Lincoln County Medical Center | Healthcare Architecture | Dekker/Perich/Sabatini Lincoln County Medical Center | Healthcare Architecture | Dekker/Perich/Sabatini Lincoln County Medical Center | Healthcare Architecture | Dekker/Perich/Sabatini

Lincoln County Medical Center

Presbyterian Healthcare Services | Ruidoso, NM

As an older healthcare facility, Lincoln County Medical Center (LCMC) faces the challenges of continuing to operate with failing infrastructure and in spaces that do not meet current standards and guidelines. LCMC engaged D/P/S to study multiple options for how the institution could grow and begin to address the deficiencies in the current facility. The process started with a facility assessment to determine the expected lifespan and condition of the existing building and systems. This assessment prioritized improvements that need to be made and identified suggested timing and costs of replacement. The study also identified the spaces in the hospital that were most in need of attention, making it clear that a plan was needed to modify the building. The goal was to minimize the cost of the expansion while focusing on areas of patient care and creating the highest and best use of the existing space.

A campus-wide master plan was created to explore phasing of the renovations and expansion, and also to identify expected budgets for each phase. D/P/S reviewed the spaces of each of the departments and determined which departments needed to grow and which ones could contract. Additionally, the design team identified parts of the building to be renovated or torn down to make room for more modern space.

The first phase of the master plan was to create a multi-specialty Medical Office Building, consolidating the various small clinics spread around the campus in multiple out-buildings. This would allow for better patient care and an opportunity for multi-discipline care teams to function effectively.

Phases 2 -5 of the plan are a multi-phased approach to replacing or renovating the facility. Phase 2 calls for removing the out-buildings and demolition of the oldest section of the hospital. This will allow the facility to construct a new two-story bed wing that will include all new patient rooms on the second floor, as well as shell space for future projects on the first floor. The addition would also create a new entry to enhance wayfinding in the facility, while offering more centralized patient parking.

Phases 3-5 concentrate on moving the most critical areas of the facility into newer modern space, including moving surgery and radiology to the first floor of the new building. A plan was identified to temporarily relocate the Emergency Department and renovate the ER in its existing location. The last phases of the project focus on backfilling areas vacated by surgery to expand and modernize the central plant and improve functionality of the loading dock.

The medical center incorporates Presbyterian’s standard interior finishes. A warm, neutral color palette paired with bold accent colors creates a welcoming, friendly environment for patients and staff.



Services Provided

Structural Engineering
Landscape Architecture
Interior Design

Featured Staff

Bobby George Michael Gibson Ronnie DiCappo Andrew Grundstrom

What We Create

Dekker/Perich/Sabatini is an award-winning, multidisciplinary design firm that has served public and private clients for over 55 years. Our staff includes architects, interior designers, planners, structural engineers, landscape architects, and experts in sustainable design in offices in Albuquerque, NM; Phoenix, AZ; Las Cruces, NM; and Amarillo, TX. As a regional leader in design excellence and sustainability, we have successfully completed thousands of projects by collaborating directly with owners and communities.


Our professionals are experienced in primary, secondary, and post-secondary facility design to provide specialty design services for a variety of educational facilities. This diverse pool of talent enables us to develop innovative design solutions that draw upon the best ideas and practices from throughout the Southwest. A well-designed building not only provides an aesthetically pleasing and functional environment for the people who work and learn in them, but also centers on a balanced response to changing ideas in teaching with recognition of our client’s reputation and traditions.


We are an award-winning, multidisciplinary design firm that has served public and private clients  for more than 55 years. To better respond to our clients’ needs, we have concentrated our design and technical resources into “Practice Areas,” where our personnel specialize in building types such as housing, commercial, healthcare, government and education. Through the Practice Area concept, designers work on the projects they are passionate about, honing their skills specific to that type, keeping abreast of the latest trends, and training the next generation of designers.


We provide specialty design services for a variety of commercial projects, including workplaces, mixed-use developments, retail, and restaurants. We have experience with commercial projects in markets throughout the Southwest, as well as major markets elsewhere in the United States. Our diverse pool of talent enables us to develop innovative design solutions that draw upon the best ideas and practices from throughout the nation. A well-designed building provides an “edge” to our clients, whether the task at hand is to reach out to customers or to recruit and retain tenants and employees.

Landscape Architecture

We provide landscape architecture services to all of the specialized design groups within our offices as well as to external clients. The Landscape Architecture team focuses on the planning and design of exterior places  – with a thorough understanding of real estate development and the interrelatedness of structures, land, and people. From project inception to the close of construction, our landscape team makes important contributions to a collaborative, multidisciplinary design process with their expertise in concept development, site planning & design, and landscape design.


We are committed to delivering quality multi-family housing. With full-time dedicated staff, we have developed the knowledge, resources, and networks to deliver the best, most well-designed product for our clients. We work closely with our clients to quickly produce graphic packages that illustrate flexible solutions that can be easily priced and worked into a pro forma. Focusing on the amenities, construction costs, rent structure, and financing options very early in the process helps give shape to the finished product.

Structural Engineering

We provide structural engineering services to all of the specialized architecture design groups across our firm, as well as for external clients. Our goal is to create a truly integrated structural solution for any design challenge. We strive towards creative and efficient design solutions, utilizing a wide variety of structural systems and building materials. To accomplish this, we are involved in projects from inception to final punchlist.


We provide specialty design and planning services for a variety of public clients. Our professionals have “hands on” experience with civic projects throughout the southwest, including personnel who have project experience while serving in the public sector. Their talent enables us to develop innovative planning and design solutions that draw upon “lessons learned” from the various public agencies served. 


As a leader in the field, we have over 20 years’ experience in the design of healthcare facilities. With more than 20 multi-disciplined personnel, our Healthcare Group has collectively worked on more than 250 healthcare projects. Our group has created master plans for medical centers, planned new hospitals and hospital additions, orchestrated major renovations to outdated hospitals and created spaces for highly specialized equipment.


We have extensive experience in the design of LEED buildings, and we’re committed to incorporating appropriate sustainable strategies into our projects. Although sustainable design has recently become a popular national trend, our firm has embraced this concept for many years as responsible design professionals. We have realized energy efficient projects for our unique climate by using common sense approaches to building siting, solar orientation, appropriate fenestration, building mass, appropriate mechanical systems, and the use of building materials readily available in our region.


We provide a wide range of planning and design services, from conceptual land use plans to design guidelines to municipal submittals and approvals. We excel at providing integrated design and planning solutions that are market-driven and sustainable. Projects range from large-scale master planned communities to small in-fill tracts. Our group utilizes the design expertise of the firm and a collaborative approach to maximize development opportunities for the client. With our integrated team of planners, landscape architects, and architects, we can generate initial design concepts and take projects through to construction documents.

Interior Design

We believe the successful interior design of a space requires a collaborative effort. We work as a team with our clients and consultants - a team with a common goal of achieving the most dynamic results, smoothly and reliably. Our staff of Interior Designers and Interior Architects provide the highest level of expertise in design and construction.

In Progress

Our passion is to help our clients realize their dreams by partnering with them through a collaborative, multidisciplined process that recognizes new trends and utilizes technologies to create functional, comfortable, and stimulating places. Browse some of our newest projects that are currently in construction.