Top Health Systems Show Light Decline in Medical Construction Spending for 2018

Top Health Systems Engaged in 19.8 Billion in Medical Construction Spending for 2018

The top 10 leading U.S. health systems account for more than $19.8 billion in current and upcoming medical construction, according to a recent analysis from BuildCentral, down approximately 8% from 2017. 

Behind the numbers

Compared to this time last year, BuildCentral reports a 26% percent increase in the number of newly planned and active renovation projects industry wide, with new construction and expansions up 8.5% in the same time frame.

The American Society for Health Care Engineering (ASHE) of the American Hospital Association showed in its 2018 Hospital Construction Survey similar findings, with respondents continually reporting a focus on renovations, along with ambulatory and outpatient care.

Compared to this time last year, BuildCentral reports a 26% increase in the number of newly planned and active renovation projects industry wide, with new construction and expansions up 8.5% in the same time frame. Click To Tweet

Investments in outpatient care continue to grow

Investments in outpatient care and ambulatory surgery centers continued a three-year, reported growth trend with an 18.5% increase in projects from 2017.

Health Facilities Management Magazine and The American Society for Health Care Engineering (ASHE) showed similar findings in its 2018 Hospital Construction Survey, with respondents continually reporting a focus on renovations, along with ambulatory and outpatient care. 

Only Scripps Health broke $2 billion in active construction value and remained the active construction leader, compared to three additional health systems in 2017, with its $2 billion Scripps Memorial Hospital replacement in La Jolla, California.

Last year’s leaders, Sutter Health and the New York Presbyterian Healthcare System, no longer even rank in the top 10 of spending, having respectively completed around $2.6 billion and $1.8 billion in construction the past year.

The University of Maryland and Indiana University health systems also left the top 10 in spending this year, along with Providence Saint Joseph Health. 

Who are the Investment Leaders?

Leading the top 10’s new additions for 2018 is University of California Health with its $1.5 billion, planned replacement hospital for UC San Francisco.

The University of Pittsburgh Medical Center (UPMC), a new addition to the list in 2018, is also planning major investments with nearly $1.8 billion worth of planned projects in combined estimated value.

Other shifts on the 2018’s top 10 list include the new arrival of the Mayo Clinic Health System with $1.7 billion in planned and active projects, and the Inova Health System with $1.5 billion in planned and active projects.

The top 10 health systems ranked by combined active and planned construction value are:

Top Health SystemsValue (in millions)
University of California Health$2,715
Scripps Health$2,578
HCA Healthcare$2,416
Kaiser Permanente$2,243
University of Pittsburgh Medical Center (UPMC)$1,920
Mount Sinai Health System$1,866
University of Pennsylvania Health System$1,851
Mayo Clinic Health System$1,745
Virtua Health$1,584
Inova Health System$1,551

The analysis is based on BuildCentral’s proprietary medical construction market research tools available via www.buildcentral.com and www.medicalconstructiondata.com  as of 11.15.2018.  BuildCentral, headquartered in Chicago, compiles comprehensive construction intelligence on all major U.S. medical construction projects as well as multifamily, hospitality/lodging and commercial construction. Publisher and analyst data licenses available.

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