The Hoag Heart & Vascular Institute (HVI) is one of the preeminent cardiovascular centers on the West Coast. The three initial phases encompassed a hybrid surgery suite, catheterization lab and renovation of the public spaces, both exterior and interior. Phase 4 was the final phase which focused on the renovation of the outpatient clinic. The project’s overall goal was to distinguish the HVI brand by consolidating the services that make up the institute.