HealthQuest - Fall 2026 by Skagit Regional Health

FALL 2026

A PU B LICATIO N O F

More than weight loss

How GLP-1 medications may help you live better, longer Page 6

Are infertility, acne and weight gain connected? When to seek care for PMOS Page 10

Understanding congestive heart failure

What to watch for— and why early care matters Page 12

Foundation launches $3.5M campaign for Cancer Care Page 20

Right here. Right for you. About Skagit Regional Health Skagit Regional Health, Public Hospital District #1, is a community-owned entity governed by local citizens through a publicly elected Board of Commissioners. Public Hospital District #1 Board of Commissioners: • Peter Browning • Frei Burton, Chair • Sam Irons • Barbara Jensen • Bruce Lisser • Gary Shand • Monira Vakil, DO The Board of Commissioners may be reached at srhboard@ skagitregionalhealth.org. Skagit Regional Health includes Skagit Valley Hospital, Cascade Valley Hospital and more than two dozen clinic locations in Skagit, north Snohomish and Island counties. With more than 3,600 staff and providers, including 330 employed physicians and advanced practice providers, Skagit Regional Health is Skagit County’s largest employer. Skagit Regional Health is committed to providing and enhancing healthcare services and has a vision to improve lives through compassionate and innovative healthcare. For more information about Skagit Regional Health, visit SkagitRegionalHealth.org. HealthQuest is published by Skagit Regional Health. It is intended to provide information about general health and resources. To reach the editor, contact marketing@ skagitregionalhealth.org or call 360-814-2424.

At Skagit Regional Health, our mission as a public hospital district is to provide highquality, compassionate care that meets the needs of the people and communities we serve. The theme for this issue of HealthQuest captures this commitment in five simple words: Right here. Right for you. “Right here” reflects our promise to keep care close to home whenever possible. As healthcare continues to evolve, we will invest in services, technology and expertise to provide care close to the communities where you live, work and raise your families. “Right for you” reflects our commitment to listening, understanding and delivering care that is personalized to your unique needs and circumstances. This issue of HealthQuest highlights what this promise looks like in action. You’ll read about: • Advanced prostate cancer imaging and treatment options now available locally. • Polyendocrine metabolic ovarian syndrome (PMOS), a common but often overlooked condition, and how early diagnosis and expert care help women improve their health and quality of life.

• Heart failure, including warning signs and treatment options that help patients live healthier lives. • GLP-1 medications and trusted, local insight into how these treatments are improving overall health and wellness when used as part of a broader care plan. • The SRH Foundation’s $3.5 million capital campaign and its efforts to fund advanced cancer care. Each story you read reflects our earnest commitment to being present, listening to our communities and responding to their needs. As your public hospital district, we are dedicated to ensuring that exceptional, patient-centered care is available when and where you need it. Because healthcare should be personal. It should be accessible. And it should be delivered by people who understand the communities they serve. Our promise is to be: Right here. Right for you.

Brian Ivie President & Chief Executive Officer Skagit Regional Health

Exceptional healthcare, always.

Improving lives through compassionate and innovative healthcare.

THE

In this issue ACCESS 4 Digital tools that make care easier

38TH ANNUAL

SKAGIT REGIONAL HEALTH INFORMATION 13 News and local updates

PATIENT CARE 6 More than weight loss How GLP-1 medications may help you live better, longer

14 Welcome, new providers

8 Advanced prostate cancer care that’s right here, right for you How Skagit Regional Health is bringing advanced therapies close to home

SKAGIT REGIONAL HEALTH FOUNDATION 17 New trustees

15 When care comes to you 16 Resources for healthy living

18 ParTee Golf Classic results

10 Weight gain, infertility and acne: Could they be connected? Understanding PMOS and when to seek care

19 Community donations

12 Understanding congestive heart failure Knowing the symptoms and connecting with care early can help patients feel better and stay active

COMMUNITY FOCUS 23 Letter from the Board of Commissioners

20 Capital campaign kick-off 22 Donor spotlight

Upcoming changes to Washington Apple Health Washington Apple Health (Medicaid) members should be aware of important changes coming in October 2026 and January 2027. Some people may see changes to eligibility requirements, coverage renewals and retroactive coverage. In addition, certain adults may be required to renew coverage more frequently and meet new work or community engagement requirements to maintain benefits. The most important step members can take now is to make sure their mailing

SKAGIT REGIONAL HEALTH FOUNDATION’S

address, phone number and email address are up to date with the Washington Health Care Authority. Visit hca.wa.gov, where you can view and change your information. This helps ensure you receive important notices and renewal information. Don’t wait until a deadline arrives. Watch for communications from Apple Health and respond quickly to requests for information.

Scan the QR code for Apple Health information.

Excellence Compassion Integrity Sustainability Equity

IN PARTNERSHIP WITH

SAINT JOSEPH CENTER 215 N 15TH ST | MOUNT VERNON

FRIDAY, NOVEMBER 27, 5 P.M.

GALA SPONSOR

SATURDAY NOVEMBER 28 10 A.M. – 4 P.M.

LIVE AUCTION SPONSOR

FESTIVAL DAYS

SUNDAY NOVEMBER 29 10 A.M. – 2 P.M.

Supporting Advanced Cancer Care Services at Skagit Regional Health

Access

Digital tools From checking urgent care wait times to scheduling appointments online, Skagit Regional Health offers more ways to find, manage and understand your care. When you need care, the last thing you want is uncertainty. Maybe you’re wondering how long the urgent care wait will be, trying to fit an appointment into a busy schedule or searching for answers after a visit. The easier it is to find information and take the next step, the easier it is to focus on your health. That’s why Skagit Regional Health continues to offer more digital tools that help you manage appointments and stay informed. We aim to add convenience and flexibility, not to replace personal support. You can still call us, walk in or ask one of our staff members for help whenever you like.

