Healthcare facility construction activity by state

Hospital and healthcare construction projects expand and improve facilities to better serve patients and the healthcare professionals who work there. Providers build new healthcare facilities to expand service lines and improve access to care for patients.

How is healthcare construction activity tracked?

In the Definitive Healthcare HospitalView product, we collect certificates of need (CONs) and requests for proposals (RFPs) from federal, state, local, and healthcare system websites. The “new hospitals/units/services” and “hospital/facility relocation/renovation” CON categories and “construction - new building/relocation/design” RFP category track new hospital buildings, hospital construction projects, and healthcare facility renovations.

What is a healthcare certificate of need?

Certificates of need are legal documents required by the District of Columbia and many states for the approval of capital expenditures and projects. The goal of CON programs is to help reduce healthcare spending by ensuring new expenses fit the community and the healthcare system’s needs.

Definitive Healthcare collects CONs by monitoring the websites of the 36 states/federal jurisdictions with participating programs and makes the information available in our HospitalView product.

What is a healthcare request for proposal?

Requests for proposals (RFPs) are documents that announce and outline the specifics of a project that a hospital or healthcare system plans to undertake. These formal requests solicit bids from suppliers and contractors to complete the proposed project.

The Definitive Healthcare HospitalView product tracks federal healthcare RFPs from the System for Award Management website and collects non-federal RFPs by monitoring state, local, and healthcare entity websites for RFPs and purchasing requests.

The “new hospitals/units/services” and “hospital/facility relocation/renovation” CON categories and “construction - new building/relocation/design” RFP category track new hospital buildings, hospital construction projects, and healthcare facility renovations to inform the market on planned projects.

How many healthcare construction CONs and RFPs are there each year?

In 2025 through September, we collected more than 1,000 healthcare construction CONs and RFPs. This list below ranks states by their total number of construction-related CONs and RFPs so far this year.