Tufts Medical Center and University won’t be starting any new real estate projects in the coming years, with other hospitals also facing development headwinds.

Tufts announced that it wouldn’t undertake any new developments in a November 14 update to its Institutional Master Plan (IMP), a document it maintains with the city to manage real estate projects. The university will seek an expedited renewal process in December.

“At the present time, the University is not proposing any new development projects and wishes to renew the existing IMP for a period of five years,” said the update. “We look forward to working with the Planning Department and the Chinatown, Fenway and Mission Hill communities during the IMP renewal process.”

The medical center side of Tufts has also put any new construction on ice, with Media Relations Manager Jeremy Lechen confirming that he is “not aware of any major development projects in the pipeline for Tufts Medical Center in the next couple of years.”

Tufts isn’t the only medical institution wary about real estate in the near future. In April, the Boston Business Journal broke the news that the Boston Children’s Hospital was pausing its planned move to a lab building in the Fenway.

It had originally agreed in 2023 to purchase five floors of space from Alexandria Real Estate Equities at 421 Park Drive. With real estate projects now faltering citywide, however, it seems 300,000 square feet for $172 million wasn’t in the cards. Boston Children’s Hospital did not respond to a request for comment by press time.

There are, however, major exceptions to this trend. Massachusetts General Hospital (MGH) has released updated construction schedules starting November 24 for the Philip and Susan Ragon building by Beacon Hill. It’s an extensive project with a two-tower layout boasting almost 500 new beds, and upcoming work will involve heavy machinery, soil and asphalt paving, setting up exterior envelopes and upgrading utilities. That plan is proceeding well enough to require weekend closures on November 22 and 29, with initial foundations finishing summer 2026 and the first building finishing in 2027.

The Dana Farber Cancer Institute is also in the middle of developing the region’s first dedicated in-patient cancer hospital, a ten-floor facility with 300 beds in the Longwood Medical and Academic Area.

The institute declined to comment on the project’s status for this article, but did point toward a press release from July as the best source of public information. If this development does move forward, its 2031 completion date would require workers to break ground in 2026.

“We are pleased to [have passed city regulatory review] and thank the City of Boston and the Commonwealth of Massachusetts for their thoughtful review,” said Alexa Kimball, president of the Harvard Medical Faculty Physicians, at the time of the release. “With cases of cancer on the rise, it is more important than ever that we seize opportunities to transform how and where we deliver the highest level of care to all the patients who need us in our community.”