Officials turning over symbolic first shovelsful of earth in Cambridge, from right, are Tri Valley Health Systems board members Reg Warner, Cathy Kubik, Troy Westadt, Patrick Horwart, Randy Heitmann, Dr. Shelly Kaspar-Cope (representing the medical staff), Bill Minnick, Clark Andrews, Mary Kay Sexton and CEO Roger W. Steinkruger. At left, Steinkruger chats with State Sen. Mark Christensen, one of the speakers at Sunday's event, which was attended by about 250 people. Replacing the current 50-year-old structure, the new hospital, depicted in a computerized image right, will provide space for new and expanded outpatient services, allow relocation of the physical therapy department, Cambridge Medical Clinic and current Downtown Center offices to the new building, help improve OB services and develop a common nursing station for centralized management of acute, emergency and OB services. "We will also be expanding the surgery department, the medical laboratory, imaging and cardiopulmonary departments. The overall design will enhance patient privacy and provide expansion opportunities to accommodate future growth," Steinkruger added. The facility is expected to be completed a year from now.