Campus Projects

To provide world-class patient care and safety at Zuckerberg San Francisco General, the campus is undergoing several major construction projects.

Zuckerberg San Francisco General is home to more than 125 years of health care architecture. Our campus facilities range from historic brick buildings constructed in 1887 and 1915, to our new inpatient hospital which began serving patients in 2016. Our latest construction projects are funded through the city’s 2016 Public Health and Safety Bond as well as other public and private sources, including the San Francisco General Hospital Foundation.

ZSFG is updating its campus to continue improving service for our patients now and for generations to come. Upgrades in facilities, buildings, and infrastructure will help ZSFG prepare for the future, improve access to coordinated health care, and provide a healing space for our staff and patients.

Current capital improvements include relocating services from older buildings that may not perform as well during an earthquake into safer more modernized buildings. Other work includes the ongoing and much-needed seismic retrofit of the 1976 concrete hospital facility, known as Building 5, formerly the main hospital. For the retrofit, the building’s structural components are currently being reinforced to improve its seismic performance in a major earthquake.

Projects Under Construction

  • Outpatient Dialysis – When complete, patients who require hemodialysis will have a new, modern healing space.
  • Public Health Lab – When complete, the diagnostic testing facility will have a brand-new, seismically safe location on the Ground Floor of Building 5.
  • Psychiatric Emergency Services – When complete, the new unit will serve more patients in a larger, light-filled facility with a centralized nurse station for improved observation and increased number of calming rooms.
  • Family Health Center – Currently in the planning and permitting phase, the center, which currently provides services out of one of the hospital’s older brick buildings, will move to Building 5, where adults, adolescents and children will receive care in a welcoming environment with all new furniture and equipment.

Seismically Retrofitting Building 5

Building 5 is currently being seismically retrofitted. Work began in 2019 and will eventually impact more than 200 locations within all seven floors of the building.

As part of this significant undertaking, construction crews are working floor by floor, strengthening the building. The Capital Team is working to minimize any staff and patient construction impacts.

Other Building 5 Upgrades:

  • IT infrastructure – Currently under construction, the Building 5 renovations include new server closets that support the digital network at the hospital, ensuring robust operation of computers, patient databases, and various safety systems.
  • Fire alarm and sprinklers – Currently in the design phase, upgrades will modernize alarm systems and improve safety at the hospital.
  • Electrical systems – Currently in design phase, upgrades will create a more robust system better able to manage power distribution and assist when power outages occur.

Completed Upgrades and Clinic Relocations

UCSF Pride Hall

UCSF’s new five-story research and academic building located at the southeast corner of the campus strengthens ZSFG’s long-standing partnership with the university. UCSF faculty is moving staff and lab operations from the older brick buildings on campus to this new, state-of-the-art facility featuring specialty research labs, biochemical testing facilities, and a simulation surgical training facility.

The 175,000 square-foot building will become the new home of the UCSF Community and Clinical Research Center and more than 800 UCSF faculty, staff, and trainees who will work in collaboration with ZSFG to carry out our shared mission in public health through research and training the next generation of medical professionals.

Rehabilitation Services Relocation

In 2022, Rehabilitation Services moved from the ground level of Building 5 to a bright, new, larger location on the 3rd floor. Conducting as many as 60,000 inpatient and outpatient sessions annually, the department now has a space that fosters the hard work of the department’s staff and the patients they serve.

Mezzanine Safety Project

In 2021, we added a seven-foot-tall glass barrier between the mezzanine pathway and balcony overlooking the new Building 25 lobby to enhance safety. This is part of our Building 25 optimization efforts.

Adult Urgent Care Center

In 2019, the Adult Urgent Care Center moved from Building 80 to the first floor of Building 5. The project improved access to care for patients and expanded the clinic space.

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Campus Projects Updates

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