Project Description
In 2024, CMSI completed a building addition and renovations for the Cardiovascular Services Department on the lower level of the existing regional trauma center. This phased project included expanding the PACU capacity and creating three cardiovascular/EP labs. The existing six labs remained in operation for the duration of the project. The completed project has ten operational labs.
Project Facts
- Service: Acute Care & Hospital Renovations
- Delivery Method: Design–Build
- Project Size: 18,000 Sq Ft (13,000 Sq Ft Building Addition + 5,000 Sq Ft Interior Renovation)
- Project Duration: 40 Months (18 Months Design + 22 Months Construction)
- Phasing: 2 Major Construction Phases with 2 Minor Phases
- Cost: $13,000,000 Design and Construction
- Features: Mechanical Penthouse, Green Roof, Micropile Foundation









Unique Challenges
Space Constraints
The existing 30,000 sf CVS department required an additional 12,000 sf for new labs and ancillary spaces but was landlocked within York Hospital.
Solution: CMSI delivered multiple schematic designs tailored to WellSpan’s operational needs and budget constraints. The final design included a one-story addition with a second-story mechanical penthouse.

Utility Relocation
The project footprint contained critical campus utilities, including the domestic water main, backup water main, sprinkler main, sanitary sewer main, and electrical and data duct-banks.
Solution: To fully locate all utilities, CMSI employed multiple techniques, including reviewing campus improvement project drawings, using a utility locator and cameras, hand digging, and hydro-excavation. CMSI rerouted the utilities and added shutoff valves to prevent utility work from impacting CVS department operations.

Structural Integration
The addition required connections to three existing structures, which were all at different elevations:
- A 5-story patient care tower with a cantilevered 1-story section
- A parking garage with multiple below grade and above grade levels
- A 24” thick concrete retaining structure with a cantilevered section that holds the main entry drive lane and sidewalk
Solution: CMSI engineered structural and architectural solutions to achieve physical and aesthetic cohesion. This included ‘sloped floors’ (to meet elevation changes), expansion joints (to allow for building movements between the four structures), fire ratings (since the addition was located adjacent to the parking garage), and additional steel columns and plates (to support the weight of the new structure).

Results
CMSI delivered:
- Four New Labs
We constructed two electrophysiology labs, one cardiac catheterization lab, and a second 4D CT, increasing the CVS department’s capacity to ten labs. - A Green Roof
We installed a green roof that beautified the front entrance and offset the need for increased storm water management. - Enhanced Patient Care
York Hospital can now offer reduced wait times for critical cardiovascular procedures, due to their increased capacity. - Operational Continuity
We maintained seamless hospital operations through meticulous phasing, coordination, and logistical planning. - Future-Ready Design
We incorporated flexible mechanical systems and aesthetic integration to support WellSpan’s long-term campus planning.
