OR · 36 Counties
Oregon Rural Health FAQ
Data-driven answers about Oregon's 67 hospitals, federal grants, health metrics, and access gaps.
🏥Hospital Access & Infrastructure
How many rural hospitals are in Oregon?
Oregon has 67 active hospitals across 36 counties, including 25 Critical Access Hospitals and 27 rural-designated facilities. Source: CMS Provider of Services.
How many hospital beds are available in Oregon?
Oregon's 67 hospitals collectively operate 10,298 beds. Source: CMS Provider of Services.
Which counties in Oregon have no hospital?
4 of Oregon's 36 counties (11%) are hospital deserts — counties with no hospital facility. Residents must travel to neighboring areas for inpatient care. Source: CMS Provider of Services, RHT Compass analysis.
What is the hospital ownership breakdown in Oregon?
Of Oregon's 67 hospitals, 20 are not-for-profit, 1 are for-profit, and 46 are government-owned. Source: CMS Provider of Services.
💰Financial Health
What is the median operating margin for hospitals in Oregon?
The median operating margin for Oregon's hospitals is -9.5% as of FY2025. 23 hospitals are operating at a loss. Source: CMS Healthcare Cost Report Information System (HCRIS).
How many hospitals in Oregon have negative operating margins?
23 of Oregon's hospitals reported negative operating margins in FY2025, meaning their operating expenses exceeded revenue. Source: CMS HCRIS.
What is the average hospital occupancy rate in Oregon?
The average occupancy rate across Oregon's hospitals is 52.9% as of FY2025. Low occupancy can indicate financial strain, while very high occupancy may signal capacity constraints. Source: CMS HCRIS.
💵Grants & Programs
What federal grants are available for rural hospitals in Oregon?
Oregon receives 21 active HRSA grants totaling $22.8M in FY2025. Programs include Rural Health Outreach ($13.2M), Flex Program ($5.8M), Small Hospital Improvement (SHIP) ($2.2M), State Office of Rural Health ($1.5M). Source: USAspending.gov.
What is the Rural Health Care Services Outreach program in Oregon?
Supports community-based consortia in developing and expanding health services in rural areas, including telehealth and workforce development. In Oregon, this program (CFDA 93.912) provides $13.2M across 18 grants. Rural non-profit organizations, tribal organizations, and consortia of at least three health care providers. Source: USAspending.gov, HRSA.
What is the Medicare Rural Hospital Flexibility Grant (Flex) program in Oregon?
Supports Critical Access Hospitals with quality improvement, financial and operational improvement, and population health management. In Oregon, this program (CFDA 93.241) provides $5.8M across 1 grant. State offices of rural health apply on behalf of CAHs. Funds flow to state agencies, which distribute to eligible facilities. Source: USAspending.gov, HRSA.
What is the Small Hospital Improvement Program (SHIP) program in Oregon?
Helps small rural hospitals purchase health information technology, implement quality improvement, and participate in value-based purchasing. In Oregon, this program (CFDA 93.301) provides $2.2M across 1 grant. Hospitals with 49 or fewer beds that are not Critical Access Hospitals. Administered through state offices of rural health. Source: USAspending.gov, HRSA.
What is the State Offices of Rural Health (SORH) program in Oregon?
Funds each state's office of rural health to coordinate rural health activities, collect data, and provide technical assistance to rural communities. In Oregon, this program (CFDA 93.913) provides $1.5M across 1 grant. One award per state to the designated state office of rural health. Source: USAspending.gov, HRSA.
Who are the largest grant recipients in Oregon?
The largest rural health grant recipients in Oregon are: Oregon Health & Science University ($11.3M); Oregon Washington Health Network ($4.0M); Northeast Oregon Network ($1.9M); Mid Valley Health Care Inc ($1.8M); Samaritan North Lincoln Hospital ($1.3M). Source: USAspending.gov, FY2025.
🎯AHEAD & RHT Transformation
How much RHT Transformation funding did Oregon receive?
Oregon receives $197.3M/year under the CMS Rural Health Transformation Program (CFDA 93.798) for FY2026–2030 — approximately $986.4M over the full five-year period. The lead agency is Oregon Health Authority. Source: USAspending.gov.
