California’s 21 public health care systems include county-owned facilities and University of California medical centers.

Though accounting for just 6% of hospitals in the state, these public health care systems:

  • Serve more than 2.85 million patients annually
  • Operate in 15 counties where more than 80% of the state’s population lives
  • Provide 35% of all hospital care to Medicaid beneficiaries in the communities they serve
  • Serve as the primary care provider for more than 550,000 Medicaid enrollees who have gained coverage since 2014
  • Provide 34% of all hospital care to the remaining uninsured in the communities they serve
  • Operate more than 200 outpatient clinic facilities
  • Provide 10.5 million outpatient visits each year
  • Operate half of California’s top-level trauma and burn centers
  • Train more than half of all new doctors in the state
  • Employ more than 75,000 individuals

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