- 2008 Distinguished Project Award, Honorable Mention (Projects Under $10 Million), Northwest Construction Consumer Council
- Winner - Public Buildings Over $5 million - Build Washington Awards, Associated General Contractors
- Winner, Cast-in-Place Concrete Structures - Excellence in Concrete Construction Awards, Washington Aggregates and Concrete Association
- First Place - 2010 ASHRAE Technology Awards, American Society of Heating, Refrigerating and Air-Conditioning Engineers, Puget Sound Chapter
Nine-story, 21,088-m² (227,000-ft²) inpatient facility connected to an existing nine-story regional Level 1 trauma center by a six-level, expanded floorplate "bridge" hanging over a city street. MKA Civil provided site improvement designs for three locations on the full city block medical campus, with solutions that eliminated the need for costly detention tanks and facilitated connection to a dedicated storm water system.