Photo of CPMC Rendering
Photo: CPMC

California Pacific Medical Center (CPMC)

California Pacific Medical Center (CPMC) is made up of four of the oldest medical centers in San Francisco, consisting of the California Campus (previously known as the Children's Hospital of San Francisco), Pacific Campus (previously known as the Pacific Presbyterian Medical Center), Davies Campus (previously Ralph K. Davies Hospital), and St. Luke's Campus.

St. Luke's Campus rendering as seen from the corner of Valencia and Cesar Chavez
CPMC's proposed St. Luke's Medical Office Building

What is CPMC?

California Pacific Medical Center (CPMC) is made up of four of the oldest medical centers in San Francisco, consisting of the California Campus (previously known as the Children's Hospital of San Francisco), Pacific Campus (previously known as the Pacific Presbyterian Medical Center), Davies Campus (previously Ralph K. Davies Hospital), and St. Luke's Campus.

History of CPMC

CPMC was formed in 1991 by the merger of Pacific Presbyterian Medical Center and Children's Hospital of San Francisco. Ralph K. Davies Medical Center became the third campus of CPMC in 1998 and St. Luke's Hospital became CPMC's fourth campus in 2007.

Hospital, Clinic, and Research Facilities

Each of the four campuses contain a hospital and an emergency department which provide inpatient and outpatient services. In addition to the hospital campuses, CPMC owns and/or operates multiple outpatient clinics, a research facility and several other properties more fully described in the most recent Institutional Master Plan (IMP) document.

CPMC is one of three hospitals that operate hospital facilities at more than one location within San Francisco (the other two are Kaiser and UCSF). St. Francis Memorial and St. Mary's Medical Center operate as independent facilities, although both are a part of the Catholic Healthcare West (CHW) system.

State law (SB 1953) requires that all acute-care hospitals be seismically upgraded sufficiently to remain operational after a major earthquake. CPMC is one of four hospitals in the City currently building new facilities to comply with this law; the other three hospitals are UCSF, SF General Hospital, and Chinese Hospital.

Three of CPMC's four acute-care hospitals must be rebuilt or de-licensed in order to comply with state law: the California, Pacific, and St. Luke's Campuses. The Davies Campus hospital was retrofitted in 2008, enabling this campus to accommodate acute-care hospital services until 2030.

The Planning Commission certified the environmental impact report (EIR) and approved CPMC's Long Range Development Plan, including the construction of new hospital and related facilities at the Cathedral Hill (now called Van Ness and Geary Campus) and St. Luke's locations, on May 23, 2013. The Board of Supervisors adopted enabling legislation and approved a Development Agreement outlining the terms and requirements under which CPMC must build and operate its new facilities on July 11, 2013.

Bernal Mission Care Complex (BMCC)

Bernal Mission Care Complex (BMCC) is a new five-story, approximately 130,000 sf of comprehensive advanced neurological and neurosurgical care complex in the Mission Bernal neighborhood.  Built on the site of the former St. Luke's Hospital, and adjacent to the existing CPMC Mission Bernal Campus hospital, the new complex will provide specialty care including high-demand services such as lab, imaging, infusion, rehabilitation, and an on-site ambulatory surgery center.  The new care complex plans to welcome patients in 2028.

