The Cleveland Clinic Avon Hospital expansion is now under construction, after the health system broke ground on 30 July 2026 on a US$322 million programme that will nearly double the size of its 107 acre campus in Avon, Lorain County, Ohio. The scheme covers both Avon Hospital and the adjoining Richard E. Jacobs Health Center, and is scheduled to open in the second quarter of 2029. Work will deliver a dedicated cancer center, a larger emergency department, additional inpatient beds and intensive care capacity, further operating rooms, expanded imaging and diagnostics, an enlarged health center and a new patient parking garage. Avon Hospital opened in 2016 as a 236,000 square foot facility of five storeys carrying 126 beds, sitting alongside the 190,000 square foot Jacobs Family Health Center that has been in service since 2011. Demand has outrun both. Cleveland Clinic reports a rise of more than 40 percent in surgeries and admissions since 2017, alongside an increase of nearly 75 percent in imaging volumes, and the Avon site now runs one of the busiest laboratories anywhere in the system. Rebecca Starck, vice president and chief medical officer at Cleveland Clinic Avon Hospital, said patients are travelling long distances for services that ought to be available locally, and that the build is intended to keep sicker patients closer to home. Chief executive Tomislav Mihaljevic framed the investment as an extension of Cleveland Clinic quality of care to a wider catchment, while Avon mayor Bryan Jensen told the groundbreaking audience that the city intends to grow with the hospital.

Lorain County Project Cost Lands Inside a Wider Ohio Hospital Building Wave

Avon is one piece of a US$600 million capital push across Cleveland Clinic’s west submarket. The companion scheme at Fairview Hospital in Cleveland, which replaces the ageing Moll Cancer Center with a new cancer facility, a medical office building and a parking structure, topped out in June 2026 and is expected to open in July 2027. Together they describe a deliberate decentralisation strategy from a system that runs 23 hospitals, roughly 300 outpatient sites and 6,725 beds. Ohio has become one of the more active healthcare construction markets in the American Midwest. MetroHealth is delivering a US$224.3 million outpatient center in Cleveland, and University Hospitals is progressing a cancer center at UH TriPoint alongside a US$39 million conference and clinical building at its Wolstein Cente. The most instructive regional comparison sits further south. Memorial Health System’s Athens Medical Campus, a four storey building of roughly 100,000 square feet, was assembled from 204 factory built modules produced by MODLOGIQ and completed in 2024, making it the largest permanent healthcare facility in North America built using modular methods away from site. That project, covered by Construction Review Online when work began at the Athens Health Campus, opened its emergency department roughly 18 months sooner than conventional construction would have allowed. Avon takes the opposite route, building conventionally on an operating campus, which explains a programme measured in years rather than months.

Cleveland Clinic Avon Hospital Expansion Timeline and Completion Date

The delivery window now runs to roughly 34 months from groundbreaking to opening. Both the budget and the schedule have moved since the project was first announced in June 2025, when Cleveland Clinic put the figure at US$340 million with completion expected in 2028. The revised position of US$322 million and an opening in the second quarter of 2029 reflects a scope and programme settled after detailed design review with the city of Avon. A Clinic spokesperson confirmed at announcement that no land acquisition was required, which removes one of the more common sources of delay on American hospital work. The principal open question is procurement. Cleveland Clinic has not publicly named a main contractor or design team for the Avon package, and the health system has said philanthropy will help accelerate progress, which leaves fundraising performance as a variable alongside the cost pressure that continues to affect complex healthcare builds. Phasing is the other watch item, because the emergency department, laboratory and imaging suites all have to keep running while construction proceeds around them. On completion, Cleveland Clinic expects Avon to function as one of its most comprehensive care hubs outside the Cleveland main campus, holding cancer, surgical and critical care volumes inside Lorain County that currently leave it.

Project Fact Sheet

• Project Name: Cleveland Clinic Avon Hospital and Richard E. Jacobs Health Center Expansion
• Location: Avon, Lorain County, Ohio, United States, on the campus off Nagel Road north of the Interstate 90 interchange
• Project Value: US$322 million, per the figure cited by Cleveland Clinic at the July 2026 groundbreaking, revised down from the US$340 million announced in June 2025
• Client and Owner: Cleveland Clinic
• Main Contractor: Not yet disclosed
• Key Components: Dedicated cancer center, expanded emergency department, additional inpatient beds and ICU capacity, further operating rooms, expanded imaging and diagnostic services, enlarged Richard E. Jacobs Health Center, patient parking garage
• Campus Size: 107 acres, which also carries Cleveland Clinic Rehabilitation Hospital Avon
• Existing Facilities: Avon Hospital, 236,000 square feet across five storeys with 126 beds, opened 2016; Richard E. Jacobs Family Health Center, 190,000 square feet, opened 2011
• Construction Start: Groundbreaking held 30 July 2026
• Expected Completion: Second quarter of 2029
• Funding: Cleveland Clinic capital investment, with philanthropy contributing to acceleration
• Strategic Impact: Nearly doubles campus size and forms part of a US$600 million Cleveland Clinic investment across its west submarket

Project Team

• Client and Owner: Cleveland Clinic
• Health System Leadership: Tomislav Mihaljevic, MD, President and Chief Executive Officer, Cleveland Clinic
• Hospital Leadership: Rebecca Starck, MD, Vice President and Chief Medical Officer, Cleveland Clinic Avon Hospital
• West Submarket Leadership: Neil P. Smith, DO, President of Fairview Hospital and Cleveland Clinic’s West Submarket
• Main Contractor: Not yet awarded or not yet disclosed
• Architect: Not yet disclosed
• Host Municipality: City of Avon, Ohio, represented by Mayor Bryan Jensen
• Regulatory Review: City of Avon design review process

Frequently Asked Questions

How much does the Cleveland Clinic Avon Hospital expansion cost? The project carries a value of US$322 million, the figure Cleveland Clinic cited at its July 2026 groundbreaking. That is a reduction on the US$340 million announced when the scheme was unveiled in June 2025.

When will the Cleveland Clinic Avon Hospital expansion be completed? The expansion is expected to open in the second quarter of 2029, roughly 34 months after construction started.

Who is building the Cleveland Clinic Avon Hospital expansion? Cleveland Clinic is the client and owner. The main contractor and design team for the Avon package have not been publicly disclosed.

What will the Cleveland Clinic Avon Hospital expansion include? It adds a dedicated cancer center, a larger emergency department, more inpatient and intensive care beds, additional operating rooms, expanded imaging and diagnostics, an enlarged Richard E. Jacobs Health Center and a patient parking garage.

Where is the Cleveland Clinic Avon Hospital expansion located? The work is taking place on Cleveland Clinic’s 107 acre campus in Avon, Lorain County, Ohio, just north of the Interstate 90 and Nagel Road interchange.