The Teck Acute Care Centre at BC Children’s Hospital and BC Women’s Hospital + Health Centre in Vancouver, British Columbia is being delivered through a 33-year, fixed-price public-private partnership (P3) agreement to design, build, finance, and maintain the facility. Clients and the architect discuss the P3 agreement and how they work successfully through design development, construction, and management. This session will debunk the myths of a P3 project delivery method and discuss how to design a patient-centered health care facility that extends the life cycle beyond 20 years.