Spartanburg Medical Center Pavilion accommodates over 500 beds and hosts over 540 professionals dedicated to the community. This project involved fit out of existing shelled space for the addition of patient care including ICU and skilled nursing areas. To support the addition of patient rooms, a penthouse enlargement was incorporated into the scope of the project to house MEP infrastructure. The project included an atrium with an advanced smoke evacuation system seamlessly integrated into the building’s management system. Located directly above the existing surgery department, the renovation required detailed inspections and coordination of existing facilities to ensure no disruptions to existing operations and precise planning of construction activities.