Los Angeles County Department of Health Services (abbreviated DHS and LADHS) operates the public hospitals and clinics in Los Angeles County, and is the United States' second largest municipal health system, after NYC Health + Hospitals. DHS provided healthcare services to over 643,856 unique patients and 2,457,174 patient visits in Fiscal Year 2015–16. For Fiscal Year 2015–16, LADHS had an annual budget of US$3,832,724,000. The County funds less than 15% (US$635,492,000) of LADHS' total annual budget.