IP and ER Expansion in Pearland, TX

HCA Houston Healthcare Pearland is expanding its Emergency Department and adding critical care capacity at 11100 Shadow Creek Pkwy in Pearland, Texas. The project, filed under the name IP and ER Expansion, involves additions to the existing building with an estimated cost of $51,100,000. The scope includes a new Emergency Department, renovations to the second floor to add two ICU beds, and vertical expansion to the third and fourth floors to add 42 Med/Surg beds. This work adds 50,485 sq ft to the facility, resulting in a calculated cost of $1,012 per square foot.

CHCA Pearland, L.P. is the owner of record for this privately funded project on private land. Barge Design Solutions, Inc. serves as the design firm, and Blair Baker is the registered accessibility specialist. The project is located in Brazoria County, specifically within a FEMA Special Flood Hazard Area (zone AE). TDLR plan review was completed in August 2026, and the status is marked as Review Complete. Construction is scheduled to start in February 2027 and is scheduled to finish in May 2028.

Project Scale and Comparison

This expansion is significantly larger than typical additions in the region. Among 152 TDLR-registered additions to existing buildings in Brazoria County, the median estimated cost is $487,500 and the median size is 6,916 sq ft. This project’s estimated cost is above the county median for its type, placing it in the top quarter of filings. Its scheduled build window of 455 days is longer than the county median of 184 days. The cost per square foot of $1,012 is also above the county median of $130 per square foot.

The facility is situated in ZIP code 77584, a community with a population of about 90,979 according to U.S. Census ACS 2023 five-year estimates. The median household income in this area is $116,373, and the median owner-occupied home value is $339,100. Housing in this ZIP code is predominantly owner-occupied, with 32,579 housing units. The local economic context includes a Brazoria County unemployment rate of 5.4 percent in July 2026, which is higher than a year earlier.

The expansion aims to increase patient capacity by adding 42 Med/Surg beds and two ICU beds, alongside the new Emergency Department. The vertical expansion to the third and fourth floors represents a major structural addition to the existing hospital footprint. The project is privately funded and intended for private use, distinct from public infrastructure projects. The registration with TDLR confirms the accessibility compliance review process has been completed .