City and County of San Francisco

The City and County of San Francisco is a consolidated city-county government that delivers public services to residents, businesses, and visitors. It operates tax- and fee-funded departments spanning public health and hospitals, public safety, transportation, utilities, environmental health, permitting, and digital services. Headquartered in San Francisco and consolidated since 1856, it runs facilities from hospitals and clinics to wastewater treatment plants, supporting daily city operations and long-term infrastructure.