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The North Sound Accountable Community of Health (North Sound ACH) The North Sound region, home to more than one million people, includes Snohomish, Skagit, Island, San Juan and Whatcom counties, and 8 Tribal nations.

We share the belief that health is determined by more than access to medical care. Together we are working to ensure better health for the people who live in our region. The North Sound ACH is part of the Healthier Washington Initiative.