Niagara Health Systems St. Catharines was an acute care community hospital replacing two aging sites. The 374 bed hospital development was undertaken as a public private partnership (P3), lead by Plenary Group. Our team was engaged early on to research and develop a best practice document for wayfinding in healthcare settings. We then carried that process through to the successful development of a comprehensive signage and wayfinding standard that responded to the unique site requirements. The resulting program is highly functional, intuitive and accessible. It is well integrated with it’s surroundings, is multi-modal, and designed for flexibility and ease of maintenance. The program will continue to grow with the hospital as an operational and communication tool supporting the needs of the facility and its visitors for many years to come.