This project consisted of a major renovation to the single-story emergency department and urgent care facility, with a connecting corridor to the main hospital. All existing MEP systems were removed and replaced to accommodate the architectural overhaul. The space consisted of 12 exam rooms, 1 trauma room, 1 isolation room and 3,000 square feet of shell space for future fit-out. Construction cost was $4,321,405. A 15,000 CFM VAV rooftop air-handling unit with an adjacent condensing unit was provided to condition the space. A new water softener and a domestic water duplex booster pump system were installed due to poor water quality and incoming pressure issues. A new domestic water heating system was installed with redundant condensing hot water heaters and a recirculating hot water system to maintain hot water throughout.