The expansion and renovation of Charlotte Orthopedic Hospital (COH) began with an extensive Master Planning Process that analyzed several options. The options included relocating the entire facility to various locations adjacent to Presbyterian Medical Center (PMC) Campus and to the final solution to expand the building at its current location. Master Planning evaluated a wide variety of criteria including: Patient access and circulation Impact to Patient Care Staff efficiency Impact to Hospital Operations to both COH and PMC Delivery of Support Services Redundancy of shared Hospital Operations Constructability Construction phasing Project costs Disruption to existing Hospital Operations Curb side appeal Patient parking The current solution constructs a new major addition including a new main Hospital Entrance, Registration, Impact Clinic, Surgery Department, PACU, Prep-Recovery, SPD, and 40 Acute Care Patient Bedrooms. The multi-phased project began with the temporary relocation of the Hospital Main Entrance. Phase II constructed the main addition to the Hospital. Phase III will demolish the existing Bedtower and extend a Pedestrian Connector that links COH and PMC. The main addition was completed on September 25, 2017. The project is currently $500,000 under budget