During topping out, crews often sign the final steel beam to be placed in the project. In addition to the traditional beam, the Westchester Emergency Center construction crew signed a 245,000-pound concrete wall to recognize the tilt-up construction project’s complexity. 

Nov. 25, 2025 — Construction crews have placed the final beam atop Mount Sinai Medical Center’s new Westchester Freestanding Emergency Department, marking a major milestone in expanding access to high-quality, around-the-clock care for residents in western Miami-Dade County. The new facility will bring Mount Sinai’s trusted emergency and specialty care closer to home for thousands of area families, helping reduce travel times and meet growing healthcare needs.

Located in Westchester, the four-story, 112,000 square-foot facility—designed by HuntonBrady Architects—will feature 26 exam bays, a Baker Act receiving unit, and advanced imaging services such as MRI, CT, and ultrasound. The project also features a detached two-story central energy plant and medical gas building, demolition of two existing structures and six acres of site improvements. Construction is expected to be complete late 2026.

“This milestone is a tribute to the skill and dedication of every crew member who’s helped bring this facility to life,” said Mike Peters, vice president and division manager at Brasfield & Gorrie. “Partnering with Mount Sinai Medical Center and HuntonBrady Architects on this important project highlights what can be achieved through teamwork and craftsmanship. Our crews take great pride in knowing their work will help make emergency and specialty care more accessible for families across Miami-Dade County.”

Brasfield & Gorrie also partnered with Mount Sinai Medical Center on the Braman Cancer Center, a state-of-the-art facility currently under construction on Miami Beach, continuing the organizations’ shared commitment to delivering exceptional care environments across South Florida.

“This milestone reflects Mount Sinai’s investment in bringing world-class care closer to the communities we serve,” said Gino R. Santorio, President and CEO of Mount Sinai Medical Center. “We’re grateful to our partners at Brasfield & Gorrie and HuntonBrady Architects for helping us expand access to emergency and specialty care for families across western Miami-Dade.”

About Brasfield & Gorrie 

Since Brasfield & Gorrie started in 1964, we’ve grown from a local contractor to a national construction company with 13 offices in eight states. We’ve helped clients complete projects that transform communities and power economies. Our projected 2025 revenue is $7.4 billion and ENR Texas & Southeast currently ranks us #1 on its Top Contractors list. And during our growth, we’ve maintained the identity that sets us apart—true builders guided by the Golden Rule.

About Mount Sinai Medical Center

Founded in 1949, Mount Sinai Medical Center is the largest independent, private, not-for-profit teaching hospital in South Florida. Mount Sinai’s mission is to provide quality health care to a diverse community enhanced through teaching, research, charity care, and financial responsibility. Mount Sinai’s Centers of Excellence combine technology, research, and academics to provide innovative and comprehensive care in cardiology, neuroscience, oncology, urology, and orthopedics. One of the original statutory teaching hospitals in the state of Florida, Mount Sinai is the hospital of choice for those who seek the level of expertise and care that only a teaching hospital can offer. Mount Sinai currently offers ten convenient locations in Miami-Dade County, including three emergency centers, and four specialty care offices in Monroe County.