WAC 246-310-280   Kidney disease treatment centers -- Definitions.  The following definitions apply to WAC 246-310-280, 246-310-282, 246-310-284, 246-310-286, 246-310-287, 246-310-288, and 246-310-289:

     (1) "Base year" means the most recent calendar year for which December 31 data is available as of the first day of the application submission period from the Northwest Renal Network's Modality Report or successor report.

     (2) "Capital expenditures," as defined by Generally Accepted Accounting Principles (GAAP), are expenditures made to acquire tangible long-lived assets. Long-lived assets represent property and equipment used in a company's operations that have an estimated useful life greater than one year. Acquired long-lived assets are recorded at acquisition cost and include all costs incurred necessary to bring the asset to working order. The definition of a capital expenditure includes the following types of expenditures or acquisitions:

     (a) A force account expenditure or acquisition (i.e., an expenditure for a construction project undertaken by a facility as its own contractor).

     (b) The costs of any site planning services (architect or other site planning consultant) including but not limited to studies, surveys, designs, plans, working drawings, specifications, and other activities (including applicant staff payroll and employee benefit costs, consulting and other services which, under GAAP or Financial Accounting Standards Board (FASB) may be chargeable as an operating or nonoperating expense).

     (c) Capital expenditure or acquisition under an operating or financing lease or comparable arrangement, or through donation, which would have required certificate of need review if the capital expenditure or acquisition had been made by purchase.

     (d) Building owner tenant improvements including but not limited to: Asbestos removal, paving, concrete, contractor's general conditions, contractor's overhead and profit, electrical, heating, ventilation and air conditioning systems (HVAC), plumbing, flooring, rough and finish carpentry and millwork and associated labor and materials, and utility fees.

     (e) Capital expenditures include donations of equipment or facilities to a facility.

     (f) Capital expenditures do not include routine repairs and maintenance costs that do not add to the utility of useful life of the asset.

     (3) "Concurrent review" means the process by which applications competing to provide services in the same planning area are reviewed simultaneously by the department. The department compares the applications to one another and these rules.

     (4) "End-of-year data" means data contained in the fourth quarter modality report or successor report from the Northwest Renal Network. For these rules, end-of-year and year-end have the same meaning.

     (5) "End-of-year in-center patients" means the number of in-center hemodialysis (HD) and self-dialysis training patients receiving in-center kidney dialysis at the end of the calendar year based on end-of-year data.

     (6) "Kidney disease treatment center" means any place, institution, building or agency or a distinct part thereof equipped and operated to provide services, including outpatient dialysis, to persons who have end-stage renal disease (ESRD). In no case shall all stations at a given kidney disease treatment center be designated as self-dialysis training stations. For purposes of these rules, kidney disease treatment center and kidney dialysis facility have the same meaning.

     (7) "Kidney dialysis facility" means any place, institution, building or agency or a distinct part thereof equipped and operated to provide services, including outpatient dialysis, to persons who have end-stage renal disease (ESRD). In no case shall all stations at a given kidney disease treatment center be designated as self-dialysis training stations. For purposes of these rules, kidney dialysis facility and kidney disease treatment center have the same meaning.

     (8) "Planning area" means an individual geographic area designated by the department for which kidney dialysis station need projections are calculated. For purposes of kidney dialysis projects, planning area and service area have the same meaning.

     (9) "Planning area boundaries": Each county is a separate planning area, except for the planning subareas identified for King, Snohomish, Pierce, and Spokane counties. If the United States Postal Service (USPS) changes zip codes in the defined planning areas, the department will update areas to reflect the revisions to the zip codes to be included in the certificate of need definitions, analyses and decisions.

     (a) King County is divided by zip code into twelve planning areas as follows:


KING ONE KING TWO KING THREE
98028 Kenmore 98101 Business District 98070 Vashon
98103 Green Lake 98102 Eastlake 98106 White Center/West Seattle
98105 Laurelhurst 98104 Business District 98116 Alki/West Seattle
98107 Ballard 98108 Georgetown 98126 West Seattle
98115 View Ridge/Wedgwood 98109 Queen Anne 98136 West Seattle
98117 Crown Hill 98112 Madison/Capitol Hill 98146 West Seattle
98125 Lake City 98118 Columbia City 98168 Riverton
98133 Northgate 98119 Queen Anne
98155 Shoreline/Lake Forest Park 98121 Denny Regrade
98177 Richmond Beach 98122 Madrona
98195 University of Washington 98134 Harbour Island
98144 Mt. Baker/Rainier Valley
98199 Magnolia

KING FOUR KING FIVE KING SIX
98148 SeaTac 98003 Federal Way 98011 Bothell
98158 SeaTac 98023 Federal Way 98033 Kirkland
98166 Burien/Normandy Park 98034 Kirkland
98188 Tukwila/SeaTac 98052 Redmond
98198 Des Moines 98053 Redmond
98072 Woodinville
98077 Woodinville

KING SEVEN KING EIGHT KING NINE
98004 Bellevue 98014 Carnation 98055 Renton
98005 Bellevue 98019 Duvall 98056 Renton
98006 Bellevue 98024 Fall City 98058 Renton
98007 Bellevue 98045 North Bend 98059 Renton
98008 Bellevue 98065 Snoqualmie 98178 Skyway
98027 Issaquah
98029 Issaquah
98039 Medina
98040 Mercer Island
98074 Sammamish
98075 Sammamish

