Flexibility in design and process saved cost and time. Designed to be functionally integrated with the adjacent hospital, the Specialty MOB needed to be structurally separate. This allowed for design outside of OSHPD standard codes, lowering costs of building systems and avoiding the time inherent in the OSHPD approval process. A shallow foundation and use of unbonded brace frames will provide the building with higher seismic performance, and did in fact reduce the overall cost. The building includes outpatient imaging, cafeteria, orthopedics and an atrium.