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Business Details
32 Years
experience
Expert Healthcare Architecture & Design Services in Nashville
Hereford Dooley Architects is a dedicated team of professionals specializing in healthcare architecture with licenses in nearly half the states across the U.S. Founded in 1994, our firm has evolved to focus on designing healing environments, including acute care facilities, ambulatory surgery centers, and oncology centers. Our team brings decades of combined experience in healthcare design, emphasizing functionality, safety, and aesthetic excellence.

We prioritize thoughtful engagement and responsible design, fostering healthy environments for clients, communities, and staff. Our faith-based roots guide our commitment to service, reflected in our mission to invest 1% of gross revenue into charitable causes. We maintain transparency through initiatives like the Just 2.0 label and Nashville Living Wage certification, aligning with our core values of integrity, generosity, and community stewardship.
Services
Acute Care Ambulatory Surgery Centers Freestanding Emergency Rooms Medical Office Buildings Oncology Centers Healthcare Design Architectural Planning Renovation Services Sustainable Design Community Projects
Details
  • Year established: 1994
Highlights and features
  • 30+ years of specialized healthcare architecture experience
  • Portfolio includes 470+ ambulatory surgery centers and 150+ freestanding ERs
  • Faith-driven commitment to community service and ethical practices
  • Certified Nashville Living Wage employer with Just 2.0 transparency
  • Expertise in sustainable, patient-centered design solutions
Associations and certifications
  • Just 2.0
  • Nashville Living Wage
Services
Acute Care
We design acute care facilities that balance medical functionality with patient comfort. Our projects include emergency departments, intensive care units, and surgical centers. With over 240 completed projects, we create spaces that support critical care while meeting evolving healthcare standards.
Ambulatory Surgery Centers
Our ambulatory surgery center designs optimize efficiency and patient flow. We incorporate state-of-the-art surgical suites while maintaining cost-effectiveness. With 470+ projects nationwide, we create spaces that meet regulatory requirements while enhancing patient experience.
Freestanding Emergency Rooms
We specialize in 24/7 freestanding emergency departments that meet strict medical codes. Our designs prioritize rapid patient access and staff workflow efficiency. With 150+ FSED projects, we create lifesaving spaces that serve remote communities effectively.
Medical Office Buildings
Our medical office buildings integrate diverse healthcare services under one roof. We design flexible spaces that accommodate clinics, labs, and specialty care. With 71 completed projects, we create functional environments that support both patient care and medical staff needs.
Oncology Centers
We design compassionate oncology spaces focused on patient comfort during treatment. Our centers include radiation therapy areas and infusion bays with natural lighting. With 13 specialized projects, we create healing environments that support both physical and emotional well-being.
People
Trip Hereford
Principal Architect
With 18 years of healthcare design experience, Trip leads architectural projects focusing on functional medical spaces that prioritize patient care and operational efficiency.
Tom Dooley
Retired Founding Partner
Co-founder with 30+ years in healthcare architecture, Tom established the Nashville office in 1994 and shaped the firm's focus on healing environments before retiring in 2022.
Sara Frederick
Senior Architect
Specializing in sustainable healthcare design, Sara brings 15 years of experience creating LEED-certified medical facilities that balance environmental responsibility with clinical functionality.
Questions
What types of healthcare facilities does Hereford Dooley Architects specialize in?
We specialize in acute care hospitals, ambulatory surgery centers, freestanding emergency rooms, medical office buildings, and oncology centers.
How long has Hereford Dooley Architects been in business?
Our firm has been designing healthcare facilities since 1994, with over 30 years of specialized experience.
What makes Hereford Dooley's healthcare design approach unique?
We combine functional medical requirements with patient-centered design, emphasizing sustainability and community impact.
Do you work on renovation projects or only new constructions?
We handle both renovations and new constructions, adapting spaces to meet evolving healthcare needs.
What geographic areas do you serve?
We operate nationwide with projects in 15+ states including Tennessee, Texas, Florida, and Virginia.
How does the firm contribute to community development?
We invest 1% of annual revenue into charitable causes and maintain living wage certifications to support community well-being.