Highland Hospital Acute Tower Replacement

Providing Healthcare Services to the People of Alameda County
The team has been collaborative, innovative, and effective in leading all of the stakeholders through challenging decisions ... the Clark team has to date met or exceeded County goals, and the working relationship remains collaborative and productive.
Aki K. Nakao, Former Director, GSA
Oakland, California
County of Alameda, General Services Agency
592,000 Square Feet
Year Completed: 
LEED Gold (targeted)

Clark, in partnership with SmithGroup, provided design-build services for the construction of the Highland Hospital Acute Care Tower Replacement project. The 592,000 square-foot facility was constructed in three phases and represents one of the largest healthcare projects undertaken by Alameda County.

Completed in 2013, the Highland Care Pavillion was the project's first phase and features an 80,000 square-foot outpatient and specialty care center. The three-story facility was built over a 172-space parking structure and includes connectors to the new hospital. The Highland Care Pavillion offers an improved experience and increased accessibility to patients and visitors. Artwork displayed throughout was created by 13 Alameda County artists to help create a positive, supportive, and healing environment for the patients.

Phase Two consists of the Acute Care Tower, a nine-story, 169-bed acute care facility. It is located above a below-grade central utility plant, and features intensive care, medical/surgical beds, labor, delivery, neonatal intensive care, and miscellaneous diagnostic, treatment, and support functions.

The final phase of this project includes the demolition of the existing inpatient tower and construction of an interior courtyard, as well as a new hospital entrance. These new facilities unify the campus both functionally and architecturally.


The Highland Hospital project is designed to earn a LEED Gold certification. The project's sustainable components include innovative thermal storage that lowers energy costs by operating chillers at night to cool and store water. Exterior green screens provide transitions and wayfinding for patients and visitors, while cooling and shading the interiors. The project team paid particular attention to life-cycle costs while selecting building materials.


2021 DBIA WPR Award of Merit