Capital investments need to be prioritized to meet the core needs of an organization while maximizing benefits to the leadership, staff, and population they are responsible for. In collaboration with health system leadership, Blue Cottage assesses all of the current and future capital request that are typically facilities related and prioritize based on level of urgency and strategic relevance. The phasing component works to accommodate these investments and provide an outlook of how to strategically deploy investments to mitigate risk while ‘crossing-off’ prioritized investments first. The analysis has been used to establish several outcomes including impacts of operations on facility reinvestments, capacity investment needs based on future state patient activity projections, prioritizing campus master planning, and population health-based service line expansion. Blue Cottage team members bring a unique approach to capital prioritization with a deep dive into assessing impacts at all levels of operations and redefining future models of care.