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SAN ANTONIO — Skanska USA has topped off Metropolitan Methodist Hospital, a campus of Methodist Hospital in downtown San Antonio. The expansion includes a 85,000-square-foot, seven-story patient tower that will house an intensive care unit (ICU) that can accommodate 48 ICU beds, additional surgical and diagnostic space and a gastrointestinal lab. Skanska USA is anticipating wrapping up construction in early 2014. Earl Swensson Associates is the project architect. Metropolitan Methodist Hospital has invested more than $105 million in the property during the past six years.