We completed this 150-bed, long-term care facility on the Misericordia Hospital site in Edmonton. The project design was developed with the client using a collaborative construction management approach. The owner implemented a change-of-use at about the 80 percent construction completion stage. Revisions to the design were made to accommodate its conversion to a geriatric mental health facility. Significant changes occurred including the addition of security and staff safety features. In order to reduce risk in the project at that point, we provided the client with extensive cost options to their changes and mitigated schedules to minimize impact. At the time we also called all key sub-trades and worked collaboratively with them to find solutions to construction, budget, and schedule. During design development and construction, we provided regular budget updates and value engineering to ensure that cost performance targets were met. Using this approach allowed us to provide continuity across the project for many stakeholders.