California Department of State Hospitals

Health System with 2 hospitals across 1 state

Health System Overview

Health SystemCalifornia Department of State Hospitals
Total Hospitals2
Commercial/Acute Hospitals0
Total Beds82
Commercial/Acute Beds0
HeadquartersNorwalk, CA
Websitedsh.ca.gov

Hospitals by Type

Psychiatric
2 hospitals
100% of health system

Teaching Status

0%
Teaching
Teaching Hospitals:
Non-Teaching Hospitals: 2
Teaching hospitals serve as educational institutions for medical professionals while providing patient care.

Hospital Locations

Hospitals in this Health System

HospitalTypeBedsTeachingRecently Joined
Napa State HospitalPsychiatric36NoNo
Department of State Hospitals - MetropolitanPsychiatric46NoNo

Recent News

May 15, 2025
Los Angeles County has been allocated a significant $65 million state grant, derived from Proposition 1 funds, to transform a long-unused section of the Metropolitan State Hospital campus in Norwalk into a comprehensive mental healthcare village. This funding, announced by Supervisor Janice Hahn, is specifically earmarked to renovate two vacant buildings at the state-run psychiatric hospital. The renovated facilities will provide 32 subacute psychiatric care beds specifically for transitional age youth, aged 18 to 25. This project is part of a broader initiative to create the LA County Care Community on the 162-acre site, ultimately envisioning a 219-bed campus offering various levels of mental health care and housing support, aiming to address the state's mental health crisis by increasing capacity for high-level mental health services and resources.
May 15, 2025
The California Department of State Hospitals (DSH) participated in the Empleos Latino Job Fair in Norwalk. The event was held on Thursday, May 15, 2025, from 9:00 AM to 1:00 PM at the Norwalk Sports Complex. DSH attended the job fair to connect with potential applicants and provide information about career opportunities within the department. They aimed to inform attendees about the hiring process and the benefits of working for the state. DSH was promoting itself as an employer and encouraging interested individuals to meet with recruiters. [22]
May 14, 2025
A document from the California Department of State Hospitals (DSH) for 2024-25 highlights aspects of DSH-Metropolitan in Norwalk. The hospital, which opened in 1916, operates as an open campus within a security perimeter. Due to concerns raised by the community, DSH-Metropolitan maintains a formal agreement with the City of Norwalk and the Los Angeles County Sheriff's Department. This agreement specifically prevents the hospital from accepting patients who have been charged with murder or a sex crime, or those considered at high risk for escape. This community-based agreement has resulted in a limitation on the total number of patients that the DSH-Metropolitan facility can treat. The document also touches upon DSH's broader continuum of care expansion, including inpatient and outpatient programs, and efforts to grow census while maintaining health and safety measures.
May 01, 2025
Following the U.S. Supreme Court's decision on April 29, 2025, which sided with the Department of Health and Human Services (HHS) regarding the calculation of Medicare Disproportionate Share (DSH) payments, hospitals are facing a blow to their reimbursement for treating low-income patients. [10] The 7-2 decision in Advocate Christ Medical Center et al. v. Kennedy affirmed HHS's interpretation of the term "entitled to receive SSI benefits," ruling that for the purpose of calculating the Medicare fraction of the DSH formula, patients must have been entitled to receive actual cash payments during the month of hospitalization. This interpretation is expected to significantly reduce the funding included in the numerator of the DSH formula, impacting hospitals that serve a disproportionate share of low-income individuals. Justices Ketanji Jackson and Sonya Sotomayor dissented, arguing that the majority's interpretation undercounts low-income patients. [10]
Apr 30, 2025
The U.S. Supreme Court ruled on April 29, 2025, in favor of the Department of Health and Human Services (HHS) in a dispute over how disproportionate-share hospital (DSH) supplementary payments are calculated under Medicare. This decision impacts several hundred hospitals nationwide, including those in California's Department of State Hospitals system, by affirming HHS's interpretation that a patient must have received a payment from a specific federal assistance program, not just be eligible for it, to be counted in the DSH calculation. This ruling rejected a challenge from over 200 hospitals across 30 states that argued the methodology shortchanged them by approximately $1.5 billion per year between 2006 and 2009. The case, Advocate Christ Medical Center et al., v. Kennedy, centered on the interpretation of the statutory language used to adjust reimbursement rates for hospitals serving a large number of low-income patients. [6, 10]

Executive Leadership

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