Baylor Scott & White McKinney Vertical Expansion

Guide Architecture provided full architectural and interior design services for the vertical expansion of Baylor Scott & White Medical Center – McKinney. The project scope includes the addition of two new floors and a mechanical penthouse on top of the existing hospital structure to accommodate future growth and expand inpatient capacity. Level 7 is designed as a full shell floor for future clinical development, while Level 8 provides a new 48-bed inpatient unit with all required support spaces to enhance patient care delivery. Additional scope includes the creation of a dedicated Firefighter Air Replenishment System (FARS) room within the existing Level 6 mechanical floor, installation of three new elevators within an existing public elevator core (including new hoistway openings at each level), expansion of the Level 1 Fire Command Center to meet updated life safety requirements, and renovation of the Central Monitoring Unit (CMU) room on Level 3 to provide additional workstations and improved staff functionality.

The project required close coordination with structural and MEP engineers to ensure seamless integration of the new vertical expansion with ongoing hospital operations. Guide Architecture collaborated with Baylor Scott & White Health leadership and facility engineering teams to deliver a design that aligns with system standards, code requirements, and ensures long-term operational flexibility.