Good landscape architecture is functional, expandable, aesthetically pleasing, sustainable and philosophically unifies the building it surrounds within a community. A strong site plan reinforces the notion that landscape architecture takes its influence from and incorporates all aspects of design, regionalism and unique characteristics of each project.

The hospital’s environmentally-friendly design features include rock formations that aid in natural water flow; a series of healing gardens that absorbs the rainwater versus it draining into the parking lots and sewers; attention to sunlight exposure and heat gain; and the thoughtful selection of materials with high recyclable content. The hospital is on track to become the first hospital in Tennessee to be LEED® Silver certified.
The 125-bed community hospital includes emergency, obstetric, outpatient, and imaging services; medical/surgical and ICU beds; a cafeteria; and various support services.
The 37-bed tertiary care “children’s hospital within a hospital” includes a dedicated pediatric ED with its own entry and treatment zone; a pediatric surgical suite with two ORs and its own pre/post op and holding/recovery areas; and several PICU, med/surg and NICU beds.
Situated in the foothills of the Appalachian Mountains, preservation of the natural setting and trees was an important consideration during the design process.
Based on best practices programming and a focus on patient safety, this standardized approach is expected to reduce the risk of medical errors.

The 120th Precinct Stationhouse is a 70,000 sf facility that serves as a community resource, the Precinct Headquarters, and the Central Booking Facility for all Staten Island precincts, providing overnight prisoner accommodation.
The design of the hospital uses light, technology, and art to create an environment that is dynamic and interactive. The building’s translucent skin allows natural light in which is then manipulated by colorful laminated films and dichroic glass, creating prismatic effects that bring the hospital to life.
Designated a Pebble Project by The Center for Health Design, this 94-bed hospital “revolutionizes healthcare delivery by optimizing the medical, spiritual, and emotional well-being of patients, families, and staff.”

Columbus City Schools selected the Karlsberger Cuningham team to relocate the Arts IMPACT Middle School to the historical Fort Hayes Campus as part of their district master plan implementation. Home to 525 students in grades 6-8, the Middle School now joins the Arts IMPACT High School and the Fort Hayes Career Center in their focus on using the arts to enhance teaching and learning through the alignment of art and education.