Leaders in health transformation.

About The Rural
Collaborative

Honest sharing is the heartbeat of the Rural Collaborative. Our members are united by a core belief—when we work together, we thrive together. Through open communication and mutual support, we work collectively to advance rural healthcare and strengthen the communities we serve.

Founded in 2003 by eight rural public hospital districts in Washington State, the Collaborative has grown into a powerful network where interdependence drives innovation and value. Members exchange ideas, share best practices, and support one another to deliver high-quality care in challenging environments. Our programs generate meaningful financial benefits, resulting in shared savings and reduced operational costs. Backed by a dedicated staff, TRC members continue to learn from one another, solve problems together, and lead the way in rural healthcare excellence. Year after year, our work proves that collaboration is not only practical, but powerful. 

At our 2025 Board Retreat, we committed to these strategic goals:

  1. Interdependence: Members regularly participate in initiatives to achieve financial savings, increased operational efficiencies, and mitigate external threats.
  2. Rural Payer Contracting: Establish fair and sustainable agreements between healthcare payers and rural providers, reducing administrative burdens for both parties, creating value and financial viability for members. 
  3. Access to Care: A strong, well-trained, quality rural workforce enhances access to care and improves patient outcomes. 

Our Vision

To accelerate the advancement of rural healthcare

Our Values

Our Purpose

Our Mission

We defend, create and design the future of rural health care through collective strategy and action.