Aviva Health CEO KC Bolton

02/02/2026

Kyle Bailey at KQEN interviewed me today about the process and some details regarding Aviva Health stepping up to serve as the Child Advocacy Center for our county.

Aviva Health CEO KC Bolton talks about their work in beginning to provide child advocacy services.

01/30/2026

I've been honored to be at the table with some of the titans of our community, each of whom is driving change to improve the quality of life in Roseburg. The organizations, businesses, governments, and committed residents are working to make Roseburg a vibrant place where families thrive, businesses succeed, and our community flourishes. I've personally seen the shared vision put into action across many of the projects listed in the column. Big kudos to everyone on the team, and to The Ford Family Foundation for keeping this coalition of "get r' done" people on point for all of us!

If you haven’t noticed, our small town is making big moves. I’ve lived and worked in Roseburg for almost 20 years, but this moment in time feels uniquely energizing. Across

01/28/2026

I’ve held off on even hinting that Aviva Health might assume the Child Advocacy Center's mission in Douglas County. There are multiple reasons for me doing that, not the least being that there are dozens of agencies that are part of a response to suspected child abuse. I didn’t want to get ahead of their skis by even hinting was being worked on.

My team and I are deeply grateful to all the agencies that have coached us along the way as we worked toward operational status. The chiefs of police from cities in the county, the sheriff’s office, Child Protective Services, Kids First (the regional CAC we fall under), and Peace at Home have been amazing partners in getting us going. The official press release is on this page https://aviva.health/in-the-news/ where you will see quotes from some prominent community leaders in law enforcement and primary agencies who protect our children. We felt that the public would want to know what a CAC is and what it is built to do. I think the release does an excellent job of explaining the operations side as much as it is an announcement.

The Aviva Facilities team went into overdrive to repurpose and remodel the building's interior to support forensic services (interviews and physical examinations). There are unique considerations for a CAC workspace that differ from those in a typical healthcare exam room/waiting area. You’ve got to make the space inviting for the children, but also functional for the tasks at hand. Our team is extremely talented in multiple aspects of remodeling a space. Our Facilities Tech Supervisor took the time to handcraft a quilt rack from madrone. Besides being beautiful, it’s a functional element for CAC workflows. When a child is brought in, their clothing is often considered evidence. Rather than use a smock or hospital gown, each child is taken to the quilt rack to choose the one they want. They stay wrapped in that quilt through the process and get to keep it.

I need to give a special shout-out to two businesses that hit the ground running, achieving warp speed, and then put in extreme hours to allow us to open our downtown clinic this morning. Nexcom Networks (https://www.nexcomnetworks.com/) rewired our downtown building, which was primarily used as an admin space to this point. This is a critical step to ensure the specialized medical devices and voice and video recording equipment can work properly with backup capabilities. They put in many, many hours, making our project a high priority, and gave us an amazing rate for their work as a gesture of goodwill for us taking on the mission. We conducted a top-to-bottom assessment of the building before the remodel and discovered a leak. Standridge Construction (www.roseburgroofingcompany.com) came when we called, halting work on other projects, to replace the roof. Randy Standridge and his crew literally worked into the dark, putting in long hours each day, replacing the roof in less than 96 hours from notification… that’s impressive as hell.

I’ve attached some photos I took last night of the Avivans getting after it to open this morning. To be clear, there is much more work to be done, but I’m told it would be functional enough to open today.

If you're wondering how to help, there are two things off the top of my head that you can do. First, the quilts we give the children to cover with during the process are donated. Second, we’d like to make the environment itself more inviting for the children. An element of trauma-informed care is paying attention to the walls, furniture and the environment itself. Room temperature, sound baffling, simple/not confusing or complex navigation, and the décor play a substantial role in helping the child feel safe and less anxious. Some CACs have local artists paint murals of landscapes on the walls to make the interior more inviting. Child-friendly, culturally diverse art needs to be put on walls at eye level for the child, not the adult.

We can take washed and clean, serviceable quilts at any of our locations, just mention it's expressly for child advocacy support. We are happy to attribute the gift if you provide your name and a way to send you a thank you. If you are an artist, please email us at info@aviva.health to start the dialog. We will connect you to some of our certified trauma-informed care staff to discuss and vet your ideas for the artwork.

01/23/2026

Sitting in the Roseburg Family Medicine Residency research and capstone projects symposium. So incredibly proud to work alongside these community-focused providers...we are blessed to have them here!

01/19/2026

Shelley Bolton and I had such a great time last night at our annual Employee Appreciation Night, hosted by the Seven Feathers casino. Nearly perfect mix of excellent food, give-aways, entertainment (karaoke and then dancing) and people just forgetting about the gravity of what we all do to serve those who need it most. We stretched out our time in the ballroom because we were having a blast...the work crew from the casino said it was one of the best parties they've seen in a long time. I invited them to join us on the dance floor at the end and their supervisor was a good sport and let them 🕺💃

In my opening remarks I gave examples where the company went above and beyond this past year. I also leaked some Reader's Choice results for 2025, then wrapped up telling them all how fiercely proud I am that they have stepped up to provide Child Advocacy Center services for the county, effective tomorrow morning. They are a truly amazing collection of mission focused professionals.

It doesn't feel like work when you get to serve the community like we do. And as I shared in my final comments...the best is yet to come for Aviva Health!

