Grand Rounds, an award winning healthcare company, chose Lewiston, Maine as its first East Coast presence and by doing so brought 250 high paying tech jobs to the area. Wood and brick were sandblasted and sealed to bring them back to their original condition. New windows were designed and built to replace the unrecoverable original windows. All utilities were left exposed and data was laid in exposed cable trays. Hung ceilings were allowed only in restroom areas.

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The design incorporated vast open areas, high ceilings and an abundance of natural light. Employee areas include generous amounts of flexible space, meeting areas, and eating areas while incorporating no private offices. The space for healthcare coordinators was designed to echo their approach to to work.