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St. Charles Health System

Regional health system operating four hospitals

Overview

St. Charles Health System operates four hospitals and employs over 220 medical providers to deliver medical care in Central Oregon. It offers a full range of health services—from routine treatments to specialized care—through its hospitals and clinics. Patients receive care across inpatient stays, outpatient procedures, and community health programs managed by the system. Revenue comes from charging for patient care services, and the organization funds ongoing operations plus capital projects to expand and upgrade facilities. Its edge over competitors comes from being the largest regional health care system in Central Oregon with an integrated network of hospitals and clinicians, enabling coordinated care across multiple sites. The goal is to improve community health and work toward America’s healthiest community by expanding access to care and partnering with local organizations.

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About St. Charles Health System

Simplify's Rating
Why St. Charles Health System is rated
B-
Rated B on Competitive Edge
Rated B on Growth Potential
Rated C on Differentiation

Industries

Healthcare

Company Size

1,001-5,000

Company Stage

N/A

Total Funding

N/A

Headquarters

Oregon, United States

Founded

1918

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What believers are saying

  • September 30, 2026 ED modular expansion adds 12 spaces and starts serving patients this fall.
  • New CEO Michael Hartke launched July 30, 2026, and is aligned with growth execution.
  • St. Charles opened new community programs in 2026, reinforcing local goodwill and patient volume.

What critics are saying

  • More than 180 APPs sought union recognition on November 6, 2026, escalating labor costs.
  • June 23, 2026 layoffs and coding outsourcing signal chronic administrative strain and staffing shortages.
  • If Bend ED overcrowding persists beyond 2026, patients shift to competitors and delayed care damages reputation.

What makes St. Charles Health System unique

  • Central Oregon's only Level II trauma center east of the Cascades anchors local referrals.
  • St. Charles served 107,558 ED visits in 2025, proving regional scale and dependence.
  • The June 2026 leadership overhaul targets scalable outpatient and specialty growth across five communities.

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Benefits

  • Relocation Assistance

Company News

Blue Mountain Hospital District
Oct 29th, 2026
October 2026 community update.

October 2026 community update. Happy fall! Blue Mountain Hospital has lots happening across BMHD. See below for a few updates and highlights from around the District. Blue mountain hospital District welcomes new providers, staff. You may have noticed some new faces across BMHD's clinics and teams! Over the past two months, Blue Mountain Hospital has focused on strengthening its maternity care team, ensuring reliable anesthesia coverage and filling key roles that help BMHD continue providing high-quality care. Please welcome: * Dr. Holly Calderon, General Surgeon * Dr. Calderon joined BMHD last month and is already getting to know the community and caring for patients. To schedule an appointment, call her office at (541) 575-2060. * Dawn Marten, Certified Nurse-Midwife * Dawn comes to Blue Mountain Hospital with nearly 30 years of nursing experience, with a focus on maternal, women's, and family health. Bringing Dawn into its maternity practice is an important step toward increasing local access to prenatal, labor and delivery, and postpartum care. * Nathan Broadbent, CRNA and James Cooper, CRNA * Nathan and James, CRNA, are the two co-partners of Anesthesia Development Partners and will ensure adequate coverage while helping Blue Mountain Hospital continually improve its anesthesia services at BMHD. The new group will officially begin around January 2027. Expanding telemedicine services for newborn care. Blue Mountain Hospital is excited to pursue another telemedicine partnership at BMHD, this time focused on neonatology services in collaboration with St. Charles Health System in Bend. Programs like this remain relatively uncommon in rural hospitals, giving BMHD and St. Charles an exciting opportunity to develop a program designed around the needs of its patients and community. Once implemented, the program will connect BMHD providers with neonatal specialists at St. Charles through telemedicine. This will help ensure newborns who need specialized care can be evaluated quickly and receive expert guidance right here in John Day, helping determine whether they can safely remain at BMHD or need a higher level of care. Hospice team recognized for patient care. Blue Mountain Hospital is proud to share that its Hospice team received recognition from the Hospice Consumer Assessment of Healthcare Providers and Systems for excellence in hospice care and positive patient experiences, based on patient satisfaction scores. Congratulations to its Hospice team! This recognition reflects the compassionate, high-quality care you provide to patients and families in its community. Oregon Perinatal Collaborative training. Last month, the Oregon Perinatal Collaborative hosted an obstetric simulation at BMHD, giving its providers, nurses, and support staff the opportunity to practice scenarios that can occur during labor and delivery. This training is part of a larger effort to strengthen and keep maternity care local. Through continued training, the addition of its first Certified Nurse Midwife, and new state funding, Blue Mountain Hospital is working to ensure Grant County families continue to have access to high-quality maternity care close to home. Back to News & Events Page

Sinclair Broadcast Group
Oct 16th, 2026
Free community support events planned in Bend following Silver Rail Elementary shooting.

Free community support events planned in Bend following Silver Rail Elementary shooting. by News Staff Fri, October 16, 2026 at 6:53 AM DESCHUTES COUNTY, Ore. - Deschutes County Health Services, St. Charles Health System and Bend-La Pine Schools are partnering to host two free community support events Friday, Oct. 16, following the tragedy at Silver Rail Elementary School. The walk-in events are intended to provide immediate emotional support, opportunities for connection and crisis stabilization tools for students, families, school staff and community members. The first event will be held from 10 a.m. to 3 p.m. at the Deschutes Public Library's Central Library, located at 61956 SE Santorini St. in Bend. A second event will take place from 4 to 7 p.m. at Larkspur Community Center, located at 1600 SE Reed Market Road in Bend. Both events are free and open to the public, with no appointment required. "We know that healing takes time, and we are committed to working alongside our local partners to provide the safe spaces, emotional support, and care that our neighbors need right now," said Molly Wells Darling, senior director for behavioral health with St. Charles. The events are designed to help community members access support and resources in the aftermath of the shooting. Both locations will offer drop-in services throughout their scheduled hours. SPONSORED CONTENT MORE TO EXPLORE

Horizon Broadcasting Group, LLC
Oct 16th, 2026
Community Support offered after Bend school shooting tragedy.