Outreach

2025, May 6
Mission Bernal Care Complex Community Meeting
Meeting Flyer (English)
2018, January 28
Pop-up Workshop in the Park
Meeting Flyer (English)
Meeting Flyer (Spanish)
2017, November 29
First Public Workshop at St. Luke's Hospital
Workshop Presentation (PDF)
Workshop Feedback Summary (PDF)
Annual Compliance Review
Documents for 2023
2023 DocumentsDate Published or Approved
2022-2023 Annual City Report - CPMC Long Range Development PlanApril 2025
Compliance Statement - 2023May 2024
Notice of Receipt of 2023 Compliance StatementJune 2024
Documents for 2022
2022 DocumentsDate Published or Approved
Compliance Statement - 2022May 2023
Notice of Receipt of 2022 Compliance StatementJune 2023
Documents for 2021
2021 DocumentsDate Published or Approved
Third Party Monitor Letter re: Compliance with 2021 DA ObligationsSeptember 2023
Certificate of Compliance for 2021August 2023
2021 Annual City Report - CPMC Long Range Development PlanMarch 2023
Compliance Statement - 2021May 2022
Notice of Receipt of 2021 Compliance StatementJune 8, 2022
Documents for 2020
2020 DocumentsDate Published or Approved
Third Party Monitor Letter re: Compliance with 2019-2020 DA obligationsApril 22, 2022
2020 Annual City Report - CPMC Long Range Development Planrevised December, 2021
Compliance Statement - 2020May, 2021
Notice of Receipt of 2020 Compliance StatementJune 1, 2021
Certificate of Compliance for 2019-2020March 31, 2022
Documents for 2019
2019 DocumentsDate Published or Approved
2019 Annual City Report - CPMC Long Range Development PlanOctober 7, 2021
Compliance Statement - 2019Updated December 2020
Notice of Receipt of 2019 Compliance StatementJune 1, 2020
Documents for 2018
2018 DocumentsDate Published or Approved
Third Party Monitor Letter re: Compliance with 2018 DA obligationsJanuary 21, 2020
Certificate of Compliance for 2018October 10, 2019
2018 Annual Compliance Statement Joint Hearing PresentationOctober 10, 2019
2018 Annual City Report - CPMC Long Range Development PlanSeptember 6, 2019
Compliance Statement - 2018May 31, 2019
Notice of Receipt of 2018 Compliance StatementMay 31, 2019
Documents for 2018
2018 DocumentsDate Published or Approved
Third Party Monitor Letter re: Compliance with 2017 DA obligationsNovember 19, 2018
Certificate of Compliance for 2017October 10, 2018
2017 Annual Compliance Statement Joint Hearing PresentationOctober 10, 2018
2017 Annual City Report - CPMC Long Range Development PlanAugust 8, 2018
Compliance Statement - 2017June 1, 2018
Notice of Receipt of 2017 Compliance StatementJune 1, 2018
Documents for 2016
2016 DocumentsDate Published or Approved
Third Party Monitor Letter re: Compliance with 2016 DA ObligationsNovember 20, 2017
Certificate of Compliance for 2016November 3, 2017
2016 Annual Compliance Statement Joint Hearing PresentationOctober 3, 2017
2016 Annual City Report - CPMC Long Range Development Plan July 31, 2017
Compliance Statement - 2016June 1, 2017
Notice of Receipt of 2016 Compliance StatementJune 1, 2017
Documents for 2015
2015 DocumentsDate Published or Approved
Third Party Monitor Letter re: Compliance with 2015 DA ObligationsApril 6, 2017
Certificate of Compliance for 2015April 4, 2017
2015 Annual Compliance Statement Joint Hearing PresentationApril 4, 2017
2015 Annual City Report - CPMC Long Range Development Plan 
- Updated Nov 7, 2016
August 9, 2016
Compliance Statement - 2015May 19, 2016
Notice of Receipt of 2015 Compliance StatementMay 23, 2016
Documents for 2014
2014 DocumentsDate Published or Approved
Third Party Monitor Letter re: Compliance with 2014 DA ObligationsApril 1, 2016
Certificate of Compliance for 2014 January 15, 2016
2014 Annual Compliance Statement Joint Hearing PresentationDecember 18, 2016
2014 Annual City Report - CPMC Long Range Development PlanNovember 3, 2015
Notice of Receipt of 2014 Compliance StatementJune 25, 2015
Compliance Statement - 2014June 25, 2016
Documents for 2013
2013 DocumentsDate
Third Party Monitor Letter re: Compliance with 2013 DA ObligationsMay 1, 2015
Certificate of Compliance for 2013February 9, 2015
2013 Annual Compliance Statement Joint Hearing PresentationDecember 4, 2014
2013 Annual City Report - CPMC Long Range Development Plan
(August 15, 2014)
September 30, 2014
Notice of Receipt of 2013 Compliance StatementJune 2, 2014
Compliance Statement - 2013 May, 2014
Unduplicated Patients Audit - June 2013 March 17, 2014

Development Agreement

Development Agreement issued documents
DocumentDate
Final Development AgreementOctober 2, 2013
Finally Granted LetterNovember 19, 2013

Post-Approval Documents

Post-Approval documents issued
DocumentDate
Cathedral Hill Medical Office Building - Construction Management PlanJuly 30, 2015
CHH Construction Management PlanSeptember 11, 2013
Contractor Transportation and Parking Plan July 18, 2014
Unduplicated Patients Audit - June 2013March 17, 2014
Transportation Demand Management (TDM) PlanApril 1, 2013

