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Below you may find information on projects that were not yet complete as of June 16, 2019, including letters of intent, exemption requests and certificate of need applications.
Looking for decisions on projects between 2010 and 2017? See our archive section.
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Establish a home health care agency in King County.
4.14.2023 Letter of Intent (LOI) was submitted by AccentCare to establish a home health services agency in Pierce County.
Due to the size of the application file, exhibits are not included here. If you would like access to the whole initial application send a request to FSLCON@doh.wa.gov.
Proposes to establish a Medicare and Medicaid-certified hospice agency in Pierce County.
4.14.2023 Letter of Intent (LOI) was submitted by AccentCare to establish a home health services agency in Snohomish County.
Due to the size of the application file, exhibits are not included here. If you would like access to the whole initial application send a request to FSLCON@doh.wa.gov.
Proposing to provide Medicare and Medicaid certified hospice services to the residents of Spokane County.
9.7.2022 Application to establish a Medicare Medicaid-certified Hospice in Spokane County is approved.
Proposes to relocate an existing, two operating-room ambulatory surgical facility in Bellevue, to a new site also in Bellevue within King.
Proposing to provide Medicare and Medicaid certified hospice services to the residents of Chelan County.
Requesting an exemption from CN review to establish a new ambulatory surgical facility in Burien, within King County.
5/22/2023 Letter of Intent submitted to operate a Medicare and Medicaid-certified home health agency to serve the residents of Clark County.
6.29.2022 Allen Gabriel MD, PLLC, requested an exemption from the Certificate of Need for their ambulatory surgery facility.
5.8.23- Exemption request submitted to establish a new ambulatory surgery center in King County.
Proposing to establish a Medicare and Medicaid certified home health agency in King.
Requesting an exemption from CN review to relocate an ambulatory surgical facility in Bellevue, within King County.
Requesting an exemption from CN review to establish a new ambulatory surgical facility in Richland, within Benton County.
3.4.22 Approved Requesting an exemption from CN review to establish a new ambulatory surgical facility in Richland, within Benton County. Determined does not require a Certificate of Need at this time.
Requesting an exemption from certificate of need for a new ambulatory surgical facility, in Bellevue, within King.
Proposing alternate use bed banking for a nursing home in Union Gap, within Yakima County.
Request to exempt bed unbanking from certificate of need review.
(09/22/2023) Decision letter: Department determined that the request to unbank 24 beds at
Arcadia Healthcare Parkside meets the eligibility requirements.
To establish a 15-bed pediatric skilled nursing facility in King county.
Converted to regular review
2020 concurrent review, cycle one, nonspecial circumstances, proposing to establish a new 27-station dialysis facility, within Yakima County.
Concurrent review with:
- CN21-03 Fresenius
- CN21-07 Northwest Kidney Centers
08/27/2020 - reassigned from Peter Agabi to Randy Huyck
2021 Cycle 1-Nonspecial Circumstances - Proposing to establish a new 11-station dialysis facility within the Yakima County Dialysis Planning Area, with an estimated capital expenditure of $1,500,000.
Amendment application requesting removal of a condition of CN#1612.
Requesting exemption from certificate of need review to add 47 psychiatric beds to Astria Toppenish Hospital in Toppenish under RCW 70.38.260(2).
Establish a six-station plus one exempt isolation station dialysis center.
September 30, 2022, request to withdraw the application.
Proposal to add home hemodialysis services (HHD) to residents of Avalon Care Center in Federal Way, King County
Full facility closure- bank beds.
6.08.2023 Letter of Intent (LOI) submitted by Eagle Healthcare LLC to establish a Medicare-certified/Medicaid-eligible home health agency in Yakima County.
Proposes to relocate an existing, two operating-room ambulatory surgical facility in Bellevue, to a new site also in Bellevue within King.
Requesting an exemption from CN review to establish a new ambulatory surgical facility in Burien, within King County.
6.29.2022 Allen Gabriel MD, PLLC, requested an exemption from the Certificate of Need for their ambulatory surgery facility.
5.8.23- Exemption request submitted to establish a new ambulatory surgery center in King County.
Requesting an exemption from CN review to relocate an ambulatory surgical facility in Bellevue, within King County.
