News
September 18, 2026

McCarthy Advances 505,000-Square-Foot Pediatric Hospital in St. Louis

Construction Owners Editorial Team

Highlights

  • McCarthy is delivering a 505,000-square-foot, 14-story pediatric hospital in St. Louis.
  • The concrete-framed project is being delivered through a McCarthy-led design-build team.
  • Site conditions include existing utilities, uneven bedrock and remnants of a former dairy facility.
  • McCarthy is self-performing civil and concrete work to manage complex site and structural requirements.
  • The project is targeting completion in summer 2027.

A major hospital expansion in St. Louis is replacing outdated infrastructure with a purpose-built facility designed around current pediatric care requirements. The 505,000-square-foot project will provide SSM Health Cardinal Glennon Children’s Hospital with a new 14-story facility as healthcare providers continue adapting hospital environments to modern clinical practices and technology.

McCarthy is leading the design-build team responsible for delivering the concrete-framed hospital.

Complex Urban Site Drives Construction Approach

The hospital site presented several construction challenges, including utility conflicts, varying bedrock elevations and remnants of foundations from a former dairy factory.

McCarthy is self-performing the project's civil work, giving the construction team greater control over site preparation and utility coordination. The contractor is also self-performing concrete construction for the tower's flat-plate structural system.

The approach allows construction activities to be coordinated around existing site conditions while supporting the structural requirements of the 14-story building.

Lean Planning Supports Hospital Construction

McCarthy incorporated Takt planning into the project to organize construction activities into defined zones and establish a consistent sequence for trade work.

The hospital is now progressing through interior fit-outs for clinical and public areas. One notable feature is a third-floor sky lobby with an outdoor terrace overlooking downtown St. Louis.

The project is scheduled for completion in summer 2027.

Why It Matters

Healthcare construction requires coordination between structural systems, building infrastructure and highly specialized interior spaces. The St. Louis project illustrates how early planning, self-performed work and zone-based scheduling can be used to address challenging urban site conditions on a large hospital development.

For healthcare owners and contractors, the project also highlights the importance of integrating construction planning with the operational and clinical requirements of a modern pediatric facility.

Source: McCarthy.

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