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SF DPH Wave 2: Additional $40M Cut, 121 FTEs Eliminated, 3 More Clinics Reassigned

San FranciscoMore from California

Beyond the previously tracked Wave 1 (127 layoffs), SF DPH announced a SECOND wave on April 17: $40M cut over two fiscal years through elimination of 121 FTEs (60% currently vacant, 47 filled). Maternal-Child-Adolescent Health unit loses 4 managers including its director.

Closures: South East Mission Geriatrics Clinic, Baxter/Larkin Street Youth Clinic (Tenderloin), Cole Street Youth Clinic (Haight Ashbury). Driven by SF's $634M two-year deficit, ~half attributed to federal/state healthcare cuts.

Spillover risk: SFCHC, Mission Neighborhood, and Glide will absorb displaced youth and geriatric patients.

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Mission Local

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#SF-DPH#Wave-2#$40M#121-FTEs#youth-clinics#geriatrics#spillover#$634M-deficit
Cite this analysis

FQHC Talent. (2026, April 17). SF DPH Wave 2: Additional $40M Cut, 121 FTEs Eliminated, 3 More Clinics Reassigned. Source: Mission Local. Retrieved September 28, 2026, from https://www.fqhctalent.com/intel/sf-dph-wave-2-cuts-40m-121-ftes-april-2026

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