Showing posts with label Evergreen. Show all posts
Showing posts with label Evergreen. Show all posts

Monday, November 18, 2024

Updated: Mental Health Resonates In Kirkland

Kirkland is becoming the focal point for mental health care on the Eastside.  EvergreenHealth announced in their Fall "Monitor" newsletter they have expanded Behavioral Health into their new Canyon Park Urgent Care.

 One of their patients said:
Thank you for listening to me and helping me to get connected to a psychiatrist.  I feel like I have finally found what works for me, and it has changed my life.  

According to EvergreenHealth, "the initiative at Canyon Park is just a first step." They look forward to expanding behavioral health services to the broader community.  "Behavioral health is an essential line of service that levy funds are helping to expand into the community."

The Emergency Departments of EvergreenHealth have treated mentally vulnerable ill patients over the years...many severe.  Their ER physicians are backed up by highly-trained social workers and a remodeled department.  Treating these complex patients has been a challenge for community-owned EvergreenHealth.  Now...some terrific news for our community and outlying cities.  

CONNECTIONS


As of August, 2024 Kirkland has an amazing new 26-bed mental health "crisis care" service CONNECTIONS to take the burden off Evergreen and expand out-patient behavioral health care.  The Center is Located in Totem Lake behind the Olive Garden in a business complex. 11410 NE 122 Way.  425-650-4005.  

Highlights include: 

  1. A walk-in urgent care facility available 24/7 to serve anyone with a mental health and/or substance use related need. Most folks will be good after being seen in the urgent care clinic and not have additional care needs. 
  1. For people who come to a crisis care center and need a higher level of behavioral health care, there is a 23-hour observation unit. This full spectrum psychiatric setting includes comfortable recliners, nature photography that brings the outdoors in, and natural light.    
  1. For those who need more than 23 hours, the center has a 14-day crisis stabilization unit with 32 beds in rooms with windows letting in natural light. This is a setting able to meet high needs and includes calming rooms and a common space.  
  1. The center also has a meeting space to follow-up with people after they visit a crisis care center and connect them to helpful wellness or social services.  
Share the good news with your friends and family!  The doors are always open to all, with or without insurance.  

Finally, a Health Through Housing (HTH) homeless building is planned for Kirkland.

-- posted by Yoder, 11/18/24  Updated:  12/11/24

Thursday, October 31, 2024

COO Mark Wimley, EvergreenHealth Notable Executive

Mark Wimley, COO EvergreehHealth
Medical Group 
 2/26/2024

At EvergreenHealth, we provide clinically sophisticated diagnosis, treatment and rehabilitation for heart disease and heart attack – and we're recognized by Healthgrades as a national leader in heart care. I'm proud to work for an organization that provides this level of care. And, in fact, I'm here and healthy today as a result of it. 

I was 42 and fit in 2016 when I had a heart attack at a Totem Lake gym. For several years, I'd been leading an informal workout group with other EvergreenHealth staff members and physicians. While finishing a set of 15 reps of a burpee pull-up combo, I suddenly felt intense pain in my right chest. I thought maybe I'd torn my pectoral muscle or was experiencing gastroesophageal reflux. I wasn't thinking about my heart. 

I approached Dr. Jeff Tomlin and described my symptoms. When I mentioned a squeezing sensation, Dr. Tomlin quickly took me to his truck and drove me to our Kirkland Emergency Department (ED). An EKG confirmed that I was experiencing a heart attack. Two stents later, I was recovering in the ICU and feeling pretty good when I had a second heart attack.

Tuesday, September 24, 2024

September Is "National Recovery Month."

Monique Gablehouse, EvergreenHealth COO of Post Acute Care

Monique Gablehouse, MSW, LICSW. EvergreenHealth Hospital

Since 1989, Americans have observed National Recovery Month to increase public awareness of mental health and addiction recovery; draw attention to new evidence-based treatment; celebrate the recovery community; and acknowledge the dedication of service providers and communities that enable recovery.

There is evidence that stigma-related bias among clinicians can contribute to a treatment-averse mindset and to flawed clinical care. However, EvergreenHealth's organizational mission, vision and values inform and support the care we provide. We demonstrate a shared commitment to providing humane, evidence-based, patient-centered care.

