Alameda Health System

About Alameda Health System

Alameda Health System (AHS) is Alameda County's public safety-net system. Its flagship, Oakland's Wilma Chan Highland Hospital, is the county's only Level I trauma center and a 236-bed UCSF teaching hospital with the county's busiest emergency department; the system also runs San Leandro and Fairmont hospitals, John George Psychiatric Pavilion, and four FQHC wellness centers serving 40,000+ primary-care patients. About 90% of AHS patients rely on Medicare or Medi-Cal, and a $200M Epic EHR launched in 2019. H.R. 1 Medicaid losses are projected to climb from roughly $30M in 2026 toward $150M by 2028, on top of a ~$91.7M FY2026 deficit. AHS proposed 296 layoffs in January 2026; the County Board of Supervisors deferred them March 4 (reduced to 188) and the SEIU 1021 contract was ratified April 9, 2026 — averting the cuts while the structural deficit remains.

Programs

Offer-review questions

These are not confirmed benefits for this organization. Ask for the employer's current documents and keep contingent federal programs separate.

• Ask for the current medical, dental, and vision rate sheet and plan summary for your eligibility class.
• Ask for the exact retirement plan, employer formula, waiting period, vesting, and fees.
• Confirm PTO, sick time, holidays, leave, accrual, carryover, and separation payout in writing.
• Check disability, life insurance, EAP, and any employee cost or exclusion.
• Ask for the amount, approval, paid time, and clawback for tuition, CME, or certification support.
• Check NHSC or Nurse Corps separately for current site, discipline, cycle, service, and award status.
• Ask how FTCA malpractice coverage applies to you and your duties. It is coverage, so don't count it as cash.
• Ask about any written shift or language differential for this role's exact duties.

Quality & Compliance

Peer Comparison

vs. regional median