Two (2) story, 24,000 SF Orthopedic Surgical Addition, multi-phased renovation of an existing and functioning 10,000 SF Sterile Processing Department (SPD), renovation and conversion of 8,000 SF of exam space supporting a new Cardiology program, inclusive of renovating and back-feeding existing systems and adjacent spaces.  In addition, MEP services were housed and extended from existing MEP rooms and utility tunnels.  Heavy field investigation and documentation of existing conditions was mandatory.  In addition, pre-purchase of large equipment to expedite schedule, prefabrication efforts to streamline installation and usage of temporary air handling units were undertaken.