Publications / 2015 Edition — California Hospitals

2015 Edition — California Hospitals

An evolving environment

This is archived content, for historical reference only.

California’s general acute care (GAC) hospitals discharged more than 3.3 million patients and had nearly 44 million outpatient visits in 2013. California Hospitals: An Evolving Environment examines the state’s GAC hospitals, including bed supply and capacity, use of services, financial health, and selected quality measures.

Key findings include:


The number of general acute care hospitals declined by 4% between 2004 and 2013, while the number of beds remained largely unchanged.

General Acute Care Hospitals and Licensed Beds, California, 2004 to 2013

Skilled nursing and acute psychiatric beds declined significantly during that decade, while both adult and newborn intensive care beds increased.

Licensed Acute Care Beds by Bed Type, California, 2004 and 2013

The eight largest hospital systems accounted for 40% of hospitals and beds in California.

Largest Hospital Systems by Licensed Beds, California, 2013

A larger percentage of hospitals were profitable in 2013 than in 2004 as reflected by both total and operating margins.

Hospital Margins Total and Operating by Range, California, 2004 and 2013

The costs of uncompensated care, as measured by charity care and bad debt, rose by 45% between 2004 and 2013 to $2.8 billion.

Uncompensated Care Costs, California, 2004 to 2013

Preventable adverse events reported at California hospitals increased each year from 2009 to 2013. California performed slightly below the US average on eight patient satisfaction measures.

Preventable Adverse Events at Hospitals, California, 2009 to 2013

The complete report, a quick reference guide, and all the charts found in the report, are available for download below. These materials are part of CHCF’s California Health Care Almanac, an online clearinghouse for key data and analyses describing the state’s health care landscape. See our entire collection of current and past editions of California Hospitals and Emergency Departments.

For more data and analysis on this topic, visit these resources from the American Hospital Association, the California Department of Finance,, and these reports on hospital use and patient discharge from the Office of Statewide Health Planning and Development.

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