Skip to main content
Rural Health Information Hub


California, the most populous U.S. state, covers 155,959 square miles, with a 2021 estimated population of 39,237,836 people – 863,273 living in rural California (USDA-ERS). Sacramento, the capital, is located in the north-central region of the state. The state's largest cities are Los Angeles, San Diego, San Jose, and San Francisco. According to 2021 data from the U.S. Census Bureau, an estimated 71.1% of the state's population is White, 6.5% is African-American, 15.9% is Asian, 1.7% is American Indian or Alaska Native, 0.5% is Native Hawaiian or Other Pacific Islander, and 35.2% is of Hispanic or Latino origin.

California Rural Healthcare Facilities

Critical Access Hospitals
Rural Health Clinics
Federally Qualified Health Centers*
Short Term/PPS Hospitals*
*Sites located outside of Urbanized Areas according to April 2022.

Selected Social Determinants of Health for Rural California

Most Californians have some form of health insurance coverage, although 7.3% of its residents lack health insurance (Kaiser, 2020). According to the USDA Economic Research Service, the average per capita income for Californians in 2020 was $70,192, with the rural per capita income at $52,022. The ERS reports, based on 2020 ACS data, that the poverty rate in rural California is 13.4%, compared with 11.4% in urban areas of the state. 11.6% of the rural population has not completed high school, while 16.2% of the urban population lacks a high school diploma according to 2016-2020 ACS data reported by ERS. The unemployment rate in rural California is 6.8, while in urban California, it is 7.3% (USDA-ERS, 2021).

For a national comparison, please see an overview of the United States.

Data Sources
Kaiser Family Foundation State Health Facts; U.S. Census Bureau QuickFacts; USDA Economic Research Service: State Fact Sheets


California State Office of Rural Health
Collaborates with public and private entities statewide and at the regional and national levels to increase rural access to health care and to link small rural communities with state and federal resources.
view details

There are more organizations related to California in the organizations section.

Last Reviewed: 3/16/2022