GreenWorks is working with an architect to provide landscape architecture services for the design of a 12-bed rural hospital being built upon a site that contains a number of ecological and aesthetic assets. Two existing wetlands frame the location of the new LEED-silver planned building and site. The building is sensitively placed to limit the impact to natural systems while benefitting from its proximity to the natural wetland views. GreenWorks is augmenting the natural setting by designing restoration buffer plantings that are accessible by a permeable trail system as well as ADA accessible wetland overlooks. The pathway doubles as an exercise and therapy loop for patients, visitors, and staff. Patient rooms overlook a foreground view garden, which incorporates Columbia River and shipbuilding materials like cor-ten steel, along with rainwater catchment scuppers making visible the ecological systems as accents and amenities. A sculptural water feature depicting salmon swimming upstream, evoking the ecology and place of the Columbia River frames the main entry. Also a focus of the main entry is a healing garden, a space that allows for respite, relaxation, therapy and views of nature for a range of hospital users. Developed as a lush garden setting, this area contains features such as green walls, sculptures, a dining courtyard, seating, and a major water feature, all focused on framed views of Mt. Hood in the distance.