The University of Maryland Medical Center required comprehensive facility conditions and adequacy assessment for its urban campus comprised of 4 million sf distributed across 20 buildings. The spaces included classrooms, research and lab spaces, acute care space and ORs among others. The scope of the effort included document review, interviews with key personnel, field inspections on critical building systems, testing and measurement, energy payback analysis and development of FCI ratings via our FOCUS™ software. Our teams also provided lifecycle analysis, cost estimates and detailed recommendations on correcting deficiencies.