The SHARE Initiative (Supporting Health for All through Reinvestment) was created through Oregon House Bill 4018 (2018). It requires coordinated care organizations (CCOs) to invest a portion of profits back into communities to address health inequities and the social determinants of health and equity (SDOH-E).
- Spending must fall within social determinants of health and equity (SDOH-E) domains and include spending toward a statewide housing priority.
- Spending must fall into one or more of four domains: economic stability, neighborhood and built environment, education, and social and community health.
- Spending priorities must align with community priorities from community health improvement plans (CHIPs).
- A portion of funds must go to SDOH-E partners.
- CCOs must designate a role for their community advisory councils (CACs) related to SHARE Initiative spending decisions.
SHARE funds can be used for a variety of programs and projects that align with our Community Health Improvement Plan. In addition to housing projects, funding supports projects that focus on health equity. These include projects that are in the domain of neighborhood and built environment, economic stability, education and social and community health.
We are proud to support initiatives that meet the evolving needs of our community. We actively engage with many facets of our community—including schools, nonprofits, local government, and healthcare partners—to ensure our efforts are inclusive, collaborative, and impactful.
SHARE funds can be used for capital expense items such as purchasing a building or land, property renovations, expansions, and construction.
SHARE funds are calculated annually and set aside specifically for the region we serve.
The 2026 funding timeline will be announced shortly.
A strong application should:
- Clearly align with CHP strategies
- Demonstrate measurable community impact
- Show collaboration with other organizations
- Include a well-defined budget & sustainability plan
Applications are reviewed first by UHA Team Community and then sent to the UHA Board of Directors for voting and selection. Evaluations are based on alignment with CHP priorities, UHA priorities, long-term impact to community, sustainability, collaboration, geographic location, inclusivity, equity, clarity of measurable goals, and use evidence based criteria. UHA shall designate a role for the CAC related to SHARE Initiative spending decisions.
Yes, under OAR 410-141-3845, these funds can’t be used for wages, marketing, covered services for OHP members, administration activities or equipment for medical need, workforce certification training, UHA contractual requirements, & other less common items (see OHA guidance for more details).
The SHARE spending plan for investments must fall within SDOH-E domains and include spending toward a statewide housing priority. Unlike CHP grant funding, capital spending is allowed.
- $75,000 to the City of Roseburg for the Gary Leif Navigation Center
- $100,000 to Umpqua Valley Tennis Center for Court Renovation
- $1,000,000 to UCC for Construction of a multifunctional facility that includes Health Career Programs