:root {
  --ink: #13201d;
  --muted: #5f6c67;
  --line: #dce4df;
  --paper: #f7f8f4;
  --white: #ffffff;
  --forest: #102d28;
  --teal: #0f5f94;
  --sage: #d8e5db;
  --gold: #b99431;
  --clay: #7e5930;
  --crest-blue: #004f99;
  --crest-green: #47720a;
  --crest-red: #9d0012;
  --shadow: 0 24px 80px rgba(19, 32, 29, 0.14);
}

* {
  box-sizing: border-box;
}

html {
  scroll-behavior: smooth;
  scroll-padding-top: 86px;
}

body {
  margin: 0;
  background: var(--paper);
  color: var(--ink);
  font-family: Arial, Helvetica, sans-serif;
  line-height: 1.6;
  letter-spacing: 0;
  overflow-x: hidden;
}

a {
  color: inherit;
  text-decoration: none;
}

img {
  display: block;
  max-width: 100%;
}

.site-header {
  align-items: center;
  background: rgba(255, 255, 255, 0.97);
  border-bottom: 1px solid rgba(220, 228, 223, 0.8);
  display: flex;
  gap: 28px;
  justify-content: space-between;
  left: 0;
  padding: 12px clamp(24px, 4vw, 56px);
  position: fixed;
  right: 0;
  top: 0;
  transition: box-shadow 180ms ease, padding 180ms ease;
  z-index: 20;
}

.site-header.is-scrolled {
  box-shadow: 0 12px 36px rgba(19, 32, 29, 0.08);
  padding-bottom: 10px;
  padding-top: 10px;
}

.brand {
  align-items: center;
  display: flex;
  gap: 13px;
  min-width: 282px;
}

.brand-mark {
  align-items: center;
  display: inline-flex;
  font-family: Georgia, "Times New Roman", serif;
  font-size: 18px;
  height: 42px;
  justify-content: center;
  width: 38px;
}

.brand-mark img {
  height: 100%;
  object-fit: contain;
  width: 100%;
}

.brand strong,
.brand em {
  display: block;
}

.brand strong {
  color: #15211f;
  font-size: 15px;
  font-weight: 800;
  line-height: 1.1;
}

.brand em {
  color: var(--muted);
  font-size: 10px;
  font-style: normal;
  font-weight: 700;
  margin-top: 4px;
  text-transform: uppercase;
}

.site-nav {
  align-items: center;
  display: flex;
  gap: 22px;
  font-size: 13px;
  font-weight: 700;
}

.site-nav a {
  color: #30413d;
}

.language-link {
  border-left: 1px solid rgba(48, 65, 61, 0.18);
  color: var(--crest-blue) !important;
  padding-left: 18px;
}

.nav-cta {
  background: linear-gradient(135deg, var(--forest), #163d4f);
  color: var(--white) !important;
  padding: 10px 15px;
}

.nav-toggle {
  background: transparent;
  border: 0;
  display: none;
  height: 40px;
  padding: 0;
  width: 40px;
}

button {
  font: inherit;
}

.nav-toggle span {
  background: var(--ink);
  display: block;
  height: 2px;
  margin: 7px auto;
  width: 22px;
}

.hero {
  min-height: 94vh;
  overflow: hidden;
  padding: 124px clamp(20px, 5vw, 72px) 156px;
  position: relative;
}

.hero-carousel,
.hero-slide,
.hero-shade {
  height: 100%;
  inset: 0;
  position: absolute;
  width: 100%;
}

.hero-carousel {
  z-index: 0;
}

.hero-slide {
  margin: 0;
  opacity: 0;
  transform: scale(1.025);
  transition: opacity 900ms ease, transform 5000ms ease;
}

.hero-slide.is-active {
  opacity: 1;
  transform: scale(1);
}

.hero-slide picture,
.hero-slide img {
  display: block;
  height: 100%;
  width: 100%;
}

