Peace Island Medical Center


A small, remote-island community joined forces to turn their vision of rural healthcare into the very first hospital in San Juan County. They chose Mahlum as their partner to realize their dream.

The hospital blends discreetly into its surroundings, flanked by old-growth forest, basalt slopes, and thriving wetlands. Island resources are extremely limited, making sustainable choices fundamental. The design team worked carefully to preserve the site’s ecology, topography, and vegetation. Decoupled building systems and natural ventilation connect occupants with fresh air, daylight, and views.

The hospital reflects the values of the caregivers and broad community, embodying humility, environmental sensitivity, and innovative healthcare delivery.

ASHRAE Technology Awards, Category III, New Health Care Facilities, First Place Winner, Mark Stavig (2015) | AIA Academy of Architecture for Health (AAH) Design Awards, Built Project Less than $25 Million (2013)