Cape Fear Valley Cancer Center

A key component and one of the most critical challenges of this project was the installation of a Linear Accelerator (LINAC), which is a highly specialized radiation therapy machine. Through a combination of trade partner coordination, clear and consistent communication, and expertise, the project team ensured seamless execution across multiple stakeholders.

The team conducted early coordination with medical staff, physicists, and vendors to specify the correct LINAC model, and worked with the design team to plan for eight-foot-thick concrete walls to meet radiation shielding requirements. The vendor’s national LINAC installer remarked that this was one of the best installation-ready rooms he’d ever seen — a testament to the high standards of Choate’s project teams and the skilled execution of trade partners.

Featuring a striking exterior comprised of metal panels, brick, stone, and glass curtainwall, this space effectively blends modern design with warmth and functionality focused on healing.

The medical office building houses a variety of specialized spaces and services to support comprehensive cancer treatment, including:

• 14 chemotherapy infusion
• Retail pharmacy serving both patients and the community
• Pharmacy lab with a chemical analyzer
• Phlebotomy lab featuring a negative pressure room
• Advanced imaging including CT and X-ray rooms
• Internal medicine offices and administrative spaces
• Outdoor healing garden

Through precision engineering, a 37,000-lb, lead-lined automatic sliding door supported by 5,000-lb header weights was installed to ensure radiation containment. An uplifting scripture — curated by the hospital pastor — was inscribed onto the concrete walls prior to drywall installation, imbuing the very structure with messages of hope. 

Beyond technical precision, the cancer treatment center is designed and built to encourage healing and inspire patients through design elements like the second-floor accordion piano detail and light-filled spaces. It also includes a Healing Garden, which is a tranquil 3,000-SF space for patients and their families. While undergoing chemotherapy, patients can observe the natural surroundings through expansive windows, and once treatment is complete, enjoy peaceful, quality time outdoors.