San Francisco General Hospital

Zuckerberg San Francisco General Hospital and Trauma Center
San Francisco Department of Public Health
The main building of the San Francisco General Hospital. At right is the sculpture Mother with Children with Hearts by sculptor Tom Otterness.
Geography
Location	1001 Potrero Ave San Francisco, California 94110, United States
Coordinates	37°45′20″N 122°24′18″W
Organization
Care system	Medicaid, Medicare, Public
Type	Teaching
Affiliated university	University of California, San Francisco
Services
Emergency department	Level I trauma center
Beds	403 General Acute Care 22 Acute Psychiatric 59 Skilled Nursing Mental Health 30 Skilled Nursing Med/Surg
History
Opened	1850
Links
Website	zuckerbergsanfranciscogeneral.org
Lists	Hospitals in the United States

The Priscilla Chan and Mark Zuckerberg San Francisco General Hospital and Trauma Center^[1] (ZSFG) is a public hospital in San Francisco, California, under the purview of the city's Department of Public Health. It serves as the only Level I trauma center for the 1.5 million residents of San Francisco and northern San Mateo County.^[2] It is the largest acute inpatient and rehabilitation hospital for psychiatric patients in the city. Additionally, it is the only acute hospital in San Francisco that provides 24-hour psychiatric emergency services.

In addition to the approximately 3,500 San Francisco municipal employees, the University of California, San Francisco (UCSF) provides approximately 1,500 employees (including physicians, nurses and ancillary personnel), and the SFGH serves as one of the teaching hospitals for the UCSF School of Medicine. The hospital, especially its Ward 86,^[3] was instrumental in treating and identifying early cases of AIDS. A new San Francisco General Hospital acute care building was completed in 2016 for a total approximate cost of $1.02 billion. A $75 million donation by Facebook founder Mark Zuckerberg and his wife Priscilla Chan^[4] covered approximately 7.35% of the overall cost. In recognition, the hospital was renamed after the couple.^[5]

The hospital is a safety net hospital additionally serving poor, elderly people, uninsured working families, and immigrants. As of 2014, 92 percent of the patient population at SFGH either receives publicly funded health insurance (Medicare or Medi-Cal) or is uninsured.^[6]

SFGH is rare in that its emergency rooms do not have agreements in place with private health care insurance providers. Until 2019, privately insured patients were often billed the balance of their care, which could be sizable. This practice was changed after media attention regarding the hospital's billing practices.^[7]

SFGH provided $74,620,877 of services with unrecovered payments in year ending 2020-06-30.^[8]

History

In 1850, a California state bill appropriated $50,000 to build a State Marine Hospital in San Francisco.^[9]

In 1851, the United States Congress established the U.S. Marine Hospital, San Francisco at Rincon Point^[10] and relocated to the Presidio of San Francisco in 1875.^{[11][12][13][14][15]}

In 1855, the State Marine Hospital building was transitioned to the City and County Hospital of San Francisco, funded by every vessel that entered the port, paying inspection fees, to a public health officer.^[16][17]

By 1857, the City and County Hospital had located to the former North Beach School, at the southwest corner of Francisco and Stockton Streets.^[16] San Francisco opened its first permanent hospital in 1857.^[18]

A hospital has been at Potrero Avenue since 1872,^[19] when the city of San Francisco built a 400-bed hospital on Potrero, an all wood hospital, one of four emergency hospitals eventually built by 1904, Central, Harbor, Park and Potrero.^[20]

Expansions to the site have been made in 1909 (Mission Emergency Hospital),^[20] 1915 (four main, distanced, ward buildings),^[20] 1924 (psychiatric ward),^[21] 1976 (Acute Care Hospital),^[20] and 2016.^[22]

"SFGH and the University of California, San Francisco School of Medicine (UCSF) have been partners in public health since 1872..."^[23][24]

In 1966, SFGH was designated as the city's trauma center,^[20] the second trauma center established in the U.S. after Cook County Hospital.^[25]

In 1977, a new inpatient facility consisting of clinic space, rooms for patients, a new born unit, and surgery facilities was established.^[26]

San Francisco General Hospital (seen against the backdrop of Potrero Hill and the Bay Bridge, and parts of the Mission District in the foreground)

Chan Zuckerberg building

In November 2008, San Francisco voters approved an $887.4 million general obligation bond for the General Hospital rebuild, work began in 2009, and was expected to be finished in 2015.^{[23][27][28][29][30][31][32]}

In 2015, Facebook founder and CEO, Mark Zuckerberg, and his wife Priscilla Chan gave $75 million^[33][34] to help fund equipment and technology for the new hospital.^[35] In 2016, the new hospital building was completed. It is the first hospital building in San Francisco to be constructed with a base-isolated foundation, 30 inches in any direction^[36][37] for protection against earthquakes. Publicised improvements included expanding the Emergency Department from 27 to 58 beds, and Operating Rooms from 10 to 13.^[28][38] The number of general admission beds, the number of intensive care unit (ICU) beds increased.^{[citation needed]} The previously separate surgical and medical units were combined into one ICU.^{[citation needed]}

