The operations of the hospital are overseen by a seven-member Board of Commissioners, elected by the district's constituents.

The combined organization is now known as Skagit Regional Health, which also acquired Cascade Valley Hospital in Arlington in 2016.

[3] The hospital includes 137 beds,[1] and operates a level 3 trauma center through its emergency department and a Cardiac Catheterization Unit.

[5] Skagit Valley Hospital operates two residency programs, which train newly graduated physicians.

Medical students from Pacific Northwest University of Health Sciences rotate at Skagit Valley Hospital.