Skiles Group is building a new 16,156-square-foot ambulatory surgery center for TMI Sports Medicine and Surgery Partners in southern Grand Prairie, Texas. Designed by Parkhill, the facility will include four operating rooms, 16 patient bays, and specialized sterile processing areas to support orthopedic and sports medicine care.
Behind the project’s progress is a team navigating challenging site conditions, coordinating complex medical systems, and working alongside 27 trade partners.
What’s keeping this project team on their toes?
- Challenging soil conditions. The site’s expansive clay soils respond to changes in moisture, creating the potential for ground movement. When the team encountered more difficult conditions than expected, they adjusted their approach early in construction.
- Maintaining progress through challenges. Careful planning, flexibility, and collaboration helped the team work through the unexpected site conditions. Despite these obstacles, the slab pour and structural steel installation were completed without complications.
- Specialized healthcare construction. From operating rooms to sterile processing areas, the facility requires precise coordination of surgical infrastructure, medical systems, and architectural finishes. Each space presents different technical requirements that the team must account for throughout construction.
- Coordinating 27 trade partners. With numerous specialties working across the project, communication and scheduling are essential. Skiles Group’s Lean Construction processes help the team coordinate activities, identify constraints, and maintain alignment as work progresses.
Skiles Group team members: Adam Brown, Daniel Escobar, Eleazar Hernandez, and Sasha Krauss, along with the project’s trade partners, continue to demonstrate how collaboration, adaptability, and proactive planning help address the challenges of healthcare construction.





Learn more about Skiles Group’s approach to Lean Construction and healthcare projects.
