Letters of Intent

Please see the Project Status webpage, (also linked at the left of your screen) for all letters of intent submitted July 2019 and later. To easily view all submitted and expired letters of intent sort the projects' list by clicking the “Stage” filter button.

June 2019

• Grant County Public Hospital District No. 1 dba Samaritan Healthcare (PDF) – proposes to replace the current hospital at a new location, also in Moses Lake, within Grant. Expires December 13, 2019.
• Everett Transitional Care Services (PDF) – proposes to unbank 31 skilled nursing beds within Snohomish. Expires December 5, 2019.

May 2019

DaVita Inc. (Total Renal Care, Inc.) (PDF) – multiple proposals, all which expire June 3, 2019.

• To establish a 26-station dialysis facility, within Clark.
• To add five stations to DaVita East Wenatchee Dialysis Center, within Douglas.
• To establish an eight-station dialysis facility, within Grant.
• To establish a five-station dialysis facility, within Grays Harbor.
• To establish a four-station dialysis facility, within King eight.
• To relocate and add seven stations to Graham Dialysis Center, within Pierce two.
• To add three stations to Mount Baker Kidney Center, within Whatcom.

Fresenius Kidney Care (Qualicenters Inland Northwest, LLC, Renal Care Group Northwest, Inc., and Inland Northwest Renal Care Group) (PDF) – multiple proposals, all which expire June 3, 2019.

• To add four stations to FKC Columbia Basin, within Benton.
• To add five stations to FKC Aberdeen, within Grays Harbor.
• To establish a new 11-staion dialysis facility, FKC Green River, within King 10.
• To establish a new seven-station dialysis facility, FKC Pierce, within Pierce 2.
• To add six stations to FMC Moses Lake, within Grant.

Northwest Kidney Centers (PDF) – multiple proposals, all which expire June 3, 2019.

• To establish a new 14-station dialysis facility, within Snohomish 2.
• To establish a new 15-station dialysis facility, within King 3.
• To establish a new 40-station dialysis facility, by relocating 12 stations from NKC Auburn and adding 28 new stations, within King 11.
• To add 23 stations to NKC Lake City Kidney Center, within King 1.

Olympic Peninsula Kidney Center (PDF) – multiple proposals, all which expire June 3, 2019.

• To relocate four stations from OPKC Coordinated Care Unit to OPKC Bremerton, both within Kitsap.

Puget Sound Kidney Centers (PDF) – multiple proposals, all which expire June 3, 2019.

• To establish a new 19-station dialysis facility, within Thurston.
• To establish a new 24-station dialysis facility, within Clark.
• To establish a new 19-station dialysis facility, within King 1.

April 2019

• Seattle Cancer Care Alliance (PDF) – multiple proposals to add eight beds to its licensed bed capacity in Seattle, within King. Expires October 11, 2019.
• Cascade Regional Eye Center, Inc., P.S. dba The Harman Eye Clinic (PDF) – proposing to convert its exempt one-operating room ambulatory surgery center to certificate of need approved, within north Snohomish. Expires October 2, 2019.
• Fresenius Kidney Care Thurston (PDF) – proposing to add one station to FKC Thurston, within Thurston. Expires May 2, 2019.
• Northwest Kidney Centers (PDF) – proposing to add two stations to NKC Renton, within King Nine. Expires May 2, 2019.

March 2019

• Swedish Health Services dba Swedish Issaquah (PDF) – proposing to amend CN#1379A2, an amendment related to final costs of the project, in King. Expires September 27, 2019.
• Proliance Surgeons, Inc., P.S. dba Lakewood Surgery Center (PDF) – proposing to add two operating rooms to its existing two certificate of need-approved operating rooms in Lakewood, within West Pierce. Expires September 27, 2019.
• Bethany of the Northwest dba Bethany Home Health (PDF) – proposing to establish a Medicare and Medicaid certified home health agency serving patients in Snohomish. Expires September 25, 2019.
• Bethany of the Northwest dba Bethany Home Health (PDF) – proposing to establish a Medicare and Medicaid certified home health agency serving patients in Skagit. Expires September 25, 2019.
• Bethany of the Northwest dba Bethany Home Health (PDF) – proposing to establish a Medicare and Medicaid certified home health agency serving patients in King. Expires September 25, 2019.
• Heron's Key dba Emerald Communities (PDF) – proposing an amendment to condition six of its current certificate of need for its facility in Gig Harbor, within Pierce. Expires September 12, 2019.
• Healthy Living at Home – Seattle, LLC (PDF) – proposing to establish a Medicare and Medicaid home health agency serving King. Expires September 5, 2019.
• Northwest Washington Rehabilitation Hospital, LLC (PDF) – proposing to establish a 40-bed acute inpatient rehabilitation hospital in Snohomish. Expires September 4, 2019.

