The new 321-bed San Diego Medical Center restores a 20-acre brownfield industrial site to a landscaped campus that takes advantage of the region’s moderate climate with features and materials that are evocative of the surrounding canyons and mesas. A day-lit and transparent circular rotunda entry visually brings the exterior landscape indoors with the coastline of San Diego cast into the terrazzo floor. The onsite café is voluminous and transparent to the outdoors. The typical patient room provides optimal views and daylight. Patients are in control of lighting, temperature and information access through a hand-held device and footwall interactive display. The patient corridor graphics of ocean waves and use of glass mosaics throughout create a calming and soothing environment while connecting with the ocean and beach terrain of San Diego. It is Double LEED Platinum certified.