a patient-centered sanctuary in a bustling urban context

David H. Koch Center

When NewYork-Presbyterian’s leadership set out to move outpatient procedures from their main hospital to a new ambulatory care center, they started with a simple question: What will exceptional ambulatory care – both the clinical care and the total patient experience – look like in the future, and how can we make that vision a reality today?

Through broad user engagement and multidisciplinary workshops, a vision of specialty teams providing integrated and seamless care emerged, along with a commitment to eliminating waiting and uncertainty for patients. The resulting David H. Koch Center, a collaboration among Ballinger, HOK, and Pei Cobb Freed, is a robust ambulatory care center that combines innovative clinical approaches and cutting-edge technology to provide exceptional care and a seamless patient experience.

designing for an unknown future

To foster flexibility, the team designed clinical floor-to-floor heights of 18 ½ feet; a robust IT infrastructure; a long-span structural system reducing columns and maximizing uninterrupted floor area; removable façade panels on clinical floors for future equipment delivery; additional capacity above the ceiling and in vertical shafts; and strategically placed vertical elements to maximize internal space. These solutions have already proven effective. After occupancy, an operating room was modified to add a ceiling-mounted ophthalmology microscope with minimal down time.

“Every decision about the design and operation of this building was made with the patient in mind.”

Dr. Steven J. Corwin President and CEO, NewYork-Presbyterian

creating a compassionate environment for mothers & babies

The top six floors of the building are home to the Alexandra Cohen Hospital for Women and Newborns, offering a full range of services including prenatal and neonatal intensive care. Designed as a collaboration between Ballinger and HOK, it reflects NYP’s commitment to reducing maternal stress and incorporating the family in the healing process with serene individual rooms and support areas. It is the first hospital in the city to have MRI capabilities and a multi-purpose operating room with fixed imaging in its NICU.

All patient rooms have dedicated zones for the caregiver, patient, and family, allowing a partner to stay overnight in support of the mother and infant. Based on feedback collected from new mothers during the design process, patients are given the flexibility to stay in the room or to walk in the corridor while in labor. Corridors are designed to be engaging and easy to navigate with geometric wall panels and regularly-placed floor markers.

“Having that private space from the time that you come in to the time that you leave I think is really special, it also allows us to really personalize the care.”

Dr. Laura Riley Obstetrician and Gynecologist-in-Chief, NewYork-Presbyterian/Weill Cornell Medical Center

supporting the health of people & the planet

The facility’s sustainable strategies include a high-performance building skin, high-efficiency mechanical systems, and a green roof covering 30% of the surface. Systems are designed to decrease energy use by 18.7% and water usage by 30%. The triple-paned façade with slatted wood screens reduces solar glare, building heat gain, and the need for solar and privacy shading. The combination of these resource- and energy-conservative design methods contributed to the center being certified LEED Gold by the U.S. Green Building Council.

Chicago Athenaeum

American Architecture Award

Building Design + Construction Magazine

Building Team Award, Silver

Healthcare Design Showcase

Award of Merit


A+ Awards, Healthcare + Wellness Finalist

Architecture MasterPrize

Architectural Design/Healthcare Architecture

SALUS, European Healthcare Design Award

Healthcare Design over 25,000 SM

SALUS, European Healthcare Design Award

Design Innovation for Quality Improvement

Interior Design Magazine

Best of Year Honoree

Engineering News-Record New York

Health Care Best Project

Greater New York Construction User Council

Outstanding Healthcare Project

Rethinking the Future Awards

Second Award, Institutional (Built)

U.S. Green Building Council

Leadership Award, Mid-Atlantic & Northeast Region