Brand new, very nice! The hospital is located in the new Pet Smart and has all new rooms and equipment. They have computers in each exam room and lots of free information. The Vet there seems very knowledgeable and really takes the time to exam your pet and listens to your concerns. They do seem a bit pushy on all their medical plans and do try to encourage you to spend a lot of money caring for your pet. While I love my dog, I do have a limited budget and did feel guilty leaving there not doing all the recommended tests.