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This strategic report is analysis compiled from public sources (HRSA UDS, CMS, WARN Act filings, news coverage, public Glassdoor reviews). Claims about workforce stability, financial positioning, or operational resilience are informational only and may not reflect current operations. For authoritative information, contact the organization directly.
Resilience
Resilience grade: BSites
16
Staff
600+
Patients
63,000+
Low Risk
(73/100)To provide high quality, affordable health care through the operation of professional and compassionate health homes for under-resourced populations in the region, who are confronted with barriers to accessing care.
Overall Score: 73/100
Data completeness: 90%
12 active programs (excellent diversity)
No recent layoffs tracked
EHR: Epic
Glassdoor rating: 2.9/5 (below average)
Moderate funding vulnerability
Regional Comparison: Elica Health Centers scores 73 vs the Sacramento average of 70.
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
Non-Union
Active Openings
8
Glassdoor
Profile Source
CuratedSacramento County DHS Director Timothy Lutz quantified the H.R. 1 cost-shift to county safety nets: 73,000 county residents will lose Medi-Cal coverage in the next year, with 6,500 becoming the county's indigent care responsibility — 'tens of millions of dollars' that the county must absorb. This is the precise pipeline that will drive uninsured walk-ins to WellSpace Health, Elica Health Centers, One Community Health, CommuniCare Health Centers, and Health for All. Through CSAC and CWDA, California's 58 counties are asking the state for $1.9B in FY2026-27 + $4.5B in FY2027-28 to offset the cost-shift. This ask is timed to the May 14 May Revise budget release. Strategic implication for Sacramento-region FQHCs: model FY2026-27 patient mix shift assuming +10-15% uninsured walk-ins, build a sliding-fee-scale capacity plan, document indigent-care subsidy gaps for county advocacy, and engage the CSAC ask through CPCA regional coalition channels. Counties without the state backfill will absorb the cost by cutting other public-health programs — meaning FQHCs lose contracts (CalAIM, BHCIP grants) AND gain uninsured volume simultaneously. Both edges of the squeeze hit at once.
Sacramento County's FY2026-27 Recommended Budget transmittal earmarks $6.5M of an $11.8M Health Services budget allocation for a new Behavioral Health Urgent Care Center (BHUCC) under the Mays Consent Decree (court-ordered jail mental-health reform). Funded by Patient Care Revenue, not federal. Budget hearings scheduled June 4-6, 2026. Strategic implication for Sacramento-area FQHCs (WellSpace Health, Sacramento Native American Health Center, One Community Health, Elica Health Centers): (1) BHUCC creates downstream referral pipeline opportunities — co-locate or partner outreach should begin pre-opening; (2) potential workforce competition for BH staff (LCSWs, AMFTs, BH-MAs) — review FY26-27 comp bands now; (3) Mays Consent Decree referrals (court-mandated jail-to-community mental health continuum) are a defined patient population FQHCs can intercept with reentry-focused programs; (4) testimony window June 4-6 — submit comments aligning FQHC capacity with county BHUCC scope. Pairs with WellSpace integrated campus groundbreaking, Newsom $5.8B BHCIP cumulative announcement, and the Lodi Wellness Center closure as the Northern California BH capital reshuffle.
Sacramento County projects a $101M FY26-27 deficit; Yolo County faces a $27M shortfall with supervisors weighing up to $15M in cuts; El Dorado County is similarly distressed. These county-level structural gaps stack on top of the already-tracked $26M HHS federal rescission, meaning FQHC safety-net partners face escalating patient-volume surges as county services contract. Compounds the WellSpace expansion signal — capacity comes online at exactly the moment county-level safety net capacity retreats. FQHCs in the Sacramento region should model a 2026-2027 surge in acute unreimbursed visits as county programs wind down.
The Sacramento-area measles outbreak is driving California's highest case count in years only months into 2026. Direct operational impact on Sacramento-region FQHCs (WellSpace Health, Sacramento County clinics, Elica Health): surge in vaccination demand, contact tracing burden, staff exposure risk, and triage pressure on pediatric visits. FQHCs should review MMR vaccination protocols, verify staff immunity records, and coordinate with Sacramento County Public Health on outbreak response capacity.
Sacramento County risks losing $26 million in federal health funding after HHS rescinds COVID-era CDC grants as part of agency restructuring. California and 22 other states have filed suit challenging the cuts. Sacramento's FQHCs — which grew from 10 to 29 facilities in 8 years — may face patient volume surges as county services contract.
Elica Health Centers operates in California's Sacramento region.
Regional FQHCs
11
Avg Resilience
70
Total Staff
2,218
Regional Jobs
53
Regional salary ranges (P25/P50/P75), open positions, and alerts when new openings post.
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