In my role as COO of Post Acute Care with system responsibilities for Behavioral Health, I have had the honor of working with the executive team for the Recovery Center at EvergreenHealth Monroe. They have a Medical Detox Unit, a Residential Treatment program, a program for Substance Using Pregnant Persons (SUPP) as well as an After Care and Intensive Outpatient Program (IOP). The dedicated teams work 24/7/365 to make sure that those struggling with addiction recovery in our area have a place to go for help. I am pleased to work at EvergreenHealth, which continues to support patients in recovery. I have spoken with several EvergreenHealth employees in Monroe and Kirkland, and this resource is so important for their friends and family in recovery.

Friday, September 20, 2024

Suzanne Greathouse Selected EvergreenHealth Commissioner

Suzanne Greathouse, a community professional who brings a vast amount of knowledge and experience, has been selected to fill the vacant Position #2 on EvergreenHealth's Board of Commissioners.

suzanne greathouse
Suzanne Greathouse

KIRKLAND, Wash. - The EvergreenHealth Board of Commissioners has selected Suzanne Greathouse to serve in Position #2, representing the Kenmore/Kirkland community and all residents of King County Public Hospital District #2. Greathouse was sworn into the position on Sept. 17 and will serve through Dec. 31, 2025.

Greathouse is a dedicated community professional who brings a vast amount of knowledge and experience to support EvergreenHealth's ongoing mission to advance the health of the community.

"We are excited to have Suzanne join the Board, and we look forward to her contributions in supporting the health and well-being of our community," said Board Chair Virgil Snyder. "Like every other commissioner, Suzanne is dedicated to ensuring our community has access to high-quality, safe, compassionate and cost-effective health care."

As the CEO and Co-Founder of REPSVR, a virtual reality skills training platform, Greathouse's diverse experience spans being a business owner, educator/trainer, executive, and consultant. Throughout her career, she has developed and led multicultural and virtual teams and managed complex business environments. She is an expert at applying industry best practices and emerging research to address specific challenges, fostering success, and enhancing performance, motivation, and job satisfaction.

Greathouse's career also includes nearly 20 years at AT&T, where she led efforts in various areas, including construction and engineering, research and development, emergency preparedness/disaster recovery, network security, network operations and IT product development and support. In 2017, after experiencing a family tragedy, Greathouse shifted her focus to serving the community. She has since held roles on the Kenmore City Council, the Northshore Fire District's Board of Commissioners, the City of Kenmore Planning Commission and the Northshore Senior Center Board of Directors.

Currently, Suzanne serves as a Northshore Utility District Commissioner and actively participates in various community organizations, including the Kenmore Heritage Society, Bothell/Kenmore Chamber of Commerce, Kenmore Business Alliance, and the EvergreenHealth Foundation. She is also the founder and president of the Alex Greathouse Foundation, which provides oral cancer support and funding for treatment, research, and other essential needs.

"I am thrilled at the opportunity to join the EvergreenHealth Board of Commissioners and look forward to working with fellow members on ensuring access to the hospital system's vital services in Kirkland, Kenmore and throughout the Eastside," said Greathouse.

Posted by Bob Yoder, 9/20/2024

Comments:  1) Public Notice for the interviews of the Commission nominees was poor.  Navigation on their website to find this public meeting was close to impossible.  Thus, my wife and I (and others) didn't attend.  BY 

                      2) Evergreen Board has the worst notice system out of any public board and they don't do well with publishing information. They don't even record their meetings and publish minutes a month after the meetings happen Anonymous comment  9/21/2024

Monday, August 19, 2024

EvergreenHealth - An Update

 EvergreenHealth - King County Public Hospital District No.2

 Our Community-Owned Hospital

This "Silver Tower" and a 2nd Emergency Department were funded by district
taxpayers of Redmond, Sammamish, Kirkland, Woodinville, Bothell, Mill Creek,
Kenmore, Shoreline, Duval, Carnation, and Snohomish County.

EvergreenHealth serves our community well!  They were the Nation's "first responders" during the pandemic onslaught and are deserving of every award earned.  Recently, they were awarded "Top 50 Best Hospitals' in America."  

Some good news ...  EvergreenHealth appears in the planning and budgeting stages of hiring psychiatrists, psychiatric nurse practitioners, and advanced social workers for  mental health treatment and therapy in their Emergency Departments and Urgent Care Centers. Time and community support will tell.  