.hero-slide img {
  filter: saturate(1.04) contrast(1.02);
  object-fit: cover;
  object-position: center;
}

.hero-slide:nth-child(1) img {
  object-position: center 42%;
}

.hero-slide:nth-child(2) img {
  object-position: center 45%;
}

.hero-slide:nth-child(3) img {
  object-position: center 30%;
}

.hero-slide:nth-child(4) img {
  object-position: center 38%;
}

.hero-shade {
  background:
    linear-gradient(90deg, rgba(7, 16, 15, 0.72), rgba(9, 21, 20, 0.42) 42%, rgba(9, 21, 20, 0.04)),
    linear-gradient(0deg, rgba(9, 21, 20, 0.5), rgba(9, 21, 20, 0) 48%, rgba(9, 21, 20, 0.12));
  z-index: 1;
}

.hero-content {
  color: var(--white);
  max-width: 720px;
  position: relative;
  z-index: 2;
}

.eyebrow,
.section-kicker {
  color: var(--gold);
  font-size: 12px;
  font-weight: 800;
  letter-spacing: 0;
  margin: 0 0 18px;
  text-transform: uppercase;
}

h1,
h2 {
  font-family: Georgia, "Times New Roman", serif;
  line-height: 1.08;
  margin: 0;
}

h1 {
  font-size: clamp(40px, 4.8vw, 64px);
  letter-spacing: 0;
  line-height: 1.12;
  max-width: 760px;
}

h2 {
  font-size: clamp(30px, 4vw, 54px);
}

h3 {
  font-size: 18px;
  line-height: 1.25;
  margin: 0 0 12px;
}

p {
  margin: 0;
}

.hero-copy {
  color: rgba(255, 255, 255, 0.86);
  font-size: clamp(16px, 1.45vw, 19px);
  margin-top: 24px;
  max-width: 680px;
}

.hero-actions {
  display: flex;
  flex-wrap: wrap;
  gap: 14px;
  margin-top: 34px;
}

.button {
  align-items: center;
  display: inline-flex;
  font-weight: 800;
  justify-content: center;
  min-height: 48px;
  padding: 13px 19px;
}

.button.primary {
  background: linear-gradient(135deg, #f8f1df, #ffffff);
  color: var(--forest);
}

.button.secondary {
  border: 1px solid rgba(255, 255, 255, 0.45);
  color: var(--white);
}

.hero-partnership-card {
  background: linear-gradient(90deg, rgba(7, 16, 15, 0.54), rgba(7, 16, 15, 0.2), rgba(7, 16, 15, 0));
  border-left: 2px solid var(--gold);
  box-shadow: none;
  color: var(--white);
  max-width: 390px;
  padding: 4px 0 4px 18px;
  position: absolute;
  right: clamp(20px, 5vw, 72px);
  top: 138px;
  z-index: 4;
}

.hero-partnership-card span {
  color: var(--gold);
  display: block;
  font-size: 12px;
  font-weight: 800;
  margin-bottom: 9px;
  text-transform: uppercase;
}

.hero-partnership-card strong {
  color: rgba(255, 255, 255, 0.95);
  display: block;
  font-family: Georgia, "Times New Roman", serif;
  font-size: 19px;
  line-height: 1.22;
}

.hero-partnership-card p {
  color: rgba(255, 255, 255, 0.78);
  font-size: 14px;
  margin-top: 10px;
  max-width: 340px;
}

.hero-dots {
  display: flex;
  gap: 10px;
  position: absolute;
  right: clamp(20px, 5vw, 72px);
  top: 304px;
  z-index: 5;
}

.hero-dots button {
  background: rgba(255, 255, 255, 0.44);
  border: 0;
  cursor: pointer;
  height: 3px;
  padding: 0;
  transition: background 180ms ease, width 180ms ease;
  width: 28px;
}

