Operations manager Mark Newsome said the hospital had taken significant steps to cement a solid future, including the recent employment of several specialist medicine staff and further recruitment of trainees.
"We're specifically set up here to deliver rural specialist medicine health care and what we do, we do well,'' he said.
Mr Newsome was upbeat about the proposal to become a South Island training hub but said higher approval had to be sought and the formal transition wouldn't happen overnight.
"It's a case of we want to walk, before we can run - there is still a bit of work to put in yet before we achieve that goal, but I'd certainly say the opportunities are there,'' he said.
Ashburton Hospital has five rural medicine specialists and by the end of the year will have four trainees officially on the staff roster.