Degenkolb designed this 5-story steel framed medical office building with a buckling restrained braced frame supported on concrete basement walls and a mat foundation. The site presented design and construction challenges including the adjacent parking garage with 2-level basement and an existing culvert traversing the site. The solution: the mat foundation design, which used localized drilled piers to avoid loading the parking garage directly to the north and support the new loading dock that bridged across the existing culvert below. The drilled piers were also used for differential displacement control at the massive concrete vault with lead shielding surrounding the new linear accelerator treatment room. A comprehensive facility was ultimately delivered, complete with radiation therapy, education classes, pharmacy, neurology, pediatric rehabilitation and adult physical therapy. Providing treatment for patients in one multifaceted and integrated space, the building also contains 50 provider offices and a cancer treatment center with an outdoor serenity garden.