Three Rivers Hospital

What Three Rivers Hospital does

Three Rivers Hospital is a public, not-for-profit Critical Access Hospital operated by Public Hospital District No. 1 of Okanogan and Douglas Counties, Washington, serving a 2,500-square-mile district—the largest geographically in Washington state—across nine rural communities from Brewster to Mazama to Mansfield. Founded in 1949 and headquartered in Brewster at the confluence of the Columbia, Okanogan, and Methow rivers, the hospital operates a 24/7 Level IV Trauma emergency department alongside surgical, laboratory, radiology, wound care, transitional care (swing bed), and family medicine services delivered through its wholly-owned Three Rivers Family Medicine clinic, which holds a Rural Health Clinic designation (2020). It is governed by a five-member publicly elected Board of Commissioners and funded by a combination of patient service revenue, a permanent property tax levy at $0.4693 per $1,000 of assessed value, and a voter-approved excess levy generating $1.46 million for ER operations.

The technology stack is standard for a Critical Access Hospital: electronic medical records via the MyCareCorner patient portal, a 32-slice CT scanner upgraded in 2015, Siemens 3D mammography acquired in 2021 via a $50,000 grant, mobile MRI service, and a real-time telestroke integration with Providence Health in Spokane providing 24/7 specialist access. The hospital extends clinical capacity through interlocal agreements with North Valley Hospital (2018, ancillary/therapy staffing), Mid-Valley Hospital (2020, laboratory and orthopedics via Dr. Stephen White), and Lake Chelan Hospital (2025, shared software). Quality improvement is anchored by the Bridge to Excellence program in partnership with Virginia Mason Institute (launched 2023), which has translated into consecutive American Heart Association Get With The Guidelines-Stroke recognitions (Silver Rural 2024, Gold Rural 2025). Patient-facing digital channels include online cost estimation, an online payment portal, and the MyCareCorner portal, supported by 24/7 InDemand interpreting across 180 languages.

The business model is a hybrid fee-for-service plus public subsidy model. Patient service revenue flows from emergency care, surgery, laboratory, radiology, and outpatient diagnostics billed to Medicare, Medicaid, and commercial insurers under CAH cost-based Medicare reimbursement. Property tax levies provide approximately 5% of total annual revenue through the permanent levy and additional funding via the excess levy (currently 33¢ per $1,000, projected at $1.46M for 2027). Financial assistance includes 100% charity care for patients at or below 300% of the federal poverty level, uninsured discounts, and Help Financial 0% APR payment plans over 12-36 months. The hospital currently employs 101-250 staff and is preparing a hybrid renovation project backed by a proposed $45 million general obligation bond on the November 4, 2025 ballot, alongside an August 4, 2026 levy renewal measure to maintain 24/7 ER operations funding.

Name

Three Rivers Hospital

Legal name

Public Hospital District No. 1 of Okanogan and Douglas Counties, Washington

Website

https://threerivershospital.net

Company type

Private

Founded year

1949

Operating status

Operating

Headcount range

101–250 employees

Short description

Three Rivers Hospital is a public, not-for-profit Critical Access Hospital in Brewster, Washington, serving the largest geographic hospital district in Washington state (2,500 square miles, 9 rural communities) with 24/7 emergency care, surgery, laboratory, radiology, wound care, transitional care, and family medicine.

Ownership category

akta.pro rank

Product category

Rural Hospital and Critical Access Healthcare Services

NAICS

General Medical and Surgical Hospitals (6221)

SIC

Services-Hospitals (8060), Services-General Medical & Surgical Hospitals, Nec (8062)

akta.pro primary industry

Critical Access & Rural Hospitals (HLAFAAAG)

akta.pro secondary industry

Community & Regional General Hospitals (HLAFAAAB)

Keywords

• Critical access hospital
• Emergency medical services
• Rural healthcare delivery
• Diagnostic imaging services
• Swing bed care