February 2019

• Kaiser Foundation Health Plan of Washington (PDF) – proposing to operate its current three procedure rooms and add a fourth to Bellevue Procedure Center in Bellevue, within East King. Expires September 2, 2019.
• Proliance Surgeons, Inc., P.S. dba Proliance Highlands Surgery Center (PDF) – proposing to operate one-procedure room in addition to its Certificate of Need-approved, four-operating room ambulatory surgery center within King East. Expires August 22, 2019.
• Proliance Surgeons, Inc., P.S. dba Proliance Center for Outpatient Spine and Joint Replacement Surgery of Puget Sound (PDF) – proposing to convert its existing four operating room surgery center to a Certificate of Need approved within Snohomish. Expires August 6, 2019.

January 2019

• Legacy Salmon Creek Hospital dba Legacy (PDF) – proposing to provide elective, adult percutaneous coronary intervention services in Clark. Expires February 28, 2019.
• Trios Health dba Trios (PDF) – proposing to provide elective, adult percutaneous coronary intervention services in Benton. Expires February 28, 2019.
• Swedish Health Services dba Swedish Issaquah (PDF) – proposing to provide elective, adult percutaneous coronary intervention services in King. Expires February 28, 2019.
• Sunnyside Community Hospital Association dba Astria Sunnyside Hospital (PDF) – proposing to provide elective, adult percutaneous coronary intervention services in Yakima. Expires February 28, 2019.
• Virginia Mason Memorial (PDF) – proposing to provide elective, adult percutaneous coronary intervention services in Yakima. Expires February 28, 2019.
• Eye Associates Northwest, PC (PDF) – proposing to operate an existing two-operating room ambulatory surgical facility as Certificate of Need approved in King. Expires July 10, 2019.

December 2018

• Bristol Hospice, L.L.C. (PDF) – proposing to establish a Medicare- and Medicaid-certified hospice agency in Snohomish and Thurston. Expires January 31, 2019.
• Continuum Care of Snohomish LLC (PDF) – proposing to establish a Medicare- and Medicaid-certified hospice agency in Snohomish. Expires January 31, 2019.
• Envision Hospice of Washington (PDF) – proposing to establish a Medicare- and Medicaid-certified hospice agency in Snohomish. Expires January 31, 2019.
• Glacier Peak Healthcare, Inc. (PDF) – proposing to establish a Medicare- and Medicaid-certified hospice agency in Snohomish. Expires January 31, 2019.
• Inspiring Hospice Partners of Oregon, LLC dba Heart of Hospice (PDF) – proposing to establish a Medicare- and Medicaid-certified hospice agency in Snohomish and Thurston. Expires January 31, 2019.
• Seasons Hospice & Palliative Care of Snohomish County, LLC (PDF) – proposing to establish a Medicare- and Medicaid-certified hospice agency in Snohomish. Expires January 31, 2019.
• Symbol Healthcare, Inc. (PDF) – proposing to establish a Medicare- and Medicaid-certified hospice agency in Thurston. Expires January 31, 2019.
• Bel-Red Ambulatory Surgical Facility (PDF) – proposing to expand current surgical procedures provided, located in and serving King East. Expires June 12, 2019.

