HomeMy WebLinkAboutCorrespondence - BOCC (003)GRANT COUNTY
COMMISSIONERS AGENDA MEETING REQUEST FORM
(Must be submitted to the Clerk of the Board by 12:00pm on Thursday)
REQUESTING DEPARTMENT:BOCC
REQUEST SUBMITTED BY:CEMANELL
CONTACT PERSON ATTENDING ROUNDTABLE.. CEMANELL
CONFIDENTIAL INFORMATION: ®YES ENO
DATE:9/2/2026
PHONE:x2931
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Letter of Support for the proposed Residential Treatment and Withdrawal Management
Facility, Holman Recovery Center (HRC), in Moses Lake, WA.
If necessary, was this document reviewed by accounting? 0 YES ® NO ii N /A
If necessary, was this document reviewed by legal? F] YES 11 NO * N/A
iwgo iii,
60
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DATE OF ACTION:
APPROVE: DENIED ABSTAIN
D1:
D2:
D3:
zDEFERRED OR CONTINUED TO: 9 �S�
4/23/24
GRANT COUNTY
OFFICE OF THE
BOARD OF COUNTY COMMISSIONERS
P 0 Box 37
EPHRATA WA 98823
(509) 754-201 1
FD) F ��R
'D E 0 PR ED
September, 2026
SEP 1 5 202']6Edmund
Smith, Executive DirectorHolman
BY�
Recovery Center
• • •��
16415 Smokey Point Boulevard
Arlington, WA 98223
RE: Letter of Support —Proposed Residential Treatment and Withdrawal Management Facility,
Moses Lake
Dear Mr. Smith,
We, the Board of County Commissioners, write to express our support for the Holman Recovery
Center's proposed 36-bed residential substance use disorder treatment and 12-bed withdrawal
management facility in Moses Lake.
The work of the Grant County Homeless Housing Task Force puts us in regular contact with the
consequences of untreated addiction in this county. Housing instability and substance use disorder are
closely intertwined, and the absence of local treatment capacity is a persistent obstacle to helping people
stabilize. Grant County has no residential treatment beds and no medically supervised withdrawal
management beds. A resident who is ready for care must travel at least 65 miles to find it, and many do
not make that trip. Meanwhile, overdose deaths here rose from 10 in 2020 to 26 in 2024, and local EMS
responded to 176 suspected opioid overdoses in 2024 alone.
Your proposal addresses that gap directly. Co -locating 36 residential beds with 12 withdrawal
management beds means a person who completes detox can move into treatment without being handed
off across a county line the point at which we most often lose people. Serving roughly 800 individuals
each year, with priority admission reserved for Grant County residents, would give our task force and our
partner agencies a local option we simply do not have today. The addition of approximately 52 permanent
positions and an estimated $3.0 million in annual local payroll is a meaningful benefit to the community
as well.
We offer this letter in support of the project and encourage fenders and community partners to give it
their full consideration. Please share it as needed and contact our office if any further assistance is needed.
Sincerely,
BOARD OF COUNTY COMMISSIONERS
Kevin R. Burgess, Chair
Kevin R. Burgess
District 1
Lud
Rob Jones, Vice -Chair
Rob Jones
District 2
D ea/L i -e__d
Cindy Carter, Member
Cindy Carter
District 3
"TO MEET CURRENT AND FUTURE NEEOS9 SERVING TOGETHER WITH PUBLIC AND PRIVATE ENTITIES9 WHILE FOSTERING
A RESPECTFUL AND SUCCESSFUL WORK ENVIRONMENT."
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THE PROBLEM
Grant County has no residential treatment capacity
Residents needing residential care or medically st-ilpervised withdrawal InIust 'leave the cokinty entirely,
C
Residential SUD beds located in Grant
County today
N
N/ledically s(..ipeIrvised withdrawal
managernent beds
Where Grant County residents go today
Sundown M Ranch — Yakima County 65 miles
Wenatchee — Chelan County 72 miles
i � r Ot.,
- i ies- —, Benton/ Franklin 78 miles
Spokane 93 miles
Grant County residents needing this
(,"are annually
Distances measured from central Grant Courity, Facility inventory. WA Department of Health certified behavioral health agency listings.
HoLn4AN
RECOVERYCENTER
65+
Miles to the nearest residential
prograrn
Overdose deaths in Grant County have more than doubled
From 10 (Jeaths in 2020to 26 in 2024 -- with 2025 tracking higher still.
2
27
26
�}gq 24
24.
21
17
16
10
8
0
2020 2021 2022 2023 2024 ?025*
*20255 figure is, deaths recorded throtigh Ji..dy, peithe Grcint coi,,u-ity Cor,oner.
