Our Leadership

New CEOCOOCFORegional Administrators



New Chief Executive Officer, Tim Hoekstra, MS, MBA 

Tim Hoekstra is a seasoned healthcare executive whose expanse of responsibilities have included executive leadership with healthcare operations for complex health systems, compliance, quality, financial systems of behavioral care, and state leadership responsibility for nursing home/assisted living home compliance.

Tim is currently the Director of Behavioral Services for a Federally Qualified Health Center in Washington that provides behavioral health services within a fully integrated care environment (physical and behavioral health). Tim is also a governance board member of North Central Washington’s Accountable Community of Health. He has presented at the Washington State of Reform and at the Northwest Regional Primary Care Association Annual Conference on best-practices for behavioral health and primary care. Tim has served on numerous legislative committees to help better align policies, rules and laws with patient outcomes, practical business and operational considerations. He has provided consultation to a variety of communities and healthcare organizations who desired to move their siloed systems-of-care to functional models of cooperation. Over the course of Tim’s 28-year career in the
behavioral and physical healthcare field, his passion for helping the underserved through cooperative community ventures, team building, program development, and through advocacy at policy, state and federal levels has not diminished.

Before his work at Columbia Valley Community Health he served as Director of Outpatient Behavioral Health Service, Lourdes Health Network (Critical Access Hospital) where is was responsible for Southeast Washington State’s largest outpatient mental health system of integrated care including acute care, ambulatory, outpatient mental health and substance abuse plus mental health inpatient and crisis services. Prior to that Tim was principal of Hoekstra enterprises and Consulting, Inc. specializing in health care operations, marketing, leadership, quality assurance, corporate compliance, practice management and financial/program growth development.

In his career, he has served as a Chief Operating Officer, interim Chief Financial Officer and project director. He has extensive experience with business pro-formas, fiscal management, integrated service delivery, Lean and quality improvement as well as system re-design/re-engineering to align talents, resources, service and system to reach strategic initiatives while establishing needed economies.

2015 Ray Millar

Ray Millar, Chief Operations Officer

Ray oversees agency operations for Lifeways clinical programs. Ray has over thirty years experience in the field of behavioral health. Service experience includes inpatient, day treatment, community support services, crisis services, and outpatient treatment. In Idaho, Ray worked as a mental health policy analyst for Idaho’s State Medicaid Program and as Idaho’s State Mental Health Director.

Ray is a strong advocate for early intervention and prevention services that are provided in the most integrated and least restrictive settings. His hobbies include camping, hiking, and visiting obscure waterfalls. He speaks Spanish as a second language and is dedicated to Lifeways becoming a behavioral health “Center of Excellence.”

Mr. Millar has a bachelor’s degree in Psychology and a master’s degree in Social Work. He is also credentialed as a Certified Public Manager.

2015 Steve Jensen

Steve Jensen, Chief Financial Officer

Steve has served as the Lifeways CFO since 2008. In this position, he provides management and oversight of finance, budgeting, payroll, patient financial services, client access, and information/technology services. Prior to joining Lifeways, Steve worked for over fifteen years in acute care hospitals, including St. Alphonsus Regional Medical Center and the University of Utah Hospital.   Steve holds a master’s degree in Public Administration and Health Services Administration.


Annette Serrano, MS-P, CADC-III, MAC, Malheur Regional Administrator

Annette serves as the Division Administrator overseeing Malheur County Behavioral Health programs at Lifeways, Inc.

Annette has worked for Lifeways for just over 6 years as a mental health clinician a crisis worker, substance use disorder clinician and program manager.

Annette has over 20 years’ experience working with individuals with substance use disorders and mental health issues; and has 14 years’ experience in the corrections field before moving to county mental health.

She holds master’s degrees in Psychology and Addiction Counseling, and is a Certified Drug and Alcohol Clinician (CADC-III).

Micaela Cathey

Micaela Cathey, LCSW, Umatilla Regional Administrator

Micaela oversees Umatilla County as Division Administrator for Lifeways, Inc. Working in behavioral health since 2007, she has experience with a variety of services including community and corrections based mental health, addictions, crisis services, child and adult services. Micaela is strongly focused on trauma informed care and approaching services from this lens. Micaela has been with the agency since 2013 and has worked as a therapist, supervisor and manager.

Micaela has a Master of Social Work degree from Northwest Nazarene University, a graduate certificate in Health Leadership from Boise State University, and a bachelor of science in Psychology also from Boise State University.

Dennis Baughman, Idaho Regional Administrator

Dennis oversees the Idaho Division of Lifeways operations. Working in behavioral health since 2005, he has experience with a variety of services including community mental health, addictions, crisis services, and intensive child and adolescent and adult services.

Dennis is an advocate for early intervention and prevention and integrated care. He also serves on multiple state and area boards, committees and workgroups.

Dennis has a Master’s degree in Marriage and Family Counseling from Southwestern Baptist Theological Seminary in Fort Worth, Texas.