The new 10-storey clinical building was designed to house a wide range of medical services, including three levels of parking, a retail space, and dedicated clinical, surgical, office, and laboratory areas. The facility accommodates specialized departments such as pediatrics, obstetrics, gynecology, general medicine, and multiple surgical specialties, along with ancillary services including ophthalmic lasers, colposcopy, and radiology. Thoughtful planning was essential to ensure seamless adjacencies for efficient transport of vaccines, medical gases, and other critical resources. The building also met the unique needs of 75 physicians, each requiring specific equipment and room configurations. 

Transitioning operations into the new facility was a carefully phased process, with Manitoba Clinic maintaining full functionality throughout the move. Patients continued to receive care as departments were relocated one floor at a time over six weeks. To meet physicians' evolving needs, PCL coordinated design adjustments, including reconfiguring exam rooms, modifying power and data layouts, and ensuring that medical instruments were properly installed with reinforced wall backing. 

One of the key challenges in the project was integrating the new structure with the existing precast parkade. The modification required removing structural panels that supported the precast double-T floor girders while maintaining full operation of the parking facility. PCL engineered a solution that utilized HSS steel posts and steel transfer beams with adjustable jacks to redistribute the load between floors. This approach allowed the safe removal of corbels and panels while maintaining structural integrity.

Traditional reshoring methods were not viable due to misalignment issues in the precast double-T girders and uncertainties about the soil’s bearing capacity. Instead, PCL devised a method to transfer the load of two floors onto HSS steel posts and steel transfer beams. This solution effectively distributed the weight and prevented overloading structural components. The existing foundation system, which included pile-supported wall panels, played a crucial role in safely collecting and transferring loads.

Situated in Winnipeg’s dense core and surrounded by Health Sciences Centre buildings, the site required extensive coordination to ensure uninterrupted access for the 1,200 daily patients visiting Manitoba Clinic. A full-time traffic control team managed vehicle and pedestrian flow, ensuring safety during all construction phases, including tower crane installation and removal.

The clinic's specialized services, such as x-ray and day surgery, required meticulous adherence to health regulations. X-ray labs were constructed with lead-lined walls to meet radiation safety standards, and day surgery areas featured independent ventilation, humidification, and sterilization equipment, including autoclaves requiring dedicated water sources. Over the 24-month construction period, strict planning and safety measures ensured zero incidents affecting public or patient safety, allowing uninterrupted healthcare services while the facility was transformed.