KING TEN KING ELEVEN KING TWELVE
98030 Kent 98001 Auburn 98022 Enumclaw
98031 Kent 98002 Auburn
98032 Kent 98010 Black Diamond
98038 Maple Valley 98047 Pacific
98042 Kent 98092 Auburn
98051 Ravensdale

     (b) Pierce County is divided into five planning areas as follows:


PIERCE ONE PIERCE TWO PIERCE THREE
98354 Milton 98304 Ashford 98329 Gig Harbor
98371 Puyallup 98323 Carbonade 98332 Gig Harbor
98372 Puyallup 98328 Eatonville 98333 Fox Island
98373 Puyallup 98330 Elbe 98335 Gig Harbor
98374 Puyallup 98360 Orting 98349 Lakebay
98375 Puyallup 98338 Graham 98351 Longbranch
98390 Sumner 98321 Buckley 98394 Vaughn
98391 Bonney Lake

PIERCE FOUR PIERCE FIVE
98402 Tacoma 98303 Anderson Island
98403 Tacoma 98327 DuPont
98404 Tacoma 98387 Spanaway
98405 Tacoma 98388 Steilacoom
98406 Tacoma 98430 Tacoma
98407 Ruston 98433 Tacoma
98408 Tacoma 98438 Tacoma
98409 Lakewood 98439 Lakewood
98416 Tacoma 98444 Parkland
98418 Tacoma 98445 Parkland
98421 Tacoma 98446 Parkland
98422 Tacoma 98447 Tacoma
98424 Fife 98467 University Place
98443 Tacoma 98498 Lakewood
98465 Tacoma 98499 Lakewood
98466 Fircrest 98580 Roy

     (c) Snohomish County is divided into three planning areas as follows:


SNOHOMISH ONE SNOHOMISH TWO SNOHOMISH THREE
98223 Arlington 98201 Everett 98012 Mill Creek/Bothell
98241 Darrington 98203 Everett 98020 Edmonds/Woodway
98252 Granite Falls 98204 Everett 98021 Bothell
98271 Tulalip Reservation/

Marysville		 98205 Everett 98026 Edmonds
98282 Camano Island 98208 Everett 98036 Lynnwood/Brier
98292 Stanwood 98251 Gold Bar 98037 Lynnwood
98224 Baring 98043 Mountlake Terrace
98258 Lake Stevens 98087 Lynnwood
98270 Marysville 98296 Snohomish
98272 Monroe
98275 Mukilteo
98288 Skykomish
98290 Snohomish
98294 Sultan

     (d) Spokane County is divided into two planning areas as follows:


SPOKANE ONE SPOKANE TWO
99001 Airway Heights 99003 Chattaroy
99004 Cheney 99005 Colbert
99011 Fairchild Air Force Base 99006 Deer Park
99012 Fairfield 99009 Elk
99016 Greenacres 99021 Mead
99018 Latah 99025 Newman Lake
99019 Liberty Lake 99026 Nine Mile Falls
99022 Medical Lake 99027 Otis Orchards
99023 Mica 99205 Spokane
99030 Rockford 99207 Spokane
99031 Spangle 99208 Spokane
99036 Valleyford 99217 Spokane
99037 Veradale 99218 Spokane
99201 Spokane 99251 Spokane
99202 Spokane
99203 Spokane
99204 Spokane
99206 Spokane Valley
99212 Spokane Valley
99216 Spokane/Spokane Valley
99223 Spokane
99224 Spokane

     (10) "Projection year" means the fourth year after the base year. For example, reviews using 2005 year-end data as the base year will use 2009 as the projection year.

     (11) "Resident in-center patients" means in-center hemodialysis (HD) and self-dialysis training patients that reside within the planning area. If more than fifty percent of a facility's patients reside outside Washington state, the facility may include these out-of-state patients in the resident count for the planning area.

     (12) "Service area" means an individual geographic area designated by the department for which kidney dialysis station need projections are calculated. For purposes of kidney dialysis projects, service area and planning area have the same meaning.

     (13) "Training services" means services provided by a kidney dialysis facility to train patients for home dialysis. Types of home dialysis include at least, but are not limited to, the following:

     (a) Home peritoneal dialysis (HPD); and

     (b) Home hemodialysis (HHD).



[Statutory Authority: RCW 70.38.135. 06-24-050, § 246-310-280, filed 12/1/06, effective 1/1/07. Statutory Authority: Chapter 70.38 RCW. 96-24-052, § 246-310-280, filed 11/27/96, effective 12/28/96. Statutory Authority: RCW 70.38.135 (3)(c). 93-13-015 (Order 367), § 246-310-280, filed 6/7/93, effective 7/8/93. Statutory Authority: RCW 70.38.135 and 70.38.919. 92-02-018 (Order 224), § 246-310-280, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. 91-02-049 (Order 121), recodified as § 246-310-280, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 70.38.919. 90-16-058 (Order 073), § 248-19-701, filed 7/27/90, effective 8/27/90.]