FTMC assembled a collaborative team that would define and implement a multi-phase facility Master Plan. Bostwick Design Partnership was selected as the architect, and continues to collaborate with American Health Facilities Development (the Project Manager), and Robins & Morton (Construction Manager) on the current, and 7th phase of development. Phase 1 was a 4-story 100,000 SF inpatient bed tower addition including ICU, ASU, and OB units and support spaces. Phase 1 success reinforced the benefits of a collaborative approach, and the continuous flow of design and construction work cemented a partnership between the Owner, Architect, and CM that now includes Design Assist trades. Each subsequent phase of work added complexity, stepping farther into the campus infrastructure. Phased improvements included a physical therapy wing, a heart and vascular center, a cancer care center, and administrative support spaces. Recently the team took on adding a new emergency department in order to expand and rebuild a comprehensive, state of the art imaging and surgery suite in place, requiring seven phases of construction within existing operational departments.