Headquarters

HQ city

Brewster

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales, Supply Chain

Revenue model

1. Patient Services Revenue: Fee-for-service revenue from emergency care, surgery, laboratory, radiology, and other medical services billed to patients and insurance providers
2. Regular Property Tax Levy: Permanent annual property tax levy of $0.4693 per $1,000 assessed value providing approximately 5% of total annual revenue, in place for decades
3. Excess Levy for Emergency Room: Annual voter-approved excess property tax levy specifically earmarked for 24/7 Emergency Room operations, currently at 33 cents per $1,000 generating $1.46 million for collection in 2027
4. Financial Assistance Programs: Provides 100% charity care for patients within 300% federal poverty level, uninsured discounts, and payment plan options through Help Financial at 0% APR

Pricing tiers

Go-to-market motion2 records

Distribution channels5 records

Marketing channels6 records

Core offering

Three Rivers Hospital is a public, not-for-profit Critical Access Hospital providing 24/7 emergency care, surgical services, laboratory and radiology diagnostics, advanced wound care, transitional care (swing bed), primary and specialty clinic care through Three Rivers Family Medicine, and language assistance services to rural communities across Okanogan and Douglas counties in Washington state. The hospital also operates community health programs including a medication disposal kiosk and provides financial assistance through charity care and 0% APR payment plans.

Product overview

Three Rivers Hospital is a public, not-for-profit Critical Access Hospital serving a district bridging Okanogan and Douglas counties in Washington. The hospital operates as a single integrated facility offering emergency care, laboratory, radiology, surgery, wound care, transitional care, and language assistance services as core offerings. These services are delivered through an integrated model where the hospital's emergency department, acute care, surgical services, and diagnostic imaging operate alongside affiliated clinic services including Three Rivers Family Medicine, gynecology, orthopedics, and specialty care. Financial assistance and billing services are integrated with patient care operations. The hospital also provides community health resources and operates a medication disposal program. Services are coordinated with partner facilities for specialized testing (Quest Diagnostics, Cellnetix), blood supplies (American Red Cross), and advanced stroke care (Providence Health telestroke).

Differentiator

Problem solved

Functional benefit

Products and services

• Emergency Care 24/7 Emergency Department providing Level IV Trauma Center services and emergent cardiac care to rural communities across the hospital district. Patients with multi-system trauma, complicated head injuries, burns, or cardiac events are stabilized and transferred to appropriate facilities as needed.
• Laboratory Services Comprehensive diagnostic testing including hematology (CBC), coagulation (PT/INR), chemistry (glucose, cholesterol), blood bank, microbiology, and serology. Open 24/7 with on-call emergency services for inpatients and outpatients.
• Radiology and Imaging Services Advanced imaging including a 32-slice CT scanner, MRI (mobile service every other Tuesday and every fifth Monday), digital fluoroscopy, ultrasound, echocardiograms, and Siemens 3D mammography with dedicated breast ultrasound for early and accurate detection.
• Surgical Services General, orthopedic, and gynecology surgery with board-certified general surgeon Dr. Eric Ebaugh, providing laparoscopic and open procedures with various anesthesia options including CRNA-delivered anesthesia services.
• Advanced Wound Care Comprehensive wound healing center treating diabetic foot ulcers, venous ulcers, pressure ulcers, non-healing surgical wounds, arterial/ischemic ulcers, traumatic wounds, infected wounds, and crush injuries, with care delivered by PA-C Greg Fisk.
• Transitional Care / Swing Bed Skilled nursing and rehabilitation services following hospitalization for injuries, surgery, or acute illness. Medicare covers up to 20 days in full and up to 80 additional days with co-payment; serves as alternative to short-term nursing home care for Medicare patients meeting qualifying criteria.
• Financial Assistance and Charity Care 100% financial assistance for hospital-based services and medically necessary care for eligible patients at or below 300% federal poverty level who complete an application, plus uninsured discounts and payment plan options to ensure access to care.
• Language Assistance Services In-person Spanish interpreting Monday through Friday plus 24/7 online interpreting through InDemand Interpreting, providing access to 180 languages including 9 with video conference capabilities and American Sign Language.
• Billing and Payments Online payment system with secure account portal, insurance billing to Medicare, Medicaid, and commercial insurers, and HELP Financial 0% APR payment plans with 12–36 month terms ($25 minimum monthly payment) to help patients afford out-of-pocket medical expenses.
• Nursing Services 24/7 professional nursing unit staffed with charge nurse, ER nurse, acute care nurse, certified nursing assistants, and unit secretary, providing inpatient and emergency nursing care, including DAISY Award recognition for extraordinary nurses.
• Three Rivers Family Medicine Rural Health Clinic adjacent to the hospital providing primary care, gynecology, orthopedics, and specialty services through board-certified physicians, operating as a department of Three Rivers Hospital.

