Due to changes in hospital reimbursements and increasing expenses, it became apparent that our small, independently run hospital would not be able continue providing services to our community without aligning with a larger entity.  In 2016, PHD#3 entered into an agreement with Public Hospital District #1, Skagit County, also known as Skagit Regional Health. On June 1st, 2016, Skagit Regional Health assumed operations of Cascade Valley Hospital and Clinics, ensuring access to high-quality local healthcare for our community for the years to come.