The new central utility plant (CUP) houses cutting-edge technology that is cleaner, more efficient, and more reliable, providing essential utilities such as steam, chilled water, and electricity to 1.8 million square feet of critical hospital space. These utilities are distributed through over 1,000 linear feet of underground utility tunnels. Situated in an urban environment adjacent to sensitive areas like surgical suites, the project demanded precise coordination to avoid disruption to hospital operations and the surrounding community.