View source for San Francisco General Hospital

{{Infobox hospital
| Name = Zuckerberg San Francisco General Hospital and Trauma Center
| Org/Group = [[San Francisco Department of Public Health]]
| logo_size = 285
| Image = File:San Francisco General Hospital from Bernal Heights (2018).jpg
| Caption = San Francisco General Hospital (seen against the backdrop of Potrero Hill and the Bay Bridge, and parts of the Mission District in the foreground)
| Width = 285
| Location = 1001 Potrero Ave<br />San Francisco, [[California]] 94110
| coordinates = {{coord|37|45|20|N|122|24|18|W|region:US|display=inline, title|name=San Francisco General Hospital}}
| Country = United States
| HealthCare = Medicaid, Medicare, Public
| Type = Teaching
| Emergency = I
| Affiliation = [[University of California, San Francisco]]
| Beds = 403 General Acute Care<br />22 Acute Psychiatric<br />59 Skilled Nursing Mental Health<br />30 Skilled Nursing Med/Surg
| Founded = 1850
| Website = [http://zuckerbergsanfranciscogeneral.org/ zuckerbergsanfranciscogeneral.org]|
| logo = Zuckerberg SF General Hospital and Trauma Center.svg
}}
The '''Zuckerberg San Francisco General Hospital and Trauma Center''' ('''ZSFG''') is a [[Public hospital|public]] [[hospital]] in [[San Francisco]], [[California]], under the purview of the city's [[San Francisco Department of Public Health|Department of Public Health]]. It serves as the only [[trauma center|Level I Trauma Center]] for the 1.5 million residents of San Francisco and northern [[San Mateo County, California|San Mateo County]].<ref>{{cite web|url=http://www.sfdph.org/dph/comupg/oservices/medSvs/SFGH/default.asp|title=San Francisco General Hospital & Trauma Center >> About Us|url-status=dead|archive-url=https://web.archive.org/web/20120731024720/http://www.sfdph.org/dph/comupg/oservices/medSvs/SFGH/default.asp|archive-date=July 31, 2012|access-date=July 30, 2012}}</ref> 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 hospital]]s for the [[UCSF School of Medicine]]. The hospital, especially its Ward 86,<ref>{{cite web|url=http://hiv.ucsf.edu/|title=UCSF Dept of Medicine - UCSF HIV, ID and Global Medicine - Welcome!|website=hiv.ucsf.edu}}</ref> 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 (philanthropist)|Priscilla Chan]]<ref>{{Cite web|url=https://sfgh.ucsf.edu/news/patients-finally-move-new-facility-sf-general|title=Patients Finally Move Into New Facility at SF General {{!}} UCSF at SFGH|website=sfgh.ucsf.edu|access-date=2017-10-13}}</ref> covered approximately 7.35% of the overall cost. In recognition, the hospital was renamed after the couple.<ref>{{cite web|url=https://zuckerbergsanfranciscogeneral.org/about-us/our-history/|title=Our History – Zuckerberg San Francisco General}}</ref>

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 (United States)|Medicare]] or [[Medi-Cal]]) or is uninsured.<ref>{{Cite web|title=San Francisco General Hospital and Trauma Center Annual Report Fiscal Year 2013-2014|url=https://www.sfdph.org/dph/hc/HCAgen/HCAgen2014/November%2018/SFGH%20Annual%20Report%202013-14;%20final%20141113-1.pdf|url-status=live}}</ref>

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 [[Balance billing|billed the balance]] of their care, which could be sizable. This practice was changed after media attention regarding the hospital's billing practices.<ref>{{Cite web|title=Billing & Insurance|url=https://zuckerbergsanfranciscogeneral.org/patient-visitor-resources/billing-insurance/|access-date=2021-03-05|website=Zuckerberg San Francisco General|language=en-US}}</ref>

SFGH provided $74,620,877 of services with unrecovered payments in year ending 2020-06-30.<ref>{{cite web |title=Zuckerberg San Francisco General Hospital and Trauma Center (050228) |url=https://www.ahd.com/free_profile/050228/Zuckerberg_San_Francisco_General_Hospital_and_Trauma_Center/San_Francisco/California/ |website=American Hospital Directory |access-date=2 February 2022}}</ref>

== History ==
{{expand section|date=March 2021}}

In 1850, a California state bill appropriated $50,000 to build a State Marine Hospital in San Francisco.<ref>{{cite web |title=Construction of Marine Hospital |url=https://dp.la/item/49b65306d45e6008658987a51450dad4 |website=[[Digital Public Library of America]] |access-date=2 February 2022}}</ref>

