Poplar Bluff Regional Medical Center is a 250-bed, 450,000 square foot acute-care hospital located in Poplar Bluff, Missouri. The structure is a seven-story plus partial basement structural steel frame. The project is classified to be high seismic; therefore, Buckling-Restrained Braced Frames (BRBF) are used as the primary lateral load resisting system in the tower structure. Rammed Aggregate piers are used to reinforce the existing soils to allow the building to be supported on a conventional spread footing foundation system. The project is designed to accommodate a future 46,000 square foot, three level vertical addition. This project was modeled in BIM.