Mission Hospital in Mission Viejo, the region's only designated trauma center, offers 24-hour emergency care and specialized services for imaging, heart, stroke, maternity, and women's wellness needs. This project included major coordination with the existing hospital, water department, city public works and other trades to pull off properly. Much of the work was performed after hours on busy public streets and near ambulance drop-off areas. There was a very tight schedule and excavation depths exceeding 20 in some areas. Pan-Pacific worked diligently with all involved parties to coordinate each move of men and pipe to ensure that everything ran smoothly for the extremely busy and compacted existing hospital during the expansion.