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Home » General Hospital (updated draft)

Reimagining General Hospital and West Campus

The General Hospital (GH) and West Campus (1200 North State Street, Los Angeles, CA 90033) re-development site is comprised of the 1.2 million square foot, 19-story Art Deco building and Los Angeles regional landmark and 25 acres of West Campus on the Los Angeles County – University of Southern California (LAC+USC) Medical Center Campus, where General Hospital services transferred with the hospital’s closure in 2008. The area currently hosts the Restorative Care Village, the LAC+USC Foundation’s Wellness Center, as well as services for the Department of Public Health (DPH), Department of Health Services (DHS), Medical Examiner, Sheriff (LASD), Public Works (DPW), the Navy Medicine Operational Training Center, and other nonprofit operations. 

About the Redevelopment of General Hospital

In November 2018, Supervisor Hilda L. Solis (District 1) authored a board motion to initiate a feasibility study of the potential redevelopment of the Campus and the potential economic and community outcomes that could result from its repurposing. The study explored options to restore, reuse, and develop new facilities on campus into a mixed-use Healthy Village that provides:

Whole Person Care

Supports a ‘Whole Person Care’ concept to meet individuals’ needs 

Community Resiliency

Fosters a healthy and economically resilient community

Wraparound Services

Helps for our most vulnerable citizens, including recuperative care and wraparound services that empower residents

The Feasibility Study proposed that the County pursue a Public Private Partnership (P3) model to facilitate redevelopment of the Project Site and, on January 24, 2023, the Board authorized the County Department of Economic Opportunity (DEO) to solicit proposals to advance this vision. The successful proposer, Centennial Partners’ (Developer), outlined a vision to cultivate a mixed-use neighborhood inclusive of affordable, workforce and market rate housing, community retail, job creation opportunities, public open space, access to wellness and wrap-around supportive services, and connections to public transit.  

Over the past year, significant site constraints have been discovered through the Developer’s due diligence activities to begin initial site assessment and investigation in October 2024 highlighted the immediate need to advance maintenance and stabilization efforts of the General Hospital building and portions of the West Campus, separate from any potential future project that may subsequently be recommended to the Board. Today, the Developer team is working on advancing these two projects: Master Plan and Stabilization. 

Master Plan Overview

The Master Plan process begins by establishing guidelines of key considerations and methodologies for a redevelopment framework. These elements will serve as the foundation for shaping the project site’s future and provide the necessary tools to analyze options and evaluate trade-offs. The following outlines the critical factors that would guide decision-making and contains the Developer’s proposed guidelines for the Master Plan Phase. 

  • Framework Guidelines: The framework establishes high-level strategies for site development, including land use priorities, infrastructure needs, and stakeholder input. The framework guidelines do not define specific parcels or phasing but instead sets the vision, goals, and parameters for evaluating options and trade-offs. 
  • Master Plan Phase: During the Master Plan phase, the Developer team will translate the framework into a fully developed site plan, incorporating precise design and implementation strategies.  

Key activities include:  

 Establishing exact parcel boundaries, zoning considerations, and land-use designations

Developing a phased approach for construction and activation, ensuring a logical sequence of development

Conducting financial modeling and feasibility analysis to ensure availability of financing consistent with the long-term sustainability of the overall site and of maximizing investment potential

Designing roadways, utilities, pedestrian access, and multimodal connectivity

Identifying and incorporating key land uses such as commercial, residential, open space, and community amenities, County future use

Ensuring compliance with zoning, environmental regulations, and permitting requirements

Involves refining the plan based on continued engagement with community members, government agencies, and private partners to create a Healthy Village.

Stabilization Overview 

The following summarizes the various components of the Stabilization Project. 

Seismic improvements to the General Hospital building would include foundation upgrades, strategically placed new structural walls, and strengthened columns and beams at existing stair cores up to the second floor. These upgrades would not only strengthen the structure and reduce movement during a seismic event but also help prevent costly damage and preserve the building’s historic character. 

Community Mental Health Center (VIP), a nonprofit that provides mental health, crisis intervention, and medication support services to children and their families who have been victims of domestic violence and/or child abuse (Program). VIP will vacate a portion of their West Campus operations and services will be relocated to Building A/B C/D at the nearby vacant Central Juvenile Hall campus. 

