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Baptist Health and AdventHealth have opened new facilities across St. Johns County as part of a $200 million health care building wave reaching Nocatee and Ponte Vedra.

The region's five dominant health systems have poured at least $200 million into freestanding outpatient facilities over the past two years, the Jacksonville Business Journal reported Wednesday. St. Johns County government puts the figure even higher: more than $350 million in building permits were pulled for new medical facilities in 2024 and 2025, a wave expected to bring more than 3,500 jobs.

Baptist Health expands in Nocatee and SilverLeaf

Ponte Vedra and Nocatee residents are already seeing the results. Baptist Health operates a HealthPlace location in Nocatee and, as the Ledger reported Wednesday, opened a 16-room emergency department at SilverLeaf. The system also opened its $40 million, 51,000-square-foot Baptist HealthPlace at Seven Pines on June 2, offering primary care, cardiology, orthopedics, rehabilitative care and lab services.

AdventHealth builds its St. Johns County footprint

AdventHealth, meanwhile, is building its St. Johns County footprint from scratch. The system opened Treaty Oaks ER, a 16,116-square-foot stand-alone emergency room at 1775 State Road 207, July 11, the Jacksonville Business Journal reported Sept. 9. It was AdventHealth's first ground-up facility in Northeast Florida. The $12 million project is expected to create 56 jobs.

AdventHealth also unveiled a 3,000-square-foot specialty clinic in November 2025 at 1000 Plantation Drive in St. Augustine. The system paid $13.14 million in February 2025 for three parcels near World Golf Village.

A March 2026 application to St. Johns County's Development Review Committee outlined phase one of that World Golf Village site: a 12-bed emergency room, helipad and infrastructure for a future hospital and two medical office buildings.

Rob Deininger, AdventHealth East Florida Division president and CEO, told the Business Journal on Sept. 9 that St. Johns County is an "extremely attractive market" where the system has very low market penetration. He called the projects part of a countywide strategy.

Developers see health care as a draw

The expansion mirrors a retail playbook. Lucia Hedke, a managing director at JLL who leads the commercial real estate firm's Florida health care operations, told the Business Journal she fields one or two calls a week from developers looking to buy land or convert office space in St. Johns County. She said she is working with at least five out-of-state clients to identify 10 to 15 sites for concierge or private practices on the First Coast. Those private equity-backed physician groups prefer premium office space over traditional medical buildings, she said.

Eric Fletcher, Baptist Health's executive vice president and chief strategy officer, told the Jacksonville Daily Record ahead of the June 2 opening that developers of master-planned communities like Seven Pines view health care as a draw for residents, alongside a Publix. He said roughly 1.25 million people live within 30 minutes of the Seven Pines campus, with the area growing at about 10% annually.

No specific opening timeline has been announced for AdventHealth's World Golf Village emergency room or future hospital.