2025-07-09T21:48:30-04:00 2024-12-31 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2024-01-01 900195254 WASHINGTON RURAL HEALTH COLLABORATIVE WASH 3603462350 PO BOX 1668 SHELTON WA 98584 MATT KOLLMAN SECRETARY/TREASURER 3604963525 2025-06-27 true false RIKKI PATCH P01472231 5092420874 2025-07-09 2024 2025-03-06 01:10:19Z RURAL COLLABORATIVE ERIC MOLL 901 MOUNTAIN VIEW DRIVE SHELTON WA 98584 1663169 false X WWW.RURALCOLLABORATIVE.COM X 2004 WA TO ASSIST PUBLIC HOSPITAL DISTRICTS AND NONPROFIT HOSPITALS WITH THE CRITICAL ACCESS HOSPITAL DESIGNATION IN THE STATE OF WASHINGTON TO WORK COLLABORATIVELY TO STIMULATE INNOVATION AND AGILE PARTNERSHIPS THAT IMPROVE RURAL HEALTH CARE QUALITY, EFFICIENCY AND SUSTAINABILITY. 19 0 11 19 0 871335 729391 835421 826743 2193 59856 38683 47179 1747632 1663169 0 90013 80156 1042913 1058994 0 2459 561472 429999 1694398 1569149 53234 94020 1590165 1522584 262450 100849 1327715 1421735 X TO ASSIST PUBLIC HOSPITAL DISTRICTS AND NONPROFIT HOSPITALS WITH THE CRITICAL ACCESS HOSPITAL DESIGNATION IN THE STATE OF WASHINGTON TO WORK COLLABORATIVELY TO STIMULATE INNOVATION AND AGILE PARTNERSHIPS THAT IMPROVE RURAL HEALTH CARE QUALITY, EFFICIENCY AND SUSTAINABILITY. false false 1226025 826743 THE COLLABORATIVE SUPPORTS 28 HOSPITALS SERVING RURAL COMMUNITIES IN WASHINGTON. THE MEMBERS ARE ALL DEFINED AS RURAL PUBLIC HOSPITAL DISTRICTS, INCLUDING 25 CRITICAL ACCESS HOSPITALS. THE COLLABORATIVE MAINTAINS THE VIABILITY OF HEALTH CARE SERVICE DELIVERY IN RURAL AREAS OF WASHINGTON THROUGH SUPPORTING CLINICAL AND ADMINISTRATIVE LEADERS WITH QUALITY IMPROVEMENT, COMPLIANCE, PERFORMANCE, AND ADMINISTRATION. DURING 2024, THE COLLABORATIVE FOCUSED ON ESTABLISHING THE FOR PROFIT SUBSIDIARY, RURAL HEALTH ENTERPRISE, AND CONTINUING WORK WITH PAYER STRATEGY. THE COLLABORATIVE HAS BEGUN WORK WITH MOLINA IN AN ADMINISTRATIVE SIMPLIFICATION PROJECT. 1226025 true true false false false false false false false false false false true false true true false false false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 6 0 true 11 true false false false false false false false false false false false false X 19 0 false false false false true true false true true true false true true true true true true true true false X PETER OBERT 5645243837 901 MOUNTAIN VIEW DRIVE SHELTON WA 98584 X ELYA PRYSTOWSKY EXECUTIVE DI 40.00 X 202601 0 11644 TIANNA FALLGATTER CONTRACT SER 40.00 X 134373 0 8062 MARGARET MOORE MARKETING MA 40.00 X 101481 0 3044 ERIC MOLL CHAIR 1.00 40.00 X X 0 0 0 AARON EDWARDS VICE CHAIR 1.00 40.00 X X 0 0 0 MATT KOLLMAN SECRETARY/TR 1.00 40.00 X X 0 0 0 JENNIFER REED SEC/TREAS UN 1.00 40.00 X X 0 0 0 ROBERT MACH DIRECTOR 1.00 40.00 X 0 0 0 DIANE BLAKE DIRECTOR 1.00 40.00 X 0 0 0 SHANE MCGUIRE DIRECTOR 1.00 40.00 