Today, the list is thinner, and designers and contractors are looking to win smaller projects from these same institutions and scouting their master planning efforts to see what’s on the horizon – and how long it will take to get there.

Here’s a sampling of the dwindling list of major jobs that are still ongoing, and a few leading candidates for the next big jobs.

Big Active Projects

• Mount Sinai Medical Center is the center of attention in Manhattan’s health care market, as it continues construction on its new 500,000-sq-ft- Center for Science and Medicine, which broke ground last year and is expected to be complete in 2012. The $475 million facility in East Harlem will house 15 floors of research and clinical space, 11 of them above grade and six of them devoted to research laboratories. About 40% of the facility will focus specifically on cancer research and treatment functions. Other functions include a new imaging center and various open-plan spaces intended to spur collaboration between researchers and clinical medical professionals. Skidmore Owings & Merrill is the architect.

• The $300 million New Patient Pavilion at Harlem Hospital Center is about halfway complete, though its neighborhood on Lenox Avenue in Manhattan is already enjoying the giant mural on its fa�ade that recreates historic WPA art that is already found within the public hospital that is part of the N.Y.C. Health and Hospitals Corp. The overall project, which has been reduced in scope because of HHC’s budget constraints, entails adding clinical space and wrapping up construction in 2012.. TDX Construction of New York is the construction manager on the job.

• Two jobs are in the works at Yale-New Haven Hospital in New Haven, Conn., with Turner Construction finishing the $280 million Smilow Cancer Hospital and the FUSCO Group constructing a $78 million, 140,000-sq-ft, six-story clinical laboratory building.

• A new $2 billion hospital is rising in Voorhees, N.J., one of the largest projects in the region. The Virtua West Jersey Hospital will be a 657,000-sq-ft facility with 370 beds and several buildings, including an eight-story, 330,000-sq-ft patient tower and a five-story 350,000-sq-ft support and surgery services building. Designed by Hammel, Green & Abrahamson, the job is set to finish next spring with Turner Construction as construction manager.

• The North Shore-LIJ Health System broke ground in 2009 on its new $300 million Katz Women’s Hospital in New Hyde Park, N.Y. and aims to finish the project next year with its team of Bovis Lend Lease as construction manager and Skidmore Owings & Merrill as architect. The 88-bed facility will feature acute-care rooms and cutting edge medical equipment.

On the Horizon

• The NYU Langone Medical Center has a big menu of projects mapped out in its master plan, including a new 800,000 sq. ft. hospital to offer state-of-the-art acute patient care called the Kimmel Pavilion and plans for a major overhaul of Tisch Hospital. NYU has not yet set the budget for either project, but has secured donations totaling $260 million so far. The Kimmel project has a projected start date of 2013 and would include inpatient beds, procedure rooms, and other support spaces. The eventual goal is to have only private patient rooms in both facilities, and to integrate the two buildings. Also in the plans: a new 300,000-sq-ft “New Science Building.” for translational research.

• The University of Connecticut is trying to work out funding through state and federal resources for a long-planned expansion to its John Dempsey Hospital campus in Farmington, Conn. The institution is aiming to pursue a $350 million plan to build a new cancer center and expand laboratory and classroom space for its medical and dental schools.