Q. What will happen to the old building, where these services used to be housed?

A. Construction was planned in three phases:

Phase I: The Highland Care Pavilion (HCP) was constructed (2010 – 2012)

It now houses campus wide support functions and outpatient clinic services that used to occur in the old clinic (Building V). It includes 176 underground parking spaces. This phase of the Project also included demolition of Building V the Auditorium (VA Building) to enable construction of the new Acute Care Tower.  

Phase II: The new Acute Tower and Central Utility Plant is being constructed (2010 – 2015).

The new 9-story, 169 bed Acute Care Tower will house inpatient and maternal and support services currently located in the existing Acute Tower (Building H). This phase of the project includes demolition of C, D and F Wings and relocation of major campus utilities to allow for construction of the new Acute Care Tower.

Phase III:   Demolition of Existing Acute Tower & Construction of Site work (2015-2017)

The demolition of the existing Acute Tower (Building H) and construction of interior courtyard and site work will be the final phase of the project. Demolition of Building H will begin April 5th after patients have been transferred to the new tower; demolition estimated to take 9 months. The building will be dismantled and recycled from the 5th to the 9th floors, and the remaining floors will be covered in concrete.  To take advantage of the new space an interior courtyard will be landscaped, adding to the soothing and tranquil elements the remodeled campus.  

To see a time lapse video of the entire construction project click here.

Q: What is the Highland Hospital Acute Tower Replacement Project?

A : The Highland Hospital ATR project is a construction project to rebuild parts of Highland Hospital in order to comply with State seismic safety laws. The project includes three phases, the new Highland Care Pavilion, the new Acute Tower and Central Utility Plant, and demolition of the existing acute care tower and construction of sitework. For more information, please see Project Information.

Q: Why is this project necessary?

A The Highland Hospital ATR project is necessary for compliance with the Alfred E. Alquist

Hospital Facilities Seismic Safety Act of 1983, and the deadlines specified in Senate Bill 1953 and Senate Bill 306.

Q: What is Alfred E. Alquist Hospital Facilities Seismic Safety Act of 1983?

A The Alquist Act establishes a seismic safety building standards program for hospitals built on or after March 7, 1973. It was enacted in response to the Sylmar earthquake of 1971, where four hospital campuses were severely damaged and forced to be evacuated. The Alquist Act emphasizes that essential facilities, such as hospitals, should remain operational after an earthquake.

Q: What are Senate Bill 1953 and Senate Bill 306?

A The Senate Bills 1953 and 306 establish performance measures and timelines for complying with the Alquist Act. Under Senate Bill 306, Highland Hospital’s acute care tower will need to be replaced by January 1, 2020.

Q: Will the entire Hospital be re-done?

A. The entire hospital will not be rebuilt.

Q: What will happen to the Hospital during Construction?

A Highland Hospital will continue its medical services without interruption. The ATR Project has been carefully planned to ensure that the hospital can continue to operate.

Q: When is construction scheduled to start and finish?

A. The project has already started but, major construction will start Summer 2010. It will take seven years to complete this project. The project schedule calls for completion in 2017. For more information, see Project Schedule.

Q: How much will this project cost?

A. The project is estimated to cost $668-million.

Q: Who owns and operates the Highland Hospital?

A Highland Hospital is owned by Alameda County and operated by the Alameda Health System (AHS).

Q: Which office within our county government is managing the construction project?

A. Alameda County General Services Agency (GSA) is managing the ATR Project. Clark Design/Build of California will execute the design and construction.

Q: Are there contracting opportunities available for small contractors on the Project?

A There are contracting opportunities for small contractors in various components of the project. For more information, please see Contract Opportunities.

Q. Will there be reliable WiFi in the new building?

A. The WiFi network in the new building will be far more robust in the new ACT than in the H Building, with more antenna’s and the system has been designed and installed as part of building design, not the case in the H building.

Q. Is there a new cafeteria in the new building?

A. No, the HCP Cafeteria is designed to serve the whole campus.

Q. I have heard different abbreviations and acronyms for the construction; can you tell me what they all mean?


Acute Tower Replacement Project. This is the whole project, the demolition of the Auditorium, Valecito Building, wings C, D & F and the H Building. Construction of the HCP, ACT, courtyard and Gallery/Link Building.


Highland Care Pavilion


Acute Care Tower, the new replacement tower that will house inpatient services, critical care, Respiratory Care Services, Family Birthing Center, DISC, Food and Nutrition Services, Clinical Laboratory, Materials Management, Central Supply, Mail Room, Morgue, Biomed, Environmental Services.


Diagnostic Imaging Services Center – Radiology, CT, Mammography, Ultrasound, Nuclear Medicine & Interventional Radiology.


General Services Agency, the division of Alameda County that is responsible for the construction of the new tower.

Gallery/Link Building

This will be the final building that will be built, it will be the new main entrance to the Hospital and link the HCP, K Building and ACT. It will contain a new Gift Shop, Chapel and overlook the courtyard that will be landscaped.

Why does Highland Need a New Tower?
  • To comply with Senate BIll 1953 which requires a new, higher level of seismic safety for all hospitals in California.
  • To benefit from having a new state-of-the-art enviornmentally friendly, energy efficient medical center.
  • To make changes at the same time that health care reform is taking place
  • To provide modern facilities, replacing buildings built in the 1960s
  • To provide us an opportunity to build a hospital that acknowledges changes in health care delivery, e.g. more private rooms, advanced technology.

What will be housed in the New Tower?
Inpatient Services
Inpatient Medical Surgical Services (56 beds)
Intermediate Care:Telemetry Services (28 beds)
Intermediate Care: Step Down Unit (28 beds)
Intensive Care Unit (24 beds)
Respiratory Services
Majority private rooms, all private bathrooms, more negative pressure isolation rooms, patient lifts, pneumatic tube syustem, large visitor waiting area on every floor, more ICU capactiy, charting station/computers in every room, medication rooms on every floor, pull out sleeper chair for family memeber for overnight stay
Family Birthing Center
NICU (8 beds)
Labor & Delivery (8 Beds)
Labor & Delivery:Triage (4 beds) 
Labor & Delivery: 2 C Section ORs
Labor & Delivery: 3 Recovery bays
Labor & Deliver: Post Partum (17 beds)
All private rooms, all private bathrooms with tubs in teh L&D rooms, purpose built triage area, state-of-the-art caesarian section operating rooms, state-of-the-art NICU with parents suite, pull out sleeper chair in all post partum rooms. 
State-of-the-art Diagnostic Imaging Services Center (DISC)
Cardiac Catheterization / Internventional Radiology Rooms
X-Ray, CT, MRI, Ultrasound
Nuclear Medicine
Physical/Occupational / Speech Therapy Suite
Food & Nutrition
State-of-the-art Laboratory