Operating at full capacity in one of the fastest-growing population centers in the United States, the Medical Center of Plano and owner HCA realized the need for a major expansion and renovation to the existing facility. When the original facility was built in 1974, it stood in an undeveloped field of a small suburb north of Dallas. Over the last 25+ years, an ever-growing community has engulfed the facility, and today more than 140,000 patients visit the hospital annually.

This project, HCA's largest addition/renovation project to date, included the addition of two floors to the bed tower, a major surgery expansion, a temperature-controlled pedestrian walkway, added parking and an extensive cosmetic upgrade. The design incorporates 89,300 square feet of new construction and 160,000 square feet of renovation, involving every major department in the facility.

Before project drawings began, the team created a facility master plan, which was instrumental in the success of project phasing and in meeting the hospital's operational goals. New construction was scheduled concurrently with the first phases of renovation to allow services to remain in operation over the duration of the project. Temporary walls, HVAC, medical gas, water and electricity were incorporated into phasing documents to ensure continual operation. Nearly every department of the hospital was included in the multiphased project: outpatient services unit, patient rooms, surgery department, critical care unit, pediatric department, heart center, emergency department, radiology, outpatient imaging center, NICU and endoscopy center.

Two new floors to the patient tower added approximately 80 beds. In the northeastern corner of the facility, a significant surgery expansion added 10 operating rooms, tripled the size of the surgery department and created an outpatient orientation. The growth of the facility increased the space and opportunity for physicians wishing to practice there and helped to boost the image of the facility. The large arched-roof component, giant scaled pilasters and pedestrian bridge, which can be seen for several miles, create a soaring visual landmark for healthcare on the Plano horizon


Interior upgrades reflected the hospital's desire to provide both a healing environment for patients and a functional space for staff. An atmosphere of warmth and confidence was created through soft contemporary designs, integrating warm colors and time-tested materials. Nurse stations were planned to enhance patient and visitor interaction and to allow for the latest in technology; nurse substations were added to allow for faster response times


Special attention was paid to the patient environment in the pediatrics wing, where bright colors and a playful mural provide a positive, energetic healing atmosphere for children. Additionally, the design of the NICU reflects the hospital's desire to provide family-centered care, incorporating more space for parent involvement and developmental care.

Overall, the design and material choices create a comfortable environment for patients while also meeting the durability needs of the facility for years to come


PROJECT CATEGORY New Construction and Remodel/Renovation (completed March 2002)

CHIEF ADMINISTRATOR Harvey Fishero, CEO, (972) 519-1101

FIRM Perkins & Will CRA, (214) 775-6200

DESIGN TEAM Tom Reisenbichler, AIA, Principal; Steve Milner, AIA, Principal; John Nap, Project Coordinator (CRA Architects); Brian Freeman, Project Manager (Beers Construction, Contractor); Mark Peterman, Principal (L.A. Fuess Partners, Structural Engineer); Jeff Black, MEP Engineer (ccrd partners)



TOTAL BUILDING AREA (SQ. FT.) 249,300 (89,300 new; 160,000 renovation)


TOTAL COST (EXCLUDING LAND) $46,000,000 construction cost; $96,000,000 including equipment