The new $270M master plan for Boston Medical Center consolidated two BMC campuses to improve patient care, reduce costs, increase operational efficiency, and incorporate sustainable design strategies. The master plan focused on the renovation of major existing inpatient buildings to create a unified campus brand. The process included the right-sizing of thirty medical departments; evaluation of operations and adjacencies; reduction of patient beds; reorganization of public circulation to improve wayfinding; relocation of administrative and support services; and a 13% overall reduction of square footage. The most challenging aspect of the project was to accomplish 500,000 sf renovations and 150,000 sf new construction while the campus remained fully occupied.