Facts about California's Public Health Care Systems

California’s 21 public health care systems provide a range of comprehensive services including primary care, outpatient specialty care, emergency and inpatient services, rehabilitative services, and in some instances, long-term care.

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 40% of all hospital care to the remaining uninsured in California
  • Provide nearly 35% of all hospital care to Medicaid (Medi-Cal) beneficiaries in the communities they serve
  • Represent a diverse patient population with 35% of patients speaking a primary language other than English
  • Serve as the primary care provider for more than 500,000 Medi-Cal enrollees who have gained coverage since 2014
  • Operate over half of all California’s top-level trauma and burn centers
  • Provide over 10 million outpatient visits each year
  • Operate more than 200 outpatient clinic facilities
  • Train half of all new doctors in hospitals across the state
  • Employ more than 91,000 individuals

Serving Patients with Social Needs
In public health care system communities:

  • 123,000 individuals are homeless
  • 3.4 million individuals experience food insecurity
  • 3.8 million individuals live below the federal poverty line
  • 2.3 million individuals remain uninsured