"I want to work at the same hospital as Tom."

Tom isn't a hospital, so it might sound odd in that sense, but it's also clear that Tom isn't a hospital, and I get the feeling that this is how most people would say it in conversation.

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    This seems fine. It would actually be wrong if Tom were a hospital. – frances Apr 30 '14 at 21:18
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    "the same...as" is a common English idiom. As such, most of the people here will not even realize that, functionally, it appears odd to a foreign language learner. You will be comforted to know that your instincts were correct; most people would say it this way in conversation and no one would confuse Tom for a hospital or even consider that a possibility (if they are a native speaker). – Apple Freejeans Apr 30 '14 at 21:27
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    The sentence just truncates the phrase "as Tom works at" to remove the redundant last two words. – Oldcat Apr 30 '14 at 21:33
  • Or truncates 'as Tom does' – mjsqu Apr 30 '14 at 21:49
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    @APrejean No, it is not an “idiom” — at all! It is simple ellipsis of redundant and trivially recoverable information: “I want to work at the same hospital as Tom works at.” – tchrist Apr 30 '14 at 22:58

Your sentence is the same as the following:

I want to work at the same hospital as Tom (does work) at.

You have simply left off the second works at. If you want to reduce the ambiguity, you can leave the does at the end.

I want to work at the same hospital as Tom does.

Either way, it would be understood that Tom (or even Good Samaritan) is not a hospital.

I want to work at the same hospital as Tom.

To make matters more complex, let's say your friend had the same name as a hospital; a common name for hospitals is Good Samaritan.

I want to work at the same hospital as Good Samaritan.

This construction (in English) still causes ambiguity, because it doesn't make sense in English to use the same as. It would make more sense to use at

I want to work at Good Samaritan.

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