The seven-story, 80-bed tower addition, built by the joint venture of RodgersHardin, was constructed on top of a loading dock. Due to a tight site, material delivery and staging were crucial to ensure minimal disturbance and uninterrupted services. Ongoing infection control was vital due to the close proximity and tie-ins with the existing facility. Mechanical systems were needed to facilitate the new bed tower and a central energy plant expansion was incorporated. Healthcare elements included a 12 bed CV-ICU, nuclear medicine suite, two 64-slice CT rooms, and the first Cyberknife procedure suite in the state.