Altamonte Springs, Fla.-based AdventHealth, which operates nearly 50 hospitals and hundreds of care sites across nine states, said Nov. 15 it is expanding its presence in its home state with a four-story hospital and emergency room facility in Winter Haven.

Riverhead, N.Y.-based Peconic Bay Medical Center will set off on a $20 million expansion of its emergency department, Riverhead Local reported Nov. 14.

Charleston, S.C.-based Roper St. Francis Healthcare has plans to purchase the town's former city hall building for $9.2 million to relocate one of its hospitals, the Post and Courier reported Nov. 14. 

Carroll, Iowa-based St. Anthony Regional Hospital has begun construction on multimillion-dollar renovations for its birthing center, the Carroll Times Herald reported Nov. 15. 

University Hospital in Columbia, Mo., is adding 16 beds to its emergency department, the Columbia Missourian reported Nov. 10. 

Yale New Haven (Conn.) Health System's proposed acquisition of three hospitals has attracted concern from local advocates who fear less competition will cause prices to spike, the Yale Daily News reported Nov. 11.

Projects totaling $16 million of upgrades at the University of Iowa Hospitals and Clinics' main location in Iowa City were approved by the board of regents, a Nov. 10 Daily Iowan report said.

Northside Hospital Gwinnett has filed a certificate-of-need application to add seven floors to its 10-story patient tower project on its Lawrenceville, Ga., campus, Healthcare Design reported Nov. 10.

The Eastern Oklahoma Veterans Affairs Health Care System plans to open a $140 million, 58-bed hospital in Tulsa in 2025, The Journal Record reported Nov. 10. 

Boston Medical Center's rooftop farm has been recognized by the White House as an example for other hospitals, CBS Boston reported Nov. 10. 

Newport Beach, Calif.-based Hoag Health is launching a $300 million campaign to expand its Irving hospital.

A shuttered Veterans Affairs hospital in Marlin, Texas, has been purchased by Merkabah after being closed for almost 20 years, ABC affiliate KXXV reported Nov. 9. 

Slidell (La.) Memorial Hospital is set to start its $50 million expansion in December, the largest project in the hospital's history, New Orleans City Business reported Nov. 9. 

Ochsner Lafayette (La.) General Medical Center is expected to wrap most of its $100 million expansion by the end of the year, Lafayette Daily Advertiser reported Nov. 9. 

Indianapolis-based Ascension St. Vincent Hospital broke ground Nov. 8 on a neighborhood hospital in West Lafayette, Ind. 

Texas Health Hospital Rockwall is almost doubling the size of its facility through a $92.3 million expansion that will include a neonatal intensive care unit, a cardiac catheterization lab and an expanded emergency department at the facility in Northern Texas.

The following four hospitals and health systems have announced upgrades or expansions since Nov. 2:

MaineGeneral in Augusta is proposing to build a $36 million expansion of its cancer center as it expects a rise in cancer cases, BDN reported Nov. 7. 

Santa Barbara, Calif.-based Cottage Health opened its new Cottage Urgent Care Center in Montecito on Nov. 8. 

Healthcare providers in the Philadelphia area are looking at creative ways to repurpose often underused office space just as pressure to offer facilities for patient care increases and expenses rise, according to a Nov. 2 Bisnow report.