The first phase of construction is beginning on a new $2.19 billion health care, training and research facility for the University of Nebraska Medical Center and Nebraska Medicine, its clinical partner.
NU regents last week OK’d the first in a series of what are known as intermediate design reports for Project Health, a clinical learning center that would provide more — and more modern — space where UNMC faculty and staff can train the next generation of health care providers, care for Nebraskans, conduct research and offer clinical trials.
The approval means that after six years of discussions and planning, Omaha residents will begin seeing the start of construction on the site, said NU President Dr. Jeffrey Gold. The work will include digging and drilling for utilities, water and drainage systems and heavy building components such as elevator shafts.
The structure will be built on UNMC’s main campus on a now-vacant 7.5-acre site formerly occupied by JP Lord Elementary School and the Munroe-Meyer Institute, which relocated to Aksarben. The site is bounded by Farnam Street on the north, 44th Street to the east, Dewey Avenue to the South and Saddle Creek Road on the west. Several pieces of construction equipment were operating on the site this week.
“The philanthropic community, our partners in the state, and of course the health care community and the patients that we serve (and) the planning people that have been literally working for years on this, are ecstatic,” Gold said.
Project Health is the first phase of Project NExT, a joint effort of the university and Nebraska Medicine. It also would be the largest project in university history, exceeding the $370 million Fred & Pamela Buffett Cancer that opened in June 2017.
An architect’s rendering depicts the new facility, which would sit north of the cancer center, as a sleek glass-fronted structure connected to nearby buildings by street-spanning overhead walkways. One connection would be the CORE, or Campus Operations and Research Excellence, Building, which is under construction on the southwest corner of Saddle Creek and Farnam. It will provide space for computer-based research and wet lab-based research for drug discovery, cancer research and other strategic topics.

A rendering depicts Project Health, a planned $2.19 billion health care facility where Nebraskans would receive care and a new generation of health care providers would train. A recent approval from the NU Board of Regents authorizes the next phase of work on the project.
University officials previously have estimated the new health care facility will comprise 18 to 20 floors above and below ground, with 15 floors likely visible, and stand between 380 and 400 feet tall. At that height, it would be several floors taller than the cancer center.
Dr. H. Dele Davies, UNMC’s interim chancellor, said in a statement that the project will allow UNMC to add nearly 200 more students in health professions each year at a time when health care workforce shortages are prevalent across the state.
About 30% of the new space would be reserved for teaching and research. That’s lacking in existing facilities, which now are more than 70 years old.
The regents’ approval comes with authorization to spend an additional $50 million on the next phase of work. The current report is the first of several that the regents will consider, with the next — which would authorize foundations — expected to come in January. A previous approval for planning included authorization to spend $50 million in existing philanthropic funds on design work.
University officials previously have discussed two other possible phases of Project NExT on the campus, one of which could be a new, federally funded in-patient veteran’s hospital.
Gold acknowledged that the Veteran’s Administration has not committed to such a project in Omaha.
But he reprised the proposal in March during his testimony before the House Committee on Veterans’ Affairs Subcommittee on Health, during which he spoke in support of a measure co-sponsored by Rep. Don Bacon, R-Neb.
The measure, H.R. 217, would make permanent the CHIP-IN for Veterans Act, which allows the VA to develop and finance health care facilities through public-private partnerships.
Gold said the measure would create a vehicle that would allow the university and its collaborators to build a new VA hospital in partnership with the agency.
A new, modern VA hospital built on the UNMC campus, he told the subcommittee, could be directly connected to Project Health, ensuring seamless access to diagnostic, procedural and clinical trial services and offering the opportunity for a variety of other shared functions, such as laboratory resources.
It would be branded, staffed and operated by the VA, Gold said. But a state-of-the-art facility, leveraging private construction and adjacent resources, would be significantly more cost-effective than renovating or replacing the existing VA hospital that was opened in 1950.
Gold noted that an earlier version of the act allowed the construction of the new Ambulatory Care Center at the existing Omaha VA hospital near 42nd and Center Streets through just such a partnership. The clinic was built for $86 million, with $56 million in VA funds and $30 million from Heritage Omaha, the nonprofit involved in numerous local capital improvement projects.
Bacon said recently that the ambulatory clinic had been estimated to cost the VA $130 million. He credited donor dollars and local construction management for the savings.
“It’s one of the best facilities for vets in the country, and we did it for pennies on the dollar,” he said.
Bacon said he has been convinced by Gold that there could be greater savings if a VA hospital were built through a similar process and located on the UNMC campus.
He said both members of the House committee that oversees the VA and VA officials in Washington are also interested in the project because they can see how much taxpayers could save. HR 217 has been forwarded to the full Veterans Affairs committee for consideration but has not yet been voted on by the House.
“We want to do this again,” Bacon said. “We have an opportunity to get a state-of-the-art facility here. That’s my goal.”
Meanwhile, fundraising for the project continues, which will include private, state and city funding.
The state initially approved $300 million in 2020 and is included in the budget package of Nebraska Legislature’s appropriations committee under two legislative bills. The proposed package would begin to allocate it this biennium and disburse $50 million a year for the next six years.
Laura Strimple, a spokeswoman for Nebraska Gov. Jim Pillen, said in a statement that the governor “believes that it’s time for our state to invest deeply in our hospital infrastructure and a state-of-the-art facility.”
Pillen was a regent when the project was first envisioned and was treated at the Nebraska Medical Center earlier this year after he was injured in a horse-riding accident.
“As governor,” she said, “he has been a champion of this project and is pleased that the state will invest funds from the (Tobacco Settlement Fund) to support it.”
World-Herald staff writer Henry J. Cordes contributed to this report.
Our best Omaha staff photos & videos of April 2025

