thomas gunn architects
   healthcare architecture + planning

Master Planning

Master Planning Process


Master planning approach offers a highly integrated planning effort and extensive healthcare facility planning expertise in 3 overarching steps, Baseline Assessment, Gap Assessments and Facility Master Planning during continuous interaction with key stakeholders to ensure outcomes in an open, inclusive, and actionable plan. The objective is to develop a robust, clear direction for the future, embedded with flexibility and adaptability to accommodate market changes and other future opportunities.


Baseline Assessment focuses on key tasks to build the foundation of the engagement from a timeline and logistics perspective including an assessment of capital assets and an assessment of all clinical footprints.


Gap Assessment assesses capacity and space needs associated with future demand forecast through and an audit analysis to clarify scale of any shortfall and priorities of the shortfall by clinical department. Estimated space requirements serve as the building blocks to support future option development and evaluation. Programming addresses requisite key rooms for each function and benchmarked departmental gross square feet to compare recommended DGSF with existing DGSF to determine additional DGSF required the “GAP.”


Facility Master Planning engages key stakeholders to develop facility master plan options to accommodate future demand, determine preferred option, with implementation and phasing plans to achieve long-term vision while meeting near and mid-term priorities, in timeframes and budgets that fit strategic needs and financial realities.


Provides a dynamic and logical approach estimating future demand for clinical services and capital investments to support it; recognizes and builds upon existing programmatic strengths; develops long term facility solutions and defines a path forward to enable long term success.



Representative Master Planning Experience
Thomas Gunn led Master Planning and development of the following hospitals:

• Basrah - 50 Bed Children’s Hospital, Basrah, Iraq

• Beaumont Trenton Hospital, Trenton, MI
• Bell Memorial Hospital, Ishpeming, MI
• Bixby Medical Center, Adrian, MI
• Botsford General Hospital, Farmington Hills, MI
• Brighton Hospital, Brighton, MI
• Carson City Hospital, Carson City, MI
• Central Michigan Community Hospital, Mt. Pleasant, MI
• Cheboygan Memorial Hospital, Cheboygan, MI
• Community Health Center, Branch County, MI
• Detroit Medical Center, Detroit, MI - 7 hospitals, 2,650 beds, 50 ACC - 5 M SF w select team
• Detroit Riverview St. John's Hospital, Detroit, MI
• Eaton Rapids Community Hospital, Eaton Rapids, MI
• Garden City Hospital, Garden City, MI
• Greater Southeast Community Hospital, Washington, DC
• Henry Ford Health Systems ‐ Behavioral Health Centers, IP, OP services Metro Detroit, MI
• Health and Welfare Canada, Evaluation, Programming Methodologies all Departments

• Hempstead Regional Hospital Study, Hempstead, TX - with others

• Hills & Dales General Hospital, Cass City, MI - with others

• Hillsdale Community Health Center, Hillsdale, MI
• Holy Cross Hospital, Detroit, MI
• Huron Medical Center, Bad Axe, MI
• Huron Valley‐Sinai Hospital, Milford, MI
• Hutzel Woman's Hospital, Detroit, MI

• Karmanos Ambulatory Cancer Center, Farmington Hills, MI - with others
• Mary Free Bed Rehabilitation Hospital, Grand Rapids, MI
• McGill University Health, Montreal, Quebec, CA ‐ Planning Studies
• Memorial Healthcare, Owosso, MI
• Mercy Hospital, Toledo, OH
• Michael Reese Hospital, Chicago, IL
• North Detroit General Hospital, Detroit, MI
• North Oakland Medical Centers, Pontiac, MI
• Oakland General Hospital, Madison Heights, MI
• Otsego Memorial Healthcare, Gaylord, MI
• Panama Missions Clinic (incl OP surgery), Pan‐American Highway, Panama
• Pennock Hospital, Hastings, MI
• Providence Hospital, Southfield, MI
• Psychiatric Center of Michigan, New Baltimore, MI – now Harbor Oaks
• Saline Community Hospital, Saline, MI
• Saratoga and Holy Cross Hospital Integration Studies, St. John Health System, Detroit, MI
• Sinai‐Grace Integrated Emergency Department Programming/Planning Studies, Detroit, MI

• South Haven Health System, South Haven, MI

• St. Elizabeth Hospital, Washington, DC
• St. Mary’s Hospital, Roswell, New Mexico
• Standish Community Hospital, Standish, MI
• Straith Hospital for Special Surgery, Southfield, MI
• Synergy Medical Education Alliance, Saginaw, MI
• Tawas St. Joseph Hospital, Tawas City, MI
• United Memorial Hospital, Greenville, MI

• University of Alabama at Birmingham - UAB, Birmingham, AL - with others
• West Shore Medical Center, Manistee, MI
• Yale Community Hospital, Yale, MI