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State Hospital construction moves forward; project oversight and GMPs pending

North Dakota Legislative Budget Section · December 10, 2025

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Summary

OMB reported construction progress on the new State Hospital west of the Jamestown campus: 297,000 sq ft, 140 beds, $300 million appropriated in HB1015, excavation and footings underway with structural steel planned and substantial completion projected in 2027 and operations in 2028.

Lindsay Ashley, statewide construction manager for OMB, updated the committee on the new State Hospital project near Jamestown. She said the building will be roughly 297,000 square feet with 140 beds and associated therapy, office and rehabilitation spaces. The Legislature authorized $300,000,000 in House Bill 1015 (approximately $200M in SIF and up to $100M in a Bank of North Dakota line of credit), and the project has begun site work and excavation.

Ashley reported 2.67% of the budget (about $8 million) has been spent to date and excavation and foundation work continue through the winter with structural steel scheduled next spring. The project team is finalizing the last Guaranteed Maximum Price (GMP) package and expects to report GMP details to the steering committee in the coming week. She said the steering committee (OMB, HHS, governor’s office and three legislative appointees) has met twice and will meet again soon to review design and alternate selections.

Projected substantial completion is in 2027 with anticipated facility operations starting in 2028. Ashley answered committee questions about alternates, inspection responsibilities and third‑party inspection services in place. The committee requested continued updates on GMPs and any cost alternates so legislators can monitor budget exposure as the project proceeds.