Healthcare
We partner with leading healthcare systems to advance care in our communities. With experience in ground-up and complex, multi-phase projects—including work on occupied campuses and in sensitive clinical spaces—we maximize value to enhance patient care, support caregivers, and improve outcomes.

Our approach
Our healthcare practice is centered on delivering cost and schedule certainty. Each project begins with a thorough as-built assessment to reduce risk and confirm design solutions align with budget and operational goals. We engage early with design partners to guide delivery. When it's time to build, we emphasize active infection control, strategic phasing, and proactive communication.


Expanding PDX's Busiest ED
After more than three years, the final phase of the Providence St. Vincent Medical Center’s emergency department expansion and reconfiguration is complete.
In addition to adding capacity and operational efficiency, a significant component of the renovation is the new diagnostic imaging department. The project also entailed relocating a secure behavioral Health department and building out adjacent flex-room spaces, adaptable for either medical or behavioral health use. Work across 57,000 square feet took place while the ED remained partially occupied, requiring a four-phased schedule and logistics plan to minimize disruptions to adjacent spaces.
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Inside the Oregon Burn Center
Lewis is delivering 16 patient rooms tailored to the complex healing needs of burn survivors.
The Oregon Burn Center project at Legacy Emanuel Medical Center in Portland is the only specialized burn facility between Seattle and Sacramento. Close collaboration with caregivers and project partners including NBBJ and Mazzetti are helping bring this critical space to life.

Fred Hutch Nuclear Medicine
Wrapping up a key phase of Fred Hutch Cancer Center’s Building G renovation.
This 9,600-square-foot phase included the installation of SPECT and PET-CT imaging systems, an important step in consolidating the nuclear medicine department and enhancing both operational efficiency and the patient experience. The scope also entailed building out nine PET uptake rooms, restrooms, support spaces, and staff workstations. The team worked nights and weekends to minimize impacts to patient care in adjacent spaces. Join Lewis project manager Stu Hand for a project tour.

Advanced VDC Capabilities
Lewis’ in-house Virtual Design & Construction team plays a critical role in tackling the complexities of healthcare construction.
On projects where we inherit tight overhead clearances or need to incorporate specialized MEP systems, our team uses advanced modeling to identify clashes, trace legacy systems, and uncover hidden conditions. This proactive approach not only resolves conflicts virtually before construction begins but also ensures new MEP systems can be integrated seamlessly. The goal is to ensure constructability and prevent costly issues in the field.


Working on active campuses
We began our proactive approach by building relationships with the project team and department heads. We review the ICRA/ILSM plan early and often. Clear communication ensures seamless construction and real-time awareness of hospital operations.
Our portfolio
Featured healthcare projects

First Hill Medical Pavilion
Seattle, Washington

Fred Hutch Cancer Center G2 Imaging Expansion
Seattle, Washington

ICHS Shoreline Clinic
Shoreline, Washington

Legacy Emanuel Medical Center Oregon Burn Center
Portland, Oregon

Meridian Center for Health
Seattle, Washington
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Providence Health Knight Pavilion
Portland, Oregon

Providence St. Vincent Ambulatory Surgery Center
Portland, Oregon

Providence St. Vincent Emergency Department
Portland, Oregon

Providence St. Vincent - Pharmaceutical Clean Room
Portland, Oregon
Meet the team
Healthcare news at Lewis

New ORs and Upgrades Coming to Legacy Emanuel West Tower

Video: Legacy Emanuel Medical Center’s Oregon Burn Center

Inside Fred Hutch Cancer Center’s G2 Renovation

Western State Hospital Concrete Work Begins This Month

Regulations for Energy Efficiency in the PNW: What They Mean for Healthcare Buildings

Superintendent Profile: Shane Weller










