In 2012, the Christ Hospital Network in Cincinnati, Ohio, decided to add an orthopedic center of excellence to its already nationally renowned healthcare facility. The owners worked with an architect to design the seven-story, 381,000 ft2 LEED Silver-certified Joint & Spine Center, which linked it directly to the hospital’s existing surgical and imaging areas.

As part of the broader master plan, the client and architect agreed that the design for the Joint & Spine Center needed to reflect the historical redbrick vernacular of the other campus buildings. It also had to meet strict budget restrictions, deliver a watertight building envelope, and meet the high-performance goals set for the new building. All of these requirements would be met with a precast concrete design.

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Pulling in the beauty of what the sun can do to a building, the designers captured the memorizing angles consistently throughout the self-cleaning, TX Active white cement mix. The primary design objective was to create a signature architectural building using precast while maintaining a strickt budget. This 10-story 36,735 square foot precast facade was designed with folded triangle faceted insulated wall panels, angled decorative fins, and a deceptive fold from top to bottom of this building. Two of the full precast sides of the building assimilate two large triangles meeting together on one of the three sides. At the seam where those sides meet, the panels either cascade in or out depending on the side you are viewing. The angled decorative fins sit vertically along the outside of windows. These three-dimensional fins rotate the angular peeks from one vertical row to the next. Building the illusion of depth and complexity on the building, this eye-catching feature cannot go unnoticed. Energy efficient faceted wall panels might seem to take a back seat in this beautiful design. With the details in depth created with the folded triangular pattern along these narrow wall panels your eye goes directly to them. This building, built with LEED silver certification contingency, was designed to withstand the future 10 floor addition. A mirrored image of the building standing now will be placed above the existing structure.

The Riverside Hospital Neuroscience Tower project is a 10-story, 437,000-square-foot addition to an Ohio Health campus. The project is the only one of its kind and is a state-of-the-art, world-class brain and spine care destination. The project includes 224 private rooms and a large interior atrium the size of two full-size basketball courts.

The exterior features 72,390 ft2 white, precast concrete panels as well as a series of blue-tinted, vertical windows. This was done to resemble the other buildings on the campus. These buildings were built at different times, with different materials, but many feature white brick walls surrounding vertical rhythms of windows. “We wanted to stay away from bricks,” said the architect. “They have an institutional connotation and can make a building appear bigger.”

Precast panels were utilized on the exterior of the building to cover a substantial portion of the facade. Precast was also used to clad a large portion of an interior courtyard that began at the third level of the structure with a rooftop green space/garden area and concluded seven stories higher at the penthouse level.

The UPMC York health campus is home to three precast concrete enclosed buildings.  These buildings have very similar qualities to each other but stand alone. Each building has the same color scheme using a light color with a sandblasted finish and a dark charcoal color with a duxberry formliner. 

The hospital contains more individualized rooms where each window is framed with a unique precast portion that protrudes out. The elevation around the windowsill grows from a flat side to about a 3-inch elevation on the other side. This creates beautiful shadows framing the windows themselves. 

The surgery and cancer center is more of a full-floor unit. You can identify this portion by the picture frame windows that span the whole floor. These windows also have projections, but they run from top to bottom compared to the hospital windows that run left to right. 

The last building on the campus is the central utility plant. This building is home to all the HVAC and generators to support the other two buildings. With the exposed roof and design of the hospital and the surgery and cancer building, they did not want to house these items on the roof of the buildings. As a result, the facility nearby houses all that is needed to help maintaine the other two buildings.