Medical Center Emergency Department Expansion

Methodist Charlton Medical Center has one of the busiest emergency departments in Dallas-Fort Worth. This expansion nearly doubles the size of their current space while increasing the number of beds.

Salas O’Brien provided services for structural design and construction administration, including accurate BIM modeling in Revit to coordinate with the design team and support the accelerated construction schedule. The foundation for the building includes drilled piers, and the superstructure is a cast-in-place concrete pan joist system—large steel-framed canopies for pedestrian and ambulance drop-off feature thin profiles and dramatic cantilevers. The building also includes below-grade parking and a new central utility plant.

Our forward-thinking structural design for this expansion prepares Methodist Charlton Medical Center to address patient needs today and flex to accommodate future growth.



Completion Year



121,500 square feet

Construction Cost

$71 million

Project Partners

Guide Architecture