Quantifiable outcome

• Gold Rural Recognition Award 2025 from American Heart Association Get With The Guidelines - Stroke program
• +3 more outcomes

Named customers1 record

Segments6 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration6 records

Feature6 records

Partnerships

Seven partnerships are on record, tiered minor and core.

• Lake Chelan HospitalminorStrategic or Co-development Partner · 1 January 2025Interlocal agreement for software services enabling shared technology infrastructure.
• Virginia Mason InstitutecoreStrategic or Co-development Partner · 1 January 2024Quality improvement partnership through the Bridge to Excellence program. Provides Lean healthcare methodology training and improvement consulting for staff and leadership.
• Mid-Valley HospitalcoreStrategic or Co-development Partner · 1 January 2020MOU for laboratory services and equipment sharing, plus interlocal agreements for orthopedic services. Dr. Stephen White provides orthopedic services through this partnership.
• North Valley HospitalcoreStrategic or Co-development Partner · 1 January 2018Interlocal agreements providing ancillary and therapy staffing, administrative and management staffing, and general surgical services. Enables resource sharing between rural hospitals.
• American Rx GroupminorOthers · 1 January 2018Medication disposal kiosk partnership funded by $10,000 grant from North Central Accountable Communities of Health (NCACH). Provides safe medication disposal for community.
• Providence HealthcoreTechnology or IntegrationTelestroke partnership providing 24/7 real-time access to stroke specialists for rapid diagnosis and treatment guidance at Three Rivers Hospital.
• Help FinancialminorOthersPatient financing partner providing 0% APR payment plans for 12-36 months to help patients afford out-of-pocket medical expenses.

Scale indicators7 records

Recent moves8 records

Expansion highlights5 records

Direct peers

• Samaritan Healthcare: Public hospital district serving Moses Lake and Grant County, WA. Comparable rural/community hospital with 24/7 emergency services and a similar payer mix in central Washington.
• Lake Chelan Hospital: Critical Access Hospital in Chelan, WA. Direct software services interlocal partner; another public hospital district serving a small rural Washington community with a comparable service portfolio.
• North Valley Hospital: Critical Access Hospital in Tonasket, WA. Direct interlocal partner for ancillary, therapy, and management staffing; similar rural, public-district governance and comparable scale.
• Coulee Medical Center: Critical Access Hospital in Grand Coulee, WA. Comparable small rural CAH where Three Rivers' CEO previously served as CEO and COO Jamie Boyer previously led revenue cycle, indicating strong operational comparability.
• Mid-Valley Hospital: Critical Access Hospital in Omak, WA. Direct interlocal partner providing laboratory, orthopedic, and equipment-sharing services; serves an adjacent rural Okanogan County catchment with comparable CAH service mix.
• Whitman Hospital & Medical Center: Critical Access Hospital in Colfax, WA. Public hospital district comparable in scale, services, and rural Washington operating environment to Three Rivers Hospital.

Others

• PeaceHealth: Regional health system in the Pacific Northwest; employs Three Rivers Board Vice Chair Cherri Thomas and represents the broader ecosystem of Northwest hospitals that recruit from and refer to small rural facilities like Three Rivers.
• Virginia Mason Franciscan Health: Large health system whose Virginia Mason Institute delivers Three Rivers' Bridge to Excellence Lean quality program; comparable in quality methodology but not a direct service competitor.

Broad incumbents

• Providence Health & Services: Large regional health system providing telestroke partnership to Three Rivers; comparable in providing tertiary and specialty care that rural CAHs depend on, while operating at significantly larger scale.
• Confluence Health: Regional health system serving Wenatchee and north central Washington. Larger incumbent provider whose Wenatchee Valley Medical Group previously employed Three Rivers' general surgeon; overlapping catchment creates referral and competition dynamics.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/3rivershospital
• Facebookfacebook.com/ThreeRiversHospital
• LinkedInlinkedin.com/company/three-rivers-hospital-brewster

Compliance5 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Three Rivers Hospital