East Cooper Medical Center is a 140-bed, 250,000 square foot acute-care hospital located in Mt. Pleasant, South Carolina. The structure is a five-story structural steel frame. The project is located near the coast and was designed for hurricane force winds. In addition, the project is classified to be high seismic; therefore, Special Steel Moment Frames utilizing the Reduced Beam Section connections are used as the primary lateral load resisting system. The site has a potential for liquefaction during a seismic event, therefore Aggregate Piers installed using the Vibro Replacement technique were used to mitigate the liquefaction potential. The project is designed to accommodate a future horizontal expansion to grow the bed count to over 200 beds.