This former grocery store was completely renovated to become the main county health department office. Four separate office locations were relocated under one roof. Departments include the director’s office, health education, environmental health, community resources, personal health clinic, adult clinic, and laboratory services. The facility includes over 200 rooms for offices, exam rooms, counseling, conferencing, press room, medical records, clinical laboratory, and BSL-3 certified laboratory. Design scope involved façade upgrades, site work, new roof, new HVAC systems, new electrical systems, new plumbing system, new IT system, new security system, emergency generators, etc. This was a successfully value-engineered project that met all the occupants’ demands within a reduced budget.