Hudson Valley Nursing Center v. Axelrod

130 A.D.2d 862, 515 N.Y.S.2d 922, 1987 N.Y. App. Div. LEXIS 46867
CourtAppellate Division of the Supreme Court of the State of New York
DecidedMay 14, 1987
StatusPublished
Cited by7 cases

This text of 130 A.D.2d 862 (Hudson Valley Nursing Center v. Axelrod) is published on Counsel Stack Legal Research, covering Appellate Division of the Supreme Court of the State of New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hudson Valley Nursing Center v. Axelrod, 130 A.D.2d 862, 515 N.Y.S.2d 922, 1987 N.Y. App. Div. LEXIS 46867 (N.Y. Ct. App. 1987).

Opinion

Yesawich, Jr., J.

Appeal from a judgment of the Supreme Court at Special Term (Hughes, J.), entered March 13, 1986 in Albany County, which granted petitioner’s application, in a proceeding pursuant to CPLR article 78, to annul a determination of the Department of Health denying petitioner’s request for a redetermination of its Medicaid reimbursement rate for the years 1982 and 1983.

Petitioner, a participant in the Medicaid program, is a provider of residential health care services for the elderly; it is owned and operated by Stanley and Judith Dicker. The Department of Health is charged with determining petitioner’s Medicaid reimbursement rates pursuant to Public Health Law § 2807. Rates are computed on the basis of actual costs incurred in the base year, which is prior to the reimbursement year. These costs are then increased by a trend factor which takes into account inflation and a capital cost component which, as in the case of a proprietary facility such as petitioner, includes a return on equity. The sum of these figures constitutes the facility’s prospective rate.

[863]*863The controversy herein centers, in part, upon the Department’s treatment of a mortgage loan made to Highland Associates (Highland) by Prudential Savings Bank (Prudential) in 1972. At the time of petitioner’s rate appeals, the mortgage principal exceeded $1,950,000, on which the annual interest rate was 7%. In 1972, proprietorship of Highland, a partnership which owned all of petitioner’s fixed assets, was equally divided between the Dickers and Prustan Corporation (Prustan); the latter was then a wholly owned subsidiary of the mortgagee, Prudential.

Emigrant Savings Bank (Emigrant) merged with Prudential in March 1979. As a consequence, Emigrant became the sole shareholder of Prustan, and owner of 50% of Highland—and the joint venture the Dickers and Prustan had embarked upon —and, therefore, one half of the fixed assets of petitioner.

In calculating petitioner’s Medicaid reimbursement rate for 1982 and 1983, the Department, as it had in the past, considered petitioner’s interest payments to Emigrant an "allowable cost” in computing petitioner’s base year costs. Pointing to the direct relationship between petitioner and Emigrant, petitioner argued they were "related” parties for Medicaid reimbursement purposes and inasmuch as the Department’s regulations provide that allowable costs shall not include interest paid to a lender related to the borrower, the mortgage should have been characterized as equity and petitioner’s reimbursement rates should have included an equity return thereon instead of the 7% interest rate it paid. For the years 1982 and 1983, the equity rates of return were 16.5% and 20%, respectively.

Additionally, petitioner sought review of the Department’s partial exclusion of certain administrative salaries paid to two groups of employees. This was done pursuant to two separate regulations which placed ceilings on salaries paid to "administrators”, here, the Dickers and two others, and "relatives of administrators”, Nat Shapins, petitioner’s purchasing agent and a relative of the Dickers. Petitioner seeks inclusion of these amounts in its allowable costs.

Administrative appeals designed to achieve revision of petitioner’s reimbursement rates for the years affected were unsuccessful, prompting petitioner to commence the instant CPLR article 78 proceeding. Special Term, granting the petition in its entirety, directed respondents to recompute petitioner’s 1982 and 1983 reimbursement rates, so as to reflect the amount of the Emigrant loan as equity capital, and to also [864]*864reflect petitioner’s actual costs for the salaries of its administrators and purchasing agent.

Addressing the mortgage issue first, we note the regulation in issue provides that "[ajllowable costs shall not include the interest paid to a lender related through control, ownership, affiliation or personal relationship to the borrower, except in instances where the prior approval of the Commissioner of Health has been obtained” (10 NYCRR 86-2.17 [l] [emphasis supplied]; see also, 10 NYCRR 86-2.20 [b]). Where the parties to the transaction are so related, the amount of the loan is considered a contribution to the borrower’s capital (part of the borrower’s equity capital) and in the instance of a proprietary facility, is reimbursed through an annual equity return established by respondent Commissioner of Health (10 NYCRR 86-2.21 [a] [4]; [e] [6]; 86-2.20 [b]).

It is conceded that the parties to the loan are "related” and that petitioner has not sought "prior approval” of the Commissioner to have the interest on the mortgage treated as an allowable cost. Thus, application of this regulation hinges upon respondents’ innovative assertion that they may unilaterally invoke the exception provided in 10 NYCRR 86-2.17 (l). This court has recently stated that: "While it is true that great deference is to be given to the Commissioner’s interpretation of a regulation (see, Matter of Cortlandt Nursing Care Center v Whalen, 46 NY2d 979), it is also axiomatic that an agency is bound by the language of its own regulation and cannot construe it in such a manner that the plain language on the face of the regulation is rendered meaningless (see, Matter of Nekoosa Papers v Chu, 115 AD2d 821, 823; 2 Davis, Administrative Law § 7:21, at 98 [2d ed]). A regulation should be construed in its natural and most obvious sense without resorting to a subtle or forced construction (Matter of Cortland-Clinton, Inc. v New York State Dept. of Health, 59 AD2d 228, 231).” (Matter of Grace Plaza v Axelrod, 121 AD2d 799, 801.) Significantly, respondents fail to cite to any other case or authority giving 10 NYCRR 86-2.17 (l) the construction they have advanced. The language of this regulation is quite clear; interest paid to a related entity is to be excluded from allowable costs unless prior approval has been obtained from the Commissioner. That approval power invests the Commissioner with jurisdiction to entertain requests importuning him to grant an exception. By some alchemy, respondents draw from this capacity to receive exception requests the right of the Commissioner to make them. Such a construction leaves the language meaningless, since it enables the Commissioner to [865]*865apply the exception, at any time, without any basis. Had the Commissioner intended to reserve authority of this nature unto himself when the regulation was promulgated, most assuredly it would have been drafted accordingly.

Nor are we persuaded by respondents’ contention that because departmental rate setters acting on respondents’ behalf have consistently given this regulation a practical application and have allowed the 7% interest item as an operating expense since 1972, that this long-standing interpretation of the regulation, however perverse, is nevertheless controlling and should continue undisturbed "in the absence of weighty reasons” (Matter of Sigety v Ingraham, 29 NY2d 110, 114). The essence of this argument is that respondents have regularly construed these provisions to deny petitioner treatment of the loan as equity and, therefore, that interpretation should control this appeal.

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Bluebook (online)
130 A.D.2d 862, 515 N.Y.S.2d 922, 1987 N.Y. App. Div. LEXIS 46867, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hudson-valley-nursing-center-v-axelrod-nyappdiv-1987.