To be great, design must go beyond aesthetics.

It must lead to solutions that elevate organizations and the communities they serve. Our individualized process uncovers, develops and produces solutions that advance organizations, translating unique, complex and hard-to-define visions into buildings and spaces rich in purpose.


We listen to expectations and diverse points of view. We discover new ideas and novel approaches.We understand parameters, challenges and perspectives.

Process in action:
Avera McKennan Hospital, Sioux Falls, South Dakota

When we began the process for envisioning a mental health treatment center for Avera McKennan Hospital in Sioux Falls, South Dakota, we and our client quickly learned that there was no blueprint for what we were doing. The facility would be the first new mental health hospital west of the Mississippi in 15 years.

We are not going to mimic best practices; We are going to define them.
CEOAvera McKennan Hospital

Gathering Avera hospital leaders and staff, leaders from the surrounding community who dealt with mental health issues, and mental health experts from other organizations, we held workshops in which we brainstormed, facilitated, ideated, got to know the hospital staff and learned about the individuals the center would serve. Most of all, we listened — to multiple voices providing diverse perspectives. This is how Avera Behavioral Health Center was born.

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We visualize solutions and different ways to realize them. We design approaches based on shared understanding.

Process In Action:
Maple Grove Medical Campus, Test Room

After we completed our research phase for the Maple Grove Medical Campus and understood the project’s parameters and common aims, we committed ourselves to fully understanding how future design would impact a critical community: the caregiving staff, including nurses, doctors and other specialists. To do this, we set up a test room. This allowed us to comprehensively gauge the most labor-efficient and safe design that would best serve both staff and patients. It provided us with yet another way to gather critical feedback.

The most significant gap I have encountered (with design firms) is the lack of attention to the culture of care delivery within the design process. This is where BWBR excels. Their attention to the care model as well as cultural elements are above and beyond superior in my experience than any of the others within the field.
RN, MHA, operations executive, HealthEast Care SystemEric Nelson

This example is not uncommon. For other health care projects, we’ve examined how to minimize the nurses’ steps, optimize caregivers’ work environments and create comforting but efficient patient spaces. Ultimately, our designs aim to provide thoughtful, innovative solutions unique to each client’s needs.

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We dialogue with clients about our proposed vision. We respond to client feedback and insights. We create quality construction documents and manage an effective construction process.

Process In Action:
Eagle Brook Church, Lino Lakes, Minnesota

To make the construction experience the easiest on clients, and to make sure the future users of the spaces we create get the most out of their experiences, we pay strict attention to every detail. That is why we develop exact, impeccable construction documents and maintain the best of relationships with our contractors and partners.

We absolutely love the facility. My 13-year-old son even loves it!
ParishionerEagle Brook Church

When we finished construction of Eagle Brook Church in Lino Lakes, Minnesota, a member of our in-house construction administration department who served on the project said, “Everyone was so in sync that we were able to complete the project under budget.” And not just our client was happy. After experiencing the new space, a parishioner said, “We absolutely love the facility. My 13-year-old son even loves it!” That’s the kind of experience we shoot for on every project.

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