HCA Healthcare


Denver, CO




Architecture, Interior Design

Presbyterian/St. Luke’s Medical Center (P/SL) has provided residents of Denver, Colorado, and its surrounding communities with exceptional, patient-centric care since 1926. When HCA Healthcare sought a surgery expansion at P/SL, along with a complete renovation of a 25-plus-year-old patient floor located in the main patient-room tower on the 11th floor, they called on Gresham Smith. Our surgical expansion design allows P/SL to incorporate “smart” operating room technology, making it the first hospital in North America to offer this next generation OR integration platform. The renovated patient rooms provide an enhanced, spa-like atmosphere for patients who are recuperating from orthopedic and spine surgeries.

operating rooms
square-foot surgery renovation
pre-op and PACU bays
an operating room
a bed bay in the post-anesthesia care unit

The surgery expansion comprised the addition of two state-of-the-art operating rooms for the surgical treatment of spine and orthopedic cases. The expansion also included the major renovation of 10 existing ORs, which were undersized and challenged by poor circulation within the surgical floor. We right-sized the ORs by capturing unused spaces that housed out-of-date sterilizers, while reworking the core to provide better circulation for surgery staff. We also designed the new operating rooms to allow for the integration of three different vendors into the space. Stainless steel wall panels were incorporated to aid in infection prevention and allow for future installation of services within the OR walls as new infrastructure needs arise. The pre-operative and PACU recovery renovation provides the hospital with 37 right-sized prep/PACU bays with services sufficient for both uses. This allows the bays to “swing” during the day to handle patient volumes depending on the daily surgery schedule.

an inpatient room

The 11th floor patient room renovation was driven by a leading surgeon whose vision was to provide an amenity-level patient floor that would be a departure from the normal hospital aesthetic. Clean and contemporary, the new orthopedic/spine nursing unit provides 18 larger patient rooms along with support spaces. Two of the patient rooms feature adjacent “family rooms” replete with a lounge sitting area that allows family members to remain close to the patient while providing them with a space of their own. Unlike typical patient rooms, each room features a unified headwall and ceiling canopy. Smart technology is also provided in the rooms, allowing patients to control their TV, sound system and lighting components, and even order a meal, via an iPad.