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

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.