WEBSITE - "About Us"

Mission, Vision, Values
The Monitor newsletter 




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Below is a library of posts, several outdated: 




Evergreen's seven Hospital Commissioners listen to their constituents and make decisions on Levy and Bond measures.  They take comments from the public and community during:  Business meetings, 3rd Tuesday, 6:30 pm, "Surgery & Physicians Pavilion," Tan Room 250 and during some Educational sessions, 1st Friday of the month, 7:00 am Tan Room 250.  Agendas & Minutes.  425-899-1000

 by Bob Yoder, Updated 4/26/2024

Wednesday, July 3, 2024

Rebecca Hirt Steps Down From EvergreenHealth Board of Commissioners

 

Rebecca Hirt has served as an EvergreenHealth Commissioner for 40 years 

KIRKLAND, WA – On July 1, 2024, Rebecca Hirt stepped down from Position #2 on the EvergreenHealth Board of Commissioners. Hirt says she is stepping down to care for her husband of 58 years and spend more time with her family.

 

Hirt was voted onto the Board by the EvergreenHealth community in 1983 and was sworn in January 1984. Over the last 40 years, she has held multiple leadership roles including Board Chair and Board Secretary. In addition to her leadership roles, Hirt has served on several Board committees, including the Levy Funded and Sponsorship Programs Committee, the Quality and Safety Committee and the Audit, Finance and Compliance Committee.

 

“I have cherished my time as a member of the EvergreenHealth Board and getting to work with so many groups and individuals, all dedicated to meeting the health needs of our patients and our community,” said Hirt. “I look forward to spending more time with my family knowing that our Board, the executive team, physicians and staff will continue to deliver quality care and enhance patient safety.”

 

A decades-long resident of Kirkland, Hirt holds a Master of Business Administration degree from the University of Washington and a Bachelor of Science in Medical Technology degree from The Ohio State University. Hirt also worked as a Medical Technologist in the clinical laboratory at EvergreenHealth for 10 years before being voted onto the Board.


Individuals interested in this important and exciting role and reside in King County Public Hospital District #2, specifically the subdistrict of Kirkland/Kenmore, should apply.


Monday, July 1, 2024

UPDATED: King County Property Tax Transparency Tool

"Localscape" - King County Assessor Transparency Tool

King County Assessor John Wilson developed the invaluable Localscape "transparency assessor tool" to calculate individual 2024 taxes and levy rates based on your home's appraised value.  Current and past taxes, area median household income, area sales, and copious other useful data is resourced.   

In 1981, I bought my 1,800 sf home on Education Hill for $92,000.  According to the calculator, the 2023 average sales price in my area is $1.2M.  

My total property taxes in 2023 were $8961.80 (up $1,630 from 2022.)  The calculator showed 2023 King County levy rates and dollar amounts on my property were, as follows: 

  • Local School 29.30%  - $2475.48
  • City 11.04% - $849.3
  • County 10.9% - $1311.16
  • Library 3.57% - $282.98
  • EMS 2.85% - $222.24
  • Hospital 2.57% - $151.47
  • Transit 2.12% - $160.53
  • Port 1.03% - $102.61
  • Flood .92% - $69.26
  • STATE Taxes $2467.16 (schools, fire, roads, parks & recreation) 
2024 taxes will most likely increase from 2023 owing to voter approved levies and bonds.  This year voters passed a 14 cent /$1000 property tax for the King County Mental Health Crisis Centers; and King County's Silver Cloud hotel in for the chronic homeless.  LWSD will have a $676.9 million construction levy measure on the November ballot. (EvergreenHealth District No. 2 will propose a levy lid-lift August 2025.)

To check out the tax data on your home:  


-- Bob Yoder, 7/1/2024

Saturday, June 29, 2024

EvergreenHealth Commissioners Present Microsoft Community Service Award

 CEO Ettore Palazzo is 4th from the right

This Is the first of two Community Service Awards being presented by the Board this year. 

 KIRKLAND, Wash. — EvergreenHealth’s Board of Commissioners is recognizing Microsoft for its remarkable commitment to improving the health and wellness of our community during the COVID-19 pandemic by presenting the company with the 2023 Community Service Award.

