This 38,000-square-foot ground-up hospital and 7,100-square-foot emergency medical services building is located on San Juan Island. The hospital includes clinic space, cancer treatment, imaging suite, ten inpatient beds, emergency department, surgery suite and administration space. This project also featured several sustainable practices including ground source heat pumps, on-site storm treatment, naturally ventilated patient rooms, and reuse of on-site trees. It is one of the most energy efficient hospitals in North America.