About Us
Smith-Karng Architecture, Inc. was established in 2001 in San Francisco, California and is a full-service architectural firm with a team experience in hospital, laboratory, and pharmacy renovations and the HCAI (formerly OSHPD) regulatory review process. We provide architectural and design services for renovations, adaptive reuse of existing facilities, installations and relocations of specialized medical equipment, life safety and infrastructure upgrades, master planning, and temporary emergency equipment. With continued growth and an expanding client base, SKA has established a second office in Palo Alto to better serve clients across the Peninsula and Silicon Valley, strengthening our ability to provide responsive, locally engaged project delivery.
Strategy
Our strategy is to work together with the state agencies as early as possible in the design process, be proactive in solving issues early in the design process to prevent costly change orders during construction and expedite the project approvals when time is short. Collectively, the team has completed over 500 OSHPD approved projects. We have worked with OSHPD since our inception in 2001and have a strong working relationship with the staff which allows us to communicate directly.
Clients
Both Smith-Karng Architecture and ESS Architects have many years of working with various hospitals and medical facilities in the Bay Area and throughout California including:
California Pacific Medical Center (Sutter Health)
UCSF Medical Center (Parnassus & Mt. Zion)
Seton Medical Center
Little Company of Mary Hospital
Stanford Medical Center
Kaiser Permanente
Salinas Valley Memorial Hospital
Alameda Health System
Sonoma Valley Hospital
BASS Medical
Saint Francis Memorial Hospital
Marin Health Medical Center
Santa Rosa Memorial Hospital
Saint Joseph Health System
CHW Health System
Our Core Values
Smith-Karng Architecture aspires to lead the industry in standards of care, in and out of the office, a goal accredited to these core values:
Personal Service
Our foremost goal is to provide individual attention to all clients. We believe it is critical to take the time to listen to the owner, users, and project manager.
Expertise
From Radiology Suites to Nuclear Medicine, we have the experience. We strive to gather the knowledge to be the best in healthcare design, workflow and equipment.
Expeditive Service
A driving principle in our firm is to deliver projects on schedule and within the budget.

Personal Service
Our strength lies in our team. From projects to celebrations, we work together.

