Curated by Archirev Editorial | Feature Story | Published Nov 25, 2025 | Source: Zaha Hadid Architect
PROJECT TYPOLOGY: HEALTH CARE
Project name: Malpensa Hospital (Grande Ospedale della Malpensa)
Location: Malpensa, Italy
Client: Lombardy Regional Health Authority
Architect: Zaha Hadid Architects
Design Lead: Patrik Schumacher
Project Director: Paolo Zilli
Consortium Lead: RINA
Size: Approx. 90,000 m²
Height: Five above-ground levels and one basement
Status: International Competition Winner
Sustainability Strategies: CAM-compliant design with potential for highest certification
Energy Systems: Photovoltaics (>1 MWp), passive strategies, smart building systems
Renderngs & Animations: © X Universe
Zaha Hadid Architects (ZHA), in partnership with RINA (team leader), Studio Plicchi, WSP, STI Engineering, and BC Building Consulting, has been awarded the international competition to design Malpensa Hospital (Grande Ospedale della Malpensa) in Malpensa, Italy. Commissioned by the Lombardy Regional Health Authority, the new medical campus will consolidate the existing hospitals in Gallarate and Busto Arsizio into a single facility serving nearly one million residents in the region between Milan and Varese.
Overall aerial view of the hospital campus. Image credit: X Universe
The project is conceived as a flexible healthcare infrastructure designed to respond to evolving medical, technological and environmental requirements. Its planning prioritises operational efficiency, adaptability and long-term resilience, enabling the hospital to integrate new technologies and care models without compromising performance. The proposal combines healthcare provision with landscape integration, heritage preservation and environmental strategies, establishing a campus that is both functional and embedded within its regional context.
The hospital is organised as a compact structure comprising five above-ground levels and one basement, with a total area of approximately 90,000 square metres. Clinical functions are arranged according to intensity of care, with emergency services, surgery and critical care concentrated within a multifunctional operating block that also includes radiology, interventional and diagnostic facilities. Outpatient and inpatient departments, maternal and infant care wards, therapy and diagnostic zones, rehabilitation spaces, laboratories and logistics facilities are distributed to ensure clarity of movement and efficient workflows. All spaces are designed to be reconfigured over time, allowing the hospital to adapt to changing healthcare demands.
Programme organisation / Image credit: X Universe
Circulation within the hospital is structured around clearly separated pathways for patients, visitors, staff and logistics, reducing cross-interference and minimising contamination risk. Dedicated routes and lifts for medical materials, goods and waste operate independently from public circulation. An automated delivery system supports internal logistics, contributing to efficiency and operational continuity throughout the campus.
At ground level, a central internal axis referred to as the “Main Street” links the entrance plaza with landscaped outdoor spaces, reinforcing accessibility and providing a clear point of orientation. Interior layouts are designed to maximise access to natural light and acoustic comfort, supporting patient wellbeing and staff working conditions. Privacy and comfort are addressed through the inclusion of respite areas for patients, families and healthcare professionals.
Human-centred design principles underpin the project, with gardens, courtyards and landscaped rooftop terraces integrated throughout the campus. These outdoor spaces provide areas for rehabilitation, rest and informal interaction. Interior materials are selected to support a calm and therapeutic environment, while universal design measures—including tactile maps, multilingual signage and barrier-free circulation—ensure accessibility for all users. The hospital also accommodates spaces for education, social activities and community engagement, strengthening its relationship with the surrounding population.
The site is located within a landscape of forests and agricultural land that forms part of the Regional Ecological Network and lies close to the Parco Regionale della Valle del Ticino. The design preserves existing woodland and incorporates new wetlands and bioswales to manage stormwater, enhance biodiversity and reduce hydrological impact. The historic Cascina dei Poveri, a rural complex dating from the 12th–13th century, is retained and integrated into the campus as a community-oriented space, maintaining a physical and cultural link to the area’s heritage.
Environmental performance is addressed through a combination of passive and active strategies. The building envelope and solar shading are designed to reduce cooling demand by approximately 30 percent, while a photovoltaic system exceeding 1 MWp is expected to supply around a quarter of the hospital’s electricity requirements. A hybrid heating system is prepared for future hydrogen integration, supporting long-term adaptability. Advanced modular prefabrication methods reduce construction waste and time, with materials selected for low embodied carbon, recycled content and compliance with environmental product declaration (EPD) and life-cycle assessment (LCA) standards.
The façades are composed of modular aluminium rainscreen panels incorporating integrated planters and solar shading, chosen for durability, recyclability and reduced embodied carbon. Interior finishes include natural materials such as wood and textiles, contributing to comfort and spatial clarity. Smart building systems, including advanced building management and the potential integration of digital twin technology, support predictive maintenance and energy optimisation throughout the hospital’s lifecycle.
The campus is connected to surrounding communities via dedicated public access routes from Via Quintino Sella and SS33, and is supported by public transport links, cycling paths and pedestrian walkways. This network ensures accessibility while encouraging sustainable modes of transport.
Embedded within its natural and cultural setting, Malpensa Hospital is planned as a healthcare facility designed for adaptability, operational efficiency and environmental responsibility. The project brings together clinical functionality, landscape preservation and long-term sustainability to support the healthcare needs of the Olona Valley now and in the future.
Project Team
Project: Malpensa Hospital
Location: Malpensa, Italy
Architect: Zaha Hadid Architects (ZHA)
ZHA Principal: Patrik Schumacher
ZHA Project Director: Paolo Zilli
ZHA Competition Project Director: Paolo Zilli
ZHA Competition Associates: Tommaso Casucci, Johannes Elias
ZHA Competition Team: Valentina Cerrone; Daniel Coley; Daniele Ferrentino; Alex He; Yooyeon Noh; Prashant Phirke; Angelica Videla Cardenas
ZHA Environmental & Sustainability Team: Bahaa Alnassrallah; Carlos Bausa Martinez; Jing Xu
Consortium:
Zaha Hadid Architects – Lead Architect, coordination and wellbeing
RINA – Team Lead, civil engineering and safety
Studio Plicchi – Hospital specialist and local architect
WSP – Environment, landscape and sustainability
STI Engineering – MEP and fire strategy
BC Building Consulting – Quantity surveying and maintenance
Renderings: X Universe