48X Complex Sets New Standard for Outpatient Care

UC Davis Health 48X Complex | Sacramento, California

The University of California, Davis Health (UCDH) 48X Complex is a 262,228-sq.-ft. outpatient surgery center that sets a new benchmark for outpatient care in the United States. As one of the most technically advanced facilities of its kind, the 48X Complex integrates cutting-edge surgical technology, flexible design and sustainable building practices to support a robust and resilient healthcare environment.

Partners

Client UC Davis Health

Exterior view of a large building with partial glass curtainwall on two levels

Chico Human Identification Lab

Paul and Alice Baker Center for Public Media

Interior view of a modern multi-level office facility

DPR Construction Santa Clara Office

south-facing exterior view from ground of campus-facing 3-story mass timber facade of the Mussallam Innovation Center building, with tilt-up concrete north wall and punched windows

Edwards Lifesciences Campus Expansion, Ph. 4

Cutting-Edge Surgical Facility

The facility features 14 operating rooms (ORs), multiple of which were designed for robotic procedures. The ORs are universal and fully integrated with advanced IT and video capabilities, allowing for maximum flexibility and adaptability. In addition to surgical spaces, the complex includes four interventional radiology rooms, 59 pre- and post-operative recovery bays, 14 single-occupant 23-hour recovery rooms, 96 clinical exam rooms, and 19 clinical treatment rooms. The building also houses a pharmacy, imaging facilities, physical therapy services, administrative offices and conference rooms.

Bright café area with curved service counter, pendant ring lights and floor-to-ceiling windows providing natural light

Central nurse station with blue accent canopy, dual wall-mounted monitors, and surrounding patient care areas

Imaging suite with advanced CT scanner, ceiling-mounted equipment, integrated workstation, and sky-themed ceiling panels for a calming environment

Bright corridor with floor-to-ceiling windows, curved ceiling detail, and blue accent wall featuring graphic artwork

Row of semi-private clinical bays with numbered partitions, adjustable chairs, overhead monitors, and integrated workstations in a clean, organized setting

Open clinical care area with multiple patient bays, large windows providing natural light, and a central workstation for staff

We are thankful to the entire DPR and SmithGroup design-build team for all of their accomplishments so far in bringing this building to life.

Creed Kampa

Director of Strategic Programs, UC Davis Health

Advanced procedure room equipped with imaging systems, ceiling-mounted equipment, adjustable patient table, and integrated control workstation

Building Smarter

Prefabrication played a key role in accelerating the schedule and improving safety. The team used SurePods for repeating bathrooms, Digital Building Components (DBC) for exterior walls, prefabricated more than 80,000 linear feet of interior walls, headwalls for recovery rooms, and prefabricated OR ceilings. These elements were built offsite in controlled environments, minimizing onsite congestion and creating a cleaner, safer jobsite.

Sustainability Commitment in UC Davis Design

The 48X Complex also reflects UC Davis Health’s commitment to environmental stewardship. Designed to exceed the UC Sustainable Practices Policy’s energy efficiency goals, the facility targets LEED Gold certification and aims to operate 33% below the ASHRAE 90.1 standards. Architectural features, such as sunshade fins and frit glass, optimize energy performance in Sacramento’s sunny, dry climate, making the building a model of healthy, efficient and environmentally responsible design.

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