Preston Pipelines completed underground utility installation, including storm drain, sanitary sewer, domestic water, and fire water, to support the expansion of this regional medical center. The 52,800-square-foot project added a new state-of-the-art emergency room and radiology facility, along with upgrades to existing spaces. Maintaining continuous hospital operations was a key consideration throughout the phased construction. The expanded facility offers modern, efficient emergency and trauma care for the Sacramento region.