Through innovation, we provide projects scaled to provide right-sized solutions focused on the clients’ goals and objectives.

We deliver results through industry-leading multi-disciplined specialty engineering expertise,  building information modeling, and commissioning.

Lauritzen Outpatient Center

Speciality Clinic and Ambulatory Surgery Center

CHI Health Creighton University

Outpatient and Emergency Medical Center

Levine Cancer Institute (LCI) Expansion

Oncology Clinic, Infusion, Laboratory, and Research

Atrium Health CMC Surgical Modernization

Surgery, NICU, and Maternity 

VA Butler Health Center

Community Based Outpatient Clinic (CBOC)

Trinity Medical Center West Expansion

Bed Tower

Avera Health Louise Specialty Campus

Hospital and Medical Office Building

UCHealth Surgical Isolation Suites

Surgical Infill

VA Charlotte Health Care Center

Community-Based Outpatient Clinic (CBOC)


UNMC Munroe Meyer Institute (MMI) 

Institute for Genetics and Rehabilitation

Gering High School

Gering Public Schools

Large Addition and Renovation

Kaiser Permanente Pueblo MOB

New Medical Office Building

CHI Health Clinic Midlands

Medical Office Building

Avera Health Grasslands-Dialysis

Avera Health Grasslands Campus

Medical Office Building

Levine Children's MIBG

Atrium Health Levine Children’s Hospital

Children’s Cancer Suite

Hannibal Regional Hospital

Surgery, Oncology, and Medical Office Building

Levine Cancer Institute (LCI)

New Cancer Institute

Avera Health Grasslands-Dialysis

Maxwell Public School

K-12, Educational

Avera Health Grasslands-Dialysis

Cheyenne County Village

Community Space, Assisted Living, Skilled Nursing Long Term Care


We have a local, regional and national reputation as experts in the design and understanding of healthcare facilities. We pride ourselves on being at the forefront of the healthcare industry’s best practices.

PE | Registered Professional Engineers

FP | Registered Fire Protection Engineers

LEED AP | LEED Accredited Professionals

CEM | Certified Energy Managers

LC | Lighting Certified Professionals

RCDD | Registered Communications Distribution Designer

ASSE 6005 | Medical Gas  System Certified

CCP | Certified Commissioning Professional

CxA | Certified Commissioning Authorities

QCxP | Qualified Commissioning Process Providers

HFDP | ASHRAE Certified in Healthcare Facility Design

CHC | Certified Healthcare Constructor 

CHFM | Certified Healthcare Facility Manager

NFPA 101 | LSC and Joint Commission Certified