Council Connect Articles

San Francisco Health Commission Hearing Discusses Dignity Health Hospital Acquisitions


  • University of California, San Francisco (UCSF) Health 
  • Dignity Health (Saint Mary’s Medical Center & Saint Francis Memorial Hospital)  
  • San Francisco Health Commission 
  • San Francisco Department of Health 


Recently, the San Francisco Health Commission concluded the second of two Proposition Q (Community Health Care Planning Ordinance) hearings related to UCSF Health’s acquisition of Dignity Health’s Saint Francis Memorial Hospital and Saint Mary’s Medical Center. These mandatory hearings provide oversight and apply to sales, acquisitions, mergers, and other transactions that may impact the county. The San Francisco Department of Health is the county representative at these hearings and provides data, analysis, and recommendations to the commission. The commission inquired about access — particularly to gender-affirming care — and wants UCSF Health to report back on an annual basis.  

The Department of Health recommended the commission endorse the transaction. Ultimately, the commission approved a non-binding resolution in support, noting that the acquisition preserves the continuity of care and provides expanded resources for San Francisco residents, including many from underserved communities.  

Takeaway/Next Steps

There are no further hearings required by the commission.  


RVP Michon Coleman at