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LAS VEGAS MEDICAL DISTRICT

Las Vegas Medical District Facilities Master Plan Executive Summary December 2015 MISSION By 2030, the Las Vegas Medical District will be the clinical care, research, wellness, education and training center of Southern Nevada and the premier academic medical district in the southwestern United States. Table of Contents

INTRODUCTION 4 CREATE A CORE DESTINATION 18 CORE COLLABORATIVE DEVELOPMENT STRATEGIES PLANNING PROCESS PARTICIPANTS 5 A MIXED-USE AND WALKABLE CORE SHADOW LANE WHAT WE HAVE LEARNED 6 BEARDEN DRIVE IMPORTANCE OF UNLV THE MEDICAL SCHOOL NEW UNLV SCHOOL OF MEDICINE OPPORTUNITIES FOR COLLABORATION CORE LVMD IMPLEMENTATION STRATEGIES ECONOMIC DEVELOPMENT SYNERGY OF RESEARCH, EDUCATION AND HEALTH ACTIVATE THE CHARLESTON AREA 22 CAPITALIZE ON EXISTING INVESTMENT CHARLESTON AREA IMPLEMENTATION STRATEGIES CAPITALIZE ON PROPOSED INVESTMENT DENSIFY THE MARTIN L KING BOULEVARD CORRIDOR 23 ECONOMIC IMPACT 10 MARTIN L KING BOULEVARD AREA IMPLEMENTATION STRATEGIES

CAPACITY CONSTRAINTS 11 GRAND CENTRAL/SYMPHONY PARK AS A CONNECTOR 24 GRAND CENTRAL/SYMPHONY PARK IMPLEMENTATION STRATEGIES A VISION FOR THE FUTURE 12 CONCEPT IDEA PHASING & NEXT STEPS 25 FRAMEWORK FOR CHANGE COORDINATED DEVELOPMENT FOUNDATIONAL THEMES DISTRICT-WIDE RECOMMENDATIONS DISTRICT-WIDE IMPLEMENTATION STRATEGIES ILLUSTRATIVE PLAN DEVELOP URBAN DENSITY EMPHASIZE AN URBAN MIX OF USES ACTIVATE THE STREET

Note: This document is the first of two (2) LVMD Facilities Master Plan Reports. A Technical Report follows this Executive Summary.

LAS VEGAS MEDICAL DISTRICT FACILITIES MASTER PLAN 3 The Las Vegas Medical District (LVMD) was initially The Master Planning Process Introduction established by the City of Las Vegas in 2002, with the goal of encouraging medical and healthcare To best take advantage of these new opportunities, development. the City of Las Vegas has undertaken a master planning effort to develop a comprehensive, The original boundaries of the LVMD include the coordinated approach to development within the established health and education facilities in the LVMD. area: • University Medical Center To date, the planning effort has included stakeholder • Valley Hospital Medical Center interviews with major institutions in the LVMD, • UNLV Shadow Lane Campus resident groups, city, county and state departments • Southern Nevada Health District with a presence or plans within the area. Similar • Clark County Administrative Campus medical districts throughout the country have been • University of Nevada School of Medicine benchmarked to provide baseline comparisons. Economic impact studies have been updated to While the presence of these established facilities reflect the expanded district and potential medical provides a strong core for a medical district, school synergies. their land holdings limited the opportunities for additional development. To address this issue, Based on this work, the planning team has the City of Las Vegas has proposed expanding the developed a set of planning alternatives. These district boundaries to create more opportunity. The alternatives were presented in a series of public expanded boundaries include: meetings in February and March 2015, so that • Symphony Park residents, medical professionals and regional peers • Cleveland Clinic Lou Ruvo Center for Brain could comment. In addition, a website was created Health to allow individuals who choose not to attend the • World Market Center meetings in person to comment. Public comments were taken into account in April and May as plans A particular spur to development in the LVMD is were finalized. the planned UNLV School of Medicine. While the University of Nevada School of Medicine and Touro University have long established residency and fellowship programs in the LVMD, UNLV plans to create a full, four-year allopathic medical school.

4 DECEMBER 2015 Planning Process Participants

Planning Committee Members Stakeholder Participants Master Plan Websites

• City of Las Vegas • Mayor Carolyn G. Goodman In addition to monthly planning committee meetings • Clark County • Councilwoman Lois Tarkanian and public outreach events, two websites were • Clark County Medical Society • City of Las Vegas created to allow for public comment; one as an • Cleveland Clinic Lou Ruvo Center for Brain • City of Las Vegas Parking Manager extension of the City of Las Vegas website, and a Health • City of Las Vegas Symphony Park second independent site using the “Mindmixer” • Desert Radiologists Development Team community engagement platform. The “Mindmixer” • Nevada System of Higher Education • Cleveland Clinic Lou Ruvo Center for Brain website, www.lvmdmasterplan.mindmixer.com, • University Medical Center Health generated over 1,155 unique visitors and 2,336 • UNLV Planning and Construction • Desert Radiologists page views. The comments received were varied, • UNLV School of Dental Medicine • Las Vegas Metropolitan Police Department and were generally supportive of ideas to improve • University of Nevada School of Medicine • McNeil Estates Home Owners Association the LVMD, helping to refine several of the planning • Valley Hospital Medical Center • Nevada Medical Center team’s recommendations. • Southern Nevada Health District • Nevada State College School of Nursing • Regional Transportation Commission of • Nevada System of Higher Education Southern Nevada • Scotch 80’s Residents Group • Southern Nevada Health District • Steinberg Diagnostic Medical Imaging • University Medical Center Public Outreach • University of Nevada School of Medicine • UNLV School of Dental Medicine In addition to the individual stakeholder interviews, • UNLV School of Medicine three public outreach events were held, each • UNLV School of Nursing targeted to different groups with an interest in the • Valley Hospital Medical Center LVMD. An outreach table and exhibits were set up in the University Medical Center cafeteria at lunch to allow people working and visiting in the LVMD to review and comment. An evening open house meeting was scheduled at the Las Vegas Valley Water District (LVVWD) office at Valley View and Charleston Boulevard to provide neighborhood residents an opportunity to participate. Medical professionals from across the metropolitan area were invited to the third event, a more formal presentation held at City Hall.

