A three-story acute care building located in the middle of an existing campus. The Scripps Encinitas project is the phased decommissioning and demolition of existing buildings 1, 2, 4, 6, 7, and 8 with the phased construction of a new three-story, 224,000sf Acute Care Building. This work includes the expansion of the existing Critical Care Building Central Energy Plant, a new loading dock, and new landscaping and hardscape on- and off-site improvements. The project includes phased construction of 92,000sf new construction and 90,854sf of rebuilt hospital space. This also includes the expansion of the existing critical care building central energy plant and a new loading dock.