Degenkolb client, Sutter Health has undertaken a massive construction program in Northern California. In 2019, when CPMC Van Ness and Geary and CPMC St. Luke’s are completed, the healthcare giant will have added more than 500 beds to the patient environment. As a partner in Sutter’s program, Degenkolb embraced LEAN construction and design practices. The first of the spaces to open was the 238-bed Alta Bates Summit Merrit Pavilion in 2014. It is located in an urban environment in the middle of an existing hospital campus. There were existing OSHPD buildings on three sides and roadway on the other. The building was planned for physical and functional integration into the existing hospital and was constructed while the existing hospital remained in operation. Both the 120-bed St. Luke’s Tower and the 274-bed CPMC Van Ness/Geary project will open in 2019. At CPMC Van Ness/Geary, Degenkolb provided a first ever structural solution in the use of wall dampers. In addition to structural design, Degenkolb participated in validation phases, make-ready, and phasing work for all 3 projects.