Annual Report Overview
San Francisco voters approved the creation of the Our City, Our Home (OCOH) Fund in 2018 to increase housing and services for people experiencing homelessness.
This report provides data and information about the number of households served, the amount of service capacity sustained and added to the system, as well as the total budget and expenditures for funded programs in Fiscal Year 2023-2024 (FY24).
The OCOH Fund supports four service areas. This Executive Summary provides highlights across the Fund, and the pages linked below provide detailed information about the uses of the OCOH Fund within each service area:
Permanent Housing
Mental Health
Homelessness Prevention
Shelter and Hygiene
To learn more about the history of the Fund, including financial concepts informing this report, visit the About the OCOH Fund page.
Executive Summary
Data notes and sources
Data notes and sources
Households Served – individuals, clients, or self-defined family groups
City departments leverage multiple sources of revenue to fund individual programs. This report includes all households or clients served by a program if the OCOH Fund contributed at least 20% of funding for the service.
The number of households serve is not de-duplicated across all service areas. Households may receive services in more than one program.
The level of services offered in different programs varies widely based on household needs. For example, Permanent Housing programs provide more comprehensive services to households, whereas Homelessness Prevention services can be less intensive.
Capacity Added - newly acquired shelter beds or rooms, subsidy slots, transitional housing units, and permanent housing units
OCOH Fund capacity includes subsidies for site-based or scattered-site housing, temporary shelter beds, and treatment beds. Some programs do not have fixed capacity, such as prevention or case management programs that offer variable types or levels of assistance.
Programs with variable capacity, such as Homelessness Prevention, were not included in this reporting. Homelessness Prevention programs offer grants and services that are flexible based on need. Similarly, case management and overdose prevention and substance use treatment services in the Mental Health service area increased capacity but did not add a specific number of units or slots.
Positive Outcomes
OCOH Fund programs vary in how they track or define outcomes. In Permanent Housing and Homelessness Prevention programs, retaining housing or exiting to other housing is a positive outcome.
Shelter and Hygiene programs only consider outcomes for clients that exit, and exits to housing, other shelter or treatment programs are considered positive. A large number of clients who exited Shelter and Hygiene services had no exit destination listed in the data system as program staff often do not know where a client is exiting to, and this data gap impacts the positive outcome rate.
Data on Mental Health programs’ client outcomes was unavailable for this report, though the Mental Health service area page includes links to several external dashboards providing performance statistics for certain programs.
Please visit the Glossary for additional terms and definitions.
OCOH funds expand services across the homelessness response system and programs may be administered by one of several City and County of San Francisco (City) departments.
Total Capacity
- OCOH funded programs have added and sustained more than 5,298 total units of capacity since the Fund's inception in FY21, with a net 807 units of capacity added in FY24.
- Total capacity increased 18% from FY23 (from 4,491 units) across Permanent Housing, Shelter and Hygiene and Mental Health programs. Permanent Housing programs added most of the new units of capacity in FY24.
Positive Outcomes
- In the Permanent Housing service area, 96% of households retained their housing or exited to other stable housing options, the highest rate of positive outcomes across service areas.
Households Served
- The OCOH Fund supported programs that reached 37,460 households in FY24.
- This represents an increase of 37% over the number of households served in FY23.
- As the City continued implementation of new programming since the launch of the Fund, the number of households served has grown year over year. See figure below.
Service Areas
Permanent Housing
Permanent Housing programs include scattered-site and site-based permanent supportive housing, rapid rehousing, and family rental subsidies for adults, youth, and families.
- 3,463 households received permanent housing services in FY24, a 52% increase over FY23. More than half of the households served received support through scattered-site permanent supportive housing.
- The City added 774 permanent housing units in FY24, which included 476 scattered-site and 239 site-based permanent supportive housing units.
- 3,859 total permanent housing units are now operating and sustained through support of the OCOH Fund.
- 96% of households placed in a Permanent Housing program remained stably housed or exited to another permanent housing option.