Check urgent care wait times with On My Way If you need prompt attention for an illness or minor injury, On My Way can help you decide where to go, and fast. The online tool shows estimated wait times at all three Skagit Regional Health urgent care locations in Mount Vernon and Smokey Point. You can choose a location, reserve an estimated spot in line and let the care team know you are coming. Anyone can use On My Way, including first-time patients. A MyChart account is not required. Patients still check in when they arrive, but entering information ahead of time can make the process faster. Wait times are estimates rather than guarantees. Because patients with more urgent medical needs are seen first, someone who arrives later may occasionally be treated sooner. Walk-ins are always welcome.

skagitregionalhealth.org

FALL 2026

that make care easier Book visits with online scheduling Current patients can now selfschedule select appointments through MyChart, while new patients can self-schedule even before creating a MyChart account. Available options include Family Medicine, Internal Medicine and Pediatrics. Established patients with a provider’s order or eligible health reminder may also selfschedule certain mammogram and imaging appointments through MyChart. Even more convenience is ahead. Self-scheduling for specialty visits is planned for next year, expanding the number of appointments you can book online. Until then, you may continue to call or submit an online appointment request form.

mychart.skagitregional...

Find a Doctor

Choose a specialty to start looking for providers.

Family Medicine

Internal Medicine

Pediatrics

Stay connected with text and email notifications

Make more room for conversation with Abridge

Did you know you can receive secure text* and email notifications about your appointments, health reminders, bills and proxy accounts you manage for family members? You can confirm, cancel or reschedule most appointment types with a simple text message reply. A MyChart account is not required to receive these notifications. To opt in to text messages, simply text START to 769364. You may opt out anytime by sending STOP. Communication preferences may also be updated through MyChart or with help from your care team.

Many of our Skagit Regional Health providers use Abridge, an approved, HIPAA-compliant note-taking tool. With your consent, Abridge securely assists with clinical notes so your provider can spend less time typing and more time listening to you and answering your questions. Together, all of these digital tools support a simpler, more connected care experience for you—before, during and after your appointment.

* Text messages related to your relationship with Skagit Regional Health, including updates to your visits, MyChart account, one-time passcode, outstanding balances and care management, will be sent to the phone number provided. Message and data rates may apply. Message frequency may vary. For help, text HELP and text STOP to opt out of notifications. Please review terms and conditions at SkagitRegionalHealth.org/Terms.

Need MyChart support? If you experience issues with MyChart, you may call technical support at 360-814-6259 or email mychart@skagitregionalhealth.org Monday through Friday, 8 a.m. to 4:30 p.m. Please allow up to two business days for a return call.

Feature

More than weight loss

How GLP-1 medications may help you live better, longer “The ultimate goal isn’t simply a number on a scale. It’s helping patients improve their health, quality of life and longterm well-being.” Jaya DeElena, ARNP

For many people, the biggest benefit of GLP-1 medications isn’t what they lose. It’s what they get back. The energy to take a walk. The stamina to keep up with activities. Less joint pain. Better sleep. Greater mobility. While GLP-1 medications have become well-known for helping people lose weight, the possibilities are so much bigger. Originally developed to treat type 2 diabetes, these medications are increasingly helping patients manage chronic conditions, improve overall health and maintain the lifestyles they value most.

“When most people hear about GLP1 medications, they think about weight loss. But weight loss is only one part of the story,” said Jaya DeElena, ARNP, who provides family medicine care at Skagit Regional Health - Smokey Point. Health benefits beyond the scale GLP-1 medications work by mimicking hormones that help regulate blood sugar, slow digestion and signal fullness to the brain. Researchers have since discovered that these medications can affect much more than appetite and weight.

FALL 2026

Research shows that certain GLP-1 medications can improve blood sugar control and reduce the risk of major cardiovascular events such as heart attacks and strokes. They can also help protect kidney function in some patients. Newer medications have also shown benefits for people with obstructive sleep apnea, helping improve sleep quality and overall well-being. But for many patients, the most meaningful improvements aren’t found in lab results or on a scale. For older adults, better health can mean something priceless: maintaining the strength, mobility and independence needed to keep doing the things they love. “GLP-1 medications can be an incredibly valuable tool, but they are not a one-size-fits-all solution or a quick fix,” DeElena said. “The goal should be meaningful health improvements, not just a lower number on the scale.” Understanding the limitations GLP-1 medications are not right for everyone. Side effects such as nausea, constipation, diarrhea and stomach discomfort can occur, especially during the first weeks of treatment. Results can vary from person to person, and successful treatment requires realistic expectations and ongoing medical guidance. Most importantly, these medications work best as part of a broader wellness plan that includes healthy eating, physical activity, quality sleep and regular follow-up care.

As researchers continue to learn more, one thing is becoming clear: GLP-1 medications are changing the conversation around health. They’re not simply about losing weight. They’re about helping people manage chronic disease, preserve independence and live healthier, fuller lives.

Talk with your primary care provider about your health goals, medical history and treatment options. Together, you can determine whether a GLP-1 medication is appropriate for your situation and how it might fit into a personalized plan for your long-term health and well-being.

Benefits of GLP-1 medications GLP-1 medications do more than help people lose weight. Depending on the medication and patient, they may improve blood sugar control, support heart and kidney health and help reduce symptoms of obstructive sleep apnea. Many patients also experience benefits that are harder to measure but easier to feel: more energy, better mobility, less joint pain, improved sleep and greater independence. While not right for everyone, GLP-1 medications can be a valuable tool for managing chronic disease and improving overall quality of life when combined with healthy lifestyle habits and ongoing medical care.

Scan the QR code to hear Jaya DeElena, ARNP, explain how GLP-1 medications work and what to consider before beginning treatment.

