Two thirds of Oregon's land holds one third of its people and almost none of its new technology. Rainshadow exists to change where the testing happens.
One neutral table. Health systems, coordinated care organizations, tribal health programs, rural clinics, payers, public funders, researchers and the companies building for them.
Pilot new technology without carrying the whole burden of it.
Our flagship program pairs Oregon care organizations with vetted health technology companies for structured, time bound pilots. Rainshadow supplies the coordination, the evaluation design and the shared learning, so a clinic with four staff does not have to build an innovation function to take part.
Real proof in the market nobody has tested in.
Any United States company can apply. Oregon partners are open to conversations about fit and feasibility before anything is scoped. We provide the infrastructure, the clinical counterpart and an honest answer either way.
Early sight of Oregon's health innovation pipeline.
Connect with care leaders and emerging companies through a neutral platform. Deploy expertise, capital and research capacity where it compounds across the state rather than inside one institution.
We give Oregon care organizations the connections, skills, resources and partners they need to adopt technology that actually improves care east of the crest as well as west of it.
Flagship program
A statewide pilot and learning network where Oregon care leaders name the priorities, review pre screened technology and host scoped pilots when there is a real fit. Advanced Computing for Coordinated Rural Delivery.
Statewide connections
Recurring sessions that put care organizations, coordinated care organizations, tribal health programs, funders, researchers, policymakers and founders in one room on a schedule, so partnerships form before a procurement does.
Building capacity
The Oregon Health Data Innovators Bootcamp and a working curriculum in data, evaluation design and how to run a pilot without breaking a clinic. Built with community colleges and the state's own workforce programs.
The technology gets tested where the broadband is. That is why it never arrives where the need is.
The federal Rural Health Transformation Program runs on a clock. The state has the money and is deciding right now what to spend it on.
$197.3m
Notice of award, 29 December 2025
$97.1m
Oregon Health Authority
$50.4m
Expected by late summer 2026
2026–2031
Federal program term, $50bn nationally
Exact first year award, in full
$197,271,578
Oregon's rural population is larger than the entire population of eight states. It is also the part of Oregon that almost no digital health product has been built for.
ORH, 2024 data
Definitions and figures from the Oregon Office of Rural Health at OHSU. Rural means ten or more miles from the centre of a population centre of 40,000 or more. Frontier counties are Baker, Gilliam, Grant, Harney, Lake, Malheur, Morrow, Sherman, Wallowa and Wheeler.
A first rank academic health centre, a state rural health office with real data, more than a decade of coordinated care organizations and a serious technology industry. None of that is a place where a rural chief executive can see what is coming and say whether it would work in their county.
A company that wants to test in Oregon finds the same closed doors in a different order each time. A clinic that wants to try something has to run its own diligence, write its own agreement and carry its own risk. Both sides spend the budget on the setup and never reach the result.
Federal rural health money is moving now and the period of performance ends. Organisations without an innovation function will spend it on what they already know how to buy. That is a reasonable thing to do and it is how a once in a generation award produces nothing new.
Oregon is not first. New Mexico stood up a statewide convener, named priorities out of its own health systems and put state money behind a pilot network. Rainshadow is built on that model deliberately, with Oregon's coordinated care structure and its nine tribal nations in the design from the start. See HealthInno.
Care organizations: come to a session before you commit to anything. Companies: apply. Funders and tribal health programs: tell us what you want this to carry.