IHC Layton Hospital campus offers a full state-of-the-art hospital and medical office building which support a large variety of services. Building enhancements include surgical rooms, emergency services, women and newborn care, special care nursery, surgical services, infusion therapy, rehabilitation, and physical therapy. The labor and delivery unit includes dedicated room for low-intervention birthing – complete with water laboring tubs. Substantial changes in program and scope meant the budget and schedule were moving targets during the design stage. However, this provided an opportunity for a fully integrated estimating process that included the owner and the design and construction teams. Value engineering provided alternatives that met performance requirements but also saved more than half a million dollars, which the team was able to return in savings to the owner. Due to SME expertise, ingenuity, and superior craftsmanship, this project was completed on time and under budget. LEED Silver accreditation. Awarded Best Project and Award of Merit, Safety, from Engineering News Record.