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Board of Commissioners

Our Mission

The Skamania County Hospital District #1 Board of Commissioners are elected representatives of the communities that Skamania County EMS serves. Collectively the Board understands their responsibility to the taxpayers and work to maintain a financially sustainable service for their district.

Angela Hollis

District 3 Commissioner

Forest Hofer

District 2 Commissioner

Dale Grams

District 1 Commissioner

Commissioner Meetings

The Board of Commissioners for Skamania County Public Hospital District generally meets the fourth Monday of each month at 4:00pm.  On occasion, the Board may adjust the meeting date or time to accommodate additional business, public hearings or workshops.  The 2019 meeting schedule may be found here.

Meetings are held at Station 7-1, 253 SW First Street, Stevenson, Washington.

Special Meeting Notices, business meeting agendas and meeting minutes are available for review by our constituents.  In an effort to provide these documents in the most efficient and user friendly format, we have indexed them by year.  Agendas are provided in draft form and minutes are provided following approval by the Board of Commissioners.  Please click here to access these documents.


Organizational Structure

A three member, elected Board of Commissioners, oversees the District.  Each Commissioner serves a six-year term.  Management of the district, including administration, fiscal activities, policy and staff management are the duties of an acting Superintendent.  Three (3) Captains who are charged with oversight of specific divisions (e.g. Medical, Logistics/Safety and Operations), support the Superintendent and ensure efficient and progressive agency operations. Captains provide this oversight in addition to their duties to provide emergency medical services.

Opening the Books

Skamania County EMS is a municipal agency whose primary source of funding is tax dollars.  Collections from property tax and other state assessments, to include Leasehold Excise Tax and Private Harvest Tax, represents approximately 61% of our annual revenue budget.

Current levies authorized by the voters include a permanent, $0.50/per $1,000 Hospital District Levy and a six-year, $0.25/per $1,000 EMS Levy.  Without re-authorization from the voters our EMS levy is set to expire on December 31, 2021.  For fiscal year 2018, our combined levy rate is $0.71 / per $1,000 of assessed value.  This rate is estimated to produce property tax collections of $1,102,824.

With an annual operating budget of roughly $2.8 million dollars, fees for service, grant dollars and private donations provide the additional funding necessary to operate our agency twenty-four hours a day, seven days a week.  Twenty-seven percent of our annual operating budget comes from fees for service and our average collection rate is $564,416, or fifty-two percent of billed charges.

In mid 2015, Skamania County EMS took a hard look at their billing structure.  This review was completed to ensure our fees for service were consistent with actual expense and in line with regional agencies providing a similar service.  Recognizing the value from our communities support of our tax levies, the agency elected to institute a waiver program for residential fees.  To this day, the agency is able to waive co-pays and co-insurance fees that would normally be due on residential transports.  In short, if you are a resident of Skamania County, we accept the payment your insurance company makes and write off the remainder of your transport bill.  Non-residents are not subject to this waiver program and as such, must make arrangements to pay their entire bill.  The agency hopes to continue this waiver process as long as possible and would be glad to discuss how the future levy support may impact this program.


total property taxes collected in 2017 between the two voter approved levies

total revenue collected in 2017

average residential fees written off (for the two year period of FY2016 and FY2017)

approximate amount of our annual operating budget that is allocated to staff costs

number of full-time staff in 2018

Public Records

Copies of documents not posted on our website are available by submitting a Public Records Request Form to our agency.  All requests will be addressed per agency policy.  To access the Public Records Request Form please click here.

Requests for records and required forms may be submitted as follows:

Via Electronic Mail

Via Postal Mail or In Person
Skamania County EMS
PO BOX 338
253 SW First Street
Stevenson, WA  98648

Please be aware that our administrative office staff is not available twenty-four hours a day.  We encourage persons seeking public records, and who wish to drop off their request form, to do so between 8:00am and 5:00pm, Monday through Thursday.

Please email us for further information.


Online Documents

Skamania County EMS strives to make access to administrative documents and financial records that are of interest to the public easily available.  In late 2016, our agency started posting the agendas for our Board of Commissioners meetings, and over the course of the last several months we have been working on complying with additional requirements outlined by the Revised Code of Washington.

As we continue to improve upon the way our constituents can access these records, we encourage you to review our work to date.  Documents such as meeting notices, agendas, and minutes (once approved by the Board), are currently available online.  Additional documents such as our annual budget, and archival media releases will be added within the next few months.

You may access our document library here.

Additional Resources

Documents related to the work of local government agencies are often available in numerous locations.  If you are pursuing a research project or looking for an online document, you may consider these additional resources:

Skamania County makes many of their records available online.  You can locate marriage licenses, property records, marriage licenses and more through the Auditor’s page; tax documents and cadastral maps through the Assessor’s page; and agendas, minutes and audio recordings related to the Board of County Commissioner’s meetings through the Commissioners page.

The Secretary of States Office makes election records and digital archives available online.  You may search records by name, keyword or through a detailed search.

The Washington Courts system has a search engine available to review municipal, district, superior and appellate court cases.


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