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/ County of Alameda Highland Hospital Clinic Building

Inspired by both the historical significance of its campus and the sustainability goals for Alameda County, Ratcliff teamed with Clark Design/Build of California, Smith Group and Shah Kawasaki to redevelop Highland Hospital to better serve the community far into the future.

The new 79,500 sf Specialty Care Clinics Building, the first phased building to be completed, features three levels of ambulatory care over three levels of underground parking. The building uses sustainable cues and markers in wayfinding solutions with patient and visitors grounded by view of the restored interior courtyard that orients visitors and staff while providing a lush landscape and source of respite. Sustainability (LEED® Gold) was also a major requirement and the teams incorporation of sustainable features is evident and celebrated in important architectural elements.

Use of the Design-Build project delivery model enabled Alameda County to manage the project with less risk of cost and schedule overruns than following the conventional design-bid-build.  This has resulted in a project which remains on time and on budget.  To achieve this result, under the leadership of Clark Design-Build of California, many techniques that came from the project team members’ previous experience on Lean and Integrated Project Delivery (IPD) projects were applied.  The architectural firms, consultants and design-build trade partners enthusiastically participated in this process, as well as the Alameda County General Services Agency, Alameda Health System, Vanir and JTEC on the owner side.

*Executive Architect: SmithGroup JJR


Oakland, CA


79,500 SF


  • Design Build


  • Architecture
  • Interior Design
  • Planning
  • Programming