This session will continue the conversation from FPC 2022 around healthcare electrification and give an update on one of the first {almost} all electric hospitals built in the state of Florida. As the building sector continues to face mounting pressure to address climate change, operational risk, and obsolescence, electrification of healthcare facilities is emerging as a transformative strategy. This session explores how an all-electric design framework has merit for new high-performance healthcare construction and will give an update to a local Florida case study that has successfully implemented electrification strategies. Attendees will learn to understand the drivers behind electrification—beyond just decarbonization — including financial resilience, long-term asset value, and brand alignment. The presentation will address candidly the technical and economic challenges: higher perceived first costs, grid limitations, operational complexity, and regional variation in the carbon footprint of grid electricity. Through real-world case studies, we will examine how projects have navigated these barriers, leveraging advanced design strategies such as energy recovery loops, supplemental electric boilers, and other measures. Participants will collect useful tools for cost mitigation and to maximize value, flexibility, and future readiness—such as early collaboration, energy modeling, and integration of emerging technologies. The session will highlight the critical role of stakeholder communication and change management in successful project delivery.