Board of Supervisors

Board of Supervisors issued documents
Approved Ordinances (Signed July 11, 2013)Ordinance No.
Development AgreementOrd. 0138-13
St. Luke's - Planning Code - Maximum Permitted Floor Area RatioOrd. 0132-13
St. Luke's - Planning Code, Zoning MapOrd. 0134-13
St. Luke's - Summary Street VacationOrd. 0135-13
St. Luke's - Changing the Official Sidewalk WidthsOrd. 0137-13
St. Luke's - General Plan Maps, Urban Design ElementOrd. 0146-13
Cathedral Hill - General Plan, Van Ness Area PlanOrd. 0144-13
Cathedral Hill - General Plan Maps, Urban Design Element and Van Ness Area PlanOrd. 0145-13
Cathedral Hill - Planning Code - Maximum Floor Area RatiosOrd. 0131-13
Cathedral Hill - Planning Code, Zoning MapOrd. 0133-13
Cathedral Hill - Changing the Official Sidewalk WidthsOrd. 0136-13

Planning Commission

Final Approval Documents (Signed May 23, 2013)

Environmental Review

Draft Environmental Impact Report (Case 2005.0555E)

Comments and Responses

The Draft Environmental Impact Report and the Comments and Responses together constitute the Final Environmental Impact Report.

Institutional Master Plan

Institutional Master Plan issued documents
DocumentDate
CPMC 2013 Update to the 2008 Institutional Master PlanApr. 9, 2013
CPMC Institutional Master Plan Update 2011Oct. 28, 2011
Health Commission Resolution 02-10
Resolution Memorializing the Agreements Reached by the Health Commission and CPMC
Mar. 16, 2010
CPMC Institutional Master Plan with Final Addendum - 22 MBJan. 14, 2010
Lewin Group IMP Health ReportJune 26, 2009
Department of Public Health CoverJune 29, 2009
Health Commission Resolution 10-09
Resolution Declaring Findings on the CMPC Institutional Master Plan
July 21, 2009

Blue Ribbon Panel

Blue Ribbon Panel issued documents
DocumentDate
Final Recommendations 
Camden Report for the Blue Ribbon PanelApril 28, 2009
CPMC Board of Director's ResolutionSept. 25, 2008

 

 

Following is a general overview of CPMC's projects, outlined campus-by-campus:

Van Ness and Geary Campus

Van Ness & Geary Campus
Revised Van Ness & Geary Campus hospital.

Van Ness & Geary Campus
Proposed Van Ness & Geary Medical Office Building.

The site of the future Van Ness and Geary Hospital was formerly the site of the Cathedral Hill Hotel and Office Building. The site occupies a full city block – bounded by Van Ness Avenue, Geary Boulevard, Franklin Street, and Post Street – and contains approximately 106,000 square feet of lot area. The site is located within the RC-4 Zoning District (Residential-Commercial, High Density), Van Ness Special Use District, Van Ness Automobile Special Use District, and 130-V Height and Bulk District. Construction of the new hospital began in 2015 and is expected to be completed by 2019.

The site of the planned Van Ness and Geary Medical Office Building (MOB) is located on the east side of Van Ness Avenue, between Geary and Cedar Streets. The site contains seven parcels, totaling approximately 36,000 square feet of lot area. The existing structures contain a variety of ground floor commercial uses (most of which are vacant), with a total of five residential dwelling units and 20 residential hotel units above the ground floor uses. The MOB site is located within the RC-4 Zoning District (Residential-Commercial, High Density), Van Ness Special Use District, Van Ness Automobile Special Use District, and 130-V Height and Bulk District.

The Van Ness and Geary Hospital will be an approximately 226-foot tall, 730,888-gsf, 274-bed acute-care hospital, with an underground parking garage. All vehicular access to the patient drop-off and parking levels will be mid-block from Geary Boulevard and Post Street, with emergency vehicle access from Franklin and Post Streets. CPMC is seeking LEED Certification for the Van Ness & Geary Hospital.

The Van Ness and Geary MOB will be across Van Ness Avenue from the hospital (west side of Van Ness Avenue) bound by Van Ness Avenue, Geary, Cedar and Polk Streets. The MOB will be nine stories tall, approximately 130 feet tall, and will contain approximately 261,691 gross square feet of floor area along with an underground parking garage. This MOB will be internally connected to the hospital through an underground tunnel that has been constructed below Van Ness Avenue. The MOB is subject to San Francisco's Green Building Ordinance, and will achieve a minimum of LEED Silver.

