Collaborative Name:

Hope Rising

Wellville Coordinator:

Shelly Mascari

Backbone Organization:

Adventist Health

Executive Committee:

  • Managing Director: Shelly Mascari, Director of Community Wellness, Adventist Health
  • Tawny Bailey, Lake County Director, Redwood Community Services
  • Patty Bruder, Executive Director, North Coast Opportunities
  • Dr. Marshall Kubota, Regional Medical Director, Partnership Health Plan
  • Annette Lee, business and management faculty, Woodland Community College LC Campus
  • Crystal Markytan, Director, Department of Social Services
  • Todd Metcalf, Administrator, Lake County Behavioral Health Services
  • Dan Peterson, Chief Administrative Officer, Sutter Lakeside Hospital
  • Denise Pomeroy, Health Services Director, Lake County Public Health
  • Carole Press, CEO, Mendocino Community Health Clinic
  • David Santos, President & CEO, Adventist Health Clear Lake
  • Tina Scott, District 4 Supervisor, County of Lake Board of Supervisors

Community Snapshot
Lake County, incorporated in 1861, was carved out of portions of Napa, Mendocino, and Colusa counties, with Lakeport as the county seat. The county’s most prominent geographical feature is 68-square-mile Clear Lake, which has approximately 100 miles of shoreline. The county enjoys the cleanest air in the state, an active local food movement, and a highly connected community.
The county’s economy has always relied on agriculture and tourism. These industries’ dual challenges of seasonal employment and relatively low pay contribute to high rates of poverty. Currently, self-employed individuals make up almost 38% of the total workforce. The largest employers are the health care system and local government, including schools.
The county consistently ranks as one of the least healthy counties in California. In addition to poverty, issues depressing the health and well-being of residents include drug and alcohol abuse, food and housing insecurity, limited educational and employment opportunities, transportation access and blight.
In the the summers of 2015 and 2018, Lake County suffered devastating wildfires; the cumulative damage includes more than 171,000 acres of burned land, the loss of more than 1,300 homes and damage to dozens of commercial properties.
Population: 64,076
  Non-Hispanic black: 2%
  Non-Hispanic white: 72.3%
  Hispanic/Latino: 18.9%
  Native American: 3%
  Other: 3%

Area: 1,256 square miles
Median household income: $36,132
Poverty rate: 24.6%
Child poverty rate: 32%
Unemployment rate: 15%
High school graduation rate: 83%
Diabetes rate (adult): 22%
Obesity rate (adult): 46%
Obesity rate (child): 24%

Areas of Focus and Work


Hope Rising is a collaborative of key players in population health in Lake County. The board members, with the support of Wellville, are using a phased approach to make Hope Rising a self-sustaining organization. The phases are: 1. Plan and Prep, 2. Leadership, 3. Team, 4. Metrics, 5. Impact. After years of hard work, Hope Rising is moving aggressively from phase 3 to phase 4.

Mission: To mobilize and inspire community partnerships and actions that support individual, collective and community health and wellness.

Focus: The health systems, county leaders, non-profit organizations and other relevant organizations of Lake County lead a joint effort, leveraging their resources and influence to improve the overall health and wellness of Lake County.

Current Initiatives

Leadership & governance: After taking part in leadership training provided by the Aspen Institute, and with guidance from Wellville, the Lake County team has made create strides in real collaboration. Led by volunteer Managing Director Shelly Mascari of Adventist Health, the board members have agreed to collaboratively pay the salary of a dedicated, paid part-time Managing Director. They also have invited key community organizations, such as Tribal Health, the Board of Education, and the Police Department, into Hope Rising as general members.

Project Restoration/Hope Center: Using a grant from Partnership Health Plan, the team plans to acquire, renovate and operate the Hope Rising Center for Transformation, which will both increase the number of available transitional beds for homeless clients and create a hub for county social and health services.

SafeRx Opiod prescriptions The team continues work on its SafeRX coalition, formed three years ago to reduce deaths due to prescription opioids and to improve access to pain management alternatives for residents. The program has reduced overall opioid prescriptions for MediCal patients by 73%, with a 47% decline in new opioid prescription rates, 83% decline in patients on high doses of opioids, and a 43% decline in patients on escalating doses of opioids.

Community data platform/collaborative CHNA: Hope Rising members, including both local healthcare systems and the county public health department, have agreed to collaborate on a more modern (i.e. digital) CHNA. The board contracted with Conduent to integrate the CHNA data into a shared, public-facing data platform. Eventually the platform will serve as a public portal with data from more than 150 health indicators.