Sources: Grant County Hea[tl) District; Grant County Coroner; Washington State Department c)'NeaItti overdose mortalitydata, 2022--,-2024
HOLMAN
RECOVER'Y CENTER
176
EMS responses to suspected �-.)piokd overd, o- in Grant County, 2024
3405
1 1
Over(,'Joser,1eaths per 100,000 resin, (.mts, 2022-2024
Reportable as of January 2026
The Grant County Board of Health classified overdose as a
reportable condition under Ordinance 2025-04 — a step taken by
few Counties in the state.
THE PROPOSAL,
One facility, two levels of care, 48 beds
An lntc�grated campus sothat a person c-an ri-iove flrorn withdrawal managen,"ier"A into residential treatment witho�,tt leavingthe building.
Why the two must be co -located
Withdrawal management is the entry point. Rot.11g[fly one ir) three people who corn,plete detox are clinically appropriate forirriniediate residential Clare.
When the two are separat,ed by (listance., rnost of that grok_ip is lost betwt.,,len 'the two doors. Co -location converts a handoff into a walk down a corridor
and it i-Tiakes the resident'ial beds easier -to keep fUll,
ASAKI. Arnerican Society of Addiction Medicine level -of care criteria, as adopted k)y flie Washington State Health Care Authority,
HOLMAN
RECOVERY CEN I i R
THE SER,!!CE AREA
A 100-mile service area of 815,000 residents
Grant Coi,inty anchors the 11acillity, the SLirrOLInding region is what" ry"iakes it financially self-sustaining.
Yakima
Benton
Grant
Franklin
Chelan
Douglas
Kittitas
Adams = 21,000
Okanogan 0 14,000
Lincoln 0 9,900
46,500
41,500
202,000 [] is 000
199,500
HOLMAN
RECOVERY CENTER
-F otal residents inside the 1,00-mile service arezi
y7C
Grant County residents — the facility's borne county
Share of: Washington's population inside the service area
Population figures are U.S. Census Bureau 2025 vintage county estimates, adjusted for the share of each county falling inside a 100-mile drive radius of central Grant County.
REGIONAL NEED
Overdose mortality across the service area
Age -adjusted drug overdose deaths per 100,000 residents, 2022-2024.
60
45
30
Is
X
54
45
Okanogan Yakima
36
35
26 25
24
Chelan Grant Franklin Benton Kittitas
22
Douglas
--wessed for, 5rnwH c"ounts.
Sc)Llrce-. Washington State Department of, Health, drug overdose death rates by county, age -adjusted, 20222()24� Adarns and Lincoln supl,
HOLMA,N
R E C 0 V E RY C E 'N"I E R
Need is not concentrated in one county
Okanogan, Yakima, Chelan �=:md Grairit i:,fli
flf
43
subs-'-aritizil burden. A single regionz acility serves
four rriore efficiently than -four, county -scale programs
coot fld.
DEMAND TREND
Statewide demand for these services is climbing sharply
Adults receiving N/ledicald4unded -t,':reatrynent in Washington, state fiscal years 2022 to 2024.
12(l'.)00
9000 8,621
6000
41154
3000
0
9..438
SFY 2022 SFY 2023
U Fesldential treatment :' Withdrawal management
10,335
SFY 2024
6;167
Source: Washington State Health Care Authority, adults served in Medicaid manageci (-,.are and fee -for. -service, state fiscal years 2022--2024.
HOLMAN
RECOVERY C L N' I U R
Growt� in adkflts receiving residential treatrnent, M`22_ to
2 0, 4
,0-
C)rowth in adk tits receiving withdrawal management, 2022 to
2024
Derriand.for witi-Wrawol ri)anogerr7ent is gt-owing tru',-I-)t-e tf) ar) twice
cis fast as residentiol cleri7or)d — oind Grvnt Courity,,.--ut-terAly
supplies nor)e ofit.
GRANT COUNTY BENEFIT
Grant County's full need fits iinside 28% of the facility xoLMaN
The regional service area 'fills the rerTmining capacity — which is precisely what allows Grant Count"yto host afacilit�,/ it could not otherwise sustain.
What this means in practice
12% IL 7 Gran'. County resiCients are pro jectedto need reside�ntial
treatmen'L. or witt-Arawal managerTient each year.
12 beds, on average-, is what meeting that entire countV-wide need
req u i res,.
100% of projected Grant County demand can be absorbed while
reserving priority admission for county residents.
Grant County residents i-A.
I Regional service area
(,,,tnty-or)ly,,,!',g,,cilitywo�,.,ildbef-o�,,,�ghl,12bf,�ds— too
to carry thejfi.xied cost of'24-hwur rn-trsinf, j, triedical direction, or-,W licensure.
(]rant County derriand estirnated by applying statewide Medicaid utilisation rates to the county population.
