Muhsin Lihony has dedicated more than three decades to shaping state of the art, high-performing, cost-effective healthcare environments that improve patient care, enhance efficiency and adapt to a rapidly evolving industry. He leads LPA’s national healthcare practice, working with clients to develop innovative care models that are strengthening the relationships between providers, patients and communities.

His expertise spans every phase of healthcare project delivery, from planning and design to construction and operations. He has led multidisciplinary teams on projects ranging from large-scale hospitals and research laboratories to outpatient Surgery Centers, clinics and community behavioral health and rehab centers. His client list includes some of the nation’s most influential healthcare providers, including Hoag, Kaiser Permanente, Sutter Health, Dignity Health, UC Davis Health, UCI Health, UCSD Health, UCSF Health, Stanford Health, Marshall and Tenet Health.

A recognized expert in Lean design thinking and operational best practices, Lihony helps healthcare organizations eliminate inefficiencies and create operationally effective, patient-centered environments. He specializes in Integrated Project Delivery (IPD) strategies that improve collaboration, streamline construction and accelerate project timelines. He believes healthcare facilities must be designed for long-term adaptability, balancing immediate needs with flexibility to accommodate future advancements in medicine and technology.

Lihony’s leadership ensures that each project aligns with the organization’s clinical, financial and operational vision and goals. On every project, he focuses on achieving the industry’s “triple aim” of better health, higher-quality care and lower costs, while addressing the full continuum of care.

Clark brings more than two decades of healthcare project experience to our San Diego

studio. With a strong commitment to improving patient outcomes and enhancing

healthcare environments, Clark has established himself as a leader in the field, known

for his strategic vision and collaborative approach.

Clark enjoys collaborating with clients, stakeholders, design teams, regulatory bodies

and construction teams. From the conceptual design phase to walking through

completed buildings, he is passionate about every step of the process. His extensive

experience ranges from facility maintenance and equipment upgrades to medical office

developments, tenant improvements and hospital additions, giving him a deep

understanding of the client perspective. Clark excels at communicating the client’s

objectives and requirements to the wider team.

During his time at HDR, Clark has built an impressive portfolio, including the Cleveland

Clinic Abu Dhabi Hospital. This project was a collaboration between multiple HDR

offices and consultants, working together to design a hospital on a human-made island.

This experience highlights his ability to manage complex, large-scale projects and

deliver exceptional results. His role often involves working directly with hospital

representatives as a “client advisor” to evaluate, select and apply architectural

techniques, procedures and modifications.

Edwin is a senior principal and Client Executive of IMEG’s California structural teams in the Pasadena, San Diego, and Anaheim areas.

Edwin has been practicing structural engineering for more than 20 years. He has led the design and analysis of several billion dollars in new building construction as well as seismic retrofit of existing buildings. He also has extensive experience in alternate project delivery approaches such as design-build, integrated project delivery (IPD), public private partnership (P3), design assist, and lean delivery approach. His leadership role allows him to actively participate in all stages of projects from project negotiation until the end of construction.

Edwin is a member of American Society of Civil Engineers and a member of Structural Engineers Association of Southern California. He has presented and authored several structural engineering articles in various engineering magazines.

During college, David initially pursued a career in life insurance and sales, gaining valuable experience in communication, client service, and business development. However, after joining his family’s construction business to help with day-to-day operations, he quickly realized that construction was where he truly belonged. This experience prompted him to pivot his academic and professional focus toward construction management. He assumed wide-ranging responsibilities within the family company—from payroll and estimating to field supervision and operations—developing a holistic understanding of how projects are built and businesses are run. He also competed in a national student construction competition, where his team earned first place.

That performance helped launch his professional construction career. He soon accepted an internship with a major contractor in Southern California, leaving his home in Utah behind. What began as an internship quickly transitioned into a full-time position. Over the next four years, he progressed from junior estimator to estimator, and then into a senior estimator role with another firm.

