Alameda Health System
[6][5] On July 1, 1998, the board of supervisors formally handed control of ACMC to a newly formed Medical Center Hospital Authority.
In addition, a half-cent sales tax from local Measure A has provided financial relief, including $105.5 million in fiscal year, 2010–11; Measure A is designed and implemented to provide additional financial support for many of the medical departments of the Alameda Health System (emergency medical, hospital inpatient, outpatient, public health, mental health and substance abuse services) and is meant to primarily serve indigent, low-income, and uninsured adults, children, families, seniors and other residents of Alameda County[8] that are traditionally seen as very vulnerable populations and those that are usually at proportionately high rates coming to AHS facilities.
"Under the agreement, the Alameda Health Care District will retain ownership of the property and leases connected with the hospital, while the network will assume responsibility for day-to-day management.
With other funding, the city's donation was intended to keep the hospital open until it could achieve profitability as part of its transfer to the Alameda Health System.
[12] As of 2021, San Leandro Hospital remains open and underwent a $26.8 million renovation to provide 28 acute rehabilitation beds and administrative offices, along with speech, occupational and physical therapy treatment areas.
[10] The 2014-2015 Alameda County Civil Grand Jury report found that "the lack of leadership and scrutiny on the part of the Alameda Health System board of trustees and the lack of oversight by the county board of supervisors contributed to the financial problems at AHS," noting that the acquisitions of public safety-net essential community care centers Alameda Hospital and San Leandro Hospital contributed to the financial problems with the county medical system.
In October 2020, nurses and other staff across Alameda Health System went on strike to protest management that was making decisions to put patient care at risk by causing reductions in staffing, leading to exceptionally long wait times in the ER and unsafe patient ratios, while struggling to provide adequate PPE during pandemic care and removing support staff.
