In August, Dallas-based Everest Rehabilitation Hospitals revealed its plans to build a 36-bed inpatient physical rehab facility at The Villages, the massive active-adult and retirement community in Florida. That hospital will be Everest’s eighth under construction in the Sunshine State.
The 41,000-sf Villages project on 8.47 acres of land in Oxford, Fla., will cost $24 million to build. It is the latest in Everest’s construction of identical multi-specialty acute-care hospitals in several states. The hospitals serve patients recovering from stroke, brain injury, neurological conditions, trauma, spinal cord injury, speech impediments, amputation, pulmonary disease, orthopedic injury, COVID-19, and other medically complex conditions.
The hospitals are equipped with in- and outpatient physical therapy gyms, an outdoor mobility courtyard, aqua therapy, a furnished life skills training apartment with a full kitchen and bathroom, in-house dialysis, and a pharmacy. There are also gathering areas for families that include a large dining room.
DBA Architects, based in McKinney, Texas, whose design work is heavily in the residential sector, provided the prototype design for Everest that had to be universal enough so it could be replicated to accommodate Everest’s expansion strategy. The company opened its first hospital in Longview, Texas, in June 2019 and currently has six facilities operating in Texas, Oklahoma, Arkansas, and Ohio. Everest has another 10 hospitals in various stages of design and construction, with its facility in El Paso, Texas, scheduled to open by the end of this year, and another in San Antonio opening in the first quarter of 2023.
Bryan Moore, DBA Architects’ CEO and President, tells BD+C that Everest’s plan has been to grow as rapidly as possible to meet increasing physical rehab needs. That growth is being propelled by entrepreneur Marc Sparks, Everest’s Co-founder and President of the private-equity firm Timber Creek Capital, which is Everest’s developer. (According to his online bio, Sparks has been involved in over 60 startups, “some outrageously successful, others downright disasters.”)
Sparks has stated that he wanted Everest’s ambiance to be more hotel-like and service oriented than institutional. “What Marc didn’t want was a hospital that looked like a place where people go to die,” says Moore. So Everest Rehab’s design and programming include art work, natural light, high ceilings, outdoor dining, room service, and social events.
A plan for expansion: Everest Rehabilitation Hospitals
Repetitive design is often frowned upon by architects, but it certainly has its place: ask any data center or multifamily housing developer. And Everest, says Moore, was attracted to this kind of design’s economies of scale, so that the hospitals could offer “the same menus, same therapies, and medications.” Moore describes this process as “cut and paste,” although he is quick to add that it DBA still had plenty of design leeway.
There’s no prefabrication in the construction of Everest’s hospitals, although Moore says that prefab is now being considered for the patients’ wing as Everest plots its expansion. (Everest’s buildings are expandable to 48 beds.)
Everest hasn’t stated yet how many hospitals it intends to build and operate beyond the 16 it already has opened or are under construction. Everest’s business model uses an actuarial program to determine need based on the number of rehab hospitals and beds within a 100-mile radius of a given market. Last year, the Florida market “opened up,” says Moore, when the DeSantis administration did away with a restriction that had required arduous proof of need before a new healthcare facility could be built.
Among the four contractors it has used to build its hospitals is H.J. High Construction, which Moore says has experience building hospitals in Florida.
Moore and Sparks met when they were working on a homeless shelter project for Samaritan Inn. When Sparks shared his vision for Everest’s rehabilitation hospitals, Moore was ready to jump in: DBA was already doing a lot of repetitive design for its multifamily clients. And back in the late 1980s, the firm was involved in the prototype design business for fast food franchises.