In 2015, David joined PNG Builders as Chief Estimator. In addition to leading the company’s estimating department, he plays a central role in business development, actively building and maintaining long- term client relationships. He works closely with owners, architects, and consultants to ensure early alignment, budget clarity, and project feasibility. David brings a partnership-based mindset to every pursuit, often serving as a strategic lead in interviews, RFP responses, and preconstruction efforts. His ability to translate complex project demands into clear, actionable proposals has helped position PNG Builders as a trusted partner across diverse markets.

David is an award-winning Chief General Construction Estimator with deep expertise in bidding, estimating, and budgeting across virtually every sector of commercial construction. His portfolio spans higher education, DSA, entertainment, theme parks, studio work, healthcare, OSHPD, medical office buildings, pharmaceutical, concrete tilt-up, large-scale warehouse (up to 1,133,000 SF), retail, high-end retail, financial, grocery, automotive, hospitality, light industrial, tenant improvement, senior living, restaurants, public works, energy, museums, infrastructure, and residential projects. He has delivered successful outcomes for a broad range of government and private-sector clients. If you can dream it, David can figure out how to build it.

His expertise includes conceptual budgeting, pre-construction planning, design-build delivery, quantitative take-offs, negotiated and hard bid proposals, RFP responses, value engineering, contract writing, and negotiation. David is widely recognized for his leadership in aligning estimating with front- end strategy to improve win rates, unify teams, and foster lasting partnerships.

Outside of work, David resides in Santa Fe Springs with his son and their dog. He enjoys spending time with his girlfriend, whom he met on a yoga retreat in Bali, and he proudly welcomed his first grandson in 2024. He is especially passionate about championing his son’s journey to travel and volunteer across the globe. His son’s adventures have already spanned more than 30 countries and six continents. Someday,

David hopes to grow up and be just like his son. The Pulley family remains committed to global citizenship, cultural exchange, and service to others.

Mr. Saba is responsible for asset management with a focus on healthcare real estate at Stockdale. Previously, he worked

with Meridian, a Marcus and Millichap subsidiary, as an acquisition manager in Southern California from 2015 to 2016.

Prior to Meridian, Mr. Saba was the Director of Leasing and Marketing for Pacific Medical Buildings’ Real Estate

Services team, responsible for building and managing the leasing platform for a medical office portfolio in excess of 3

million square feet across the western US. Before Pacific Medical Buildings, Andrew worked with Healthcare REIT, now

Welltower, in the Management Services Group division as a property manager, beginning in South Florida and relocating

to Southern California in 2007. Mr. Saba holds a California RE salesperson license as well as the RPA designation

through BOMI. Mr. Saba holds a Master of Business Administration from the University of Southern California and a

Master of Science and Bachelor of Science in Communication from Florida State University.

Emma Kelley is a Senior Associate on Nuveen Real Estate’s healthcare team in New York, where she focuses on ground-up development of medical outpatient facilities and senior housing communities. Before specializing in healthcare, Emma built a broad foundation in commercial real estate, working across acquisitions and asset management in sectors such as office, retail, and affordable housing. She holds a Master's in Real Estate from Georgetown University and a Bachelor's in Finance from Juniata College.

Dave Ericksen has spent the past 30+ years in banking with the past 15+ years

dedicated specifically to the healthcare industry. Currently Senior Vice President

and Managing Director of Umpqua Bank Healthcare Banking’s Commercial

Healthcare Team, which specializes in helping hospitals and independent physician

groups grow, find revenue cycle efficiency, and advises on strategic objectives.

Fernando Villa has significant land use, regulatory, real estate and litigation experience helping clients secure entitlements while mitigating development risk. He advises clients on entitlements and California Environmental Quality Act (CEQA) review for complex development projects and on reducing exposure to environmental liabilities.

Fernando’s entitlement work spans industrial, mixed-use, residential, commercial and retail developments. He is particularly experienced with Brownfield redevelopment, merging his knowledge of real estate development with a deep understanding of environmental regulation to help clients complete projects while mitigating environmental risks.

Clients have found that Jake brings an ability to merge every development skill including document negotiations, land entitlement, overall project management, strategy, marketing, acquisitions, and leasing. His unbroken record of client satisfaction is a testimonial to his success.