X 0 0 0 HEIDI ANDERSON DIRECTOR 1.00 40.00 X 0 0 0 MIKE GLENN DIRECTOR 1.00 40.00 X 0 0 0 JASON ADLER DIRECTOR 1.00 40.00 X 0 0 0 JONATHAN HATFIELD DIRECTOR 1.00 40.00 X 0 0 0 TYSON LACY DIRECTOR 1.00 40.00 X 0 0 0 MERRY-ANN KEANE DIRECTOR 1.00 40.00 X 0 0 0 RENEE JENSEN DIRECTOR 1.00 40.00 X 0 0 0 NATHAN STAGGS DIRECTOR 1.00 40.00 X 0 0 0 HANK HANIGAN DIRECTOR 1.00 40.00 X 0 0 0 JOSH MARTIN DIRECTOR 1.00 40.00 X 0 0 0 MATTHEW KEMPTON DIRECTOR 1.00 40.00 X 0 0 0 KIM MANUS DIRECTOR 1.00 X 0 0 0 438455 22750 3 false true false BRAD BECKER 4306 CADDYSHACK DR NE LACEY WA 98516 PAYER STRATEGY 101994 1 684391 25000 20000 729391 PROGRAM PARTICIPANT FEES 900099 459769 459769 PROGRAM FEES 900099 366974 366974 826743 59856 59856 OTHER REVENUE 900099 47179 47179 47179 1663169 826743 107035 X 80156 80156 216002 172802 41040 2160 670774 546544 124153 77 59841 52862 6891 88 38530 29022 9508 73847 61211 12550 86 42071 26400 15671 24937 24937 216809 205576 11233 4233 4233 27453 27453 35863 9135 26680 48 30525 26796 3729 28443 15521 12922 12237 12237 OTHER EXPENSE 7428 7428 1569149 1226025 340665 2459 95373 51363 650859 809891 131577 67386 250000 250000 69474 85844 250000 250000 142882 8100 1590165 1522584 112688 92749 5000 144762 8100 262450 100849 X 1327715 1421735 1327715 1421735 1590165 1522584 94020 X true X false true false X X X 19 ARBOR HEALTH 911033860 3 true 694 0 CASCADE MEDICAL 910856279 3 true 694 0 COLUMBIA COUNTY HEALTH SYSTEM 910741968 3 true 694 0 FERRY COUNTY 910879683 3 true 694 0 FORKS COMMUNITY HOSPITAL 916001732 3 true 694 0 JEFFERSON HEALTHCARE 910928081 3 true 694 0 KITTITAS VALLEY HEALTHCARE 910757683 3 true 694 0 KLICKITAT VALLEY HEALTH 916001738 3 true 694 0 LAKE CHELAN HEALTH 911196271 3 true 694 0 LINCOLN HOSPITAL 910758051 3 true 694 0 MASON GENERAL HOSPITAL 910836763 3 true 694 0 NEWPORT COMMUNITY HOSPITAL 910541383 3 true 694 0 OCEAN BEACH HOSPITAL 916001012 3 true 694 0 SKYLINE HOSPITAL 916000960 3 true 694 0 SNOQUALMIE VALLEY HOSPITAL 910908129 3 true 694 0 SUMMIT PACIFIC MEDICAL CENTER 911158307 3 true 693 0 WHIDBEY GENERAL HOSPITAL 910843135 3 true 693 0 WHITMAN HOSPITAL & MEDICAL CLINICS 911451777 3 true 693 0 WILLAPA HARBOR HOSPITAL 916002007 3 true 693 0 19 13182 0 true true false false false false false false false false false false false false false true false PART I, LINE 11H JEFFERSON HEALTHCARE 91-0928081 3 X 694 0 KITTITAS VALLEY HEALTHCARE 91-0757683 3 X 694 0 KLICKITAT VALLEY HEALTH 91-6001738 3 X 694 0 LAKE CHELAN HEALTH 91-1196271 3 X 694 0 LINCOLN HOSPITAL 91-0758051 3 X 694 0 MASON GENERAL HOSPITAL 91-0836763 3 X 694 0 NEWPORT COMMUNITY HOSPITAL 91-0541383 3 X 694 0 OCEAN BEACH HOSPITAL 91-6001012 3 X 694 0 SKYLINE HOSPITAL 91-6000960 3 X 694 0 SNOQUALMIE VALLEY HOSPITAL 91-0908129 3 X 694 0 