Highlight: The City acquired two buildings in FY24 to provide 66 new units of Youth Housing at 42 Otis Street and 1174 Folsom Street. These program locations did not begin providing services in FY24 but will begin to lease units to households in FY25. Additionally, the City fully leased units serving families in City Gardens during FY24, a program acquired with support of the OCOH Fund in FY23. City Gardens served 158 households during FY24.
Mental Health
Mental Health programs include the expansion and operations of treatment beds, case management services, overdose prevention and substance use treatment, drop-in services, and assertive outreach services.
- The City served 18,383 individual clients through Mental Health programs in FY24, a 112% increase over the prior year. Assertive outreach programs reached more than 50% of clients served.
- In prior annual reports, several assertive outreach programs operated by the San Francisco Fire Department (SFFD) only reported encounters and not clients served, and this increase is largely driven by that newly provided data.
- Clients may be counted more than once across different Mental Health programs. The Department of Public Health and SFFD report separate client counts for the OCOH Fund assertive outreach teams that they each operate.
- The OCOH Fund supports operations of 331 total treatment beds, with 36 net new units added in FY24.
Highlight: Mobile healthcare and linkage services are now available at all site-based permanent supportive housing (approximately 7,000 units) through the expansion of the Permanent Housing Advanced Clinical Services (PHACS) program.
Homelessness Prevention
Homelessness Prevention programs include eviction prevention and housing stabilization, flexible financial assistance, deep-rental subsidies, and problem-solving solutions.
- 12,319 total households accessed homelessness prevention services in FY24, primarily receiving eviction prevention and housing stabilization services and targeted homelessness prevention services. This is a 10% decrease in households served from the prior year, aligned to an 8% decrease in expenditures over the same period.
- Homelessness Prevention programs had a 73% positive outcome rate, though outcome data is only available for two Homelessness Prevention programs that serve approximately 56% of households in this service area.
Highlight: The Department of Homelessness and Supportive Housing (HSH) and the Mayor’s Office of Housing and Community Development (MOHCD) partnered to provide emergency financial assistance for rent owed to 4,244 households through the Emergency Rental Assistance Program (ERAP). Households with young children, seniors, people with disabilities, or experiences with past homelessness (among other risk factors for housing loss) received program support to maintain their housing.
Shelter and Hygiene
Shelter and Hygiene programs provide low barrier services to those in immediate need and include navigation centers, emergency shelters, temporary hotel vouchers, case management services for justice-involved adults, cabin and trailer programs, and crisis intervention programs, such as vehicle triage centers.
- 3,295 total households received assistance through Shelter and Hygiene programs in FY24, a 19% increase over the prior year.
- The OCOH Fund now sustains 1,108 total units of capacity across Shelter and Hygiene programs, with most of this capacity (60%) available within OCOH-funded navigation center programs. Due to the demobilization of certain COVID-19 response programs in FY23 and FY24, the OCOH Fund sustained three fewer units of net capacity in FY24 compared to FY23.
- Households served in Shelter and Hygiene programs had a lower rate of positive outcomes than other OCOH Fund service areas, with 31% of households that exited a program exiting to shelter, treatment or housing in FY24. However, the rate of households with a positive outcome reported nearly doubled over FY23, when just 16% of households had a positive outcome documented.
Highlight: HSH launched new temporary hotel voucher programs for youth and domestic violence survivors in addition to families during FY24. OCOH-funded temporary hotel vouchers supported 346 households in FY24.
Demographics
Data notes and sources
Data notes and sources
Households served in HSH programs are de-duplicated within each service area. However, households who received services in either an HSH program, a MOCHD program and/or a DPH program in the same service area may be double counted. Similarly, households served in more than one mental health program may be duplicated in the demographic data.
DPH was unable to report on demographics for Overdose Prevention & Substance Use Treatment programs.
Race and Ethnicity | Multiracial
In 2023, HUD updated requirements for how HSH collects race and ethnicity data. Before this change, clients selected race and ethnicity separately and were not able to select 'Latine' as their race. Clients who identified their ethnicity as Latine would be reported as Multiracial if they also selected a non-Latine race. After the update, clients could identify as Latine alone and would not be asked to separately identify as a non-Latine race. Because of these data changes, HSH programs currently show a higher proportion of heads of household in the multiracial category compared to prior reports and a lower proportion of Latine heads of household than may be accurate according to how these households may identify.