His 17-year career has been focused solely on medical real estate development where Jake has been responsible for the development, leasing, project management, and acquisition of more than 3.5 million square feet of medical office properties in over 15 states. PMB was so impressed with Jake’s work with a competitor, that we hired him in 2018.

Jake received his Bachelor of Administration degree from the University of Wisconsin Platteville. He has received certifications in Project Management from the University of California San Diego, Real Estate Finance, Investment and Development from the University of San Diego and Organizational Leadership from Cornell University.

Sing Sing Lee is an architect with Cedars Sinai, her previous portfolio consists of various markets from Healthcare, Higher Education, Corporate commercial, and Entertainment. Some of her signature projects include Johns Hopkin Children’s hospital, LACCD DB Projects, various project with Kaiser, and a development of 300 acre medical city in China. Within these projects she has held roles ranging from Project Designer, Medical Planner, and or Project Manager. This is her 5th Year working at Cedars-Sinai and she received her Bachelor degree for Architecture from SCI-ARC in 2000

Erik Hanson is a healthcare design leader whose portfolio of work spans the planning and delivery of complex healthcare and institutional facilities, as well as long-range campus master planning initiatives for nationally-recognized clients. As Principal and Practice Leader at Taylor Design, he oversees architecture, planning, and technical design fostering a collaborative and innovative approach that integrates sustainability and Lean principles—delivering exceptional outcomes for clients and communities.

Janet Pangman, AIA NCARB is a Principal at ZGF Architects with over 30 years of experience in the programming, planning, design, and delivery of complex healthcare projects. With communication and care at the core of her leadership style, Janet is a healthcare architect and medical planner who designs healthcare facilities with heart. Inspired by creating comfortable, welcoming environments that ease the hardship of illness, Janet takes pleasure in creating a dialogue between clients and users to understand how they work and translating that into spaces that support their goals and workflows. Her keen awareness of medical facility operations and functional requirements allows Janet to simultaneously address the aesthetics, workflow, and technical issues to create healthcare environments that foster compassion and promote holistic healing. She is a frequent speaker at national conferences and is on the board of Women in Healthcare Greater Los Angeles, part of a national non-profit organization focused on promoting the professional development of women in the healthcare industry through networking, education, and mentorship.

Ileana Holguin is the Executive Director of Operations for The PENTA Building Group, where she leads complex construction projects throughout Southern California across the higher education, healthcare, civic, and public works sectors. With more than 27 years of industry experience, she is recognized for delivering successful projects while building strong partnerships with clients, design teams, trade partners, and project staff.

Ileana provides executive oversight from preconstruction through completion, leading teams through collaborative delivery methods including Construction Manager at Risk (CMAR), Design-Build, and Progressive Design-Build. She is known for aligning project goals, budgets, schedules, and stakeholder expectations to drive successful outcomes.

In addition to project leadership, Ileana plays an active role in business development, strategic planning, and client engagement. She works closely with public agencies, educational institutions, healthcare organizations, and community stakeholders to develop solutions that create lasting value for the communities they serve.

A passionate advocate for diversity and inclusion, Ileana has dedicated her career to mentoring emerging professionals and creating opportunities for women and minorities in construction. She has served on the Board of Directors for the National Association of Women in Construction (NAWIC) Los Angeles Chapter, is an active member of the Construction Management Association of America and is a founding member of the Women Working Together (WWT) network.

Known for her collaborative leadership style and commitment to excellence, Ileana is dedicated to developing strong teams, investing in people, and helping shape the future of the construction industry.

Kyle Koivuniemi is a healthcare development leader at Kimley-Horn who helps clients navigate complex projects throughout California, from initial planning and entitlements to design and implementation. He works closely with healthcare providers, developers, public agencies, and project teams to align infrastructure and regulatory requirements with broader project goals. Over the course of his career, Kyle has contributed to a wide range of healthcare projects, including behavioral health facilities, campus master plans, seismic compliance initiatives, and large-scale utility and site infrastructure improvements. He has extensive experience helping project teams work through the unique challenges of healthcare development and finding practical solutions that keep projects moving forward.

