Why a Monolithic Dome makes a great medical facility The community health center built in Battle Mountain, Nevada in 1987. It is a good example of an efficient medical dome. The Cardiology of the Ozarks double-domed office in West Plains, Missouri. A sample design for a Monolithic Dome rural hospital. A medical center Ecoshell that was built at the Ngelepen village in Indonesia. (MAC Photography) Interior of the Ecoshell in Indonesia. (MAC Photography) A washing area inside the Ecoshell. (MAC Photography) Hallway in the medical Ecoshell. (MAC Photography) An exam room in the Ecoshell. (MAC Photography) More of the exam room. (MAC Photography)