Texas Hospital & Healthcare Construction
Sourced from Texas public records (TDLR). Data updated June 30, 2026.
What new hospitals are being built in Texas?
Texas is in the middle of a healthcare building boom. Zabalist tracks 4,810 hospital and medical-center construction projects filed with Texas regulators across 163 counties — a combined $29.1B in estimated value, including 300 projects (about $9.4B) still actively under construction or in review. The largest are billion-dollar public-hospital expansions in Houston and Fort Worth. Each project below links to its verified permit record — location, owner, estimated cost and projected completion — drawn from Texas Department of Licensing and Regulation (TDLR) public filings.
Largest Texas hospital & healthcare projects under construction
The largest among the most recently filed projects, updated automatically from TDLR records. Click any entry for its full record.
| Project | Location | Est. value | Status | Est. completion |
|---|---|---|---|---|
| Texas Health Huguley Surgery Expansion | Burleson, Tarrant County | $75M | Registered with TDLR | Mar 2029 |
| Black Family Hospitality - Hotel | San Antonio, Bexar County | $63M | Registered with TDLR | Jun 2028 |
| THSW CUP and Site Utilities | Fort Worth, Tarrant County | $39M | Registered with TDLR | Feb 2029 |
| University Health Community Hospital RT - Level 5 Finish-out | Selma, Bexar County | $30M | Design review complete | May 2028 |
| University Health Community Hospital PA - Level 5 Finish-out | San Antonio, Bexar County | $30M | Design review complete | May 2028 |
| CHRISTUS New Braunfels Veramendi | New Braunfels, Comal County | $28M | Registered with TDLR | Apr 2028 |
| HCA WoTX Houston - Surgery/ IR/ NICU Renovation | Houston, Harris County | $23M | Registered with TDLR | May 2028 |
| HMTWH - North Patient Tower & Garage B Expansion | The Woodlands, Montgomery County | $19M | Design review complete | Oct 2027 |
| Baylor Scott & White Hospital - Buckner Terrace | Dallas, Dallas County | $18M | Registered with TDLR | Jul 2027 |
| UTSW CUH Thoracic OR Renovation | Dallas, Dallas County | $15M | Registered with TDLR | Jun 2027 |
| UT Health Cath Lab Addition | Tyler, Smith County | $9M | Registered with TDLR | Sep 2026 |
| ARU Expansion | San Antonio, Bexar County | $7M | Registered with TDLR | Jun 2027 |
| Select Medical Renovation | Grapevine, Tarrant County | $6M | Registered with TDLR | Jul 2027 |
| Westover Hills Baptist Hospital - Postpartum Finish Out | San Antonio, Bexar County | $6M | Registered with TDLR | Jun 2027 |
| Memorial Hermann Katy North Parking lot expansion | Katy, Harris County | $5M | Registered with TDLR | Nov 2026 |
Estimated values are construction costs reported on the TDLR registration and may cover a single building, tower or phase of a larger campus.
Showing the 15 largest. Browse all 4,810 Texas hospital projects — filter by city, county, value and stage.
Browse all 4,810 projects →Where new hospitals are being built in Texas
Houston & Gulf Coast
Anchored by major public-hospital expansions in Harris County (Harris Health LBJ) and the Texas Medical Center ecosystem.
Dallas–Fort Worth
Large hospital additions and replacements across Tarrant (JPS), Dallas, Collin and Kaufman counties.
Greater Austin & Central Texas
Fast-growing suburban hospital campuses in Travis, Williamson and Bell counties.
State & regional facilities
State-hospital replacements and regional medical centers from Terrell to Wichita Falls and Texarkana.
Browse any city or search all Texas construction projects.
Why is so much hospital construction happening in Texas?
Texas hospital construction is driven by rapid population growth, an aging population, and a wave of public-hospital replacements and expansions funded by county bond programs. The scale is visible in the permit record — the 300 active hospital and medical projects Zabalist tracks represent roughly $9.4B of in-flight construction, led by billion-dollar public-hospital expansions in Houston and Fort Worth.
These figures are derived from construction filings registered with the Texas Department of Licensing and Regulation. See our data sources for methodology and provenance.
Bidding on a Texas healthcare project?
Hospital construction is mechanical/electrical/plumbing-intensive and tightly regulated. Find verified Texas contractors with real permit history, or track who is winning the work:
Explore Texas construction by sector
Texas hospital construction — FAQ
What new hospitals are being built in Texas?
Zabalist tracks 4,810 hospital and medical-center construction projects across 163 Texas counties, 300 of them active. The largest current projects include the Harris Health LBJ Hospital expansion in Houston and the JPS Hospital addition in Fort Worth, each near or above $900 million.
How much hospital construction is underway in Texas?
Active Texas hospital and medical construction tracked by Zabalist totals roughly $9.4B across 300 projects; the full dataset of 4,810 projects totals about $29.1B. Figures come from TDLR public records and update as new filings post.
What is the largest hospital project under construction in Texas?
Among individual TDLR filings, the Harris Health LBJ Hospital expansion in Houston (~$991 million) and the JPS Hospital addition in Fort Worth (~$938 million) are the largest, followed by state-hospital replacements in Terrell and Wichita Falls.
How can I find hospital construction projects to bid on in Texas?
Each project on Zabalist links to its full permit record with the owner, location and timeline. Mechanical, electrical, plumbing and concrete subcontractors can use the verified contractor directory and the active Texas bids feed to identify projects before construction ramps up.
Is Texas hospital construction data public record?
Yes. Healthcare construction in Texas is registered with the Department of Licensing and Regulation (TDLR) for accessibility review, creating a public record of the project, its location, estimated cost and status. Zabalist aggregates these filings.