Kennestone Hospital, Inc. v. Northside Hospital, Inc.

CourtCourt of Appeals of Georgia
DecidedOctober 25, 2013
DocketA13A0937
StatusPublished

This text of Kennestone Hospital, Inc. v. Northside Hospital, Inc. (Kennestone Hospital, Inc. v. Northside Hospital, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals of Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kennestone Hospital, Inc. v. Northside Hospital, Inc., (Ga. Ct. App. 2013).

Opinion

SECOND DIVISION BARNES, P. J., MILLER and RAY, JJ.

NOTICE: Motions for reconsideration must be physically received in our clerk’s office within ten days of the date of decision to be deemed timely filed. http://www.gaappeals.us/rules/

October 25, 2013

In the Court of Appeals of Georgia A13A0936, A13A0937. GEORGIA DEPARTMENT OF COMMUNITY HEALTH v. NORTHSIDE HOSPITAL, INC.; KENNESTONE HOSPITAL, INC. v. NORTHSIDE HOSPITAL, INC.

MILLER, Judge.

This case arises from the Department of Community Health’s (the

“Department”) initial approval of the application of Kennestone Hospital, Inc.

(“Kennestone”) for a certificate of need (“CON”) to develop an ambulatory surgery

center (“ASC”) in Cobb County based on the Department’s determination that the

ASC would be part of a hospital and, therefore, subject to less-stringent criteria to

qualify for a CON. The Department determined that the ASC was part of a hospital

under the provision for a case-by-case determination set forth under the Department’s

Rule 111-2-2-.40 (1) (a). Northside Hospital, Inc. (“Northside”) opposed the CON and sought administrative review of the Department’s initial decision. An appeal

panel and the Commissioner of the Department upheld the Department’s initial

determination. Northside then filed a petition for judicial review in the superior court.

The superior court reversed the Department’s final decision on the basis that the

“case-by-case” provision in the Department’s Rule 111-2-2-.40 (1) (a) was

unconstitutionally vague because it lacked ascertainable standards and specific

guidelines to limit the Department’s discretion. We granted the discretionary

applications for review filed by the Department and Kennestone.

In Case A13A0936, the Department contends that Northside lacked standing

to assert a vagueness challenge to Rule 111-2-2-.40 (1) (a), and that the superior court

erred in concluding that the rule was unconstitutionally vague. In Case A13A0937,

Kennestone further contends that the superior court erred in finding the rule to be

unconstitutionally vague and in failing to apply judicial estoppel to prevent Northside

from challenging the constitutionality of the rule since it had previously obtained

favorable determinations under it. We conclude that the superior court’s decision

must be affirmed because the lack of ascertainable standards to guide the

2 Department’s “case-by-case” review under Rule 111-2-2-.40 (1) (a) gives the agency

unfettered discretion and fails to provide fair notice to prospective applicants.1

Although we review an agency’s factual determinations under the “substantial

evidence” standard, we conduct a de novo review of the agency’s conclusions of law.

See Palmyra Park Hosp., Inc. v. Phoebe Sumter Med. Ctr., 310 Ga. App. 487, 488

(714 SE2d 71) (2011); Walker v. Dept. of Transp., 279 Ga. App. 287, 291 (2) (630

SE2d 878) (2006).

The record shows the following.2 Kennestone, a subsidiary of WellStar Health

System, Inc. (“WellStar”), operates two Cobb County acute care hospitals: WellStar

Kennestone Hospital, a 633-bed hospital, and WellStar Windy Hill Hospital, a 115-

bed long-term care hospital. Both hospitals are located in Marietta. Northside

operates two acute care hospitals located in Atlanta and Alpharetta.

1 The Supreme Court of Georgia has exclusive jurisdiction in “[a]ll cases in which the constitutionality of a law, ordinance, or constitutional provision has been drawn in question.” Ga. Const. 1983, Art. VI, Sec. VI, Par. II. Administrative regulations, however, are not laws under the meaning of the constitution, and therefore, this Court has jurisdiction to resolve whether Department Rule 111-2-2-.40 (1) (a) is constitutional. See, e.g., Brosnan v. Undercofler, 220 Ga. 239 (138 SE2d 314) (1964); Professional Standards Comm. v. Alberson, 273 Ga. App. 1, 7 (2), n.3 (614 SE2d 132) (2005). 2 Most of the relevant facts are not in dispute and can be found in the administrative appeal panel hearing officer’s decision.

3 In 2010, Kennestone submitted an application for a CON to develop the ASC,

to be called East Cobb Surgery Center, in Marietta. The ASC would be located

approximately eight miles from WellStar Windy Hill Hospital and about seven miles

from WellStar Kennestone Hospital. Kennestone explained that the ASC would be

hospital-based, operate as a department from Windy Hill Hospital, and result in the

decommission and transfer of three operating rooms from Windy Hill Hospital to the

new location. Kennestone identified the ASC’s primary service area as East Cobb

County and secondary service area to include the rest of Cobb County and parts of

Cherokee, Bartow, and Paulding Counties.

In reviewing Kennestone’s CON application, which was opposed by Northside,

the Department determined that the ASC was “part of a hospital” under the “case-by-

case” review provided by Rule 111-2-2-.40 (1) (a). Pursuant to Rule 111-2-2-.40 (1)

(a), new ambulatory surgery services are subject to specific review considerations

unless such service is or will be provided as “part of a hospital.” An ambulatory

surgery service is considered to be “part of the hospital” if it is located: (a) within the

hospital; or (b) in a building on the hospital’s primary campus and that building, or

relevant portion thereof, is included in the hospital’s permit issued by the State’s

licensing agency, subject to determination by the Department. Ga. Comp. R. & Regs.

4 r. 111-2-2-.40 (1) (a). Rule 111-2-2-.40 (1) (a) further provides that “[t]he Department

also will make a determination of reviewability on a case-by-case basis in other

situations involving hospitals.”

The Department concluded that the ASC would be “part of a hospital,”

reviewed the CON application under the general considerations of Rule 111-2-2-.09

(1) and, under such review, decided to issue Kennestone a CON for its ASC.3 In

concluding that the ASC was “part of the hospital” under a case-by-case review,

however, the Department set forth no reasoning to explain its conclusion.

Northside appealed the Department’s decision to issue a CON to an appeal

panel, and an administrative hearing officer held a hearing on the appeal. At the

hearing, the Department presented testimony from Marsha Hopkins, its primary

witness, who during the relevant review period, was the Executive Director of the

Division of Health Planning for the Department. Hopkins testified that she was the

Department official who approved Kennestone’s CON application, and that the

Department concluded that the ASC was part of the hospital because the service was

3 “If an ambulatory surgery service, which is part of a hospital, involves a capital expenditure, which exceeds the CON threshold and does not increase the number of ambulatory surgery operating rooms, the project will be reviewed under the General Review Considerations (111-2-2-.09).” Ga. Comp. R. & Regs. r. 111-2-2- .40 (1) (d).

5 located within Windy Hill Hospital. Hopkins also testified that the ASC was part of

the hospital because it was located in a building on the hospital’s primary campus and

included on the hospital’s permit. Hopkins initially testified that she did not conduct

a case-by-case determination as to whether the ASC was part of a hospital since it

was within the hospital and on the hospital’s permit. Hopkins reversed herself and

later explained that she did in fact conduct a case-by-case analysis, and under such

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