CPMC's Van Ness and Geary campus (Hospital and Medical Office Building) also includes a Streetscape Master Plan in order to appropriately plan and design public realm improvements surrounding the campus.

Additional medical office space will be renovated within the existing building at 1375 Sutter Street, which is currently a mixture of retail and office space. There is no physical expansion proposed for this building.

The Hospital at Van Ness and Geary

  • Plans ( contains plans, elevations and sections )
  • Renderings ( contains building renderings and rendered site plans )

The Medical Office Building at Van Ness and Geary

  • Plans ( contains plans, elevations and sections )
  • Renderings ( contains building renderings and rendered site plans )

Sutter Health's construction information page for the Van Ness and Geary Campus can be found here.


St. Luke's Campus

St. Luke's Campus
Proposed St. Luke's Medical Office Building.

St. Luke's Campus
Revised St. Luke's Campus replacement hospital.

The St. Luke's Campus is approximately 3.6 acres in size, bounded by Cesar Chavez Street, Valencia Street, Duncan Street, San Jose Avenue, and 27th Street. The campus currently contains eight buildings: the Main Hospital, the 1912 Building, the Monteagle Medical Center, the 1957 Building, the Hartzel Building, the Redwood Administrative building, a portable MRI Trailer, and a parking garage. The total floor space on the campus is approximately 450,000 gross square feet, with 345 existing parking spaces. The St. Luke's Campus is located in the RH-2 Zoning District (Residential House, Two-Family) and is split between the 105-E and 65-A Height and Bulk Districts.

In March 2008, following CPMC's acquisition of St. Luke's in 2007, a Blue Ribbon Panel was established in response to CPMC's proposal to close St. Luke's Hospital. The Blue Ribbon Panel was charged with creating a viable plan for an acute care hospital and outpatient services at St. Luke's.

The approved plan for St. Luke's Campus includes the construction of a new approximately 142-foot tall, seven-story, 214,061-gsf, 120-bed acute-care hospital. Based on the recommendations of the Blue Ribbon Panel, the new hospital is located to the west of the existing hospital, on the campus' existing surface parking lot and over a portion of San Jose Avenue. Construction of the new hospital began in 2014 and is expected to be completed in 2019. The existing hospital remains operational during construction of the new hospital. Once the new hospital is operational, the existing hospital will be demolished, followed by the construction of a new medical office building/expansion building in a similar location. The new MOB would include approximately 104,000 gross square feet of floor area and be five stories tall. The MOB is subject to San Francisco's Green Building Ordinance and will achieve a minimum of LEED Gold Certification.

The St. Luke's Campus also includes a Streetscape Master Plan in order to appropriately plan and design public realm improvements surrounding and within the campus.

St. Luke's Hospital and MOB

  • Plans ( contains plans, elevations and sections )
  • Renderings ( contains building renderings and rendered site plans )

Sutter Health's construction information page for the St. Luke's Campus can be found here.


Davies Medical Center

The Davies Campus is an entire city block, comprising approximately 7.2 acres, bounded by Duboce Avenue, Noe, 14th, and Castro Streets. The Campus currently contains five buildings: the North Tower, the South Tower, the Rehabilitation Center, the 45 Castro MOB, and a parking garage. The total floor space on the campus is approximately 500,000 gross square feet, with 490 existing parking spaces. The Davies Campus is located in the RH-3 Zoning District (Residential House, Three-Family) with 65-D and 130-E Height and Bulk Districts.

CPMC has completed several construction projects over the last few years at the Davies Campus, including the seismic strengthening of the North Tower. Rehabilitation of Davies' acute-care hospital allows it to operate until 2030 under the requirements of SB 1953. Additional projects include the Archibald/Ehrenberg Rehabilitation Terrain Park and the consolidation of the geriatric psychiatric program from the Davies Campus to the Pacific Campus in 2010.

In addition to ongoing upgrades at the North and South Towers, the major plans for the Davies Campus over the next 15 years include the construction of two medical office buildings: the 46,006 gross square foot Neuroscience Institute (the Noe Street Medical Office Building) and the Castro/14th Street Medical Office Building, which would replace the existing parking structure at the corner of Castro and 14th Streets with new medical offices and underground parking.

In 2004, CPMC submitted plans to the City outlining the creation of the Neuroscience Institute, which consolidated CPMC's neuroscience programs in a new building at the Davies Campus. This project was not considered part of the proposed CPMC Long Range Development Plan at that time. The Planning Commission approved the Neuroscience Institute project in June 2007; however, in September 2007 the Board of Supervisors heard the environmental appeal and voted to require that this project be evaluated in the context of CPMC's other future development plans. The EIR for the Long Range Development Plan was certified in 2013. CPMC has not established a schedule for construction of the Neuroscience building.

