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DPH projects small revenue surplus but flags $25.5M hospital staffing shortfall

San Francisco Health Commission · December 1, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

CFO Drew Merrill told the commission the department anticipates finishing the fiscal year roughly on budget with a modest $13.9M revenue surplus largely from one‑time adjustments; Zuckerberg San Francisco General faces a roughly $25.5M expenditure variance driven by per‑diem nursing and personnel costs.

Chief Financial Officer Drew Merrill presented the Department of Public Health’s first‑quarter revenue and expenditure projection, saying the department expects to end the year with a small net positive revenue variance of about $13.9 million (roughly 0.6% of the departmental budget) but cautioned much of that is one‑time and non‑recurring.

Merrill identified Zuckerberg San Francisco General (ZSFG) as the primary area of concern: an estimated…

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