They have grown bigger but overloaded their nurses. Now you no longer get the care you should be getting. I also went in for a CT Scan on my foot and they had me scheduled for a MRI for my spine. They refused to call the doctor after a major surgery on my foot where they put in 10 screws and 4 plates, this was my 6 surgery in 5 years, the nurse FINALLY called the doctor at midnight when the pain was so bad I was screaming! The doctor came to see me in the morning apologizning. He is not affiliated with Central Washington or their clinic which has merged with the hospital. I have since taken my health care to another town. Other issues have cropped up and I feel they are incapable of taking care of my needs properly.