Lakeway Regional Medical Center, LLC and Surgical Development Partners, LLC// Lake Travis Transitional LTCH, LLC N/K/A Lake Travis Specialty Hospital, LLC v. Lake Travis Transitional LTCH, LLC N/K/A Lake Travis Specialty Hospital, LLC// Lakeway Regional Medical Center, LLC Surgical Development Partners, LLC Brennan, Manna, & Diamond, LLC And Frank T. Sossi

CourtCourt of Appeals of Texas
DecidedFebruary 17, 2017
Docket03-15-00025-CV
StatusPublished

This text of Lakeway Regional Medical Center, LLC and Surgical Development Partners, LLC// Lake Travis Transitional LTCH, LLC N/K/A Lake Travis Specialty Hospital, LLC v. Lake Travis Transitional LTCH, LLC N/K/A Lake Travis Specialty Hospital, LLC// Lakeway Regional Medical Center, LLC Surgical Development Partners, LLC Brennan, Manna, & Diamond, LLC And Frank T. Sossi (Lakeway Regional Medical Center, LLC and Surgical Development Partners, LLC// Lake Travis Transitional LTCH, LLC N/K/A Lake Travis Specialty Hospital, LLC v. Lake Travis Transitional LTCH, LLC N/K/A Lake Travis Specialty Hospital, LLC// Lakeway Regional Medical Center, LLC Surgical Development Partners, LLC Brennan, Manna, & Diamond, LLC And Frank T. Sossi) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Lakeway Regional Medical Center, LLC and Surgical Development Partners, LLC// Lake Travis Transitional LTCH, LLC N/K/A Lake Travis Specialty Hospital, LLC v. Lake Travis Transitional LTCH, LLC N/K/A Lake Travis Specialty Hospital, LLC// Lakeway Regional Medical Center, LLC Surgical Development Partners, LLC Brennan, Manna, & Diamond, LLC And Frank T. Sossi, (Tex. Ct. App. 2017).

Opinion

TEXAS COURT OF APPEALS, THIRD DISTRICT, AT AUSTIN

ON MOTION FOR REHEARING

NO. 03-15-00025-CV

Appellants, Lakeway Regional Medical Center, LLC and Surgical Development Partners, LLC// Cross-Appellant, Lake Travis Transitional LTCH, LLC n/k/a Lake Travis Specialty Hospital, LLC

v.

Appellee, Lake Travis Transitional LTCH, LLC n/k/a Lake Travis Specialty Hospital, LLC// Cross-Appellees, Lakeway Regional Medical Center, LLC; Surgical Development Partners, LLC; Brennan, Manna, & Diamond, LLC; and Frank T. Sossi

FROM THE DISTRICT COURT OF TRAVIS COUNTY, 345TH JUDICIAL DISTRICT NO. D-1-GN-12-000983, HONORABLE LORA J. LIVINGSTON, JUDGE PRESIDING

MEMORANDUM OPINION

We withdraw our opinion and judgment dated July 1, 2016, and substitute the

following in its place. We overrule the motion for rehearing filed by appellee and cross-appellant

Lake Travis Transitional LTCH, LLC n/k/a Lake Travis Specialty Hospital, LLC (“Lake Travis”).

The Court also overrules Lake Travis’s motion for en banc reconsideration

Appellants Lakeway Regional Medical Center, LLC (“Lakeway”) and Surgical

Development Partners, LLC (“SDP”) (collectively, “appellants”) appeal from the judgment against them in favor of Lake Travis.1 Lake Travis filed a cross-appeal against Lakeway, SDP, and additional

cross-appellees Frank T. Sossi, the attorney who represented Lakeway in the negotiations that led

to this litigation, and his law firm, Brennan, Manna, & Diamond, LLC (collectively, “the attorneys”).

We reverse the trial court’s judgment and render judgment that Lake Travis take nothing on its

claims against appellants.

Factual Background

In 2004, Robert Berry and Keith McDonald started planning a long-term acute

care hospital2 that would be known as Lake Travis Specialty Hospital. The hospital was to be 57,000

square-feet in size and was to have forty-six beds. In 2007, they obtained $21 million in financing

by way of a ground lease with HCN Interra Lake Travis LTACH, LLC, which was a joint venture

between HCN Interra and Health Care REIT, Inc. Shortly before the lease was signed, Berry and

McDonald created the Lake Travis legal entity, which entered into the lease as tenant. Construction

began in 2008. However, in May 2009, in response to legislative action, Berry and McDonald

decided to operate Lake Travis as a general acute care hospital. At that point, HCN Interra started

to have concerns about Berry’s and McDonald’s lack of experience with general acute care facilities.

