BEGINNING OF REVIEW NOTICE Certificate of Need Applications Applicants, Project Descriptions, Estimated Costs: The following five applicants are proposing to provide Medicare and Medicaid-certified hospice services to the residents of Pierce County. • Odyssey HealthCare Operating B, LP dba Gentiva: providing services from an office in Seattle, WA, with estimated capital costs of $107,466. • Golden Angels Hospice and Palliative Care, LLC: providing services from an office in University Place, WA, with estimated capital costs of $32,000. • Legacy Care Hospice, LLC: providing services from an office in Olympia, WA, with estimated capital costs of $14,299. • Northwest Healthcare Alliance, Inc., dba Assured Home Health & Hospice: providing services from an office in Puyallup, WA, with estimated capital costs of $150,000. • Vitas Hospice Services, LLC: providing services from an office in Puyallup, WA, with estimated capital costs of $143,755. Public Hearing: No public hearing will be held unless requested. Requests must be in writing and include the name, address, and signature of the person making the request. The deadline for requesting a public hearing is Monday, May 4, 2026. If a public hearing is scheduled, the hearing notice will be published in The News Tribune at least 15 days before the date of hearing. Public Comment Period: If no public hearing is held, written comments must be received by the Certificate of Need Program on or before Monday, June 1, 2026. Hearing requests and comments are not accepted by fax. Email them to: CN@doh.wa.gov or alex.hull@doh.wa.gov and randall.huyck@doh.wa.gov. Anticipated Decision Date: September 14, 2026 If you have any questions or would like additional information, please call the Certificate of Need Program at (360)236-2955. For more information, log into our website, www.doh.wa.gov/cn. IPL0331177 Apr 17 2026