Located on a sloped lot bordered by Liberty Lane, Emerald Street and Union Drive West, the City Hall hospital is based within a massive skyscraper that forms part of the district's skyline around City Hall's delta-shaped park. Despite being a hospital, the location does not appear to be a respawn point for the player if they die, the nearest to the hospital in southern Algonquin, after unlocking Algonquin; instead, the player usually respawns further north at the Lancet-Hospital Center in Lancet.
The eastern and southern sides of the building give no indication as to the nature of the building, while the northwestern side of the building houses a parking lot containing Ambulances and back entrances into the hospital. Because of this design, the hospital could sometimes be confused as a regular skyscraper when only viewed on the eastern or northern side.
Unlike other hospitals, the City Hall Hospital is not listed under the "hospitals" section on Peep That Shit's tourism website.