LAS VEGAS MEDICAL DISTRICT FACILITIES MASTER PLAN 5 The Importance of the UNLV Medical School Opportunities for Collaboration What We’ve Learned Every benchmarked district across the country To develop a cohesive image for the LVMD, there contains at least one full, four-year medical must be a collaborative approach to branding school. The ability of the schools to attract and and marketing. Additional opportunities for create physicians, to generate research dollars and collaboration include: a concierge service for technological advances, and to expand healthcare patients traveling to the LVMD for care, security and options are all critical to the growth and success of parking management. any medical district. Collaborative Development Opportunities Include: Additionally, the new school will help address the • Hotel shortage of physicians in Nevada. Nationally, 79% • Medical Library of students who complete both Undergraduate and Graduate Medical Education in a specific state will • Food Service continue to practice in that state after graduation. • Conference Space • Fitness Center UNLV MEDICAL SCHOOL EXPECTATIONS: • Housing (for students, faculty and the • Initial class of 60 Students community) • Build up to 120 students a year, with eventual goal of 180 students per year. Economic Development • Over 250 faculty and staff within 10 years of establishment The combined regional impact of the LVMD and UNLV Medical School could be:

$3.6 Billion by 2030

Total projected employment could be: 24,182 jobs by 2030

Government Revenue resulting from the LVMD and UNLV Medical School could reach: $181 Million by 2030

*Note: Tripp Umbach was hired as part of the LVMD Facilities Master Plan Consultant team to update components of earlier projections for the area. All Tripp Umbach information referenced in this report was created for the LVMD Facilities Master Plan. Previous Tripp Umbach reports for the area include: • Economic Impact and Return on Investment to the State General Fund Related to Medical Education Expansion in Nevada, August 9, 2014 • Economic Impact of Medical Education Expansion in Nevada, Economic Impact Assessment and Recommended Approach, December 3, 2013, Version 1.1.0

6 DECEMBER 2015 [WHAT WE’VE LEARNED]

Synergy of Research, Education and Health

Medical districts best able to compete on a national or international scale are those with a clearly defined identity. The ability to offer a level or type of care not commonly available is what sets a district apart. Robust research programs, based on established centers of excellence within the district, can serve as the basis for developing new and specialized care options, and attract patients from national and international markets. These centers would allow the LVMD to function as the primary node in a network of medical districts throughout Southern Nevada.

Centers of Excellence Might Include

• Trauma • Burn Unit • Transplant • Pediatrics • Advanced imaging • Neurology • Movement disorders • Diseases and Wellness related to aging • Robotic surgery Photo: Erin O’Boyle Photographics

LAS VEGAS MEDICAL DISTRICT FACILITIES MASTER PLAN 7 Symphony Park is unfolding as the center of culture and DISCOVERY Children's Museum. The all-new medicine and is envisioned as a true modern-day neighborhood DISCOVERY Children’s Museum at the Donald W. Reynolds in Las Vegas, an iconic American city. Located in the heart of Discovery Center addresses its core educational areas of downtown – just a few miles north of the famed Las Vegas science, art and culture and early childhood development Strip – Symphony Park is playing a major role in the with 26,000 square feet of interactive, hands-on exhibits revitalization of downtown. that provide fun-filled education for children and families. The three-story museum Sustainable Community. Built on a brownfield, is complete with nine Symphony Park is a model of land recycling, transforming interactive exhibition the area into a vibrant, sustainable new urban neighborhood. galleries featuring traveling The only project in the state of Nevada to be accepted into a exhibitions, daily programs, national pilot program for green neighborhood developments, activities and collaborative Symphony Park was awarded Gold certification under stage 2 cultural programming. of the U.S. Green Building Council’s Leadership in Energy and discoverykidslv.org Environmental Design for Neighborhood Development.

The Smith Center for the Performing Arts. Cleveland Clinic Lou Ruvo Center for Brain Named in honor of Fred W. and Mary B. Smith, this world-class Health. The Frank Gehry-designed Center for Brain Health is performing arts center is the performance home to full-length, dedicated to enhanced treatment of Alzheimer’s, Huntington’s, touring Broadway productions, as well as music, dance and Parkinson’s, multiple system atrophy (MSA), frontotemporal theater from around the world. It is also home to resident dementia and multiple sclerosis (MS). Since opening in July companies, Nevada 2009, the center has provided over 50,000 patient appointments Ballet Theatre and Las and 15,000 no-cost Vegas Philharmonic, visits to its patient and and a variety of arts family service programs. programming for local Proceeds from the rental children. Designed of the Keep Memory by David M. Schwarz, Alive Event Center The Smith Center support the Center for opened March 2012. Brain Health’s work. thesmithcenter.com keepmemoryalive.org Photo: Geri Kode Photo: Iwan Baan

The Smith Center for the Performing Arts | The Charlie Palmer | Newland Communities | Forest City Cleveland Clinic Lou Ruvo Center for Brain Health | Discovery Children’s Museum | Citra Symphony Park [WHAT WE’VE LEARNED]

