On July 29, the Hospital Association of Oregon released a 2025 hospital utilization and financial analysis that showed patient accessibility to care is at risk at hospitals across Oregon as rising expenses, lower reimbursement rates, contradictory insurance payouts and challenging state policies have pushed hospitals deeper into a financial crisis. Hospitals operating at a profit margin lower than 5% may signal financial challenges, according to the Kaiser Family Foundation. “We will need community support to ensure we can meet the health care needs of the region into the future.” To create the funds needed to reinvest in the health system St. Charles has entered partnerships with the Central Oregon Health Council, Oregon Health & Science University, Mosaic Community Health and Deschutes County Health Services to expand services across Central Oregon. As hospitals continue to find creative ways to stay afloat amid a financial crisis in healthcare the Hospital Association of Oregon is recommending that policymakers protect and strengthen Medicaid payments to hospitals, reduce unnecessary administration or bureaucracy and hold insurers accountable to prevent further losses.