Demolition of space to shell condition. The structural upgrades included a new staircase, new mechanical, electrical, plumbing, fire life safety, and finishes. The site and civil work meet ADA compliance, nine exam rooms, two procedure rooms, seventeen infusion bays, and a USP 800 compounding pharmacy. After 21 delta plan revisions, ConAm met the aggressive schedule without delay and completed the City of Hope’s first Orange County site before opening day.