New York City Health+Hospitals



25,000 SF


$15,000 (Est.)




MEP/FP Design of

Ambulatory Care Area


Perkins Eastman Architects

Following damage to building from Super Hurricane Sandy, New York City Health + Hospitals built a new replacement Coney Island Hospital building, moved the Emergency Department into the new building, and sought to convert the former 1st Floor Emergency Department space into Ambulatory Care.

The project was a gut renovation of the vacated 25,000 sf space for primary care and other ambulatory specialties, including Orthopedics, Podiatry, and Geriatrics, HIV Services, Diabetes, Primary Care, as well as Imaging and cardiology spaces. The new program required several infectious isolation and negative pressure exam rooms located throughout the space.

The project began with a Feasibility Study phase. The building systems serving the ED area were remnants from prior 1982 and 2009 renovation projects. In 2009, a new single-story addition was added on the east side of the building, and therefore 50% of the ED floor is a single-story structure with the roof directly above. The mechanical infrastructure dating back to the 1982 renovation, including 3 air handling units, AC-1, AC-2 and AC-3, corresponding return fans, hot water heat exchangers and pumps, all located in second floor mechanical equipment rooms was all replaced as part of the project. Of the equipment installed in 2009, the two 100-ton chillers installed were to be replaced or overhauled; and a roof top AC unit and chilled water distribution pumps and piping were maintained to serve the new facility.

Two new air handling units replaced existing units in the same MER and a third unit was installed on the roof. The new heating equipment will be installed in place of existing in the same location.  The new facility will be served by the existing electrical distribution system and the emergency generator and emergency power system to support the emergency loads. The electrical system will be modified to support new medical equipment and new mechanical infrastructure. The plumbing and fire protection system will be overhauled and the sprinkler coverage expanded to cover the entire Ambulatory Area, The new Ambulatory Care will be provided with state of the art BMS system tied in into the Central BMS.