This project is the result of a partnership between Loma Linda University and Social Action Community Health Services (SACHS), a Federally Qualified Health Center (FQHC). This 150,000-SF, three-story medical office building houses a health clinic operated by SACHS that includes urgent and dental care, family and adult medicine, pediatric clinical pods, imaging, a laboratory, and a pharmacy. As an extension of Loma Linda University, one of the project goals was to become the first LEED-certified building within the university’s network of facilities, which is why it was designed as a LEED-certified showpiece, intended to beautify the downtown area with trees and gardens that promote healing and a sense of community. Due to the team’s work, the project met this goal and gained a LEED Silver rating. Lastly, Miyamoto managed to reduce construction costs by using concrete tilt-up walls for the structural system and as the building’s exterior envelope.