Capacity against regional demand
The 100-mile service area is projected to generate approximately 1,050 residential episodes and 630 withdrawal management episodes
annually at current statewide utilisation rates. The facility would serve roughly 40% of regional residential demand — the remainder
continuing to be met by existing providers in Yakima, Wenatchee, Spokane and the Tri-Cities.
Withdrawal management is the tighter assumption. It requires the facility to capture the large majority of regional detox demand — supported by the 48% growth in
that service line since 2022, by the absence of any competing capacity north of Yakima, and by direct referral pathways from EMS., low enforcement and probation.
ECONOMIC IMPACT
A $3.0 million annual employer in Grant County
Operating expenditure is overwhelmingly local: wages, food, utilities, maintenance and professional services.
Full-time equivalent positions at full operation
Composition of the workforce
Annual payroll into the Grant County economy
Direct care 31
Administration 11
Nursing/ medical 10
Staffing per the operator'. -Aan. Facilities anti fof.A service are contracted, Regional a(,-'tivity applies a 1.5-13x hcaalthcar(., sector rnulti.plier -to direct: expenditk.ire.
$8-9M
HOLMAN
Estimated total annual regional economic activity
455U IP"DNS AND Ri`KS
What this projection depends on HOLMAN`
The three conditions that determine whetheir the financial nr,mdel holds.
Reimbursement rates hold at Current levels
.• . model " • w operator's
uru.upp°existing
•r,r.Medicaid
.X.T contract
wx rates.
muyw Rates
Ay A negotiated
gueh N q Aorganisations
.in.and
ro
s
change; a 1% ri-ianage(i care rate reduction took effect inJanuary 2026,. Written rate confirmation for a Grarit Count-y site should be obtained
before construction begins.
Census reaches and holds 90
w
,`. Break-even .,. w, �,.�p ._ �,. ,•, .,,. # 'facility
. ,. �: ,a;. ,• ' industry
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run near t[)e upper- end of
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Medicaid coverage remains stable
goFederal legislation i nt r d U ces work r"e cc,,O re rn e nts and six month eligibility re d ,. t •,• r m i nations 'o r` a U x 1,' Medicaid beginrOng in 2027. Gran
County's
agricultural
gic ur4l and
seasonal workforce is c $n ar a " i irEsQexposed. Coverage o s s would r dUe the paying c e a S U S .
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Norw o these risks is unique o �r o � `oerr�ty,,� or��.„ none ��,. i unr�if r� .� �. cc11 /�.. a LE .� .� � � �i, s a..t� s .��., (,.1*' ��•.. r� �r r�,:�a is r� ca � ow
Prepared for a`cI}C C7i...#nty Board of Commissioners. Figures are projections and are not guai aro:.ees of financial performance.
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• Outlook
FW: Potential SUD Recovery Center & Detox in Moses Lake
From Edmund Smith <edmund.smith@hrcwa.org>
Date Wed 8/26/2026 3:17 PM
To Rob Jones <rjones@grantcountywa.gov>
Cc Caitlin E. Manell <cemanell@grantcountywa.gov>; Chelsey C. Sanford <ccsanford@grantcountywa.gov>
0 2 attachments (801 KB)
HRC_Letter_of_Support_Commissioner_Jones.pdf; HRC - Grant County Proj Report3.pdf;
"EXTERNAL EXTERNAL EMAIL**
This email originated from outside Grant County's network. Do not click links or open attachments unless you
recognize the sender and know the content is safe.
Dear Commissioner Jones,
My name is Edmund Smith, and I am the Executive Director at Holman Recovery Center.
Last month we had the opportunity to present information about a project we are proposing in the Moses Lake area to
address the growing need for substance use disorder treatment in Grant County. The proposal centers on opening a
36-bed residential substance use disorder treatment program alongside a 12-bed withdrawal management (detox)
program.
I regret that we were not able to meet in person, and I understand your schedule is a demanding one. I would be glad
to meet virtually at whatever time suits you to discuss the project further.
Attached is the feasibility study and project proposal we presented to the Homeless Housing Task Force in July for
your review.
We are also now seeking letters of support for the project, which I would present to our board of directors and include
in applications for grant funding. We are already working with a contractor who is prepared to fund construction up
front; even so, we cannot move forward unless we secure state capital funds to help cover a portion of the
construction costs and land acquisition.
That is why your letter of support would be so valuable. I have also attached a completed version of such a letter,
ready for signature. It is only a suggested draft I am happy to make any revisions you would like, or you are
welcome to edit it yourself before signing.
Thank you for considering this request, and for the valuable work you do with the Homeless Housing Task Force
Sincerely,
Edmund Smith, SUDP
Executive Director
Holman Recovery Center
16415 Smokey Point Boulevard
Arlington, WA 98223
phone: (425) 521-2815
fax: (425) 366-8040
email: edmund.smith.Rhrcwa.org
HOLMAN
14
Ft OV VR r CUNT