Hoover Pavilion first opened as Palo Alto Hospital in 1931 and was
expanded in 1939. Stanford University operated the hospital for the city until
taking over ownership in 1959, renaming it Hoover Pavilion and converting it to
house medical offices. Designed in the Art Deco style, the 85,000-square-foot
building features ziggurat massing with four-story wings and five- and
six-story towers. As part of the renovation and expansion of the Stanford
University Medical Center, the university sought to restore the exterior while
adapting the interior to accommodate state-of-the-art medical clinics and
offices.
The original hospital, constructed in accordance with the
principles that Florence Nightingale developed to control infection, was broken
into small wards, each with its own support facilities to minimize contagion.
The design team had to address an inflexible concrete structure, low
floor-to-floor heights, lack of centralized air conditioning, a double-loaded
corridor through the middle of the narrow floor plate, and placement of
structural columns at the building’s center.
Most of the historic interior had already been gutted in prior
renovations, so it was possible to demolish existing interior walls and
reconfigure the interiors while still meeting the Secretary of Interior’s
Standards for the Treatment of Historic Properties. To carve out deeper floor
plates, the design team eliminated the central corridor, placing circulation
along the side of the building instead, allowing it to receive plenty of
daylight via triple-height windows. The new corridor doubles in width at
intervals in order to serve as a waiting area. Mechanical systems were
collected into the middle of the floor plate and concealed in a dropped
ceiling, enabling the public circulation area to have high ceilings.
Because the resulting floor plate was still atypically narrow, the
design team modified the standard medical module’s sequence of waiting area,
check-in station, diagnostic and treatment areas, and physician offices; the
waiting rooms were compressed in size, with benches added to the hallway for
supplemental seating, and the physician offices were not
embedded within the clinic, although they are on the same floor. Designed in
accordance with Stanford University Medical Center’s state-of-the-art
scheduling system, which schedules a smaller number of patients at a time to
facilitate near-on-time delivery of care, the building did not need to devote
as much space to waiting areas as is typical, and the café, library, and lobby
provide additional spaces to wait.
The new interior walls incorporate motifs found on the historic
Art Deco exterior. The design team varied materials to create a
noninstitutional feel, delineate intimate neighborhoods, and give each space
its own identity, with changes to ceiling patterns and carpet color and
texture.
The exterior and most windows were restored; windows that had
deteriorated were replaced with new matching ones. A replica of the original
iron finial was returned to the top of the highest tower. The renovation met
California Green Building Code Tier 1 standards, employing sustainable
strategies such as high-efficiency lighting, natural light, and recyclable
materials.