Public health care systems are the foundation of California’s safety net
SNI’s members are California’s 17 public health care systems, including county-owned or affiliated hospitals and the five University of California academic medical centers.
Together, they play a central role in the state’s safety net, delivering care to all who need it, regardless of insurance status, immigration status, ability to pay, or other circumstance.
Photo Credit: Santa Clara Valley Medical Center.
Across public health care systems, nearly 60% of patients identify as persons of color and 37% of patients identify as Hispanic or Latino
Essential and comprehensive services
Although they account for only 8% of California hospitals, SNI’s member systems play an outsized role in caring for Medi-Cal patients, uninsured patients, and communities with complex health and social needs. They:
Serve more than 3.4 million patients annually
Operate in 15 counties where more than 80% of the state’s population lives
Provide nearly half of all hospital care to the remaining uninsured in California
Provide 36% of all Medi-Cal and uninsured hospital care statewide
Operate over half of all California’s top-level trauma and burn centers
Provide over 13 million outpatient visits each year
Operate more than 150 outpatient clinics
Train nearly half of all new doctors in hospitals across the state
Employ nearly 137,000 individuals
Public health care systems provide 36% of all Medi-Cal and uninsured hospital care statewide
In the communities public health care systems serve:
150,000 individuals experience homelessness
3.4 million individuals experience food insecurity
3.7 million individuals live below the federal poverty line
2.3 million individuals remain uninsured
SNI’s member systems are leveraging their comprehensive services and connections with other county departments and community organizations to meet patients’ social needs.
QIP CY 2026 Reporting Manual User Agreement AMA PQA CMS v20241211
End User Agreement
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LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION (“CPT®”)
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PHARMACY QUALITY ALLIANCE COPYRIGHT STATEMENT
By agreeing to this policy, user accepts the following limitations of the QIP’s use of the Pharmacy Quality Alliance (PQA) Opioid measures and code sets: To accurately calculate the measure rates, the PQA value sets are required. User acknowledges that the PQA measures and value sets will only be used for the sole purpose of evaluating and improving opioid use for populations served by Public Health Care Systems (PHS) and District and Municipal Hospitals (DMPH) and will not be used for other purposes. Except for the purpose indicated above, the PQA measures and value sets will not be used for any other commercial product, service or value-added benefit. User also acknowledges that the information and PQA value sets will not be forwarded or provided to anyone outside of SNI, the California Department of Health Care Services (DHCS), the PHS or the DMPH.
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