Perched on a bluff overlooking the Pacific Ocean in the Presidio of San Francisco, the Public Health Service Hospital’s historic campus was developed between 1875 and 1932 to care for seamen in need of hospitalization. An architecturally unified Colonial Revival complex of buildings defines elegant planted grounds with views of adjacent neighborhoods. After the closing of the hospital in 1981, the Public Health Service Hospital campus stood vacant and was vandalized and in a state of disrepair. We developed a cultural landscape assessment in order to help guide reuse efforts. This report includes a comprehensive evaluation of the site’s history, significance, character defining features, integrity and condition and includes recommendations for treatment and rehabilitation. We designed the report to be graphically enjoyable and interesting to read with drawings and photographs, both historic and current, utilized to illustrate major points throughout the report. The report is designed to be an accessible and compelling document, telling the story of this interesting cultural landscape in a way that draws the reader in, generates excitement and enthusiasm for the site and provides guidance for the future.