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New 2025 Update Finds Expenses Outpaced Revenue, but More Than Half of Oregon Hospitals Reported Positive Net Income

2025 update adds new hospital financial data to FamilyCare Health’s ongoing review of Oregon hospital performance.

Salem, OR — FamilyCare Health has released its latest update to Financial Health of Oregon Hospitals, its independent review of hospital financial performance across the state. The original report examined data from 2013 through 2023 and found that Oregon hospitals generated $7.3 billion in statewide net income over the 11-year period while maintaining an average statewide net margin of 5%.

The new update examines 2025 hospital financial data and compares it with recalculated 2024 figures using audited financial statements and FR-3 filings. Statewide revenue increased 5.9% from 2024 to 2025, while expenses increased 9.9%. As expenses grew faster than revenue, statewide net income declined from $717.4 million in 2024 to a net loss of $34.8 million in 2025, and the statewide total margin fell from 3.5% to -0.2%.

Key observations:

  • Of the 58 hospitals reporting 2025 data, 31 reported positive net income, compared with 38 in 2024.

  • Critical access hospitals maintained a combined total margin of approximately 9.8%.

  • 38 of 58 hospitals reported positive average net margins when results from 2024 and 2025 are combined.

View the 2025 Update (PDF)

View Full Report (PDF)

 

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