Requesting an exemption from CN review to establish a new ambulatory surgical facility in Richland, within Benton County.
3.4.22 Approved Requesting an exemption from CN review to establish a new ambulatory surgical facility in Richland, within Benton County. Determined does not require a Certificate of Need at this time.
Requesting an exemption from certificate of need for a new ambulatory surgical facility, in Bellevue, within King.
Proposing an expansion of services to currently an approved ambulatory surgical facility, located in East King.
Exemption request for an ambulatory surgical facility in Bellingham.
Requesting an exemption from Certificate of Need for the establishment of an ambulatory surgery center (ASC) related to solo practice. Solo practice Central Spine and Pain LLC is located in Spokane, WA. and the new ASC would serve as a private clinic for Central Spine and Pain with an attached ASC at 2107 Cooks Hill Road in Centralia, WA in Lewis County.
Requesting exemption from Certificate of Need review for a change in ownership of an existing ambulatory surgical facility in Yakima, within Yakima County.
Requesting exemption from Certificate of Need review for a change in location of an existing ambulatory surgery center in Olympia, within Thurston County.
Requesting certificate of need approval to establish a two operating-room ambulatory surgical facility, located within King.
Proposing to establish an ambulatory surgical facility currently operating under a certificate of need exemption. The surgery center is located in Spokane, within Spokane County.
06/02/2022 - project approved of a new surgery center in Spokane County
Concurrent review with:
CN21-59 Empire Eye Physicians, PS.
CN22-06 Iron Bridge Surgery Center, LLC
Requesting an exemption from CN review to establish a new ambulatory surgical facility in Yakima, within Yakima County.
Requesting an exemption from CN review to establish a new ambulatory surgical facility in Yakima, within Yakima County.
Requesting an exemption from CN review to establish a new ambulatory surgical facility in Olympia, within Thurston County.
09/24/2020 - Applicant requested and was granted a 30-day extension to screening.
Determine if services/ facility is Certificate of Need reviewable.
Requesting an exemption from certificate of need to relocate its ambulatory surgical facility, located in Spokane, within Spokane.
Requesting certificate of need approval to establish two-operating-room ambulatory surgical facility, located within Spokane County.
Concurrent review with:
CN21-65 Columbia Surgical Specialists PS (dba Columbia Surgery Center)
CN22-06 Iron Bridge Surgery Center, LLC
Proposing to establish a CN-approved ambulatory surgical facility in Central Pierce.
Regular review
05/24/2021 - Reconsideration hearing scheduled
Proposing to convert its exempt one operating-room ambulatory surgery center from certificate of need exempt to approved, located in Federal Way, within King.
Proposing to convert its exempt one operating-room ambulatory surgery center from certificate of need exempt to approved, located in Federal Way, within King.
Proposing to operate its existing one-operating room exempt ambulatory surgery center as Certificate of Need-approved two-operating room ambulatory surgery center, in North King.
6.29.2022 Allen Gabriel MD, PLLC, requested an exemption from the Certificate of Need for their ambulatory surgery facility.
Relocation of the existing FKC Cowlitz clinic and amend CN1909 to remove/change conditions.
Replacement of the current hospital.
2019 concurrent review, cycle two, nonspecial circumstances, proposing to expand an existing dialysis center by two stations, within Adams.
Regular review
2018-Cycle 2-Special Circumstances, proposing to add one dialysis station to their existing facility FMC Leah Layne, located in and serving Adams County's ESRD planning area.
Exemption request to relocate its kidney dialysis center to a new building on the same campus in Asotin.
Requesting an exemption from CN review to establish a new ambulatory surgical facility in Richland, within Benton County.
3.4.22 Approved Requesting an exemption from CN review to establish a new ambulatory surgical facility in Richland, within Benton County. Determined does not require a Certificate of Need at this time.
Proposing to replace the existing 10-bed hospice care center at a new location in Richland, also within Benton.
11/26/2019 - exemption request denied
11/26/2019 - regular review application submitted
Request for exemption for replacement of an existing hospice care center in Kennewick.
Asking for exemption for DaVita Kennewick Home Hemodialysis (HHD) training program.
