Hoke Community Hospital, Cape Fear Valley Health System

Leach Wallace provided professional engineering services for the design and construction of a new, 127,000 SF, 41 bed, Hoke Hospital to the Hoke Community Medical Center campus located in Raeford, NC. The new facility joined the newly completed outpatient, medical office, and central utility buildings on the campus. The full service hospital consists of the following departments: Emergency, Imaging, Laboratory, Medical Records, Dietary (kitchen and dining), Environmental Services, BioMed, Materials Management, Morgue, Pharmacy, Intensive Care, Surgery, Central Sterile Processing, Maternity, and Medical/Surgical, Inpatient Rooms. Additionally, future vertical expansion of two additional floors above the second floor Medical/Surgical Unit has been incorporated into the design.

The mechanical / electrical infrastructure consisted of five custom rooftop air handling units, domestic hot water plant, heat pump chiller, medical gas equipment, domestic water booster pump, kitchen air, seven automatic transfer switches, emergency and equipment branch distribution switchboards, incoming normal power switchgear with manual main-tie-main set-up.

The expansion added three 3000 MBH output hot water boilers, two 600 ton chillers to the plant, and two 600 ton cooling towers. A 10,000 gallon fuel oil tank was added to the system. The existing generator plant was expanded to include two 1000KW generators. Additional distribution and generator input sections were added to existing paralleling switchgear.

This project also included various fit-ups and modifications to the existing buildings on campus. The outpatient building was converted to a more clinical building, fit-up with a Cardiopulmonary Department, and renovated to join and expand the Emergency Department of the new hospital building. The medical office building was fit-up with a Timeshare Suite. A new data center was designed/constructed in the second floor central energy plant. New MEP systems were provided, and existing systems were expanded within the central energy plant to serve the new hospital.

Project Features

  • 41 Bed Hospital
  • Three 3000 MBH Output Hot Water Boilers
  • Two 600 ton Chillers
  • Two 600 ton Cooling Towers
  • Two 1000 KW Generators


  • 127,000 SF