Service Spotlight

Advanced prostate cancer care that’s

“Seeing Jim’s PSA level plummet, while he continues to feel well, is a huge part of that success. We are thrilled to provide this treatment here.” Michal Whiton, MD Radiation oncologist

right here, right for you

Patients with advanced prostate cancer now have more options for leadingedge cancer treatments locally. Skagit Regional Health is bringing advanced therapies close to home, making it easier for patients across Northwest Washington to receive specialized care while staying connected to the people and communities that support them. For Thomas “Jim” Grant of Concrete, this local access has made a meaningful difference. When treatment options become more limited Jim’s prostate cancer journey began two and a half years ago when a blood test revealed a prostate-specific antigen (PSA) level of 195 ng/mL, nearly 50 times higher than the normal range, leading to a diagnosis of advanced prostate cancer. He was referred to the Skagit Regional Health Cancer Care Center, where he began treatment designed to slow his cancer progression. At first, those treatments worked well. Over time, however, the cancer became less responsive to chemotherapy, and Jim’s care team recommended a newer treatment option called Pluvicto. Today, after six Pluvicto treatments, Jim’s PSA level has dropped to 0.06 ng/mL. “I consider that effective,” Jim said with a smile. Advanced cancer care, right here Pluvicto is a targeted type of radiation therapy for patients with advanced prostate cancer that has spread to other parts of the body. It

ignores normal cells and attaches only to prostate cancer cells. Once attached, it releases tiny waves of radiation, destroying the cancer cells while keeping the surrounding healthy tissue safe from damage. Before receiving Pluvicto, patients undergo an advanced imaging test that helps doctors identify prostate cancer cells throughout the body. In addition to a blood test, these tests help determine whether a patient is a candidate for this treatment. “Targeted treatments like Pluvicto are changing the way we fight cancer. Seeing Jim’s PSA level plummet, while he continues to feel well, is a huge part of that success. We are thrilled to provide this treatment here,” said Michal Whiton, MD, radiation oncologist at Skagit Regional Health Cancer Care Center. Offering Pluvicto and other radiopharmaceutical therapies represents Skagit Regional Health’s ongoing investment in bringing advanced specialty care to the communities it serves. In the past, many patients would have traveled to Seattle multiple times for this treatment. For patients already dealing with cancer and its physical and emotional toll, those trips can add hours of driving, transportation costs and additional stress for both patients and caregivers. Now, patients can receive that care much closer to home.

See page 20 for more information on the Skagit Regional Health Foundation’s new $3.5 million Cancer Care Capital Campaign.

FALL 2026

Know the signs of prostate cancer

Investing in the future of cancer care

The availability of Pluvicto is just one example of how cancer care continues to advance at Skagit Regional Health. The Cancer Care Center already provides sophisticated radiation treatment using a linear accelerator, or LINAC, which delivers radiation with precision to target cancer while protecting surrounding healthy tissue. Looking ahead, Skagit Regional Health and the Skagit Regional Health Foundation are preparing for the next generation of cancer treatment through an ambitious campaign to invest in advanced technology. The Foundation has committed to raising $3.5 million to support the purchase of a next-generation Elekta Evo linear accelerator. The new technology will bring several significant advances to local cancer care, including

rapid high-resolution imaging, adaptive radiation therapy that can automatically adjust treatment plans to changes in a patient’s anatomy or tumor and real-time tumor tracking that helps clinicians target cancer more precisely than ever before. These capabilities are designed to improve treatment accuracy, support better outcomes and expand access to advanced radiation therapy for patients throughout the region. For patients like Jim, these investments mean more than new equipment. They represent a future where more patients can receive world-class cancer care without leaving their community, support system and loved ones behind. That’s the power of providing advanced care that’s right here, right for you.

Prostate cancer often develops slowly and may not cause symptoms in its early stages. When symptoms do occur, they can include difficulty starting or stopping urination, a weak urine stream, frequent urination (especially at night), blood in the urine, pelvic discomfort or pain in the hips, back or other areas if the cancer has spread. These symptoms can also be caused by noncancerous conditions, which is why it’s important not to ignore them. Talk to your primary care provider if you’re experiencing these symptoms or have concerns about your prostate health. Early evaluation can help identify problems sooner and determine the best next steps for your care.

Scan the QR code to hear urologist Kyle Schuyler, MD, explain the signs and symptoms of prostate cancer and treatment options, including robotic surgery.

Women’s Health

Weight gain, infertility and acne: Could they be connected?

Understanding PMOS and when to seek care

“There are things that are out of your control, and we’re on your side. ... Recognizing the symptoms early gives us an opportunity to help women improve their long-term health and quality of life.” Daniela Abreu, DO, MS OB/GYN

Do you have irregular periods? Struggle with acne, unwanted facial hair, weight gain that won’t budge despite healthy eating habits or difficulty getting pregnant? If so, you’re not alone, and there may be an underlying reason for all these seemingly unrelated symptoms. A condition long known as polycystic ovary syndrome (PCOS) has recently been renamed polyendocrine metabolic ovarian syndrome (PMOS) to better reflect what healthcare providers have known for years. This condition affects far more than a woman’s ovaries. “Many women think this is only a fertility or menstrual condition, but PMOS can affect several systems throughout the body,” said Daniela Abreu, DO, MS, obstetrics and gynecology physician at Skagit Regional Health. “Recognizing the symptoms early gives us an opportunity to help women improve their longterm health and quality of life.” PMOS affects millions of women and is one of the most common hormonal disorders among women of reproductive age. Yet many women spend years struggling with symptoms before receiving a diagnosis.

More than ovarian cysts The new name addresses one of the biggest misconceptions of the condition—that ovarian cysts cause PMOS—and brings greater clarity to how the condition actually begins. “PMOS really starts with the brain,” Dr. Abreu said. “A missignaling there can affect hormones, metabolism, the ovaries and other systems throughout the body.” The small follicles sometimes seen on ultrasounds are simply one possible sign of the condition. Some women with PMOS have them, while others do not. That’s why providers look at the whole picture, not just imaging results. Signs you shouldn’t ignore PMOS can look different from one woman to the next. Common symptoms include: • Irregular or infrequent menstrual periods • Heavy bleeding when periods do occur • Difficulty becoming pregnant • Acne that persists beyond the teenage years

