Surrounded by the Rocky Mountain foothills, HCA Healthcare’s Sky Ridge Medical Center represents the cornerstone architectural project for a planned urban development in Colorado’s northern Douglas County. The facility sets the precedent for the community’s design standards, reminiscent of a classic ski lodge. Using natural materials like marble, fieldstone and wood, and elements like large windows and a two-story fireplace, the space evokes warmth, luxury and comfort. The design also embodies the successful integration of state-of-the-art services, and since it’s opening, Sky Ridge Medical Center has earned a reputation for clinical excellence.

Designed with flexibility for future growth in mind, the hospital, which was initially built for 275 beds, now houses 284 beds to better serve one of the fastest growing counties in the nation. The 362,500-square-foot, seven-story facility features 30 intensive care units; an intensive care unit catheterization lab; 20 operating rooms—including four general operating rooms, four orthopedic operating rooms, seven spine operating rooms, four neuro-operating rooms, and one cysto-operating room—and consists of predominantly private patient rooms. Home to the Denver Broncos Sports Medicine Center, the top floor houses eight amenity suites for patients seeking concierge service while receiving healthcare treatment.

Since the hospital’s completion in 2003, Gresham Smith has provided services for numerous additions and expansions, including a 15,000-square-foot ICU addition, a 40,000-square-foot orthopedic addition, and a 120,000-square-foot women’s health center. The firm also designed a 62,000-square-foot spine and joint center expansion and renovation, creating a standalone surgical unit comprised of 11 orthopedic/neurological operating rooms supported by 20 pre-operative holding rooms and 16 post-anesthesia recovery bays, as well as seven orthopedic/spine operating rooms.

Extending beyond the main hospital building, the firm designed adjacent medical office buildings and a four-level, 1,000-car parking garage, which provide convenient access to physician offices while reinforcing the campus’ unique image. The firm is currently designing a 19,000-square-foot expansion to the inpatient rehabilitation facility at Sky Ridge Medical Center, which will include 20 patient rooms, a day room and a therapy gym.


HCA Healthcare


Lone Tree, CO

Project Type



Picture 235
Picture 076

Project Contact

Our team designs with genuine care for ingenious solutions.

Design with us.

Gregory Gore, AIA
Gregory Gore, AIA
Project Executive