This planning effort was to develop a phased master plan for incremental growth in order to minimize the financial impact.  Issues addressed included orientation, access, circulation, wayfinding, parking, inpatient and outpatient zoning, land-use efficiency, appropriate growth, appropriate densities and functional program conformance. This effort was in response to community demand, Mayo Clinic requirements, and the changing climate of healthcare delivery from acute to ambulatory care. Strategic goals were considered in conjunction with physical planning possibilities as both complexity and uniqueness were addressed.