FALL 2026

• Excess facial or body hair growth • Thinning hair or hair loss on the scalp • Weight gain or difficulty losing weight • Darkened patches of skin, often around the neck or underarms “Everyone has a different presentation when they first arrive,” Dr. Abreu said. “We go over their symptoms, screen them and can make a diagnosis.” Because PMOS affects multiple body systems, there is no single test that confirms the diagnosis. A provider will review symptoms, medical history, bloodwork and, in some cases, imaging studies, while ruling out other causes. Why early diagnosis matters While irregular periods and fertility concerns often receive the most attention, PMOS can have important health implications that extend far beyond reproductive health. Women with PMOS are at increased risk for: • Insulin resistance • Type 2 diabetes • High blood pressure • Cardiovascular disease • Sleep apnea • Depression and anxiety • Fertility challenges • Endometrial (uterine) cancer “The condition can affect how the body processes insulin, which influences everything from blood sugar to weight management,” Dr. Abreu said. Without treatment, these risks can increase over time. That’s why early recognition is so

important, particularly for teens with irregular periods, women struggling with infertility and women who have persistent difficulty managing their weight despite healthy habits. “It can feel really discouraging when you’re trying to lose weight on your own, and you’re unsuccessful,” Dr. Abreu said. “This is not your fault. There are things that are out of your control, and we’re on your side.” Just as important as addressing physical symptoms is supporting emotional health. Women with PMOS may experience depression, anxiety, body-image concerns and the emotional toll of ongoing health struggles. Personalized care The good news: PMOS is highly manageable, especially when women connect with the right care team early. Skagit Regional Health Women’s Health providers work with women to develop individualized treatment plans based on their symptoms, health goals and stage of life. “If the goal is to have more regular cycles, we can address that,” Dr. Abreu said. “If the goal is fertility, we address that. If it’s working on weight loss or regulating insulin resistance, we talk about those aspects as well.” Treatment options may include:

• Medications such as metformin to improve insulin sensitivity • GLP-1 medications for eligible patients to improve metabolic health and support weight management • Healthy lifestyle strategies focused on nutrition and physical activity • Fertility treatments when pregnancy is desired Depending on a patient’s needs, care may also involve endocrinology, dermatology or reproductive specialists. You don’t have to struggle alone PMOS is a chronic condition, but it is also a manageable one. The earlier women recognize symptoms and seek care, the more opportunities they have to reduce longterm health risks and improve their overall well-being. “There are many different things we can do to reduce the risk of developing severe complications,” Dr. Abreu said. If you have been experiencing irregular periods, fertility challenges, unexplained weightmanagement struggles, acne or other symptoms, talk with your primary care provider or a Skagit Regional Health Women’s Health provider. If you need help finding a provider, call 360-848-5555.

• Hormonal birth control to regulate menstrual cycles and protect the uterine lining

Scan the QR code to hear Daniela Abreu, DO, MS, explain what causes PMOS and how the right care can help manage symptoms.

Cardiology

Understanding congestive heart failure

Scan the QR code to hear cardiology provider Graham Meeks, ARNP, explain the signs of congestive heart failure and how it can be managed.

Knowing the symptoms and connecting with care early can help patients feel better and stay active While “heart failure” can sound frightening, it doesn’t mean the heart has stopped. It’s important to know that many patients continue to live active and fulfilling lives. Congestive heart failure (CHF) develops when the heart cannot pump enough blood to meet the body’s needs. “When the heart is unable to keep up with the body’s demand, we start seeing signs and symptoms consistent with congestive heart failure,” said Affan Haleem, MD, cardiologist at Skagit Regional Health. Because these symptoms may also occur with other conditions, CHF is diagnosed by looking at the full clinical picture rather than relying on one test. Know the symptoms Talk with your primary care provider or cardiology team if you develop: • Shortness of breath during physical activity • A need to prop up your head or use more pillows while sleeping • Waking during the night gasping for air • Swelling in the legs

These symptoms do not always mean a person has heart failure, but they should not be ignored. Serious, but often manageable Heart failure can range from early risk to advanced disease, and treatment depends on each patient’s symptoms and stage. Although CHF requires ongoing care, many patients are able to maintain their independence and enjoy a good quality of life. “With close medical care and lifestyle adjustments, CHF patients are living longer and healthier lives than ever before,” said Dr. Haleem. Treatment may include medications, lifestyle changes and regular follow-up. Newer medications and specialized devices have also expanded options. Taking medications as directed, attending appointments and reporting changes in symptoms can help patients maintain progress. Specialized support over time The Congestive Heart Failure Clinic at Skagit Regional Clinics - Mount Vernon Cardiology connects patients with clinicians who specialize in the condition. The team can monitor symptoms, identify patients who may benefit from advanced therapies and adjust treatment as needed. “If you or a loved one has developed congestive heart failure, please do not be afraid,” said Dr. Haleem. “Together, we can help you feel better, stay active and live longer.” Experiencing possible symptoms? Talk with your primary care provider or contact us at the Congestive Heart Failure Clinic at 360-336-9757.

News and local updates

FALL 2026

from Skagit Regional Health

SRH Foundation approves grant in support of Family Medicine residency’s community outreach efforts Earlier this year, the Skagit Regional Health Foundation approved a grant to support SRH family medicine residents’ community outreach efforts. The grant funded medical supplies and equipment, including blood pressure cuffs and first aid items that residents will use while visiting unhoused members of our community. Skagit Regional Health, in partnership with Public Hospital District No. 3, Snohomish County, broke ground on the Arlington Medical Plaza on July 7 to officially kick off construction on the new facility.

Construction begins on Arlington Medical Plaza Activity is underway at the site of the Arlington Medical Plaza following the July 7 groundbreaking ceremony. The new facility will expand local access to care, with space for 20 primary care providers and an Urgent Care clinic open seven days a week. Made possible through the longstanding partnership between Public Hospital Districts No. 1 and No. 3, the project reflects a shared commitment to meeting the healthcare needs of a growing community. Opening in Fall 2027, the new clinic will bring care closer to home for Arlington-area residents.

