The $160 million New Patient Facility at the Hawaii State Hospital is a four-story, 144-bed, 196,944-square-foot secured psychiatric facility on an existing psychiatric hospital campus. At the foot of the Ko’olau Mountain Range, this facility includes patient care units, a rehabilitation mall, multiple office spaces, a standalone central utility plant, a separate gymnasium for recreational therapy, and a site elevator with a walkway bridge structure. Due to the ever-increasing patient population and a high percentage of high-risk forensic patients, the existing hospital could not keep up with the demand, and a larger facility was needed. The project was executed using the design-build delivery method led by Hensel Phelps.