The first phase of a total campus replacement project takes place on the John Muir Medical Center, Walnut Creek campus. The project adds approximately 400,000 s.f. of new construction; total bed capacity is increased from 308 to 414 beds with 242 licensed beds in the new tower; Trauma Care/ED will be doubled to 30,500 s.f. with a capacity of 65,000 patient visits per year; three new Cath Labs and three new Operating Rooms complete the major elements of this project. The new tower features single patient rooms for ICU, medical surgical, acute inpatient rehabilitation, ante/post partum care and a new Neonatal ICU Nursery with 33 private rooms.Special attention to noise reduction/attenuation, lighting (both natural and artificial) was given to patient care areas, along with recognition of the new Institute of Medicine (IOM) recommendations to create an environment that allows care to be provided in a manner that is safe, effective, patient-centered, timely, efficient, and equitable.The exterior design of the new patient tower features warm limestone that envelops the base of the new building, transitioning into clear glazing and corrugated metal near the roof line.