The 350,000 sq ft major expansion program to Stony Brook University Medical Center’s 2 million sq ft campus focuses on five major areas of care: neonatal intensive care unit (NICU), maternity, imaging, surgical services, and emergency. In addition, a striking new entrance and lobby breathes new life into the facility, improving wayfinding, circulation, and overall efficiency by providing access to all major clinical areas, multiple elevators and better connectivity to parking. In combination with modifications to campus circulation, this 'gateway' improves the arrival experience establishing a striking and distinctive image for the hospital.