Related Stories
| Feb 17, 2011
HDR Architecture sponsors national effort to green operating rooms
HDR Architecture, Inc. has joined the group of corporate sponsors of Practice Greenhealth’s Greening the Operating Room Initiative. This sweeping and prescriptive path to green the nation’s operating rooms was launched earlier this year to reduce the environmental footprint of the operating suites in hospitals across the country, which can produce between 20 and 30% of a hospital’s total waste.
| Feb 11, 2011
Iowa surgery center addresses both inpatient and outpatient care
The 12,000-person community of Carroll, Iowa, has a new $28 million surgery center to provide both inpatient and outpatient care. Minneapolis-based healthcare design firm Horty Elving headed up the four-story, 120,000-sf project for St. Anthony’s Regional Hospital. The center’s layout is based on a circular process flow, and includes four 800-sf operating rooms with poured rubber floors to reduce leg fatigue for surgeons and support staff, two substerile rooms between each pair of operating rooms, and two endoscopy rooms adjacent to the outpatient prep and recovery rooms. Recovery rooms are clustered in groups of four. The large family lounge (left) has expansive windows with views of the countryside, and television monitors that display coded information on patient status so loved ones can follow a patient’s progress.
| Feb 11, 2011
Two projects seek to reinvigorate Los Angeles County medical center
HMC Architects designed two new buildings for the Los Angeles County Martin Luther King, Jr., Medical Center as part of a $360 million plan to reinvigorate the campus. The buildings include a 120-bed hospital, which involves renovation of an existing tower and several support buildings, and the construction of a new multi-service ambulatory care center. The new facilities will have large expanses of glass at all waiting and public areas for unobstructed views of downtown Los Angeles. A curved glass entrance canopy will unite the two buildings. When both projects are completed—the hospital in 2012 and the ambulatory care center in 2013—the campus will have added more than 460,000 sf of space. The hospital will seek LEED certification, while the ambulatory care center is targeting LEED Silver.
| Feb 9, 2011
Hospital Construction in the Age of Obamacare
The recession has hurt even the usually vibrant healthcare segment. Nearly three out of four hospital systems have put the brakes on capital projects. We asked five capital expenditure insiders for their advice on how Building Teams can still succeed in this highly competitive sector.
| Jan 31, 2011
Cuningham Group Architecture launches Healthcare studio with Lee Brennan
International design firm Cuningham Group Architecture, P.A. (Cuningham Group) has announced the arrival of Lee Brennan, AIA, as Principal and Leader of its new Healthcare studio. Brennan comes to Cuningham Group with over 30 years of professional experience, 22 of those years in healthcare, encompassing all aspects of project delivery, from strategic planning and programming through design and construction. The firm’s new Healthcare studio will enhance Cuningham Group’s expertise in leisure and entertainment, education, mixed-use/housing and workplace environments.
| Jan 31, 2011
HDR Architecture Releases Evidence-based Design Videos
As a follow-up to its book Evidence-based Design for Healthcare Facilities, HDR Architecture, Inc. has released three video case studies that highlight evidence-based design principles in action.
| Jan 31, 2011
CISCA releases White Paper on Acoustics in Healthcare Environments
The Ceilings & Interior Systems Construction Association (CISCA) has released an extensive white paper “Acoustics in Healthcare Environments” for architects, interior designers, and other design professionals who work to improve healthcare settings for all users. This white paper serves as a comprehensive introduction to the acoustical issues commonly confronted on healthcare projects and howbest to address those.
| Jan 27, 2011
Perkins Eastman's report on senior housing signals a changing market
Top international design and architecture firm Perkins Eastman is pleased to announce that the Perkins Eastman Research Collaborative recently completed the “Design for Aging Review 10 Insights and Innovations: The State of Senior Housing” study for the American Institute of Architects (AIA). The results of the comprehensive study reflect the changing demands and emerging concepts that are re-shaping today’s senior living industry.
| Jan 21, 2011
Harlem facility combines social services with retail, office space
Harlem is one of the first neighborhoods in New York City to combine retail with assisted living. The six-story, 50,000-sf building provides assisted living for residents with disabilities and a nonprofit group offering services to minority groups, plus retail and office space.
| Jan 21, 2011
Research center built for interdisciplinary cooperation
The Jan and Dan Duncan Neurological Research Institute at Texas Children’s Hospital, in Houston, the first basic research institute for childhood neurological diseases, is a 13-story twisting tower in the center of the hospital campus.