SUMMIT PACIFIC MEDICAL CENTER 91-1158307 3 X 693 0 WHIDBEY GENERAL HOSPITAL 91-0843135 3 X 693 0 WHITMAN HOSPITAL & MEDICAL CLINICS 91-1451777 3 X 693 0 WILLAPA HARBOR HOSPITAL 91-6002007 3 X 693 0 PART IV, SECTION A, LINE 2 THE COLLABORATIVE SUPPORTS HOSPITALS THAT ARE GOVERNMENTAL ENTITIES OWNED AND OPERATED BY A PUBLIC HOSPITAL DISTRICT AND IS EXEMPT FROM TAXATION AS A POLITICAL SUBDIVISION OF THE STATE RATHER THAN IRC 501(C)(3). IF THE MEMBERS HAD NOT ALREADY BEEN DESIGNATED A POLITICAL SUBDIVISION OF THE STATE, THEY WOULD QUALIFY AS DESCRIBED IN IRC 170(B)(1)(A)(III) AS EXCLUDED FROM PRIVATE FOUNDATION STATUS UNDER IRC 509(A)(1). RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RURAL HEALTH ENTERPRISE 250000 250000 OPERATING LEASE LIABILITY 8100 8100 X SCHEDULE D, PAGE 3, PART X THE COLLABORATIVE IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT FOR INCOME, IF ANY, FROM ACTIVITIES UNRELATED TO THE COLLABORATIVES EXEMPT PURPOSE. THE COLLABORATIVE EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF DECEMBER 31, 2024 AND 2023, THE COLLABORATIVE HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. X X X false false false false false false false false false ELYA PRYSTOWSKY EXECUTIVE DIRECTOR 202601 11644 214245 FORM 990 - ORGANIZATION'S MISSION TO ASSIST PUBLIC HOSPITAL DISTRICTS AND NONPROFIT HOSPITALS WITH THE CRITICAL ACCESS HOSPITAL DESIGNATION IN THE STATE OF WASHINGTON TO WORK COLLABORATIVELY TO STIMULATE INNOVATION AND AGILE PARTNERSHIPS THAT IMPROVE RURAL HEALTH CARE QUALITY, EFFICIENCY AND SUSTAINABILITY. FORM 990, PAGE 6, PART VI, LINE 6 THE COLLABORATIVE HAS VOTING MEMBERS. VOTING MEMBERSHIP IS AVAILABLE TO PUBLIC HOSPITAL DISTRICTS AND RURAL HOSPITALS WITH THE CRITICAL ACCESS HOSPITAL DESIGNATION IN THE STATE OF WASHINGTON. FORM 990, PAGE 6, PART VI, LINE 7A VOTING MEMBERS EACH APPOINT ONE REPRESENTATIVE TO SERVE ON THE BOARD OF DIRECTORS, TYPICALLY THEIR OWN CEO. THE MEMBER HOSPITAL REPRESENTATIVES CONSTITUTE THE GOVERNING BOARD APPOINTED BY THE MEMBERS. FORM 990, PAGE 6, PART VI, LINE 9 ERIC MOLL 901 MOUNTAIN VIEW DRIVE SHELTON , WA 98584 AARON EDWARDS 110 S APPLE BLOSSOM DRIVE CHELAN, WA 98816 MATT KOLLMAN 211 SKYLINE DRIVE WHITE SALMON, WA 98672 JENNIFER REED 36 KLONDIKE ROAD REPUBLIC, WA 99166 ROBERT MACH 521 ADAMS AVENUE MORTON, WA 98356 DIANE BLAKE 817 COMMERCIAL STREET LEAVENWORTH, WA 98826 SHANE MCGUIRE 1012 S 3RD STREET DAYTON, WA 99328 HEIDI ANDERSON 530 BOGACHIEL WAY FORKS, WA 98331 MIKE GLENN 834 SHERIDAN PORT TOWNSEND, WA 98368 JASON ADLER 603 S CHESTNUT ST ELLENSBURG, WA 98926 JONATHAN HATFIELD 310 S. ROOSEVELT GOLDENDALE, WA 98620 TYSON LACY 10 NICHOLLS STREET DAVENPORT, WA 99122 MERRY-ANN KEANE 714 W PINE STREET NEWPORT, WA 99156 RENEE JENSEN 9801 FRONTIER AVENUE SE SNOQUALMIE, WA 