Since 1907, Harlem Hospital Center (HHC), one of the country’s largest acute-care and Level 1 Trauma Centers, has served residents of Central and West Harlem, Washington Heights and Inwood. As the largest employer in Central Harlem and one of the largest training centers for minority and female physicians in the United States, HHC is an important social, political and economic force within the community. NMTC financing was utilized to support the construction of a 195,000 sq. ft. diagnostic, treatment, critical care and emergency pavilion, and the renovation of certain existing facilities. The new Patient Pavilion, which houses HHC’s Emergency Department, has separate walk-in and ambulance entrances, state-of-the-art critical care and diagnostic units, and new fully equipped operating rooms. The renovation of the existing hospital space modernized HHC’s obstetrics and gynecology department, which had not been updated in 40 years. Construction of the Patient Pavilion and the upgrades made to the existing facility were critical for HHC to meet demand for increased patient services and to ensure HHC provides the highest quality of care.