The project consisted of an extensive phasing plan, which required continual coordination between the construction teams in order not to interrupt hospital operations. Phase I of the project consisted of building an Oxygen Tank Farm to relocate the main Oxygen and Nitrogen supply to the hospital without affecting the existing and incoming patients. Additionally, this phase included a new Autoclave and Trash and Linen Building, both facility house and dispose of the Hospital's hazardous waste materials. Phase 2 of the project consisted of a new parking garage, five stories in height with the capacity to expand two more stories for a total of 7. This creative engineering, allowing for future growth, required over 700 piles and more than 60 pile caps. Furthermore, the parking facility required a steel bridge superstructure spanning over 180 feet in length to allow the pedestrian safe access into the Hospital.