In 1851, the [[United States Congress]] established the [[Public Health Service Hospital (San Francisco)#San Francisco Marine Hospital|U.S. Marine Hospital, San Francisco]] at [[Rincon Point (San Francisco)|Rincon Point]]<ref>{{cite web |title=U. S. Marine Hospital, Historic View, Spear & Harrison Streets, San Francisco, San Francisco County, CA |url=https://www.loc.gov/item/ca0742/ |website=Library of Congress|access-date=2 February 2022}}</ref> and relocated to the [[Presidio of San Francisco]] in 1875.<ref>{{cite web |title=Presidio of San Francisco, Old Station Hospital, Funston Avenue & Lincoln Boulevard, San Francisco, San Francisco County, CA |url=https://www.loc.gov/item/ca0870/ |website=Library of Congress|access-date=2 February 2022}}</ref><ref>{{cite book |author1=State Marine Hospital (San Francisco Calif.) |title=Annual report of the Trustees of State Marine Hospital at San Francisco for 1852. |url=https://www.worldcat.org/title/annual-report-of-the-trustees-of-state-marine-hospital-at-san-francisco-for-1852/oclc/35733465 |publisher=George Kerr, State printer |access-date=2 February 2022 |language=English |date=1853|oclc=35733465 }}</ref><ref>{{cite web |author1=State Marine Hospital Board of Trustees |title=Annual report of the trustees of State Marine Hospital at San Francisco, California for 1852 : patient lists |url=http://link.dallaslibrary.org/portal/Annual-report-of-the-trustees-of-State-Marine/574On63Jmhw/ |website=Dallas Public Library |publisher=Pomona Valley Genealogical Society |access-date=2 February 2022 |language=en}}</ref><ref>{{cite news |title=S.F. Plague |url=https://news.google.com/newspapers?nid=2249&dat=19021101&id=-Hs-AAAAIBAJ&sjid=KVoMAAAAIBAJ&pg=2429,5115 |access-date=2 February 2022 |work=[[Boston Evening Transcript]] |date=1902-11-01}}</ref><ref>{{cite web |title=Annual report of the trustees of State Marine Hospital at San Francisco, California, for 1852 patient lists |url=https://ldsgenealogy.com/cgi-bin/FHL2-CA.cgi?31910_Annual_report_of_the_trustees_of_State_Marine_Hospital_at_San_Francisco,_California,_for_1852_patient_lists |website=ldsgenealogy.com |access-date=2 February 2022}}</ref>

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.<ref name="history-ucsf-1868-hospitals">{{cite web |title=1868-1898 - San Francisco's First Medical Institutions |url=https://history.library.ucsf.edu/1868_hospitals.html |website=A History of UCSF |access-date=2 February 2022}}</ref><ref>{{cite web |title=Bd. of Health of the Marine Hosp. for State v. Pac. Mail S. S. Co., 1 Cal. 197 |url=https://casetext.com/case/bd-of-health-of-the-marine-hosp-for-state-v-pac-mail-s-s-co |website=Casetext |access-date=2 February 2022}}</ref>

By 1857, the City and County Hospital had located to the former North Beach School, at the southwest corner of Francisco and Stockton Streets.<ref name="history-ucsf-1868-hospitals"/> San Francisco opened its first permanent hospital in 1857.<ref name="medschool2-ucsf-historic-partnership">{{Cite web|url=http://medschool2.ucsf.edu/sfgh/historic-partnership|title=UCSF Historic Partnership|website=UCSF Medical School|url-status=dead|archive-url=https://web.archive.org/web/20120809083453/http://medschool2.ucsf.edu/sfgh/historic-partnership|archive-date=2012-08-09|access-date=2012-07-30}}</ref>

A hospital has been at Potrero Avenue since 1872,<ref name="LSA">{{cite web |title=San Francisco General Hospital Rebuild Program |url=https://lsa.net/project/san-francisco-general-hospital-rebuild-program/ |website=Larry Seeman Associates |access-date=2 February 2022}}</ref> 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.<ref name="anesthesia-ucsf-zsfg-timeline">{{cite web |title=zsfg timeline |url=https://anesthesia.ucsf.edu/zsfg-timeline-fullscreen |website=UCSF Dept of Anesthesia |access-date=2 February 2022}}</ref>