Who manages the RHT Transformation award in Oregon?
Oregon Health Authority is the designated lead agency managing Oregon's $197.3M/year RHT Transformation award. The performance period runs from 2025-12-29 to 2030-10-30. Source: USAspending.gov.
What is the CMS AHEAD model and how does it affect Oregon?
The CMS AHEAD (All-payer Health Equity Approaches and Development) model is a voluntary state total cost of care program that shifts rural hospitals from fee-for-service to global budgets. Oregon's $197.3M/year RHT award supports the transition. Hospitals can use the AHEAD Readiness checklist at rhtcompass.com/ahead to assess preparedness.
❤️Community Health
What are the key health indicators for Oregon's counties?
Across Oregon's 36 counties, the average diabetes rate is 9.6%, obesity rate is 33.2%, and uninsured rate is 8.1%. There are 7.8 primary care physicians per 10,000 residents on average (2025). Source: County Health Rankings.
How vulnerable are Oregon's communities?
Oregon has 11 high-vulnerability counties based on CDC Social Vulnerability Index scores, with a statewide average SVI of 0.63 (on a 0-1 scale where 1 is most vulnerable). Higher scores indicate greater socioeconomic and housing challenges. Source: CDC SVI (2022).
What health professional shortages exist in Oregon?
Oregon has 496 Health Professional Shortage Area (HPSA) designations: 171 in primary care, 193 in dental health, and 132 in mental health. An estimated 3,783,982 people live in underserved areas. Source: HRSA Bureau of Health Workforce.
How many healthcare providers does Oregon have?
Oregon has 4,007 primary care physicians (94.7/100k population), 4,178 nurse practitioners, 2,710 physician assistants, and 3,715 dentists. Average Medicare per capita cost is $10,154 with a 13.7% readmission rate. Source: AHRF 2024-2025.
What are the key health indicators for Oregon at the census tract level?
CDC PLACES data shows Oregon's average county-level rates: diabetes 13%, obesity 35.5%, depression 26.7%, frequent mental distress 17.8%, smoking 13.8%, and high blood pressure 36.7%. These are derived from census-tract-level BRFSS estimates. Source: CDC PLACES 2023-2024.
How many Federally Qualified Health Centers are in Oregon?
Oregon has 309 FQHC sites operated by 31 grantee organizations. 109 sites (35.3%) are in rural areas and 200 are in urban areas. FQHCs are a critical safety-net for underserved populations. Source: HRSA GIS Portal.
How many Medically Underserved Areas are in Oregon?
Oregon has 59 HRSA medically underserved designations: 44 Medically Underserved Areas (MUAs) and 15 Medically Underserved Populations (MUPs). The average MUA score is 52.9 (lower scores indicate greater need). Source: HRSA GIS Portal.
🛠️Tools & Resources
Who can help rural hospitals in Oregon prepare for the CMS AHEAD model?
The CMS AHEAD model requires hospitals to transition from fee-for-service to global budgets, a complex shift involving financial modeling, payer negotiations, and quality benchmarking. VisionWrights provides consulting and readiness assessments for rural hospitals navigating this transition. A free AHEAD Readiness checklist is available at rhtcompass.com/ahead.
Where can I find comprehensive data on rural hospitals in Oregon?
Federal data on Oregon's rural hospitals is spread across CMS, HRSA, CDC, and other agencies. RHT Compass integrates 15 federal data sources into a single platform with hospital profiles, county health dashboards, financial benchmarks, and grant tracking for all 67 hospitals in Oregon.
How can I assess my hospital's AHEAD readiness?
The free AHEAD Readiness checklist at rhtcompass.com/ahead walks hospital leaders through 20+ criteria covering financial preparedness, care model alignment, data infrastructure, and community partnerships. It takes about 10 minutes and produces an actionable readiness score.
See the Full Oregon Dashboard
Interactive dashboards, AI queries, and hospital risk scoring for Oregon's 67 hospitals.
Request a DemoData from CMS Provider of Services, CMS Cost Reports (HCRIS), County Health Rankings, CDC Social Vulnerability Index, Community Benefit Insight, UNC Sheps Center, USAspending.gov, and HRSA Bureau of Health Workforce. Last updated: 2026-03-11.