1 The legal entity was initially called Lake Travis Transitional LTCH, LLC and is now known as Lake Travis Specialty Hospital, LLC. References to “Lake Travis” refer to the legal entity. 2 Patients in a long-term acute care hospital stay more than twenty-five days on average. Patients in general acute care hospitals (also known as short-term acute care hospitals) stay fewer than six days on average. Berry and McDonald had substantial experience with long-term acute care hospitals but did not have experience in general acute care hospitals. Berry and McDonald planned Lake Travis to open as a long-term hospital initially and then transition into a general acute care hospital and to obtain a “general acute care hospital provider number” from Medicare.

2 In 2008, while Lake Travis was proceeding with construction, three doctors and a

businessman formed Lakeway with the intent of opening a general acute care facility in the same

general area that would encompass 244,000 square feet and have 106 beds. Lakeway hired SDP for

assistance with obtaining financing and in opening the hospital. Sometime before mid-April 2009,

Lakeway started applying for HUD Section 242 Mortgage Insurance, which is intended to “assist the

provision of urgently needed hospitals” for care of acutely ill patients.3 See 12 U.S.C. § 1715z-7(a).

On April 16, 2009, HUD informed Lakeway that it had conducted a preliminary review and had

identified no problems that would stop HUD from proceeding to a pre-application meeting, stated

that Lakeway had to submit a complete application within one year, and assigned Robert Deen to

be the project’s HUD Account Executive. Deen’s role was to “lead the team that will review the

application for mortgage insurance” and to be Lakeway’s contact person at HUD.

Meanwhile in 2009, Congress began discussing banning physician-owned hospitals,

and Lakeway began exploring contingency plans that would allow it to open its facility before

the ban took effect in 2010. Sossi, Lakeway’s attorney, then approached a business contact who

worked for Health Care REIT to ask about the Lake Travis facility and whether Lakeway might be

able to use that facility as a first campus so that Lakeway might avoid the ban on doctor-owned

structures. During those conversations, Sossi learned that Health Care REIT had concerns about

3 See generally 12 U.S.C. § 1715z-7 (“Mortgage insurance for hospitals”); 24 C.F.R. §§ 242.1-.93 (“Mortgage Insurance for Hospitals”). Part of the HUD review process involves “a determination of the market need” for the hospital and whether the area is considered underserved by current facilities and services, which requires evaluation of current facilities, the number and percentage of any excess beds, and demographic projections. 24 C.F.R. § 242.16(a)(1). “Generally, Section 242 insurance may support start-up hospitals or major expansions of existing hospitals only if existing hospital capacity or services are clearly not adequate to meet the needs of the population in the service area.” Id.

3 Berry’s and McDonald’s experience and that HCN Interra was hoping to replace Lake Travis as

tenant in the project. Lakeway decided to explore whether the Lake Travis facility, which was

already under construction, could serve as its initial facility while its larger facility was built.

Sossi examined the Lake Travis construction site in March 2009 and testified that

this informal visit, combined with his past work on hospital projects and information he found

online about the Lake Travis project, raised his concerns about parking, safe ambulance and patient

access to the facility, electrical and heating/air conditioning [HVAC] issues,4 and estimated costs

to build and equip.5 Sossi testified that he discussed his initial concerns with Lakeway’s architects

before the parties began formal negotiations.

In May 2009, SDP and Lake Travis signed a confidentiality agreement so that

SDP could start due-diligence work on behalf of Lakeway. In September 2009, SDP, Berry, and

McDonald signed a “Letter of Intent for the Acquisition of the Lakeway Hospital Lease” (“Letter

of Intent”); SDP signed as Lakeway’s agent. The Letter of Intent was intended “to indicate SDP’s

interest in the Project,” defined as Lakeway’s acquisition of the Lake Travis lease, use of the facility

as an initial campus, and later use of the facility as a satellite location after its main campus was

completed, and to set “ground rules” for the exchange of information related to the Project. The

4 A long-term care facility has different HVAC and power needs than a general acute care hospital.

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Lakeway Regional Medical Center, LLC and Surgical Development Partners, LLC// Lake Travis Transitional LTCH, LLC N/K/A Lake Travis Specialty Hospital, LLC v. Lake Travis Transitional LTCH, LLC N/K/A Lake Travis Specialty Hospital, LLC// Lakeway Regional Medical Center, LLC Surgical Development Partners, LLC Brennan, Manna, & Diamond, LLC And Frank T. Sossi, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lakeway-regional-medical-center-llc-and-surgical-development-partners-texapp-2017.