The Shaukat Khanum Memorial Hospital (SKMH) and Research Centre in Peshawar, Pakistan is a comprehensive cancer diagnostic and treatment facility which will provide state-of-the-art cancer services to the people of Pakistan's North-West Frontier Province, Khyber Pakhtunkhwa, irrespective of their ability to pay. This modern hospital will help raise healthcare standards and provide training and employment opportunities in the wider region. It is the second SKMH in Pakistan to be designed by Arrasmith, Judd, Rapp, Chovan architects after the original hospital which was constructed in Lahore in 1994. The Peshawar location was chosen to be closer to the nearly 40,000 patients from this region who have been registered at the Lahore SKMH since 1994. The hospital will include outpatient clinics, chemotherapy facilities, and an impatient unit. 

The Health Alliance Hospital and Research Center was designed as a progressive medical complex delivering specialized care to an underserviced population in New Delhi. The eight-story building with basement is designed specifically for cardiovascular services. The summary program for design is as follows:

  • 6 O.R.s
  • 4 Cath Labs & C.T. Scan
  • 4 Preparation & 6 Recovery Rooms
  • 80 Cardiac Care Unit Beds
  • Radiology, Laboratory, Pharmacy, & Blood Bank
  • E.R. & Rehab Center
  • Morgue & Autopsy Facility
  • Diagnostic & Physician’s Offices
  • Auditorium, Administration, Cafeteria, & Gift Shop

The construction consists of a cast-in-place concrete frame with a brick and marble exterior and plastered brick inside the walls — all materials and construction technologies typical to the region.

Arrasmith, Judd, Rapp, Chovan, Inc. provided complete architectural and engineering design.

This two-story, with basement, cancer diagnostic facility was constructed out of a cast-in-place concrete frame with a brick veneer. It consists of laboratories and diagnostic facilities, including MRI. Arrasmith, Judd, Rapp, Chovan, Inc. provided Architectural and Engineering Design services through Design Development and periodic consultation during construction.

The new Heart & Lung Center in Kuala Lumpur, Malaysia is a 257,000-SF, seven-story private specialized hospital building which includes 100 beds, an emergency department, 2 cath labs, 4 operating rooms, and 22 physician suites. The top floor is dedicated to VIP patients and includes a family room for each patient.

The building was designed to facilitate growth in all areas: inpatient, outpatient, surgery, and physician suites — each according to necessity.

Arrasmith, Judd, Rapp, Chovan, Inc. provided complete architectural and engineering services.

The Composite Medical Replacement Hospital is a CBR (chemical, biological, radiation)-protected facility designed for use by the United States Air Force as their major medical facility in the Middle East. The project consists of two separate, but major, components serving both peacetime and wartime conditions as they occur. The facility is equipped with a protected decontamination chamber and all life support systems capable of operating for 5 days without relying on exterior utilities. HEPA filters are used extensively throughout.

Arrasmith, Judd, Rapp, Chovan, Inc. provided complete architectural and engineering services. AJRC, Inc. also authored an operational manual outlining procedures for use by the facility.


  • Construction Budget $17,000,000 US
  • Actual Construction Cost $17,250,000 US
  • Gross Area 135,000 SF
  • Incirlik, Turkey

Peacetime Mode (aboveground)

The project consisted of a structure which serves as a daily use medical/dental clinic with a 35-bed inpatient component when operating in the peacetime mode. Normal provisions were made to protect against small arms and terrorist attacks.


Wartime Mode (underground)

The top peacetime mode structure was designed to blow away under major attack without transmitting moment forces to an underground structure which can be activated in a 48-hour period. The underground structure is capable of withstanding the blast of a 1,000-pound bomb detonated within 15 meters of the perimeter. This is a 220-bed, full-service facility designed to withstand chemical, biological, and radiation attack while operating in its own internal systems. Blast valves sense horizontal pressures and seal the building prior to the arrival of actual forces caused by the blast.