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 In 1989, Southwest Washington Hospitals became Southwest Washington Medical Center to better reflect the major medical center it had become. The two hospitals became the Main Campus (St. Joseph) and Memorial Campus (Vancouver Memorial).
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A $32 million renovation and expansion project opened, bringing inpatient services to one site for the first time since Vancouver Memorial opened in 1929. The consolidation, which reduced inpatient beds from 435 to 360, allowed the medical center to reduce duplicate high technology equipment and staff for a long-term cost savings.
The new building opened for public tours and celebration March 23 and 24, 1991. Over 16,000 Clark County residents came to the party! The new Emergency Department and Family Birth Center opened for patients on April 11.
As Clark County became the fastest-growing county in the metropolitan area, and in the State of Washington, Southwest continued to grow to keep pace. An open MRI was added, making Southwest the only hospital in the metropolitan area to house both the conventional and open MRI units. Two helical CT scanners reduced the time needed to conduct most scans.
Remodeling of the Emergency department created an expanded department that opened in the summer of 1998. At the same time, construction on the Family Birth Center doubled its size to hold 44 birthing rooms along with space for post partum and observation/treatment beds. In 1999, nearly 4,500 babies were born at Southwest.
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 The 1943 wing of the Memorial Campus, which had been declared seismically unfit, was demolished, making way for the Memorial Health Center. Facing 33rd Street, the new building houses physician office clinics, outpatient physical therapy with emphasis on sports medicine, offices and classrooms for Hospice Southwest and its programs, and the Health Connection, a library and education enter.
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