Conversion of four campus-style corporate office buildings totaling to high-quality medical office and clinic use meeting OSHPD-3 standards. Program areas include ophthalmology, orthopedics, radiology, sleep clinic, spine center, outpatient surgery (I2.1), dermatology, pain management, laboratory, pharmacy, physical/occupational therapy, optical, sterile processing, materials management, environmental services and administrative services. Extensive facade modeling was conducted to improve thermal performance of the envelope. Our energy analysis resulted in a building design that exceeded the 2005 California Energy Code by 22%.