Bertrand v. Sandoz

255 So. 2d 754, 260 La. 239, 1971 La. LEXIS 3952
Supreme Court of Louisiana·Decided December 13, 1971·No. 51640·Published·Cited by 13 cases

Opinions

ON CERTIFICATION OF QUESTION TO THE SUPREME COURT OF THE STATE OF LOUISIANA FROM THE THIRD CIRCUIT COURT OF APPEAL

SUMMERS, Justice.

By amendment to the constitution in 1948, Article XIV, Section 14(d-2),* was adopted permitting the legislature to authorize police juries to create hospital service districts. Within limitations embodied in the constitutional amendment, the legislature was empowered to authorize hospital service districts so created to incur debt and issue bonds for the purpose of acquiring both real and personal property to be used in providing hospital service. Further, hospital districts, if authorized by the legislature, were empowered to levy limited taxes provided the rate, purpose and duration of the tax be submitted to the resident property taxpayers qualified to vote as required by Article X, Section 10, of the constitution.

By this Article XIV, Section 14(d-2), hospital service districts so created Were considered subdivisions of the State, and the general provisions of the constitution pertaining to authorization, issuance and payment of bonds by. subdivisions of the State were made applicable to hospital service districts.

Acting pursuant to this constitutional delegation, the legislature enacted Act 420 of 1950, which, with subsequent amendments, is now designated as Chapter 10 of Title 46 of the Revised Statutes (La.R.S. 46:1051-1068). This legislation authorizes police juries to create hospital service districts, the objectives of which shall be to own and operate hospitals and to administer other activities related to the care of the sick and injured; to conduct scientific research and training related to the care of the sick and injured; to participate in activity designed to promote the general [245] health of the community; and to cooperate with other institutions providing hospital and health services within the district.

These districts are to be governed by a board of commissioners appointed by the police jury, its power and duties being set forth in the act. Included within the power and duties of the board is the authority “[T]o enter into lease agreements with recognized and duly constituted non-profit associations which are primarily engaged in the operation of hospitals.”

By this legislation, hospital service districts thus created are declared to be political subdivisions of the State and to constitute a body corporate in law with all powers of a corporation with perpetual existence. The power is granted to incur debt and contract obligations and to do and perform any and all acts necessary and proper for carrying out the purposes for which the hospital service district is created. The districts are, moreover, empowered to do such things and enter into contracts with any state instrumentality to procure aid and grants necessary to assist the districts in carrying out the purposes for which they are created.

Relying upon the constitutional and statutory authority thus enacted, the police jury of St. Landry Parish adopted an ordinance on July 6, 1953 creating Hospital Service District No. 2 providing that the district was a subdivision of the State with powers and privileges granted by the constitution and statutes of this State, including the authority to incur debt, to issue bonds and levy taxes. The commissioners were named, and the district began its function.

On September 21, 1954 the district proposed, and the voters approved, a bond issue for $350,000 to be financed by a one-mill ad valorem tax. With these funds and Hill-Burton Act assistance, some donations and a small allotment from State severance taxes, grounds were acquired and buildings erected. A lease was granted for the operation of the facility to the Hospital Corporation of the Sisters Marianites of the Holy Cross, an association engaged in the operation of hospitals.

The hospital thus established at a cost of $892,184 opened with a capacity of 47 beds on May 27, 1957. It was then a three-story structure with only two floors completed. The third floor was only a shell with plans for its completion at a later date.

Almost from the beginning the hospital succeeded financially as a result of rapid growth in admissions and in the over-all level of operations. The third floor was completed with an additional 44 beds and put into use in 1964 to serve the increasing patient load. At the same time, services were expanded. These improvements were financed from additional Hill-Burton funds and accumulated revenues from hospital [247] earnings almost without additional cost to the taxpayer. The one-mill operating and maintenance tax was allowed to expire in 1965, and the one-mill tax for servicing the original bonds will expire when the bonds are retired in 1975. Another $395,905 was invested for additional land, facilities and for fixed and movable equipment.

The successful financial operation of the hospital reflects the rapid expansion in its use and the services it provides to the community. Hospital admissions increased from 2,669 in 1965 to 5,491 in 1969. By the first three months of 1970 the hospital was operating at over 90 percent of capacity — a capacity deemed too great to permit the hospital to cope with unforeseen emergencies, epidemics or major catastrophes. The unexpected demand for and use of the facilities is accounted for by the population growth in the area, the increasingly receptive attitude of the people toward hospital care and the advent of Medicare.

It is thus apparent that since the beginning of 1970 the need for expansion has been acute. It is estimated that the hospital could utilize an additional 150 beds immediately if all patients in the community needing hospitalization were admitted. It is also required that the district meet the accumulated needs for renovation, replacement and improved equipment. In keeping with these requirements, plans were formulated by the district in 1970 to provide for modernization and expansion, including a new building or wing adjoining the existing facility. Contemplating the use of Hill-Burton Funds ($500,000), Hospital District Surplus ($122,000), Hospital Corporation Surplus ($128,000) and a proposed bond issue by the district of $1,600,000, the plan proposed the expenditure of $2,350,000.

The bond proposal was submitted to the voters of the district on January 12, 1971, and it was soundly defeated. Strangely, there was no active community opposition to the proposal. On the contrary, there was a broad recognition of the need for expansion and renovation of the hospital facility. But the mood of the voters was generally against new taxes. This was the mood of a citizenry manifested in the statewide defeat of all fifty constitutional amendments which had recently been proposed by the legislature.

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Bertrand v. Sandoz, 255 So. 2d 754, 260 La. 239, 1971 La. LEXIS 3952 (La. 1971).

255 So. 2d 754 (Bertrand v. Sandoz) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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Bertrand v. Sandoz
255 So. 2d 754 (Supreme Court of Louisiana, 1971)