Emergency Medical Services

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Emergency Medical Services

Director: Josh Pelonio

Welcome to the Skagit County Emergency Medical Services




The Dr. Ron Richeson
Life Saver Award

Nomination form

2024 EMS Levy Renewal

Emergency services are funded through a voter-approved EMS levy limited to $0.50 per $1,000 of assessed property value. The EMS levy must be renewed by voters every six years to continue service. Voters last renewed the EMS levy at $0.44 in 2018 and it’s set to expire at the end of 2024. [more information]

About EMS
The Skagit County Emergency Medical Services (EMS) Department is an oversight, quality assurance, and support agency that serves the residents and visitors of Skagit County by: monitoring the performance of contracted county EMS providers, facilitating a standardized countywide patient care reporting system, and providing a standardized EMS ongoing training and evaluation program. Other responsibilities include overseeing EMS credential initial issuance and recertification, and providing administrative support to the EMS Physician Medical Program Director.

Our Mission
To support a system of innovative, patient-centered, pre-hospital care through:

  • Supervision of initial and ongoing EMS education and training for Skagit County EMS personnel
  • Support of public access to health, safety, and injury prevention training programs
  • Development and implementation of patient care protocols and standard operating guidelines
  • Data collection and analytics, system-wide focused initiatives and quality assurance measures

Collaboration and participation in local, regional, and state stakeholder groups

Our Vision
Assuring a comprehensive, reliable, and sustainable EMS system based on continuous quality improvement, clinically exceptional and culturally competent care for our community.

We want your feedback
Skagit County EMS values public opinion and encourages citizens and visitors of Skagit County to offer recommendations on ways in which we can improve our service delivery and performance of our personnel. Members of the public can provide feedback by submitting a formal commendation and/or complaint to Skagit County EMS


2911 East College Way, Suite C
Mount Vernon, WA 98273
(360) 416-1830

Director: Josh Pelonio

Skagit County Medical Program Director, Matthew Russell MD

Training Specialist: Jill Hoogerhyde

Data Specialist: Wayne Scoles

Administrative Coordinator: Freya Peebles