The Loma Linda University Hospital steam plant is a 50-year-old, concrete shear wall building that was supported on a foundation that needed a substantial retrofit in order to bring it up to current building codes, and to accommodate an upcoming transformer replacement. Drilled shafts provided the perfect, versatile solution to this complex project which required a foundation install from within the existing (and operating) steam plant structure. The low-headroom and access issues were no problem for Malcolm’s diversified fleet of drill rigs. Malcolm also installed a design-build temporary shoring system around the plant, which consisted of soldier beams and tiebacks.