The adult inpatient hospitals of Michigan Medicine have consistently experienced high demand for inpatient rooms and surgical suites. This high demand has led to capacity constraints, impacting access for patients with high acuity and complex care needs. At the March and December 2018 meetings, the Board of Regents authorized the appointment of HOK Group, Inc., as architect to initiate design of the Clinical Inpatient Tower (CIT) project along with pre-construction planning. The proposed 690,000-gross-square-foot CIT project accommodates an inpatient care program with 264 single-occupancy patient rooms and 23 surgical/interventional radiology suites. This patient care expansion supports the clinical strategy of Michigan Medicine, increasing capacity to accommodate tertiary and quaternary care needs. Specifically, the patient program emphasizes improved access to clinical neurosciences and cardiac care services. Relocation of existing clinical services from University Hospital will allow for future redesign and growth for patient programs remaining in that facility. The facility design will emphasize sustainability with the expectation to achieve Leadership in Energy and Environmental Design (LEED) Gold certification. When completed, the building is expected to exceed current energy efficiency standards by approximately 20 percent as compared to the State of Michigan building code for energy performance.