Project category: New construction & Remodel/Renovation (completed August 2004)

Chief administrator: Glen Levy, Chief Operating Officer, (440) 312-4415

Firm: Westlake Reed Leskosky, (216) 522-1350

Design team: Paul E. Westlake, Jr., FAIA, FACHA, Principal-in-Charge; Ronald A. Reed, FAIA, IIDA, Principal, Designer; Phil LiBassi, AIA, ACHA, Principal, Project Director; Rich Keilman, AIA, Associate Principal, Project Architect; Ken Damm, AIA, Contract Administration

Photography: Kevin Reeves Photography

Total building area (sq. ft.): 84,530 (new); 52,283 (renovation)

Construction cost/sq. ft.: $240 (new); $150 (renovation)

Total construction cost (excluding land): $20,300,000 (new); $7,842,000 (renovation)

A four-story vertical expansion over existing, occupied space adds 80,000 square feet to the only community hospital in Ohio to be named eight times as one of America's 100 Top Hospitals. Designed by Westlake Reed Leskosky, the $50 million West Tower for Hillcrest Hospital combines enhanced medical surgical services and oncology services in an attractive, efficient facility that expresses the healing hospitality image of the Cleveland Clinic Health System.

Rising over an existing two-story building, the West Tower includes two floors with 92 spacious medical-surgical patient beds. A new partial second floor accommodates the new Infusion Oncology Department, with 24 chairs and four private rooms. The first floor is renovated for a 12-bed ICU and surgery program, including two new general operating rooms, a new state-of-the-art Endovascular Suite, renovation of an Eye Surgery room, and expansion of the PACU. An addition to the lower level expands the Radiation Oncology Department and houses Hillcrest's third linear accelerator.

Marked by the sweeping gesture of its canopy, a welcoming, southwest entrance to the hospital announces the gleaming, contemporary identity of the West Tower. A comfortable lobby atrium filled with natural light and artwork, two new elevators, and a connecting link enhance patient and visitor circulation, wayfinding, and access. Pleasant waiting areas on each floor overlook the atrium.

Westlake Reed Leskosky designed the expansion program in the context of a $150 million master-planned capital project, analyzing three options for developing the expansion of medical-surgical beds within budget and an accelerated construction process.