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Accessible and affordable healthcare services for vineyard stewards and their families.


Many vineyard stewards are uninsured or underinsured, and seeking medical care is financially and logistically challenging. Their knowledge of basic health education is limited, and they are overwhelmed by the maze of complex and confusing resources available in the medical system. ¡Salud!’s mission is to fill this gap by offering no-cost preventative medical, dental and vision care, and personalized healthcare support to the vineyard stewards and their families in the Willamette Valley, Oregon.

Man pouring grapes from buckets into a harvest bin

Our Mission

Providing Accessible, Affordable Service

  • No-cost healthcare delivered to the vineyard
  • Bilingual, bicultural personal support and follow-up care
  • Medical debt prevention and elimination
  • Health education, equipping individuals to take charge of their health
  • Medical system education – how to access services, utilize insurance and apply for financial assistance

Eliminating Barriers

  • Insurance
  • Language
  • Financial constraints
  • Transportation, lack of access

Our Unique Collaboration

The relationship between vintners and physicians, united in their mission to benefit this essential workforce, is unique to Oregon. No other state in the country has such an effective and far-reaching program to support the vineyard steward population. This progressive approach by the Oregon wine industry has enabled ¡Salud! to access vineyard stewards at the worksite to provide vital healthcare services they might not otherwise receive. ¡Salud! Services is a clinical department of Hillsboro Medical Center, an OHSU Health partner  and a project of the Hillsboro Medical Center Foundation.

Since 1992, the program has been fully funded from the proceeds of the annual ¡Salud! The Oregon Pinot Noir Auction and other private donations.

vineyard stewards & family members in the program
individual phone calls & text messages to patients
mobile wellness clinic days


miles driven each year to deliver care

Mobile Health Outreach Program

With screenings for cholesterol, blood glucose, blood pressure, body mass index plus Covid and tetanus vaccines, these clinics provide patients with a baseline dashboard of their overall healthright from the vineyard. Our team of bilingual, bicultural medical professionals from Hillsboro Medical Center get to know each patient and discuss any current barriers to taking charge of their health (insurance, cost, language, fear, lack of a medical home). Together, we make a game plan for any next steps needed. Wellness clinics are a great first step in our ongoing relationship with our patients.

Learn More in our 2023 report



Preventing & Eliminating Medical Debt

By making preventative care affordable, vineyard stewards and their families are able to prioritize ongoing maintenance of their health. Regular doctor’s visits become feasible, allowing for intervention before drastic medical care is needed. ¡Salud! pays a stipend to primary care providers any time a patient visits to offset the costs of regular visits.

If major medical intervention is needed (surgery, cancer care, hospitalization) ¡Salud! may pay a portion of the bill to the provider directly to reduce medical debt. ¡Salud! also provides one-on-one coaching through the charity care financial assistance application process offered by hospitals and providers to reduce or waive medical debt.

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$1 = $3

For every $1 invested, we are able to deliver $3 of care

Connecting Care & Maximizing Resources

¡Salud! partners with other healthcare organizations to bring holistic services to vineyard stewards and their families. From mobile dental cleanings, vision screenings in the vineyards with no-cost glasses made on the spot and affordable primary care throughout the Willamette Valley, an investment in ¡Salud! comes with a full suite of program offerings thanks to these partnerships built. 

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Outreach Staff

The ¡Salud! Services department is staffed with four full-time bilingual/bicultural employees including two registered nurses, a health educator, and an administrative coordinator.  These medical professionals work to assist with access to healthcare services for Oregon vineyard workers and their families by utilizing their patient navigator knowledge to provide guidance, education, and to advocate for families which ultimately helps to avoid costly medical expenses.  They interact directly with the workers and their families to assist them with health problems and accessibility issues as they arise.  Over the years, the staff has identified numerous high-risk patients who would have otherwise remained untreated.  Through their dedication, the ¡Salud! staff have earned the trust of these families who know and appreciate that they will receive quality and compassionate care.


Community based clinics – Existing federally qualified health centers provide the majority of primary care.  The ¡Salud! staff has a close working relationship with these clinics which workers and their families feel comfortable using for their medical needs.  To help ensure access, grants for care are provided to the clinics for each medical or dental encounter.

Medical Teams International – A stipend is paid for use of the fully equipped dental van staffed with volunteer dentists and hygienists.  The ¡Salud! staff schedules the patients and then assists them with accessing additional care when more extensive or specialized treatment is necessary.  Clinics are held in varying locations convenient to the workers.

Pacific University’s Dental Health School – Provides assessment and dental cleanings at the worksite with their mobile dental chairs as well as follow-up care in the campus clinics at reduced rates.

Other partners include:  Oregon Health & Science University School of Dentistry, Pacific University Physical Therapy, Pacific University College of Optometry and Project Access NOW, to name a few.

Mobile Wellness Outreach Program

Wellness Clinics offered at the work site provide prevention through health education and screenings.  On-site tests results are explained to patients and referrals are arranged if follow-up care is needed.  With a focus on promoting wellness, this programs offers:  Cholesterol, diabetes, and vision screenings, blood pressure checks, flu and tetanus vaccinations, and occupational health, nutrition, and mental health information.

Funding from more than 100 benefactors enabled the purchase of a new mobile medical unit to be built to exact specifications that provides easier access to the wineries and vineyards served.   This alleviated the need and expense to contract a unit from another healthcare provider, which has allowed greater flexibility for clinic days and the ability to serve more people.

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