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From the exterior, it is impossible to see the change. The RTA Healthcare Design Team created seamless integration between old and new facility at Parker Adventist Hospital and doubled functional capacity.

The $20 million OR/OB expansion project at Parker Adventist Hospital includes 34,000 sq. ft. of new construction and 5,000 sq. ft. of renovation. Five new operating rooms were added to the existing second floor OR suite, along with an additional Patient Acute Care Unit and support space. This addition was made possible by building atop the existing first floor Imaging and Emergency Departments. Above the existing BirthPlace/Obstetrics and Pharmacy, a new 3rd floor level was added for the Obstetrics department. Ten new post-partum beds were added along with a new well-baby nursery and support space. In addition, the existing Neonatal Intensive Care Unit is being renovated and a new recovery room added for C-Section patients. All existing facilities were kept fully operational throughout construction. John Hoelscher, Principal (AIA, ACHA) was most pleased with the way the project allowed for hospital operations to proceed uninterrupted. He explains, "We were able to build on top of the Emergency Rooms without disrupting activity below."
This project was opened in the winter of 2010 and according to Hoelscher, who recently spoke in Chicago at the 2011 Healthcare Facilities Symposium, the new additions were executed so cleanly it "looks like it was there from the beginning."

See 3-D floor plans of the Parker OR/ OB Expansion.