
A regional medical pavilion expanding surgical, imaging, and outpatient capacity for a system serving more than two million patients annually. The work doubled the institution's operating-room footprint while keeping the existing hospital fully operational throughout construction.
Construction occurred above an active emergency department and adjacent to an existing inpatient tower. Vibration limits, dust containment, and infection-control protocols governed every sequence. Steel erection happened on weekends to maintain helipad operations.
Delivered under a CM-at-Risk contract with early trade engagement. BIM coordination across twenty-two trades resolved over four thousand clashes before steel was set. The team used prefabricated overhead racks, headwall units, and bathroom pods to compress the interior schedule by fourteen weeks.

