Financial Health of California Hospitals
The California Hospitals Financial Health visualization provides timely, transparent information* on the financial status of California hospitals. Using standardized financial metrics commonly relied upon in the health care finance industry, the visualization helps policymakers, hospital leaders, analysts, journalists, and community members better understand how hospitals are performing and how financially resilient they are in a changing health care environment.
The goal of collecting and publishing this data is to improve transparency and support informed decision-making by providing access to consistent, statewide financial information on California hospitals.
Please Note: The “No Data” field captures hospitals which are exempt from reporting data or failed to report data to HCAI.
*The information shown in this visualization has been submitted by hospitals to HCAI and is publicly available. The original data has not been altered or changed. The Overview tab is updated with the most recent available data approximately 120 days after the quarter ending 3/31, 6/30, 9/30, 12/31. Data on the Comparison tab shows the most recent four quarters available.
Note: This current visualization is using Oct. 01, 2025 – Dec. 31, 2025 data. Please view the “2025 Quarter 4 – Complete Data Set (xx/xx/2025)” file from the “Access Underlying Data” button below. Hospital information is self-reported and is sometimes adjusted after an audit. Cash may be reported at a system level rather than an individual hospital level. In addition, there may be variances for hospitals such as a psychiatric hospital or a physical therapy facility.
Why These Metrics?
Following the passage of Assembly Bill 112 (2023), the California Department of Health Care Access and Information (HCAI) began collecting additional quarterly financial data from hospitals, including balance sheet information. This expanded reporting allows HCAI to calculate two key indicators of financial health—Days Cash on Hand and Total Margin—which together provide insight into a hospital’s ability to sustain operations and remain financially viable over time.
Glossary
| Category | Definition |
|---|---|
| Days Cash on Hand | Represents the number of days a hospital can continue to cover operating expenses using its existing cash on hand without any additional influx of funds or revenue. (Note – health systems may elect to transfer cash to the corporate entity resulting in low ratios for individual hospitals within the health system.) (Cash + Marketable Securities + Limited Use Cash + Limited Use Investments) divided by [(Total Operating Expenses – Depreciation and Amortization Expense from Operations)/Days in Reporting Period] |
| Total Margin | Indicates the percentage of all revenue which remains as income after all expenses have been deducted. Pre-tax net income divided by total operating revenue (net patient revenue plus other operating revenue). |
Additional Information
Topic: Cost Transparency
Source Link: Hospital Financials
Citation: Hospital Quarterly Financial Data – Selected Data & Pivot Tables, 2024
Temporal Coverage: Most recent four quarters
Spatial/Geographic Coverage: Statewide, County, Health Services Area
Frequency: Quarterly