Located in Raleigh, North Carolina, WakeMed Health and Hospitals is a robust and diversified healthcare provider, serving the eastern portion of the state. WakeMed's flagship facility is a 685-bed tertiary care hospital that was in need of expanded inpatient bed capacity and a chiller generator plant. In order to support our MEP design in the new inpatient facility and to address increased utility demands across the campus, a significant reinvestment in infrastructure was required, resulting in the replacement of WakeMed's Chiller Generator Plant (CGP). Through careful analysis, scenario planning, and shutdown simulations we integrated the new emergency power and chilled water systems while phasing out the old plant on the opposite side of the 1.75-million-SF campus.