The five-story, 99,000-square-foot expansion and renovation of St. Luke’s existing Allentown Hospital included new Labor-Delivery-Recovery (LDR) rooms, C-Section Suites, Postpartum, Neonatal Intensive Care Unit (NICU) and other treatment spaces, enabling St. Luke's to double deliveries from 1,450 to 2,200 births per year and upgrade their NICU from Level 2 to Level 3. The project addressed space limitations, adjacency concerns and circulation inefficiencies, leading to the addition of dedicated OB elevators and improved Emergency Department access. RVE staff prepared land development plans for constructing a new Emergency Department entrance vestibule with a new driveway pickup/drop-off area, including site and grading design, stormwater conveyance design and coordination for a new retaining wall. RVE also prepared full land development plans for the Women and Babies Pavilion, which included removing part of the east entrance wing to construct a five-story building. This required reconfiguring parking areas and driveways, zoning and land development code research, site layout, grading, utility coordination, full sewage planning and stormwater design. Additionally, RVE prepared lighting plans for the reconfigured parking lot and coordinated PennDOT permitting of pedestrian and traffic improvements along the main street fronting the hospital.