~40-hospital nonprofit Catholic IDN; CA / AZ / NV; San Francisco HQ; western division of CommonSpirit Health post-2019 merger.
Dignity is now CommonSpirit's western region — California ($14.2B FY25 revenue), Mountain ($3.9B), and parts of Arizona / Nevada. The 2024 Optum partnership (RCM, IT, analytics outsourcing) is the dominant strategic thread. Use this dossier to reason about Dignity-specific facility footprint, payer mix, and operational pressures — then cross-reference /research/commonspirit-health for system-level financials.
📍 San Francisco, CA
CommonSpirit FY25 results flagged select California and Arizona Dignity markets as Project ImpACT focus zones; expect service-line rationalization (e.g. obstetrics, behavioral health) before any asset divestitures.
Saint Francis Memorial and St. Mary's Medical Center (legacy Dignity / SF) are the SF assets included in CommonSpirit's exit; the legacy Dignity SF brand presence shrinks substantially.
As CommonSpirit's western region, Dignity's California/Arizona/Nevada hospital RCM operations were absorbed into the Optum services agreement; first ~40% of legacy Dignity RCM staff transitioned by 2025-Q4.
California Nurses Association escalated public pressure on Dignity-badged hospitals over staffing ratios and the scope of work transferred to Optum, citing the 2024 strategic services agreement.
Dignity's California / Mountain regions are the largest revenue contributors; the parent CFO transition coincides with the CA Provider Fee SPA renewal pending CMS approval.
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