Valley Hospital Valley Hospital Clark County Las Vegas Metropolitan Southern Nevada Horizon World Market World Market Capitalize on Existing Investment Lab and Medical Office Hospital Admin. Police Department Health District Specialty Center Center Buildings Campus Headquarters Former Campus Hospital of Las Buildings Exhibition Vegas & Parking Tents Site Garage EXISTING RESOURCES WITHIN THE LVMD: US 95 • 800+ hospital beds in two major hospitals • Only Level 1 Trauma Center in Nevada • 170 patient chairs at Dental School Clinic

• Clinical Simulation Center shared by University L Martin S. of Nevada School of Medicine, UNLV and Nevada State College Grand Central Pkwy • Advanced imaging modalities • Internationally recognized movement disorders World Smith Center Las Vegas Fwy. Market

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I - 15 Campbell Dr. Ln. Shadow Existing LVMD Resources University University UNLV Shadow Smith Center Medical Center Medical Center Lane Campus for the Performing IT/HR Offices Hospital Dental School, Arts University Clinic & Discovery of Nevada Simulation Children’s Museum School of Desert Radiologists University of Nevada University Medical Center Headquarters School of Medicine Center Medicine Cleveland Clinic Administrative Offices Pediatric Hospital Clinic Southern Nevada Health District Lou Ruvo Center for Brain Health 8 DECEMBER 2015 State Lab [WHAT WE’VE LEARNED] Lied Clinic UNLV School of Horizon Specialty Hospital Parcel “B” Newland Proposed Partnership between NSHE, Medicine of Las Vegas Garage Communities Hotel UMC and others for use of 120-180 Students per Multi-million dollar 750 to 1200 Housing Capitalize on Proposed Investment the clinic renovation in progress Spaces

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Campbell Dr. University of UNLV School of Steinberg UNLV Nursing & Proposed Existing LVMD Resources Nevada School Medicine Diagnostic Physical Therapy Casino/Hotel Major Proposed Investments of Medicine Possible New medical Building New Women’s temporary imaging center Services Clinic administrative completed 1701 Charleston Project NEON space University of Nevada NDOT project to reconstruct School of Medicine and expand I-15, Charleston Administration Interchange and Alta Interchange LAS VEGAS MEDICAL DISTRICT FACILITIES MASTER PLAN 9 pms 3135

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Economic Impact

LAS VEGAS MEDICAL DISTRICT TRANSFORMING THE FUTURE OF HEALTH CARE Summary improving the quality of lifeThe of continued residents development throughout of the Las VegasMethodology Medical District and the Las Vegas. Tripp Umbach*,development an independent of the third UNLV School of Medicine will bring world-class health care providers to Las Vegas while simultaneously growing the local and statewide economy. The continued development of the LVMD and party, conducted an economic impact study to assess Using the American Council on Education the development of the UNLV School of Medicine the economic potential ofThe the Las LVMD, Vegas indicating Medical District that will be an enginemethodology of economic and growthlinear cashin the flow health modeling, will bring world-class health care providers to Las by 2030, the LVMD and UNLVcare School sector and of Medicine bring together is health careTripp organizations Umbach alongconducted with other a classic high profile and decidedly Vegas while simultaneously growing the local and estimated to: businesses, research organizations, and corporations,conservative improving analysis. the qualityData utilized of life of was based statewide economy. • Grow the statewide economyresidents bythroughout $3.6 billion Las Vegas. SmithGroup,on Tripp LLC commissioned Umbach’s previous an independent work with the Lincy • Support and sustain 24,182third-party new economic jobs in the impact study to quantifyInstitute the projected and the economicNSHE projections impact, the are jobs based upon The LVMD will be an engine of economic growth LVMD created, and the tax revenue overall impactwork of the with Las other Vegas medical Medical District,districts upon and its biomedical in the health care sector and bring together health • Generate new governmentcompletion revenue as well of $181.0as display how the UNLVdistricts School throughout of Medicine thewill serveUnited as aStates, catalyst which include million annually for its development. The Las Vegas Medical District and the UNLV School of Medicine carePROJECTED organizations ECONOMIC along with otherIMPACT high OFprofile THE LAS VEGAS new medical schools and subsequent development. businesses, research organizations, and corporations, will attract new industries to Las Vegas thatAll are impacts drawn areto regions presented with superior in present health day dollars. MEDICAL DISTRICT AND UNLV SCHOOL OF MEDICINE care that could eventually lead to NevadaFurther being a detaildestination can befor foundadvanced in themedicine. Technical Report.

GROWING THE STATEWIDE ECONOMY SUPPORTING AND SUSTAINING JOBS GENERATING GOVERNMENT REVENUE The combined economic impact of the Las Vegas Medical The Las Vegas Medical District and UNLV School of Medicine Government revenue attributable to the presence of the District and UNLV School of Medicine will be $3.6 billion by will create 24,182 permanent jobs by 2030. Additional jobs Las Vegas Medical District and UNLV School of Medicine are 2030. As a result of the operational impacts of organizations beyond the direct employees hired to work on either the projected to total $181.0 million annually by 2030. Through and companies spending (direct), their suppliers (indirect), medical school campus or in the medical district will also be their state and local spending, as well as direct and indirect and employees’ spending (induced), the annual impact of created (indirect and induced). Jobs supported as a result of support of jobs, the development of the Las Vegas Medical the combined development will generate a significant impact the combined development will be in a multitude of industry District and UNLV School of Medicine will strengthen and on the economy. sectors including: health care, hospitality, and real estate. expand the local and statewide tax base.