Beyond his project work, Kyle serves as Chair of the ULI Healthcare and Institutional Product Council, where he collaborates with industry leaders to discuss trends, challenges, and opportunities impacting healthcare development. As a new father, Kyle has gained an even deeper appreciation for the role healthcare facilities play in supporting communities, reinforcing his passion for helping create thoughtful, accessible, and resilient healthcare environments.

Jason leads the pursuit and management of all healthcare related projects for Bernards including hospitals, medical office buildings, skilled nursing facilities, and VA healthcare. With a thorough understanding of HCAI procedures and three decades of experience, including over 70 OSHPD/HCAI projects, he excels in building strong collaborative teams that deliver successful outcomes in this specialized market sector.

Originally from Santa Ynez, California, Jason holds a BS degree in Biochemistry from California Polytechnic State University, San Luis Obispo, and is a certified OSHPD Class A Hospital Inspector. He is also a member of the American Society of Healthcare Engineers.

Tim Reimers leads Sheppard’s Healthcare Real Estate practice and advises many of the nation's leading healthcare systems, providers, investors, and developers on their most significant real estate and finance transactions. With deep experience across hospitals, behavioral health, senior housing, and other healthcare assets, Tim is widely recognized for helping clients navigate complex legal, regulatory, and business challenges at the intersection of healthcare and real estate. He counsels clients on acquisitions, development projects, joint ventures, financing transactions, sale-leasebacks, public-private partnerships, and other strategic initiatives, bringing a practical approach shaped by decades of experience in the healthcare sector.

As Project Executive, Bobby provides strong, effective overall leadership and direction to the project team. He is responsible for ensuring complete transparency and collaboration are implemented throughout the entire project. With professionalism and passion, Bobby serves as a direct point of contact, ensuring delivery on safety, quality, and innovation.

Joey Kragelund brings more than 35 years of architectural and project management experience in California to his role leading Corgan’s Los Angeles Health studio. With a deep understanding of the evolving healthcare landscape, he is passionate about introducing forward-thinking solutions that advance outcomes, elevate the human experience, and integrate thoughtful design principles.

Throughout his career, Joey has guided the planning and design of complex healthcare and government projects, balancing the goals of his teams, clients, and contractors to deliver thoughtful, high-performing spaces. He approaches each project with a commitment to collaboration, inclusivity, and accountability. Joey strives to serve as a decisive and trusted advisor who advances safety, quality and outcomes while inspiring confidence and accountability in his teams.

Joey studied Architectural Technologies at the Phoenix Institute of Technology in Arizona. He serves as Board Chair for Valley Community Healthcare and is a member of the American Institute of Architects’ (AIA) National and Los Angeles chapters.

Christopher Vargas is the Senior Vice President of Enterprise Sales & Marketing at Ideal Living, where he leads go-to-market strategy, enterprise revenue growth, and national expansion for the company’s commercial business. He oversees the scaling of a direct sales organization and drives the adoption of Ideal Living’s core product portfolio, including AquaTru Pro water purification products and AirDoctor professional-grade air purification solutions, across key verticals such as multifamily, hospitality, health & fitness, healthcare, and education.

Chris is focused on delivering high-performance, health-focused infrastructure solutions that improve indoor environments while creating long-term value for property owners, operators, and enterprise partners.

Prior to joining Ideal Living, Chris served as Executive Vice President of Business Development at Chargie, where he led the expansion of intelligent EV charging solutions for multifamily and commercial real estate portfolios nationwide. He has a proven track record of bringing innovative technologies to market and scaling solutions that drive operational efficiency and asset value for real estate owners, managers, and investors.

Earlier in his career, Chris was Director of Business Development at Boingo Wireless, a leading provider of 5G and wireless infrastructure solutions. He has also held leadership roles at Verizon Enhanced Communities, Hughes Communications, rent.com, Global Enterprise Resource Group, and CU Solutions Group. Chris began his career as one of the first five employees at DirecTV.