2021 Cycle 2-Nonspecial Circumstances - Proposing to expand by one station, an existing dialysis facility within the Benton County ESRD Dialysis Planning Area, with an estimated capital expenditure of $27,248.
6.21.2022 Approved the addition of one dialysis station to DaVita's 20-station Chinook Kidney Center.
2021 Cycle 2-Nonspecial Circumstances - Proposing to expand by two stations, an existing dialysis facility within the Benton County ESRD Dialysis Planning Area, with an estimated capital expenditure of $448,428.
6.21.2022 Approved the addition of three dialysis stations to DaVita's 20-station Kennewick Dialysis Center.
Requesting exemption from Certificate of Need review for a peritoneal dialysis training program in Kennewick, within Benton County.
2019 concurrent review, cycle two, nonspecial circumstances, proposing to expand an existing dialysis center by four stations, within Benton.
Regular review
2019 Cycle 1-Non-Special Circumstances - Proposing to add four stations to FKC Columbia Basin, within Benton.
Requesting exemption from certificate of need to establish a new 16-bed psychiatric hospital in Kennewick, within Benton.
Regular review
Requesting certificate of need approval to establish a four operating-room ambulatory surgery center, located within Benton.
Requests approval to add 67 acute care beds to its current capacity of 270 licensed beds.
Requesting a determination on whether replacement of the existing hospital on a different site is subject to certificate of need review.
Proposing the replacement of its existing hospital on a different site both located within Prosser, within Benton County.
Proposing to establish a four operating room ambulatory surgical facility in Kennewick, within Benton County.
2019 Concurrent PCI - proposes to establish an adult elective percutaneous coronary intervention program to serve planning area #2.
Proposing to consolidate all its licensed beds to its Southridge campus.
Proposing to provide Medicare and Medicaid-certified home health services to Benton County residents.
Proposing to provide Medicare and Medicaid certified hospice services to the residents of Chelan County.
2020 Cycle 2-Non-Special Circumstances - Proposing to establish a 16-station dialysis facility, within the Cowlitz County ESRD Dialysis Planning Area, with an estimated capital expenditure of $2,635,043.
2019 concurrent review, cycle two, nonspecial circumstances, proposing to establish a 26-station (plus one exempt isolation station) dialysis center, within Clark.
Concurrent review with Fresenius
2020 concurrent review, cycle one, nonspecial circumstances, proposing to establish a new 12-station, plus one CN-exempt isolation station dialysis facility, within the King Ten ESRD Planning Area.
Converted to regular review
2021 Cycle 2-Nonspecial Circumstances - Proposing to establish a new facility that includes relocating stations and adding eleven stations, within the Cowlitz County ESRD Dialysis Planning Area, with an estimated capital expenditure of $2,206,714; $2,746,949; $3,434,520; $4,309,612; $5,423,365; or $6,840,868.
2021 Cycle 1-Nonspecial Circumstances - Proposing to establish a new 11-station dialysis facility within the Yakima County Dialysis Planning Area, with an estimated capital expenditure of either $2,587,676 or $2,815,106.
Add 2 operating rooms to the ambulatory surgical facility, The Surgery Center at Rainier and expand services.
Concurrent review with:
- CN19-16 Meridian Surgery Center
4.14.2023 Letter of Intent (LOI) was submitted by AccentCare to establish a home health services agency in Pierce County.
Due to the size of the application file, exhibits are not included here. If you would like access to the whole initial application send a request to FSLCON@doh.wa.gov.
4.14.2023 Letter of Intent (LOI) was submitted by AccentCare to establish a home health services agency in Snohomish County.
Due to the size of the application file, exhibits are not included here. If you would like access to the whole initial application send a request to FSLCON@doh.wa.gov.
Amendment application requesting removal of a condition of CN#1612.
Letter of Intent submitted on 5.1.2023 to relocate and expand DaVita Mid Columbia kidney center by seven CN-approved stations in Franklin County. Capital Expenditure $4,089,787.
Letter of Intent submitted on 5.1.2023 to partially relocate three stations from its existing DaVita Everett dialysis center to its existing DaVita Pilchuck in Snohomish County. Capital Expenditure $62,826.
