474 Castro

We are embarking on an exciting new chapter in the response to HIV/AIDS—one that, when successful, will serve as proof of concept and energize the nation to end the fight against the disease once and for all. Because we believe—and the data show—that San Francisco can be the first U.S. city to end the transmission of HIV. That's what the vision of our future work at 474 Castro is all about.

Despite incredible progress, there are 16,000 people in San Francisco living with HIV/AIDS—more than half of whom now over 50 years of age. Additionally, half of all newly diagnosed people are not engaged in proper care. To ensure the health of these people, and to support the further reduction of HIV infections to the point where they become incredibly rare, we are partnering with local leaders, public health officials, and the broader community to create a new model that focuses on health and wellness instead of sickness and disease.

The project will bring together and expand the services of three of our existing popular programs for gay and bisexual men and will add new services for special under-served populations, including young gay men of color and older gay men, both HIV positive and HIV negative. The seamless integration and expansion of service offerings for the community will revolutionize the way gay and bi men think about their total health and wellness, and in doing so create a stronger, more vibrant community.

This is the vision behind 474 Castro—a home for health and wellness located in the neighborhood where we can reach the most gay and bisexual men. We invite you to learn more about the project through this website and see our blog for regular project updates. It is an exciting time in the history of this battle, and together as a united community, we will make another giant leap toward winning the fight.


Blue Skies

If you've checked out 474 Castro recently from across the street, you may have noticed that you can see the sky through the front windows of the second floor. This is because construction crews have begun opening the roof!



I Spy With My Little Eye

Did you notice something new in our storefront window? Just in time for Frameline and Pride!


Creating a solid foundation

This week, crews have been busy working on the ground floor of 474 Castro. They are jack hammering sections of concrete and reinforcing the floor with metal rebar.


A changing façade

Work is now starting on the façade of 474 Castro. You can see several sections have been ripped off the front of the building as construction progresses. Check out these latest photos, which include the nearly-finished wider sidewalks outside along Castro Street.

Cement pouring on Castro Street

We are happy to see that cement pouring has begun on the new wider sidewalks on Castro Street. The project is expected to be completed by June 18. This will be a huge improvement to the atmosphere of the neighborhood, giving our community more open space to socialize and connect with one another. This is the kind of community spirit we will foster inside the new home for health and wellness at 474 Castro.


New pipes!

Workers are busy installing new sewage pipes into the facility at 474 Castro. Okay, these are not the most exciting photos. But we're very excited to have brand new pipes that will ensure everything flows smoothly once we begin serving clients in the space.


Working around the Castro Street sidewalk construction

If you've been down Castro Street recently, you've seen that the streets are torn up for the exciting sidewalk widening project. Due to that work, we have created an opening in the back of our space at 474 Castro for construction crews to get equipment and supplies in and out of the building. Here are a few new pictures of this week's work. Also, during the sidewalk widening project, please remember to shop and dine at the businesses on Castro Street. They appreciate your support!