University Health Community Hosptial - Palo Alto

University Health is constructing a 5-story community hospital at 11102 South Zarzamora Street in San Antonio, Texas. The TDLR filing, registered in February 2024, identifies the project as the University Health Community Hospital - Palo Alto. With an estimated cost of $600,000,000 and a total area of 589,743 square feet, this new construction represents a significant addition to the healthcare infrastructure in Bexar County.

The project is scheduled to finish in September 2026, with construction work commencing in March 2024. Plan review was completed in February 2024, and the TDLR status is marked as Review Complete. The registered accessibility specialist for this filing is Peter F Grojean. MarmonMok Architects serves as the design firm of record, overseeing the architectural aspects of this large-scale development.

Scale and Context

At $1,017 per square foot, the project’s cost per unit area is above the Bexar County median of $115 for new construction filings. The estimated total cost of $600,000,000 places the project in the top quarter of estimated costs among 8,291 comparable TDLR-registered new construction filings in the county. The scheduled build window of 914 days is longer than the county median of 207 days, reflecting the complexity of a multi-story hospital structure.

University Health has six other TDLR-registered projects in San Antonio, with combined estimated costs totaling $11,275,000. These include the Babcock Tower I, Babcock Building A, and two projects listed as University Health Hospital. MarmonMok Architects also has one other TDLR-registered project in Selma, Texas, with an estimated cost of $600,000,000, which is also marked as review complete.

In the surrounding area, other registered projects include the University Health Palo Alto Medical Office Building, which is undergoing renovation or alteration, and the Onsite Contracting Office Building, which is new construction. City of San Antonio permit records show 13 permits on file at this street address, issued between October 2025 and July 2026. These include electrical general permits, on-premise sign permits, and communication shell permits. The most recent permits are associated with Building No. 11102.

The area profile for ZIP code 78224, based on U.S. Census ACS 2023 five-year estimates, indicates a population of about 20,671 residents. The median household income is $57,965, and the median owner-occupied home value is $138,800. Housing in this ZIP code is an even mix of owner- and renter-occupied. The Bexar County unemployment rate was 4.8 percent in June 2026, higher than a year earlier.