Boston, Massachusetts


In recent years the design of hospitals that emulate hotels has generated a warming trend in this often forbiddingly cold, institutional building type. Evidence-based design, stemming from scientific studies that show patients get better faster in settings with daylight, views, plants, and physical and acoustical privacy, gave impetus to this revolution (record, August 2009, page 73). It usually helps if the hospital occupies a significant slice of nature, with vistas of trees, other vegetation, and water. But some hospitals, such as Massachusetts General Hospital (MGH) in Boston, have created a noninstitutional environment on an existing, dense campus downtown.

NBBJ's New York office based its design for MGH's Lunder Building on those aforementioned principles to produce a 14-story structure wedged into an agglomeration of buildings that all but hides the pillared portico of Charles Bulfinch's original neoclassical hospital of 1818. The new 150-bed, 535,000-square-foot facility, with 28 procedure and operating rooms, needed to provide services in cancer, neurology, neurosurgery, radiation oncology, and emergency care. “While evidence-based design figured into the planning,” says NBBJ partner Joan Saba, “the whole idea was to enhance operational efficiency as well as healing.”

On the tight 42,000-square-foot site, the architects inserted a glass and steel-framed squarish polygonal volume on the west side of the arrivals court to MGH's main entrance. To mitigate its hulking presence, NBBJ fragmented the massing and angled exterior planes, in addition to detailing the glass facade, to express the building's separate functions on the exterior. While clear glass sheathes the first two floors (devoted to reception, emergency admissions, and circulation), vertical fritted glass fins on the third and fourth floors (dedicated to procedural services) allow daylight to enter the interior while affording occupants a sense of privacy. Above, on the fifth level, a solid wall of insulated metal panels, covered in wire mesh, masks a double-height mechanical space. For the patient-room portion, from the sixth to 10th floors, the architects emphasized the horizontal lines of glass curtain walls, which are broken by receding and slanted planes that follow the carved-out portions of the floor plate.

The building inflects horizontally to MGH's Yawkey Center for Outpatient Care to the south and to the vertical glass tower of the Ellison Building to the north as part of the architects' intention to seamlessly connect Lunder visually and physically to other hospital structures around it.

Connection is a major subtext: Visitors enter the new facility from the White Building, the hospital's main entrance to the north. As you come into Lunder, you find that a large stair, parallel to the glass facade, takes you to the second level, where a corridor snakes along the glass front of the building to connect Yawkey on one end with White and Ellison on the other. By placing the main circulation on the second floor, the architects linked Lunder physically to adjoining buildings, while staying within existing floor-to-ceiling heights.

In the five-story bed tower, two wedge-shaped openings cut out of the overall volume accommodate an 80-foot-high skylit atrium, as well as an open-air garden court, where bamboo trees shoot upward past the patient levels. (For more details on planting for health care at Lunder, see related story.) All rooms are single-occupancy in order to prevent the spread of infection, afford privacy and acoustical isolation for recuperation, plus accommodate the patient's family members and visitors. To give the inpatient rooms views of the outdoors yet enable nurses and doctors to reach patients quickly, NBBJ placed the rooms around the edges of the broken perimeter, and located support staff in two blocks in the center. A diagonal corridor cuts through from one corner—where the elevators stop at the atrium—to the exterior garden well opposite.

By breaking the nursing pods apart and connecting the floor with a diagonal circulation spine, NBBJ also mitigated excessive noise generated by movement and conversation in hospital halls and stations. Acoustical ceiling and wall panels and rubber floors also help alleviate unwanted sounds. And since rooms project into the corridors at an angle, their serrated configuration helps cut down on acoustic reverberation. This feature, along with ample cove lighting from reveals along the ceiling soffits, also softens the ambience visually.

Owing to typical 9-foot ceiling heights, ample windows, and views of the city, the patient rooms seem light and airy. Translucent sliding glass doors promote visual and physical access, and for extra safety, caregiver stations inside the rooms overlook patient beds and private bathrooms.

Certain treatment areas in Lunder, however, do lack daylight—specifically the radiation-oncology center in the below-grade third and fourth levels of the concrete substructure. To alleviate the sense of being so far underground, the architects designed two waiting rooms as 23-foot-high volumes; one, for reception, is illuminated by rodlike lighting fixtures suspended above the seating. Soft colors and bamboo wall panels add a residential feeling to the space.

In addition, the client and NBBJ undertook sustainable measures to meet LEED Gold certification standards. These include selecting recycled or locally obtained materials plus renewable bamboo finishes, conserving water by installing low-flow plumbing fixtures, and feeding plants with nonpotable water, rainwater, and air-cooling condensate. The architects used energy-efficient insulated glass with low-E coating throughout. For patient floors they chose glazing with a high visible-light transmittance and a high shading coefficient. In addition, NBBJ selected low-iron insulated glazing for the atrium, adding fritted glass to cut glare and heat and reduce visibility in private consultation areas.

All told, the Lunder Building seems to solve a lot of problems with ease. Although the hospital is not yet monitoring the effects of these design strategies on recovery time, the overall planning would suggest a promising bill of health, architecturally speaking. The scheme, at the least, offers health-care specialists an important laboratory in which to conduct and refine their research as befitting the 200-year-old institution.


