Parkland Memorial Hospital is a 54 year old county hospital. The current facilitates are far out dated and 50% to small for the current volume---over 1 million visits a year. Much of the utility infrastructure is in need of replacement. The current facility does not meet current code and is inefficient to operate, overcrowded and functional deficient. With the county population expected to double by 2025 a replacement facility is needed to meet Dallas County’s future healthcare needs.