Fort Worth

Construction could soon begin on JPS high-rise medical building

John Peter Smith Hospital
John Peter Smith Hospital jlmarshall@star-telegram.com

Construction may soon begin on a central piece of the $2.1 billion JPS Health Network expansion program, records show.

Filings from a Dallas-based architecture firm show that an application has been submitted for the final grading permit for a high-rise medical outpatient building that will be part of the JPS Hospital’s Fort Worth campus. The building will be at 1300 S Main St.

According to the filing, the high-rise new medical outpatient building will be a free-standing building adjacent to and connected, via elevated pedestrian walkways, to an existing seven-story parking garage. The outpatient building will include clinics and an ambulatory surgery center. A service dock will be at the first level and will be accessible by a service drive between the new outpatient building and parking garage.

An emergency generator yard will also be located south of the existing parking garage, according to the filing.

The outpatient building is part of JPS Hospital’s $2.1 billion expansion program. Tarrant County voters approved an $800 million bond program in 2018 to pay for what was originally listed as a $1.5 billion project to update Tarrant’s only public hospital.

The cost of the project grew to an estimated $2.1 billion in 2024. JPS approved its 2026 budget in August, which predicted it will grow its cash savings to pay for bond projects.

The medical outpatient building is projected to open in 2029, along with a power plant, which will be at 1500 S. Main St.

JPS Master plan details

JPS’ 10-year expansion plan includes a hospital, a medical home, a parking garage, the central utility plant, a medical office building, service building, warehouse, laundry building, behavioral health tower, and the medical outpatient tower.

The parking garage is expected to open this spring, while the outpatient building and central utility plant will open in 2029. Expansion to JPS’ north pavilion and the hospital are expected to come in 2030.

In September, JPS opened a Psychiatric Emergency Center, the first building of its master plan.

This story was originally published January 29, 2026 at 11:42 AM.

Samuel O’Neal
Fort Worth Star-Telegram
Samuel O’Neal is the K-12 Education Reporter at the Fort Worth Star-Telegram, covering public schools and policy that impacts them. He previously worked as a staff writer at the Philadelphia Inquirer and is a graduate of Temple University. 
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