Owner: Massachusetts General Hospital

2 Rector Street
New York, NY 10006
212.924.9000 (phone)
212.924.9292 (fax)

Personnel in architect's firm who should receive special credit:
Partners in Charge:

Joan Saba, AIA, FACHA
Tim Johnson, AIA, LEED AP
Project Manager: Rodney Crumrine, AIA
Design Lead: Jay Siebenmorgen, AIA, LEED AP,
Delivery Lead: Jorge Gomez
Interior Design Lead: Christine Vandover, IIDA, LEED AP
Medical Planning Lead: Sarah Markovitz, AIA

Design Team:
Catherine Alberte, AIA, LEED AP
Carlos Alegria
Craig Brimley, LEED AP
Karen Cheung
Michael Dembowski
Kevin Frary
Russell Fredette
Julien Jaworski
Erin Kelly
Dennis Kopp
Chuck Lee
Dick Lee
Eric LeVine
Domenico Lio, AIA, LEED AP
Samantha Lukacs
Tom Sieniewicz
Pat Murphy
Michael Noll
Celeste Robinette
John Schlueter
Annie Suratt
Jennifer Sutherby
Bonny Wilson, IIDA, LEED AP

Associate architect: Chan Krieger Sieniewicz (now NBBJ)

Interior designer: NBBJ

McNamara / Salvia, Inc. (Structural)
Thompson Consultants Inc. (MEP/FP & Low Voltage)

Landscape: Michael Van Valkenburgh Associates, Inc.
Graphics and Wayfinding: NBBJ
Acoustical: Cerami Associates
Vertical Transportation: Syska Hennessy Group, Inc.
Kurt Salmon Associates
Owner’s Representative: Leggat McCall Properties
Civil: Vanassee Hangen Brustlin, Inc.
Façade Engineering: Heitmann & Associates
Code & Life Safety: Hughes Associates
Wind Engineering: CPP, Inc.
Geotechnical: McPhail Associates, Inc.
Construction Manager: Turner Construction Company

Anton Grassl

Frank Oudeman
(646) 298-4800

Sean Airhart/NBBJ

CAD system, project management, or other software used: Microstation Triforma


535,000 square feet

Completion date:

May 2011



Structural system
Structural Steel Frame with cast-in-place concrete over metal deck utilizing up/down construction technique for erection.

Exterior cladding

Metal Panels: Benchmark Architectural Systems, Inc., Metecno Aluma Shield
Rainscreen (terra cotta, composite, etc.): Shildan Longoton, Inc. (Terracotta)
Waterproofing: Dow Corning Corporation, Xypex Chemincal Corporation, American Hydrotech, Inc., Grace Construction Products, Tnemic Company Incorporated, Tremco Commercial Sealants & Waterproofing
Curtain wall: Hankins & Johann, Inc., SOTA Glazing Inc., W & W Glass, LLC
Other cladding unique to this project: (Interior metal cladding: Alcoa Architectural Products)


Built-up roofing: Kemper (Roof Garden), GreenGrid (Roof Garden), Carlisle SynTec Incorporated


Glass: Viracon, Pilkington
Skylights: Linel Signature (Atrium & Canopy)


Entrances: Horton Automatics, Door Concepts Incorporated, Crane Revolving Doors
Metal doors: de La Fontaine, Lambton Doors, Architectural Glazing Systems
Wood doors: Construction Specialties Acrovyn, Lambton Doors
Sliding doors: Horton Automatics, Door Concepts Incorporated
Upswinging doors, other: Coiling Doors – Albany Door Systems, The Cookson Company, Inc.


Door Hardware
(GENERAL) :  Assa Abloy, Dorma Architectural Hardware, Precision Hardware, Inc., Stanley Hardware, Trimco Architectural Hardware, Ingersoll Rand Security Technologies, Forms+Surfaces, Glynn Johnson
Closers: Norton Door Controls
Other special hardware:
Handrails Brackets: Julius Blum

Interior finishes

Glass: Oldcastle BuildingEnvelope, Bendheim, Skyline
Acoustical ceilings: Armstrong
Cabinetwork and custom woodwork: Woodworks, Iccarinio, Smith & Fong
Paints and stains: Sherwin Williams, Benjamin Moore
Wall coverings: Carneige (Acoustical Wrapped Panels)
Paneling: RD Wing (Corian Dye Sublimation Panels)
Plastic laminate: Wilsonart Laminate, Abet Laminati, Laminart, Formica
Solid surfacing: Dupont Corian
Special surfacing: Forbo (Tack boards)
Floor and wall tile (cite where used):
Daltile (toilet and shower rooms, glazed and glass)
Sensitile (Radiology Oncology Hallway)
StoneSource (elevator lobbies stone walls)
Wausau tile (terrazzo tile floors at floors 1 and 2)
Resilient flooring: Nora, Roppe (base); Mohawk
Carpet: Shaw Contract Group


Office furniture: Steelcase, Lista
Reception furniture: Bernhardt, Davis, HighTower Group, Coalesse, Carolina
Chairs: Steelcase, Janus et Cie, HighTower Group, Gordon International. Patrician, Cabot Wren
Tables: Bernhardt, Steelcase
Upholstery: Carneige, Maharam, Momentum
Accessories: Rubbermaid, Humanscale, Howard Miller
Other furniture (use additional sheet if necessary):
Lockers – Penco Products Inc.
Shades – MechoShade
Draperies – Silent Gliss


Pinnacle Architectural Lighting
Edison Price Lighting
Prudential Lighting Products
Philips Omega


Elevators/Escalators: Delta Beckwith Elevator Company
Dumbwaiter: Matot, Inc.
Pneumatic Tube System: Swisslog Translogic
Pneumatic Trash & Linen Chutes - Memios, LLC
Accessibility provision (lifts, ramping, etc.):


American Standard, Chicago Faucets, Zurn, Symmons, Leonard Water Temperature Controls, Just

BCM Controls Corporation