October is Breast Cancer Awareness Month Mammograms are one of the best tools for finding breast cancer early. Breast cancer is the second most common cancer among women, and treatment options continue to advance. Schedule your mammogram today. Call 360-814-8208 to make an appointment. Established patients with a provider’s order or eligible health reminder may also selfschedule certain mammogram appointments through MyChart. Locations: • Women’s Imaging Center in Mount Vernon • Cascade Valley Hospital in Arlington

Medicare Annual Enrollment Between October 15 and December 7, 2026, patients may make important Medicare plan decisions for 2027. SRH makes available MedicareOnDemand, a resource provided by MedicareCompareUSA, a licensed health insurance agency and nongovernment entity. MedicareOnDemand includes a plan quote, enrollment platform and Medicare insurance helpline. If you have questions or wish to schedule an appointment with a licensed insurance agent, please call 866-389-0445, TTY 711, Monday-Friday, 6 a.m.-5 p.m., or visit MedicareOnDemand.com/ Skagit. MedicareCompareUSA currently represents six organizations that offer 12 products in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options. 2027 SMID: MULTIPLAN_5153_MCUSASRHQ27_C, approved for use 8.17.2026

Sign up to receive HealthQuest Minute E-News Learn more about how SRH services can support you on your healthcare journey with articles and podcasts sent straight to your inbox each quarter. Scan the QR code to sign up.

Providers

Welcome, new providers

We are proud to welcome the following providers to our team: CARDIOLOGY Mathangi Keshavan, DO Arlington Specialty Clinic, Mount Vernon EAR, NOSE & THROAT Max DeHaan, MD Mount Vernon Surgery Center Bryan Hair, MD Mount Vernon Surgery Center Rachel York, PA-C Mount Vernon Surgery Center

Scan the QR code to learn more about Skagit Regional Health providers and resident physicians, and find the right provider for you.

FAMILY MEDICINE Jose Garcia, MD Granite Falls, Smokey Point Margaret Heller, PA-C Stanwood Jessica McDonnell, ARNP Station Square Daniel Pak, MD Smokey Point Tammy Scott, ARNP Station Square David Zachariash, DO Smokey Point GASTROENTEROLOGY Amanda Barker-Hingey, ARNP Mount Vernon Surgery Center

GENERAL SURGERY Evelina Kravchuk, PA-C Mount Vernon Diana Dunn, PA-C Mount Vernon GENERAL SURGERY, ACUTE CARE Cynthia Millward, MD Skagit Valley Hospital INTERNAL MEDICINE Joanne Palacios, MD LaVenture Internal Medicine MIDWIFERY Amy Anstett, CNM Mount Vernon NEUROLOGY Christina Pratt, ARNP Mount Vernon Max Warren, ARNP Mount Vernon ORTHOPEDICS Abigail Bradley, PA-C Mount Vernon Surgery Center

PEDIATRIC HOSPITALIST Brooke Jardine, MD Skagit Valley Hospital PEDIATRICS Carolyn Ranten, DO Riverbend Amy Montoya, MD Little Mountain Pediatrics SLEEP MEDICINE Yongwoon Huh, DO Smokey Point Jeffrey Moller, MD Smokey Point WOMEN’S HEALTH Katerina DeHaan, MD Arlington Women’s Health WOUND CARE Theodore Bosch, MD Hospital Parkway Plaza, Cascade Valley Hospital – Wound Care Center

PALLIATIVE CARE Christopher Flynn, DO Skagit Valley Hospital

Welcome, GME Residency Class of 2029 The Graduate Medical Education (GME) program is pleased to announce that 12 new resident physicians joined Skagit Regional Health in June. FAMILY MEDICINE RESIDENCY CLINIC • Anna Agloro, MD • Athena Chen, MD • Katherine “Katie” Eastin, DO • Anna Russell, MD

INTERNAL MEDICINE RESIDENCY CLINIC • Ahmed Abou-Zeid, MD • Pasawat Boon-Yasidhi, MD • Jenice Garcia Carvajal, MD • Maalik Imtiaz, MD

• Morgan Muncey-Buckley, MD • Julie Reed, MD • Meri Cruz Serra, MD • Adam Tarakji, DO

When care comes to you

FALL 2026

Hospice of the Northwest brings comfort to patients wherever they call home People living in rural communities often travel long distances for medical care. Whether they live on an island or upriver, trips for specialized tests, treatments and procedures can be exhausting. This is even more challenging for people facing a serious or life-limiting illness. Rather than requiring patients to travel, Hospice of the Northwest brings expert medical, emotional, social and spiritual care to them, wherever they call home, including the San Juan Islands and outlying areas of Skagit, Island and Snohomish counties. For Joseph “Jes” Straka, receiving care at his South Whidbey home had a profound impact during the final months of his life. Before enrolling in hospice care, he traveled off-island every week or two for a procedure to relieve painful fluid buildup. Each visit meant taking a ferry, spending hours in the emergency department, enduring the procedure, and then making the long trip home. His hospice team was able to provide this comfortfocused treatment at home. At the time, he said, “Ever since getting on hospice care, it’s been a

different world. The care came to us.” With managed care, his pain and symptoms improved. Jes’ appetite returned, and he was able to gain weight. He even began helping with small chores around the house. Being able to stay at home with the additional support of hospice also brought relief to Jes’ wife, Cindy. “It just felt like living again,” she said. “I didn’t feel like we were alone anymore. Our nurse, care aide and the whole team were a lifeline.” With hospice care, patients receive individualized support focused on comfort, dignity and quality of life. Families also have peace of mind knowing a nurse or counselor is available 24/7 to answer questions, provide guidance and respond to emergent needs. For people living in outlying communities, hospice means less time traveling and more time to focus on what matters most: sharing meaningful moments with the people they love, right where they want to be. If you have questions or would like more information, please visit HospiceNW.org or call Hospice of the Northwest at 360-814-5550.

Hospice of the Northwest is an integral part of Skagit Regional Health’s continuum of care and mission to provide exceptional healthcare, always. The organization is a joint venture between Skagit Regional Health and United General District 304 and, under a management agreement, operates as a service line of Skagit Regional Health. Joseph “Jes” Straka with his case manager, Kim Arends, RN (left), and Hospice of the Northwest Medical Director Erika Pope, DO (right).

