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 was proud to provide program and construction management services for the 10-year project, which consisted of three key phases:

  • New Highland Care Pavilion – The pavilion features a three-story, 80,000-square-foot outpatient and specialty care center, cafeteria and 172- space parking structure. These elements have contributed to an improved patient, visitor and employee experience and increased accessibility.
  • New Acute Care Tower and Central Utility Plant – The tower includes facilities for: intensive care; labor and delivery; neonatal intensive care; occupational, physical and respiratory therapy; and miscellaneous diagnostic, treatment and support functions. The nine-story, 169-bed building sits above a below-grade central utility plant. All work was performed while the existing tower and surgery building remained operational.
  • Demolition of Existing Acute Care Tower/Construction of New Link Building and Courtyard – Demolition of the existing nine-story, 235,000-square-foot inpatient tower and construction of a new Bay Friendly Rated courtyard, dining terrace and main entry building.


DBIA Western Pacific Region – 2021 Award of Merit – Acute Tower Replacement | CMAA National – 2016 Project Achievement Award | CMAA Regional Project Achievement Awards – 2014, 2016 | Additional Awards – WCCC, CA Counties Architects and Engineers Assoc. | LEED Gold Certification – Highland Care Pavilion and Acute Care Tower

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
Pavilion: 2013, Tower/Central Plant: 2016 Demo Existing Tower/New Link Bldg.: 2020