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Resilience
CSites
29
Staff
4,500+
Patients
40,000+
Moderate Risk
(63/100)Caring, Healing, Teaching, Serving All.
Overall Score: 63/100
Data completeness: 90%
10 active programs (excellent diversity)
No recent layoffs tracked
EHR: Epic
Glassdoor rating: 3.4/5 (average)
High funding vulnerability
Regional Comparison: Alameda Health System scores 63 vs the Bay Area average of 66.
Dental Coverage Eliminated for Undocumented Adults
2026-07-01
PPS Rates Eliminated for FQHCs Serving Undocumented Patients
2026-07-01
Work/Community Engagement Requirements Begin
2026-10-01
ECM Provider
NHSC Approved
EHR System
Epic
Union Status
SEIU 1021
Active Openings
5
Glassdoor
Profile Source
HRSA ImportAlameda Health System's Board of Supervisors blocked 188 planned layoffs on March 4 after SEIU 1021 mobilization, but the underlying $91.7M deficit remains unresolved. AHS operates the only Level 1 Trauma Center in Alameda County (Highland Hospital) and 4 FQHC wellness centers serving 40,000+ patients. Leadership is exploring Medicaid supplemental payments and county bridge funding. FQHC leaders in Alameda County should prepare for potential patient surges if AHS reduces outpatient services.
Alameda County Board of Supervisors voted to defer 187 planned layoffs (211 positions) at Alameda Health System that were set for March 9. The Board created a working group to explore alternatives to cuts that would have closed mental health programs at Highland and Fairmont Hospitals, the ambulatory plastic surgery program, and Highland's Complex Care Program serving homeless patients. AHS projects losing $100M+ annually from federal Medicaid cuts under H.R. 1.
Alameda County Board of Supervisors unanimously voted March 4 to defer 183 layoffs and halt closure of mental health units at Highland and Fairmont hospitals — originally set for March 9. A working group including Supervisors Miley and Fortunato Bas, AHS administration, and healthcare union reps will work to reduce the $91.7M deficit before July 1. CEO James Jackson warned H.R. 1 represents 'the largest roll-back of federal health care spending in history.' With 60% of AHS patients on Medicaid, the system faces $100M/year in losses by 2030.
Alameda Health System operates in California's Bay Area region.
Regional FQHCs
40
Avg Resilience
66
Total Staff
20,576
Regional Jobs
293
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