Patient Tower and Ancillary Services Expansion in San Antonio, TX

The Patient Tower and Ancillary Services Expansion at 1139 Sonterra Blvd. in San Antonio is a major construction project for Methodist Hospital Stone Oak. The filing details a horizontal and vertical expansion intended to add 73,707 sq ft of new construction and 10,078 sq ft of renovation. This work will create additional ancillary services space, a new medical/surgical patient unit, and a new ICU unit. The total project size is 83,785 sq ft with an estimated cost of $65,500,000.

Methodist Hospital Stone Oak is the owner of record for this development in the Stone Oak area of Bexar County. The design firm of record is Earl Swensson Associates, Inc. The project is privately funded on private land for private use. The registered accessibility specialist for the filing is Christopher David Fielden.

TDLR completed the plan review in March 2025. Construction was scheduled to begin in June 2025 with a completion date listed as June 2026 on the filing. However, TDLR has not yet recorded a final inspection, so the current state of the site is not confirmed in the public record. The status is listed as Review Complete, but the lack of a final inspection means the physical completion of the work is not verified in the public accessibility records.

Context and Comparisons

This project is significantly larger than typical additions in the region. Among 1,051 TDLR-registered additions to existing buildings in Bexar County, the median estimated cost is $475,000 and the median size is 3,870 sq ft. This project's cost is above the county median for its type, placing it in the top quarter of filings. The scheduled build window of 365 days is longer than the county median of 184 days. The cost per square foot is $782, which is above the county median of $166 per square foot.

Methodist Hospital Stone Oak has six other TDLR-registered projects totaling $7,680,000, all located in San Antonio and marked as closed. Earl Swensson Associates, Inc. has worked on six other projects totaling $54,326,495, including facilities in Georgetown, Austin, Frisco, and Spring. Local permit records at this address show 24 permits issued between January 2025 and October 2026, including plumbing, electrical, and site work permits. The most recent permit on file involves site work for a new detention pond.