Membership and Seat Qualifications
The below listed summary of seats, term expirations and membership information shall serve as notice of vacancies, upcoming term expirations, and information on currently held seats, appointed by the Board of Supervisors. Appointments by other bodies are listed, if available.
Seat numbers listed as “VACANT” are open for immediate appointment. However, you are able to submit applications for all seats and your application will be maintained for one year, in the event that an unexpected vacancy or opening occurs.
Seat: 1
Appointing Authority: BOS
Seat Holder: Supervisor Matt Dorsey
Term Ending: 5/15/2030
Qualifications:
Member of the Board of Supervisors appointed by the President of the Board of Supervisors.
Term: 5-years
Seat: 2
Appointing Authority: Mayor
Seat Holder: Mary Hao
Term Ending: 5/15/2028
Qualifications:
Appointed by the Mayor pursuant to Charter Section 3.100 who regularly consults in the health care field.
Term: 5-years
Seat: 3
Appointing Authority: Mayor
Seat Holder: Fiona Wilson, M.D.
Term Ending: 5/15/2030
Qualifications:
Appointed by the Mayor pursuant to Charter Section 3.100 who is a doctor of medicine.
Term: 5-years
Seat: 4
Appointing Authority: Controller
Seat Holder: Gregg Sass
Term Ending: 5/15/2030
Qualifications:
Nominated by the Controller, approved by Health Service Board.
Term: 5-years
Seat: 5
Appointing Authority: Elected
Seat Holder: Jack Cremen
Term Ending: 5/15/2029
Qualifications:
Elected from the active and retired members of the system from among their members. Elections shall be conducted by the Director of Elections.
Term: 5-years
Seat: 6
Appointing Authority: Elected
Seat Holder: Art Howard
Term Ending: 5/15/2029
Qualifications:
Elected from the active and retired members of the system from among their members. Elections shall be conducted by the Director of Elections.
Term: 5-years
Seat: 7
Appointing Authority: Elected
Seat Holder: Claire Zvanski
Term Ending: 5/15/2029
Qualifications:
Elected from the active and retired members of the system from among their members. Elections shall be conducted by the Director of Elections.
Term: 5-years
Application Process
Description:
The Health Service Board shall consist of seven members as follows: one member of the Board of Supervisors, to be appointed by the President of the Board of Supervisors; two members appointed by the Mayor pursuant to Section 3.100, one of whom shall be an individual who regularly consults in the health care field, and the other a doctor of medicine; one member nominated by the Controller and three members elected from the active and retired members of the System from among their number. Elections shall be conducted by the Director of Elections in a manner prescribed by ordinance. Elected members need not reside within the City and County.
Not later than April 1, 2013 the Controller shall nominate a candidate for appointment to the Health Service Board for a two-year term commencing on May 15, 2013. The Controller shall transmit a written notice of nomination to the Health Service Board. The Controller's nominee shall be subject to the approval of the Health Service Board. If the Health Service Board fails to calendar the Controller's nomination for consideration at a meeting to occur not later than 60 days after receipt of the Controller's written notice of nomination, the Controller's nominee shall be deemed approved. All subsequent appointments of Controller's nominees shall be for a five-year term and be subject to the same procedure. The Controller's nominee may not vote on his or her successor.
The terms of Health Service Board members, other than the ex officio members, shall be five years, and shall expire on May 15 of each year, with the exception that the term of the Board member that begins in May 2011 shall be three (3) years, and shall expire in May 2014, and the term of the Board member that begins in May 2013 term shall be two (2) years, and shall expire in May 2015.
The appointee nominated by the Controller shall succeed the elected member whose term expires at 12:00 noon on May 15, 2013. In the event the elected member whose term expires on May 15, 2013, leaves the Board prior to that date, the Controller shall nominate a successor to fill the unexpired term according to the procedures set forth above.
A vacancy on the Board appointed by the Mayor shall be filled by the Mayor. A vacancy on the Board of an appointee nominated by the Controller shall be filled for the unexpired term according to the procedures set forth above for Controller's nominees. A vacancy in an elective office on the Board shall be filled by a special election within 90 days after the vacancy occurs unless a regular election is to be held within six months after such vacancy shall have occurred.
The Health Service Board shall:
- Establish and maintain detailed historical costs for medical and hospital care and conduct an annual review of such costs;
- Apply benefits without special favor or privilege;
- Put such plans as provided for in Section A8.422 into effect and conduct and administer the same and contract therefor and use the funds of the System;
- Make rules and regulations for the administration of business of the Health Service System, the granting of exemptions and the admission to the System of persons who are hereby made members, and such other officers and employees as may voluntarily become members with the approval of the Board; and
- Receive, consider and, within 60 days after receipt, act upon any matter pertaining to the policies of, or appeals from, the Health Service System submitted to it in writing by any member or any person who has contracted to render medical care to the members.
Except as otherwise specifically provided, the Health Service Board shall have the powers and duties and shall be subject to the limitations of Charter Sections 4.102, 4.103 and 4.104.
Subject to the requirements of state law and the budgetary and fiscal provisions of the Charter, the Health Service Board may make provision for heath or dental benefits for residents of the City and County of San Francisco as provided in Section A8.421.
Holdover Information:
Charter Section 4.101.5, regarding limits on holdover service by commissioners, does not apply. A vacancy in an elective office on the Board is filled by a special election within 90 days after the vacancy occurs, unless a regular election is to be held within six months of the vacancy.
Sunset Date:
None
Contact:
Holly Lopez
1145 Market Street, 3rd Floor
Health Service System
San Francisco, CA 94103
(628) 652-4646
holly.lopez@sfgov.org
Updated: December 22, 2025