M.D. Anderson required substantial HVAC infrastructure upgrades following the 12-story, 550,000 square-foot addition to the existing Alkek Building.

Cobb provided extensive preconstruction planning and BIM modeling to mitigate impacts to the occupied cancer hospital during construction. Along with solving multiple logistical challenges, an innovative dust and smoke control strategy was implemented by the team and coordinated with hospital staff to ensure the hundreds of utility shutdowns did not affect patient care.