Expansions to the site have been made in 1909 (Mission Emergency Hospital),<ref name="anesthesia-ucsf-zsfg-timeline"/> 1915 (four main, distanced, ward buildings),<ref name="anesthesia-ucsf-zsfg-timeline"/> 1924 (psychiatric ward),<ref>https://zuckerbergsanfranciscogeneral.org/wp-content/uploads/2017/05/SF-General-Final-Chronicle-Tab-HIST.pdf {{Bare URL PDF|date=March 2022}}</ref> 1976 (Acute Care Hospital),<ref name="anesthesia-ucsf-zsfg-timeline"/> and 2016.<ref>{{cite web |last1=Michelson |first1=Alan |title=City and County of San Francisco, San Francisco General Hospital, Acute Care Center, Potrero Hill, San Francisco, CA |url=https://pcad.lib.washington.edu/building/24196/ |website=[[Pacific Coast Architecture Database]] |access-date=2 February 2022}}</ref>

<blockquote>"SFGH and the [[University of California, San Francisco School of Medicine]] (UCSF) have been partners in public health since 1872..."<ref name="sfdph-SFGH">{{cite web |title=SFGH: About Us |url=https://www.sfdph.org/dph/comupg/oservices/medSvs/SFGH/default.asp |website=[[San Francisco Department of Public Health]] |access-date=2 February 2022}}</ref><ref name="stanford-wilson-chap-21">{{cite book |last1=Wilson |first1=John L. |title=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 |publisher=[[Stanford University]] Medical History Center |url=https://lane.stanford.edu/med-history/wilson/chap21.html |language=en}}</ref></blockquote>

In 1966, SFGH was designated as the city's trauma center,<ref name="anesthesia-ucsf-zsfg-timeline"/> the second trauma center established in the [[U.S.]] after [[John H. Stroger Jr. Hospital of Cook County|Cook County Hospital]].<ref>{{cite web |title=Cook County Honors World-Renowned Trauma Center, Nation's First, on its 50th Anniversary |url=https://www.cookcountyil.gov/news/cook-county-honors-world-renowned-trauma-center-nations-first-its-50th-anniversary |website=cookcountyil.gov |access-date=2 February 2022 |date=2016-09-09}}</ref>

== 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.<ref name="sfdph-SFGH"/><ref>{{cite web |title=Rebuild San Francisco General Hospital & Trauma Center |url=https://www.sfdph.org/dph/rebuildsfgh/ |website=[[sfdph.org]] |access-date=2 February 2022 |archive-url=https://web.archive.org/web/20090416033927/https://www.sfdph.org/dph/rebuildsfgh/ |archive-date=16 April 2009}}</ref><ref name="sfdph-rebuildsfgh">{{cite web |title=Rebuild San Francisco General Hospital & Trauma Center |url=https://www.sfdph.org/dph/rebuildsfgh/ |website=[[sfdph.org]] |access-date=2 February 2022 |archive-url=https://web.archive.org/web/20141101060737/https://www.sfdph.org/dph/rebuildsfgh/ |archive-date=1 November 2014}}</ref><ref>{{cite web |title=San Francisco General Hospital Rebuild |url=https://senate.ucsf.edu/2007-2008/v8-sfghrebuild.html |website=senate.ucsf.edu |access-date=2 February 2022}}</ref><ref>{{cite web |title=Proposition A - Hospital Bond |url=https://www.spur.org/publications/voter-guide/2008-11-01/proposition-hospital-bond |website=[[San Francisco Bay Area Planning and Urban Research Association]] |language=en |date=3 December 2008}}</ref><ref>{{cite web |title=San Francisco General Hospital Rebuilt Project |url=http://www.dph.sf.ca.us/SFGHRebuild/default.htm |website=SF DPH |access-date=2 February 2022 |archive-url=https://web.archive.org/web/20070405062213/http://www.dph.sf.ca.us/SFGHRebuild/default.htm |archive-date=5 April 2007}}</ref><ref>{{cite web |title=San Francisco General Hospital |url=http://medschool.ucsf.edu/sfgh/ |website=UCSF School of Medicine |access-date=2 February 2022 |archive-url=https://web.archive.org/web/20060908134136/http://medschool.ucsf.edu/sfgh/ |archive-date=8 September 2006}}</ref>