Resources for healthy living Nervous about the cost of healthcare? Financial assistance may be available. Skagit Regional Health understands that medical expenses can place a financial burden on patients and their families. The Patient Financial Services Department is here to help. No one should delay needed medical care because of their ability to pay. Skagit Regional Health offers a Financial Assistance Program to assist qualified patients with outstanding self-pay balances, whether you have insurance or not. If you are experiencing any kind of financial hardship, please contact us. We will always work with you. To speak with Patient Financial Services, call 360-814-7575 or visit SkagitRegionalHealth.org/Financial-Assistance.

Screenings

DIRECT ACCESS COLONOSCOPY Healthy adults aged 45 and older, with no colon-related symptoms or major health problems, may receive a screening colonoscopy without a provider’s referral through the Direct Access program. Call 360-814-5739 to schedule in Arlington or Mount Vernon. MAMMOGRAMS Mammograms play a vital role in the early detection of breast cancer, helping identify concerns before symptoms appear. Call 360-814-8208 to schedule in Mount Vernon or Arlington. Talk with your healthcare provider about these and other screenings available or visit SkagitRegionalHealth.org/ Mammograms.

Childbirth/family resources

FAMILY BIRTH CENTER Scan the QR code for a virtual tour of Skagit Valley Hospital’s Family Birth Center.

CHILDBIRTH EDUCATION VIRTUAL CLASS Skagit Regional Health offers an evidencebased, video-rich and engaging online childbirth class. Scan the QR code or call 360-814-2283.

LACTATION SUPPORT Call 360-428-2229 to meet with a lactation specialist during and after your hospital stay.

Mental health

988 SUICIDE AND CRISIS LIFELINE If you or someone you are worried about is experiencing thoughts of suicide, a mental health crisis, a substance use crisis or any other kind of emotional distress, please call or text 988. Services are available in Spanish, along with interpretation services in over 250 languages. Deaf/hard of hearing/TTY: Use your preferred relay service or dial 711 then 988.

Community resources

GIVE BLOOD Bloodworks Northwest hosts blood drives throughout our region to help maintain a safe and reliable blood supply for local communities. To schedule a donation appointment, call 800-398-7888 or visit BloodworksNW.org. HAVE UNUSED MEDICATIONS? Search MedTakeBackWashington. org or call 844-482-5322 to find local, secure drop-off kiosks for your unused medications or to order mailback supplies. STOP THE BLEED® In a STOP THE BLEED® class, you’ll gain the ability to recognize life-threatening bleeding and act quickly and effectively to control bleeding. Please email bmoser@ skagitregionalhealth.org to find a class near you.

ADVANCE CARE PLANNING WORKSHOP Planning for serious illness or end-of-life care can be difficult, but it can also provide comfort and clarity for you and your loved ones. This free workshop will walk you through the advance care planning process and help you document your wishes so they can be honored when it matters most. To enroll, scan the QR code or visit SkagitRegionalHealth.org/Classesand-Events. Thursday, January 14, 2027 3-4:30 p.m. Sahale Conference Room Skagit Valley Hospital 300 Hospital Parkway, Mount Vernon

Support groups

CANCER AND BREAST CANCER SUPPORT GROUP These free support groups for cancer patients, their families, friends and caregivers meet monthly on Wednesdays from 4:30 to 5:30 p.m. Call 360-814-8255. STROKE SUPPORT GROUP This group meets on the last Wednesday of every month. 2-3 p.m. Sahale Conference Room Skagit Valley Hospital 300 Hospital Parkway, Mount Vernon Call 360-814-8392 or email mpelosi@skagitregionalhealth.org. OSTOMY SUPPORT GROUP This support group is for people with ostomies, their families, caregivers and friends. Please call Cathy Schaeffer at 360-202-3410 for more information.

Patient support

Visit SkagitRegionalHealth.org and click on Classes and Events to find more resources. MYCHART PATIENT PORTAL With MyChart, you can use your mobile phone, computer or tablet at home or on-the-go to manage your family’s health online. Sign up now at SkagitRegionalHealth.org/MyChart.

FALL 2026

Our mission

The mission of the Skagit Regional Health Foundation is to raise, manage and distribute funds to assure the continued availability of quality healthcare services and programs at Skagit Regional Health. The Foundation will foster awareness of and community support for Skagit Regional Health through the involvement of the people it serves.

Board of Trustees

Volunteers are the key to the Skagit Regional Health Foundation’s efforts in securing philanthropy. We are pleased to acknowledge the efforts of our trustees who unselfishly give their time and resources as an example to all, and who provide leadership in the Foundation’s prudent stewardship of gifts. Brent Thompson President Brett Fontes Vice President Scott Railton Treasurer Travis Coulter Secretary Laura Fisher Vice President of Planned Giving Ashley Stowe Vice President of Cancer Care Bobbi Ahrenius Alex Blade Lesha Boucher Tara Cunningham Viry Delgado Bryan Harris

Staff

Linda Frizzell Executive Director Wendy Ragusa Stewardship and Annual Fund Manager McKenzie Sharpe Development and Digital Engagement Coordinator

Duane Henson Michelle Knutzen Mike Marken Evelyn Morse Sandra Nootenboom Kim Piazza Tony Pratt Aaron Robbins Alana Roozen Angela Speer Usyk Dina Townsend SKAGIT REGIONAL HEALTH REPRESENTATIVES Brian Ivie President and CEO, Skagit Regional Health Samantha Irons Commissioner, Public Hospital District #1

Mailing Address: P.O. Box 1376 Mount Vernon, WA 98273 Office Location: 120 S 13th Street Mount Vernon, WA 98274 360-428-2140 foundation@skagitregionalhealth.org Nonprofit tax ID #94-3078550

New trustees welcomed to the Foundation Board The Skagit Regional Health Foundation is proud to welcome three newly appointed trustees to its board. These dedicated community leaders will help advance the Foundation’s mission to raise, manage and distribute funds to support high-quality healthcare services and programs at Skagit Regional Health. Alex Blade - A proud Burlington native and graduate of Whitworth University, Alex is employed in the family business as Treasurer of Blade Chevrolet & RV and is a recent graduate of Leadership Skagit. His family has a longstanding connection to Skagit Regional Health, as his great-grandfather, Walter Blade, was among the first commissioners for Skagit Valley Hospital. Alana Roozen - A graduate of Washington State University, Alana brings a strong background in both higher education and corporate leadership, having worked with Western Washington University and Amazon. She and her husband, Spencer, are raising their two children in the Skagit Valley community. Dina Townsend - A graduate of Western Washington University, Dina serves as a criminal investigator for the Washington State Department of Social and Health Services. She and her husband, Kendall, live in SedroWoolley and are proud parents of two grown sons and grandparents to four grandchildren. Dina is also an active community volunteer, supporting the Festival of Trees and participating as a member of the Soroptimist International of Burlington.

