Wyandot Memorial Hospital has serviced the Upper Sandusky area since 1950. The facility provides inpatient and outpatient care with a 24-hour a day emergency department. The renovation includes a 29,500 square foot, three-story medical office building with a new sleep lab, nuclear medicine lab, physical therapy center and a relocated wellness center. An 8,500 square foot two-story addition expands the emergency department. A 2,000 square foot atrium was added to the existing facility. A 43-foot tall iconic masonry tower is located between the new medical office building and the emergency department expansion and helps patients locate the main entrance. The hospital added 3 covered drop-off canopies at the new facility and one covered drop-off canopy at the existing facility. Renovation in the existing facility includes the addition of a MRI room and a PET/CT scan room as well as additional medical equipment that is suspended from the ceiling. The medical office building was redesigned with a ground floor reinforced concrete two-way slab on deep foundations after the initial earth work encountered large pockets of highly compressible organic material. The design team worked with the owner, contractor and fabricator in providing cost estimates and near-daily design releases for a two week period so that the construction continued without lost time on the schedule.