In 2015, [[Facebook]] founder and CEO, [[Mark Zuckerberg]], and his wife [[Priscilla Chan (philanthropist)|Priscilla Chan]] gave $75 million<ref>https://sfgov.legistar.com/View.ashx?M=F&ID=8686925&GUID=AB36CE6D-F162-413C-98F9-B217EEB5FFC1 {{Bare URL PDF|date=March 2022}}</ref><ref>{{cite news |last1=Schleifer |first1=Theodore |title=Mark Zuckerberg gave $75 million to a San Francisco hospital. The city has condemned him anyway. |url=https://www.vox.com/recode/2020/12/3/22151273/mark-zuckerberg-general-hospital-san-francisco-naming-vote |access-date=2 February 2022 |work=Vox |date=3 December 2020 |language=en}}</ref> to help fund equipment and technology for the new hospital.<ref>{{cite news|last1=Colliver|first1=Victoria|title=Zuckerberg, wife give $75 million to SF hospital|url=http://www.sfgate.com/bayarea/article/Zuckerberg-wife-give-75-million-to-S-F-hospital-6065958.php|access-date=6 February 2015|publisher=SF Chronicle}}</ref>
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<ref>{{cite web |title=SF General Hospital |url=https://mcaia.com/project/sf-general-hospital/ |website=McGinnis Chen Associates Inc |access-date=2 February 2022}}</ref><ref>{{cite web |title=345 - SFGH Rebuild |url=https://www.fca-arch.com/healthcare/sfgh-rebuild |website=Fong & Chan Architects |access-date=2 February 2022}}</ref> for protection against earthquakes. Publicised improvements included expanding the Emergency Department from 27 to 58 beds, and Operating Rooms from 10 to 13.<ref name="sfdph-rebuildsfgh"/><ref>{{cite web |url=http://www.sfdph.org/dph/RebuildSFGH/files/NewHospitalFactSheet.pdf |title=Archived copy |website=www.sfdph.org |access-date=22 February 2022 |archive-url=https://web.archive.org/web/20141007072213/http://www.sfdph.org/dph/RebuildSFGH/files/NewHospitalFactSheet.pdf |archive-date=7 October 2014 |url-status=dead}}</ref> The number of general admission beds, the number of intensive care unit (ICU) beds increased.{{citation needed|date=February 2022}} The previously separate surgical and medical units were combined into one ICU.{{citation needed|date=March 2021}}

==Billing practices==

Through early 2019, SFGH did not participate in any [[Health insurance in the United States#Network-based managed care|private health insurance networks]] and practiced [[balance billing]]. A ''[[Vox (website)|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;<ref>{{Cite web|url=https://www.vox.com/policy-and-politics/2019/1/7/18137967/er-bills-zuckerberg-san-francisco-general-hospital|title=A $20,243 bike crash: Zuckerberg hospital's aggressive tactics leave patients with big bills|last1=Kliff|first1=Sarah|date=2019-01-07|website=Vox|access-date=2019-01-07}}</ref> the bill was 12 times the [[Medicare (United States)|Medicare]] billing rate.<ref name="Newsweek">{{Cite web|url=https://www.newsweek.com/zuckerberg-hospital-er-private-insurance-medicare-medicaid-mark-facebook-san-1282274|title=Zuckerberg San Francisco General Hospital doesn't take private insurance, sticking patients with huge bills|date=January 7, 2019|website=Newsweek}}</ref> 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.<ref name="VoxOverhaul">{{Cite web|url=https://www.vox.com/2019/4/16/18410905/zuckerberg-san-francisco-hospital-bills|title=After Vox stories, Zuckerberg Hospital is overhauling its aggressive billing tactics|first=Sarah|last=Kliff|date=April 16, 2019|website=Vox}}</ref>

== 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.<ref>{{Cite web|title = Frida Kahlo, Diego Rivera & SFGH|url = https://sfgh.ucsf.edu/frida-kahlo-diego-rivera-sfgh|website = UCSF|access-date = 2015-05-18|url-status = dead|archive-url = https://web.archive.org/web/20150704023808/http://sfgh.ucsf.edu/frida-kahlo-diego-rivera-sfgh|archive-date = 2015-07-04}}</ref><ref>{{Cite news|url = http://www.sfgate.com/news/article/S-F-s-visual-reminders-of-Kahlo-Rivera-3280902.php|title = S.F.'s visual reminders of Kahlo, Rivera|last1 = Hendricks|first1 = Tyche|date = 2008-06-09|access-date = 2015-05-18|newspaper = San Francisco Chronicle}}</ref>

The Pediatric Emergency Department features a mural by artist [[Sirron Norris]] entitled ''The Land of the Helping Hand'', which features local iconography.<ref>{{Cite web|url=https://www.sfartscommission.org/our-role-impact/press-room/press-release/zuckerberg-san-francisco-general-hospital%E2%80%99s-pediatric|title=San Francisco Arts Commission|website=www.sfartscommission.org|access-date=2020-03-09}}</ref>

== Notable deaths ==
*[[Diane Whipple]], American lacrosse player and coach, dog mauling victim
*[[Ed Lee (politician)|Ed Lee]], attorney, politician and mayor of San Francisco, died from [[cardiac arrest]]

