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Snoqualmie Valley Health outlines $147 million hub expansion, plans for ambulatory surgery and jobs

Snoqualmie City Council · May 27, 2026
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Summary

Snoqualmie Valley Health’s executive director told council the new hub will be an 85,000 sq ft ambulatory campus with four operating rooms, retail pharmacy, clinic space and community amenities; the project is budgeted at $147 million with a pro forma projecting positive debt/equity by 2030 (timing dependent on payer mix).

Snoqualmie Valley Health told the City Council on May 26 that its new hub project will expand outpatient services and add same-day surgical capacity as part of a $147 million campus expansion.

The executive director (presenting on behalf of Snoqualmie Valley Health, the public hospital district that serves Snoqualmie and nearby communities) said the hub will be 85,000 square feet and four and a half stories tall, include imaging and lab services, 33 exam rooms and three procedure rooms on a primary-care/specialty floor, and four ambulatory operating rooms for same-day surgery. The hub will be outpatient-only (no overnight stays), and a temporary certificate of occupancy is anticipated around January–February with full opening around May of the following year, subject to licensing from the Washington State Department of Health.

Economic and staffing impacts: Presenter said the project will add approximately 225 jobs and roughly 30 new health-care providers, and that the system has issued revenue bonds (the offering was oversubscribed). The pro forma provided during presentation projects positive debt/equity by 2030 but the presenter cautioned the timing could shift to 2031 or 2032 depending on payer mix and the impacts of recent reimbursement legislation (referred to in the record as HR 1).

Community features: The hub will include a retail restaurant and community rooms, a three-story indoor rock-climbing wall, an integrated rehab/fitness area with smart gym equipment, and design elements intended to connect with the valley’s natural setting. The presenter noted plans for a traffic signal at the Parkway/Route 99 intersection near the hospital campus; construction of traffic signal work is expected in the fall with operation before full opening.

Funding and equipment: The presenter said the project has state, federal and county appropriations plus philanthropic support; a $2 million capital campaign is under way to purchase equipment not in the original bond budget, including a Da Vinci surgical robot for minimally invasive procedures. Staff said the hospital used some COVID relief funding to open an urgent-care clinic that has brought new patients into the system.

Questions from council focused on sidewalk connections, workforce recruitment given local housing costs, and lab/retail pharmacy operations. The presentation concluded with the executive director thanking staff and the council for support.