Big Sites
South Fulton’s proposed health hub comes with an $82.5 million estimate
The concept combines senior services and behavioral health. Commissioners are scheduled to review the findings Nov. 18; financing is still being assessed.
A proposed Fulton County health and human services center in the City of South Fulton carries an estimated price of $82.5 million, including the buildout of additional space. The feasibility-study concept would put senior services, behavioral health and other programs in a 112,600-square-foot building.[1][2]
Commissioners are scheduled to review the findings Nov. 18, 2026. The agenda item is a presentation, not a request to authorize construction: the staff report says “No Action Required” and describes proceeding with design and construction as a future board decision.[1][3]
The consolidation idea responds to a problem county staff described when the study was commissioned: services were spread among the South Annex on Stonewall Tell Road, the Behavioral Health and Disabilities Center on Fairburn Road and the Bowden senior facility in East Point. Commissioners approved a study contract with Sizemore Group for up to $497,966 on June 18, 2025.[1][4]
The proposed layout places senior services, a café, behavioral health and homelessness services on the first floor, with more behavioral-health space upstairs. The site plan includes patios for adult day health and senior programs, plus outdoor space for adolescent behavioral health.[2]
The cost sheet separates a $79.25 million projected project cost from another $3.24 million to build out 21,000 square feet labeled “wrap around space.” Together, those figures produce the $82.48 million estimate. These are planning projections, not a construction award.[1][2][3]
Timing matters to that estimate. It includes cost escalation through the second quarter of 2027; after that, the presentation calls for adding 1% per quarter until construction starts.[2]
The schedule outline allows six months to develop a design-build solicitation and obtain board approval, followed by 30 months for design-build construction. Those are projected durations, not an opening date. Financing also remains under assessment in the presentation: Finance staff are considering options for a conduit issuer for project bonds.[2]
The Nov. 18 meeting begins at 10 a.m. in Assembly Hall at the Fulton County Government Center, 141 Pryor Street SW in Atlanta, Georgia.[3]
Sources
4 official sources cited in this report. The bracketed numbers in the text link here.
Open the official record ↗