Healthcare Realty/Ascension Saint Thomas


Nashville, TN




Architecture, Interior Design, MEP Engineering, Structural Engineering, Commissioning

Healthcare Realty 2100 Church Medical Office Building (MOB), located at the newly constructed plaza entry to Saint Thomas Midtown Women’s Hospital in Nashville, TN, is a $44 million facility that now provides new, Class A medical office space for physician practices and key healthcare providers serving the Nashville community. 2100 Church has been designed to elevate Ascension Saint Thomas’ clinical program development strategies, patient and caregiver experience, and integration of vital outpatient services for the city’s growing population.

project design
square feet
levels of pedestrian and vehicular entry points
aerial view of exterior of medical office building at dusk

The 106,000-square-foot project, which adds four floors of medical office space over two levels of subterranean parking, is accessed off a new plaza entrance off Church Street. This new entrance creates a much-needed access point to maximize the patient experience for both inpatient and outpatient visitors to the campus.

a seating area in the medical office building’s main lobby
lobby with seating outside of building elevators

The project design is an important element of Ascension Saint Thomas’ Midtown Modernization Plan. Over the past several years, the hospital has worked to modernize this campus without abandoning its history. The firm was able to work with Ascension Saint Thomas and Healthcare Realty to find the right balance of compatibility with the existing campus and moving forward with a modern design aesthetic. A high-end aesthetic, simple and clean lines, and featured areas such as a green roof and natural design features were all key elements to creating a welcoming feel and enhancing the patient experience.

view of the medical office building from plaza out front

As part of the Owner’s and firm’s goals to achieve LEED Certification, the project incorporated green spaces and seating areas, sustainably engineered systems and natural plantings, resulting in an energy-efficient and user-friendly environment. The complex project presented several unique challenges, including the task of designing a building with pronounced street appeal, coordinating traffic flow between multiple pedestrian and vehicular entry points on three levels, and maintaining consistent utility services while minimizing operational disruption during construction.

It has been an absolute pleasure working on the planning and execution of this transformative project with Gresham Smith. Having a partner that was able to design a constructible, efficient project on a very challenging site was extremely valuable. Joe Fogarty VP Investments at Healthcare Realty