A “topping out” ceremony was hosted on Tuesday for the expansion project at Chester County Hospital. The event marks the completion of steel work for the largest expansion in the hospital’s 125-year history.

A topping out ceremony is one of the oldest customs in the construction industry. It is celebrated when the last beam is placed at the top of a new building and traditionally involves placing an evergreen tree and U.S. flag on top of the structure, along with the final piece of steel. Chester County Hospital’s final beam was signed by hundreds of employees, leadership, and tradesmen.

Ballinger provided architecture and interior design services for the building, which, when completed, will feature a new main entry, procedural platform, emergency department, parking garage, green roof, and bed tower. The 250,000 SF expansion is scheduled for completion in 2019.­