The Wellness Center is a non-profit community-based organization, which is currently located on the ground floor of General Hospital and offers free programs and services focusing on improving the health and well-being of residents in the surrounding communities. The Wellness Center would be relocated to the Forecourt Buildings to the northwest of General Hospital.

Most structures have reached the end of their useful life. Removing structurally compromised and functionally obsolete buildings and structures would reduce ongoing liability, streamlines site logistics, allows for safer circulation and access across the campus and can eliminate ongoing costs associated with buildings that no longer serve a functional purpose yet still require maintenance. 

Given the high cost of maintaining the plant, its performance and safety concerns, and the fact that many of its systems are nearing end of life, the plant should be decommissioned and a new, modern replacement system provided.

The Developer will complete a comprehensive utility survey to identify which utilities remain in use, which may be abandoned in place, and which should be removed or re-rerouted. 

Project Overview Timeline 

Board Actions

February 8, 2022: Use of Catalytic Funding to Support Request for Proposals for Developer Services for Repurposing the LAC+USC General Hospital Building and West Campus for Housing and Mixed-Use Purposes 

Read More

July 26, 2022: Cementing Los Angeles County’s Commitment to Historic General Hospital 

Read More

November 1, 2022: Leveraging Private Capital to Advance the Reuse of Old General Hospital and Development of West Campus 

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January 24, 2023: General Hospital Reuse/West Campus Resolution  

Read More

September 26, 2023: Los Angeles General Medical Center General Hospital Structural Improvements Project Construction Contract

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November 7, 2023: General Hospital Structural Improvements Project Construction Contract

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December 19, 2023: Advancing Revitalization of the Former Old General Hospital and West Campus that Optimizes Community Benefits

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June 25, 2024: County General Hospital West Campus: Centennial Development Project Agreement Amendment

Read More

June 17, 2025: Los Angeles General Hospital and West Campus Stabilization Project Agreement

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July 29, 2025: Next Steps to Implement the Proposed Centennial Project Master Plan on the General Hospital Medical Campus

Read More

Community Priorities

Wellness

Healthcare access, preventative care fitness trails, physical activities, recreation centers, community rituals, vibrant walkable public spaces, access to healthy food choices

Economic Opportunity

Job training and mentorship, small business incubators, local businesses, work life balance, job creation and social impact, community-facing retail

Community

Sense of belonging, trust and safety, stewardship, public spaces, community centers, shared traditions, community events

Learning

Creative expression, continuing education, cross generational knowledge sharing, Childcare, respect for cultural diversity, community-oriented services, public art

Ecology

Access to nature, sustainability, biodiversity, climate resilience, shade, ease to move outdoors, pollinator spaces

County Stakeholders and Community Organizations

Learn More

Contact: generalhospital@opportunity.lacounty.gov  

For more information about the project, please email the County of Los Angeles Department of Economic Opportunity Capital Development team. 

Accomplishments to Date

November 13, 2018: Board Motion Feasibility of Repurposing the LAC+USC General Hospital Building for Housing and Mixed Use Purposes

January 25, 2023: RFP Released to Public

December 19, 2023: Board meeting for Selection and Authorize Drafting of ENA and Board Motion Community Outreach

June 25, 2024: Board Letter County General Hospital West Campus: Centennial Development Project Agreement Amendment 

 

September 12, 2024: Move Management Framework

 

February 4, 2025: Financial Benchmark and Comprehensive Benchmark Assessment

Resources and References

  • Los Angeles County General Hospital Campus Community Plan SEIR Scoping Meeting Powerpoint (English/Espanol)
  • Los Angeles County General Hospital Campus Community Plan
    Subsequent Environmental Impact Report NOP
  • Los Angeles County General Hospital Campus Community Plan
    Subsequent Environmental Impact Report NOP (Spanish)
  • AB 179 Project Plan (April 2024)
  • Cementing LA County’s Commitment to Historic General Hospital Board Motion (July 2022)
  • Report Backs Associated to July 2022 Motion
  • June 2024 Motion to Authorize ENA Update
  • Board Motion, Advancing Revitalization of the Former Old General Hospital and West Campus that Optimizes Community Benefits (December 2023)
  • Board Letter to Approve the Execution of the Exclusive Negotiation Agreement with Centennial Partners for the Los Angeles County General Hospital Campus: Centennial Development Project (December 2023) 
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