Proposition 1

About EverHealthy

Why is EvergreenHealth seeking to pass a bond measure?
For the past 47 years, EvergreenHealth has delivered vital services to our Eastside neighbors and beyond—serving to enrich the health and well-being of every life we touch through thoughtful expansion alongside our ever-growing community.

Over the years, with support from our community, meeting the evolving needs of those we serve has remained at the forefront, which is why we are seeking to support the second phase of our 10-year master facilities plan called, EverHealthy.

What is EverHealthy?
EverHealthy is the second phase of EvergreenHealth’s 10-year facility improvement plan, created in 2015.

The successful first phase, which was completed in 2017 on time and on budget, created two new inpatient floors in the Kirkland Campus Silver Tower, and the Neuroscience, Spine and Orthopedic Institute in the DeYoung Pavilion, along with a new Kenmore primary and urgent care facility.

This second phase will transform EvergreenHealth’s Kirkland campus even more to help us continue to deliver the exceptional care and service our patients know and trust, and meet the health care needs of our community for decades and generations to come.

How was the EverHealthy plan created?
EverHealthy was developed in 2015 by EvergreenHealth and the EvergreenHealth board of commissioners utilizing strategic insight, trend analytics, and third-party projection data to help us understand the growing needs of our community.

The impetus for this plan includes:

  • As we know, our community has grown significantly in recent years, and to no surprise, the population will continue to increase – estimated at 71,000 new residents by 2022. In addition, more and more people are choosing EvergreenHealth as their first choice for health care.
  • Adding capacity to clinical space to accommodate growth and address aging infrastructure in need of improvements will allow EvergreenHealth to continue to deliver the safest care to our evolving patient population.

What specific projects within the EverHealthy plan will the bond support, if approved?
As with everything we do, our focus is on improvements that reflect our understanding of the clinical and service needs of our patients and community.

The community will be presented to support projects in the second phase of the EverHealthy plan which include:

  • Disaster Readiness: Perform seismic strengthening to core areas of the original hospital structure and parking structures.
  • Critical Care Unit: Construct a new, relocated critical care unit designed to support the best possible outcomes and experience for patients and their families during trying times and beyond.
  • Family Maternity Center: Significantly refresh and expand the family maternity center to continue our legacy as America’s first Baby-Friendly Hospital and area’s most preferred hospital for babies to meet their new families.
  • Physician Office Space and Outpatient Care: Add a new medical office building to accommodate physician offices and outpatient care.
  • And, several additional patient-centered construction projects and renovations to help us provide the safest and best spaces as our community’s growth. To learn about the full list of projects included in this phase, visit

The Need for Seismic Upgrades

Why are seismic upgrades needed?
Living in the Cascadia zone with ever changing seismic codes and available upgrades, we seek to create a facility that the community can rely on in the event of a historic natural disasters – a 9+ earthquake. An earthquake of that magnitude is expected to take out all major highways, and potentially limit access to clinical care due to major damage to other health care facilities in the area.

EvergreenHealth will likely be one of the few hospitals in King County still open and functioning after a Cascadia type event. Most hospitals on the West side of I-5 will suffer severe to catastrophic damage, including our regional Level I Trauma Center, Harborview and our pediatric center, Seattle Children’s.

Not only is the EvergreenHealth campus built on bedrock, it is well located in terms of fault lines and geographic shake maps, making our hospital the most viable option to care for our community and beyond in the aftermath of a Cascadia event.

Unfortunately, the most recent reminder of the threat of earthquakes along the Pacific coast came in the form of the November 30, 2018, quake that shook Anchorage, Alaska. The damage there to roads is similar to what we would expect in our region. The two Anchorage hospitals sustained cosmetic and systems damage, yet remained open to care for patients thanks to strict building codes. We seek that same level of sustainability and have focused our planning on having the ability to be a receiving hospital, committed to staying open to serve patients. To that end, the seismic retrofit is a critical step in ensuring that we are fully functional after a significant seismic event.

Are the current buildings safe?
Yes, our buildings meet the seismic codes that were in place at the time of construction, and they are safe.

These seismic improvements will help ensure we are able to care for patients in every circumstance and in all areas of the Kirkland campus.

Our goal is not just to be safe, but to be available to continue to receive patients when the region needs us most.

After a catastrophic earthquake, our goal is to meet FEMA’s Level of Immediate Occupancy so that we can remain open and ready to care immediately for patients in our community and beyond.

What areas of the Kirkland campus will be included in the seismic upgrades?
Upgrades will be made to the oldest areas of the original 1972 hospital, including our Red, Green and Purple areas, as well as to our Central Garage and Coral medical office building space.

These areas house not only our Critical Care Unit, but significant portions of vital infrastructure including IT, heating/cooling systems, Health Information Management, Supply Chain Management, and more and must be upgraded to preserve our functionality after an emergency.

When will the seismic upgrades be completed?
The timelines for this project will begin to be finalized after the bond vote. We’ve done quite a bit of preliminary planning, but the specifics will be mapped out once we kick off the project. Our goal is to complete this project within the next few years.

The Need for a New Critical Care Unit

How will patients benefit from a new critical care unit?
Beyond physical safety and exceptional clinical care, we seek to provide an environment that supports the full spectrum of health and wellness—particularly for critical care patients during some of the most vulnerable moments of their lives.

