, walkable, connected and diverse.

We're better together

  • Become a client

    Partner with us today to change how tomorrow looks. You’re exactly what’s needed to help us make it happen in your community.

    Contact Us
  • Design your career

    Work with passionate people who are experts in their field. Our teams love what they do and are driven by how their work makes an impact on the communities they serve.

    Join the Team