Eden Health District was established in 1948 to build and operate Eden Hospital, a community hospital to serve residents of Castro Valley, San Leandro, San Lorenzo, Hayward and nearby communities. The District operated Eden until 1998, when Eden Medical Center became an affiliate of Sutter Health.

The Board of Directors serve a four-year term. Board members must run for election and are elected by the residents of the District. Board members must also reside within the boundaries of the District, be registered voters in the District, be at least 18 years of age, and are elected in the November general elections. There are no term limits on how many times a Member may be elected or how many years that they may serve.

The members of the Board of Directors serve two roles: to manage the business of the District and to provide grants to organizations through the Community Health Fund.

The other focus of the District is to oversee the endowment fund known as the Community Health Fund. Through responsible investments, the fund has grown each year, enabling local organizations to provide much-needed health care services to those in need. Members of the Board carefully evaluate every application and make their grant selections in open session during a regularly scheduled Board meeting.