This project was a multi-phase vertical and horizontal expansion to the HCA Sky Ridge Medical Center and Women's Center in Lone Tree, Colorado. It included a two level, 132,000-square-foot multi-wing vertical expansion and a 4,500-square-foot horizontal expansion to the surgical department, adding four new operating rooms. Additionally, we performed 59,000 square feet of renovation affecting the core area of the patient tower with renovation to the ground, first, and second floors. A unique challenge on this project was that much of the work being done was in close proximity to working portions of the hospital. Those occupied portions had to remain up and running with as little disturbance as possible from construction operations. Despite this challenge, the team came out with a successful project and a great experience.