98065 NATHAN STAGGS 101 N. MAIN STREET COUPEVILLE, WA 98239 HANK HANIGAN 1200 W. FAIRVIEW STREET COLFAX, WA 99111 JOSH MARTIN 600 E MAIN ST ELMA, WA 98541 MATTHEW KEMPTON PO BOX 438 SOUTH BEND, WA 98586 KIM MANUS 714 PINE ST NEWPORT, WA 99156 FORM 990, PAGE 6, PART VI, LINE 11B THE BOARD HAS DESIGNATED THE FINANCE COMMITTEE TO REVIEW AND APPROVE THE IRS FORM 990. A COPY OF THE 990 IS PROVIDED TO THE EXECUTIVE DIRECTOR AND FINANCE COMMITTEE WHO REVIEW THE FORM, SCHEDULES, AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER. ONCE MANAGEMENT IS SATISFIED WITH THE 990, A FINAL APPROVAL IS GIVEN TO THE PREPARER BEFORE FINALIZING THE RETURN. FORM 990, PAGE 6, PART VI, LINE 12C WHENEVER A DIRECTOR OR OFFICER HAS A FINANCIAL OR PERSONAL INTEREST IN ANY MATTER COMING BEFORE THE BOARD OF DIRECTORS, THE AFFECTED PERSON SHALL FULLY DISCLOSE THE NATURE OF THE INTEREST AND WITHDRAW FROM DISCUSSION AND VOTING ON THE MATTER. ANY TRANSACTION OR VOTE INVOLVING A POTENTIAL CONFLICT OF INTEREST SHALL BE APPROVED ONLY WHEN A MAJORITY OF DISINTERESTED DIRECTORS DETERMINE THAT IT IS IN THE BEST INTEREST OF THE CORPORATION TO DO SO. THE MINUTES OF MEETINGS AT WHICH SUCH VOTES ARE TAKEN RECORD SUCH DISCLOSURE, ABSTENTION AND RATIONALE FOR APPROVAL. FORM 990, PAGE 6, PART VI, LINE 15A THE MAIN SOURCE AVAILABLE TO THE COLLABORATIVE IN REGARD TO FAIR MARKET VALUE IN COMPENSATION IS THE NATIONAL COOPERATIVE OF HEALTH NETWORK (NCHN) SURVEY. NCHN CONDUCTS A SALARY SURVEY EVERY TWO YEARS REGARDING TOP OFFICIAL COMPENSATION. FORM 990, PAGE 6, PART VI, LINE 15B SEE FORM 990, PART VI, LINE 15A. FORM 990, PAGE 6, PART VI, LINE 19 THE COLLABORATIVE MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII COMPENSATION BY RELATED ORGANIZATIONS OF THE BOARD MEMBERS LISTED IN 990, PART VII CAN BE FOUND ON THE DOH WEBSITE BY CLICKING ON THE PARTICULAR YEAR, AND PARTICULAR MEMBER AS LISTED AT SCHEDULE A, PART I, LINE 12H AT THE FOLLOWING URL: HTTPS://WWW.DOH.WA.GOV/DATAANDSTATISTICALREPORTS/HEALTHCAREINWASHINGTON/HOS PITALANDPATIENTDATA/HOSPITALFINANCIALDATA/HOSPITALEMPLOYEECOMPENSATION FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES 205,576 11,233 0 SEE MEMBER LISTING AT SCH A PART I HEALTHCARE WA GOVT 3 N/A false RURAL HEALTH ENTERPRISE LLP 365 COOPER POINT RD NW STE 102 OLYMPIA WA 98502 921649387 HEALTHCARE WA N/A EXCLUDED -180022 322260 false true 0.91240 true true false true false false false false false false true true true false true true false false false RURAL HEALTH ENTERPRISE A 20946 GAAP ACCOUNTING RURAL HEALTH ENTERPRISE D 250000 GAAP ACCOUNTING RURAL HEALTH ENTERPRISE L 176055 GAAP ACCOUNTING MASON GENERAL HOSPITAL M 101994 GAAP ACCOUNTING RURAL HEALTH ENTERPRISE O 157100 GAAP ACCOUNTING SEE MEMBER BREAKOUT AT SCHA PART I P 80156 GAAP ACCOUNTING