Methodist Hospital Metropolitan in San Antonio Kicks Off Massive Expansion with to Additional Beds and Expanded Cardiac Services
As San Antonio continues to grow, so does the demand for hospital services that can keep pace with the city’s expanding population. A planned $80 million expansion at Methodist Hospital Metropolitan in downtown San Antonio aims to help meet that need by increasing patient capacity and strengthening specialized cardiac care.
According to recently filed project details, the expansion at Methodist Hospital Metropolitan, located at 1310 McCullough Avenue in Bexar County, will include a two-story vertical addition and interior renovations totaling approximately 97,000 square feet. Construction is expected to begin September 1, 2026, with completion targeted for March 1, 2027.
The project reflects an ongoing effort by Methodist Healthcare System to adapt its facilities as patient volumes grow across San Antonio and the surrounding region.
Expanding Capacity in the Heart of Downtown San Antonio
The planned addition will focus on expanding bed capacity and cardiac catheterization (cath) services, two areas that hospitals nationwide are increasingly investing in as communities age and demand for cardiovascular care rises.
Located near downtown San Antonio, Methodist Hospital Metropolitan serves residents across the urban core as well as patients referred from across South Texas. The hospital is known for a range of services including cardiac care, robotic surgery, bariatric programs, emergency medicine, and women’s health services.
Metropolitan’s Women’s Pavilion, a modern birthing center on campus, welcomes nearly 4,000 newborns each year, making the facility an important destination for families across the region.
The upcoming construction will add two floors to an existing structure on campus, allowing the hospital to accommodate additional patients while modernizing interior care spaces.
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Part of a Larger Investment in Healthcare Access
The project builds on a larger $200 million renovation and expansion initiative announced last year at Methodist Hospital Metropolitan. That effort includes adding 42 medical/surgical beds, 16 ICU beds, three operating rooms—including a hybrid operating room—and a new parking garage designed to improve patient and visitor access.
Hospital leaders said the earlier expansion was driven by population growth and the increasing need for advanced medical services across San Antonio.
At the groundbreaking ceremony for that project, Greg Seiler, CEO of Methodist Hospital Metropolitan, emphasized the community-focused motivation behind the investment.
“As our city has grown, so has the need for exceptional healthcare,” Seiler said. “We’ve responded with expansions, innovations, and investments in technology and services. And today, we take another bold step forward.”
Local leaders, including Texas State Senator José Menéndez and Bexar County Precinct 4 Commissioner Tommy Calvert, also highlighted the economic and healthcare impact of continued hospital investment in the downtown area.
Methodist Healthcare’s Role in South Texas
Methodist Hospital Metropolitan operates as part of the Methodist Healthcare System, one of the region’s largest healthcare providers. Since opening its first hospital in 1963, the system has grown into a network of hospitals and specialty centers serving San Antonio and 26 surrounding counties.
Today, Methodist Healthcare employs more than 8,000 people, making it the second-largest private employer in the San Antonio area. The system provides care to tens of thousands of patients each year through inpatient and outpatient services, and it has developed nationally recognized programs in areas such as cardiac care, transplant services, neurosurgery, cancer treatment, and maternal health.
Its flagship facility, Methodist Hospital in the South Texas Medical Center, was the first hospital built in the region’s medical district and remains one of San Antonio’s most preferred hospitals for specialties including obstetrics, neurosurgery, robotic surgery, and heart care.
Across the system, hospitals collectively deliver nearly 10,000 babies each year and perform thousands of complex procedures ranging from neurosurgery to organ transplants.
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National Recognition for Clinical Outcomes
The healthcare system’s investment in facilities and services comes as it continues to receive national recognition for clinical outcomes.
In 2026, Methodist Hospital was named one of Healthgrades’ America’s 100 Best Hospitals, placing it among the top 2% of hospitals nationwide for overall clinical performance. The hospital has also been ranked among Healthgrades’ America’s 250 Best Hospitals for five consecutive years from 2022 through 2026.
The Healthgrades evaluation is based on risk-adjusted mortality and complication rates across more than 30 common conditions and procedures, analyzing performance data from approximately 4,500 hospitals across the United States.
Additional recognitions include:
- One of Healthgrades America’s 100 Best Hospitals for Cardiac Care in 2026
- Top 10% in the nation for pulmonary services, vascular surgery, GI services, and surgical care
- One of America’s 100 Best Hospitals for Critical Care for five consecutive years
Data from several hospitals in the Methodist Healthcare network—including Methodist Hospital Metropolitan, Methodist Children’s Hospital, Methodist Hospital Northeast, Methodist Hospital Texsan, and Methodist Specialty and Transplant Hospital—contributed to the designation.
What the Expansion Could Mean for San Antonio Residents
For patients and families in San Antonio, expansions like the one planned at Methodist Hospital Metropolitan often translate to shorter wait times, greater access to specialized care, and the ability to treat more patients locally.
As the city’s population grows and healthcare demand increases, hospital infrastructure projects—such as new patient beds, operating rooms, and cardiac treatment facilities—play a key role in ensuring that medical services keep pace with community needs.
The upcoming vertical expansion represents another step in the ongoing evolution of the Methodist Hospital Metropolitan campus and the broader Methodist Healthcare System’s role in serving South Texas.
Residents can expect construction activity to begin in late 2026 as the project moves forward.
For updates on healthcare developments and community infrastructure projects across San Antonio and South Texas, stay connected with My Neighborhood News.
Tiffany Krenek has been on the My Neighborhood News team since August 2021. She is passionate about curating and sharing content that enriches the lives of our readers in a personal, meaningful way. A loving mother and wife, Tiffany and her family live in the West Houston/Cypress region.