PROJECTED TOTAL ECONOMIC IMPACT 2020 2030 PROJECTED TOTAL EMPLOYMENT IMPACT 2020 2030 PROJECTED TOTAL GOVERNMENT REVENUE IMPACT 2020 2030

$3,627.0 24,182 $181.0 2030 $2,427.0 2030 16,182 2030 $121.0 $1,200.0 8,000 $60.0

$2,427.0 16,181 $121.0 2025 $1,624.0 2025 10,828 2025 $81.0 $803.0 5,353 $40.0 Total Total Total $910.0 Las Vegas Medical District 6,064 Las Vegas Medical District $45.0 Las Vegas Medical District 2020 $609.0 2020 4,058 2020 $30.0 $301.0 UNLV School of Medicine 2,006 UNLV School of Medicine $15.0 UNLV School of Medicine

*Note: Tripp Umbach was hired as part of the LVMD Facilities Master Plan Consultant team to update components of earlier projections for the area. All Tripp Umbach information referenced in this report was created for the LVMD Facilities Master Plan. Previous Tripp Umbach reports for the area include: 10 DECEMBER 2015 • Economic Impact and Return on Investment to the State General Fund Related to Medical Education Expansion in Nevada, August 9, 2014 • Economic Impact of Medical Education Expansion in Nevada, Economic Impact Assessment and Recommended Approach, December 3, 2013, Version 1.1.0 Capacity Constraints US 95

Alta S Martin L King Bonneville

Using Tripp Umbach’s projected 24,182 new jobs as a baseline for growth potential in the LVMD (in addition to the Rancho Campbell S Main 15,000 existing jobs in the district), the LVMD Facilities Master Plan includes an understanding of capacity of the View Valley Charleston site systems to support nearly 40,000 employees. In addition to a comprehensive site systems analysis, growth I -15 constraints were identified for traffic, transportation and parking; domestic water; stormwater; sanitary sewer; natural gas and fiber infrastructure. Urban redevelopment is often challenging. Continued infrastructure and traffic studies will be very important as implementation progresses to ensure that appropriate densities are met and existing neighborhoods remain intact, especially as it relates to ongoing management of traffic before during and Stormwater after Project NEON. All LVMD sub areas have adequate capacity for the Regional Control Facilities

Land Use Acres Average Daily Peak Hour Flow US 95 US 95 Flow Commercial 180 2.10 4.60 Office 100 2.10 4.60

CURRENT Hospital 200 2.37 6.46 Sum 480 1,063 GPM 2,580 GPM S Martin L King Alta S Martin L King Alta Bonneville Bonneville Land Use Acres Average Daily Peak Hour Flow Flow Rancho

Rancho Commercial 105 2.10 4.60 Campbell Campbell S Main

S Main View Valley

Valley View Valley Office 100 2.10 4.60 Charleston Charleston Hospital/Medical Office 165 2.37 6.46 I - 15 I - 15 Apartment/Office 110 7.80 21.40

GROWTH POTENTIAL Sum 480 1,680 GPM 4,360 GPM Percent Increase 58% 69% Sanitary Sewer Natural Gas Domestic Water The LVMD could maintain 32,000 employees and 3,000 residents within existing The majority of piping is of small diameter and would require upgrades with Local distribution system will be adequate with some water main upgrades required infrastructure additional loads US 95 US 95 City of Las Vegas Downtown Centennial Plan

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LAS VEGAS MEDICAL DISTRICT FACILITIESW Oakey Blvd MASTERa PLAN R 11

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d 5 R 1 l I ia r GIS maps are normally produced S t s only to meet the needs of the City. u d Due to continuous development activity n I this map is for reference only. Geographic Information System Planning & Development Dept. · 702-229-6301 Printed: Tuesday, May 19, 2015 A Vision for the Future

US 95 Concept Idea • Martin L King Boulevard • Grand Central/Symphony Park The Las Vegas Medical District will pioneer a new • Focus on densifying and supporting uses within model of urban neighborhood that supports a full the Core LVMD range of healthy living • Develop multi-modal and sustainability-oriented

linkages within the district and to surrounding Shadow Ln. Shadow The LVMD will build upon existing community assets neighborhoods and major health and education institutions to • Establish a comfortable and convenient “Health establish a place that encourages connected areas Loop” transit shuttle service to live, work, learn and play within a health-oriented

setting. Rancho Dr. Rancho The LVMD capitalizes on its proximity to downtown Las Vegas and is supported by several stable and Alta Dr. vibrant existing single family urban residential neighborhoods.

As a district that is woven amongst the fabric of Las Vegas and spanning several miles and several hundred acres of urban and brownfield parcels, a Campbell Dr. reinvestment strategy for the LVMD includes: • Establish a series of connected healthy and S Valley View Blvd. walkable neighborhoods • Emphasize branded corridors and sub-districts with walkable neighborhood centers generally spaced within comfortable 5-minute walks, including: • Core LVMD (Central area bounded by Alta Dr, Rancho Dr, Martin L King Boulevard and Charleston Boulevard) • Charleston Boulevard

Campbell Dr. Shadow Ln. Shadow

CORE LVMD CHARLESTON Martin L King GRAND CENTRAL Major Transit 5 MIN. WALK Central and CORRIDOR CORRIDOR CORRIDOR Connections Walkable mix of Neighborhood Residential & Medical Mart & 12 DECEMBER 2015 uses Oriented Uses Service Oriented Symphony Park Uses World Market [A VISION FOR THE FUTURE]

A Reinforce “Green” Connectors And walkways that encourage healthy living and activity A Framework for Change

Physical recommendations embedded in the LVMD Master Plan are centered on a series of enduring guiding principles that were established early in the process to guide decision-making, and are B Develop A Comfortable + intended to provide foundational structure for future Convenient Transit Loop planning and provide flexibility to ensure that the With adequate headways LVMD becomes a welcoming and safe health care and access to downtown destination of choice with a fully built-out medical school that is integrated into a shared vision and commitment to common community resources.