The current critical care unit (CCU) is located in the oldest remaining portion of the original hospital.

The new CCU will be moved to the third floor of the Silver tower, offering expanded space to support some of the most recent technology and design features for the best environment for patients, nurses, doctors and staff.

The new CCU space will also promote family-inclusive care, ensuring the health and well-being of the family members supporting loved ones in the CCU are accommodated as best as possible.

When will the new critical care unit be completed?
The timelines for this project will begin to be finalized after the bond vote.

We’ve done quite a bit of preliminary planning, but the specifics will be mapped out once we kick off the project.

Our goal is to complete this project within the next few years.

The Need to Update & Modernize the Family Maternity Center

If EvergreenHealth is already the preferred birthing center, why are upgrades needed?
Our maternity center has not been updated since before 1996, when EvergreenHealth became the first hospital in the United States to earn designation as a Baby-Friendly Hospital.

Our goal in updating the Family Maternity Center is to ensure in the future that all families have the same warm welcome, accompanied by the latest equipment, technology and if needed, critical care during one of the most important moments in a mom, baby’s and family’s life.

What will the Family Maternity Center upgrades include?
We anticipate a completely renovated Family Maternity Center, with a new entrance that safely and warmly greets patients and families, and modernized, hospitality-focused rooms to accommodate the entire family—with parent and baby’s comfort top of mind.

Because of the reputation for quality and service that we have established, our highly regarded childbirth experience is often times close to capacity. The enhancement we have planned will allow us to increase the number of families we serve.

The initiative will help us enhance our program with new and modernized rooms that are reflective of our high standards of patient experience.

We will welcome babies into the world in a setting that is supportive of the needs of the laboring mothers, the multi-generational family and our NICU littlest patients.

When will the unit be updated?
The timelines for this project will begin to be finalized after the bond vote.

We’ve done quite a bit of preliminary planning, but the specifics will be mapped out once we kick off the project.

Our goal is to complete this project within the next few years.

The Need to Update Critical Facility Infrastructure

What does critical facility infrastructure entail and how will these updates benefit the community?
While these needs are perhaps not as visible as the brick and mortar updates to provide care in the critical care unit or family maternity center, our need in this area is every bit as critical as they relate to technology and infrastructure needs, ensuring that:

  • Our physical plant is able to adapt and grow with the technology needs moving forward
  • The facility is ready for an ever-growing population, requiring more equipment and infrastructure and technology

About the Bond

How will EverHealthy be funded?
Voters in the EvergreenHealth district will be asked to approve funding for EverHealthy through a districtwide vote, scheduled for April 23, 2019.

We’ve continually invested to create a healthy community and as your public hospital district, your resources, too, have helped make EvergreenHealth what it is today. EverHealthy continues our legacy of success together.

How much will phase two of EverHealthy cost?
The cost is $345 million. This investment will improve your hospital and the Eastside’s most trusted health system, to meet the needs of those who've placed their trust in us now, and for the next generation.

If approved, how much will this bond measure cost an average homeowner?
The total of the investment of $345 million, translates to an average of $0.18 cents per $1,000 of assessed value per year, over the life of the bonds..

  • A $500,000 house would pay an average of $90 per year.
  • A $700,000 home would pay an average of $126 per year.

Use this formula example to calculate the payment for your home:  

Your home's assessed value ($500,000) divided by 1,000 (500) times .18 ($90)

How many votes are needed to approve the bond measure?
Sixty percent of the voters must approve of the bond measure in this mail-in only election for it to be approved.

Where can I get information about property tax exemptions for senior citizens or disabled persons?
Senior citizens or disabled persons may qualify for tax exemptions.

For Snohomish County residents, contact the Snohomish County Assessor’s Office at 425.388.3433 for more information.

For King County residents, contact the King County Assessor’s Office at 206.296.3920. 

In 2004, the community approved a $120 million bond to fund the construction of the Silver Tower and a new emergency department on the Kirkland campus. Why is this bond amount higher?
As your community hospital, our goal is to develop to serve our growing community’s needs as responsibly as possible and with complete transparency with you—our partners.

As time progresses and our local and national economy changes, so does inflation. A $120 million purchase in 2004 (15 years ago) would be the equivalent of a $159,517,416 purchase today—an almost $40 million difference due to inflation and decreasing buying power of the dollar.

About the Big Picture

Who will benefit from EverHealthy?
All of us. We will address safety, service and quality needs and strengthen, literally and figuratively, areas that serve patients in some of the most vulnerable moments of their lives.

Additionally, improvements will be made to clinical areas of Kirkland campus including the maternity center, critical care unit, and the oldest parts of the hospital – all to the benefit of our patients and families in these areas, as well as the staff and providers who care for them now and years into the future.

What will happen if the bond to fund EverHealthy does not pass?
We will reassess the projects, collectively and individually, to prioritize or eliminate them if necessary; and seek alternate ways to fund them – though the bond initiative is viewed as imperative at this point in order to advance these complex projects.

How Can I Register to Vote?
The deadline to register is March 25, 2019.

To register, contact the Washington Secretary of State by visiting and vote by mail by April 23, 2019.