.hero-dots button.is-active {
  background: var(--gold);
  width: 48px;
}

.hero-metrics {
  background: rgba(247, 248, 244, 0.94);
  bottom: 0;
  display: grid;
  gap: 1px;
  grid-template-columns: repeat(4, minmax(0, 1fr));
  left: clamp(20px, 5vw, 72px);
  max-width: 1040px;
  position: absolute;
  right: clamp(20px, 5vw, 72px);
  z-index: 3;
}

.hero-metrics div {
  background: rgba(255, 255, 255, 0.72);
  min-height: 116px;
  padding: 22px;
}

.hero-metrics strong {
  color: var(--crest-blue);
  display: block;
  font-family: Georgia, "Times New Roman", serif;
  font-size: 36px;
  line-height: 1;
}

.hero-metrics span {
  color: var(--muted);
  display: block;
  font-size: 13px;
  font-weight: 700;
  margin-top: 10px;
}

.section {
  padding: clamp(74px, 9vw, 126px) clamp(20px, 5vw, 72px);
}

.split,
.partner-layout,
.honor-layout,
.footprint-layout,
.values-layout,
.contact-panel {
  display: grid;
  gap: clamp(34px, 6vw, 84px);
  grid-template-columns: minmax(0, 0.95fr) minmax(0, 1.05fr);
}

.lead-stack {
  color: #44534f;
  display: grid;
  font-size: 18px;
  gap: 18px;
}

.principles {
  display: grid;
  gap: 18px;
  grid-template-columns: repeat(3, minmax(0, 1fr));
  margin-top: 60px;
}

.principles article,
.capability-grid article,
.network-columns article,
.standards-grid article,
.team-grid article {
  background: var(--white);
  border: 1px solid var(--line);
  padding: 28px;
}

.principles span {
  color: var(--gold);
  display: block;
  font-weight: 800;
  margin-bottom: 20px;
}

.principles p,
.capability-grid p,
.network-columns p,
.standards-grid p,
.team-grid p,
.partner-panel li,
.process p,
.doctor-strip p,
.honor-layout p,
.contact-panel p {
  color: var(--muted);
}

.footprint {
  background: #eef4f1;
}

.footprint-layout > div > p {
  color: var(--muted);
  font-size: 18px;
  margin-top: 24px;
  max-width: 720px;
}

.footprint-map {
  display: grid;
  gap: 14px;
}

.footprint-map article {
  background: rgba(255, 255, 255, 0.76);
  border-left: 4px solid var(--gold);
  padding: 22px 24px;
}

.footprint-map span {
  color: var(--crest-blue);
  display: block;
  font-size: 12px;
  font-weight: 800;
  margin-bottom: 8px;
  text-transform: uppercase;
}

.footprint-map strong {
  color: var(--ink);
  display: block;
  font-size: 17px;
  line-height: 1.35;
}

.footprint-map p {
  color: var(--muted);
  font-size: 14px;
  margin-top: 8px;
}

.band {
  background: var(--white);
}

.section-heading {
  align-items: end;
  display: grid;
  gap: 28px;
  grid-template-columns: minmax(0, 1.05fr) minmax(280px, 0.7fr);
  margin-bottom: 42px;
}

.section-heading p {
  color: var(--muted);
  font-size: 17px;
}

.capability-grid {
  display: grid;
  gap: 16px;
  grid-template-columns: repeat(3, minmax(0, 1fr));
}

.capability-grid article {
  min-height: 236px;
}

.standards {
  background: var(--white);
}

.standards-grid {
  display: grid;
  gap: 16px;
  grid-template-columns: repeat(4, minmax(0, 1fr));
}

.standards-grid article {
  background: linear-gradient(180deg, #ffffff, #f8faf8);
  min-height: 292px;
}

.standards-grid span {
  align-items: center;
  border: 1px solid rgba(185, 148, 49, 0.5);
  color: var(--gold);
  display: inline-flex;
  font-weight: 800;
  height: 34px;
  justify-content: center;
  margin-bottom: 24px;
  width: 34px;
}

