Completed in 2004, the Medical Office Pavilion is a five-story 85,800 sq ft building adjacent to the existing hospital. The project includes a two-story 17,000 sq ft wing connecting the new facility to the main hospital. Underpinning was required for portions of the existing building foundation in order to provide a new ground floor elevation that is 14 ft below the ground floor of an adjacent building. The floors are framed with structural steel beams and a steel roof deck. Lateral loads are resisted by moment frames in the east-west directions and braced frames in the north-south direction. The foundation system was designed to accommodate a future five-story clinical wing adjacent to the Medical Office Pavilion.