
This week, AdventHealth is set to cut the ribbon on its first ground‑up facility in St. Johns County: the Treaty Oaks freestanding emergency room at 1775 State Road 207. The 12‑bed emergency department will run around the clock and comes with diagnostic imaging, a full lab and a pediatric‑friendly exam room, all pitched as a way to bring faster emergency access to a fast‑growing stretch of southern St. Johns County.
According to the Jacksonville Business Journal, AdventHealth plans to open the Treaty Oaks ER this Friday. System leaders told the outlet the debut will make the health system "feel like it has always been part of St. Johns County."
What the new ER will offer
AdventHealth says the 12‑bed Treaty Oaks ER will provide 24/7 emergency care with on‑site CT, digital X‑ray and ultrasound, a full‑service laboratory and a 24‑hour pharmacy. The facility will operate as a hospital department of AdventHealth Palm Coast and includes a dedicated pediatric exam room plus an overnight observation unit to keep some patients under watch without an immediate transfer.
Jobs and county support
County documents show the roughly 13,700‑square‑foot ER is projected to create 56 jobs and generate about $5.5 million in local economic impact, and commissioners have approved drafting an economic incentive agreement. Per St. Johns County records, the incentive would include a small annual rebate starting in fiscal 2027. Hoodline previously covered the county’s economic incentive deal.
Part of a regional pattern
AdventHealth’s Treaty Oaks debut lands amid a wider wave of freestanding ER development across the First Coast and the rest of Florida that local business coverage has been tracking. The Jacksonville Business Journal has documented health systems planting smaller ER footprints to chase fast‑growing suburbs, while Hoodline has highlighted AdventHealth’s larger campus ambitions, including plans for an 80‑bed hospital elsewhere in Florida.
How this will affect residents
Local first responders and officials have welcomed the Treaty Oaks ER as another transport option that could trim drive times for non‑life‑threatening emergencies, St. Johns County Fire Rescue told News4JAX during the project’s groundbreaking. The ER is scheduled to begin seeing patients this week and will operate 24/7, with directions and details available on AdventHealth’s location page.









