Adolfson & Peterson Construction (AP), a national, family-owned construction management and contracting company, recently started construction on an expansion of the Emergency Room (ER) at Methodist Landmark Hospital in northwest San Antonio.
Located at 5510 Presidio Pkwy., the project involves expanding the current ER by 1,850 square feet and adding six additional patient beds. This enlargement will allow the hospital to better serve its increasing volume of emergency cases, improve patient flow, alleviate overcrowding and enhance the overall quality of care. The $2.3 million project kicked off in April 2025, with an estimated completion scheduled for September 2026.
The entire project scope encompasses 3,500 square feet which includes both interior structural improvements and the installation of advanced medical equipment to support higher patient capacity. Construction efforts will focus on enlarging the ER’s footprint, repurposing underutilized spaces and upgrading critical infrastructure, including plumbing, electrical and HVAC systems.
“Partnering with Methodist Landmark Hospital on its emergency room expansion is an opportunity to directly support the hospital’s mission of delivering exceptional care,” said Taylor Starr, Senior Project Manager at Adolfson & Peterson Construction. “This project is about more than increasing square footage. It’s about enhancing the hospital’s ability to serve the community with timely, high-quality care. By expanding capacity and upgrading critical infrastructure, we’re helping create a space to meet growing patient needs.”
LK Design Group is serving as the architect.
AP has a long history of building healthcare projects throughout Texas. AP is currently constructing the Heritage Oaks Medical Office in Marble Falls, as well as the Cross Creek Behavioral Health Hospital in Austin. Previously, AP built rehabilitation hospitals for Reunion Rehab in Arlington and Plano, as well as Phoenix and Peoria, Arizona, and Inverness, Colorado, along with the Rio Vista Behavioral Health Hospital in El Paso.
Marking 25 years of operations in the Gulf States region, AP Gulf States continues to expand its footprint across Texas with several notable projects. AP’s Central Texas office recently broke ground on two Austin ISD high schools as well as completed Round Rock’s Sunrise Commerce Center. In the Dallas-Fort Worth area, AP is working on the new KDFW studio and office facility, along with the recently completed Mid Cities Logistics industrial facility in Fort Worth and the Santander Tower adaptive reuse project in downtown Dallas. Other notable completed projects include the PGA of America headquarters in Frisco, Vari’s global headquarters, with VariSpace Coppell and Buildings 17 and 18 at Billingsley Company’s International Business Park in Plano.
About Adolfson & Peterson Construction
Adolfson & Peterson Construction (AP) is a leading national construction management firm consistently ranked as a Top 100 Contractor by Engineering News Record (ENR). For more than 75 years (nationally) and 25 years in the Gulf States region, AP has remained a trusted family-owned business known for quality, reliability and strong partner relationships while maintaining a solid safety record. The company offers preconstruction, construction and contracting services to the commercial, education, healthcare, hospitality, industrial, mission critical, multifamily, municipal, recreation and senior living market segments. It currently employs more than 600 team members and thousands of trade partners in Arizona, Colorado, Minnesota, North Dakota, Texas and Wyoming. Find more information at www.a-p.com. AP is committed to creating a diverse, equitable and inclusive workplace and is an Affirmative Action/Equal Opportunity Employer.
