Highland Hospital Acute Tower Replacement Program

Project overview

Hailed as the largest construction project ever undertaken by Alameda County, the multiphase Highland Hospital Acute Tower Replacement project was designed to modernize the hospital’s historic campus and bring it into compliance with California’s current seismic safety laws. Vanir provided program and construction management services for the 10-plus-year project, which consisted of three key phases:

  • Phase 1: the construction of the new Highland Care Pavilion, a three-story, 79,600-square-foot, satellite building that houses campus-wide support functions and outpatient clinic services and a 176-space underground parking garage, as well as the demolition of an existing clinic and auditorium, which enabled additional new construction.
  • Phase 2: the construction of a new acute care tower, a nine-story, 327,000-square-foot facility for intensive care; labor and delivery; neonatal intensive care; occupational, physical and respiratory therapy; and miscellaneous diagnostic, treatment and support functions, which sits above a below-grade central utility plant. Also included in phase 2 was the demolition of three wings and relocation of major campus utilities. All work was performed while the existing tower and surgery building remained operational.
  • Phase 3: the demolition of the existing acute care tower, construction of an 11,600-square-foot link building and a new 148,000-square-foot Bay Friendly Rated courtyard to replace the acute tower.


LEED Gold Certified (Highland Care Pavilion and Acute Care Tower) | 2021 DBIA Western Pacific Region – Award of Merit (Acute Tower Replacement) | 2016 CMAA National – Project Achievement Award | 2014 and 2016 CMAA Regional – Project Achievement Awards | 2016 Western Council of Construction Consumers – Significant Project Achievement Award, New Buildings | 2017 CA Counties Architects and Engineers Association Large County – Project of the Year, Award of Excellence

Oakland, California
County of Alameda, General Services Agency
Design-Build Architect

SmithGroup JJR

Ratcliff Architects

Shaw Kawasaki Architects

Design-Build Contractor

Clark Construction Group, Inc.

Square Footage
407,867 SF
Construction Cost
$682 Million
Start Date
Completion Date