Under special circumstances concurrent review, proposing to add one station to DaVita Mill Creek Dialysis Center, within Snohomish County.
Relocation of the existing Fresenius Kidney Care (FKC) Cowlitz clinic.
Amendment application submitted - see CN23-02A
Relocation of the existing FKC Cowlitz clinic and amend CN1909 to remove/change conditions.
6.08.2023 Letter of Intent (LOI) submitted by Glacier Peak Healthcare Inc to establish a Medicare-certified/Medicaid-eligible home health agency in Whatcom County.
Propose to establish an elective PCI program.
6.08.2023 Letter of Intent (LOI) submitted by Iron Bridge Healthcare, Inc to establish a Medicare-certified/Medicaid-eligible home health agency in Walla Walla County.
Sale, purchase, or lease of all or part of a hospital in Vancouver, within Clark County.
Amendment application submitted.
Proposing to expand an existing home health agency to serve the residents of Thurston County.
6/2/2023- Letter of Intent submitted proposing to operate a Certificate of Need approved ambulatory surgery center (ASC) in Kitsap County. Asking to amend CN1785 condition #3.
Permanently add the seven dialysis stations moved from NKC Elliot Bay to NKC Seattle.
Under special circumstances concurrent review, proposing to add one station to NKC Everett Kidney Center, within Snohomish County.
6.08.2023 Letter of Intent (LOI) submitted by Orchard Prairie Healthcare LLC to establish a Medicare-certified/Medicaid-eligible home health agency in Spokane County.
Proposing to make permanent the addition of 31 beds to Everett Transitional Care Services, located in Snohomish County.
Audited financial appendix is available upon request.
6.08.2023 Letter of Intent (LOI) submitted by Symbol Healthcare, Inc to establish a Medicare-certified/Medicaid-eligible home health agency in Kitsap County.
5/22/2023 Letter of Intent submitted to operate a Medicare and Medicaid-certified home health agency to serve the residents of Clark County.
Under nonspecial circumstances concurrent review, proposing to relocate three stations from DaVita Lacey to DaVita Olympia Dialysis Center, within Thurston County.
6.08.2023 Letter of Intent (LOI) submitted by Eagle Healthcare LLC to establish a Medicare-certified/Medicaid-eligible home health agency in Yakima County.
Family Hospice Services seeks to establish and operate a Certificate of Need approved hospice agency in King County, Washington.
A relocation of the existing FKC Omak facility and expansion of three additional stations.
MultiCare seeking CN approval to establish and operate a certificate of need approved hospice agency in Spokane County, Washington.
Letter of Intent (LOI) submitted on 6/01/2023- to develop and operate a new Certificate of Need approved ambulatory surgery facility (ASF) with five operating rooms in Yakima County. Capital Expenditure $6,000,000.
Letter of Intent (LOI) submitted on 6/01/2023- to develop and operate a new Certificate of Need approved ambulatory surgery facility (ASF) with five operating rooms in Yakima County. Capital Expenditure $7,636,364.
Letter of Intent (LOI) submitted on 6/01/2023- to develop and operate a new Certificate of Need approved ambulatory surgery facility (ASF) with five operating rooms in Yakima County. Capital Expenditure $9,719,008.
Request for full facility closure bed banking for 30 nursing home beds at Vashon Community Care Center in Vashon.
Nursing home full-facility closure bed-banking. Partial information redacted by DOH due to personal information.
Bank 39 beds under full facility closure at Selah Care and Rehabilitation in Selah.
Requesting full facility closure bed-banking for 40 beds at Providence St. Joseph Hospital in Chewelah.
Request to bank 150 nursing home beds in Seattle, within King.
Nursing home full-facility closure bed-banking.
Proposing alternate use bed banking for a nursing home in Shoreline, within King.
Proposing alternate use bed banking for a nursing home in Sequim, within Clallam.
Proposing alternate use bed banking for a nursing home in Tacoma, within Pierce.
Proposing alternate use bed banking for a nursing home in Bellingham, within Whatcom.
Proposing to bank 75 nursing home beds under full facility closure.
Requesting full facility closure bed-banking for 90 nursing home beds in Shoreline.
