An initial master planning process allowed Kootenai Medical Center to define their short-term and long-term capabilities and growth directions. Design and phased implementation are now meeting current patient needs, expanding inpatient and outpatient services, and adding new critical-care services to this regional medical center. The Phase I addition/renovation projects include: an open-heart surgery suite with two 700-square-foot cardiovascular operating rooms; a three-story addition housing the North Idaho Cardiac Care Center, North Idaho MRI and third-floor medical offices; second- and third-floor inpatient care remodel; and a fourth-floor inpatient care addition. Other Phase I projects include: a laboratory expansion, emergency department remodel, medical records/administration remodel, a 400-car parking garage, and a central physical plant addition to provide the mechanical and electrical infrastructure to accommodate current needs and future growth. The Cardiac Care/MRI Center includes two heart catheterization labs; 10 pre- and post-procedure patient rooms; and EKG, nuclear medicine, and echocardiogram procedure rooms. The North Idaho MRI is a 7,300-square-foot imaging center with two MR magnets and associated support services.