In 2005, Kaiser Permanente announced plans to construct a new 138-bed general medical and surgical hospital on the west side of Portland in Hillsboro. Teaming up with Ellerbe Becket Architects, PKA was selected to help plan and design this new facility.

PKA's ownership of the project included the design and coordination for the Central Utility Plant, a 948-car multi-level parking structure, and the medical planning and tenant improvements for the Specialty Medical Office Building (also called the Hospital Support Building). PKA has also completed several renovations to the existing on-site Sunset Medical Clinic. This project was completed in 2012 and opened in August of 2013. 

Medical planning for the SMOB included Cardiology, Gastroenterology, OB/GYN, Orthopedics, Urology, Speech Pathology, Clinical Laboratory, Imaging, Pathology, and a Pharmacy. The SMOB program also included member services business support offices, credit union, human resources, conference rooms, along with a building cafeteria, food services, and a gift shop.