In an effort to position Shanghai as a world-class medical destination, the Chinese government launched a design competition challenging architects across the globe to create a blueprint for a new international medical city that would not only attract medical tourists, but also entice expatriates and Chinese nationals alike. An innovative rethinking of the conventional hospital campus secured Gresham Smith first place in the global competition and ultimately the commission to master plan the new state-of-the-art medical complex. After developing the master plan, Gresham Smith was awarded a contract for the design of two of the medical city’s buildings. One was Huashan Hospital, and the other was the Shared Facility. The 947,805-square-foot, eight-story, energy-efficient support facility will serve as the main hub and distribution point for all logistical, clinical and public support services for the campus’s hospitals and specialty clinics. By centralizing so many key services, especially the most expensive modalities such as imaging, the support facility will significantly reduce unnecessary duplication of basic services, and also lower operational costs for the individual hospitals and clinics. “The functionality of this shared facility truly makes it one-of-a-kind,” says Kevin Kim, Gresham Smith senior vice president and principal-in-charge on the project. “I’m not aware of any other building that combines this variety of supporting services and then connects to different hospitals with different ownership.” Due to the project’s size and scope, the design team was tasked with fitting the building on a constricted site at the center of the complex, while at the same time creating a facility that will become a visual focal point for the park-like campus landscape. To achieve this, the team developed the shared facility as a sloped building with green roof and terraced rooftop gardens reinforcing the idea of the building being a part of the landscape. The underground network of road ways and the second level bridges connect the shared facility to others in the campus with convenient circulation for people and materials. The shared facility’s medical program includes clinical and pathology laboratories; pharmacy (retail/storage); clinic/MOB; and sterilization services. Food, retail, laundry, supply storage, materials management and IT support services—all responding to the needs of the campus’s inpatient and outpatient facilities—will also be provided via the facility.