Highland Hospital Acute Tower Replacement

Program overview

The Highland Hospital Acute Care Tower Replacement (ATR) is the largest construction program ever undertaken by the County of Alameda. As program and construction manager, Vanir has worked hand-in-hand with the County’s General Services Agency to deliver on its promise to provide state-of-the-art healthcare facilities, while mentoring and growing local small businesses, and keeping residents involved along the way.

The ATR project is broken into three key phases:

  • Phase I: New three-story, 80,000-square-foot Highland Care Pavilion, LEED Gold Certified
  • Phase II: New nine-story, 318,000-square-foot Acute Care Tower and Central Utility Plant
  • Phase III: Demolition of the existing Acute Care Tower and construction of a new Link Building and Courtyard

It was identified early on that the project would be significantly challenging since the property was already developed, required complex phasing, needed extensive demolition of existing buildings, and had no staging space. All work was to be performed while the existing tower and surgery building remained operational. Phase I and Phase II have been completed, laying the groundwork for a successful program completion.


  • 2016 CMAA National Project Achievement Award, Phase 2, Buildings, New Construction, Greater than $100M
  • 2016 WCCC Owner’s Project Excellence Awards, Significant Project, Phase 2
  • 2014 CMAA Project Achievement Award, Northern CA, Buildings, New Construction, Greater than $25M
  • 2012 DBIA Project in Process Award


Oakland, CA


County of Alameda, General Services Agency

Design Team

Smith Group JJR
Ratcliff Architects
Shaw Kawasaki Architects


Clark Construction Group, Inc.

Construction Cost

$668 million (Design + Construction Cost)


Phase One: 2013
Phase Two: 2015
Phase Three: 2018