4 hospital projects worth $1B+ in 2025

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

Three of the projects involve new hospital campuses in California.

Here are the four expansions, as reported by Becker’s since Feb. 19:

1. 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.

2. 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.

3. 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.

4. 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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