Musculoskeletal Institute Headquarters - Atrium Health

Charlotte, NC


  • Assignment: Construction Manager
  • Architect: Little
  • Mechanical Engineer: Specialized Engineering Solutions
  • Structural Engineer: Little


This project involves a ~120,000 sf renovation and a 5,500 sf two-story expansion. Key components include the installation of four new modular operating rooms, a full-scale renovation of perioperative pre-op, PACU, support spaces, and the sterile processing department. The scope extends beyond clinical areas, covering administrative, research, and non-clinical renovations, as well as numerous infrastructure updates to the 90-year-old facility.


  • The project incorporated Integrated Project Delivery concepts including Target Value Design to drive the schedule.
  • There were approximately 26 renovation phases over the course of the project. Special care was taken to ensure hospital operations were not impacted.

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