Mechanical, electrical and plumbing design for a new 159,000 sq ft, 5-story building. State-of-the-art facility replaced existing functions.  Project included 43-bed emergency department, 6 critical care units with 43 beds, 2 nursing units, and acute care telemetry system. Project required remodel of the existing hospital and modification of the systems. Lighting design elements emphasized a healing environment with indirect lighting and varied lighting schemes for home-like ambience.