Evaluation and Decision: 4.8.2022 Denied exemption from certificate of need review for the change of ownership of Seattle Cancer Care Alliance in Seattle, within King County. Determined that the components of this restructure do meet the definition of the sale, purchase, or lease of a hospital under RCW 70.38.105 and is consistent with the Washington State Hosp. Ass'n v. Dep't of Health, 183 Wn.2d 590 (2015). Concluding that a reviewability request is not subject to Certificate of Need review.