Your Community. Your Hospital.

As a community-owned public hospital district, EvergreenHealth Monroe is committed to continuing to grow and meet the needs of our patients and Monroe, Sky Valley and Snohomish Valley residents. From our beginning as a care center for those unable to pay for care to today, EvergreenHealth Monroe has evolved to provide the most advanced care, technology and techniques available, delivering quality care to everyone that comes through our doors.

How Much Will It Cost? Additional FAQ

To support our efforts in continuing to provide these important services and grow to meet our community's needs, EvergreenHealth Monroe is seeking residents' vote for an Unlimited Tax General Obligation (UTGO) bond measure. The measure will be on the ballot on August 4, 2026.

The UTGO bond measure, if passed, would give our public hospital district authorization to issue up to $382 million in bonds to build and support a replacement hospital on the EvergreenHealth Monroe campus along with additional care facilities.

The replacement hospital will help EvergreenHealth Monroe address multiple limitations of the current facility and allow us to provide greater access to care for everyone in our community.

UTGO Bond 2026

EvergreenHealth Monroe serves not only Monroe but also Sky Valley and Snohomish Valley communities. We are the only full-service hospital offering state-of-the-art emergency care and specialty care from Everett to Wenatchee.

Beginning in 2023, the publicly elected Board of Commissioners for the public hospital district requested that EvergreenHealth Monroe leaders begin looking for ways to address increasing space constraints, aging infrastructure and the growing demand for care throughout the district.

Following months of consideration, the Board of Commissioners voted unanimously in March 2026 to place the UTGO bond measure on the August ballot.

Growing Demand for Care

For the last four years, EvergreenHealth's hospital system has cared for roughly 50% more patients in the EvergreenHealth Monroe hospital district than in previous years. This significant increase in the number of patients we serve signals a rapidly growing service area as well as a steep rise in demand for our services.

Several key areas of EvergreenHealth Monroe are consistently operating at or near capacity due to these shifts in demand, especially:

• The EvergreenHealth Monroe Emergency Department, a Level IV Trauma Center, sees on average 60-80 patients daily, but is currently limited to just 14 treatment beds. While plans are underway to increase this to 18 treatment beds in the summer of 2026, the additional four beds will provide short-term relief.
• EvergreenHealth Monroe's inpatient units are frequently at capacity. These units are essential for our providers to care for you after being admitted to the hospital. This could be during your recovery after surgery, while you are being treated for disease or so that your care team can closely monitor your health.
• Demand for EvergreenHealth Monroe's surgical care has steadily increased over the last 5 years, with the number of surgeries performed at EvergreenHealth Monroe rising nearly 30%.

Additionally, the EvergreenHealth Monroe Urgent Care in 2025 saw 150% more patients than in 2022, illustrating the higher demand in our community at all levels of care.

How Much Will the Bond Cost?

If approved, the UTGO bond cannot exceed $382 million. In order to pay for the bond, the measure would add a temporary property tax within the EvergreenHealth Monroe public hospital district.

This tax would be on average $0.437 per $1,000 of assessed home value. For the median home value in the EvergreenHealth Monroe district, this would be an estimated $489 per year.

Our Community's Needs

Our community's population continues to grow and, therefore, the needs of our patients continue to increase and become more complex. These positive changes throughout our district require additional resources and greater access to EvergreenHealth Monroe's critical services.

For more information, we have developed an additional FAQ with more details regarding the UTGO bond measure.