The existing 56,000 SF building received a full exterior upgrade and rebrand with modifications made to support the full build out of the second floor for a 28,000 SF ambulatory surgical center. Two new elevators as additions to the building were implemented to improve operational efficiency and the existing building infrastructure was reinforced to sustain flood events and mitigate vibration for an ideal surgical environment. The ASC program includes five operating rooms and a procedure room which is outfitted for use as a future operating room. The surgery center has 20 dual purpose prep/recovery patient care spaces, 5 of which are private rooms and an additional 2 exam rooms which can serve as 23:59 long-stay rooms if needed; an in-house sterile processing department; and staff amenities such as locker rooms, lounge areas, and administrative space. The project was the pilot project to be the first ASC evaluated under the new code requirements administered by the Oregon Health Authority.