Eight years ago Duke Health began acquiring land to build out the campus in Cary. In 2022, the health system opened its first facilities at the site. The campus currently houses about 100,000 square feet of primary care, pediatric, urgent care and some speciality services.

The Raleigh Business Journal reports Duke has received approval from state regulators for a new 40-bed hospital at Green Level W. Road near Hwy. 540. The next phase of the project, which Duke is beginning now, involves building out 111,000 square feet of for hospital. Duke hopes to have this next phase open by 2027.

In addition to the beds, Duke has approval for operating rooms, spaces for gastrointestinal endoscopy, a CT scanner and a linear accelerator, which is used to treat cancer patients.