Website: SkagitRegionalHealth.org/Foundation 17

Foundation

Teeing up hope:

$130,000 raised for cancer care

SAVE THE DATE The 23rd Annual ParTee Golf Classic is on June 25, 2027.

The Skagit Regional Health Foundation’s 22nd Annual ParTee Golf Classic was nothing short of extraordinary—and thanks to the generosity of our sponsors, golfers, volunteers and community partners, we are thrilled to share that an incredible $130,000 was raised to support advanced cancer care at Skagit Regional Health. Thank you to our title sponsors

From the excitement on the course to the “ball drop” at the end of the day, this year’s tournament was a true reminder of what we can accomplish when we come together for a common cause. The Foundation is incredibly grateful for the support of our community, and we can’t wait to see what we will accomplish together next year!

Community gifts

FALL 2026

Did you know?

Your IRA can help our mission Supporting patients one blanket at a time A simple act of kindness makes a meaningful difference. We extend heartfelt thanks to Dwayne Lane’s Skagit Subaru and Blood Cancer United for once again bringing comfort to patients at the Skagit Regional Health Cancer Care Center through the Subaru Loves to Care program. The cozy blankets and patient care kits will help provide warmth and comfort to cancer patients receiving treatment. The Skagit Regional Health Cancer Care Center served 2,642 new patients and provided 3,764 infusion treatments in 2025.

As a qualified nonprofit organization, the Skagit Regional Health Foundation gratefully accepts gifts from retirement assets. Your support helps ensure exceptional healthcare for patients and families throughout our community. If you are interested in giving your Required Minimum Distribution from your IRA, here are the current guidelines: • Beginning at age 70½, you can make a Qualified Charitable Distribution (QCD) directly from your IRA to the Skagit Regional Health Foundation. • Once you reach age 73, you generally must begin taking Required Minimum Distributions (RMDs) from your IRA. A QCD can count toward your annual RMD. • A Qualified Charitable Distribution made directly to the Foundation is generally excluded from your taxable income, offering a potential tax benefit while supporting healthcare in our community.

B-EHS Tigers give back to support SRH Cancer Center Much appreciation goes to the Burlington-Edison High School ASB for raising and donating $1,000 to support the Skagit Regional Health Foundation’s Cancer Care Fund. This marks the 13th consecutive year that BurlingtonEdison High School students have raised funds to support Skagit Regional Health’s cancer care program. Their fundraising efforts included a variety of activities, highlighted by their inaugural B-EAT Cancer Color Run, which brought the community together for a meaningful cause. Way to go, Tigers! We are grateful for your support.

Considering a Qualified Charitable Distribution? Ask your IRA provider to send your distribution directly to the Skagit Regional Health Foundation. Questions? Call 360-428-2140 or email foundation@skagitregionalhealth.org.

Foundation

Cancer Care Capital Campaign

Skagit Regional Health Foundation brings the next generation of cancer care to our community When someone hears, “You have cancer,” life changes in an instant. In that moment, patients and their families need more than exceptional physicians and advanced technology. They need hope, compassion and access to lifesaving care without having to leave their community. Cancer touches nearly every family. According to the National Cancer Institute, approximately 38.9% of Americans will be diagnosed with cancer during their lifetime. Here in Skagit County, the need is even greater. Skagit Regional Health’s service area experiences a higher incidence of cancer than average, highlighting the growing demand for trusted cancer care close to home. In 2025 alone, Skagit Regional Health cared for 2,642 new cancer patients. The encouraging news is that more people are surviving cancer than

ever before. Today, an estimated 18.6 million cancer survivors live in the United States, and that number is expected to grow to 26 million by 2040. As survival rates continue to improve, the demand for advanced treatment, follow-up care and supportive services will only increase. For nearly 50 years, Skagit Regional Health has been committed to providing exceptional cancer care for our community. As we celebrate this milestone, we also have an extraordinary opportunity and responsibility to prepare for the future. Meeting tomorrow’s need today The Skagit Regional Health Foundation Board of Trustees is proud to announce a commitment to raise $3.5 million to transform cancer care in our region. This will be achieved through the purchase of a next-generation linear

FALL 2026

accelerator (LINAC) for radiation therapy and critical campus improvements, including 72 much-needed parking spaces adjacent to the Skagit Regional Health Cancer Care Center in Mount Vernon. These projects will happen in partnership with Skagit Regional Health. The next generation of cancer treatment The new Elekta Evo LINAC will significantly enhance the care we provide by offering: • Advanced precision radiation therapy personalized to each patient’s unique anatomy and diagnosis. • Rapid, high-resolution 3D imaging that allows clinicians to verify treatment positioning in seconds. • Adaptive radiation using AIassisted technology that adjusts treatment plans in real time as anatomy or tumor changes occur. • Real-time tumor tracking that precisely targets cancer while minimizing exposure to healthy tissue. • Improved treatment accuracy and efficiency, leading to better patient outcomes and the ability to care for more patients each day.

This next-generation technology will replace an earliergeneration linear accelerator and expand our ability to care for the growing number of patients who rely on Skagit Regional Health every year. Improving the entire patient experience Cancer treatment often requires daily visits over several weeks, making convenient access an important part of the patient experience. Patients have mentioned the need for additional parking on the hospital campus. While adding 72 parking spaces is a significant investment, it represents a modest percentage of the overall project cost and will make a meaningful difference for patients receiving care during an already challenging time. Every aspect of this project has been thoughtfully designed around the patient experience, from advanced treatment technology to convenient access that makes each visit a little easier.

