The General Hospital master plan cleared the Los Angeles County Board of Supervisors on Oct. 20, 2026. The vote sets a long-term path to turn the historic hospital campus into a mixed-use “Healthy Village” with housing, clinics and shops.
The plan comes from the county’s Department of Economic Opportunity. It builds on the 1930s General Hospital building, which stands next to the working LA General Medical Center. The county says care at the medical center continues without interruption. This is part of the wider Los Angeles and California guide to local development.
What the General Hospital master plan includes
The county lists several planned uses for the campus. They include affordable, workforce and mixed-income housing, expanded health and wellness services, and community-serving retail. The plan also calls for public plazas, open space, better walking and transit links, and job training.
The historic building stays at the center. In July 2026, the hospital’s Acute Unit joined the National Register of Historic Places. As a result, the developer and the county have applied for federal historic tax credits. Preservation plans cover the building’s exterior, its steel windows, key corridors, the Surgery Auditorium and the Medical Library.
The county’s release does not give a total housing count, a total cost or a phase-by-phase schedule. It says the work will unfold “over the coming decades.” Earlier press coverage cited different unit counts, so residents should treat any number as provisional until the county publishes one.
Who is building it and what happens next
Centennial Partners, led by Primestor Development, is the master developer. The county picked it through a 2023 request for proposals. In addition, the planning process included more than 100 group meetings, five town halls and 16 Community Advisory Committee meetings. A Community Benefits Agreement framework came out of that work.
The Board also certified the final environmental report and adopted findings that cover the project’s impacts. The environmental review ran a public comment period from May 15 to June 29, 2026.
Meanwhile, construction has already started in a smaller form. The county’s $120 million stabilization project covers seismic, infrastructure and preservation work. Crews have cleared loose material from the upper floors, and the on-campus Wellness Center moved in August 2026. Selective interior demolition comes next.
The biggest upcoming step is a Master Option Agreement between the county and Centennial Partners. The county expects it to reach the Board before the end of 2026. It would set the framework for phased development, including possible ground leases for each phase. Each phase still needs its own approvals.
Board Chair Hilda L. Solis described the plan as a way to bring together “a vibrant Healthy Village that brings together affordable housing, healthcare, good-paying jobs.” Department Director Kelly LoBianco said the county is “laying the foundation for new investment, quality jobs, and a vibrant destination.”
For neighbors, little changes on the ground right away. However, the vote locks in the rules that future phases must follow, so the Master Option Agreement later this year is the next date to watch. Details may change as the county negotiates, so check the Department of Economic Opportunity for updates.