Hilltop Community Health

Doctors at the Hilltop Community Healthcare Center practiced from a double-wide trailer for nearly 10 years. Our team helped write the HRSA grant for the new space that increased their square footage 350%.

Thoughtful Balance guided a process involving many of the stakeholders from Hilltop, including a team of doctors, nurses, administrators, and staff, to develop a plan for the new space. We designed it to meet the Passive House retrofit standard. The size of the mechanical system was reduced by 50% due to improvements in the building envelope, saving a significant amount of construction cost AND future energy costs. The interiors were designed with a combination of new and salvaged furnishings, and the EPEAT standard was used to select the electronic equipment.

The new facility received a LEED CI certification.


  • 7,748 sq ft
  • Built for $149 per sq ft
  • LEED Certified
  • Electronics selected for EPEAT standards
  • Designed to meet Passive House retrofit standards