This project consisted of a new 52,000 square foot, three-story medical office building in the mountains of Highlands, NC. The completed facility houses physician’s offices, wellness and fitness programs, and various outpatient procedures serving several thousands of patients/visitors each year. Inclement weather including ice, snow and tornadoes hindered the construction process as well as the crews’ access to jobsite over the course of several months. Project team members chose to accelerate the project’s work schedule and install the roof prior to spring rains so we could continue on the interior of the building regardless of external weather conditions. This “fast track” approach was done in a safe manner and the project was delivered to the owner on schedule and within budget with minimal disruption to the on-going adjacent hospital operations.