 

During the pandemic, Microsoft volunteered to help EvergreenHealth and Overlake Medical Center, as well as collaborate with numerous community agencies, to create an effective vaccine program. With dedicated efforts to reach and support BIPOC community members, Microsoft helped administer more than 176,000 vaccinations on the Eastside.

 

“In the midst of the pandemic, Microsoft went above and beyond to advance the health of our community,” said EvergreenHealth Board Chair Virgil Snyder. “The company donated its education center and provided staff support for vaccination program operations, implemented tracking software, fully funded the program and covered clinical costs, donated time, leadership and passion around the clock. Their team set an example and encouraged broader community involvement and support. This award expresses our sincere appreciation to Microsoft for its role as a leader in our community during an unprecedented time.”

 

The award was announced during the June 18 Board of Commissioners meeting and was the first of two 2023 Community Service Awards being presented by the Board this year. The second 2023 Community Service Award will be presented in July.

 

Since 1998, the Community Service Award has been presented to community members and groups who make a profound impact on enhancing the health of the Eastside and demonstrate an unwavering commitment to our most important values: compassion, respect, excellence, collaboration and accountability. See a list of past recipients here.

 

A person and person holding a plaque

Description automatically generated

EvergreenHealth Board Chair Virgil Snyder (right) presents the 2023 Community Service Award to Colleen Daly (left), Microsoft's Director of Occupational Health, Safety and Research

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About EvergreenHealth 

EvergreenHealth is a community-owned health care hospital system serving more than one million residents in King and Snohomish counties. Since 1972, EvergreenHealth has evolved alongside the Eastside community into a two-hospital health system with a network of primary care practices, urgent care centers, specialty clinics, extensive home care and hospice services, and 24/7 emergency care in Kirkland, Monroe and Redmond. As a public hospital district, the health system’s purpose is to enrich the health and wellness of everyone in the community by providing equal access to high-quality, high-value care, partnering with local organizations to perform outreach and offering health education to address our community’s needs now and for generations to come.  The hospital system is named one of Healthgrades America’s 50 Best™ Hospitals and holds a 5-Star Overall Rating from the Centers for Medicaid & Medicare Services (CMS). Learn more at www.evergreenhealth.com.  

Thursday, June 27, 2024

Circle of Life - Moving On

 

Our roundabout way of getting to places in Gibraltar. 😊  

It is nice to be back home and with a fresh perspective after touring Europe for 16 days. I've decided, even more so, that Redmond needs not just news reporting but a "trouble-maker" (like me) to opine, to bring balance, accountability and government transparency to our community.  We deserve more than what the Mayor is delivering right now, especially with regard to King County's push for promised "harm reduction" of homeless housed in our two urban centers. 

In the Ives' Administration, Redmond Reporter editor John Huether gave me a monthly column, "City Watch."  My first column was published February 14th, 2007: "Tent City moves in at St. Jude."  Yes, the homeless problem in Redmond reaches back 17 years, even with affordable housing.  Some homeless were being bused in from Texas.  If I were to have a column today it would focus on mental health, especially on EvergreenHealth's progress in furthering community behavioral health care and improving the governance process. 

My daughter Lexie (LWSD K-12) born at EvergreenHealth is having a baby boy this summer.  I'll be writing and "watching" less often and some day leave Redmond altogether to be with my extended family. I'm writing with a sense of urgency in this circle of my life.  

-- Bob Yoder, 6/27/2024

Monday, June 3, 2024

The Status Of Mental Health Care At EvergreenHealth

 

Image result for Dale Chihuly art installation images
"The many colors of  bipolar mood disorder"
Dale Chihuly art (Internet) 
The National Association of Mental Health says 1 in 5 Americans struggle with a mental health condition in a given year and only half are treated.  COVID brought this home.

This Spring, EvergreenHealth's seven commissioners and CEO Palazzo approved  psychiatric and therapy treatment for their two Emergency Departments and three of their Urgent Care clinics. This is a giant leap forward for EvergreenHealth (Evergreen) and the community. The COO of Trauma is putting the program together. She's hiring psychiatrists, psychiatric nurse practitioners, and advanced social workers; it will be remote and in-person. Evergreen is community-owned and a levy lid-lift may be proposed this year or next in support of this program and others.   

Some of the levy-supported Programs today are:  EPIC (MyChart,) "Community Healthcare Access Teams," Grief, Palliative and Hospice care services, Geriatric services, a "Mental Health First Aid Kit" program for LWSD student suicide prevention, and perinatal mood and anxiety maternity care.  

