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A One-Stop Ambulatory Care Center on a Prominent Urban Site

NewYork-Presbyterian David H. Koch Center
New York, New York, USA

“Our goal in creating the NewYork-Presbyterian David H. Koch Center was to develop a new vision for what ambulatory care could be by focusing first and foremost on patients’ needs and the delivery of exceptional care.”

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

The team designed NewYork-Presbyterian’s new ambulatory care center in Manhattan to provide exceptional patient care now and into the future.

The first filter for each design decision was how it would minimize stress and improve the patient experience. The building also needed to be flexible to adapt to future changes in technology and patient care. 

Home to a wide range of ambulatory care services, the facility includes outpatient surgery, endoscopy, interventional radiology, diagnostic imaging, radiation oncology, infusion and digestive disease treatments. 

With its glass-encapsulated wood screen facade and transparent lower floors, the building presents a warm, hospitable face to the community. At the street-level entrance, canopies and a private drive-through welcome guests.            

A 40-foot-high, daylit main lobby offers patients and their families respite from the congested city. The light-filled interiors continue up through each floor’s sky lobbies and primary circulation areas. Within the main lobby, a dramatic staircase invites guests up to a second-story, living room-like space with quiet zones, lounges and dining areas.

Use of natural stone materials and wood for interior touchpoints in the lobby creates a timeless design aesthetic that continues throughout the building. The wood complements the wooden micro slats that filter sunlight through the energy-efficient facade.      

Even with the sophisticated medical equipment, clinical floors have a warm, welcoming feeling. Natural light and views to the outside help patients intuitively understand where they are and how to move through the space. 

Locating the infusion and radiation oncology services on the light-filled 4th floor instead of below grade, as in many hospitals, helps transform the patient experience. Instead of descending to a basement treatment area, the patient ascends onto a floor with access to daylight and city views. Designed with a hospitality feeling, private rooms and community spaces help patients feel comfortable.   

To help the hospital adapt the building to its future needs, the design incorporates a long-span structural system and tall floor-to-floor heights. Columns are placed to provide the most open, flexible space. Each clinical procedure floor has a standard layout and rooms. Removable exterior panels on the facade will enable NewYork-Presbyterian to move new medical equipment into the building as it becomes available. 

The team designed the building for a minimum of LEED Silver certification. Sustainable strategies include a green roof, high-performance building skin and high-efficiency mechanical systems. The distinctive exterior facade, which consists of triple-paned insulated glazing with an encapsulated wood screen, significantly reduces solar glare, heat gain and the need for solar or privacy shading. The resilient design enables the building to continue operating during an extreme weather event or disruption to the city power. 

The collaborative design team included HOK as architect and interior designer (public spaces), Ballinger as medical architect and interior designer (clinical spaces), and Pei Cobb Freed & Partners as consulting architect for the building envelope and lobby. 


LEED Silver anticipated

734,000 sq. ft. / 68,190 sq. m.

Interior Design
Lighting Design
Sustainability Consulting


ENR New York – Best Healthcare Project


21 September 2018
“NewYork-Presbyterian Sets the Bar for Contemporary Hospital Design”
Architectural Digest

13 September 2018
“This New Clinic in New York Leverages the Tools of Hospitality Design to Feel Human”

16 May 2018
“Boxed-In NY Hospital Project Thinks Out of the Box”

24 April 2018
“NewYork-Presbyterian Opens New David H. Koch Center in Manhattan”
HOK News