Replacing Houston Medical Center was a monumental task that demanded detailed early
planning. We assisted the hospital to evaluate almost 40 different design and construction
sequence concepts, assessing both revenue and non-revenue generating space, as well as
new versus renovated areas. This analysis led the hospital to invest more in Phase 1 to
create new revenue generating space, so that Phase 2 could be partly funded from the
increased revenue from Phase 1.

Prior to construction of the new four-story bed tower and renovations to the existing
facility, construction began of a new state-of-the-art Central Energy Plant (CEP) with
capacity to support the new campus. Building the CEP on an occupied and fully operational
hospital campus involved extensive planning and coordination to ensure that necessary
shutdowns and tie-ins of new electrical would never impact patient care.

The new tower houses admitting, dietary and public support on the first floor, as well as 46
medical surgery beds, 20 critical care beds, and 12 step-down beds, NICU, nursery and 25
post-partum beds on the upper floors. The lower level includes shelled space/storage,
education, and medical records space. ILSM and ICRA measures were implemented as the
project also required renovation of existing space and new tower connected to the existing
five floors.

This project did include preconstruction services and was delivered via a CM at Risk with a
GMP.