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Pennsylvania Hospital has built a 22,000-sf expansion in Philadelphia on top of an existing building on the historic campus with no disruption to patient care. The 45-bed Peas Critical Care Complex includes self-contained private patient rooms, an oversized patient transport elevator, consultation rooms for physicians and families, state-of-the-are monitoring systems, secure access, and a custom-designed toilet facility in each patient room. Education and teaching areas for staff were also constructed. The project team was comprised of architect Ballinger, MEP engineer PWI Engineering, and construction manager Barclay/White/Skanska USA.