GUIDING PRINCIPLES • Develop opportunities for new and expanded C Emphasize Branded Sub-Districts health and education uses That focus development in the Core, along Charleston, Martin L King and Bonneville Ave. • Encourage collaboration Grand Central • Focus on differentiation and innovation • Encourage an urban mix of uses • Establish development guidelines • Focus on the core

I - 15 • Brand walkable neighborhoods • Prioritize ease of access D 5 min Grand Central Pkwy Establish Walkable Neighborhoods • Develop coordinated wayfinding Including diverse amenities within • Incentivize multi-modal connectivity and comfortable 5-minute walks 5 min coordinate with public transportation 5 min S Main St. 5 min

5 min Martin L King Blvd. King L Martin • Provide clear traffic patterns and access points from major corridors 5 min • Provide accessible and convenient parking Charleston Blvd. • Develop pedestrian-oriented spaces • Improve pedestrian and bike circulation • Encourage a hierarchy of open spaces Las Vegas Medical District Site • Foster a safe and welcoming environment • Develop a cooperative management and security committee • Encourage private/managed green spaces

• Activate the street level Shadow Ln. Shadow Foundational Themes

The LVMD Master Plan encourages an overlapping series of four primary systems diagrammed to the right in order to focus redevelopment and create incremental change opportunities. LAS VEGAS MEDICAL DISTRICT FACILITIES MASTER PLAN 13 [A VISION FOR THE FUTURE]

District-Wide Recommendations setting for a world class medical center, new medical school, a range of walkable food service and amenity US 95 retail opportunities, and balanced opportunities for The LVMD will become the premier academic medical S Martin L King Blvd district in the southwest increased density. Planning considerations maximize opportunities for the 214-acre core and emphasize Built on a framework for ongoing change in development along the existing primary corridors 5 downtown Las Vegas, the LVMD will capitalize on the serving the LVMD as part of the Project NEON development potential of 684 acres of prime real improvements to I-15. Components of the plan 6 estate, providing opportunities for new academic, include: medical, research, clinical, and office development; •1 Charleston Community-Oriented Services creating an attractive destination to live, work, learn •2 UNLV Medical School and play. Rooted in a consensus-oriented process, •3 LVMD Central Commons the illustrative plan represents optimal urban design configurations for development of the LVMD in the •4 Medical-Oriented Mixed-Use long-term. •5 Medical Support Services •6 Enhanced Mixed-Use Residential While deliberately flexible to accommodate future Las Vegas •7 Mixed-Use Medical Trade Mart changes and opportunities, the development Metropolitan framework plan for the LVMD creates an iconic •8 Future Symphony Park Development Police

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14 DECEMBER 2015 [A VISION FOR THE FUTURE]

Illustrative Plan District-Wide Implementation Strategies

The illustrative plan proposes the placement • Work with the Nevada Medical Center and/ of new or enhanced features such as buildings, or create a not-for-profit entity to develop roadways, open spaces, parking and other facilities in an organizational framework to manage relationship to existing facilities. 7 cooperative ventures within the LVMD possibly including parking, security, concierge medical S Grand Central Pkwy The LVMD Facilities Master Plan does not mandate tourism management, or the development of a growth, it provides opportunities for future change. core amenity center • Explore options with Regional Transportation 8 Future building footprints identified will depend Commission of Southern Nevada (RTC) and on their specific program and will be developed as others to improve transit connections to the World funding becomes available. The Technical Report Bonneville Transit Center, Symphony Park, Market provides building footprint gross square feet (GSF) downtown Las Vegas and the core of the LVMD Smith and potential parking spaces as a guide for potential • Develop a collaborative parking strategy Center development capacity, density and building height by including potential location of a new core S Main St general area. The actual GSF and parking space count parking structure in cooperation with major per area will vary depending on the final program, stakeholders number of floors and configuration of the base floor. • Emphasize streetscape, signage and wayfinding I - 15 W Bonneville Ave improvements at key corridors and gateways, The following pages provide urban design guidelines employing a “Complete Streets” approach Clark County that develop appropriate urban densities in key to create pedestrian friendly, multi-modal Government areas; encourage a mix of uses to incentivize certain Center connectors uses based on existing adjacencies; and, activate • Coordinate with Downtown Master Plan to existing and future street corridors. develop regulatory documents that support facility master plan concepts. • Coordinate with other ongoing city-wide and institutional planning initiatives to ensure alignment and collaboration S Grand Central Pkwy S Casino Center Blvd • Undertake a traffic impact study and model, multi-modal transportation study and Transportation Demand Management (TDM) feasibility study

W Charleston Blvd Illustrative Plan Existing Building Building Opportunity Parking Opportunity Open Space Opportunity

LAS VEGAS MEDICAL DISTRICT FACILITIES MASTER PLAN 15 [A VISION FOR THE FUTURE]

Develop Urban Density limits development to one story between Valley Emphasize an Urban Mix of Uses View Boulevard and Rancho Drive, and up to 70’ between Rancho Drive and Martin L King Boulevard To achieve the synergies that characterize a The future LVMD will build upon existing health and while encouraging increased high quality and educational uses to create an attractive, functional successful medical district, density within the LVMD neighborhood-oriented retail uses. will need to increase in a manner that will harmonize and vibrant medical district that attracts a large and with and protect surrounding neighborhoods. diverse population of employees, patients, students Two high density nodes are proposed for the LVMD; and community members. It is not the intention of Preferred final district densities were discussed one in the core of the LVMD at Shadow Lane, and amongst the LVMD planning committee and will this plan to restrict certain uses on any particular one in Symphony Park. Both reinforce existing parcel, rather, the plan incentivizes or encourages vary depending on the character of surrounding development patterns. Development density development. certain uses in sub-districts in order to reflect recommendations step down from these two nodes, surrounding uses and/or collocate similar uses to encouraging varying levels of medium to low density The lowest preferred future density will be located maximize adjacencies. General use considerations opportunities within the core of the LVMD and to include: along Charleston Boulevard between Valley View reinforce the primary Charleston Boulevard, Martin and Rancho, in-line with existing zoning overlay that L. King Boulevard and Grand Central corridors.

