State of Calif Dept of Health Care Svcs

Payee

$2.9B

paid by San Francisco, 2007–2026

Departments

What the City pays them for

The City’s own accounting categories, FY2018 on. Hatched bars are money out, but not a purchase.

Public Hlth Intergovern Pymntnot a purchase$1.3B Unearned Revenue-Chgs for Svcsbalance-sheet line$337.7M Other Receivablesbalance-sheet line$237.5M Payments To Other Govtnot a purchase$55.9M Accounts Receivablebalance-sheet line$42.4M

26 categories in all.

In FY2025

$324.8M, in the last year with closed books.

DPH Public HealthPublic Hlth Intergovern Pymnt$165.9M DPH Public HealthOther Receivables$100.7M DPH Public HealthUnearned Revenue-Chgs for Svcs$42.6M FIR Fire DepartmentAccounts Receivable$11.1M HOM Homelessness ServicesPublic Hlth Intergovern Pymnt$4.0M

Paid by year

'07

'08

'09

'10

'11

'12

'13

'14

'15

'16

'17

'18

'19

'20

'21

'22

'23

'24

'25

'26·

Hatched: FY2026 is not closed yet — the bar shows payments recorded so far, not a full year.

Tallest bar — FY2025: $324.8M. Bars are scaled to this payee’s own peak year.

Who pays them

14 departments, 98.1% of it from DPH Public Health.

DPH Public Health615 vouchers$2.8B FIR Fire Department41 vouchers$42.4M HOM Homelessness Services3 vouchers$13.0M

WTR Water Enterprise22 vouchers$187,324

GEN General City - Unallocated6 vouchers$26,632