Billing practices

Through early 2019, SFGH did not participate in any private health insurance networks and practiced balance billing. A Vox analysis (derived from a database of more than a thousand emergency room bills) characterized the hospital's billing practices as "aggressive" and "surprising": one privately insured patient arriving at the hospital after a bicycle accident was billed more than $20,000 for diagnostic scans and treatment for a broken arm;^[39] the bill was 12 times the Medicare billing rate.^[40] After media attention, SFGH changed its billing policy so that privately insured patients would be billed at rates consistent with their insurers' network rates, with an income-based maximum.^[41]

Artwork

The hospital owns and displays two paintings by Frida Kahlo and Diego Rivera, donated to the hospital by Dr. Leo Eloesser. Eloesser interned at SFGH and was Kahlo's physician.^[42][43]

Notable deaths

• Diane Whipple, American lacrosse player and coach, dog mauling victim.^[44]
• Kate Steinle, died from gunshot wounds.
• Ed Lee, attorney, politician and mayor of San Francisco, died from coronary artery disease, with hypertensive heart disease.^[45]
• Jack Palladino, investigator and attorney, died from a head injury.

See also

• List of hospitals in California
• R. Beverly Cole

Further reading

• Harris, Henry (1932). California's Medical Story. Grabhorn Press.^{[46][47][48][49]}
• Gardner, FT (May 1940). "King Cole of California (Part I)". Annals of Medical History. 2 (3): 245–258. PMC 7942564. PMID 33943782.^[50][51]
• Gardner, FT (July 1940). "King Cole of California: Part II". Annals of Medical History. 2 (4): 319–347. PMC 7942591. PMID 33943798.
• Gardner, FT (September 1940). "King Cole of California. Part III". Annals of Medical History. 2 (5): 432–442. PMC 7942637. PMID 33943827.
• "Register of the Frances T. Gardner Papers, ca. 1938-1950". oac.cdlib.org. Retrieved 2 February 2022.
• "San Francisco General Hospital (SFGH) 1930s Photograph Collection". Calisphere.

