A new hospital tower will serve women and children exclusively in the expanding San Antonio market

Last week, Bexar County in Texas broke ground for the construction of The Women’s and Children’s Hospital at University Hospital, a freestanding 12-story 600,000-sf tower that will include two separate emergency rooms, 300 beds, and a neonatal intensive care unit. The facility, which is scheduled for completion in late 2022, will open with a 900-space parking garage attached to it.

This $500 million project—whose funding was approved in 2017 by the county, which owns University Health System in partnership with UT Health San Antonio—will serve women and children patients exclusively, making it the first of its kind in South Texas, and one of the few such hospitals in the country.

Currently, children occupy the seventh floor of University Hospital’s 1-million-sf Sky Tower extension (which opened in 2014), and the labor and delivery wing occupies the fourth floor of the Horizon Tower, which was built decades ago.

Originally, this project was planned as a smaller building costing $390 million. But its size and budget were broadened to address the growing population of San Antonio, which is located within this county. San Antonio, with more than 1.5 million people, is the seventh-largest city in the U.S., and one of its fastest growing. The San Antonio metro area, with nearly 2.2 million, makes it the 24^th-largest metro in the country.

The Women’s and Children’s Hospital will also serve as a medical school that partners with University Health System on research and educational initiatives.

ZGF, working with local architectural firm Marmon Mok, is programming and designing the new tower. Its construction and engineering partners include general contractors Joeris and JE Dunn, Broaddus & Associates (program management), Affiliated Engineers and Alderson & Associates (MEP), IES/Magnusson Klemencic (SE), and Pape Dawson/Gonzalez De La Garza (CE).

During the construction, the progress of the project can be viewed live via two webcams.

The new tower represents the next phase of the hospital system’s Capital Improvement Program, and as such is being funded without any tax rate increases, according to James Adams, chairman of the Bexar County Hospital District Board of Managers.

Rural hospitals present unique opportunities and challenges for healthcare facility operators. Oftentimes, the infrastructure and building systems have not been updated for years and require significant improvements in order to meet today’s modern medical demands. Additionally, as these smaller, more remote hospitals are acquired by larger regional and national healthcare systems, the first step by new ownership is often to update and rehabilitate the building. But how can this be done thoughtfully, economically, and efficiently in ways that allow the engineering and facility staff to adapt to the changes? And how can the updates accurately reflect the specific needs of rural communities and the afflictions with which these areas most commonly face?