Working with Clark-Kjos Architects of Portland, Oregon, GreenWorks is providing landscape architecture services for the design of this 12-bed rural hospital being built upon a site of much existing beauty. Two wetlands frame the location of the new LEED-silver planned building and site, which is sensitively placed to limit the impact to natural systems while benefitting from their proximity. GreenWorks is augmenting the natural setting by designing restoration buffer plantings that are accessible by a permeable trail system and ADA accessible wetland overlooks. The pathway doubles as an exercise and therapy loop for patients, visitors, and staff. Patient rooms overlook a view garden, which incorporates Columbia River and ship-building materials like cor-ten steel, along with rainwater catchment scuppers showing ecological systems as a visible and engaging amenity. The main entry is framed with a sculptural water feature depicting salmon swimming upstream, evoking the ecology and place of the Columbia River. A healing garden is the focus of the entry, allowing for respite, 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, sculpture, a dining courtyard, seating, and a major water feature, all focused on framed views of Mt. Hood in the distance.