Texas sector intelligence
Texas Hospital & Healthcare Construction
Understand the investment. Find the emerging locations. Go from the big picture to the public record.
Sector composition
How much is still active?
- Active in snapshot
- $10.4B
- Other tracked filings
- $21.2B
Active means the filing’s estimated completion was on or after the snapshot date. Other filings are not necessarily completed.
Texas · TDLR public records
Sector snapshotTotal estimated construction value
$31.6B
- 5,286
- Filings tracked
- 168
- Counties
- 328
- Cities
Sector totals computed October 1, 2026.
Explore filingsThe projects behind the numbers
Explore the shape of investment, compare individual filings, and see their estimated completion dates. Select a project to inspect its record.
Where the value sits
The sector, explained
What new hospitals are being built in Texas?
Texas is in the middle of a healthcare building boom. Zabalist tracks 5,286 hospital and medical-center construction projects filed with Texas regulators across 168 counties — a combined $31.6B in estimated value, including 286 projects (about $10.4B) 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.
View 15 featured source records
| Project | Location | Est. value | Status | Est. completion |
|---|---|---|---|---|
| Memorial Hermann Hospital Katy - North Tower Expansion | Katy, Harris County | $180M | Registered with TDLR | Jan 2030 |
| THSW Cramer Tower | Fort Worth, Tarrant County | $148M | Registered with TDLR | Mar 2029 |
| Cancer Hospital | Dallas, Dallas County | $109M | Registered with TDLR | Feb 2030 |
| ED / Imaging Expansion and Level 04 Buildout | San Antonio, Bexar County | $30M | Design review complete | Oct 2028 |
| Everest Realty Eighteen LLC | Corpus Christi, Nueces County | $20M | Registered with TDLR | Nov 2027 |
| Encompass Health Inpatient Rehabilitation Hospital of Conroe | Conroe, Montgomery County | $17M | Registered with TDLR | Nov 2027 |
| CLS Health-Pearland Medical Center Phase 1 | Pearland, Brazoria County | $17M | Registered with TDLR | Sep 2027 |
| University Health Hospital - Retama - Level 2 Finish-out | Selma, Bexar County | $13M | Design review complete | Jul 2027 |
| THR Kaufman - ED Addition and Renovation | Kaufman, Kaufman County | $12M | Registered with TDLR | Jun 2028 |
| THRW AHU & Roof Replacement and Renovation | Rockwall, Rockwall County | $9M | Registered with TDLR | Jul 2027 |
| Townsen West Hospital Expansion | Houston, Harris County | $7M | Registered with TDLR | Oct 2027 |
| THR Alliance NICU Expansion | Fort Worth, Tarrant County | $6M | Design review complete | Aug 2027 |
| 1st Floor Imaging Renovation | Houston, Harris County | $3M | Registered with TDLR | Jul 2027 |
| Dallas Cath 5 | Dallas, Dallas County | $3M | Registered with TDLR | Jun 2027 |
| Needville Animal Hospital | Needville, Fort Bend County | $2M | Registered with TDLR | May 2027 |
Estimated values are construction costs reported on the TDLR registration and may cover a single building, tower or phase of a larger campus.
Keep exploring
Where will your research go next?
Move from these featured filings to a broader project search or another sector.
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 286 active hospital and medical projects Zabalist tracks represent roughly $10.4B 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 5,286 hospital and medical-center construction projects across 168 Texas counties, 286 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 $10.4B across 286 projects; the full dataset of 5,286 projects totals about $31.6B. 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.