November 2018

• Clallam Public Hospital District No. 2 dba Olympic Medical Center (PDF) – proposing to establish a Medicare-certified and Medicaid-eligible hospice agency to serve residents of Clallam County. Expires December 31, 2018.
• Bristol Hospice, L.L.C. (PDF) – proposing to establish a Medicare-certified and Medicaid-eligible hospice agency to serve residents of Clark County. Expires December 31, 2018.
• Connected Healthcare, Inc. (PDF) – proposing to establish a Medicare-certified and Medicaid-eligible hospice agency to serve residents of Clark County. Expires December 31, 2018.
• Continuum Care of Clark, LLC (PDF) – proposing to establish a Medicare-certified and Medicaid-eligible hospice agency to serve residents of Clark County. Expires December 31, 2018.
• Inspiring Hospice Partners of Oregon, LLC dba Heart of Hospice (PDF) – proposing to operate a Medicare-certified and Medicaid-eligible hospice agency to serve residents of Clark County. Expires December 31, 2018.
• Providence Health & Services-Oregon dba Providence Hospice (PDF) – proposing to operate a Medicare-certified and Medicaid-eligible hospice agency to serve residents of Clark County. Expires December 31, 2018.
• Seasons Hospice & Palliative Care of Clark County, LLC (PDF) – proposing to establish a Medicare-certified and Medicaid-eligible hospice agency to serve residents of Clark County. Expires December 31, 2018.
• Sojourn Hospice and Palliative Care – Vancouver, LLC (PDF) – proposing to establish a Medicare-certified and Medicaid-eligible hospice agency to serve residents of Clark County. Expires December 31, 2018.
• Bristol Hospice, L.L.C. (PDF) – proposing to establish a Medicare-certified and Medicaid-eligible hospice agency to serve residents of King County. Expires December 31, 2018.
• Continuum Care of King, LLC (PDF) – proposing to establish a Medicare-certified and Medicaid-eligible hospice agency to serve residents of King County. Expires December 31, 2018.
• Envision Hospice of Washington, LLC (PDF) – proposing to establish a Medicare-certified and Medicaid-eligible hospice agency to serve residents of King County. Expires December 31, 2018.
• Sojourn Hospice and Palliative Care – King, LLC (PDF) – proposing to establish a Medicare-certified and Medicaid-eligible hospice agency to serve residents of King County. Expires December 31, 2018.
• Symbol Healthcare, Inc. (PDF) – proposing to establish a Medicare-certified and Medicaid-eligible hospice agency to serve residents of King County. Expires December 31, 2018.
• Seattle Children's Hospital (PDF) – proposing to add one operating room to its existing ambulatory surgical facility located in Bellevue, within King's East 2nd planning area. Expires May 8, 2019.

October 2018

• Seattle Cancer Care Alliance (PDF) – proposing to add eight beds to its existing 20-bed hospital at the University of Washington Medical Center in Seattle, within King County's North planning area. Expires April 29, 2019.
• Amicable Healthcare (PDF) – proposing to establish a Medicare-certified, Medicaid-eligible home health services agency in King County. Expires April 19, 2019.
• The Polyclinic, PC dba Plastic Surgery Center (PDF) – proposing to convert its existing four-operating room exempt ambulatory surgical center to a Certificate of Need-approved facility in King County's Central planning area. Expires April 17, 2019.
• The Polyclinic, PC dba The Polyclinic Interventional Radiology Center (PDF) – proposing to convert its existing one-operating room exempt ambulatory surgical center to a Certificate of Need-approved facility in King County's Central planning area. Expires April 17, 2019.
• Northwest Neurosciences, PLLC, dba Northwest Surgery Center (PDF) – proposing to convert its existing two-operating room exempt ambulatory surgical center to a Certificate of Need-approved facility in Yakima, within Yakima County's secondary planning area. Expires April 16, 2019.
• Eden Home Health of Spokane County, LLC, a subsidiary of EmpRes Healthcare Group, Inc. (PDF) – proposing to establish a Medicare-certified and Medicaid-eligible home health agency located in and serving Spokane County. Expires April 3, 2019.
• Continuum Care Hospice dba Continuum Care of Snohomish, LLC (PDF) – proposing to establish a Medicare-certified and Medicaid-eligible hospice agency located in and serving Snohomish County. Expires January 31, 2019.

