STATE OF WASHINGTON

DEPARTMENT OF HEALTH
Olympia, Washington 98504

May 7, 2018

CERTIFIED MAIL 7016 3010 0001 0575 0648

P. Blair Stam, Executive Vice President
Signature Healthcare Services LLC
4238 Green River Road

Corona, California 92880

RE: Certi?Cate of Need Application 
Dear Mr. Stam:

Thank you for agreeing to the conditions on your Certi?cate of Need (CN) application to construct a
lOS-bed hospital in Pierce County pursuant to the settlement agreement in Signature
Healthcare Services, LLC V. Washington State Department of Health, Pierce County Superior Court,
No. 17?2?07040-3 (Settlement Agreement).

Because of the size of the construction project, the department may not issue a CN until it receives a
copy of the approved Conditional Use Permit.1 However, the department may commit to issue the CN
if the requirements of the Settlement Agreement are met. This letter serves as that ?Intent to Issue? a
Certi?cate of Need.

The ?Intent to Issue? commitment for this project is not approval for any other local, federal, or state
statutes, rules, or regulations. The project may also need Department of Health approval for a
construction plan and facility licensing or certi?cation, as well as other federal or local jurisdiction
permits.

Once issued, the Certi?cate of Need is valid for two years. The project must begin during this time. If
there is substantial and continuing progress, we may extend the certi?cate for one six-month period. For
an extension, you must submit an extension request at least 120 days before the expiration. You cannot
begin a project after the expiration date.

We monitor projects until completed or the expiration date, whichever occurs last. We do this with
quarterly progress reports. At least 30 days prior to the progress report?s due date, you will receive a
form to complete and return.

 

WAC 246-03-030(4)

P. Blair Stam, Executive Vice President
Signature Healthcare Services LLC

CN Application 

May 7, 2018

Page 2 of 2

If you have any questions, please contact Janis Sigman with the Certi?cate of Need Program at (360)
236-2955.

Sincerely,

    

 

  

Nancy n, xecutive Director
Health Facilities and Certi?cate of Need
Washington State Department of Health