Trauma and Surgical Tower Addition
Twenty-four operating rooms, a trauma unit and a rooftop helipad, stacked against a hospital that kept treating patients on the other side of the wall.
- Owner
- Confidential
- Location
- U.S.
- Our role
- Construction manager at-risk
- Delivery
- CM at-risk
- Scale
- 420,000 SF
- Completed
- 2025
An eleven-story trauma and surgical tower built against a hospital that never closed, with 24 operating rooms, a rooftop helipad and every tie-in made around live patient care.
The new tower had to connect to the existing hospital on six floors, share its central plant and keep the emergency department open every hour of the job. Utility shutdowns, infection control barriers and noise near patient floors all had to be negotiated with clinical leaders. Imaging equipment, surgical lights and air handlers carried long lead times, and the hospital had already scheduled staff training and its first surgical cases for a fixed opening week.
The approach.
- 01
Shutdowns planned like surgery
Every tie-in to the live hospital had a written plan, a rehearsal and a backout step, signed by facilities and clinical leaders before work began.
- 02
Long-lead equipment on the schedule
Imaging, surgical booms and air handlers were tracked as schedule activities with fabrication milestones, so a late shop drawing showed up weeks before it threatened a room.
- 03
Weekly look-aheads with the owner
Three-week look-aheads showed the hospital which decisions were due, which rooms were under pressure and what each delay would push downstream.
- 04
Rooms turned over in order
Operating rooms were commissioned and cleaned in the order the surgical staff needed them, so training started while the last floors were finished.
The outcome.
“A shutdown on the hospital side is not our decision alone. We showed the clinical team the plan, the backout and the clock, and they told us when.”
Project executive, Jacob Wiseman
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