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ZSFG bond updates: clinical lab near completion; Family Health Center phased to manage funding gaps

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Summary

City staff reported that multiple ZSFG capital projects funded through voter bonds and foundation commitments are advancing and that the Family Health Center will be delivered in phases to manage funding constraints.

Public Works and Department of Public Health staff provided the commission a project and finance update for the 2016 Public Health and Safety Bond program and initial allocations from the 2024 Healthy, Safe and Vibrant bond.

Joe Chin, Public Works program manager for the bond, said the department has narrowed a previously reported financing shortfall from roughly $110.9 million to about $30.2 million through a mix of foundation commitments, grant applications and other bond proceeds. Chin noted confirmed philanthropic commitments for the Family Health Center project phases and that the 2024 bond passed in November 2024 with $205.1 million earmarked to DPH programs including community health centers and Laguna Honda.

Chauncey Jackson, deputy chief operations officer, reported project‑level progress at Zuckerberg San Francisco General: the clinical laboratory relocation is about 92% complete and will finish construction this spring with subsequent validation and testing; the dialysis relocation is roughly 80% complete; a PHL laboratory move is 62% complete; seismic upgrades show substantial progress; and a radiology site (1x65) is in bid review. Jackson said the Family Health Center work is intentionally being staged so demolition and initial phases can proceed while the team secures further funding for later build‑out.