OrthoNebraska partnered with Castle Omaha to deliver underground utilities and infrastructure services for a 28,000-sf addition to the existing OrthoNebraska Elkhorn Surgery Center, enhancing access to premium orthopedic and musculoskeletal specialists throughout the greater Omaha area.

The addition allows the facility to scale its patient capacity and services, while introducing upgrades to the original building, including the installation of a new MRI machine. To accommodate the new technology, our crew provided site logistics and subgrade preparation, modifying the existing structure for the MRI machine’s mechanical pads. Castle’s scope also included stormwater pollution prevention plan (SWPPP) development, site demolition, structural excavation for under-slab plumbing, and site utilities for storm sewer, sanitary sewer, as well as site domestic and fire water service lines.

Conflicts between new utility installations and preexisting site utilities, including pipe size changes throughout a total of 1,000 lf of domestic, fire, storm, and temporary sewer service lines, required the project team to implement alternative approaches, such as hydro excavation, to traditional processes. These preventative measures reduced the risk of accidental damage to existing utilities and supported efficient design-alteration. Strategic planning also enabled Castle to perform its scope without disrupting Elkhorn Surgery Center’s daily operations, maintaining the well-being of healthcare personnel, patients and the quality of treatment.