ADCO Constructions completed this project adjacent to Mona Vale Hospital site. This new facility provides health services for clients on the northern beaches of Sydney. The facility provides a unique set of services including rehabilitation and aged care community services, musculoskeletal physiotherapy, chronic disease clinical rehabilitation services, pediatric occupational therapy, paediatric speech pathology, mental health facilities, dental facilities and a range of other specialist services.  During the design phase ADCO engaged with the eight health-related user groups in order to finalise the design and obtain a sign off for the design finalisation. The project team fast tracked the initial design to facilitate a construction certificate to allow the demolition and earth works to commence. The building is founded on piles, which support a reinforced concrete structure with structural-steel roof framing.  The development posed many challenges due to working on a tight site footprint within a live operational hospital environment. There were a number of major services upgrades requiring cut overs without unplanned interruption to the existing hospital facilities including Emergency Departments.  Careful planning of site access was required to ensure access to the site did not interfere with the adjoining hospital and rehabilitation facilities.  There are many finish types throughout the building relating to each area of the facility, ranging from general office areas through to fully equipped dental facilities.  The site was well managed and the project completed to a high standard of finish.