General Use Considerations High Density Medium Density US 95 Mixed-use commercial 3.0 FAR 1.0 - 3.0 FAR Mixed-use residential 10+ FLOORS 5+ FLOORS Medical-oriented (clinical, research, support) Education, research and support Low Density Very Low Density

Shadow Ln. Shadow Mixed-use office

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16 DECEMBER 2015 [A VISION FOR THE FUTURE]

Emphasize an Urban Mix of Uses (CONT’D) Activate the Street as land use and urban design context of the street is as critical as the transportation function of the Street character is critical in creating an imaginable street. The primary objective of transportation is to • Mixed-Use Commercial. Neighborhood-oriented achieve larger public objectives, and although street and medical support retail to activate nodes and branded LVMD character to connect sometimes disparate uses as part of a coherent, walkable and typologies and activity varies widely in the LMVD, within the LVMD the rich tapestry of frontage uses has been simplified • Mixed-Use Residential. Enhance existing vibrant district. The street typological vignettes illustrate how the “Complete Streets” concept can down to five primary typologies as a framework for medium density residential areas and support/ enhancing a sense of place in the LVMD: strengthen existing residential neighborhood be translated into specific street types of varying capacity to meet the needs of the LVMD while • Vehicle edges to the north • Pedestrian & Access • Medical-Oriented. Support/augment hospital providing distinct pedestrian, bicycle and vehicular zones. • Institutional lands owned by Valley Hospital Medical Center • Balanced (Residential & Mixed Use) and University Medical Center • Neighborhood Edge • Education. Enhance the presence of UNLV, Quality street environments are very much linked to UNSOM and other higher education uses in the the potential mix of uses associated with the LVMD, area • Mixed-Use Office. Enhance this primary land use to create a vibrant environment Streetscape Functional Emphasis US 95 Pedestrian & Access US 95 Vehicle Institutional

Neighborhood Edge Shadow Ln. Shadow Shadow Ln. Shadow Balanced (Residential & Mixed Use)

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LAS VEGAS MEDICAL DISTRICT FACILITIES MASTER PLAN 17 Core Collaborative Development Strategies Create A Core Destination OFFICE

OFFICE MEDICAL The 214-acre core of the LVMD will become the iconic heart of the mixed-use medical destination and center for Nevada’s health care network RESIDENTIAL UNLV SHADOW LANE UNLV SHADOW LANE The historic geographic boundaries of the LVMD, EDUCATION bounded by Alta Drive, Charleston Boulevard, COMMERCIAL Martin L King Boulevard, and Rancho Drive define a 214-acre campus with considerable redevelopment DENSIFY PARKING ENCOURAGE A MIX OF USES potential and constraints that will require collaborative development strategies to achieve maximum density and sense of place.

COLLABORATIVE STRATEGIES INCLUDE: • Densify Parking. Denser parking and considerations for fees will be required as 10,000 free surface spaces are re-considered • Combine Smaller Parcels. 55% of the core is occupied by over 200 owners that should be consolidated to create larger parcels for urban UNLV SHADOW LANE redevelopment • Incentivize Core Density. Floor area ratios (FAR) in the core can be improved from .50 average to COMBINE SMALLER PARCELS DEVELOP URBAN CORRIDORS a much denser 2.0-4.0 FAR range • Encourage a Mix of Uses. Single-use parcels that currently permeate the core must create future diverse uses that activate the street • Develop Urban Corridors. Setbacks should be reduced to maximize density and improve placemaking • Provide Convenient Multi-Modal Options. Bike lanes and bus routes must traverse the interior core rather than be relegated to the edges

UNLV SHADOW LANE

INCENTIVIZE CORE DENSITY PROVIDE CONVENIENT MULTI-MODAL OPTIONS

18 DECEMBER 2015 [CREATE A CORE DESTINATION] A Mixed-Use and Walkable Core

Valley Clark Hospital County Palomino Ln Horizon S Rancho Dr University Specialty Alta Dr Medical Hospital Center UNLV Clark County Valley Hospital

A “SPINE” CONCEPT Horizon Specialty University Bearden Dr. Hospital Medical Valley Clark Hospital Center County W Charleston Blvd

S Martin L University Horizon Medical Specialty UNLV Center Hospital Shadow Ln I - 15 D PREFERRED CONCEPT UNLV Existing Building Future Building Opportunity Medical School Opportunity B CENTRAL PARK CONCEPT Campus Center Building Opportunity Open Space Opportunity

Three framework options for development of the B• Central Park Concept. Create an iconic open Valley Clark core were reviewed as part of the master plan space to organize new development. Includes Hospital County process with regards to alignment with the guiding +/-13M SF new development, 40,000 new principles and potential development capacity. Each parking spaces and 3.90 FAR Horizon scheme provides opportunities to augment the 4 mil- C• Neighborhood Centers Concept. Develop University Specialty lion square feet (SF) of development and over 12,000 internal addresses for each institution. Includes Medical Hospital Center parking spaces in the core today. +/-12M SF new development, 40,000 new UNLV A• “Spine” Concept. Focus Shadow Lane as primary parking spaces and 3.70 FAR element and addresses for each institution. D• Preferred Concept. Combines the best of all Includes +/-12M SF new development, 40,000 ideas. Includes +/-11.5M SF new development, new parking spaces and 3.70 FAR 40,000 new parking spaces and 3.60 FAR C NEIGHBORHOOD CENTERS CONCEPT

LAS VEGAS MEDICAL DISTRICT FACILITIES MASTER PLAN 19 [CREATE A CORE DESTINATION]

Shadow Lane

Shadow Lane provides a logical organizational center for the core of the LVMD. Already an established link between University Medical Center/Valley Hospital Medical Center and UNLV Shadow Lane, its function will be reinforced with the development of the UNLV Medical Education building.

