Integrated Team Solutions SJHC Partnership (ITS SJHC) entered into an availability-based project agreement (PA) with St. Joseph's Health Care London (SJHC) to design, build, finance, and maintain two hospitals in Ontario to serve patients with severe and persistent mental illness. Parkwood Institute (PIMH) is a four-story 454,025 sq. ft. mental health facility in London with 168 beds. The three-story 234,430 sq. ft. Southwest Centre for Forensic Mental Health Care (SWC) is a forensics mental health facility in St. Thomas with 89 beds. SWC began operations in April 2013, followed by PIMH in October 2014. The project's operating period will last for 30 years until April 2043. ITS SJHC has fully passed down its hard facility management (FM) and lifecycle responsibilities