• The $536 million, Carl R. Darnall Army Medical Center Replacement at Fort Hood, Texas, was topped out in May. The medical center replacement is the largest project to date funded by the American Recovery and Reinvestment Act of 2009, and is the largest design-build project in the Department of Defense's medical construction. The Balfour Beatty | McCarthy team is providing design-build services for the 947,000-square-foot project, which will replace the existing medical center. The project sits on a 72-acre site and will include a six-story hospital tower, two two-story outpatient clinics, one three-story outpatient specialty clinic, ambulance garage, logistics building, central utility plant and three parking structures. Construction is scheduled for completion in July 2014, with operations set to start in summer 2015.

• Ground was broken in May for the new Fred and Pamela Buffett Cancer Center at the University of Nebraska Medical Center. The center is part of a $370 million project that consists of three components: a 10-story, 252,000-square-foot, cancer research tower with 98 laboratories; a seven-story, 325,000-square-foot, 108-bed hospital tower, and a multidisciplinary ambulatory clinic. HDR was direct-selected to design the cancer research and treatment center.

• An expanded and relocated oncology unit, called the Richard and Annette Bloch Cancer Center at Truman Medical Centers, set to open in early 2014 in Kansas City, Mo. A $2.3 million gift by the R.A. Bloch Cancer Foundation endowed the facility. At nearly 17,000-square-foot, the new cancer center will more than triple the size of the current unit at TMC. It will include 10 dedicated exam rooms and one procedure room along with 16 chemotherapy infusion rooms equipped with comfortable recliners and individual TV/entertainment centers for patients.

• The U.S. Army Corps of Engineers, Fort Worth District, will build a $648 million, 630,000-square-foot Fort Bliss Replacement Hospital in El Paso, Texas. The project is expected to be complete in 2016, and will comprise a 1.1 million-square-foot health care campus to replace the existing William Beaumont Army Medical Center. The project will consist of a seven-story hospital, two clinic buildings, administrative building, clinical investigation building with biosafety level three laboratories, and central utility plant. Clark McCarthy Healthcare Partners II, a joint venture of Clark Construction Group and McCarthy Building Companies Inc., was awarded the contract. HDR, Inc., of Alexandria, Va., is the project architect.

The Medical City Hospital in Dallas, Texas, will be expanded and renovated. The project will consist of a 160,307-square-foot, four-story vertical expansion above the existing emergency department and ambulance drop-off. Work will include a 68,576 square-foot, phased interior renovation of multiple departments on the campus, including surgery, medical oncology, surgical oncology, stem cell and the emergency department/cardiac diagnostic unit. Brasfield & Gorrie was awarded the contract. Perkins+Will will be the architect of record on the project, which will begin in January 2014.

Christiana Care Health System dedicated its newly transformed Wilmington (Del.) Hospital Campus in May. The $210 million construction project includes a new nine-floor patient tower, named the Carol A. Ammon South Tower. Ammon has been a trustee of Christiana Care since 1998 and previously was the chair of the board of directors, and donated the largest individual gift in Christiana Care's history for the project.