After the San Fernando earthquake, February 9, 1971, the Veterans Administration undertook investigations and research to develop requirements for earthquake-resistant design for VA hospital facilities. Veterans Administration hospital sites number 170 across the United States. Site-evaluation procedures and design criteria have now been developed. Evaluations of peak ground accelerations for engineering assessments at hospital sites in zones 3 and 2 are available. In a parallel strong-motion recording program, 58 accelerometers already have been placed in VA hospital facilities across the country. Attention has been given to operations, utilities and access after destructive earthquakes, particularly emergency services that must serve the hospitals' own patients and community. Standards for protection of nonstructural elements and equipment of hospitals have been established.