Countywide Mechanical recently renovated the 4th-floor ICU and 1st-floor ED at Sharp Coronado Hospital. This industrial renovation included 8 ICU rooms, 11 ED rooms, 3 nurse stations, and 2 staff lounges. All construction renovations were phased to minimize impact on the hospital to ensure it remained operational throughout the project. During construction, Countywide Mechanical received a change order for structural seismic upgrades to the hospital. The new seismic upgrades and unforeseen conditions at the hospital required Countywide to work closely with engineers and other trades to overcome the field challenges resulting in commercial plumbing piping and commercial HVAC ductwork to be relocated to accommodate for new structural concrete all around the hospital.