.partner-section {
  background: linear-gradient(180deg, #eef4f1, #f7f8f4);
}

.partner-layout h2 {
  max-width: 840px;
}

.partner-layout > div > p {
  color: var(--muted);
  font-size: 18px;
  margin-top: 24px;
  max-width: 720px;
}

.partner-panel {
  background: linear-gradient(145deg, #102d28, #0f3447);
  color: var(--white);
  padding: 34px;
}

.partner-panel h3 {
  color: var(--white);
}

.partner-panel ul {
  display: grid;
  gap: 12px;
  margin: 20px 0 0;
  padding-left: 20px;
}

.partner-panel li {
  color: rgba(255, 255, 255, 0.82);
}

.process {
  display: grid;
  gap: 1px;
  grid-template-columns: repeat(4, minmax(0, 1fr));
  margin-top: 58px;
}

.process div {
  background: var(--white);
  min-height: 220px;
  padding: 28px;
}

.process span {
  align-items: center;
  border: 1px solid var(--gold);
  color: var(--gold);
  display: inline-flex;
  font-weight: 800;
  height: 34px;
  justify-content: center;
  margin-bottom: 24px;
  width: 34px;
}

.process strong {
  display: block;
  font-size: 17px;
  margin-bottom: 10px;
}

.network {
  background: var(--paper);
}

.network-columns {
  display: grid;
  gap: 16px;
  grid-template-columns: repeat(4, minmax(0, 1fr));
}

.network-columns article {
  min-height: 470px;
}

.network-columns ul {
  color: #31413d;
  display: grid;
  font-size: 14px;
  gap: 10px;
  margin: 22px 0 0;
  padding-left: 18px;
}

.doctors {
  background: linear-gradient(135deg, #102d28, #0b355e);
  color: var(--white);
}

.values {
  background: #f5f1e9;
}

.values-layout > div > p {
  color: var(--muted);
  font-size: 18px;
  margin-top: 24px;
  max-width: 720px;
}

.values-list {
  display: grid;
  gap: 14px;
}

.values-list article {
  background: rgba(255, 255, 255, 0.64);
  border-top: 3px solid var(--gold);
  padding: 26px 28px;
}

.values-list p {
  color: var(--muted);
}

.doctor-strip {
  align-items: start;
  display: grid;
  gap: 44px;
  grid-template-columns: minmax(0, 0.95fr) minmax(0, 1.05fr);
}

.doctor-strip p {
  color: rgba(255, 255, 255, 0.76);
  font-size: 18px;
  margin-top: 22px;
}

.doctor-list {
  display: grid;
  gap: 10px;
  grid-template-columns: repeat(2, minmax(0, 1fr));
}

.doctor-list span {
  border: 1px solid rgba(255, 255, 255, 0.18);
  color: rgba(255, 255, 255, 0.86);
  font-weight: 700;
  padding: 18px;
}

.teams {
  background: var(--white);
}

.team-grid {
  display: grid;
  gap: 16px;
  grid-template-columns: repeat(3, minmax(0, 1fr));
}

.honors {
  background: #f3efe8;
}

.honor-intro {
  display: grid;
  gap: clamp(24px, 5vw, 64px);
  grid-template-columns: minmax(0, 1fr) minmax(280px, 0.72fr);
  margin-bottom: 46px;
}

.honor-intro p {
  color: var(--muted);
  font-size: 18px;
}

.timeline {
  display: grid;
  gap: 12px;
}

.honor-timeline {
  grid-template-columns: repeat(2, minmax(0, 1fr));
}

.timeline article {
  background: rgba(255, 255, 255, 0.62);
  border-left: 4px solid var(--gold);
  padding: 22px 24px;
}

.timeline span {
  color: var(--clay);
  display: block;
  font-size: 13px;
  font-weight: 800;
  margin-bottom: 8px;
  text-transform: uppercase;
}

