Washington County Hospital

Washington County Hospital is a not-for-profit critical access hospital. The 25-bed critical access hospital and 43-bed nursing home offers the surrounding community inpatient, outpatient, long-term care, and emergency services. This project included six different phases of construction. The facility won a Women’s Choice Award for America’s Best Hospitals for Patient Experience in Obstetrics. Alvine Engineering provided mechanical, electrical, plumbing, and fire protection engineering services for this project.


Physicians’ Clinic of Iowa Medical Pavilion

Physicians’ Clinic of Iowa is a multi-discipline group of 79 medical and surgical providers serving the healthcare needs of eastern Iowa. This project created a building where more than 100 doctors, nurse practitioners, physician assistants, and therapists can co-locate resulting in “one-stop-shopping” for patients. Specialties include hematology, surgery, oncology, cardiology, prosthetics, orthotics, and women’s health. Alvine Engineering provided mechanical, electrical, plumbing, and fire protection engineering services for this state-of-the-art medical office building and also for tenant improvements to the Linear Accelerator addition and the ForeFront Dermatology clinic.

Avera Milbank Critical Access Hospital Assessment and New Facility

To better serve their community, Avera enlisted Alvine Engineering to evaluate the existing hospital for remodel and expansion to establish current conditions and identify systems or infrastructure requiring improvement. It was determined that a new facility was the best option to meet Avera’s needs. The new 60,000-square-foot Avera Milbank Hospital is designed to improve patient experience, increase staff retention, and enhance the healing environment.Project highlights:

  • Use of daylighting
  • Noise reduction through acoustical designs.
  • Optimal indoor air quality through HVAC system design.

Absentee Shawnee Tribe Health Center

The Absentee Shawnee Tribe added an expansive new health center to address healthcare needs of tribal members and other Native Americans in the area. Alvine Engineering provided MEP systems design for this single-story 72,000-square-foot clinic. The building envelope and the heating/cooling system in this building were designed to provide overall maximum comfort, achieving a LEED NC Silver certification. In addition to MEP systems design, Alvine Engineering also served as the overall project LEED consultant. Future expansion of the 80-acre site may include assisted living and a senior center.