This tenant improvement project consisted of (3) new clinical patient rooms, (2) operating rooms, (1) post-operation recovery room, (2) reception areas, personal office, break room, and (3) bathrooms for an existing building. Perera received the project with only a concrete floor and turned it over to the owner after completing routing and installation of all underground MEP’s, overhead MEP’s, installation of new HVAC equipment on the roof, AHJ compliant medical gas piping design/installation, AHJ compliant fire alarm and fire sprinkler design/installation, nurse call system, metal stud framing of aforementioned occupied spaces, all finishes on floors, walls, ceilings, etc, and exterior site concrete to achieve ADA compliance.