About Us

Trusted North American healthcare design-build partner

Apex Design & Build

400+ medical facility projects, 35+ years of healthcare design-build expertise

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At the heart of Apex’s proprietary approach to health facility development is an integrated design-build strategy to create purposeful medical spaces. Apex expertly navigates the planning, management, and execution of your specialized healthcare facility and hospital projects, whether finding the ideal location or repurposing existing facilities. Creating adaptable, flexible spaces with minimum disruption to patient care helps you meet the growing demands of an aging Canadian population.

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The Apex Story

Evolving from vision to expertise spanning 70+ years

Apex’s remarkable journey began with Robert Johnstone’s vision to balance functionality and aesthetics in medical facilities. Over 70 years and four generations later, Apex Design Build embodies this vision guided by our proprietary methodology – the Apex Continuum. We believe medical facilities are more than just buildings. They are environments that must resonate with patients and enhance operational efficiency to contribute to positive experiences and improved patient outcomes. As a trusted partner in the healthcare design and build industry today, Apex continues to evolve with a commitment to excellence.

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Apex Founder, Robert Johnstone obtains his architecture license and establishes Robert P. Johnstone Architects in his attic in response to the post-war construction boom.
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Through his tireless work, Robert’s homegrown firm finds success.
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Robert’s son, Charles joins the firm as the second generation contributing to the Robert P. Johnstone Architect’s legacy.
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Robert P. Johnstone Architecture becomes a respected name in the healthcare market.
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Charles decides to expand his knowledge of hospital design and moves to a large architectural firm, Schmidt, Garden, and Erikson.
Charles returns to his family firm, adds general contracting to their thriving architecture and design practice and rebrands the company Johnstone Contracting.
Robert’s retirement welcomes Charles’ sons Bob, Steve and Brian to the firm now known as a world-class design, construction and architecture practice meeting the specific needs of healthcare facilities.
With the assistance of the second and third generations, Johnstone Contracting moves to a larger facility, introducing millwork manufacturing to meet the needs of their healthcare clients.
Johnstone Contracting changes its name to Millwood Services to reflect their manufacturing services.
Now widely recognized as healthcare design experts, Millwood Services experiences continued growth in the healthcare architecture, design, and construction management sector.
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Steve’s sons Randy, Sam and Bruce join the company as the fourth generation.
Further development and focus on healthcare facilities calls for yet another company rebranding, solidifying Apex Design Build as a recognized expert in the market.
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Over seven decades in architecture, design and construction introduces the proprietary methodology – the Apex Continuum to the industry, positioning Apex in its rightful place as a North American leader in the healthcare design-build sector.
Apex opens a Dallas office to support the growing Texas market.
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Apex expands across North America with further offices in Tampa, New York City, and Toronto.
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Our Difference

Your strategic partner for health focused design-build solutions

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Your healthcare facility is a vital part of your community, impacting the lives of countless Canadians every day. As a result, Apex believes it is our duty to go beyond traditional design-build services and instead become your partner offering health focused design-build solutions. Apex integration encompasses design, architecture, and construction to create perfectly balanced spaces meeting the needs of the community and the people who work there.

When you partner with Apex, you get:

  • A streamlined process that minimizes risk
  • Efficient timelines that minimize disruption to patient care
  • Maximized return on investment

Apex develops healthcare spaces that deliver value to you and your patients.

Core Values

Our principles define how we work

CULTURE OF CARE

  • Collaboration
  • Client-centric
  • Inclusive
  • Respectful

TEAMWORK

  • Skills integration
  • Helping hands
  • Continuous learning
  • Accountability

WE EXCEL

  • End-to-end healthcare solutions
  • Innovative, scalable designs
  • Forward-thinking strategies
  • Flawless execution
Testimonials

Client Words

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Bring your vision to life with Apex.

Your goal to build healthcare facilities aligning efficiency and compliance with Canadian patient needs are shared. Apex provides a strategic partner equipped with profound health and wellness expertise. As a result, we deliver consistent outcomes using our proven methodology, ensuring your vision is realized to the highest standards.