The next largest source of spending is the Department of Public Health: $3.2 billion, or about 18 percent of the total. Almost a third of that, $1.3 billion, goes toward operating San Francisco General Hospital; it’s about 7 percent of the city’s total budget, though the hospital largely pays for itself through charges for service.

San Francisco Mayor Daniel Lurie's proposed budget for fiscal year 2025-2026 aims to address a $782 million deficit by slashing $100 million in vital services and eliminating 1,400 positions across 17 departments,

Mayor Lurie says many San Francisco city departments will face cuts and in some cases, job losses - including nonprofits, whose funding will drop back to pre-pandemic levels.