When San Diego-based Palomar Health (PH) realized that the state’s seismic upgrade requirements would have been cost-prohibitive to implement in their existing Hospital building, Palomar Health took the opportunity to build a new, technologically advanced hospital that would require its employees to reinvent how they deliver healthcare for the 21st century. The presentation summarizes the advanced design methods and constant focus towards flexibility that will enable this hospital to adapt to virtually any code cycle that may be adopted by the State or other Authority Having Jurisdiction.