11 hospital projects worth $1B+ in 2025

So far in 2025, Becker’s has reported on 11 health systems that unveiled or advanced hospital projects worth $1 billion or more.

Three of the projects involve new hospital campuses in California.

This page was published March 21 and updated Sept. 3.

1. North Carolina Children’s Health selected the location for its comprehensive healthcare campus in July, which is expected to cost $2 billion to $3 billion. It will feature a 500-bed pediatric hospital and a children’s outpatient care center. Chapel Hill-based UNC Health and Durham-based Duke Health anticipate construction to begin in 2027.

2. Boston-based Dana-Farber Cancer Institute, Beth Israel Deaconess Medical Center and Harvard Medical Faculty Physicians are collaborating on a joint venture for a $1.68 billion cancer hospital in Boston. Plans for the 300-bed hospital are moving forward as of July following the completion of a multi-agency, state and city regulatory process. Construction is slated to begin in 2026, and the opening is expected for 2031.

3. Marietta, Ga.-based Wellstar Health System filed a certificate-of-need application for a $1 billion hospital in Acworth, Ga. The 675,000-square-foot facility would include 230 beds, 70 emergency department bays and eight operating rooms.

4. New York state plans to invest more than $1 billion in SUNY Downstate’s hospital in New York City, including $750 million in capital investments from the 2024 to 2025 and 2025 to2026  state budgets. The plan includes converting all double-occupancy rooms to private rooms and expanding emergency department capacity.

5. Roper St. Francis Healthcare broke ground on a $1.2 billion hospital in North Charleston, S.C., on June 11. The 27-acre campus is slated to be completed in 2029 and will replace the system’s current hospital in downtown Charleston.

6. In May, Altamonte Springs, Fla.-based AdventHealth launched a more than $1 billion transformation plan at its flagship campus in Orlando, Fla. The project includes a new patient and surgical tower at AdventHealth Orlando, set to open in 2030, and expanded residency and fellowship programs.

7. Bellaire, Texas-based Harris Health plans to finish building its $1.6 billion Northeast Houston Hospital by early 2029. Construction crews have completed the elevated foundation and have begun constructing the first few levels of the building, as of May 14. The level 1 trauma hospital will replace the existing Harris Health Lyndon B. Johnson Hospital and will comprise 390 private rooms.

8. On March 19, Oakland, Calif.-based Kaiser Permanente broke ground on a $1 billion hospital campus in Sacramento, expected to open in 2029. The campus will feature a 310-bed hospital with 14 operating rooms and a 70-bay emergency department. Additionally, a 173,000-square-foot medical office building with 66 exam rooms will be constructed adjacent to the hospital.

9. San Diego-based Scripps Health plans to build a $1.2 billion hospital and outpatient campus in San Marcos, Calif. The project will begin with the construction of a comprehensive ambulatory facility, followed by an acute care hospital with 200 to 250 beds. Scripps acquired the land for the development 35 years ago.

10. NewYork-Presbyterian is seeking approval to construct a $1.2 billion cancer and multispecialty center at its Columbia University Irving Medical Center campus in Washington Heights, according to a Certificate of Need application. The proposed building aims to consolidate oncology services, improve access and streamline care coordination.

11. In February, Sacramento, Calif.-based Sutter Health unveiled plans for a more than $1 billion expansion, featuring a flagship campus in Emeryville, Calif. The 335,000-square-foot medical center will include up to 200 beds with room for future expansion. Scheduled to open in 2032-2033, it will replace acute care services at Sutter’s Alta Bates campus in Berkeley, Calif., which will be converted into an ambulatory surgery center and urgent care clinic.

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