More than just a physical connector, the Shadow Lane spine should ideally become a social connector, providing spaces where students and medical professionals can meet and collaborate. There may be an opportunity to create a shared facility along Shadow Lane that could provide dining opportunities, meeting space, a medical library, fitness center, district concierge and hotel space.

Long-range future opportunities for Shadow Lane

Proposed Shadow Lane streetscape improvements Bearden Drive

At present, Bearden Drive is not a major part of LVMD’s circulation system. This will change with the construction of Project NEON. Currently, Bearden Drive is planned to connect to an improved Martin L King Boulevard, creating a new entry point to the center of the core of the LVMD. It will also create opportunities for branding and considerations for providing convenient access to parking adjacent to the core of the LVMD. Gateway and streetscape enhancements should focus on traffic calming and pedestrian safety. New UNLV Medical School

UNLV is in the planning stages of developing the first four-year allopathic medical school in Las Vegas that will augment the University of Nevada School of Medicine and Touro University long-standing medical resident and fellows programs in the LVMD. 20 DECEMBER 2015 Long-range future opportunities for Bearden Drive New UNLV School of Medicine: First Building (Academic and Teaching) [CREATE A CORE DESTINATION] Conceptual Images

UNLV has committed to ensuring the medical Core LVMD Implementation Strategies school will be a regional asset, and eventually have a physical presence in a number of locations • Develop a cooperative venture between core throughout the valley. The first educational institutions to support the development of a building is expected to be built in the LVMD. shared amenity center to include food services, UNLV and Clark County have entered into a a medical library, meeting space, fitness center Memorandum of Understanding (MOU) for the and a hotel development of the first phase medical education • Extend the City signage program to include not building on the former Southern Nevada only branding, but wayfinding Health District site on Shadow Lane. UNLV has • Continue the City Capital Improvement conducted programming and planning for this Program investment in improved sidewalks and facility, and recently released a Request for streetscapes Proposal (RFP) for architectural and design work. • Encourage the University Medical Center UNLV has also hired a planning dean and $27 to explore options that would allow other million dollars were recently secured to fund the institutions to contract for University Medical first two years of operation. Center security services • Support the funding and development of the Conceptual Rendering of the new UNLV Medical School UNLV Medical School on the former Southern February 25, 2015 DRAFT UNLV School of Medicine Concept Planning DRAFT SmithGroup,Nevada LLC Health District site 1 Building B: Dental School: Research and NSHECSCLV Clinical Simulation • Create a cooperative parking entity to develop MEDICAL DISTRICT ALTERNATIVE - FUTURE BUILD-OUT CenterBuilding of Las Vegas 2 Building A: Dental School and manage shared parking resources within the (PROJECT NEON) Academic, Clinical and Administrative Facility core 3 Building D: Dental School • Modify zoning to encourage higher density Advanced Clinical Programs, Faculty development 6 Practice, Academic and • Work with Project NEON to ensure that the 9 Administrative Building 7 4 Building C: Facilities and Martin L King Boulevard flyover and Bearden Police Service Building 9 8 5 Proposed: UNLV Nursing Drive connection are in keeping with the LVMD & Physical Therapy Building planning goals and to mitigate impacts during 6 UNLV School of construction Medicine: First Building: 10 8 Teaching /Academic • Develop a detailed infrastructure assessment, to 9 Building provide more specific capability information for 5 7 UNLV School of 8 Medicine: Second 1 Building potential new developments 8 Parking Garage • Identify, assemble and/or protect sites for future 8 9 Clinical/Research expansion by existing or new institutions 2 10 Campus/Community Center 9 3 9 PRIMARY USE Academic Research/Clinical Parking Garage Support Green Space Campus/Community Mixed Use Facility Potential Future Build-Out of UNLV Shadow Lane Campus, with Medical School and Project NEON February 25, 2015 DRAFT UNLV School of Medicine Concept Planning DRAFT SmithGroup, LLC LAS VEGAS MEDICAL DISTRICT FACILITIES MASTER PLAN 21 Block on Charleston – 1-2 Story Development Option • Potential for large retail development • Potential two story live-work development Activate the Charleston • Façade design, street trees, vegetation and Area amenities to reinforce LVMD Currently the primary east-west thoroughfare character through the LVMD, and the public face of the district, • 100’ ROW Charleston Boulevard and the surrounding area has the potential to attract new neighborhood amenity maintained development while continuing to protect the • Widened and adjacent neighborhoods. Improving the character continuous sidewalk of commercial development along the Charleston Boulevard Corridor will be critical to improving the which does not general public perception of the LVMD. require additional Sample Block on Charleston – 2-3 Story Development OptionROW Charleston Area Implementation Strategies • 2-3 story mixed use development • Maintain one-story height limit between Valley View East along a New Vision for Charleston Boulevard, including Potential Groceries and Neighborhood Amenities View Boulevard and Rancho Drive • Ground floor retail, • Increase height limit to 70’ between Rancho office and residential Drive and Martin L. King Boulevard, in-line with Charleston Blvd Eye Level View looking East / Southeast existing development above • Continue conversations with neighborhoods • 2-3 story rear adjacent to Charleston Boulevard, exploring DRAFT Page 5 DRAFT alternatives that will increase high quality and parking garage and neighborhood-oriented retail uses new alley with • Organize property owners and merchants along Charleston Boulevard into a cooperative security screening vegetation committee and wall • Work with the LVMPD to establish a video security program • Façade design, street • Coordinate with Project NEON to ensure trees, vegetation and appropriate aesthetic and functional improvements are achieved at I-15 and amenities to Charleston Boulevard reinforce LVMD • Implement “Complete Street” typologies along Charleston Boulevard and for new streets character developed as part of infill development • 100’ ROW • Develop pilot infill project to demonstrate opportunities to work with one-story and 70’ maintained on height limitations Charleston • Widened and View Looking North along Calhan Drive towards Charleston Boulevard including Opportunities for Increased Density and a New Walkable Mix of Uses 22 DECEMBER 2015 continuous sidewalk does not require View Looking North / North East along Cahan Dr additional ROW

