HCA Houston Healthcare Kingwood Tower & SPD Expansion

HCA Houston Healthcare Kingwood is undertaking a major expansion at 22999 US Highway 59 in Kingwood, Texas. The project, filed as the HCA Houston Healthcare Kingwood Tower & SPD Expansion, involves a 5-story addition to the existing North Tower, renovation of the Central Sterile Department, a powerhouse addition, and two rooftop helipads. The total scope covers 91,376 square feet of new and renovated space.

With an estimated cost of $100,000,000, this development represents a significant investment in the local healthcare infrastructure. The project is privately funded on private land for private use. Gresham Smith serves as the design firm of record, while Gaila B Barnett is the registered accessibility specialist. The work is classified as additions to an existing building, a category where this project’s scale and cost exceed typical Montgomery County filings.

Timeline and Status

The project was registered with the Texas Department of Licensing and Regulation (TDLR) in March 2026. Plan review was completed in June 2026, and the official status is listed as Review Complete. Construction is scheduled to begin in September 2026, with the entire project scheduled to finish in July 2028. This 698-day build window is longer than the county median of 184 days for similar additions, reflecting the complexity of integrating new structures with an active medical facility.

The expansion adds substantial capacity to the Kingwood area, which is home to other registered projects such as the Townsen Humble Center and Kingwood Commons. The site is located in Montgomery County, a region with a diverse commercial landscape including nearby medical practices and lodging options. The project’s cost per square foot is $1,094, which is above the county median of $148 for comparable additions, underscoring the specialized nature of healthcare construction.

HCA Houston Healthcare Kingwood has previously completed three other TDLR-registered projects in the region, totaling $4,054,400. Gresham Smith, the design firm, has been involved in six other TDLR-registered projects across Texas, with a combined value of $46,153,750. This current project is one of the largest in the firm’s recent TDLR portfolio, highlighting its role in major healthcare developments.

The expansion is expected to enhance services at the Kingwood facility, which already includes a Pediatric Emergency Room. The addition of helipads and a new tower will likely improve patient access and operational efficiency. The project’s scale and cost place it in the top quarter of estimated costs for additions to existing buildings in Montgomery County, reflecting its significance in the local construction market.