Christine Mahon waves at passing cars with other protestors lining Dodge Street to voice discontent with President Trump's administration at Memorial Park in Omaha on Saturday, April 5, 2025. Organizers of the Omaha protest are calling on Trump and Elon Musk to take their hands off the programs that middle class and working families rely on and asking elected officials to take a stand. The protest is part of a nationwide movement, with over 1,000 protests planned across the country Saturday.

Erin Kelly, owner of Rinkel, adjusts the sleeves on Chrissa King's dress before Conscious Collection Fest's sustainable fashion showcase at Floors Floors Floors in Omaha on Friday, April 4, 2025. The showcase, one event from the four-day festival centered on community and slow fashion, highlighted curated second hand, vintage and upcycled collections.

Omaha's Tyler Bishop (2) tags Nebraska's Riley Silva (1)/ for the second out in the first inning during a college baesball game at Tal Anderson Field in Omaha, on Wednesday, April 2, 2025. Bishop initially bobbled the ball but recovered to make the out

Attorney David A. Domina listens to opposing arguments during a Nebraska Supreme Court session held at Omaha Bryan high school in Bellevue, on Wednesday, April 2, 2025.

John Ewing speaks to supporters during the municipal primary election watch party for John Ewing at the Omaha Press Club in Omaha, on Tuesday, April 1, 2025.

Andrea Norris, a content creator who shares fun things in Nebraska, makes a video for TikTok at Woodees in Lincoln on Wednesday, April 2, 2025. A video of hers unexpectedly went viral after Norris jokingly asked if anyone cared about the state, opening up a huge political discussion and some misinformation.

Audrey Christensen puts on lipstick before Conscious Collection Fest's sustainable fashion showcase at Floors Floors Floors in Omaha on Friday, April 4, 2025. The showcase, one event from the four-day festival centered on community and slow fashion, highlighted curated second hand, vintage and upcycled collections.

Omaha's Henry Zipay (1) drops a pop fly off the bat of Nebraska's Tyler Stone (55) with two outs in the ninth inning during a college baesball game at Tal Anderson Field in Omaha, on Wednesday, April 2, 2025.

People watch the first results on TV for the municipal primary election during the watch party for Mike McDonnell at the.Omaha Firefighters Hall in Omaha, on Tuesday, April 1, 2025.

during the first set set of a League One Volleyball match at at Liberty First Credit Union Arena in Ralston on Thursday, April 3, 2025.

Omaha's Maddox Meyer (28) celebrates the last out ina win over Nebraska during a college baesball game at Tal Anderson Field in Omaha, on Wednesday, April 2, 2025.

The Omaha dugout comes out to celebrate with Drew Borner (24) after Borner hit a two-run homer in the seventh inning to break the tie with Nebraska during a college baesball game at Tal Anderson Field in Omaha, on Wednesday, April 2, 2025.