Thursday, April 25, 2024

UPDATED: The Peoples Right To Know

 

The City of Redmond's lack of good information on Silver Cloud-Redmond homeless housing and Plymouth Housing prompted this post.

Open Government:  The Peoples Right To Know

Redmond has three local governments:  The City of Redmond, Lake Washington School District and EvergreenHealth Public Hospital.  The public has a "right to know" information about their inner workings.  Public Record Request forms usually find the information you need.  When you don't get good information or it's a hassle finding it, you may feel like the bearded guy in the cartoon! 

Below, are helpful links to the Public Record Request forms for each government.  In my investigative reporting, I have some good experience with them and their Public Request Offices.  I've found the public records office of EvergreenHealth the most professional, the City of Redmond a close second with LWSD in the rear. 


Friday, March 29, 2024

Redmond Senior & Community Center Earns LEED Recognition

REDMOND, WA - The new Redmond Senior & Community Center recently earned the first-ever recognition from the U.S. Green Building Council for sourcing wood from climate-resilient forestry. The Council, which manages the LEED certification process, awarded the building an innovation point during the process and lauded Opsis Architecture and Sustainable NW for verifying that wood came from forests managed sustainably.

“We are honored to receive this historic recognition,” said Mayor Angela Birney. “The senior and community center was designed with environmental sustainability in mind, and it is exciting to know all who walk through these doors will be coming into a place that not only cares about them but cares about the building’s impact on our planet.”  

Thursday, March 21, 2024

EvergreenHealth Named "Top 50 Best Hospitals" In America

EvergreenHealth Medical Center 
"Community-owned" 

KIRKLAND, Wash. –
 EvergreenHealth has been named among America's 50 Best Hospitals™ by Healthgrades for 2024. This is the fourth straight year the community-owned hospital system has earned the distinction and puts EvergreenHealth in the top 1% of hospitals nationwide for overall clinical performance.

Wednesday, January 3, 2024

EvergreenHealth Board In a State of Flux

EvergreenHealth Board Sees Multiple Commissioner Changes Following General Election

KIRKLAND, Wash. – The EvergreenHealth Board of Commissioners is bidding two commissioners farewell while congratulating and welcoming three others after the King County General Election in November.

 

Norman Seabrooks, who retired from Aetna, Inc. after a 47-year career in the health care insurance industry, was elected by the EvergreenHealth community to a six-year term. Seabrooks is taking Position #3 on the EvergreenHealth Board, which was vacated by retiring commissioner Tim McLaughlin.  He will be representing Redmond and Sammamish. Norman has lived in Redmond for 22 years, and his entire family receives care at EvergreenHealth.

Tuesday, November 28, 2023

EvergreenHealth Board Appoints Dr. Ettore Palazzo New CEO

 


EvergreenHealth Board of Commissioners Appoints Dr. Ettore Palazzo new CEO

Ettore Palazzo, MD, FACP will assume his new role as CEO of EvergreenHealth on Dec. 10

 

KIRKLAND, WA – The EvergreenHealth Board of Commissioners has appointed Ettore Palazzo, MD, FACP, CEO of EvergreenHealth, the community-owned public hospital district and two-hospital healthcare system effective Dec. 10, 2023. Dr. Palazzo assumes the role following the retirement of CEO Jeff Tomlin, MD.

 

“Over the past 20 years, some of the greatest, as well as most challenging, moments of my personal and professional life have taken place at EvergreenHealth,” said Dr. Palazzo. “It is the honor of a lifetime to work for this organization and serve its community as the next Chief Executive Officer.” 

 

Dr. Palazzo has served EvergreenHealth and its community for 20 years. He joined EvergreenHealth in 2003 as a hospitalist and most recently served as the Chief Medical and Quality Officer.

Friday, November 10, 2023

EvergreenHealth -- "America's COVID Hospital"

EvergreenHealth / Seattle Times

EvergreenHealth's website...

"On February 28, 2020, EvergreenHealth's Kirkland campus became the first hospital in the U.S. to respond to the first known cases of community spread of COVID-19, marking the beginning of the global pandemic in the U.S. Given that we had been actively engaged in disaster readiness planning for many years prior to the pandemic, our hospital system was ready to face the challenge."  

