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AdventHealth breaks ground on 150-bed hospital in Louisville, Colorado

AdventHealth breaks ground on 150-bed hospital in Louisville, Colorado

Built World

A $475 million Turner-FH project will replace the aging Avista campus and is set to open in early 2029

Today: Project value reported at $475 million

Overview

Updated 1 hour ago

AdventHealth broke ground Wednesday on a $475 million hospital in Louisville, Colorado, replacing its Avista campus in Boulder County. Turner Construction and Denver-based FH Construction Group are building the five-story, 150-bed facility as a joint venture, with completion expected in early 2029.

The hospital sits on 40 acres in the Redtail Ridge development at U.S. 36 and Northwest Parkway. It shortens emergency care drives for more than 400,000 people, some of whom now travel 17 minutes to reach an emergency department. The design carries lessons from the 2021 Marshall Fire, including multiple entry points and improved campus access.

Why it matters

When it opens in 2029, more than 400,000 Boulder County residents will reach emergency and inpatient care closer to home.

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Key Indicators

$475M
Reported project value
Contract value reported by Becker's Hospital Review and World Construction Network.
150
Beds in the first phase
The facility can expand later, with room for about 200 beds at full build-out.
400,000+
People with shorter emergency drives
The new site cuts travel time to an emergency department for more than 400,000 residents.
63%
Site preserved as open space
Required under the city-approved plan, including about 400 trees and low-water plantings.

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Timeline

January 2025 January 2029

6 events Latest: Today
Tap a bar to jump to that date
  1. Hospital expected to open

    Upcoming Projection

    AdventHealth targets a first-quarter 2029 opening for the 150-bed facility.

  2. Project value reported at $475 million

    Today Announcement

    World Construction Network reports the $475 million value of the Turner-FH contract for the five-story hospital.

  3. Groundbreaking at Redtail Ridge

    Construction

    AdventHealth and the Turner-FH joint venture break ground on the 40-acre campus at U.S. 36 and Northwest Parkway.

  4. Final development plan approved

    Approval

    Council approves the plan for a 371,600-square-foot hospital, a medical office building, and a helipad.

  5. Redtail Ridge master plan approved

    Approval

    Louisville City Council approves the master plan, allowing the hospital project to move forward.

  6. AdventHealth buys Redtail Ridge land

    Purchase

    AdventHealth buys the site in Louisville for $34 million around the start of 2025.

Scenarios

1

AdventHealth Louisville opens on schedule in early 2029

Likely Resolves by Q2 2029

Discussed by: AdventHealth and the Turner-FH joint venture, which committed to a first-quarter 2029 opening

The joint venture completes the five-story hospital in about 28 months and AdventHealth opens it to patients in the first quarter of 2029. The project has cleared local approvals, no major regulatory hurdles remain, and Turner says it has built healthcare facilities for a century.

2

Construction delays push opening past mid-2029

Possible Resolves by Q2 2029

Discussed by: Construction observers, noting that large hospital builds often slip on supply chain and labor constraints

Material costs, labor shortages, or site conditions push completion past the first quarter of 2029. The schedule includes some built-in flexibility: about 30 of 153 planned inpatient rooms are shelled for later build-out, which lets the first phase open without them.

3

AdventHealth keeps the Avista campus open for outpatient care

Likely Resolves by Q2 2029

Discussed by: AdventHealth, which said outpatient services are expected to remain at the existing site; CEO Mark Smith said the campus would likely be kept for clinical use

The health system confirms the 215,000-square-foot Avista campus will continue operating for outpatient care after the hospital moves to Redtail Ridge. That preserves a care presence in central Louisville. AdventHealth is assessing the campus's future and has said outpatient services are likely to stay in the near term.

Historical Context

3 moments from history that rhyme with this story — and how they unfolded.

December 2021

Marshall Fire (2021)

On Dec. 30, 2021, a wind-driven wildfire swept through unincorporated Boulder County, Superior, and Louisville, destroying more than 1,000 homes. It became the most destructive fire in Colorado history, and tens of thousands of residents evacuated in a matter of minutes.

Then

The fire displaced thousands and reshaped planning priorities across the county. Rebuilding took years.

Now

Local governments and institutions began folding wildfire resilience into infrastructure design. AdventHealth cited the fire directly when designing the new hospital's campus access and entry points.

Why this matters now

The AdventHealth Louisville design incorporates lessons from the fire, including multiple points of entry and improved campus accessibility for evacuations.

2023

Centura Health dissolution (2023)

Centura Health, the joint operating partnership between AdventHealth and CommonSpirit Health, dissolved in 2023 after 27 years. The breakup forced AdventHealth to build its own Colorado support functions, from insurance contracts to hospital operations.

Then

AdventHealth took direct control of its Colorado hospitals, including Avista in Louisville.

Now

The dissolution pushed AdventHealth to invest in independent facilities, supporting the case for a new Avista campus.

Why this matters now

The new Louisville hospital is part of AdventHealth's effort to operate independently in Colorado after the partnership ended.

2010-2024

Medtronic's abandoned Redtail Ridge campus

Medtronic had planned a 90-acre campus on the Redtail Ridge site in Louisville. After years of delays and a failed special election over the development's scope, the company dropped the plan, and the site reverted to its 2010 master plan.

Then

Louisville approved the reverted plan in February 2026, clearing the way for AdventHealth.

Now

Years of controversy over Redtail Ridge's future ended with a healthcare project rather than a corporate campus.

Why this matters now

AdventHealth's hospital is the first major project built on the long-contested site.

Sources

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