Community Engagement

The Commissioners are committed to actively engaging with the community and strive to provide information in a timely and transparent manner. They encourage the public to attend all Board meetings, and they provide time on every Agenda for public comments at the start and end of Regular Board meetings.

The meeting materials are posted at least 24 hours in advance. Any meeting cancellations will be posted online at least 24 hours in advance of the cancellation.

Upcoming meeting

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Terms & Positions

The Commissioners serving as the inaugural governing Board, and their initial terms, are as follows:
Richard Fralick

Richard Fralick

Seat 1; Term ends 2023

I discovered this region of the world when I responded to an ad seeking an "untamed physicist" to work in the San Juan Islands. Living in the Caribbean sounded really good to me. My geography may have been faulty, but my intuition was not.

I took the job. I have lived on Orcas Island for 37 years now. I love my life here and am happy that my children grew up here. My daughter Kristin who now works for the University of Washington, graduated from Orcas High School — she loves to hike and enjoys kayaking. My son Cameron learned to stand holding onto the tiller of our sailboat. He is now participating in the University of Washington's Physicians Assistant program. When back on island, he is an EMT and sometimes captains on a local whale watch boat.

Pegi Groundwater

Pegi Groundwater

Seat 2; Term ends 2021

My passion for ensuring that we have excellent healthcare on Orcas that is financially sustainable arose from my volunteer work and personal experience. Ten years ago, I became a SHIBA volunteer helping people understand their Medicare insurance options, an activity I continue to pursue. When Obamacare was enacted, I also became a Navigator to help people sign up for insurance through that program. The people I have met and the problems I have helped them deal with have opened my eyes to the importance of a robust healthcare system for a small remote community like ours. I came to appreciate that first hand when my medically fragile mother came to live with me for the last years of her life.

My background includes attending UC Berkeley as an undergrad and for law school and practicing business law in CA and OR. Along the way, I collected my MBA from the University of Oregon, owned several businesses, and served as the COO of a small security equipment company. Shortly before retiring from Intel’s legal department in early 2006, my husband, Michael Moss, and I moved to the islands where we eased into retirement by designing and constructing our island home on Orcas. Once construction was completed, I became active in the Master Gardeners program and served as Treasurer of the Master Gardeners Foundation, served as a docent at the Historical Museum and as a member of its Board of Directors and became a trustee for OPAL.

Art Lange

Art Lange, President

Seat 3; Term ends 2023

Art Lange is an Orcas Island Healthcare District commissioner. He was active in the Coalition for Orcas healthcare which put the Public Hospital District on the ballot in April 2018. He was a member of the Orcas Medical Foundation from 2008 to 2015.

Art is retired. He was the president of a management consulting company and has taught and held administrative positions at UCLA, UC-Irvine, and Pomona College of the Claremont Colleges.  He is the author of three books.

When not working on Hospital District business, Art enjoys fishing, shrimping, crabbing, and eating good food!

Diane Boteler

Diane Boteler, MD

Seat 4; Re-elected 2019, Term ends 2025

I am a family physician and 24 year Orcas resident.  I studied at Harvard, the University of Colorado School of Medicine and the University of Washington School of Medicine.  I landed on Orcas in 1997 to work at the Orcas Medical Center after 6 years with the US Indian Health Service on the Navajo Reservation in Shiprock, New Mexico.  I stepped away from the Orcas clinic in 2003 to pursue a degree in Tropical Medicine in London though I have returned to work as a fill-in physician here several times.  I currently work primarily as a hospitalist at Peacehealth St. Joseph’s Hospital in Bellingham.

I was the first Commissioner to run for reelection (unopposed as it turned out), and I remain keenly interested in continuing to work towards an excellent health care system that truly meets our needs.  I look forward to continuing to partner with my fellow Commissioners, our new Island Hospital partners and the clinicians to shape our clinic into a model for a rural island health care system.

I have also worked as a volunteer physician in Zambia and Honduras, and I remain passionately interested in tropical and travel medicine.  In my spare time, I hike, backpack, kayak, ski, garden and play my ukulele.

Patty Miller

Patty Miller, Secretary

Seat 5; Term ends 2021
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