.timeline p {
  color: var(--muted);
}

.client-band {
  align-items: center;
  border-top: 1px solid rgba(142, 94, 66, 0.22);
  display: flex;
  flex-wrap: wrap;
  gap: 16px 26px;
  margin-top: 54px;
  padding-top: 30px;
}

.client-band span {
  color: var(--muted);
  flex-basis: 100%;
  font-size: 12px;
  font-weight: 800;
  text-transform: uppercase;
}

.client-band strong {
  color: #35413e;
  font-size: 15px;
}

.contact {
  background: var(--ink);
  color: var(--white);
}

.contact-panel {
  align-items: center;
}

.contact-panel h2 {
  max-width: 780px;
}

.contact-panel p {
  color: rgba(255, 255, 255, 0.72);
  font-size: 18px;
  margin-top: 22px;
  max-width: 720px;
}

.contact-details {
  background: rgba(255, 255, 255, 0.08);
  display: grid;
  gap: 14px;
  padding: 30px;
}

.contact-details a,
.contact-details span {
  border-bottom: 1px solid rgba(255, 255, 255, 0.14);
  color: rgba(255, 255, 255, 0.86);
  font-weight: 700;
  padding-bottom: 14px;
}

.contact-details span:last-child {
  border-bottom: 0;
  padding-bottom: 0;
}

.site-footer {
  align-items: center;
  background: #0f1715;
  color: rgba(255, 255, 255, 0.62);
  display: flex;
  font-size: 13px;
  justify-content: space-between;
  padding: 24px clamp(20px, 5vw, 72px);
}

@media (max-width: 1080px) {
  .site-nav {
    gap: 14px;
  }

  .capability-grid,
  .team-grid {
    grid-template-columns: repeat(2, minmax(0, 1fr));
  }

  .network-columns,
  .standards-grid,
  .process {
    grid-template-columns: repeat(2, minmax(0, 1fr));
  }

  .network-columns article {
    min-height: auto;
  }
}

@media (max-width: 1180px) {
  .hero-content {
    max-width: 600px;
  }

  h1 {
    max-width: 620px;
  }

  .hero-partnership-card {
    max-width: 320px;
  }

  .hero-partnership-card strong {
    font-size: 17px;
  }

  .hero-dots {
    top: 286px;
  }
}

@media (max-width: 960px) {
  .site-header {
    align-items: flex-start;
  }

  .nav-toggle {
    display: block;
  }

  .site-nav {
    background: var(--paper);
    border-bottom: 1px solid var(--line);
    display: none;
    flex-direction: column;
    left: 0;
    padding: 16px 20px 24px;
    position: absolute;
    right: 0;
    top: 74px;
  }

  .site-nav.is-open {
    display: flex;
  }

  .site-nav a {
    width: 100%;
  }

  .language-link {
    border-left: 0;
    border-top: 1px solid var(--line);
    padding-left: 0;
    padding-top: 14px;
  }

  .nav-cta {
    text-align: center;
  }

  .hero {
    background: var(--white);
    min-height: auto;
    padding: 98px 20px 0;
  }

  .hero-carousel,
  .hero-shade {
    height: 720px;
  }

  .hero-slide img {
    object-position: center center;
  }

  .hero-shade {
    background:
      linear-gradient(180deg, rgba(7, 16, 15, 0.18), rgba(7, 16, 15, 0.58)),
      linear-gradient(90deg, rgba(7, 16, 15, 0.48), rgba(7, 16, 15, 0.06));
  }

  .hero-content {
    max-width: 540px;
  }

  .hero-content .eyebrow {
    font-size: 11px;
    margin-bottom: 14px;
  }

  h1 {
    font-size: clamp(32px, 7vw, 42px);
    line-height: 1.12;
    max-width: 540px;
  }

  .hero-copy {
    font-size: 15px;
    line-height: 1.55;
    margin-top: 18px;
    max-width: 520px;
  }

