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.

Scott Graham CEO
Scott Graham   509.689.2517  ext. 3340

Scott Graham was born and raised in a rural area in eastern Utah, graduating from the University of Utah with a bachelor’s degree in psychology in 1986. He graduated from Eastern Washington University with a master’s degree in psychology. For 15 years, he worked as a mental health professional at Sacred Heart Medical Center and later at St. Luke’s Rehabilitation Institute in Spokane. In 2000, Scott began his career in administration at St. Luke’s and eventually became Chief Operating Officer in 2008. In 2009 he was recruited to work at Coulee Medical Center, first as the Chief Operations Officer and then as Chief Executive Officer in 2010. Part of his work there included seeing through the building of a new hospital for their community.

Scott also spent two years in El Salvador, where he learned Spanish.

The Chief Executive Officer oversees all the directors and their departments within the hospital and answers to the Board of Commissioners. Scott also serves on the the Rural Hospital Committee Board of the Washington State Hospital Association.

Jamie Boyer   509.689.2517  ext. 3349

Jamie Boyer joined Three Rivers Hospital in 2017 as the Health Information Director, and at one time she was responsible for supervision of hospital admissions as well. In 2019, Jamie was promoted to the Rural Health Clinic Director and Provider Relations. Under her leadership, the Three Rivers Family Medicine clinic received 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 say that we have a wonderful medical staff and support staff, providing excellent healthcare for all.”

Jamie has been a part of the Senior Leadership Team for three years, and she often helps organize community events and outreach activities.

Jamie began her healthcare career in 1999 at Coulee Medical Center. She worked at Coulee Family Medicine in the front office, before becoming an NA-C and then a Certified Coder in 2004. While at CMC, she was promoted to the Health Information Manager and Privacy Officer before becoming the Revenue Cycle Director in 2012.

In her role at Three Rivers as the Chief Operating Officer, Jamie is responsible for oversight of the daily operations of the hospital, working closely with the CEO and administrative team.

Christine Smith
, RN    509.689.2517  ext. 3103

Tina Smith joined the Three Rivers team in March 2016 as a Registered Nurse in the Emergency Department. She was quickly promoted – first to ER Team Lead trauma program manager in December 2016, then to Assistant Chief Nursing Officer in February 2017. Tina became the Chief Nursing Officer in February 2022.

In her role as CNO, Tina oversees the ER, acute care, the transitional care (swing bed) program, surgery including PACU, employee health, utilization review and discharge planning, pharmacy, 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 is also part of the team that leads customer service training for the employees, and she serves on the employee recognition committee.

Three Rivers won over Tina with the work atmosphere and culture. “I have always felt supported, respected, and welcome here,” she said.

Tina became a Registered Nurse in 2004. She worked briefly on the Med/Surg floor at North Valley Hospital, then moved to the ER. There, she managed the ER and oversaw infection prevention. Tina was promoted to the Director of Nursing Services and served in that role from 2011-2016. She has also served as a travel nurse throughout Washington state.

Jennifer Munson CFO
Jennifer Munson 
   509.689.2517  ext. 3344

Jennifer Munson began her career at Three Rivers Hospital in 1998 as a registration clerk. While continuing her education, she worked in radiology as a clerk, a transcriptionist in the health information and accounts payable departments, then as a fiscal assistant in payroll. She was promoted to Chief Financial Officer in 2007. She earned a bachelor of science in technical management with an emphasis in Accounting.

Ty Witt, M.D.
   509.689.2517  ext. 3631

Dr. Ty Witt is a knowledgeable gynecologist with over 30 years of experience in women’s health. Since August 2014, he has practiced at Three Rivers Family Medicine, a family practice and specialty clinic connected to Three Rivers Hospital. Throughout his career he has delivered more than 4,000 babies, but for the past several years has focused mostly on gynecology.

Dr. Witt is a tireless advocate for rural health care and joined the Three Rivers administrative team as Chief Medical Officer effective June 1, 2020.

Anita Fisk 
   509.689.2517  ext. 3343

Anita Fisk was born and raised in South Dakota. She spent 11 years in human relations, six years with a publishing company and five years in the health field in Nebraska before moving to North Central Washington.

In July 2009, Anita began her job at Three Rivers Hospital as the human resources generalist. Her responsibilities include providing the best possible working environment for employees, working with applicants for hospital employment, and orientation and training programs for new employees, as well as helping them settle into their jobs. She also coordinates and manages employee benefits, mentors supervisors’ management skills, and builds employee morale.

Amy Thomas

Amy Thomas joined the Three Rivers administrative team in March 2023 as part of her duties for ScaledData Health. She helps oversee the Information Technology department, working with on-site management to monitor the security of everything we do here and build process improvements in our technology.

ScaledData Health is an Illinois-based company that works with several Critical Access Hospitals in rural Washington state.