Providence Medical Building Monroe


19200 N. Kelsey Street
Monroe, WA, 98272

Building Size

43,000 SF


October 2013




Sellen Contractors

Between 2005 and 2011, Providence Regional Medical Center Everett (PRMCE), a member of Providence Health & Services (one of the largest not-for-profit health networks in the Western United States), implemented a $500 million campus expansion and renovation project, including a new 12-story bed tower. PRMCE serves a primary service area (PSA) of over 500,000 patients in north suburban Seattle. PRMCE wanted to strengthen its presence in the PSA and ensure support for its new and improved campus facilities by developing a network of off-campus outpatient facilities that would offer patients coordinated, comprehensive services under one roof and close to home. In 2010, after running a national competitive process, PRMCE selected NexCore Group to provide an array of healthcare real estate services for its ambulatory network.

NexCore studied the PSA market and collaborated with PRMCE to plan the ambulatory network. NexCore’s process employed a retail distribution methodology that divided the PSA into convenience-based retail trade areas and identified the optimal site vicinity in each submarket. Taking into consideration demographic analysis, physician supply/demand factors, and the competitive environment, NexCore with PHS created an ambulatory network plan that detailed the development of facilities in each submarket, estimated the costs and schedule for development, and prioritized the submarkets and projects for implementation.

The Monroe submarket was prioritized due to competitive factors and because PRMCE had a 30-year presence in the submarket that needed improvement and expansion. NexCore defined and studied the Monroe PSA, selected and acquired the optimal site, and worked with PRMCE to complete a business plan that included determination of physician complement and outpatient services mix, estimation of service line volumes, development of space program, and estimation of project costs and cost of occupancy assumptions. The original building program called for 50,000 SF, however, NexCore was able to work closely with Providence and the architect during the program validation phase to reduce the building size to 43,000 SF while maintaining all services and reducing the hospital’s lease expense.

NexCore completed the two-story, 43,000 SF Providence Medical Building Monroe in October 2013. The facility provides coordinated, comprehensive services under one roof, with space for more than 30 medical providers in the areas of primary care, cardiology, ENT, gastroenterology, general surgery, midwifery, neurology, neurosurgery, OB/GYN, orthopedics, pain management, physical medicine and rehab, sleep health, and urology. The facility houses an urgent care center, full-service imaging center, non-invasive diagnostics, lab services, retail pharmacy, coffee bistro, and an education and conference center.

What Our Clients Say

“We are very pleased about our collaboration with NexCore. They were able to partner with us to deliver an attractive, integrated facility that houses comprehensive outpatient services in 12 months, from the time we closed on the land to the first patients that were seen. NexCore also worked with us to eliminate excess space and lower costs by incorporating lean design concepts such as shared services.”

— Tom Brennan
Chief Strategic Officer, Providence Regional Medical Center Everett