Community Support offered after Bend school shooting tragedy. Deschutes County Health Services, St. Charles Health System, and Bend-La Pine Schools are partnering to host free, walk-in community support events on Friday, Oct. 16, following the tragedy at Silver Rail Elementary. The events will provide immediate support, connection and crisis stabilization tools, for families, staff and community members. Event details: Community Support & Healing Gathering (CISM) * When: 10 a.m. to 3 p.m. Friday, Oct. 16 (Drop-in format) * Where: Deschutes Public Library - Central Library, 61956 SE Santorini St., Bend * Cost: Free and open to all students, families, staff, and community members. Community Support & Healing Gathering (CISM) * When: 4 to 7 p.m. Friday, Oct. 16 (Drop-in format) * Where: Larkspur Community Center, 1600 SE Reed Market Rd., Bend * Cost: Free and open to all students, families, staff, and community members. "Today's events have deeply shaken our entire community, especially our families, students, first responders, and educators at Silver Rail Elementary," said Behavioral Health Director Shannon Brister-Raugust, "and we want our community to know the resources they have and that we are here to help." "We know that healing takes time, and we are committed to working alongside our local partners to provide the safe spaces, emotional support, and care that our neighbors need right now," said Molly Wells Darling, Senior Director for Behavioral Health with St. Charles. What is CISM? The events will use Critical Incident Stress Management (CISM) frameworks. CISM is a structured, short-term supportive discussion designed to help individuals process the acute physical, mental, and emotional reactions that naturally follow traumatic experiences. CISM is not psychotherapy or clinical counseling; rather, it provides a safe, compassionate environment to understand normal stress responses, share experiences, and learn practical coping tools from trained peers and professionals. At each event, professional crisis response staff and peers will lead small-group discussions, offer guidance on how to talk to children about traumatic events, and connect people with local resources. Immediate Family and Crisis Resources: For families and staff seeking immediate help before or after this event, several specialized county and regional systems remain fully operational: * Walk-In Care: The Deschutes County Stabilization Center is open 24 hours a day at 63311 NE Jamison St., Bend. * Local Crisis Line: Call 541-322-7500 ext. 9. * National Hotline: Call or text 988 any time.

Carpenter Media Group
Jun 23rd, 2026
St. Charles lays off 22 employees.

St. Charles lays off 22 employees. Published 11:26 am Tuesday, June 23, 2026 St. Charles Health System laid off 22 people in leadership roles throughout the nonprofit on Tuesday. According to St. Charles, the layoffs were a result of the health care provider "reassessing" leadership roles and responsibilities. In addition, 23 vacant positions throughout the organization will be left unfilled. According to St. Charles CEO Michael Hartke, the positions were eliminated at the same time the health system has experienced "rapid growth in the service and amount of care provided throughout Central Oregon in recent years." The layoffs came after an evaluation of top leadership titles in the organization. "Changes are being made to fairly balance responsibilities for those in leadership positions across the health system and to structure the system for continued growth," Hartke said. The decision to eliminate the roles was not an easy one, said Hartke. "I want to sincerely thank those impacted by these changes for their time and dedication to St. Charles, our patients and to each other," he said. No one laid off Tuesday was providing direct patient care, according to a release from Alandra Johnson, St. Charles spokesperson. St. Charles did not answer any follow up questions about the layoffs. St. Charles is the largest employer in Central Oregon with over 4,900 employees across hospitals in Bend, Redmond, Madras and Prineville. This is not the first time the hospital has issued layoffs. In 2022 the health system laid off 107 people, including two executives, and eliminated 76 vacant positions due to skyrocketing supply and equipment costs.

St. Charles Health System
Jun 23rd, 2026
St. Charles restructures to support ongoing growth.

St. Charles restructures to support ongoing growth. June 23, 2026 St. Charles Health System has experienced rapid growth in the services and amount of care provided throughout Central Oregon in recent years. The growth is aligned with increases in population and demand for care in the region and has mostly occurred in the outpatient and specialty services areas of the organization. "We have been in a position to step in and support maintaining some key services in the region in recent years including orthopedics and neurosurgery, pharmacy, urology, gastroenterology and specialized cancer care, just to name a few," said Michael Hartke, incoming president and CEO. "As a nonprofit, local health care organization, we have the responsibility and the privilege of ensuring our patients have access to the care they need and we are proud to be able to provide it." To maintain this growth and ensure the organization is set up for success over the long term, St. Charles recently completed an evaluation of leader spans of control, titles and market alignment - for all supervisors and above - throughout the health system. Changes are being made to fairly balance responsibilities for those in leadership positions across the health system and to structure the system for continued growth. As a result, a small number of leadership positions in support services areas of the organization will be eliminated. This includes 22 positions that are currently filled and 23 positions that are vacant. In addition, ongoing work will occur to bring titles into alignment over time. No direct patient care positions are impacted by these changes, which affect less than 1% of the St. Charles workforce. "I want to sincerely thank the people being impacted by today's hard news for their incredible contributions to St. Charles and wish them nothing but the best going forward," Hartke said. "The changes we are making today are about setting ourselves up for a more sustainable and scalable structure for the future and I want to reassure our community that St. Charles is strong, stable and committed to meeting community needs."

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