Olney Hamilton Replacement Hospital

The Olney Hamilton Replacement Hospital is a 40,000 sq ft new construction project located at 901 West Hamilton in Olney, Young County. This greenfield facility is being built on an undeveloped lot directly across the street from the existing hospital campus. The Texas Department of Licensing and Regulation (TDLR) registered the project in May 2025, with plan review completed in the same month. The filing lists the owner as the Olney-Hamilton Hospital District and the design firm as Guide Architecture, LLC.

The scope of work includes comprehensive outpatient and inpatient services, emergency care, imaging, and surgery departments. The estimated cost for this replacement facility is $28,000,000, resulting in a cost per square foot of $700. This figure is above the county median of $310 for new construction projects in Young County. The scheduled build window is 487 days, which is longer than the county median of 301 days for similar filings.

Project Status and Context

Construction was scheduled to finish in August 2026 according to the initial 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 project involves public funds and public land. Sharlynn L Keys is the registered accessibility specialist of record. The surrounding area includes existing businesses such as Olney Family Clinic, Mark's Motors, and a Subway location. Census estimates for the 76374 ZIP code indicate a population of about 3,915 and a median household income of $41,869.

The Olney-Hamilton Hospital District is the owner of record for this development. The project represents a significant infrastructure investment for the region, with a cost in the top quarter of new construction filings in Young County over the last 24 months. The design firm, Guide Architecture, LLC, is responsible for the architectural plans. The registered accessibility specialist ensures compliance with state standards. The facility is intended to replace the current hospital, providing modernized medical services to the community.

The construction timeline began in May 2025. The estimated cost of $28,000,000 reflects the comprehensive nature of the new building. The 40,000 sq ft size is substantially larger than the county median of 4,472 sq ft for new construction. The project is situated in a commercial area with nearby educational and retail establishments. The TDLR registration confirms the project's compliance with state building and accessibility codes. The final inspection status remains pending in the public record.