We helped guide and implement Mission Hospital’s strategic master facility plan and completed a comprehensive assessment of seven of the hospital’s engineering systems, which enabled it to satisfy hospital accreditation requirements for the documentation of critical systems. Using the asset management framework, we documented mechanical and electrical equipment, listing condition and pertinent design/maintenance data, and systems via risers and locator plans. We then developed, a ten-year, prioritized plan for equipment replacements and upgrades. The hospital was able to budget for capital improvements and identify infrastructure upgrades needed to support an upcoming major expansion. The assessment has proved to be a valuable tool for training and troubleshooting.