Located in the stunning Flathead Valley, Kalispell Regional Medical Center is one of the largest medical facilities in the region. The state-of-the-art center demonstrates innovative healthcare design and cutting-edge technology at every turn, providing a comprehensive scope of care to patients throughout Montana. A multi-million-dollar masterplan effort led to a consolidated, multi-phased project scope focused on the relocation and expansion of the surgical services department, which established eight new operating suites, including one hybrid OR, each possessing full integration, imaging, and robotics capabilities. Sterile processing capacities and methodologies were closely scrutinized throughout the design process, in addition to staff/patient process efficiencies. The new department utilizes a multitude of energy-saving strategies, including passive daylighting and ground-source geothermal heat exchange. Extensive measures were taken to provide flexible modification for future growth and evolving technology, ensuring the facility remains competitive with the medical industry’s progressive practices and standards.