Recent reporting that OHSU has finally made money after years of losses does not reflect the reality of its own audited financial statements.
As Oregon’s largest hospital by revenue, OHSU plays an outsized role in the state’s hospital market and as a source of access for Oregonians seeking specialized care statewide. Looking at a single quarter of financial results can be informative, but the broader financial picture provides more meaningful context.
FamilyCare Health’s Hospital Transparency Report, which analyzes public financial data from 2013 through 2024, shows a consistent pattern of financial strength at OHSU Hospital.
A Decade of Sustained Profitability
From 2013 through 2023, OHSU Hospital generated more than $1.35 billion in net income and maintained an average 7% net margin. In 2023 alone, OHSU reported approximately $2.89 billion in revenue, $209.9 million in net income, and a 7% margin.
FamilyCare’s most recent update also shows that OHSU generated approximately $365 million in profit in 2024, bringing combined net income for 2023 and 2024 to roughly $575 million.
Importantly, OHSU remained profitable every year from 2013 through 2023, including during 2022 when many Oregon hospitals reported financial losses. While profitability fluctuated from year to year, the overall record reflects sustained financial strength rather than a rebound in profit.
Why OHSU Matters
OHSU is a safety-net hospital and health system for Oregon, but it is also the state’s only academic medical center with major research, education, and specialty-care functions. Because of this, the hospital benefits from federal and state grants, enhanced Medicaid funding, and the graduate medical education program.
OHSU’s scale makes its financial performance particularly important. In 2023, it generated approximately $2.89 billion in revenue, far more than any other hospital in Oregon.
Because of its size, OHSU is a major contributor to statewide hospital financial results. Its experience also highlights a broader reality often overlooked in discussions about hospital finances: while some facilities face significant financial challenges, Oregon’s hospital sector as a whole has accumulated substantial profitability and asset growth over time.
According to FamilyCare’s report, Oregon hospitals generated approximately $7.3 billion in net income between 2013 and 2023, while statewide hospital net assets grew from roughly $8 billion to $16.5 billion. OHSU’s growth in net assets alone was approximately $1.4 billion, or 155% during this period.
Transparency Creates Better Conversations
OHSU’s financial performance illustrates why hospital finances should be evaluated over time, not through isolated quarterly headlines about internal budgets.
Questions about affordability, access, and health care policy require a clear understanding of long-term trends:
How much financial capacity has been accumulated? How are those resources being reinvested? What role does scale play in financial performance? How do these trends affect patients and communities? How has OHSU contributed to the growth in health care costs in the state?
These are the questions that transparency helps answer.
OHSU’s public data shows a decade-long pattern of profitability, scale, and financial strength. If Oregon is going to have a meaningful conversation about health care costs and access, that conversation should be grounded in long-term financial trends and audited results.
Determinants of Health: Access to Healthcare, Hospitals, Misinformation
Asante Health System is the dominant hospital provider in southern Oregon, serving Grants Pass, Ashland, and Medford. Oregonians living here do not have any other alternatives for hospital-level care. Recent news reports about Asante’s warning that hundreds of layoffs may be necessary has sparked criticism from the community and concern from many nurses about access […]
Unlike traditional systems that separate mental and physical care (“carve-outs”), FamilyCare’s model streamlines services through unified claims, referrals, and authorizations.
This slide presentation summarizes FamilyCare Health’s 2025 testimony to the Oregon Senate Committee on Health Care in support of Senate Bill 388.
Healthcare on wheels brings primary care, preventive screenings, mental health services, and even dental care directly to underserved communities. These clinics are not just a temporary fix; they are a cost-effective, community-driven solution to a growing healthcare crisis.
We learned valuable lessons running FamilyCare Health Plans for more than 30 years. Our proven track record shows that addressing the social, economic, and behavioral drivers of health improves outcomes while reducing costs. Now, as an independent non-profit, we're committed to sharing these insights and helping transform the healthcare system.
By signing up for our news, policy, and advocacy newsletter.