Regional comparison · 2024
Hospitals by Health Service Area
Compare capacity, utilization, financial results and cost across California’s 14 Health Service Areas (HSAs), the regions used by the Department of Health Care Access and Information (HCAI). Regional ratios divide summed numerators by summed denominators. They are not averages of hospital ratios.
2024 comparable hospital cohort
Cost per adjusted discharge
Health Service Areas ranked by the selected measure.
Scroll horizontally to read the complete chart.
Data behind the visual
Exact regional values
Hospital counts show how many facilities stand behind each regional figure.
Scroll horizontally to view every regional measure.
| Health Service Area | Hospitals | Beds | Occupancy | Operating margin | Cost / adjusted discharge | Current ratio | Period flags |
|---|---|---|---|---|---|---|---|
| NORTHERN CALIFORNIA | 28 | 2,163 | 64.7% | 2.8% | $21K | 2.11 | 0 |
| GOLDEN EMPIRE | 16 | 3,573 | 73.7% | 4.2% | $32.2K | 2.18 | 0 |
| NORTH BAY | 10 | 1,334 | 58.3% | -1.9% | $29.6K | 1.16 | 0 |
| WEST BAY | 13 | 4,320 | 59.5% | -2.3% | $52.4K | 1.93 | 2 |
| EAST BAY | 15 | 3,905 | 60.6% | -7.2% | $35.5K | 1.59 | 0 |
| NORTH SAN JOAQUIN | 16 | 2,885 | 62.4% | 6.1% | $21.5K | 2.13 | 0 |
| SANTA CLARA | 7 | 3,408 | 70.8% | 2.2% | $64.6K | 1.65 | 0 |
| MID-COAST | 11 | 1,664 | 58.1% | 6.7% | $25.1K | 2.78 | 0 |
| CENTRAL | 21 | 5,052 | 65.7% | 2.3% | $21.5K | 2.33 | 0 |
| SANTA BARBARA / VENTURA | 11 | 2,673 | 65.9% | 4.8% | $23.9K | 1.5 | 0 |
| LOS ANGELES COUNTY | 71 | 20,891 | 64.4% | 0.8% | $30.1K | 1.61 | 2 |
| INLAND COUNTIES | 39 | 7,516 | 67.8% | 3.2% | $21.1K | 1.52 | 0 |
| ORANGE COUNTY | 25 | 5,813 | 61% | 0.8% | $26K | 1.59 | 3 |
| SAN DIEGO / IMPERIAL | 16 | 6,535 | 69.5% | 6% | $26.8K | 1.44 | 0 |
Operating losses by region · 2024
Operating losses and emergency department visits
141 of 299 hospitals reported an operating loss. They delivered 41.9% of emergency department (ED) visits. ED visits count all-payer encounters, not unique patients. An operating loss alone does not establish insolvency or closure risk.
Scroll horizontally to view every column.
| Health Service Area | Hospitals | With operating loss | Loss share | Operating margin | Beds at loss hospitals | ED visits at loss hospitals | Share of regional ED visits |
|---|---|---|---|---|---|---|---|
| NORTH BAY | 10 | 7 | 70% | -1.9% | 948 | 168,422 | 58.8% |
| CENTRAL | 21 | 14 | 66.7% | 2.3% | 2,510 | 575,680 | 49.6% |
| LOS ANGELES COUNTY | 71 | 40 | 56.3% | 0.8% | 11,544 | 1,676,523 | 51% |
| ORANGE COUNTY | 25 | 14 | 56% | 0.8% | 3,518 | 479,625 | 51.8% |
| WEST BAY | 13 | 7 | 53.8% | -2.3% | 2,016 | 197,967 | 44.4% |
| EAST BAY | 15 | 8 | 53.3% | -7.2% | 2,276 | 320,725 | 48.2% |
| NORTHERN CALIFORNIA | 28 | 14 | 50% | 2.8% | 757 | 214,461 | 42% |
| SANTA BARBARA / VENTURA | 11 | 5 | 45.5% | 4.8% | 1,071 | 227,753 | 41.7% |
| INLAND COUNTIES | 39 | 17 | 43.6% | 3.2% | 2,690 | 690,542 | 37.5% |
| SAN DIEGO / IMPERIAL | 16 | 6 | 37.5% | 6% | 1,960 | 363,675 | 32.8% |
| SANTA CLARA | 7 | 2 | 28.6% | 2.2% | 1,400 | 325,736 | 54% |
| MID-COAST | 11 | 3 | 27.3% | 6.7% | 339 | 113,937 | 28.3% |
| NORTH SAN JOAQUIN | 16 | 3 | 18.8% | 6.1% | 859 | 186,720 | 24% |
| GOLDEN EMPIRE | 16 | 1 | 6.3% | 4.2% | 221 | 73,221 | 8.7% |
Other sources by region
Payer mix, liquidity, quality and market concentration
HSA is a reporting taxonomy, not a legal hospital market or patient-origin service area. Cross-source periods differ and are displayed explicitly; unmatched records are never imputed. Provider-footprint HHI is separate from patient-residence county HHI.
