Northampton, MA
15,000 SF Renovation & 8,000 SF New Addition
Multi-phased renovation and expansion of the hospital’s emergency department while it remains fully operational. The project will add nine new ED exam rooms, four behavioral health exam rooms, a family waiting area, and an in-unit CT scanning machine for more timely access to diagnostic imaging. Expert planning and management are utilized to ensure no disruption to critical emergency access and safe patient care.

Belmont, MA
90,000 SF New Construction
Comprehensive campus development project consisting of a therapeutic day school, an accredited high school, a residential program, and a parking facility. The project will accomplish an ambitious consolidation of campus programs and upgrade central utility infrastructure. The collaborative implementation team is utilizing Target Value Design and Lean principles to achieve this transformative project.
Boston, MA
15KVA Primary Service & Substation Replacement
Owner’s Project Management services are being provided for the replacement of Dana-Farber’s primary electrical service and substation infrastructure in an active cancer care environment. The project includes multi-phase switchgear and emergency power upgrades, detailed shutdown and phasing coordination, and long-lead equipment planning to maintain uninterrupted clinical operations. The team is leading schedule, budget, and risk management while coordinating with engineers, contractors, utilities, and regulatory agencies to deliver a mission-critical infrastructure upgrade aligned with long-term resiliency goals.
Dover, NH
Over 120,000 CFM
Complex, multiple air handling unit upgrade project serving critical areas of the hospital including the emergency, cardiovascular, and interventional radiology departments. Leading a highly technical team of mechanical and structural engineers, technicians, and hospital staff ensures minimal disruption to patient care and hospital operations. Planning and delivering the projects in collaboration with the owner, design team, and contractor which will adhere to the highest industry standards, manage cost and schedule risk, prioritize safety, and optimize energy efficiency.
Northampton, MA
Complex, multiple air handling unit upgrade project serving critical areas of the hospital including the emergency, cardiovascular, and interventional radiology departments. Leading a highly technical team of mechanical and structural engineers, technicians, and hospital staff ensures minimal disruption to patient care and hospital operations. Planning and delivering the projects in collaboration with the owner, design team, and contractor which will adhere to the highest industry standards, manage cost and schedule risk, prioritize safety, and optimize energy efficiency.
Dover, NH
Surgical suite air handling unit replacement within an active hospital environment, driven by phased coordination of design, budgeting, and construction. Emphasis on infection control and maintaining uninterrupted support of critical care operations. The team led MEP coordination, schedule and cost management, and close collaboration with the project team to ensure successful delivery. Coordination of stakeholders, long-lead equipment planning, and proactive risk management support alignment with project goals and continuity of operations.
Cambridge, MA
Pre-construction owner’s project management services supported evaluation and planning for replacement of aging 15kV metal-clad switchgear and associated transformer infrastructure. Scope included participation in design option reviews, constructability assessment, coordination of pre-purchase procurement strategy, and bid solicitation support for electrical construction work. Early-phase project leadership helped establish implementation pathways to improve electrical system reliability and long-term facility resiliency.
Amherst, MA
Site analysis, option evaluation, design, and construction of an existing MRI suite to implement the replacement an upgrade of the existing MRI, the MRI room and control room, and the air handling unit serving the suite. Technical expertise to bring costs down and ensure the upgrade needs fit in the current space without compromising time, safety, services, or patient care.

Salem, NH
Commercial buildings are a major contributor to greenhouse gas emissions and energy use, especially due to the heating, cooling, ventilation, and lighting. Bespoke expertly facilitates the implementation of decarbonization and energy management in response to the burden placed on building owners to improve energy efficiency and reduce the environmental footprint. For this project, we are managing a detailed upgrade of the building controls systems for a Mass General Brigham building. The systems integration will allow MGB to measure and manage energy consumption, as well as analyze, synthesize, and historicize the data for state-mandated energy reporting. We lead and manage this important and complex process to produce actualized results.
Northampton, MA
Study, analysis, planning, design, and phased implementation of Cooley Dickinson Hospital’s energy plant to upgrade major heating, cooling, and electrical systems to reduce energy and address sustainability and resiliency needs on the campus. The project incorporates a new boiler building and boiler replacement, upgraded electrical service, chiller replacement, wood chip boiler plant replacement and the conversion of the hospitals air handling unit heating coils and piping loop from steam to hot water.

Northfield, VT
30+ Living Units
Brownfield redevelopment for Ballybreen Ventures. Breaking ground this year, the project includes Zoning, permitting, a Corrective Action Plan, design, and development of a 3-story, multi-family building with parking and new utilities. It is the first of its kind in Northfield. With a focus on sustainability, the project will restore and enliven a previously abandoned industrial parcel of land. Residents will enjoy modern apartments and amenities in a small-town setting that is connected to Norwich University, Interstate 89, and the lush region along the Dog River and surrounding forests.
Rochester, NH
16,000 SF New Construction
Single story, stand-alone Emergency Department that includes an Imaging Unit to provide elective imaging services to an additional patient population. We are managing the design and construction of the engineering infrastructure and systems serving this building to support the project goals and the owners promise to their community. The project shall enhance the human experience and designed for adaptability, resiliency, sustainability and the integration of technology with a focus on safety quality, and efficiency.

Boston, MA
Upgrades to emergency electrical systems were implemented through coordinated replacement of generator units, improvements to fuel oil systems, and retrofit of existing switchboard assemblies. Scope included stakeholder coordination, capital planning support, schedule management, procurement oversight, and construction phase administration in an occupied healthcare environment. The completed work strengthened facility resiliency and supported reliable delivery of essential power during system interruptions.

Northampton, MA
Provided owner’s project management services for upgrades to central sterile processing equipment and supporting RODI water treatment infrastructure. Scope included existing conditions assessment, coordination of design and construction activities, development and monitoring of project budget and schedule, and identification and mitigation of cost, logistics, and operational risks. Services extended through procurement, construction administration, system implementation, and project closeout to support reliable, code-compliant, and maintainable facility improvements.

Northampton, MA
Modernization of an existing fluoroscopy suite required coordination of equipment replacement and associated architectural, mechanical, electrical, and plumbing modifications. Services included assessment of existing conditions, design phase coordination, regulatory planning, budget tracking, and schedule management. Construction phase leadership supported controlled utility tie-ins, risk mitigation, and successful delivery of a reliable and maintainable imaging environment.

Boston, MA
Upgrades to essential electrical systems were implemented through coordinated retrofit of switchgear assemblies and replacement of emergency power generation equipment. Responsibilities included strategic planning support, design integration oversight, long-lead equipment coordination, and construction phase administration within a fully operational clinical campus. The completed work strengthened power system reliability, supported regulatory readiness, and aligned with long-term resiliency goals.

Northampton, MA
Addition of a fifth-floor terrace involved integration with existing building systems, including modifications to perimeter heating and cooling infrastructure and tie-ins to adjacent activity spaces. Responsibilities included existing conditions evaluation, design coordination, cost and schedule control, and management of construction logistics in an operational healthcare environment. Project delivery enhanced patient wellbeing, operational functionality, and long-term facility usability.
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