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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
5
Staff
135+
Patients
25,000+
Low Risk
(72/100)One Community Health provides quality, integrated healthcare to all in the Sacramento region.
Overall Score: 72/100
Data completeness: 90%
3 active programs (moderate diversity)
No recent layoffs tracked
Modern EHR: eClinicalWorks
Glassdoor rating: 2.4/5 (below average)
Low funding vulnerability
Regional Comparison: One Community Health scores 72 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
eClinicalWorks
Union Status
Non-Union
Active Openings
3
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 DHHS estimates 73,000 residents will lose Medi-Cal coverage in the next 12 months due to H.R. 1-driven eligibility changes (six-month redeterminations by Dec 31, 2026), the new $30/mo UIS premium starting July 2027, and the federal admin match cut from 50% to 25% (Oct 2026). Direct implication for Sacramento's 11 FQHCs (2,196 staff, 319K patients): a meaningful share of the 73K disenrolled will keep showing up for care, but as uninsured rather than Medi-Cal — increasing uncompensated care exposure. Most affected: WellSpace Health (largest BH+primary care footprint), Sacramento Native American Health Center, One Community Health (HIV-focused), Elica Health Centers, and The Effort. Strategic implications: (1) update FY26-27 charity care budget assumptions, (2) accelerate patient outreach for redetermination support, (3) negotiate MCP capitation rates that reflect rising churn, (4) consider Sliding Fee Scale rate adjustments. The May Revise (mid-May) is the next state-level signal for whether the county estimate will hold or worsen.
Sacramento County lawmakers met April 15 on projected federal cuts; state finance projections show 73,000 Sacramento County residents expected to fall off Medi-Cal in the coming year. CA total impact: $32.3B/year ($30B Medi-Cal + $2.3B CalFresh) from H.R. 1. Concrete county-level patient volume number — Sacramento FQHCs (WellSpace Health, Elica, Sacramento Native American HC, One Community Health, HALO, Sacramento Community Clinic) operationally need to plan for ~73K newly uninsured patients. Coupled with Sacramento County's $26M HHS cuts already announced.
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.
One Community Health 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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