Omaha's Eli Hoerner (10) celebrates with Drew Borner (24) after Borner hit a two-run homer in the seventh inning to break the tie with Nebraska during a college baesball game at Tal Anderson Field in Omaha, on Wednesday, April 2, 2025.

Omaha's Trent Burkhalter(6) tries to catch a ball thrown by Omaha's Jackson Trout (20) as Nebraska's Cayden Brumbaugh (0) scores on sacrafice fly by Nebraska's Max Buettenback (11) during a college baesball game at Tal Anderson Field in Omaha, on Wednesday, April 2, 2025.

Polling booths sit empty inside Nathan Hale Middle School in Omaha on Tuesday, April 1, 2025.

Erick Estevez fills out his ballot at Walnut Hill Elementary School in Omaha on Tuesday, April 1, 2025.

Tim Fickenscher, an election official, puts a ballot in the ballot box during the municipal primary election at New Life Presbyterian in Omaha on Tuesday, April 1, 2025.

Creighton's Will MacLean (17) celebrates after recording the final out during the ninth inning of a college baseball game at Hawks Field in Lincoln on Tuesday, April 1, 2025.

Brian Rosen walks into Sokol Arena before a press conference introducing him as the new volleyball coach in Omaha on Monday, April 7, 2025. Creighton athletic director Marcus Blossom, front, and former head coach Kirsten Bernthal Booth walk with Rosen.

LaToya Henderson holds Na’Zier, her grandson, while her daughter Jamirriah Nelson watches in Omaha, on Friday, April 4, 2025. Na’Zier's father, Shalamar Davis Jr., was shot and killed on March 25. Henderson had just met Na’Zier the day before her son was killed.

LaToya Henderson holds Na’Zier, her grandson in Omaha, on Friday, April 4, 2025. Na’Zier's father, Shalamar Davis Jr., was shot and killed on March 25. Henderson had just met Na’Zier the day before her son was killed.

Lynn Painter, a local author, signs copies of her books for Lynley Janovich, left, and Sami Nair at the opening of Barnes & Noble in Papillion on Wednesday, April 9, 2025.

Other models hype up Kailah Greenwood while she has her photo taken before Conscious Collection Fest's sustainable fashion showcase at Floors Floors Floors in Omaha on Friday, April 4, 2025. The showcase, one event from the four-day festival centered on community and slow fashion, highlighted curated second hand, vintage and upcycled collections.

Iona Fortune, a burlesque dancer and costumer, goes through her costume closet at her home in Bellevue on Wednesday, April 2, 2025. Fortune, which is her stage name, tries to emphasize sustainability with her costume decisions by buying vintage and secondhand pieces and giving them a new life.

A truck is turned over on I480 near Cuming Street in Omaha, on Thursday, April 10, 2025.

A truck is turned over on I480 near Cuming Street in Omaha, on Thursday, April 10, 2025.

A truck is turned over on I480 near Cuming Street in Omaha, on Thursday, April 10, 2025.

Omaha police investigate a shooting near 30th and Q streets Omaha, on Thursday, April 10, 2025.

The path of a tornado along with debris can be seen in a farm field near Nashville, on Thursday, April 17, 2025.

A tornados seen just north of Doudglas County from Highway 75 , on Thursday, April 17, 2025.

RVs are damaged from a tornado in Nashville, on Thursday, April 17, 2025.

Golfball-sized hail rests in a yard in Nashville, on Thursday, April 17, 2025. A quarter was placed to give a size reference.

Clouds darken the sky as a storm that later produced a tornado is seen west of Highway 75 north of Omaha, on Thursday, April 17, 2025.

RVs are damaged from a tornado in Nashville, on Thursday, April 17, 2025.

Lightning strikes behind Cameron McNew poses for a portrait after a tornado his his house near Nashville, on Thursday, April 17, 2025.

A rainbow forms behiind golfball sized hail in Nashville, on Thursday, April 17, 2025.

Judd Heaton, 3, runs near the damaged house of his neighbor Cameron McNew near Nashville, on Thursday, April 17, 2025. McNew's house was hit by a tornado.

A tornado damaged the night before this home near 84th Street south of Dutch Hall Road in northern Douglas County on Friday, April 18, 2025.

A tornado damaged the night before this home near 84th Street south of Dutch Hall Road in northern Douglas County on Friday, April 18, 2025. On the wall is the "Serenity Prayer" which starts with the line "God, grant me the serenity to accept the things I cannot change."