Charter Pines Hospital, Inc. v. North Carolina Department of Human Resources

349 S.E.2d 639, 83 N.C. App. 161, 1986 N.C. App. LEXIS 2689
CourtCourt of Appeals of North Carolina
DecidedNovember 4, 1986
DocketNo. 8510SC1081
StatusPublished
Cited by3 cases

This text of 349 S.E.2d 639 (Charter Pines Hospital, Inc. v. North Carolina Department of Human Resources) is published on Counsel Stack Legal Research, covering Court of Appeals of North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Charter Pines Hospital, Inc. v. North Carolina Department of Human Resources, 349 S.E.2d 639, 83 N.C. App. 161, 1986 N.C. App. LEXIS 2689 (N.C. Ct. App. 1986).

Opinions

MARTIN, Judge.

The applicable standard of judicial review of a final decision of the Department of Human Resources with respect to an appli[165]*165cation for a certificate of need was set out in G.S. 150A-51 (1983), amended and recodified at G.S. 150B-51 (1985) (effective 1 January 1986).

The court may affirm the decision of the agency or remand the case for further proceedings; or it may reverse or modify the decision if the substantial rights of the petitioners may have been prejudiced because the agency findings, inferences, conclusions or decisions are:

(1) In violation of constitutional provisions; or
(2) In excess of the statutory authority or jurisdiction of the agency; or
(3) Made upon unlawful procedure; or
(4) Affected by other error of law; or
(5) Unsupported by substantial evidence admissible under G.S. 150A-29(a) or G.S. 150A-30 in view of the entire record as submitted; or
(6) Arbitrary or capricious.

Charter assigns error to the findings, inferences, conclusions and decision of DHR concerning Charter’s application for a certificate of need, contending that DHR’s decision was in violation of constitutional and statutory provisions, grounded upon unlawful procedure, affected by error of law, unsupported by substantial evidence, and was arbitrary and capricious. Charter urges this court to reverse the judgment of the Superior Court which affirmed DHR’s decision, and grant Charter a certificate of need. We disagree with Charter’s contentions and, for the following reasons, affirm the decisions of the Superior Court and DHR.

The lengthy and detailed briefs submitted for our consideration by the parties and intervenors in this action focused our attention on three (3) primary questions presented by this appeal. (1) Whether DHR correctly applied the statutory criteria relating to community health care support for the Charter proposal; (2) Whether DHR correctly determined that Charter’s proposal exceeded the psychiatric bed need within the applicable Health Service Area; and (3) Whether DHR’s determination that Charter’s proposal was nonconforming was arbitrary and capri[166]*166cious. The governing CON law at the time of Charter’s application, and therefore dispositive of the issues in this appeal, was G.S. 131-175 to -188 (1981), amended and recodified at G.S. 131E-175 to -191 (Cum. Supp. 1985), and the corresponding provisions of the North Carolina Administrative Code effective at that time. We will address Charter’s assignments of error as they relate to these issues and the appropriate standards of review.

I

Charter first contends that DHR, through project analyst Heffner, improperly required Charter to provide letters of support as a part of its CON application. Charter argues that DHR acted upon unlawful procedure, exceeded its statutory authority, and denied Charter equal protection under the law by imposing the requirement for letters of support without first promulgating the requirement as a regulation. Charter further argues that DHR erred as a matter of law and denied Charter due process of law by excluding critical evidence on the issue of support and by failing to give Charter proper notice of the support requirement. Finally, Charter argues that DHR’s findings and conclusions on the issue of support are not based on substantial evidence. We find no merit in Charter’s contentions and overrule these assignments of error.

Charter first contends that DHR’s request for letters of support (as specified in the notice of incompleteness forwarded to Charter on 18 February 1983) exceeded its statutory authority and was based upon unlawful procedure because the letters requirement was not specified in CON regulations promulgated by DHR pursuant to G.S. 131-181(a) (1981). Charter correctly argues that there is no requirement in any statute or department regulation or plan that letters of support must accompany a CON application, and that criteria to be used by DHR to review CON applications should be promulgated as regulations. G.S. 131-177(5) (1981). We hold, however, that DHR’s request for additional information, including its request that Charter provide letters of support for the proposed hospital, did not amount to the establishment of a criterion for review of Charter’s application, and was, therefore, neither unlawful nor improper.

The record is clear as to the circumstances leading to project analyst Heffner’s request for letters of support from various [167]*167health-care professionals and service groups. Upon receipt of Charter’s application, Heffner conducted a preliminary review to determine whether Charter had furnished sufficient information for the CON review. The application form submitted was provided to Charter by DHR pursuant to G.S. 131-180 (1981) and specifically requested the following information:

Please list the physicians who have expressed support FOR THE PROPOSAL, BY SPECIALTY. HOW HAVE THESE INDIVIDUALS AND OTHER MEDICAL PERSONNEL CRUCIAL TO THE VIABILITY OF THE PROPOSAL BEEN INVOLVED IN THE PLANNING PHASE OF THE PROJECT? PLEASE INDICATE IF OTHER GROUPS/INDIVIDUALS, WHO COULD AFFECT THE PROJECT’S SUCCESS, HAVE EXPRESSED SUPPORT FOR IT.
Charter responded as follows:
From the earliest contacts made in the area up to the present, the physicians of the area, particularly the psychiatrists in private practice and those on the faculty of the ECU Medical School, have been included in the entire development process: assessment of need, program determination, and the like. Since the Charter Pines Hospital will have an open staff, these physicians will be the Medical Staff for the Charter Pines Hospital. This is why their involvement was solicited from the very beginning.
All of the following physicians have been involved to a greater or lesser degree in the initial planning and development efforts to establish Charter Pines Hospital. All of them will continue to be invited to participate in the development and eventual operations of Charter Pines Hospital once it is approved by the State.
Jarrett Barnhill, M.D. ECU Medical School Faculty
Jascha Danoff, M.D. ECU Medical School Faculty
Ray Evan, M.D. Private Psychiatrist
William Fore, M.D. Past President, Pitt Co. Medical Soc.
Jerry Gregory, M.D. ECU Medical School Faculty
William Laupus, M.D. Dean, ECU Medical School
James Mathis, M.D. ECU Medical School Faculty
Leslie Mega, M.D. ECU Medical School Faculty
Barry Moore, M.D. Private Psychiatrist
Philip Nelson, M.D. Private Psychiatrist
[168]*168Robert Nenno, M.D. Pitt Co. Community Mental Health
Robert Ratcliffe, M.D. Private Psychiatrist
Everett Simmons, M.D. ECU Medical School Faculty
Jon Tinglestad, M.D. ECU Medical School Faculty
William Walker, M.D. ECU Medical School Faculty

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Bluebook (online)
349 S.E.2d 639, 83 N.C. App. 161, 1986 N.C. App. LEXIS 2689, Counsel Stack Legal Research, https://law.counselstack.com/opinion/charter-pines-hospital-inc-v-north-carolina-department-of-human-ncctapp-1986.