The HOpe Centre is a post-disaster, post-tensioned concrete structure and LEED Gold Project. The Lark Group lead the build phase of this development, aiming to meet all the project specifications and adhere to the drawings. The 158,229 square foot building was made up of two 30,000 square foot underground levels and four 25,000 square foot above-ground levels. The levels included: P1 and P2 for underground parking and the BC Ambulance Services unit; a main floor with a reception area, café, inpatient areas and room for assessments and evaluations; a second floor dedicated to the UBC Medical Education Center, a training area as well as space for a nursing program; a third floor with an open resource center for arts, exercising and seminars, among other activities; and a fourth floor with 26 inpatient rooms, including ensuite bathrooms, as well as support facilities.

In terms of the mechanical and electrical, like the structure itself, these systems needed to be overbuilt to withstand overcapacity, sustain more pressure and have a longer lifespan than a typical building, despite higher usage on a daily basis. Due to the hospital setting there were dual generators (350 kW each) with a standby diesel generator as well as two- stage fire alarm security systems. Other more typical mechanical and electrical systems included heating panels, central exhaust, an energy-efficient building envelope, high performance glazing, heat recovery chiller, active chilled beam system, and displacement ventilation. Special touches incorporated in-floor heating on level one and environmentally-friendly solar lights on level four.