Pyramid Construction Services, LLC served as the Construction Manager at-Risk for comprehensive third-floor renovations at Penn State Hershey Medical Center’s main hospital and south addition buildings. This commercial construction project enhanced clinical efficiency, improved patient experience, and upgraded key support spaces across the facility.
In the main hospital, the renovation introduced centralized care team workstations on each wing, streamlining nursing workflows and positioning staff closer to patient activity. The south addition now features 30 state-of-the-art private patient rooms supported by essential nursing and ancillary services. The project also incorporated existing specialty spaces, including a Care Coordination room, Physical Therapy gym, offices for therapy teams, the orthopedic resident program, the transplant coordinator, and the Telehealth Monitoring Program hub.
CHALLENGES ACCEPTED
This complex healthcare construction project required careful planning and precise project management due to its location—situated above the main OR Suite and Surgical IMC unit and directly below the Neurosciences Acute Care and ICU floors. To minimize disruption to patients and hospital operations, the team executed the work in five strategic phases, maintaining full operational capacity throughout construction.
Renovation challenges included addressing restrictive floor-to-floor heights, navigating existing structural columns and asbestos abatement, and replacing the original induction-unit HVAC system. Pyramid Construction Services also completed critical corrective work on domestic water, medical gas, and vertical exhaust ductwork risers.
The completed third floor supports Penn State Hershey Medical Center’s continued commitment to patient- and family-centered care, delivering a modern, efficient environment designed to enhance clinical operations and elevate the overall care experience.

AWARD-WINNING
This project was awarded regional and national honors for excellence in construction – a recognition of the innovative and high-quality construction performed on this project. Awards are listed below:
ABC Keystone Excellence in Construction Awards:
Excellence Award
Project of the Year
ABC National Excellence in Construction Awards:
Eagle Award




















































