Renovation and expansion of the initial Harborview Medical Center Expansion project. The scope of this major addition and partial renovation project included a new inpatient and ambulatory care tower as well as expansion or replacement of all diagnostic and treatment departments for this facility affiliated with the University of Washington Academic Medical Center. The result of this planning and design assignment was the design of two towers totaling 400,000-sf of additional space. The Ambulatory Care Tower includes 125,000-sf of modular clinics for surgery, medical specialties, orthopedics, rehabilitation, ophthalmology, children and adult medicine, women’s services, and dental/oral surgery. The 275,000-sf, six story Inpatient Trauma Center and Bed Tower addition includes surgery expansion, ambulatory surgery, radiology, emergency, clinical laboratory, main lobby, admitting, cafeteria, materials management, and inpatient care units for intensive care, rehabilitation, neurology and psychiatry for a total of 156 new beds.