The administration of Three Rivers Hospital is committed to promoting and fostering a positive work environment. We encourage our employees to actively participate in the growth and development of our facility and encourage pursuit of professional excellence. We believe that support of the continued dedication and focus of individuals creates the best opportunities for the whole team to achieve our goal of the highest level of patient care and satisfaction.
CHIEF EXECUTIVE OFFICER
Scott Graham 509.689.2517 ext. 3340
Scott Graham was born and raised in rural eastern Utah. He earned a bachelor’s degree in psychology from the University of Utah in 1986 and a master’s degree in psychology from Eastern Washington University.
For 15 years, Scott worked as a mental health professional at Sacred Heart Medical Center and St. Luke’s Rehabilitation Institute in Spokane. In 2000, he transitioned into hospital administration at St. Luke’s and later became Chief Operating Officer in 2008. The following year, he was recruited to Coulee Medical Center, where he first served as Chief Operations Officer and then as Chief Executive Officer beginning in 2010. During his tenure there, he helped oversee the construction of a new hospital for the community.
Scott joined Three Rivers Hospital as Chief Executive Officer in 2014, where he oversees all hospital departments and directors and reports to the Board of Commissioners.
In addition to his leadership at Three Rivers Hospital, Scott serves on the Rural Hospital Committee Board and the Clinical Excellence Committee of the Washington State Hospital Association (WSHA).
Outside of his professional work, Scott spent two years in El Salvador, where he learned to speak Spanish.
CHIEF OPERATING OFFICER
Jamie Boyer 509.689.2517 ext. 3349
Jamie Boyer joined Three Rivers Hospital in 2017 as the Health Information Director, where she also oversaw hospital admissions for a time. In 2019, she was promoted to Director of the Rural Health Clinic and Provider Relations. Under her leadership, Three Rivers Family Medicine achieved its Rural Health Clinic designation in early 2020.
“Opening and developing the RHC has been the greatest project I have been a part of,” Jamie said. “We are very proud to have a wonderful medical staff and support staff providing excellent healthcare for all.”
In January 2024, Jamie was promoted to Chief Operating Officer, overseeing the daily operations of the hospital and working closely with the CEO and department leaders to ensure smooth, efficient, and patient-centered care.
Jamie began her healthcare career in 1999 at Coulee Medical Center, where she worked in the front office at Coulee Family Medicine before becoming a Nursing Assistant–Certified (NA-C) and then a Certified Coder in 2004. She went on to serve as Health Information Manager and Privacy Officer, and later as Revenue Cycle Director in 2012.
CHIEF NURSING OFFICER
Christine Smith, RN 509.689.2517 ext. 3103
Tina Smith joined Three Rivers Hospital in March 2016 as a Registered Nurse in the Emergency Department. She quickly advanced through leadership roles — becoming ER Team Lead and trauma program manager in December 2016, then Assistant Chief Nursing Officer in February 2017, before being named Chief Nursing Officer in February 2022.
As CNO, Tina oversees the Emergency Department, acute care, transitional care (swing bed) program, surgery including PACU, employee health, utilization review and discharge planning, pharmacy, rehab services (physical and occupational therapy), informatics, and ancillary services such as laboratory and radiology.
“The biggest project I’ve had the privilege of working on was the ER move in March 2019,” Tina said. “This move has been great for the community as well as our staff.”
Tina also helps lead customer service training for employees and serves on the employee recognition committee. Reflecting on her time at Three Rivers, she says, “I have always felt supported, respected, and welcome here.”
Tina became a Registered Nurse in 2004. She began her career on the Med/Surg floor at North Valley Hospital before moving to the ER, where she managed operations and oversaw infection prevention. From 2011 to 2016, she served as Director of Nursing Services and also worked as a travel nurse throughout Washington state.
CHIEF MEDICAL OFFICER
Ty Witt, M.D. 509.689.2517 ext. 3631
Dr. Ty Witt is a skilled physician with more than 35 years of experience in women’s health, specializing in gynecology. He joined Three Rivers Family Medicine in August 2014, providing gynecologic care and specialty services through the clinic, which is a department of Three Rivers Hospital.
Over the course of his career, Dr. Witt has delivered more than 4,000 babies, though in recent years his practice has focused solely on gynecology and women’s wellness.
A dedicated advocate for rural health care, Dr. Witt joined the administrative team as Chief Medical Officer on June 1, 2020. In this role, he continues to support the hospital’s mission of delivering high-quality, compassionate care close to home.
CHIEF HUMAN RESOURCES OFFICER
Anita Fisk 509.689.2517 ext. 3343
Originally from South Dakota, Anita Fisk built a diverse career before joining Three Rivers Hospital. She spent 11 years working in human relations, six years with a publishing company, and five years in the health field in Nebraska before moving to North Central Washington.
Anita began her career at Three Rivers Hospital in July 2009 as a Human Resources Generalist and later advanced to Human Resources Director. In 2025, she was promoted to Chief Human Resources Officer.
In her role, Anita focuses on creating the best possible work environment for hospital employees. She oversees recruitment, new employee orientation and training, and helps staff transition successfully into their roles. She also manages employee benefits, mentors supervisors, and works to strengthen morale across the organization.
INTERIM CHIEF FINANCIAL OFFICER
Antone Eek
Antone joined Three Rivers as our interim Chief Financial Officer on August 11, 2025.
CHIEF INFORMATION OFFICER
Brett Mello
Brett Mello came to Three Rivers through Scaled Health, an organization that specializes in Information Technology support for healthcare organizations.
Brett has over three decades of IT leadership experience across a diverse array of industries, with a particular focus over the past 20-plus years in healthcare organizations. He has held key senior leadership roles such as Chief Technology Officer (CTO) and Chief Information Officer (CIO) at various institutions, including one of the nation’s first Malcolm Baldrige award-winning hospitals. Brett is a recognized expert in technology strategy, organizational development, and process improvement.
His career spans from Fortune 500 companies to startups, where he has excelled in crafting innovative business and technical solutions while facilitating transitioning operations with a strong emphasis on compassion and ethics. He guides teams through all phases of solution delivery and process improvement, fostering robust partnerships, and cultivating trust to consistently achieve exceptional results.
Brett attended Davenport University as part of their Master of Business Administration program. He is also a Certified Professional in Healthcare Information Management Systems (CPHIMS) and received his certificate from Cornell University’s Executive Leadership Program.
