California Hospital Financial and Utilization Data by Fiscal Year

State of California's Department of Health Care Access and Information collects annual facility-level financial and operational reports from individual hospitals and hospital systems. The dataset includes selected data on services capacity, inpatient/outpatient utilization, revenues and expenses by payer, financial ratios, and labor information. Data is organized by both calendar year and hospital fiscal year for comparison.

Use Cases

• Analyze revenue and expense data by payer source to model hospital reimbursement trends.
• Calculate financial ratios from balance sheet and income statement components to assess institutional solvency.
• Compare utilization metrics like discharges and average length of stay across different payer categories.
• Model labor costs using data on productive hours and full-time equivalent (FTE) staff counts.

Strengths

• Data is reported annually by individual hospitals and hospital systems, providing facility-level detail.
• Includes a wide range of financial and operational items such as financial ratios, utilization by payer, and labor information.
• Data is organized for comparison by both calendar year and hospital fiscal year (July-June).
• Maintained and updated by the State of California's Department of Health Care Access and Information.

Limitations

• The dataset is a selected subset of a larger collection, which may omit some detailed data items.
• Specific record counts, column definitions, and sample data are unavailable for review.
• Data files come in multiple formats (PDF, XLS, ZIP, etc.), which may complicate automated analysis.

Provenance

Source

State of California, Department of Health Care Access and Information.

Collection Method

Annual self-reported facility-level data from individual hospitals and hospital systems.

Time Range

Annual data, organized by calendar year and hospital fiscal year.

Freshness

Last updated on October 23, 2025.

Geography

State of California, United States.