This project’s scope focused on a new, 13,700 SF expansion of the emergency department at Presbyterian Hospital in Matthews, North Carolina. The expansion added to the Trauma wing of the department and included 17 multi-treatment bays, new entrances for ambulatory and ambulance patients, a new waiting room, triage rooms and support areas. The 11,170 SF renovation of the existing space was completed in three phases to allow the Emergency Department to continue to operate around the clock. Any planned shut downs for tying into existing systems were closely coordinated with the staff to minimize impact to daily operations. A new chiller and cooling tower was also added to the physical plant to meet the new cooling load created by the expansion, and to provide redundant cooling capacity for the hospital.