To provide missing health services in Greenwich Village, Northwell Health purchased the historic O’Toole building, originally designed by Albert Ledner as the National Maritime Union headquarters and formerly utilized as St. Vincent’s Medical Center. Through a thoughtful process focused on restoration and repurposing, Perkins Eastman designed a hospital that provides three primary medical services: a freestanding, 24-hour emergency department, a full-service imaging center, and an ambulatory surgery facility for interventional treatment. Honoring the original building’s design strengths and respecting larger local redevelopment efforts, the adaptive reuse project symbolizes the community’s commitment to its future.