The Center for Joint Replacement is a three-story acute care inpatient facility located adjacent to the existing Washington Hospital. Constrained by neighboring buildings, property lines, and an underground culvert, the building's compact triangular footprint required careful site planning. The facility includes 30 private patient rooms, rehabilitation and support spaces, outpatient physician offices, imaging, and a landscaped therapeutic exercise garden constructed above the existing culvert. An enclosed pedestrian bridge connects the facility directly to the hospital's existing OR/Perioperative Department.

The Composite Central Plant project included a new two-story central utility plant with a basement, an underground utility tunnel, an interim loading dock, and campus-wide utility connections. The central plant provides power, laundry facilities, and administrative offices, while the utility tunnel connects the existing hospital with future campus expansion, creating essential infrastructure for ongoing development.