Within the Mental Health service area, programs delivered by the Fire Department and Adult Probation Department offered clients a multiracial category as an option. DPH clients may select multiple race/ethnicity categories to describe their race/ethnicity, and DPH does not offer a multiracial category as an option. However, current DPH reporting templates only provide a single race/ethnicity selection for clients even if a client selects multiple races/ethnicities; therefore, multiracial data for DPH programs is not available for this report.
Race and Ethnicity | Middle Eastern or North African
Data for Middle Eastern or North African households or clients will be reported for departments in which the data has been made available (i.e., HSH, MOHCD, and OEWD) except for in Permanent Housing. Data provided by other departments (i.e., DPH, FIR, APD, and UAV) did not provide this category as an option and/or did not report on clients using this category.
Households or clients identifying as Middle Eastern or North African in permanent housing programs are included within the White race category due to low numbers of households (i.e., less than 10), which would require masking of data.
Race and Ethnicity | Data Not Collected
The following race and ethnicity categories are combined in Data not collected: Other/Unknown, Missing data, and Doesn’t know or prefers not to answer.
Gender Identity
Heads of households who identify as Questioning or Non-Binary are coded in the Genderqueer or gender non-binary category.
The category, Unknown, had fewer than ten households in one or more service areas. The data was excluded in the Executive Summary but can be found on subsequent service area pages.
The following gender categories are combined in Unknown: Other, Choose not to disclose, Unknown, Not listed, Decline to answer.
Age
Under the Mental Health service area, Residential Step-Down treatment beds use different categories for age. In these instances, age data from these programs has been excluded.
Age categories Under 18 and Unknown had less than 10 households in one or more service areas. The data was excluded in the Executive Summary but can be found on subsequent service area pages.
Sexual Orientation
Sexual Orientation data are not available for heads of household served by the Case Management for Justice-Involved Adults programs within Shelter and Hygiene programs.
Within Mental Health, not all treatment bed programs collected sexual orientation data, and clients in these select programs are excluded from this dashboard. In addition, assertive outreach programs managed by the Fire Department (Street Crisis Response Team and Street Overdose Response Team) do not collect sexual orientation data on clients.
The following sexual orientation categories are combined in Data not collected: Questioning/Unsure, Other/Not Listed, Not Listed, Other, Missing data, Decline to answer, Data not collected, and Prefers not to answer.
Programs in each of the OCOH Fund service areas collect race and ethnicity, gender identity, age, and sexual orientation data for the heads of households or clients served. Departments implement varying data collection methodologies and categorizations. The data notes explain the key differences in categories collected across programs.
Race and Ethnicity
The 2024 San Francisco Homelessness Point-In-Time Count identified 8,323 individuals experiencing homelessness and highlights existing racial disparities in the City’s homelessness population.
Demographic data for heads of households served through OCOH-funded programs provides initial evidence that programs are reaching households whose racial and ethnic identities mostly reflect San Francisco’s homeless population.
- While the largest proportion of heads of households served through OCOH Fund service areas identified as White, representing 31% of all heads of households served, over a quarter (29%) of all heads of households identified as Black or African American.
- Permanent Housing programs served nearly 1,500 Black or African American heads of households, representing 43% of all heads of households served in this service area.
Gender Identity
- Heads of households identifying as men represented nearly 60% of all heads of households served across OCOH Fund service areas.
- Within the Mental Health service area, 11,605 clients identified as men, accounting for nearly 70% of all clients served in this service area.
- Across service areas, heads of households identifying as women made up 38%.
- Transgender, genderqueer, or gender non-binary identifying heads of households represented about 3% of all heads of households served in FY24.
Age
- Nearly 9,500 of all households served had a head of household within the age range of 35-44. This age group represented the highest share of all heads of households served (27%) across the OCOH Fund.
