In the summer of 2017, CME stood at the foundation of what would become the newest 740,000 square foot New York-Presbyterian facility, the David H. Koch Center for Ambulatory Care. The facility would be home to twelve operating suites, six interventional radiology procedure rooms, and eleven endoscopic rooms. With such size and complexity, this project was just the type the CME team has come to enjoy. Of course, as Cindy Juhas recently explained to Healthcare Business Today, this type of project carries several logistical challenges.