This study examines the satisfaction levels of acute care hospital executives in central California with multi-actor and single actor healthcare consulting services. Hospital executives, from N_h = 513 ( N_h = population of acute care hospitals) acute care hospitals that have worked with healthcare consultants and consulting firms between 2001 to the present, completed a comparative survey from which satisfaction differences were examined. Given the recent legislative efforts by California to implement statewide healthcare coverage for all residents (SB 840), acute care executives require additional consulting services to maintain the balance between costs, quality, and access to services. Understanding the differences in satisfaction of healthcare executives with the traditional consulting paradigm (i.e., single actor) and contemporary consulting paradigm (i.e., multi-actor) will assist healthcare consultants and companies to provide more beneficial services.