Davies Neuroscience Institute

  • Plans ( contains plans, elevations and sections )
  • Renderings ( contains building renderings and rendered site plans )

Sutter Health's information page for the Davies Campus can be found

A daytime view of Guerrero Plaza featuring a row of large wooden logs and green informational panels separating a sandy pedestrian path from a landscaped area with young trees. San Francisco-style residential buildings and San Jose Avenue are visible in the background.
A daytime view of Guerrero Plaza. Photo: SF Planning/Shaw

Background

This pedestrian plaza was one of the first Groundplay projects (formerly Pavement to Parks) overseen by the San Francisco Planning Department. This site was previously impacted by high-speed traffic along San Jose Avenue and a dangerous crossing of 28th Street. The traffic islands were frequently used for unsanctioned parking. 

The temporary plaza opened in 2009, built using inexpensive, temporary materials (like reclaimed logs from Rec & Parks) as a trial for a pedestrian plaza and traffic closure on San Jose Ave. The temporary plaza underwent several improvements over the years, including replacing the original log structures with fiberglass planters in 2016, as well as painting a ground mural with plaza neighbors, and several community planting days.

The construction of the plaza is a benefit provided by Sutter Health as part of their development agreement with the City - follow updates on their project webpage. SF Public Works will own and maintain the plaza, with some assets maintained by San Francisco Public Utilities Commission.

FAQ on Plaza Design and Construction Details

Design Features

What are the new plaza’s design features?

  • Landscaping: five new trees (flowering trees per City approved species list standards), and a series of native, drought-resistant plantings
  • Flexible Plaza Space with playful features: features soundplay elements (talk tubes) and a seat wall
  • Art features: monument signage with the name of the plaza and a directional signage showcasing nearby neighborhoods. There will be a decorative pipe structure behind the seatwall, representing San Francisco’s hills.
  • Upgraded water infrastructure
  • Seating: tiered seating in the flexible plaza space and bench seating in the middle section
  • Pedestrian pathway: a continuous pedestrian pathway on the Guerrero Street side that adds a crosswalk towards the San Jose Avenue east sidewalk, with new ADA compliant ramps

Note: San Jose Avenue will remain closed to traffic at Guerrero Street, as it is now.

Construction

When will construction begin and how long will it last?

Construction is scheduled to begin on September 8 and last for approximately 8 months. Schedule is subject to change due to weather conditions or unforeseen challenges during construction. You can stay up to date on the project’s website.

Will pedestrians and bikes be able to get around during construction?

Yes. Pedestrian access and bike lane continuity will be provided during the different phases of the project.

Will I be able to access my driveway during construction?

Yes. There might be times when construction equipment is being moved, but access to driveways on the San Jose 600 block will remain accessible.

Who can I call if there’s a problem?

Community Liaison: Stephanie Osbahr
Email: Stephanie.Osbahr@boldt.com
Phone: 415.693.8709

Construction Superintendent: Aaron Nowag
Email: Aaron.Nowag@boldt.com
Phone: 925.200.0363

In case of emergency, DIAL 911 immediately.

Looking Ahead

The project team collaborated with the City to approve the proposed plaza design and will begin construction in fall 2026, scheduled to begin on September 8. The new plaza is expected to open in spring 2027. 

A new traffic light will be installed on 28th and Guerrero streets by fall 2028. The new traffic signal will include a pedestrian countdown signal (PCS), accessible pedestrian signal (APS), traffic signal controllers, conduits, wiring, and poles. Read more about this project on SFMTA's project webpage.

Outreach and Events

Event details
EventDetails
Thursday, August 20, 2026 at 6:00PM
Community Meeting – Guerrero Plaza Updates

CPMC Mission Bernal Campus, Room 160A 
3555 Cesar Chavez Street
(enter on Cesar Chavez)

Presentation will begin indoors, followed by a walk to the plaza.

City departments, together with Sutter Health, invite you to an informational meeting to learn about improvements to Guerrero Plaza:

  • Project history and evolution
  • How community input has shaped the design
  • Design features and improvements
  • Construction timeline and what to expect during work

Team members will be available to answer questions and hear from neighbors. We look forward to connecting with you and sharing what’s next for Guerrero Plaza.