From its initial opening in the 1920s to a massive transformation in the 1980s, the University of Michigan’s hospital has a storied history of evolution and innovation. Originally one of the world’s most advanced medical facilities, “Old Main” faced challenges by the mid-20th century, leading to its replacement by a state-of-the-art hospital complex.
In 1925, the University of Michigan established its flagship University Hospital. By the 1970s, however, the facility was struggling with outdated infrastructure and inadequate space, earning the nickname Old Main. Structural limitations hindered the accommodation of contemporary medical equipment, privacy was scarce in the 18-bed wards, and there was a conspicuous lack of central air conditioning.
Recognizing the need for a modern medical center, the Board of Regents in December 1978 approved a plan for a new hospital at the medical campus’s northeast corner, overlooking the Huron River. The firm Albert Kahn Associates, responsible for the original hospital design, was tasked with designing the new facility.
The project was significant not only for the university but also for the state, which supported the funding despite an economic downturn, highlighting the critical role of advanced medical care in Michigan. The ambitious “Replacement Hospital Project,” partly financed by university funds and donors, was the largest construction endeavor in Michigan and the largest hospital project in the nation at the time.
The new hospital’s design was a significant improvement over Old Main. Featuring single and double rooms, it abandoned the open ward concept, and room windows were adjusted so patients could see outside while lying in bed. The facility, comprising nearly 1.8 million square feet over 11 stories, boasted advanced features that were highlighted in an extensive marketing campaign as its opening drew near.
Moving into the Future
On February 13, 1986, a fleet of 19 moving trucks transported medical equipment and supplies to the new hospital. A dedicated team of clinical and support staff ensured everything was in place for the facility’s opening. The following day, February 14, 1986, marked the official opening of what is now known as University Hospital (UH). In a coordinated effort, 200 staff and volunteers assisted in moving 403 patients through enclosed walkways from Old Main to their new accommodations.
Shortly after the hospital’s inauguration, the Taubman Center opened with 120 outpatient clinics. By 1989, Old Main and its adjacent buildings from the 1930s were demolished, although its distinctive carved limestone arch was preserved and stored. The Replacement Hospital Project continued, culminating in 1990 with additions to the Taubman Center for women’s and children’s services.
Present Day Innovations
Old Main’s location now hosts the Frankel Cardiovascular Center, adjacent to the newly completed D. Dan and Betty Kahn Healthcare Pavilion, which began welcoming patients in late 2025. The move included some of the staff who participated in the original 1986 transition.
MORE INFORMATION
- Read a longer version of this story at myumi.ch/z9eyZ
- Through April, visit an exhibit on U-M medical history at the Museum on Main Street: michmed.org/museum.
- Explore Michigan Medicine’s historical timeline and more via an interactive map: michmed.org/NYAyW
A new chapter for University Hospital is currently underway with the UH 2.0 Renovation Project, aiming to modernize the facility over the next six to seven years. The project plans to expand surgical and medical inpatient care, increase the number of private rooms, and enhance infrastructure and interiors. Additionally, relocating adult services from the pediatric and women’s facilities will expand access to specialized pediatric care.