01/08/2026

Such fun at the Roseburg Family Medicine Residency holiday party. I was able to steal to lock in Jay Richards's Jaws socks! (theme, looking mahvelous at the Oregon coast)

12/22/2025

Somewhat random thoughts...

I think it's a moral requirement for those in leadership roles or positions of influence to not be okay when "the system" breaks down or delivers half-ass results. Sometimes it's also a legal mandate. This is especially true for some areas, such as critical healthcare services (ER, timely labs, prescriptions, lifeflight, etc.). You can lump into this bucket law enforcement functions, safety or engineering designs baked into structures/things, food safety, and more. (Include homeowner associations (HOAs), water districts, school boards, and governing boards for agencies here, too).

If you notice a trend, each of these areas has some level of governmental or formal compliance oversight. For the record, I am not calling out any elected official for dereliction of duty specifically or in general. But I do wonder if the system of checks and balances needs a more aggressive cycle.

For those reading this who sit on a board of some type, I hope you have been trained on the requirement of "fiduciary duty" to the agency you overwatch. Copilot says this: *Fiduciary responsibility is a legal and ethical obligation that requires individuals or entities (fiduciaries) to act in the best interests of another party (the beneficiary). This means that the fiduciary must prioritize the interests of the beneficiary above their own.*

People join nonprofit boards for a variety of reasons, not least of which is a passion for the agency/organization's mission. Passion cannot cover a lack of baseline knowledge about responsibilities. And ignorance of the legal requirements for training needed as a board member or agency staff isn't a defense if the oversight organizations conduct an external audit of operations.

I have recently stepped down from a couple of local boards to help me focus on upcoming personal and professional priorities. I've not been able to give those organizations the proper focus and contribute meaningfully, and stepping down gives them a chance to recruit someone who can. To do less than that makes it about me and not in keeping with the tenets of stewardship of nonprofit organizations.

12/17/2025

Ugly Sweater 2025. I (KC Bolton) am with Mark Tsuchiya

12/12/2025

Even doctors benefit from sessions with Santa 😅😎🎅🎅

12/07/2025

Had a blast with my Aviva peeps at the 2025 Mercy Foundation Festival of Trees fundraiser. Shelley Bolton definitely rocks the Stetson 😎

11/20/2025

Leadership hack: don't make it about you. Put the mission first, then your people. If you are hiring the right folks, most of them will deeply appreciate that the mission is most important. Truly.

I've never found myself unable to take care of people while putting the mission first. Part of what makes that work is going without myself if I need to (a great book to add to your list: Simon Sinek's "Leaders Eat Last").

I have a quasi-radical view of healthcare that you can see in how I lead and run Aviva Health if you look hard enough. If healthcare is being done right, we mostly put ourselves out of business. So that should be our goal: putting ourselves out of business. There are tons of offshoots you can unpack from that statement, too many to explore in this post, but give that some thought. This often manifests in my team and me being a part of efforts to support the community outside the traditional boundaries of a healthcare delivery organization.

Speaking of our mission, I'm incredibly grateful to be surrounded by amazing community leaders and partner organizations who are putting the mission and the community before themselves. The food drive hosted by United Community Action Network and The FISH of Roseburg, and us at Aviva Health, is in full swing with collections being taken up to 7pm this evening in the Aviva lower parking lot at our clinic next to Costco. I personally know of some folks who are zipping over to Costco to buy food to drop off at the collection site across the street. Peanut butter, canned meats & fish, and staples like ramen noodles are popular and can go a long way for individuals and families working to make ends meet.

11/13/2025

My senior leadership team and I have a monthly professional development session, curated and led by me. I do this personally for several reasons: the most important is that I can weave organizational priorities into what we focus on, and the second is that helping others tap into their full potential brings me joy. (Gotta have some fun too, right??)

I launched it about a year ago, and we started with using Jim Collins' "How the Mighty Fall" book as the common thread of topics for a while. The book presents a cautionary tale of organizations that fail to adjust to market realities, ignore institutional rot, and eventually cease to exist as companies. If I had to single out only one danger zone to avoid or be mindful of from this book, it would be organizational hubris after a period of growth. Or, put another way, buying into one's own hype as a company is a known precursor to a precipitous fall.

This organizational minefield is front and center in my thoughts lately, particularly as we enter the season when a few entities in the state hold their annual "Favorite..." public voting. One of the lessons I learned as a young Army officer was that good and great units don't compare themselves to other units, but rather to the standard. The "standard" is not self-generated but is set against a benchmark, usually overseen by an external party. In the for-profit world, an example would be ending the fiscal year in the black, or a positive operating margin. For outpatient primary care in Oregon, one such yardstick is the tier the state auditors assign when they assess the clinic against patient-centered medical home standards.

I want to acknowledge that we don't always get things right at Aviva Health. Some of our challenges are revealed in posts on various FB groups, and I occasionally personally address them and apologize for not meeting patients' needs and expectations for their care at Aviva. I believe my weighing in helps to legitimize the concern and helps those involved to feel they are seen and heard. I don't know about you, but I distrust any organization that acts like they are operating perfectly. Or gaslight my experience when interacting with them because they are super awesome, and they couldn't possibly have made a mistake.

To help me stay grounded and in the proper frame of mind, I have one of those "live, laugh, love" things in my office window. It says "Stay Humble -- Work Hard -- Be Kind". I try to live these words at home and in my leadership of Aviva Health. We hope you'll help us stay true to these beliefs and provide feedback when and where we fall short of that standard. KC