Read more about EvergreenHealth's response to the COVID-19 pandemic:

Thursday, November 9, 2023

The Race for EvergreenHealth Commissioner Was Historic

I'm standing next to one of many Commissioner Jeffrey Cashman's political signs. The number he staked was enormous.  I endorsed both Jeff and his opponent, Amber Wise.  I supported Amber.

Mr. Cashman planted his campaign signs heavily throughout Evergreen Public Hospital District No. 2 --  Redmond, Kirkland, Woodinville, Mill Creek, Kenmore, Duval, Sammamish, and parts of Snohomish county.  Never has a local candidate spread their political signs so far and wide.  

If the residents of EvergreenHealth Public Hospital didn't know they lived in a taxing district they certainly do now.

Currently, residents and landlords are levied ~ 2% / $1,000 appraised property value. Total Levy Revenue in 2022 was $28,556,467.   

Do you know how this money is spent?   70% goes towards capital projects, 30% towards programs like referral networks, CHATT,  and North Shore Senior Center.  The commissioners keep this close to their chest.  I learned about the 70% / 30% split at a Board meeting.  A full report is forthcoming.  

Commissioner Cashman defeated PCC meat-cutter Amber Wise, a union worker and mental health advocate, by roughly 58%. 

-- Bob Yoder, 11/9/2023

I was struck with Covid a few days before the election; this, after 6 vax.  It hit me very hard.

 

Wednesday, October 4, 2023

CONNECTIONS of Kirkland, Behavioral Health Crisis Center Forum


"Connections Health Solutions" is King County's first of five immediate access multi-service behavioral health crisis response centers.  It will be located in the 405 Kirkland Corporate Center behind Olive Garden Restaurant, two blocks from the Kirkland police.  It's scheduled to open June/July of 2024. 


Heather Genovese, V.P. Clinical Operations of Connections Health Solutions held this ZOOM forum on 9/26, to inform viewers of the facility. Donna Lurie, Board President of NAMI Eastside led Q&A.  Notable items from their Tucson facility:    

  • 24/7 Urgent Care Mental Health Clinic open to all. Treats adults over 17 years of age. 
  • 15+ chairs for observation by psychiatric providers. No triage. Individuals are seen within 90 minutes.
  • 65% stabilized within 24 hours.  65% have comorbid substance abuse. 
  • 16-bed unit for crisis stabilization; stabilization is usually within 24-hours. 
  • 16-bed unit for sub-acute crisis stabilization usually within 4 days. 
  • 60-70% of involuntarily committed individuals convert to voluntary commitment. 
  • accepts 100% of those coming through the door, regardless of insurance.
  • 50-55% are brought in through the back door by police. No one turned away. Peer support specialists remove remove hand cuffs with care compassion and dignity.    
  • 90% receive outpatient care by a mental health provider within 7 days off discharge.  
  • 45-Day Transition Program:  "warm hand-off to community care" - recovery, support, and coaching.
  • For profit. 
  • EvergreenHealth isn't funding the Center. 
"King County invested $11.5 million of state and local dollars toward this crisis center located in Kirkland.  It will service five North King County cities.  It's the start of what we can achieve together when it comes to community behavioral health." -- King County Executive Dow Constantine.

 Posted by Bob Yoder, 10/4/2023 / I participated.

Thursday, September 28, 2023

UPDATED: 2023 League of Women Voters



The League of Women Voters offers Vote411.org where candidates are given the opportunity to submit written answers to their questions.  

Go to Vote422.org, enter your address, and find and compare your candidates' answers.  They are very informative; a good read! 

As of this date, (10/20/2023) David Carson, Jeff Cashman, Angela Birney, Osman Salahuddin, Janel Schermerhorn, and Linsey Yocum have submitted answers.   

I'll monitor the site for updates.     

Source:  
Allison Feher
Administrative Manager
LWV of Seattle-King County
1511 Third Avenue, Suite 900 Seattle, WA 98101
206-329-4848| www.lwvskc.org 

Saturday, September 23, 2023

EvergreenHealth Public Hospital Contenders- BIO and Priorities

 

EVERGREEN HEALTH Public Hospital District No 2
Commissioner No. 6 Contenders

JEFFREY CASHMAN
Commissioner Position No. 6


AMBER WISE
Commissioner Position No. 6