Construction of an addition to the Triangle Surgery Center and renovation to the existing one-story ambulatory surgery center. Expansions included a waiting room, reception area, staff lounge, and sterile storage areas. New offices, operating rooms, recovery bed areas, nurses stations, and an electrical room were built. Work had to be coordinated around daily operations of the site so we did not impact surgeries and procedures of the client. During construction, we managed a project for a pedestrian bridge with a contractor that was contracted directly by the client. This connected to a parking lot across the valley for overflow staff parking. Challenges included dealing with supply chain issues, and coordinating deliveries so as to minimize the time impact on the client.