‹ Resource library

For community members: keeping regional hospital care understandable

A plain-language guide to what regional hospitals provide, what the proposal would and would not do, and how to check the facts.

Policy · Briefing · Review edition

About 2 minutes to read

Why this matters to a community

Analysis. A rural hospital can be the lifeblood of its region. The useful question is what care it provides, who relies on it and what alternatives are actually available. This project describes hospitals that are too big to be small, too rural to be big.

What the public record shows

Public record. In calendar 2025, Bay Area Hospital in Coos Bay reported 568 births and 27,969 emergency-department visits. Mercy Medical Center in Roseburg reported 677 births and 34,593. Sky Lakes Medical Center in Klamath Falls reported 632 births and 30,659. OHA identifies all three as Level III trauma hospitals. Sources: OHA hospital reporting, Databank 2025; OHA trauma hospital list.

Analysis. A map distance alone does not establish emergency transfer time or available capacity. “The next hospital” is not always the next hospital able to provide a particular service.

What the proposal would do

Analysis. The proposal is to connect an objective hospital category, a lawful payment rule and a real funding source. The proposed name is Systemically Important Rural Hospital. A new name alone does not put money in a hospital's account.

Not yet known. This site does not offer a closure forecast or a count of lives or jobs saved. The service and financial evidence for those claims has not been established.

Project position. The project excludes taking existing CCO resources or education money, reducing Oregon Health Plan services, or financing support through cuts to frontline pay and jobs. Its public explanation should show who pays, what services are supported and how results would be checked.

How to take part

Every page in this library links to its public sources, so readers can check each statement. To suggest a source or point out an error, use the Contact page.

Three hospitals and the communities around them; How Oregon Medicaid hospital money works; Questions and answers. Each is in this resource library.

Evidence date and scope

Circulation draft. Resource evidence date: November 7, 2026. Public facts link to their original public sources; analysis, project positions and open questions are labeled. A reference to a hospital or other organization describes public information and does not mean that it has joined this project or endorsed its proposals.

Pathway diagram