The three-story, 70,000 square foot, Mulvaney medical Office Building is named in honor of Sister Patricia Mulvaney and Sister Beth Mulvaney, who have been involved with Saint Alphonsus Regional Medical Center for many years. CSHQA and ESI were presented with the unique challange of designing and constructing a sustainable, state of the art, medical office building. As the first medical office building in Idaho to pursue LEED Gold certification, the project incorporates integrated sustainable design and construction strategies. Design strategies include high performance glazing, building envelope, and lighting systems; durable low maintenance building materials, non-toxic finishes and carpet; a 2,500 square foot vegetated healing garden on the second floor that includes Boise native grasses, wildflowers, ground covers, and trees; roof skylights; and exterior shading devices on the west, east, and south elevations that provide 13% of modeled energy savings. Construction strategies include the recycling of 84% of the project's construction waste, the extraction and assembly of 42% of the construction materials from within 500 miles of the site, the 60% use of materials made from recycled products, and the 90% use of wood products harvested from FSC certified forests.