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Health Service Board approves FY2019–21 budgets and accepts clean audit

San Francisco Health Service Board · February 14, 2019
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Summary

The board unanimously approved the SFHSS general fund and health care sustainability budgets for FY2019–21 and accepted KPMG's audited financial statements for year ending 06/30/2018, which included an unqualified opinion and no reportable internal-control deficiencies.

The Health Service Board voted unanimously to approve the San Francisco Health Service System general fund administration budget for fiscal years 2019–20 and 2020–21 and the proposed health care sustainability fund budget. Finance and Budget Committee Chair Alfredo Lim and Commissioner Wilfredo Lim presented the proposed budgets, which incorporate minor contingency reductions proposed by the mayor’s office and identify one-time and recurring expenditures.

Pamela Levin, Chief Financial Officer, summarized financial projections showing the Employee Benefit Trust Fund projected at about $80.7 million on 06/30/2019 and flagged unfavorable claims experience for City Plan and Blue Shield Access Plus while dental continued to run favorable. KPMG managing director Lisa Avis reported audit results and issued an unqualified (clean) opinion on the June 30, 2018 financial statements, noting no corrected or uncorrected misstatements, no material weaknesses, and no instances of fraud. "Happy to report that the financial statements received an unqualified or a clean opinion," Avis said.

Outcome: budgets approved unanimously and audited financial statements accepted. Staff indicated they will supply corrected or clarified plan listings in the audit report where needed and continue work with the Controller’s Office on systems improvements.