Request to bank 125 nursing home beds in Snohomish County.
Requesting full facility closure bed-banking for 168 beds at Crista Rehab & Skilled Care in Shoreline.
Requesting full facility closure bed-banking for 48 beds at Sea Mar Community Care Center in Seattle, within King County.
Request for full facility closure bed banking for 20 nursing home beds at Rockwood at Hawthorne in Spokane, within Spokane County.
5/22/2023 Letter of Intent submitted to operate a Medicare and Medicaid-certified home health agency to serve the residents of Clark County.
Under nonspecial circumstances concurrent review, proposing to relocate three stations from DaVita Lacey to DaVita Olympia Dialysis Center, within Thurston County.
6.08.2023 Letter of Intent (LOI) submitted by Eagle Healthcare LLC to establish a Medicare-certified/Medicaid-eligible home health agency in Yakima County.
Family Hospice Services seeks to establish and operate a Certificate of Need approved hospice agency in King County, Washington.
A relocation of the existing FKC Omak facility and expansion of three additional stations.
MultiCare seeking CN approval to establish and operate a certificate of need approved hospice agency in Spokane County, Washington.
Letter of Intent (LOI) submitted on 6/01/2023- to develop and operate a new Certificate of Need approved ambulatory surgery facility (ASF) with five operating rooms in Yakima County. Capital Expenditure $6,000,000.
Letter of Intent (LOI) submitted on 6/01/2023- to develop and operate a new Certificate of Need approved ambulatory surgery facility (ASF) with five operating rooms in Yakima County. Capital Expenditure $7,636,364.
Letter of Intent (LOI) submitted on 6/01/2023- to develop and operate a new Certificate of Need approved ambulatory surgery facility (ASF) with five operating rooms in Yakima County. Capital Expenditure $9,719,008.
Sale, purchase, or lease of all or part of a hospital in Vancouver, within Clark County.
Amendment application submitted.
Relocation of the existing Fresenius Kidney Care (FKC) Cowlitz clinic.
Amendment application submitted - see CN23-02A
Relocation of the existing FKC Cowlitz clinic and amend CN1909 to remove/change conditions.
Permanently add the seven dialysis stations moved from NKC Elliot Bay to NKC Seattle.
Propose to establish an elective PCI program.
Letter of Intent submitted on 5.1.2023 to partially relocate three stations from its existing DaVita Everett dialysis center to its existing DaVita Pilchuck in Snohomish County. Capital Expenditure $62,826.
Letter of Intent submitted on 5.1.2023 to relocate and expand DaVita Mid Columbia kidney center by seven CN-approved stations in Franklin County. Capital Expenditure $4,089,787.
4.14.2023 Letter of Intent (LOI) was submitted by AccentCare to establish a home health services agency in Snohomish County.
Due to the size of the application file, exhibits are not included here. If you would like access to the whole initial application send a request to FSLCON@doh.wa.gov.
4.14.2023 Letter of Intent (LOI) was submitted by AccentCare to establish a home health services agency in Pierce County.
Due to the size of the application file, exhibits are not included here. If you would like access to the whole initial application send a request to FSLCON@doh.wa.gov.
6.08.2023 Letter of Intent (LOI) submitted by Symbol Healthcare, Inc to establish a Medicare-certified/Medicaid-eligible home health agency in Kitsap County.
Proposing to provide Medicare and Medicaid-certified home health services to Benton County residents.
6.08.2023 Letter of Intent (LOI) submitted by Glacier Peak Healthcare Inc to establish a Medicare-certified/Medicaid-eligible home health agency in Whatcom County.
6.08.2023 Letter of Intent (LOI) submitted by Symbol Healthcare, Inc to establish a Medicare-certified/Medicaid-eligible home health agency in Thurston County.
Amendment application requesting removal of a condition of CN#1612.
6/2/2023- Letter of Intent submitted proposing to operate a Certificate of Need approved ambulatory surgery center (ASC) in Kitsap County. Asking to amend CN1785 condition #3.
Proposing to make permanent the addition of 31 beds to Everett Transitional Care Services, located in Snohomish County.
Audited financial appendix is available upon request.
