Certificate-of-need laws require healthcare providers to get approval from state regulators before expanding facilities or investing in technology. 

The city board of directors approved a zoning request from Mercy Hospital Fort Smith (Ark.) for a $162 million expansion on 83 acres of land, Northwest Arkansas Democrat Gazette reported Oct. 10.

Covina, Calif.-based Emanate Health broke ground on its $125 million expansion, which includes two new 60,000-square-foot buildings for its flagship Queen of the Valley Hospital, LA Business Journal reported Oct. 11.

Here are 28 hospitals or health systems that have announced, advanced or completed construction projects in the last three weeks:

AdventHealth on Oct. 7 opened its 38-bed, $150 million hospital in Overland Park, Kan.

Winston-Salem, N.C.-based Atrium Health Wake Forest Baptist will soon begin constructing its $450 million care tower project, which includes a helipad, on its main campus, the Winston-Salem Journal reported Oct. 7.

Ascension Wisconsin will open its 33,000-square-foot neighborhood hospital in Waukesha Oct. 13, the third of its three new hospitals, BizTimes reported Oct. 6.

Our Lady of the Lake Regional Medical Center in Baton Rouge, La., plans to build a $100 million cancer institute.

Bozeman Health, the dominant provider in Montana's most rapidly growing region, announced Oct. 4 plans to add a $7 million, first-of-its-kind adult inpatient psychiatric unit to Deaconess Hospital in Bozeman, by 2023.

Yale New Haven (Conn.) Health — with the help of MedCraft Healthcare Real Estate — purchased the vacant Macy's store at Meriden Mall in Connecticut and will repurpose it into a retail health facility.

The following health systems have opened hospitals, advanced proposals to build them or announced plans for them since Sept. 1.

Ascension Saint Thomas Rutherford broke ground on its $25 million, 32,000-square-foot microhospital in Murfreesboro, Tenn., Main Street Nashville reported Sept. 29.

Ketchum, Idaho-based St. Luke's Wood River Medical Center began constructing four condo units for employees in an effort to attract and retain staff, Boise State Public Radio reported Oct. 1.

Novant Health in Winston-Salem, N.C., is entering the next phase of its construction project, which includes a $222 million, five-story critical care tower, Triad Business Journal reported. 

Concord Hospitality Enterprises and Whitman Peterson are collaborating with the Jacksonville-based Mayo Clinic in Florida to build an eight-story Hilton Hotel at the hospital.

Sentara Healthcare began its first phase building its new Sentara Albemarle Regional Health Campus in Elizabeth City, N.C., on Sept. 29, according to a press release from the organization.

Allegheny Health Network, a Pittsburgh-based health system owned by Highmark Health, opened its $345 million hospital in Wexford, Pa., Sept. 30.

UNC Health's plan for a 40-bed hospital in the Durham, N.C., portion of Research Triangle Park was approved by state regulators, The News & Observer reported Sept. 29.

Fort Wayne, Ind.-based Lutheran Health Network, part of Community Health Systems, is opening a new 60-bed hospital Nov. 13, TV station WANE reported Sept. 28. 

University of California San Diego Medical Center is seeking approval to begin a modernization of its aging medical campus that is slated to cost $2.5 billion, according to the San Diego Union-Tribune.