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DPH outlines $1.8 billion era of capital investments and space challenges in five‑year master plan
Summary
DPH presented a five‑year facilities master plan describing roughly $1.8 billion in capital improvements over the past decade, $1.2 billion underway or in design, seismic priorities at San Francisco General, and potential rent increases if Civic Center leases must be replaced with market‑rate space.
Cathy Jung, director of Facilities and Capital Planning for the Department of Public Health, presented a five‑year facilities master plan to the Health Commission on Nov. 3 that lays out current projects, emerging capital needs and real‑estate strategy.
Jung said about 65 percent of DPH facilities have been under capital development in the past decade, representing roughly $1.8 billion in improvements, with about $1.2 billion still underway or nearing construction completion—much of that work centered at San Francisco General Hospital. She described priorities including seismic and reuse assessments for San Francisco General and Laguna Honda, expanding ambulatory care capacity, and integrated DPH‑wide facilities management.
Jung reviewed funding constraints in the city’s capital plan, noting a citywide list of about $32 billion in capital needs while this fiscal year’s available bond capacity is far smaller. She said a $222 million bond slated for public safety and hospital care designates about $192 million for San Francisco General seismic work and $30 million for Southeast Health Center phase 2; the plan removed renovation of 101 Grove Street (estimated at $150 million) and Buildings 8090 (about $100 million) from the current bond scope because of cost limits.
The department is analyzing options to house roughly 1,260 administrative and clinical staff displaced by changing city leases; Jung said replacing Civic Center space at market rates could increase DPH rent by about $15 million annually compared with current costs. The plan recommends leveraging DPH’s existing campus assets where feasible and using consultants to evaluate reuse and renovation strategies.
Commissioners asked about Americans with Disabilities Act (ADA) compliance; a commissioner pointed out local accessibility problems in the current building (nonworking push‑button door openers and nonaccessible restrooms). Jung and Director Garcia said ADA standards must be met for new work and agreed to address immediate accessibility repairs.
Commissioners generally endorsed focusing on existing assets (San Francisco General and Laguna Honda) and combining facility planning with IT and workforce strategies to reshape how services and staff are distributed across the city.
