The development of a teaching hospital is an important strategy to improve the quality of medical education while expanding public access to healthcare services. This study aims to evaluate the feasibility of the proposed Universitas Negeri Surabaya (UNESA) Teaching Hospital from technical and financial perspectives. A descriptive quantitative approach was employed using a project feasibility study with a 15-year investment projection. The technical analysis assessed the conformity of hospital facilities and spatial planning with applicable standards, while the financial analysis applied Net Present Value (NPV), Internal Rate of Return (IRR), and Payback Period (PP) as investment evaluation indicators. The results indicate that the proposed hospital design satisfies the requirements for healthcare services and clinical education. The estimated total investment is IDR 1,063,446,660,386, with first-year operational costs of IDR 15,954,461,306 and projected revenue of IDR 81,786,688,000. Financial evaluation produced an NPV of IDR 91,884,177,286, an IRR of 12.3%, and a Payback Period of 7.39 years. These findings demonstrate that the proposed UNESA Teaching Hospital is technically feasible and financially viable, making it a promising investment to support sustainable healthcare service delivery. In addition to financial and technical performance, the design also incorporates lifecycle building management and green hospital principles, including energy- and water-efficient utility planning and zoning for infection control, reinforcing the sustainability dimension emphasized by the journal's scope.
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