The University of Kansas Hospital now has one of few Level III nurseries in the Kansas City area, providing comprehensive neonatal care in one location. We handled mechanical, electrical and plumbing (MEP) engineering design for the renovation of 28 patient rooms, a nurses' area, an isolation room and four rooms for the care of neonate twins. A 17,123-square-foot patient area was rebuilt, with the center core nursing support areas featuring nurse stations, equipment storage, workrooms and a new main reception area to increase patient care and response times. Our team implemented a sophisticated MEP design, taking great care to address the complex concerns of the physicians, nurses, support staff and maintenance personnel during construction. All ductwork serving the area was upgraded while maintaining service to other areas. New electrical distribution equipment was installed to meet the needs of the expanded NICU and to replace existing equipment that had reached its useful lifetime. All new medical gas piping was designed for service to each patient room and connected to the existing system serving the hospital.