DRAFT Page 8 DRAFT Densify the Martin L King Corridor

Martin L King Boulevard between Alta Drive and Charleston Boulevard will be completely rebuilt as part of Project NEON. As a result of that work, the existing development along that portion of the road has the potential to be re-imagined as a gateway to an emerging world-class medical district.

A number of the establishments in the area of Martin L King Boulevard scheduled to be demolished by Project NEON provide home health and durable medical equipment services that are especially important to patients discharged from district hospitals. The need to replace these services in an equally convenient location for patients provides an opportunity to create a medical support district on Martin L King Boulevard, to the north of Alta Drive.

Because the western side of Martin L King Boulevard currently serves as the primary major concentration of multi-family housing within the district boundaries, the area north of Alta Drive also View Looking South along a re-imagined Martin L King Boulevard presents an opportunity to enhance this residential neighborhood as part of a mixed-use service district and create more housing options, especially geared Martin L King Corridor Implementation • Re-brand the Martin L King Boulevard to medical and dental students, as well as medical experience to visually connect the residents. Strategies concentration of activity to the north of Alta Drive Opportunities to improve the character of Martin L • Use the relocation of healthcare oriented • Work with Project NEON to ensure that King Boulevard as part of Project NEON and other businesses from the Project NEON area as the rebuilt Alta Drive underpass provides a initiatives include: an opportunity to create a health-support pedestrian and bike friendly environment and medical services cluster on Martin L King • Consider traffic lane width reduction Boulevard north of Alta Drive • Consider a protected bicycle and improved • Support and incentivise the development of pedestrian amenity zones multi-family housing oriented toward medical • Consider a planted median to soften the students, dental students, medical residents and expanse of roadway and enhance visual interest other medical-oriented professionals

LAS VEGAS MEDICAL DISTRICT FACILITIES MASTER PLAN 23 Grand Central/Symphony Park as a Connector

Grand Central Parkway provides exciting opportunities to connect the core of the LVMD uses to the heart of downtown Las Vegas. A newly rebuilt parkway with dedicated center bus rapid transit epitomizes the desired character of streetscape within the LVMD.

The parkway currently borders Symphony Park, which represents a significant opportunity for development to activate downtown and serve the LVMD. The City of Las Vegas has entered into development agreements for multiple parcels within Symphony Park. At present, three major projects have been completed: • Cleveland Clinic Lou Ruvo Center for Brain Health • The Smith Center for the Performing Arts • DISCOVERY Children’s Museum

The remaining housing and hotel developments have not yet materialized, due primarily to national and regional economic conditions in those markets. Looking Southeast along an improved and densified Grand Central Parkway

While not conceived as a health care-oriented development, current and planned projects are Although the World Market elected not to participate Grand Central/Symphony Park beginning to create a strong health presence in in this planning process, the Market’s presence in the Symphony Park. The Cleveland Clinic is actively LVMD is significant and the exhibition tent area is the Implementation Strategies seeking additional space, and is pursuing agreements largest plot of land in Symphony Park not covered for leased space. The potential synergies between by pre-existing development agreements. Should • Review existing Symphony Park development the Senior Living development and the Lou Ruvo that land become available, there may be a strong agreements to determine which remain viable Center for Brain Health could form the nexus potential to develop a “medical mart” that could • Work with the Cleveland Clinic to finalize for a unique aging and wellness medical center. capitalize on the convention capabilities of adjacent development plans for their parcels Opportunities exist to better link the Cleveland downtown properties, as well as the concentration of • Work with the World Market Center to explore Clinic Lou Ruvo, proposed Senior Living and other medical expertise within the LVMD. development options for the exhibition tent site, uses with uses in the Core LVMD, emphasizing two possibly including a medical mart “bookends” of medical-oriented uses physically and programmatically connected by Symphony Park.

24 DECEMBER 2015 Phasing + Next Steps

Coordinated Development

A conceptual timeline of LVMD-related proposed development has been compiled UNLV/NSHE/UNSOM to emphasize the importance of coordinated development in order to create a successful medical district. This snapshot accounts for known and potential projects Private over the next 5-7 years. All project start dates, completion dates and implementation estimates are contingent on funding and approvals being in place when needed. Project NEON

Newland Housing Development City of Las Vegas

Las Vegas Medical District Master Plan Complete

Martin L King Capital Improvement Symphony Park Parcel B Parking Garage

2015 2016 2017 2018 2019 2020 2021 2022

Project Neon Construction

LVMD Sidewalk Improvements LVMD Parking Garage

Research/Clinical Building Construction UNLV Nursing & Physical Therapy Building Construction Shadow Lane Sidewalk Improvements

UNLV Medical School Education PROJECT NEON UNLV SOM UNLV SOM UNLV SOM FIRST CLASS CLASSES BEGIN Building Construction FIRST CLASS GRADUATES ADMITTED

LAS VEGAS MEDICAL DISTRICT FACILITIES MASTER PLAN 25 pms 3135 cool gray 7 pms 576

LAS VEGAS MEDICAL DISTRICT