- Mental Health programs served the highest proportion of this age group compared to the other service areas, with clients aged 35 - 44 years old representing about 30% of all clients served.
- Among OCOH Fund programs, ages 25 – 34 were the second highest proportion of all heads of household served at nearly 22%.
Sexual Orientation
- OCOH Fund programs served nearly 21,500 households with the heads of households identifying as straight/heterosexual, representing about 70% of all households served.
- 14% of all heads of households served identified is either bisexual, questioning/unsure, or gay, lesbian, or same-gender loving.
- Homelessness Prevention programs served the highest proportion of gay, lesbian, or same-gender loving heads of households, serving over 1,000 heads of households, or 8% of households identifying as such.
- Programs did not collect data on sexual orientation for 14% of all households served (4,318 heads of households).
Budget and Expenditures
Data notes and sources
Data notes and sources
The OCOH Fund is a special fund which allows unspent funds to carry forward into the following year automatically. The revised budget total includes cumulative revenues since the initiation of the Fund, new revenues collected during the year, and any reductions resulting from revenue shortfalls.
Budgeted amounts for each service area generally reflect the proportions required under law:
- At least 50% of the Fund must be appropriated for Permanent Housing, at least 25% on Mental Health services, up to 15% can be appropriated for Homelessness Prevention services, and up to 10% can be appropriated for Shelter and Hygiene services.
Financial data included in the dashboard was extracted from the City’s financial system after the close of the fiscal year books and all adjustments related to the year-end close occurred.
For more detailed information on the budget, visit the About the OCOH Fund page.
Acquisition
Funds set aside for a capital purchase, e.g., buying and/or renovating a building to serve as housing, a treatment facility, or services site. The housing acquisition remaining balance is obligated towards PSH development and acquisition projects as well as major capital improvements at existing PSH sites.
Mental Health
Mental Health acquisition funds are reserved for behavioral health acquisition, renovation, and construction projects. Although the remaining acquisition fund balance at the end of June 2024 was $83.2 million, approximately $28.7 million has already been reserved for projects that are in the planning, permitting, or construction process:
- DPH transferred Mental Health acquisition funds to San Francisco Public Works (DPW) for the construction of the Crisis Stabilization Unit (CSU) at 822 Geary Street. As of June 2024, there was $10.9 million remaining in the CSU construction budget, which DPW expects to fully expend in FY25.
- After the end of FY24, DPH used acquisition funds to purchase a 56-bed residential care facility, 624 Laguna Street, for $13.8 million.
- DPH has reserved $4.0 million in acquisition funds for the future maintenance needs of facilities purchased using one-time OCOH funds.
The City appropriated a total of $1.1 billion to the OCOH Fund from FY21 through FY24. In that time, the City spent $821.7 million. The revised budget total above includes cumulative revenues since the initiation of the Fund, new revenues collected during the year, and any reductions resulting from revenue shortfalls. The remaining balance of $296.5 million carried forward for ongoing programming in FY25. This amount includes certain funds already encumbered into contracts for these purposes.
The dashboards aggregate the prior four fiscal years of budget and expenditures across all service areas (FY21-FY24). In the Fund Overview dashboard, the cards at the top show the cumulative budget and expenditures for the OCOH Fund overall, while the chart shows cumulative budget and expenditures by service area. Click the “FY24 Expenditures” button to view annual expenditure information by service area.
- In FY24, the City expended $316.8 million in OCOH Funds across all service areas. This represents a growth of $21.1 million in spending from FY23, or 7%.
- Though some service areas saw marginal reductions in spending between FY23 and FY24, this net increase was largely driven by growth in the Permanent Housing Operations service area ($22.9 million increase) and Mental Health Operations service area ($11.7 million increase) as departments continued implementation of multi-year spending plans.
- Expenditures had a minimal increase from FY23 but continued to fund an increasing number of households and services. See figure below.
Details on service area expenditure changes can be found by visiting the pages linked below.
Explore the Annual Report
View the OCOH Fund FY24 Report:
Learn more about the OCOH Fund: