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Washington State

Office of the Attorney General

Attorney General

Nick Brown

Quarterly Healthcare Reports

Date Form Submitted Status Company A Name Company B Name Material Change Effective Date Material Change Description
2026-06-15 Completed MultiCare Connected Care (MCC) Pacific Northwest Kidney and Hypertension Institute 2026-09-01 Pacific Northwest Kidney and Hypertension Institute is considering contracting with MultiCare Connected Care ("MCC"), an Accountable Care Organization, to provide healthcare services to MCC's value-based members. Pacific Northwest Kidney and Hypertension Institute and MCC, may enter into the standard agreement reviewed by the Washington Attorney General’s office.
2026-06-26 Completed UroPartners, LLC The Centers for Advanced Urology, LLP 2026-09-01 Spokane Urology, PLLC (the “Practice”) is a medical practice providing professional urology services to Washington patients at the locations listed below. As part of a broader corporate reorganization, Party B will convert to a professional corporation and change its name from The Centers for Advanced Urology, LLP to Alliance Physician Services, PC. Party B will be owned by four individual physicians: two gastroenterologists and two urologists. On September 1, 2026, Party B will acquire the entire ownership interest in the Practice from its current owner, Party A, for a nominal amount. As a result, the Practice will become a wholly owned subsidiary of Party B. The purpose of the proposed material change is to integrate the Practice into Party B’s organizational structure as part of a broader corporate reorganization designed to strengthen the Practice’s administrative and operational infrastructure, achieve administrative efficiencies, and support the continued, uninterrupted operation of the Practice’s healthcare facilities for the benefit of its Washington patients. For the avoidance of doubt, the proposed material change will not have an impact on the day-to-day operations of the Practice, the delivery of patient care, or access to care for patients in Washington.

Spokane Urology, PLLC (the “Practice”) is a medical practice providing professional urology services to Washington patients at the locations listed below. As part of a broader corporate reorganization, Party B will convert to a professional corporation and change its name from The Centers for Advanced Urology, LLP to Alliance Physician Services, PC. Party B will be owned by four individual physicians: two gastroenterologists and two urologists. On September 1, 2026, Party B will acquire the entire ownership interest in the Practice from its current owner, Party A, for a nominal amount. As a result, the Practice will become a wholly owned subsidiary of Party B. The purpose of the proposed material change is to integrate the Practice into Party B’s organizational structure as part of a broader corporate reorganization designed to strengthen the Practice’s administrative and operational infrastructure, achieve administrative efficiencies, and support the continued, uninterrupted operation of the Practice’s healthcare facilities for the benefit of its Washington patients. For the avoidance of doubt, the proposed material change will not have an impact on the day-to-day operations of the Practice, the delivery of patient care, or access to care for patients in Washington.
2026-07-15   Evergreen Business Holdings LLC Behavior Analysis Consulting Services, LLC d/b/a Foothills Behavior Specialists 2026-09-14 Evergreen Business Holdings LLC proposes to acquire 100% of the membership interests of Behavior Analysis Consulting Services, LLC, an outpatient applied behavior analysis (ABA) provider doing business as Foothills Behavior Specialists. Following closing, the provider will continue operating under existing management with the intent of maintaining and expanding behavioral health services in the community.
2026-07-22   BayMark Health Services Inc. (“BayMark”) New BayMark Parent, LLC (“New Parent”) 2026-09-21 BayMark is undergoing a negotiated restructuring transaction (the “Proposed Transaction”) whereby BayMark’s existing lenders will exchange a significant amount of their existing debt holdings in return for ownership of BayMark and its subsidiaries. The Proposed Transaction will be implemented through a new-money recapitalization and a debt-for-equity exchange. Pursuant to transaction documentation, BayMark’s existing lenders will assume ownership of BayMark and its subsidiaries through the acquisition of New Parent. On the Proposed Transaction effective date, New Parent will acquire substantially all of the assets and/or equity interests of BayMark and issue new equity interests to BayMark’s creditors. This is not a merger with another health care entity and is not expected to have any impact on the competitive landscape. The Proposed Transaction is not intended to impact the services or operations of BayMark, but instead to preserve ordinary course operations and support continued stability and growth. No changes to BayMark’s services, quality of or access to care, facilities, or personnel are anticipated as a result of the Proposed Transaction.
2026-08-14   PIP Pediatric and Orthodontics Holdings, LLC Neptune Dental Management Partners LLC, through a newly-formed, majority-owned subsidiary 2026-10-16 Party B proposes to acquire substantially all the assets of Party A, an existing dental service organization. After Closing, Party B will enter into new management agreements with the dental practices that Party A previously provided services to. The management agreements will provide that Party B performs certain non-clinical management services, allowing the dental professionals to focus on patient care while improving practice efficiency and access to shared resources. In connection with this transaction, Party A may redeem the interests of Hou and/or Trujillo prior to or in connection with the closing with Party B. The redemption from Hou may include the transfer of assets related to one or two practice locations by Party A to Hou.
2026-08-27   North Puget Sound Clinically Integrated Network, LLC SPARC Health PLLC 2026-11-01 The Notice of Material Change is being filed in connection with the establishment of a provider network arrangement between North Puget Sound Clinically Integrated Network, LLC and SPARC Speech Therapy through a clinically integrated network to facilitate participation in network-based care delivery and payer contracting activities.
2026-08-27   North Puget Sound Clinically Integrated Network, LLC Vantage Radiology & Diagnostic Services, LLC 2026-11-01 The Notice of Material Change is being filed in connection with the addition of Vantage Radiology & Diagnostic Services, LLC as a participating provider organization within a clinically integrated network supporting Overlake's provider network and related payer contracting activities.
2026-08-27   North Puget Sound Clinically Integrated Network, LLC SNOKIDNEY PLLC 2026-11-01 The Notice of Material Change is being filed in connection with the establishment of a provider network arrangement between Overlake and SNOKIDNEY PLLC through a clinically integrated network to facilitate participation in network-based care delivery and payer contracting activities.
2026-09-21   MB2 Dental Solutions, LLC Skibiel Berry, PLLC 2026-11-20 Party B will sell non-clinical assets to Party A in exchange for cash consideration pursuant to a Non-Clinical Asset Purchase Agreement. Ancillary to the purchase agreement, the parties will enter into an Administrative Services Agreement whereby Party A will provide administrative support to Party B.
2026-09-21   Athletes Performance Center, P.S., a Washington professional service corporation RxWellness Management Group LLC, a Virginia limited liability company 2026-11-17 Party A is selling substantially all of its assets that must be owned by a licensed Washington provider to Party C and almost all other assets to Party B. The purpose of the transaction is to have Party C render professional services to Washingtonians and Party B will support Party C by providing administrative and other services.

This will be the first Washington transaction that Party B and Party C have entered into. As such, neither have operated in Washington before.
2026-09-21   Central Washington Healthcare Partners, LLC Hospitalist Medicine Physicians of Washington - Puyallup PLLC 2026-11-20 Contracting Hospitalist Medicine Physicians of Washington - Puyallup PLLC into the SignalHealth Network. They provided services within MultiCare Yakima Memorial Hospital which is currently contracted with SignalHealth.
2026-09-23   AMFM Healthcare Washington, LLC Summit BHC Seattle, LLC 2026-11-30 Summit is currently operating a residential behavioral health facility in Spokane that is licensed by the Department of Health. AMFM Healthcare would like to purchase the site and operate its own licensed residential behavioral health facility at the location.
2026-09-23   MB2 Dental Solutions, LLC CSDental, PLLC 2026-11-27 Party B will sell non-clinical assets to Party A in exchange for cash consideration pursuant to a Non-Clinical Asset Purchase Agreement. Ancillary to the purchase agreement, the parties will enter into an Administrative Services Agreement whereby Party A will provide administrative support to Party B.
2026-09-24   MB2 Dental Solutions, LLC Carson B. Calderwood, DDS, PLLC 2026-11-23 Party B and Party C will sell non-clinical assets to Party A in exchange for cash consideration pursuant to a Non-Clinical Asset Purchase Agreement. Ancillary to the purchase agreement, the parties will enter into an Administrative Services Agreement whereby Party A will provide administrative support to Party B and Party C.
2026-09-30   Puget Sound Kidney Centers Dialysis Clinic, Inc. 2027-01-01 Dialysis Clinic, Inc. ("DCI"), a Tennessee nonprofit 501(c)(3) corporation, will become the sole voting member of Puget Sound Kidney Centers ("PSKC"), a Washington nonprofit 501(c)(3) corporation, through an amendment to PSKC's Articles of Incorporation to be effective January 1, 2027. Both organizations will remain nonprofit corporations following the transaction; no conversion, asset sale, or contracting affiliation is involved. PSKC will remain a Washington-based nonprofit corporation, will retain the PSKC name, and will continue serving patients in the Puget Sound area under DCI's sole membership.

PSKC has served Washington's kidney-care community since 1981, when Dr. Christian Schmitt founded PSKC's first clinic in Everett. PSKC today serves more than 900 Washington patients through eleven ESRD facilities across Skagit, Snohomish, Pierce, Kitsap, Jefferson, and Island Counties, together with home-dialysis and in-hospital dialysis services administered from those facilities. PSKC's stated mission is "to enhance the quality of life of those with kidney disease through outstanding dialysis care, education and community support."

DCI is the only national, independent nonprofit dialysis provider in the United States. Founded in 1971 by Dr. Keith Johnson, DCI has intentionally remained a nonprofit organization throughout its 55-year history, earmarking excess revenues for kidney-disease research, education, and patient care. DCI now serves approximately 13,000 patients at roughly 240 locations across 30 states and the U.S. Virgin Islands. DCI's stated mission is that "the care of the patient is our reason for existence."

The purpose of this transaction is to ensure that a strong nonprofit provider of kidney-care services remains available to Washington patients in the Puget Sound area, backed by the resources and clinical infrastructure of the only national independent nonprofit dialysis provider. DCI and PSKC are aligned in mission, vision, and values, and both organizations have committed to preserving PSKC's nonprofit status, name, and community focus following the transaction.