Kaiser Files Permits for New San Francisco Hospital

Kaiser Permanente has recently filed permits for a proposed replacement hospital in San Francisco’s Anza Vista neighborhood.

The Oakland-based health care system is looking to replace its 1954-built San Francisco Medical Center campus at 2190 O’Farrell Street with a new 266-foot-tall hospital and accompanying parking garage across the street from its current location at 2425 Geary Boulevard, San Francisco YIMBY reported. The current complex would be converted to medical offices, the San Francisco Chronicle reported.

The new hospital would have a full-floor emergency center, an ambulance bay, a blood bank facility and more than 300 inpatient beds. The planned building would span a total of roughly 760,900 square feet on a 3.5-acre site — up from 623,000 square feet from a previous project iteration. Of that, 692,000 square feet would be dedicated to medical facilities and 1,250 square feet would be reserved for retail. The 534,300-square-foot parking structure would have space for 1,003 cars and 63 bicycles across 12 floors, including five basement levels. The medical facility would rise 14 floors above street level in total with a sky lounge deck overlooking Divisadero Street on the third floor.

Construction costs for the project are estimated to be more than $100 million, which does not include all development costs. The new hospital could be completed as soon as 2033. Officials have yet to give the go-ahead to the project.

Kaiser Permanente’s new facility is one of several planned new hospitals in the Bay Area as California’s looming 2030 seismic safety deadline forces the upgrade or total recreation of certain buildings. Total construction costs for health care construction projects in the region reached nearly $2.7 billion in late 2024 — the highest figure seen since the pandemic, according to data from the California Department of Health Care Access and Information. Kaiser is in the process of replacing its San Jose Medical Center campus with a larger, seismically stable facility, San Jose Spotlight reported.

— Chris Malone Méndez