The San Francisco Health Commission meeting on June 16, 2025, focused on critical financial challenges facing Laguna Honda Hospital (LHH), particularly a significant patient revenue shortage. The discussion highlighted a $48.2 million shortfall in budgeted patient revenue for the current fiscal year, primarily due to a low patient census.

LHH regained its Medi-Cal certification in August 2023 and Medicare certification in June 2024, yet the hospital has struggled to fill its medical beds. As of June 9, 2025, LHH had 258 empty beds, which has severely impacted its revenue from Medi-Cal patients. Since February 2025, the hospital has admitted only 162 patients, indicating a slow recovery in patient admissions.

The urgency of the situation was underscored by the impending end of a temporary state program that has been providing supplemental payments to assist nursing facilities like LHH. This program is set to conclude at the end of 2025, making it imperative for LHH to increase patient admissions to avoid further financial difficulties in the upcoming fiscal year.

Commissioner Jurado expressed appreciation for the clear budget memorandum provided, which effectively outlined the issues at hand. The meeting concluded with a call for LHH's management to take immediate action to boost patient admissions and stabilize revenue streams.