The hospital addition features structural steel construction on concrete spread footing foundations. It is a state of the art emergency room that connects directly to the existing hospital. The project included the new construction of parking lots, ambulance drop off areas, and landscaping. Our teams installed state-of-the-art X-ray equipment, Telemetry systems, and exam lighting to bring together every detail requested by our client. The main challenge was the existing occupied hospital facility which remained operational throughout construction of the addition. Numerous controls were put in place to keep the area safely sectioned off from the hospital and its patients during the construction. The new building construction and emergency department buildout was completed with no disruptions to the existing functional hospital. We invested heavily in pre-planning to overcome logistical constraints such as our project’s proximity to adjacent buildings. We successfully avoided conflicts with neighboring structures and tie-ins to the hospital’s main utility system without disruptions, thanks to exacting communication and stringent attention to our schedule. Considering the campus’ proximity to the coast, all of the materials used to construct the building’s exterior, including the extensive glass, had to be specifically hurricane rated for safety and durability, in compliance with stringent Texas Windstorm Requirements. Rectangular hanging lights were added to bring a modern touch in addition to brightening the corridors. A serene interior garden was constructed in coordination with the hospital’s healing ministry. The space was designed to take full advantage of abundant natural light, with floor-to-ceiling glass and steel curtainwall in the main reception area and additional windows set into the perimeter along the ceiling in patient care areas.