  .hero-actions {
    gap: 12px;
    margin-top: 24px;
  }

  .button {
    min-height: 44px;
    padding: 11px 17px;
  }

  .button.secondary {
    background: transparent;
    border: 0;
    min-height: 0;
    padding-left: 0;
  }

  .hero-partnership-card {
    background: none;
    margin-top: 28px;
    max-width: none;
    padding: 0 0 0 14px;
    position: relative;
    right: auto;
    top: auto;
    transform: none;
    width: 100%;
  }

  .hero-partnership-card span {
    font-size: 10px;
    margin-bottom: 6px;
  }

  .hero-partnership-card strong {
    font-family: Arial, Helvetica, sans-serif;
    font-size: 14px;
    line-height: 1.35;
    max-width: 300px;
  }

  .hero-partnership-card p {
    display: none;
  }

  .hero-dots {
    justify-content: flex-start;
    margin-top: 14px;
    position: relative;
    right: auto;
    top: auto;
  }

  .hero-metrics {
    background: var(--white);
    grid-template-columns: repeat(2, minmax(0, 1fr));
    left: auto;
    position: relative;
    right: auto;
    margin: 34px -20px 0;
    max-width: none;
    width: auto;
  }

  .hero-metrics div {
    background: var(--white);
    min-height: 104px;
    padding: 18px 20px;
  }

  .hero-metrics strong {
    font-size: 30px;
  }

  .hero-metrics span {
    font-size: 12px;
  }

  .split,
  .section-heading,
  .partner-layout,
  .honor-layout,
  .doctor-strip,
  .honor-intro,
  .footprint-layout,
  .values-layout,
  .contact-panel {
    grid-template-columns: 1fr;
  }

  .principles,
  .capability-grid,
  .team-grid,
  .network-columns,
  .standards-grid,
  .honor-timeline,
  .process,
  .doctor-list {
    grid-template-columns: 1fr;
  }

  .site-footer {
    align-items: flex-start;
    flex-direction: column;
    gap: 8px;
  }
}

@media (max-width: 520px) {
  .brand {
    min-width: 0;
  }

  .brand strong {
    font-size: 13px;
  }

  .brand em {
    display: none;
  }

  h1 {
    font-size: clamp(30px, 8.5vw, 34px);
    max-width: 360px;
  }

  .hero-carousel,
  .hero-shade {
    height: 660px;
  }

  .hero-copy {
    font-size: 14px;
    max-width: 350px;
  }

  .button.secondary {
    display: none;
  }

  .hero-metrics {
    grid-template-columns: 1fr;
  }

  .hero-metrics div {
    min-height: auto;
  }

  .section {
    padding-left: 18px;
    padding-right: 18px;
  }
}

/* Nav active state */
.site-nav a.is-active { color: var(--gold); }

/* Keyboard focus */
a:focus-visible, button:focus-visible, input:focus-visible, textarea:focus-visible, select:focus-visible {
  outline: 2px solid var(--gold); outline-offset: 3px;
}

/* Back to top */
.back-to-top {
  align-items: center; background: var(--forest); border: 0; border-radius: 50%;
  bottom: 28px; color: var(--white); cursor: pointer; display: flex;
  font-size: 20px; height: 44px; justify-content: center; opacity: 0;
  position: fixed; right: 28px; transition: opacity 250ms ease; width: 44px; z-index: 50;
  pointer-events: none;
}
.back-to-top.is-visible { opacity: 0.85; pointer-events: auto; }
.back-to-top:hover { opacity: 1; }

/* Hospital image fallback */
.hospital-card-image { background: linear-gradient(135deg, #eef4f1, #dce4df); }
.hospital-card-image img { background: linear-gradient(135deg, #eef4f1, #dce4df); }

@media (prefers-reduced-motion: reduce) {
  html { scroll-behavior: auto; }
  .hero-slide, .site-header, .hero-dots button { transition: none; }
  .back-to-top { transition: none; }
}