Capital campaign naming opportunities The capital campaign offers the following naming opportunities to recognize leadership gifts from individuals, families, corporations and foundations that support this important effort: • $250,000 Parking Plaza • $100,000 Radiation Suites (2) • $100,000 Patient Waiting Lobby • $50,000 PET/CT Suite • $25,000 Radiation Technician Studio • $10,000 Dressing Suites (5) The Foundation welcomes tribute gifts made in memory or in honor of a loved one. Anonymous gifts are also gratefully accepted. Recognizing your gift Gifts of $5,000 will be permanently recognized on the donor wall in the main lobby of Skagit Regional Health’s Cancer Care Center. All gifts of $1,000 or greater will be recognized on the Foundation’s donor recognition wall inside Skagit Valley Hospital. To support the Cancer Care Capital Campaign, contact the Skagit Regional Health Foundation at 360-4282140 or email foundation@ skagitregionalhealth.org.

Donor shares beloved collection with Festival of Trees By Josh Sharpe

For more than 30 years, Gailyn Ploeg’s home has been filled with hundreds of colorful nutcrackers collected from around the world. Now, some of her most cherished pieces are finding a new purpose as part of the Skagit Regional Health Foundation’s 2026 Festival of Trees. “When I saw the ad come out featuring nutcrackers, something clicked,” Gailyn said. The annual Festival of Trees Gala, hosted by the Foundation, raises funds for programs and services at Skagit Regional Health. Gailyn and her husband, Ron, longtime Foundation supporters, are taking their philanthropy a step further this year by donating several nutcrackers from her collection to be used as tree décor or auction items during the event. Among the donated pieces is a towering 33-inch Santa Claus crafted by German maker Christian Ulbricht, which will be auctioned at the Festival of Trees Gala. Walking into Gailyn’s home is a little like walking into a museum, if the museum were modest and didn’t want to be accused of showing off. People often walk right past the custom-made wooden cabinets without realizing the expansive collection of nutcrackers that peer behind their glass-paneled doors, including characters from Tchaikovsky’s The Nutcracker,

The Wizard of Oz and Charles Dickens’ A Christmas Carol. “Once you start with one, then you have to get the next one. And they keep priming you for the next one,” Gailyn said with a laugh. Gailyn, her late husband Joe Krause and Ron have always been collectors by nature. The nutcrackers began marching into her home around 1992 when she and Joe, who was of German heritage, purchased their very first figure: a small Santa Claus. After that, and a visit to the famed Leavenworth Nutcracker Museum, she was hooked. The majority of her collection comes from the prestigious Steinbach line, handcrafted in Germany and known for its

vibrant colors and intricate detail. Many are signed by the late maker Herr Steinbach himself. Others were created by renowned German craftsman Christian Ulbricht. Gailyn’s favorite of all is an Elvis Presley nutcracker displayed alongside a copy of the singer’s bestselling Aloha from Hawaii album. “He used to sing, but he doesn’t sing anymore. The kids played him too many times,” she said. The Festival of Trees donation represents Gailyn’s first major step toward rehoming her collection. In the coming years, she hopes to find a new steward for the nutcrackers—someone who will keep the collection together and appreciate it as much as she has.

FALL 2026

From the Board of Commissioners

Planning today for a stronger healthcare system tomorrow

Healthcare is changing rapidly, and so are the needs of the communities we serve. As commissioners of a public hospital district, we have an important responsibility: ensuring that our healthcare system remains strong, sustainable and responsive to the needs of our region, not only today but for years to come. Our communities continue to grow and evolve. More people are choosing to live and work here. Our population is aging, healthcare needs are becoming more complex and the financial pressures facing hospitals and health systems continue to intensify. Preparing for this future requires thoughtful planning, responsible investment and difficult but necessary decisions about how and where care is delivered. As stewards of community resources, we must regularly

evaluate where services are most needed, how patients use healthcare today and how we can best position our organization to meet future needs. In some cases, that means investing in new facilities and expanding services in growing areas. In others, it means consolidating services to strengthen care delivery, improve efficiency and make the best use of limited resources. Skagit Regional Health’s new Arlington Medical Plaza, being developed in partnership with Public Hospital District No. 3, Snohomish County, reflects this long-term approach. Designed with future growth and changing healthcare needs in mind, it represents an investment in modern facilities that support high-quality care and create greater operational strength for the years ahead.

These decisions are never made lightly. This work begins with listening to patients, providers, staff and community organizations as we plan for the future. Their perspectives help us understand local needs, identify challenges and make informed decisions about where investments can make the greatest impact. Our goal is not simply to maintain what exists today, but to build a healthcare system capable of serving future generations. By planning thoughtfully, investing responsibly and focusing on long-term sustainability, we can help ensure that high-quality care remains available for our communities in the decades ahead.

Frei Burton Chair, Public Hospital District #1 Skagit Regional Health

The Public Hospital District #1 Board of Commissioners, from left: Bruce Lisser; Monira Vakil, DO; Barbara Jensen; Frei Burton, chair; Peter Browning; Gary Shand; Sam Irons.

PRSRT STANDARD U.S. POSTAGE PAID

P.O. Box 1376 Mount Vernon, WA 98273-1376

Linkedin.com/company/ skagit-regional-health X.com/SkagitHealth Youtube.com/@ SkagitRegionalHealth

LESS PAIN FASTER RECOVERY Robotic Surgery

Surgery doesn’t have to mean weeks on the sidelines. Skagit Regional Health’s robotic surgery program combines advanced medical technology with expert surgical care to help support a faster recovery and a quicker return to everyday life. And because that care is available close to home, you can focus on healing and getting back to what moves you.

Schedule with a surgical specialist.

Call today or request an appointment online. A primary care referral is preferred. Call: Arlington 360-435-6097 Mount Vernon 360-428-2586

Right HERE. Right FOR YOU.

SKAGIT REGIONAL HEALTH