This thesis is an evaluation and proposal for development for an alternative health care center in West Virginia. The Gesundheit Institute is based on the work of Dr. Hunter "Patch" Adams and his desire to create an alternative to the current model of health care. The Institute would not charge for services and will offer non-traditional as well as traditional methods of healing. By evaluating what is currently happening at the center and what the resources are, I propose to use an incremental approach to growth. The ideas would result in a series of smaller buildings developed over time as opposed to a single larger building. The thesis includes the design for the next major building, a community center/dining hall and a basic design for a series of sleeping quarters. It also includes the reworking of the master plan to better include issues integrating incremental growth and sustainable development.