September 2018

• The Polyclinic, PC (PDF) – proposing to operate The Polyclinic Endoscopy Surgery Center as a four-operating room, free standing ambulatory surgical center serving the Central King County planning area. Expires March 25, 2019.
• Virginia Mason Medical Center (PDF) – proposing to establish a five-bed Level II neonatal service, using existing licensed beds. The service area is King and South Snohomish counties. Expires March 18, 2019.
• The Alliance for South Sound Health (PDF) – proposing to amend several conditions (#9, #10, and #11) to their existing Certificate of Need #1563, approving them to establish a 120-bed psychiatric hospital in Tacoma, within Pierce County. Expires March 5, 2019.

August 2018

• Pacific Cataract and Laser Institute, Inc., P.C. (PDF) – proposing to operate a three-operating room, free-standing ASC that serves the Clark County's secondary planning area. Expires February 18, 2019.
• Meridian Surgery Center (PDF) – proposes to convert their existing exempt ambulatory surgery center to a Certificate of Need-approved, two-room facility, located in the East Pierce secondary health services planning area. Expires February 13, 2019.
• Meridian Surgery Center (PDF) – proposes to convert their existing exempt ambulatory surgery center to a Certificate of Need-approved facility, located in the East Pierce secondary health services planning area. Expires February 13, 2019.
• Swedish Health Services (PDF) – proposes to convert six existing acute care beds into a six bed pediatric intensive care unit on the Swedish Issaquah campus, in the East King Secondary Health Services planning area. Expires February 8, 2019.

July 2018

• Western Washington Medical Group, Inc., P.S. (PDF) – Proposing to operate its existing Western Washington Medical Group Endoscopy Center as a Certificate of Need approved two operating room free-standing ASC serving the Central Snohomh planning area. Expires January 30, 2019.
• Pacific Cataract and Laser Institute, Inc., P.C. (PDF) – Proposing to operate a three-operating room, free-standing ASC that serves the Clark County's secondary planning area. Expires January 30, 2019.
• The Vancouver Clinic, Inc. P.S. (PDF) – application proposing to establish an ambulatory surgery center in Clark County's secondary health services planning area. Expires January 14, 2019.
• Springstone, LLC (PDF) – application proposing to apply for an amended Certificate of Need, which would modify or release Condition 6 of Certificate of Need #1590, related to the lease, currently located in Vancouver, serving Clark County. Expires January 10, 2019.
• Gastroenterology Associates, LLC (PDF) – application proposing to move its existing Certificate of Need approved facility, and add a procedure room for a total of four procedure rooms, currently located in Olympia, and serving Thurston County. Expires January 9, 2019.
• PeaceHealth United General Medical Center (PDF) – application proposing to establish a 10-bed PPS-exempt Level II rehabilitation unit, in Sedro-Woolley, serving Skagit and Whatcom Counties. Expires January 9, 2019.
• Proliance Surgeons, Inc. PS dba The Surgery Center at Rainier (PDF) – application proposing to add two operating rooms for a total of four Certificate of Need-approved operating rooms (previously approved rooms under CN#1227A), to their existing facility in Puyallup, serving the East Pierce planning area.
• Bel-Red Ambulatory Surgical Facility (PDF) – application proposing to expand the current surgical procedures provided, serving the East King planning area. Expires January 3, 2019.

June 2018

• Bel-Red Ambulatory Surgical Facility (PDF) – application proposing to expand the current surgical procedures provided, serving the East King planning area. Expires December 28, 2018.
• Bel-Red Ambulatory Surgical Facility (PDF) – application proposing to expand the current surgical procedures provided, serving the East King planning area. Expires December 19, 2018.
• Puget Sound Gastroenterology, P.S. (PDF) – application proposing to operate the PSG Freemont Endoscopy Center as a three operating room free-standing ambulatory surgical center, serving the North King planning area. Expires December 13, 2018.
• Astria Sunnyside Hospital (PDF) – application proposing to open a 10-bed PPS-exempt rehabilitation unit in its proposed replacement hospital located in Sunnyside, within Yakima County. Expires December 7, 2018.