Adolfson & Peterson Construction (AP), a national, family-owned construction management and contracting company, recently completed the expansion of the Emergency Room (ER) at northwest San Antonio’s Methodist Landmark Hospital.
“Expanding the Methodist Landmark Hospital emergency department aligns with our commitment to delivering high-quality healthcare spaces,” said Taylor Starr, Senior Project Manager at AP. “This project enhances the hospital’s ability to respond to a growing community while creating a more efficient, supportive environment for patients and clinical teams.”
AP broke ground on the project in April 2025. Designed by LK Design Group, the expansion adds 1,850 square feet to the existing ER, creating space for six additional patient beds, restrooms and secure holding to support the hospital’s increased demand for emergency care.
Located at 5510 Presidio Parkway, the expanded ER will help Methodist Landmark Hospital manage higher patient volumes, improve flow and reduce overcrowding, enhancing the experience for patients and staff. The $2.3 million project underscores AP’s continued investment in strengthening Texas’ healthcare infrastructure.
Altogether, AP delivered improvements across 3,500 square feet, including interior structural upgrades and the installation of advanced medical equipment to increase patient capacity. Construction efforts focused on expanding the ER footprint, repurposing underutilized space and upgrading essential systems such as plumbing, electrical and HVAC.
AP brings decades of healthcare construction experience across Texas, including current work on the Heritage Oaks Medical Office in Marble Falls, the Cross Creek Behavioral Health Hospital in Austin and the Cook Children’s clinic in Arlington. Completed projects include multiple Reunion Rehabilitation facilities across the country, including Arlington and Plano, Texas, Phoenix and Peoria, Arizona, and Inverness, Colorado, as well as El Paso’s Rio Vista Behavioral Health Hospital.
Marking 25 years of operations in Texas, AP 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, as well as phase two of 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 Texas market, 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.
