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). The 150,000-SF, three-story medical office building houses a health clinic operated by SACHS that includes family medicine, adult, pediatric clinical pods, urgent care, dental, imaging, a laboratory and 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. The building is designed as a LEED-certified showpiece intended to beautify the downtown area with trees and gardens that promote healing and a sense of community. By using tilt-up concrete walls for the structural system, Miyamoto reduced construction costs by utilizing the concrete walls as both structure and the exterior envelope.