Santa Clara’s cost per residents is among the highest in the state.
Santa Clara County’s recent expansion of its public hospital system has averted closures that threatened to curtail emergency care access but also boosted its staffing of highly paid doctors and health care workers and vaulted its payroll costs to among the highest in California.
“Something big happened in 2019,” Williams said. “We added two hospitals and thousands of employees.” The cost of all those employees has grown by 80% since 2010 when county governments reported about 375,000 employees, whose pay and benefits then cost $25 billion. The state’s cost per employee has grown 71%, from about $67,000 to $114,000 average costs per employee in that time, far outpacing inflation in California, which has grown by 46% in those 13 years.
“You really can’t do an apples-to-apples comparison with other counties because we have such a robust direct health care delivery system,” Williams said. “That is actually rare now. … very few counties still operate hospitals.” San Francisco, a city and a county, reports all workers as city employees, so it is not included in the county data.
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