==See also==
*[[List of hospitals in California]]
*[[R. Beverly Cole]]

== Further reading ==
* {{cite book |last1=Harris |first1=Henry |title=California's Medical Story |date=1932 |publisher=Grabhorn Press |url=https://books.google.com/books?id=tZN9QgAACAAJ |language=en |quote=free download}}<ref>{{cite journal |last1=Leake |first1=C. D. |title=California's Medical Story . Henry Harris |journal=Isis |date=December 1934 |volume=22 |issue=1 |pages=312–315 |doi=10.1086/346912 }}</ref><ref>{{cite news |title=Dr. Harris Writes Book on California's Medical History |url=https://www.jta.org/archive/dr-harris-writes-book-on-californias-medical-history |access-date=2 February 2022 |work=Jewish Telegraphic Agency |date=21 July 1932}}</ref><ref>{{cite journal |last1=Bengtsson |first1=Bengt-Ola S |title=Physicians of the Bear-Flag Republic |journal=Journal of Medical Biography |date=November 2016 |volume=24 |issue=4 |pages=566–572 |doi=10.1177/0967772015605741|pmid=26512067 |s2cid=7619806 }}</ref><ref>{{cite journal |last1=Gardner |first1=FT |title=Early California Medical Journals. |journal=Annals of Medical History |date=July 1939 |volume=1 |issue=4 |pages=325–342 |pmid=33943426|pmc=7939627 }}</ref>
* {{cite journal |last1=Gardner |first1=FT |title=King Cole of California (Part I). |journal=Annals of Medical History |date=May 1940 |volume=2 |issue=3 |pages=245–258 |pmid=33943782 |pmc=7942564 |quote=free download}}<ref>{{cite web |title=1868-1898 - San Francisco's First Medical Institutions - A History of UCSF |url=https://history.library.ucsf.edu/1868_hospitals.html |website=history.library.ucsf.edu |access-date=2 February 2022}}</ref><ref>{{cite web |last1=Douglass |first1=John |last2=Thomas |first2=Sally |title=University of California History Digital Archives: San Francisco Historical Overview |url=https://www.lib.berkeley.edu/uchistory/general_history/campuses/ucsf/overview.html |website=www.lib.berkeley.edu |access-date=2 February 2022 |language=en}}</ref>
* {{cite journal |last1=Gardner |first1=FT |title=King Cole of California: Part II. |journal=Annals of Medical History |date=July 1940 |volume=2 |issue=4 |pages=319–347 |pmid=33943798 |pmc=7942591 |quote=free download}}
* {{cite journal |last1=Gardner |first1=FT |title=King Cole of California. Part III. |journal=Annals of Medical History |date=September 1940 |volume=2 |issue=5 |pages=432–442 |pmid=33943827 |pmc=7942637 |quote=free download}}
* {{cite web |title=Register of the Frances T. Gardner Papers, ca. 1938-1950 |url=https://oac.cdlib.org/findaid/ark:/13030/ft0x0n9894/entire_text/ |website=oac.cdlib.org |access-date=2 February 2022}}
* {{cite web |title=San Francisco General Hospital (SFGH) 1930s Photograph Collection |url=https://calisphere.org/collections/26889/ |website=[[Calisphere]] |language=en}}
*

==References==
{{reflist|33em}}

==External links==
*[https://web.archive.org/web/20080921225715/http://www.sfdph.org/ SFGH]  at SF Dep't of Public Health
*[http://medschool.ucsf.edu/sfgh/ SFGH] UCSF
*[https://web.archive.org/web/20140809191857/http://sfgh.ucsf.edu/maps SFGH campus maps]
*[http://cvp.ucsf.edu/ Center for Vulnerable Populations]
*[http://gis.oshpd.ca.gov/atlas/places/facility/106380939 SFGH] in the CA Healthcare Atlas, A project by OSHPD
*[http://www.brainandspinalinjury.org/ Brain and Spinal Injury Center]
*[http://orthosurg.ucsf.edu/oti/ Orthopaedic Trauma Institute]
*[https://www.ahd.com/free_profile/050228/Zuckerberg_San_Francisco_General_Hospital_and_Trauma_Center/San_Francisco/California/ SFGH] : American Hospital Directory

{{California Trauma Centers}}
{{Hospitals in the United States}}

{{authority control}}

[[Category:Hospital buildings completed in 1915]]
[[Category:Hospitals in San Francisco]]
[[Category:Teaching hospitals in California]]
[[Category:Mission District, San Francisco]]
[[Category:County hospitals in California]]
[[Category:Public hospitals in the United States]]