ZGF was commissioned by Intermountain Healthcare, the largest healthcare provider in the Intermountain West, to design a new LEED Certified® stand-alone clinic. The objective was to create a high-quality, patient-centered environment with spaces that would support the coordination of care and provide a positive user experience, while also integrating Lean Design strategies to improve operations and streamline processes. The new four-story, 78,668 SF Cottonwood Medical Clinic provides comprehensive care in more than seven specialty clinics—for internal and family medicine, endocrinology, rheumatology, podiatry, pain services, x-ray, laboratories, and the relocated Murray InstaCare and the Cottonwood Pharmacy—in a single, easy to access location. The Lean process involved developing a cross-functional core team comprised of various specialists—physicians, nurses, medical assistants, laboratory and radiology technicians, pharmacists, social workers, dieticians, receptionists, materials management, and IT personnel—to work collaboratively with the clinic leadership, the design team, and the contractor, to create a facility focused on Intermountain Healthcare’s number one core value: do what is right for the patient. Using five, multi-day Integrated Design Events scheduled over five months, the team collectively made operational and design decisions to achieve operational and facility outcomes in support of Intermountain Healthcare’s goals for the project. Key outcomes that were targeted included increasing efficiency, reducing non-patient care space, maximizing building square footage on-site and incorporating growth, improving patient satisfaction scores, improving call abandonment rates, reducing the number of days for an appointment, and improving wait times.