The overall renewal needs for the City’s Health and Human Services facilities total $328 million over the next 10 years. Given funding constraints, the Plan allocates $193 million from the General Fund to meet these needs, as shown in Chart 8.1.

There are many outstanding needs for aging Public Health facilities, both at the Zuckerberg San Francisco General Hospital and Laguna Honda Hospital campuses. Of note are two large water tanks at Laguna Honda due for replacement, estimated to cost $4.9 million.

The RAD program is not captured in the renewals curve because it does not fund projects at City-owned assets, but it is an important part of San Francisco’s affordable housing preservation. RAD funds the rehabilitation of existing affordable units in the SFHA portfolio, and those units become eligible for Section 8 vouchers. These projects are expected to maintain the physical and economic viability of the units for at least 20 years.

Also not shown in the Renewals curve are the physical needs of the post-conversion SFHA portfolio. The most recent needs assessment of the SFHA portfolio was conducted in 2009 and determined needs of $269 million, including sites already converted and those slated for conversion. The needs of the post-conversion portfolio are likely to exceed the $3 million annual pot expected to be available through HUD. Funding for maintenance, including annual federal operating subsidies, have been and are expected to continue to be inadequate, making deterioration of these units a continual challenge.