The University of California, Davis Medical Center, California Tower
The award-winning design for The University of California, Davis Medical Center, California Tower in Sacramento, Calif. uses local geography and artists to enhance its space and sense of welcome while delivering the quality health care services to which patients are accustomed.
Project highlights: The University of California, Davis Medical Center, California Tower
- Architecture firm: SmithGroup
- Owner: The University of California, Davis
- Location: Sacramento, Calif.
- Category: D
- Project Site: Previously developed
- Building program type(s): Healthcare - hospital inpatient
This 14-story hospital and five-story pavilion will help the University of California, Davis Medical Center deliver on its promise to improve lives and transform healthcare delivery in partnership with its community. Within a complex that has served the Sacramento area for nearly 150 years, this mission-driven project is organized around the concept of “confluence” that highlights the region’s diversity and the two rivers that form the city’s distinct topography.
The overarching concept reveals itself at all scales, from the project’s siting, orientation, and facade expression to the interior architecture of its public and private spaces. The tower houses patient units, an integrated surgery and procedure platform, a level-one trauma emergency department, a clinical lab, and graduate medical education spaces. The adjacent pavilion contains staff and public amenities as well as additional clinical functions.
The project replaced a large surface parking lot, and its footprint maximizes the site while simultaneously complementing the surrounding urban context and Sacramento’s street grid through a subtle bend in its volume that mirrors the street edge. At the bend on the tower’s east and west facades, art and architecture are integrated into a 10-story environmental art installation. The hospital commissioned a local artist who, drawing inspiration from the region’s diversity, created an abstract expression through the unique attributes of color and pattern of class. Additional experiential moments draw on the confluence of nature, daylight, and art to create an uplifting environment throughout.
The scale and composition of the pavilion lead to its presentation as a jewel box that sits at the foot of the tower. Its white, back-painted facade gives the building depth while adding elements of reflectivity and shimmer. On the sixth floor, an organically shaped roof trellis shades an expansive rooftop garden, while a drum containing the elevator core is wrapped in textured aluminum tubes that mimic the vertical lines of trees.
The project is expected to create hundreds of construction jobs and new healthcare positions, tangible benefits that anchor institutions bring to their communities. In addition, the project will further harness the medical center’s role as one of Sacramento County’s largest employers to boost community wealth-building and strengthen surrounding neighborhoods. When it is completed in 2030, the tower and pavilion will meet state mandates for seismic safety, ensuring superior care for Northern Californians for at least the next 50 years.
Framework for Design Excellence measures
Was there a design charrette: Yes
Level of community engagement:
Inform: Potential stakeholders were informed about the project.
Consult: Stakeholders were provided with opportunities to provide input at pre-designed points in the process.
Involve: Stakeholders were involved throughout most of the process.
Collaborate: A partnership is formed with stakeholders to share in the decision-making process including development of alternatives and identification of the preferred solution.
Empower: Stakeholders were provided with opportunities to make decisions for the project.
Site area that supported vegetation (landscape or green roof) pre-development: Unknown
Site area that supports vegetation post-development: 25%
Site area covered by native plants supporting native or migratory species and pollinators: 25%
Strategies used to promote Design for Ecosystems: Biodiversity, Dark skies, Bird safety, Soil conservation, Habitat conservation, flora/fauna
Is potable water used for irrigation? No
Is potable water used for cooling? Yes
Is grey/blackwater reused on-site? No
Is rainwater collected on-site? No
Stormwater managed on-site: Unknown
2030 Commitment baseline EUI: 202 kBtu/sf/yr
Predicted net EUI including on-site renewables: 147 kBtu/sf/yr
Reduction from the benchmark: 35%
Is the project all-electric? Yes
Level of air filters installed: MERV 12-14
Was a “chemicals of concern” list used to inform material selection? Yes
Do greater than 90% of occupied spaces have a direct view to the outdoors? Yes
Were embodied carbon emissions estimated for this project? No
Estimated service life: 100 years
Floor area, if any, representing adapting existing buildings: 0%
Ability to survive without utility power: Full back-up power
Risk assessment and resilience services provided: Hazard identification, Climate change risk, Building vulnerability assessment, Hazard mitigation strategies above code
Has a post-occupancy evaluation been conducted? Not applicable
Building performance transparency steps taken:
Present the design, outcomes, and/or lessons learned to the office.
Present the design, outcomes, and/or lessons learned to the profession.
Present the design, outcomes, and/or lessons learned to the public.
Publish lessons learned from design, construction, and/or occupancy.
Project Team and Jury
Year of substantial project completion: 2030
Gross conditioned floor area: 908,874 sq. ft.
Engineer - Civil: Siegried
Engineer – Mechanical and Plumbing: Mazzetti
Engineer – Electrical: Silverman & Light
Engineer - Structural: Degenkolb
General Contractor: McCarthy
Landscape Architect: ACLA (Andrea Cochran Landscape Architecture)
Michael Kang, FAIA, Jury Chair, HGA
Douglas Erickson,Facility Guidelines Institute
Alison Leonard, AIA, Cannon Design
Benjamin R. Patterson, Assoc. AIA, Corgan Associates, Inc.
Nicole Voss, AIA, isgenuity LLC
The Healthcare Design Award showcases the best of health care building design, health care planning, and health care design-oriented research.
From hospitals to outpatient centers, community clinics, and wellness facilities, the Healthcare Design Award recognizes innovative projects in healthcare design and planning. Explore 2024’s best healing spaces, presented by AIA’s Academy of Architecture for Health.