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Economic uncertainty has Slowly slowed down from construction In many non -residential sectors. But for health projects, developers have not shown signs of shooting, according to Robins & Morton, a Birmingham -based construction company based in Alabama.
This is one of the firm’s takeaway 2025 Health Status Construction Reportwhich draws the highlights of the executives, architects and contractors of the health of the healthcare construction space. This year’s report explores topics such as sustainability, design and cybersecurity, through the slowness of the role of a construction partner in these projects.
The report said that the rhythm of healthcare construction has been largely constant, partly because the facilities still have to modernize to compete, said Derek Gregg, Vice President of Robins and Morton’s operations. Spending on Health construction reached 69.78 billion dollars In February 2025 and 2.1% remain compared to the levels of the previous year.
At the same time, health developers are more confident of their contractors in the process to manage the costs of increasing, mitigate the risk and maintain projects underway.
Here, Gregg talks about the immersion of construction about design changes, spending behavior and what contractors can wait for the next year in healthcare construction.
This interview was published by brevity and clarity.
Construction division: Many construction companies report slower decision -making in the current environment. What did your equipment observe specifically about the health construction activity?
Derek Gregg: Health construction is a bit unique as it is more isolated Economic uncertainty than other sectors for a couple of reasons.

Derek Gregg
Permission granted by Robins & Morton
First, the demand for health services is still the same regardless of economic activity. Second, the process of planning health projects, increasing or assigning appropriate financing and construction activities, often occurs in a longer calendar than other commercial companies.
This means that our clients expect market fluctuations throughout this calendar and to make bonuses for their projects to continue. In general, we have not seen significant changes in the focus of new projects.
The report indicates the growing interest in sustainability and resilience. What do healthcare customers priorit on their project specifications?
It is difficult to generalize, since each health system has different priorities, ranging from corporate sustainability commitments to the geographical location of its real estate.
For example, Robins and Morton does a large number of work in the southeast and Florida, hardening and resilience are still front-line problems for healthcare projects. We are also seeing that customers opt for more energy efficient equipment, which often have a higher initial cost.
Through tools such as life cycle evaluations, long -term cost savings can be more accurate and advanced in possible regulatory changes. Along with the desire to build healthier spaces, our customers use more complete data to make informed decisions on sustainability.
What design changes do you see that influence health construction space?
An important influential factor in current and future health design is competition.
We are seeing a tendency to reform the certificate of need. The certificate of need for laws regulates health construction and in states where laws are active, health systems or practices must request authorization to build new health facilities. When approved, there is an increase in competition between health systems for patients and talent.
Health systems want to promote the comfort, technology and comfort of their facilities to attract and retain staff, as well as patients.
In addition, we will see a continuous emphasis on promoting future with a flexible space and high capacity technological infrastructure.
What are some other crucial trends that you think are important to mention around health construction?
In general, current health facilities are more complex than ever and require interdisciplinary collaboration.
We only hope that this complexity will increase, and it is not enough to build a designed building. Listening to the pulse of the health industry and aligning this view of macroeconomic knowledge, we can better understand how we can help alleviate the challenges and operational pressures of our customers.
