JPS Health Network is executing a massive overhaul of its public medical district in Fort Worth, with costs for the master facility plan now estimated at $2.5 billion. The expansion effort began in November 2018 when voters approved an $800 million bond package to help the county medical district keep pace with other regional hospitals.
Nearly eight years after the initial vote, all eight construction projects outlined in the master plan are either complete or under construction. Builders started site preparation for the new hospital in April, marking the final and largest phase of the development. JPS officials have stated there are no plans to add further projects to this multi-decade renovation.
The new medical center is the most expensive component, with a price tag of $1.5 billion. This figure exceeds four times the cost of the next most expensive project. The 1.1 million-square-foot patient tower will initially hold 740 beds, with infrastructure designed to support expansion to 800 beds.
Other major components include the Medical Outpatient Building and the Central Utility Plant, both scheduled to open in 2029. The outpatient facility, costing $360 million, will consolidate multiple specialties, an ambulatory surgery center, and a retail pharmacy under one roof. It will connect to a new parking garage completed earlier this year.
The utility plant, priced at $330 million, will supply energy and climate control systems for the hospital.
Several other facilities have already opened. The Psychiatric Emergency Center, which cost nearly $77 million, began operations in September 2025 as the first standalone facility of its kind in Tarrant County. The Medical Home Southwest Tarrant, a $37 million center named for former Commissioner Roy Charles Brooks, was the first project to open and is the only one located outside the main campus.
The Las Vegas Trail Health Center, a collaboration involving Cook Children’s Health Care System and the city of Fort Worth, opened last summer. While listed on the JPS master plan website, its costs are not included in the $2.5 billion estimate because JPS leases the facility rather than owning it.
