The Zuckerberg San Francisco General Hospital & Trauma Center (ZSFG) located in San Francisco, CA is a ground-up, Type I concrete and steel hospital and research project. The project is designed by Fong and Chan Architects. This CMAR, CM-GC and IPD project totals 442,000 square feet throughout one structure with eight levels above grade with mechanical penthouse and two levels below grade. It includes 284 beds, a 40,000 square foot emergency room, a 20,000 square foot radiology department, 13 operating rooms, and units providing intensive care, critical care, neonatal intensive care, forensic services, obstetrics, pediatrics, sterile processing, pharmacy, laboratory, pulmonary function, biomedical, morgue, and autopsy. ZSFG is the only Level I trauma center in San Francisco and Northern San Mateo County, the largest acute inpatient and rehabilitation hospital for psychiatric patients, and the only acute hospital that provides twenty-four-hour psychiatric emergency services. ZSFG is a teaching hospital, in partnership with the UCSF School of Medicine. It contains 20 UCSF research centers, conducting more than $150 million in research annually. The hospital utilizes one of the most advanced earthquake-resistant technologies available today; 115 triple-pendulum bearing base isolators provide the most resilient structure, which will allow the hospital to have continuous operations after a major earthquake. The project was conducted on a fully operational healthcare campus that has been in continuous operation since 1872 and ultimately tied into select structures. Webcor self-performed concrete. This project is LEED Gold®.