Collecting accurate existing conditions documentation in a demanding healthcare environment is not an easy or simple task unless you have the right tools, the right experience, and the right people to get the job done right. Coast 2 Coast was not only able to generate an extremely accurate Revit model of this Medical Center but was also able to manage the logistical challenges that come from collecting data in operating patient care areas with minimal disturbance to patients and healthcare professionals. The survey was conducted in negative air containment above-ceiling using solid gypsum access panels. The renovation was focused on the 6th floor and included new under-slab sanitary and drainage lines that routed through existing elements in the 5th-floor plenum.