References

1. "Our History". Zuckerberg San Francisco General. Retrieved 2022-12-19. [...] today, we are known as Priscilla Chan and Mark Zuckerberg San Francisco General Hospital and Trauma Center.
2. "San Francisco General Hospital & Trauma Center >> About Us". Archived from the original on July 31, 2012. Retrieved July 30, 2012.
3. "UCSF Dept of Medicine - UCSF HIV, ID and Global Medicine - Welcome!". hiv.ucsf.edu.
4. "Patients Finally Move Into New Facility at SF General | UCSF at SFGH". sfgh.ucsf.edu. Retrieved 2017-10-13.
5. "Our History – Zuckerberg San Francisco General".
6. "San Francisco General Hospital and Trauma Center Annual Report Fiscal Year 2013-2014" (PDF).
7. "Billing & Insurance". Zuckerberg San Francisco General. Retrieved 2021-03-05.
8. "Zuckerberg San Francisco General Hospital and Trauma Center (050228)". American Hospital Directory. Retrieved 2 February 2022.
9. "Construction of Marine Hospital". Digital Public Library of America. Retrieved 2 February 2022.
10. "U. S. Marine Hospital, Historic View, Spear & Harrison Streets, San Francisco, San Francisco County, CA". Library of Congress. Retrieved 2 February 2022.
11. "Presidio of San Francisco, Old Station Hospital, Funston Avenue & Lincoln Boulevard, San Francisco, San Francisco County, CA". Library of Congress. Retrieved 2 February 2022.
12. State Marine Hospital (San Francisco Calif.) (1853). Annual report of the Trustees of State Marine Hospital at San Francisco for 1852. George Kerr, State printer. OCLC 35733465. Retrieved 2 February 2022.
13. State Marine Hospital Board of Trustees. "Annual report of the trustees of State Marine Hospital at San Francisco, California for 1852 : patient lists". Dallas Public Library. Pomona Valley Genealogical Society. Retrieved 2 February 2022.
14. "S.F. Plague". Boston Evening Transcript. 1902-11-01. Retrieved 2 February 2022.
15. "Annual report of the trustees of State Marine Hospital at San Francisco, California, for 1852 patient lists". ldsgenealogy.com. Retrieved 2 February 2022.
16. "1868-1898 - San Francisco's First Medical Institutions". A History of UCSF. Retrieved 2 February 2022.
17. "Bd. of Health of the Marine Hosp. for State v. Pac. Mail S. S. Co., 1 Cal. 197". Casetext. Retrieved 2 February 2022.
18. "UCSF Historic Partnership". UCSF Medical School. Archived from the original on 2012-08-09. Retrieved 2012-07-30.
19. "San Francisco General Hospital Rebuild Program". Larry Seeman Associates. Retrieved 2 February 2022.
20. "zsfg timeline". UCSF Dept of Anesthesia. Retrieved 2 February 2022.
21. https://zuckerbergsanfranciscogeneral.org/wp-content/uploads/2017/05/SF-General-Final-Chronicle-Tab-HIST.pdf ^{[bare URL PDF]}
22. Michelson, Alan. "City and County of San Francisco, San Francisco General Hospital, Acute Care Center, Potrero Hill, San Francisco, CA". Pacific Coast Architecture Database. Retrieved 2 February 2022.
23. "SFGH: About Us". San Francisco Department of Public Health. Retrieved 2 February 2022.
24. Wilson, John L. Stanford University School of Medicine and the Predecessor Schools: An Historical Perspective: Part III. Founding of First Medical School and Successions 1858-. Chapter 21. Chapter XXI. Revival of Medical Department University of the Pacific 1870. Stanford University Medical History Center.
25. "Cook County Honors World-Renowned Trauma Center, Nation's First, on its 50th Anniversary". cookcountyil.gov. 2016-09-09. Retrieved 2 February 2022.
26. "History at ZSFG". The UCSF Division of Neurology at ZSFG. Retrieved 2023-07-19.
27. "Rebuild San Francisco General Hospital & Trauma Center". sfdph.org. Archived from the original on 16 April 2009. Retrieved 2 February 2022.
28. "Rebuild San Francisco General Hospital & Trauma Center". sfdph.org. Archived from the original on 1 November 2014. Retrieved 2 February 2022.
29. "San Francisco General Hospital Rebuild". senate.ucsf.edu. Retrieved 2 February 2022.
30. "Proposition A - Hospital Bond". San Francisco Bay Area Planning and Urban Research Association. 3 December 2008.
31. "San Francisco General Hospital Rebuilt Project". SF DPH. Archived from the original on 5 April 2007. Retrieved 2 February 2022.
32. "San Francisco General Hospital". UCSF School of Medicine. Archived from the original on 8 September 2006. Retrieved 2 February 2022.
33. https://sfgov.legistar.com/View.ashx?M=F&ID=8686925&GUID=AB36CE6D-F162-413C-98F9-B217EEB5FFC1 ^{[bare URL PDF]}
34. Schleifer, Theodore (3 December 2020). "Mark Zuckerberg gave $75 million to a San Francisco hospital. The city has condemned him anyway". Vox. Retrieved 2 February 2022.
35. Colliver, Victoria. "Zuckerberg, wife give $75 million to SF hospital". SF Chronicle. Retrieved 6 February 2015.
36. "SF General Hospital". McGinnis Chen Associates Inc. Retrieved 2 February 2022.
37. "345 - SFGH Rebuild". Fong & Chan Architects. Retrieved 2 February 2022.
38. "Archived copy" (PDF). www.sfdph.org. Archived from the original (PDF) on 7 October 2014. Retrieved 22 February 2022.
39. Kliff, Sarah (2019-01-07). "A $20,243 bike crash: Zuckerberg hospital's aggressive tactics leave patients with big bills". Vox. Retrieved 2019-01-07.
40. "Zuckerberg San Francisco General Hospital doesn't take private insurance, sticking patients with huge bills". Newsweek. January 7, 2019.
41. Kliff, Sarah (April 16, 2019). "After Vox stories, Zuckerberg Hospital is overhauling its aggressive billing tactics". Vox.
42. "Frida Kahlo, Diego Rivera & SFGH". UCSF. Archived from the original on 2015-07-04. Retrieved 2015-05-18.
43. Hendricks, Tyche (2008-06-09). "S.F.'s visual reminders of Kahlo, Rivera". San Francisco Chronicle. Retrieved 2015-05-18.
44. Jones, Aphrodite (2003). Red Zone: The Behind-the-Scenes Story of the San Francisco Dog Mauling. New York: William Morrow. ISBN 0-06-053779-5.
45. Rodriguez, Joe Fitzgerald (December 22, 2017). "911 audio reveals moments after Mayor Ed Lee's heart attack". San Francisco Examiner. Retrieved February 7, 2022.
46. Leake, C. D. (December 1934). "California's Medical Story . Henry Harris". Isis. 22 (1): 312–315. doi:10.1086/346912.
47. "Dr. Harris Writes Book on California's Medical History". Jewish Telegraphic Agency. 21 July 1932. Retrieved 2 February 2022.
48. Bengtsson, Bengt-Ola S (November 2016). "Physicians of the Bear-Flag Republic". Journal of Medical Biography. 24 (4): 566–572. doi:10.1177/0967772015605741. PMID 26512067. S2CID 7619806.
49. Gardner, FT (July 1939). "Early California Medical Journals". Annals of Medical History. 1 (4): 325–342. PMC 7939627. PMID 33943426.
50. "1868-1898 - San Francisco's First Medical Institutions - A History of UCSF". history.library.ucsf.edu. Retrieved 2 February 2022.
51. Douglass, John; Thomas, Sally. "University of California History Digital Archives: San Francisco Historical Overview". www.lib.berkeley.edu. Retrieved 2 February 2022.

External links

• Website
• SFGH at SF Dep't of Public Health
• SFGH UCSF
• SFGH campus maps
• Center for Vulnerable Populations
• SFGH in the CA Healthcare Atlas, A project by OSHPD
• Brain and Spinal Injury Center
• Orthopaedic Trauma Institute
• SFGH : American Hospital Directory