Acquisition of General Acute Care Hospital Assets (CommonSpirit Health and affiliated entities)


SCH Number
Public Agency
University of California, San Francisco
Document Title
Acquisition of General Acute Care Hospital Assets (CommonSpirit Health and affiliated entities)
Document Type
NOE - Notice of Exemption
Document Description
The University of California, San Francisco Health (UCSF Health) proposes to acquire certain San Francisco assets of CommonSpirit Health (“CSH”), its affiliated medical foundation (“Medical Foundations”) and supporting charitable foundation(s) including: (1) St. Mary’s Medical Center (“SMMC”); (2) Saint Francis Memorial Hospital (“SFMH”); (3) ancillary outpatient clinic assets associated with the operation of SMMC and SFMH, including certain assets of the Medical Foundation; and (4) certain assets of St. Mary’s Medical Center Foundation and/or Saint Francis Charitable Foundation (consolidated philanthropy organizations) (“Charitable Foundation(s)”) (“Proposed Transaction(s)”). SMMC is currently owned and operated by CSH subsidiary Dignity Health and SFMH is currently owned and operated by the “Saint Francis Memorial Hospital” corporation (the “Corporation”), which is ultimately controlled by CSH through its affiliate Dignity Community Care. Acquiring the assets as part of the transaction will greatly enhance UCSFH’s ability to deliver sought-after, high-quality inpatient and outpatient services in San Francisco. In July 2023, the UC Regents authorized UCSF Health to proceed with the transaction, conditioned on compliance with CEQA. UCSF Health has now executed transactional documents to complete the acquisition.

Contact Information

Diane Wong
Agency Name
University of California, San Francisco
Job Title
Principal Planner
Contact Types
Lead/Public Agency


San Francisco
San Francisco
Citywide, Countywide, Northern California, San Francisco Bay Area
Cross Streets
Various, in San Francisco

Notice of Exemption

Exempt Status
Categorical Exemption
Type, Section or Code
15301, 15302, 15004, 15061
Reasons for Exemption
The Proposed Action does not constitute a decision by the University regarding further development of the properties. This action serves an essential role of securing land while the University determines its proposed uses for the properties and a CEQA determination for the development of the sites is performed. The University will make no decision to undertake further development until it has complied with CEQA and an overall site development plan has been approved, and the University decision-maker retains full discretion with respect to the Property including imposition of mitigation measures and alternative uses for the property, including sale. The Proposed Action is exempt from CEQA as: (1) the Proposed Action involves a land acquisition that is contingent on future CEQA compliance per §15004; (2) the Proposed Action does not constitute a “project” “approval” under CEQA; (3) it can be seen with certainty that there is no possibility that the activity in question may have a significant effect on the environment (§15061); and (4) the following Categorical Exemptions apply: Class 1 Existing Facilities (§15301) and Class 2 Replacement or Reconstruction (§15302).


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