Scroll horizontally to view every column. Counts in parentheses are matched hospitals.
| Health Service Area | Medi-Cal share of net patient revenue | Reported reserve days, 2024 | Days cash, 2026 Q1 median | CMS overall rating, mean | Definitely recommend | SEP-1 | ED median minutes | Third-party IP NPR / CMAD, 2023 | Provider-footprint system HHI |
|---|---|---|---|---|---|---|---|---|---|
| NORTHERN CALIFORNIA | 27.6% | 216.0528 hospitals | 77.07(27) | 2.95(19) | 68.27%(22) | 64.25%(12) | 131(27) | $19.2K(28) | 1,53920 identities |
| GOLDEN EMPIRE | 24.6% | 91.2516 hospitals | 38.64(16) | 3.71(14) | 73.87%(15) | 72.36%(14) | 175(14) | $28.6K(16) | 2,9267 identities |
| NORTH BAY | 20.5% | 64.4110 hospitals | 9.63(10) | 3.38(8) | 72.56%(9) | 70.89%(9) | 152(9) | $23.5K(10) | 2,9716 identities |
| WEST BAY | 22% | 91.3213 hospitals | 0.55(13) | 3.58(12) | 72.15%(13) | 66.85%(13) | 176(13) | $29.7K(13) | 2,3518 identities |
| EAST BAY | 33.3% | 34.9315 hospitals | 0.01(15) | 3.31(13) | 70.62%(13) | 70.15%(13) | 171(13) | $32.9K(15) | 1,90410 identities |
| NORTH SAN JOAQUIN | 30.1% | 72.8516 hospitals | 4.69(16) | 2.6(15) | 64.5%(14) | 65.13%(15) | 171(15) | $27.1K(16) | 2,2967 identities |
| SANTA CLARA | 23% | 32.317 hospitals | 39.21(6) | 3.25(4) | 75%(4) | 68.5%(4) | 156(4) | $44.9K(7) | 2,7985 identities |
| MID-COAST | 21.5% | 182.6211 hospitals | 22.6(11) | 3.38(8) | 71.44%(9) | 63.88%(8) | 165(8) | $30.5K(11) | 1,7599 identities |
| CENTRAL | 42.5% | 212.5921 hospitals | 123.11(21) | 2.43(14) | 67.31%(16) | 73.38%(13) | 194(18) | $16.7K(21) | 1,66714 identities |
| SANTA BARBARA / VENTURA | 24.5% | 28.2911 hospitals | 18.5(11) | 3.22(9) | 73.64%(11) | 70.11%(9) | 165(11) | $22.6K(11) | 1,9647 identities |
| LOS ANGELES COUNTY | 37.7% | 112.9271 hospitals | 13(68) | 2.92(60) | 64.12%(60) | 68.62%(60) | 199(59) | $18.3K(70) | 60338 identities |
| INLAND COUNTIES | 39.6% | 89.139 hospitals | 12.02(39) | 2.59(27) | 63.64%(28) | 61.36%(28) | 190(30) | $16.8K(37) | 86029 identities |
| ORANGE COUNTY | 20.7% | 138.6925 hospitals | 1.29(22) | 2.89(19) | 60%(17) | 65.58%(19) | 186(19) | $18K(25) | 1,46015 identities |
| SAN DIEGO / IMPERIAL | 28.3% | 63.1916 hospitals | 8.47(16) | 3.5(14) | 69.29%(14) | 73.36%(14) | 197(14) | $21.2K(16) | 2,12310 identities |