A design-build project in the heart of an occupied surgical floor, the 33,136-square-foot project featured an expansion and modernization of multiple departments and laboratories. Under OSHPD jurisdiction, work included the construction of 30 PACU surgical recovery rooms; 15 pre-operative rooms; a sterile processing department; and histology, pathology, and grossing laboratories. These spaces included airborne infection isolation rooms, sterile supply storage, specimen collection, clean holding rooms, and specialized lab equipment. Work also included a new nurse station; offices and conference rooms; locker rooms and bathrooms; and physician and staff lounges. New MEP systems, medical gas delivery systems, and HVAC exhaust systems were also installed.