Steel Work Begins on $1.2B Roper St. Francis Heathcare Campus in South Carolina

The Barton Malow | Edifice joint-venture team has begun structural steel work at Roper St. Francis Healthcare’s future Roper Hospital campus in North Charleston, South Carolina, marking a pivotal milestone in the construction of the $1.2-billion facility. The start of steel work signals the project’s transition from below-grade construction to its vertical rise, bringing the building’s form to life on the 27-acre site.

The new campus, designed by E4H Environments for Health Architecture (a MOREgroup Brand) and Skidmore, Owings & Merrill, will deliver 805,000 square feet of advanced healthcare space for the Lowcountry community. The building will include 328 inpatient beds, a 47-bay emergency department, 44 critical care beds, 18 operating rooms, a comprehensive imaging department and a 12-bay hemodialysis unit. Completion is targeted for 2029.

Barton Malow | Edifice is using a target-value delivery method, which allows the team to adapt design components while maintaining budget and schedule integrity. The approach has been instrumental in navigating site-specific challenges, including complex seismic conditions, FAA height restrictions and a high-water table.

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