Hospital developments picked up steam in 2024, with significant investments in acute care facilities. From billion-dollar flagship projects to rural community hospitals, health systems are expanding to meet evolving patient needs.
Below is a state-by-state breakdown of more than 80 acute care hospital projects announced, initiated or opened last year, as reported by Becker's.
Editor's note: This is not a comprehensive list. Please email acondon@beckershealthcare.com with additions and updates to this list.
Alabama
Birmingham-based UAB Health System in August opened a new nine-story replacement hospital for UAB Medical West.
Kaiser Permanente broke ground Nov. 21 on a 650,000-square-foot replacement hospital in San Jose. The hospital is expected to open in fall 2029.
Howard University plans to build a $650 million hospital in front of its existing Howard University Hospital in Washington, D.C.
Florida
Altamonte Springs-based AdventHealth's application in December received approval for an up to 400-bed hospital in Lakeland.
Coral Gables-based Baptist Health South Florida received approval in September to build a 100-bed hospital in Sunrise.
Orlando Health will close its Longwood-based South Seminole Hospital and transition services to its new Orlando Health Lake Mary Hospital on Jan. 11.
HCA Florida Healthcare began construction on its $231 million HCA Florida Gainesville Hospital in May.
Florida State University and Tallahassee Memorial HealthCare plan to build an academic medical center in Tallahassee and a medical campus in Panama City Beach.
The $1.5 billion Arthur M. Blank Hospital in Atlanta, a 446-bed facility, began accepting patients at its pediatric trauma center emergency department on Sept. 29.
Gainesville-based Northeast Georgia Health System in April opened a $69.5 million replacement hospital in Dahlonega.
Augusta-based Wellstar MCG Health broke ground on its $272 million Wellstar Columbia County Medical Center on April 1.
Honolulu-based The Queens Health Systems plans to build an 80-bed hospital in Kailua-Kona, a move that aims to improve access to care for rural populations on Hawai'i Island.
In October, St. Louis-based Ascension opened the $200 million, eight-story Ascension St. Vincent Women and Infants Hospital in Indianapolis.
Indianapolis-based Indiana University Health broke ground in September on a $421 million hospital in Fort Wayne.
Parkview Warsaw, an outpatient medical facility with an emergency room, opened as Parkview Kosciusko Hospital, a full-service hospital, in January.
Joplin, Mo.-based Freeman Health System plans to open its first acute care hospital in Kansas in 2025. The hospital will be in Fort Scott.
Baton Rouge General, which operates over 600 licensed beds across three campuses, plans to open a 40,000-square-foot neighborhood hospital in Denham Springs.
Maryland
The University of Maryland Medical System in October broke ground on a $540 million, six-story replacement hospital in Easton.
The Dana-Farber Cancer Institute and Beth Israel Deaconess Medical Center in October gained approval for an estimated $1.68 billion cancer hospital.
Worcester-based UMass Memorial Health plans to convert a former nursing home into a 72-bed hospital for high acuity patients.
Michigan
Detroit-based Henry Ford Health broke ground Sept. 12 on its estimated $2.2 billion "Destination: Grand" hospital expansion project, the system's largest investment to date.
Missouri
The University of Missouri Health Care in May opened a 160-bed children's hospital and birthing center in Columbia.
Salt Lake City-based Intermountain plans to break ground on a $900 million, 14-story replacement hospital in Billings this spring.
Intermountain plans to build a $1 billion freestanding children's hospital with 150 beds in Las Vegas. The facility could take up to five years to plan and develop.
Albuquerque-based Lovelace Health System and Community Hospital Corporation partnered in April to build a 15-bed hospital in Los Lunas.
New York
Buffalo.-based Kaleida Health and Dunkirk-based Brooks-TLC Hospital System are partnering to build a hospital in Fredonia.
North Carolina
Durham-based UNC Health in October received a third certificate-of-need conditional approval for a $371.3 million community hospital in Research Triangle Park.
Ohio
Marietta-based Memorial Health System broke ground Oct. 8 on a $125 million women and children's hospital, which is set to open in fall 2026.
Newark, Del.-based ChristianaCare plans to open neighborhood hospitals in Aston, Delaware County and Chester County.
Lehigh Valley Health Network, part of Philadelphia-based Jefferson Health, broke ground Nov. 1 on its third neighborhood hospital, which is expected to open in winter 2026.
Florence-based McLeod Health in April broke ground on a $56 million hospital at its McLeod Health Carolina Forest Campus in Myrtle Beach.
McLeod Health also is planning to build a $45 million replacement hospital in Cheraw.
Charleston-based Medical University of South Carolina in April received board approval to build two hospital projects totaling $705 million.
Tennessee
Memphis-based Baptist Memorial Health Care struck an agreement with the Fayette County commissioners to create what will be the county's only hospital.
Brentwood-based TriStar Health, part of HCA Healthcare, received approval in June to build a $250 million hospital in Spring Hill.
Texas
Dallas-based Children's Health and UT Southwestern Medical Center broke ground on its $5 billion pediatric campus in October.
In August, Baptist Health System, part of Tenet Healthcare, opened its $300M Westover Hills Baptist Hospital in San Antonio.
Corpus Christi-based Driscoll Children's in May opened its $100 million Driscoll Children's Hospital Rio Grande Valley in Edinburg.
Houston-based Texas Children's opened its $485 million freestanding Texas Children's Hospital North Austin Campus in February.
Jackson, Tenn.-based Braden Health purchased the building of a former hospital in Stuart, with plans to reopen the facility as a full-service hospital and emergency department.
Falls Church-based Inova Health is spending more than $2 billion to develop two facilities to replace its existing Inova Alexandria Hospital.