Blue Ridge HealthCare asked Johnson Development to develop a new medical office building on its Valdese campus as a part of dramatic campus improvements. The implementation of the campus master plan included a major addition to the hospital as well as the new medical office building. The Johnson Development team included the use of the contractor on site (significantly reducing general conditions and cost coordination issues) as well as a regional architecture and engineering firm with existing ties to the hospital system. The new building replaces an aging, functionally obsolete office building and is placed on the site in such a way as to take advantage of the existing topography and allow for expansion in the future. In addition to successfully managing coordination and site challenges, Johnson Development was able to provide enough growth space to meet the additional physician needs over the next five years, while maintaining a budget Blue Ridge could afford today. Johnson Development’s role for the design and construction of the building shell, core, and tenant suites was that of developer, project manager, and leasing agent.