Atlanta-based Piedmont is soon to break ground on a five-story patient tower at its Piedmont Henry Hospital, according to an Oct. 17 Fox5 Atlanta report.

Round Rock, Texas-based Ascension Seton Williamson announced a $230 million expansion that will add 160 new beds.

Healthcare moving out of hospitals has been forecasted for the past decade with the certainty of death and taxes. But it's brick-and-mortar infrastructure that continues to raise big questions and pivots for health system strategy, at least for now. 

Between late September and early October, three health systems shared plans to construct new or replacement children's hospitals.

Broward Health and Memorial Healthcare System have joined forces to build a freestanding emergency department in Sunrise, Fla. 

SSM Health is leasing a six-story office building from Centene in suburban St. Louis, the St. Louis Post-Dispatch reported Oct. 9.

AdventHealth Apopka (Fla.) is planning to invest $26.3 million to boost the number of its beds, the Orlando Business Journal reported Oct. 11.

Cleveland-based University Hospitals announced progress toward a $2 billion fundraising effort to invest in several areas, including pediatric and cancer care, innovation, and facility improvement.

Oviedo (Fla.) Medical Center, operated by Nashville, Tenn.-based HCA Healthcare, is increasing its number of beds in an $80 million expansion project, according to an Oct 10. Orlando Business Journal report.

Dana-Farber Cancer Institute estimates that the freestanding cancer hospital it will construct in partnership with Beth Israel Deaconess Medical Center in Boston will cost $1.68 billion, according to the Boston Business Journal. 

Rochester, Minn.-based Mayo Clinic has had a permit approved for a $130.7 million patient tower at its Jacksonville, Fla., campus, according to an Oct. 10 Jacksonville Daily Record report.

Valhalla, N.Y.-based Westchester Medical Center Health Network is to build a $186 million patient tower on its flagship campus, according to an Oct. 9 release.

Rancho Mirage, Calif.-based Eisenhower Health is getting closer to finalizing its $256 million expansion plans after approval for further facilities on its main campus, according to an Oct. 9 Desert Sun report.

Autumn, so far, has been big for children's hospitals. 

Cleveland Clinic opened one of its largest medical centers and its first drive-thru pharmacy Oct. 6.

The Nebraska Board of Regents voted to allow Ohama-based University of Nebraska Medical Center to engage with design and construction planning teams for a $2.19 billion academic medical center project, the Omaha World-Herald reported Oct. 5. 

San Jose, Calif.-based Santa Clara Valley Healthcare has broken ground on a 230,000-square-foot medical facility, slated for completion in 2025, according to an Oct. 5 Commercial Property Executive report.

Catholic Health's $70 million neighborhood hospital in Lewiston, N.Y., will open its doors to patients Oct. 10, The Buffalo News reported. 

Clearwater, Fla.-based BayCare is planning to construct a new facility for its Tampa-based St. Joseph's Children's Hospital, marking its fourth new hospital project in the past five years. 

Illinois regulators gave Decatur-based HSHS St. Mary's Hospital approval for an $89 million project that would modernize the hospital's facilities but cut the number of beds, the Herald & Review reported Oct. 3.