This multi-phased and multi-story addition presented many challenges. Construction occurred during one of the worst winters in central Illinois history and the project required working in an occupied hospital environment directly adjacent to a fully functional Operating Room. To meet the owner’s needs, a complex phasing plan was created so that all work could progress on schedule while not affecting the daily operations of the hospital. Petry-Kuhne also worked with the hospital staff, equipment vendors, and specialty vendors to create one of the leading, state-of-the-art Birthing Centers in the region.