Permits have been filed for a proposed replacement hospital at 2190 O’Farrell Street in San Francisco’s Anza Vista neighborhood. The application aims to replace Kaiser Permanente’s 1954-built medical campus with a new 266-foot-tall hospital and a parking garage between O’Farrell Street and Geary Boulevard. Perkins&Will is responsible for the design.

Kaiser Permanente San Francisco replacement hospital seen from across Geary Boulevard, rendering by Perkins&Will

Kaiser Permanente San Francisco replacement hospital garage view, rendering by Perkins&Will
The 266-foot-tall replacement hospital will contain approximately 760,900 square feet, including 692,000 square feet of medical facilities and roughly 1,250 square feet of retail. The 534,300-square-foot garage will provide space for 1,003 cars across 12 floors, including five basement levels. Additional space will be provided for 63 bicycles.
The complex will include a variety of functions across all 14 floors in the medical facility, including a full-floor emergency center, an ambulance bay, a blood bank facility, and over three hundred inpatient beds.

Kaiser Permanente San Francisco replacement hospital third-floor deck, rendering by Perkins&Will

Kaiser Permanente San Francisco replacement hospital pedestrian pathway from along O’Farrell Street, rendering by Perkins&Will

Kaiser Permanente San Francisco replacement hospital site plan, illustration by Perkins&Will
Perkins&Will is responsible for the design. The firm describes the design scheme as “a series of interconnected facade systems – tower, diagnostic & testing volume, city windows, and base – each with its own character while contributing to a cohesive architectural identity rooted in atmosphere, material expression, light, and relationship to the city.”
The exterior will be wrapped with a subtle variation of facade materials. Pre-cast concrete panels will wrap around the lower floors, with perforated aluminum panels around the middle floors and glazed curtainwall glass windows across the top floors. The third floor will include a dramatic sky lounge deck nestled below a cantilevered section overlooking Divisadero Street.

Kaiser Permanente San Francisco construction sequencing, illustration by Perkins&Will

Kaiser Permanente San Francisco replacement hospital site plan, illustration by Perkins&Will

Kaiser Permanente San Francisco existing condition, image via Google Satellite outlined approximately by YIMBY
The roughly 3.5-acre property is an expansive block bound by Geary Boulevard, Divisadero Street, O’Farrell Street, and Saint Joseph’s Avenue. The property is a block away from the Target-anchored City Center and overlooking an SF Muni bus rapid transit line along Geary Boulevard.
Construction is estimated to cost over $100 million, a figure not inclusive of all development costs. According to reporting by Catherine Ho for the San Francisco Chronicle, completion could be expected as early as 2033.
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Absolutely love it. SF has quietly become a much stronger medical city in the last five years, and will continue to do to. Look at this list!
– UCSF Parnassus expansion underway, $4.3B, done by 2030.
– The already great UCSF Mission Bay, which still has empty lots earmarked for future growth, will continue to expand.
– The massive CPMC Sutter Health building on Van Ness which was over $2B (opened in 2019),
– Zuckerberg SF General (opened 2016)
– This project
Tech gets all of the headlines, but don’t sleep on medical research / biotech in SF!
All of the new medical buildings listed here feels like another example of all of the improvements to SF that all of the haters take for granted.
We will have added about $20B (?) worth of medical buildings between 2010 and 2030.
Parks are another. Remember when Chrissy Field was an abandoned military airfield? When you could blast a car down JFK in Golden Gate Park? When Patricia’s Green or many parks on the east side didn’t exist at all? When the bathrooms at Dolores were cramped?
Transport is another. Central Subway. Thousands of miles of bike lanes. The sketchy Doyle Drive becoming the Presidio Parkway to GGB. Van Ness BRT. New Bay Bridge. Tons of street beautification (Cesar Chavez, Masonic etc).
“thousands of miles of bike lanes” is a bit of a stretch — but i like your optimism.
Whoops, sorry, hundreds.
Spot on comments on SF’s top tier healthcare infrastructure. Herzog & de Meuron’s spectacular UCSF Diller Hospital will be amongst the world’s best.
Don’t forget abut the CPMC Mission Bernal (formerly St. Luke’s) campus!
New hospital complete, and the Sutter Advanced Neurosciences Complex broke ground last June. Exciting!
Obviously the hospital will not cost $100 million. The article should clarify that better.
They report on the information at hand. To report on others would then be fake news. Would you prefer that no numbers be used at all?
Write your own article. It’s not like it’s a typo needing correction. If you have proof, be kind enough to show the correct numbers, Mr. All-Knowing.
Equipping modern-day hospital costs real money 💰
I’m not sure why the existing hospital building needs to be torn down; why it couldn’t be rehabbed along with the construction of the new garage and other enhancements.
That’s an easy answer, It does not meet modern seismic standards for hospitals that go into effect in 2030.
Maybe because the existing medical office is only 1 story and it’s small.
I hope the design of this huge parking garage (and new hospital) won’t negatively impact Muni’s routes 38 and 38R, as automobile traffic at Kaiser’s medical office building at 2238 Geary, across the street, currently does.
This is a transit-rich location and the number of spaces in this new garage seems excessive, especially since the cost for these parking spaces will be carried by all Kaiser members – including the tens of thousands in San Francisco who don’t own an automobile. It’s inequitable to have all Kaiser members subsidize parking construction. Such a practice is antithetical to delivering affordable health care.
My guess is that they are thinking this may be used by other medical uses in the neighborhood. There are a lot of medical buildings nearby, that are probably all needing parking. Could be a nice revenue generator over time.
I don’t see how it would be a problem for the 38 and 38R- worst case the bus stops will be moved across the intersection but it should be fine. I bet it eliminates the need for the stop between Divis and Masonic, too!
As for needing the parking – think of the patients, family, medical staff, professional non-medical staff, and other folks who are otherwise using street parking. This plan is really impressive and I hope it comes to fruition.
Cool design bro’! Build it!
I don’t get it. SF gets a sparkling diamond by Perkins&Will, while Oakland got an ugly hospital with no character.
I think it’s boxy and ugly; reminds me of the DeYoung a bit. But if it serves the community then build it.