Los Alamitos General Hospital, Inc. v. Lackner

86 Cal. App. 3d 417, 149 Cal. Rptr. 98, 1978 Cal. App. LEXIS 2089
CourtCalifornia Court of Appeal
DecidedNovember 17, 1978
DocketCiv. 53547
StatusPublished
Cited by6 cases

This text of 86 Cal. App. 3d 417 (Los Alamitos General Hospital, Inc. v. Lackner) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Los Alamitos General Hospital, Inc. v. Lackner, 86 Cal. App. 3d 417, 149 Cal. Rptr. 98, 1978 Cal. App. LEXIS 2089 (Cal. Ct. App. 1978).

Opinion

Opinion

THOMPSON, J.

This appeal from a judgment in administrative mandamus turns upon the applicable standard of judicial review of an *420 administrative determination denying a “grandfather” exemption from the requirement of State Department of Health 1 approval of a hospital expansion project. We conclude that the appropriate standard is the “substantial evidence test”; i.e., the findings of the administrative agency must be accepted if supported by substantial evidence. We conclude, also, that the administrative findings are inadequate to meet the standard established by Topanga Assn, for a Scenic Community v. County of Los Angeles (1974) 11 Cal.3d 506 [113 Cal.Rptr. 836, 522 P.2d 12], Accordingly, we reverse a trial court judment mandating the Department of Health to grant petitioner hospital’s application for exemption and remand the matter to the trial court with direction to return the case to the administrative agency for appropriate findings of fact.

Facts

Los Alamitos General Hospital is a licensed general acute care hospital operating in Los Angeles County. In the latter part of 1974, the hospital’s board of directors initially considered expanding the hospital’s outpatient radiology facility. On January 22, 1975, an architect was engaged by the hospital to estimate the cost of expanding the existing physical plant and to prepare construction documents necessary to secure the approval of state and local agencies, including the Department of Health. The architect was retained on May 8, 1975, to prepare final plans and specifications for the expansion of the radiology facility. The remodeling and expansion plan of the radiology facility included the construction of new X-ray rooms and the construction of new doctors’ offices adjacent to the largest of the new X-ray rooms, “x-ray 5.” On November 12, 1975, application for approval of the plans was made to the Department of Health which granted the application on January 27, 1976. Construction began in April of 1976 and was approximately 80 percent complete by September of that year.

The construction plans and specifications did not indicate where specific articles of radiology equipment were to be installed. The hospital, however, did plan to relocate existing equipment and to acquire new equipment for the expanded facility. Major articles of new radiology equipment purchased prior to September of 1976 were three Picker Corporation X-ray generators and a Kodak film processor. The other *421 major article of new equipment, an “EMI” full-body scanner which is the subject of this appeal, was not ordered prior to September of 1976.

Effective September 9, 1976, the Legislature modified the then existing statutory scheme for Department of Health approval of hospital construction and expansion. The construction of new hospital facilities or the expansion or conversion of existing facilities from that date onward is permitted only upon the j*rant of a “certificate of need.” (Health & Saf. Code, § 437.10.) The statute contains a “grandfather” exemption for projects which commenced prior to the effective date of the legislation and which meet other statutory criteria. (Health & Saf. Code, § 437.11.)

Thus on September 9, 1976, the uncompleted expansion of the hospital’s outpatient radiology facility became subject to the requirement that the hospital either establish its right to the “grandfather” exemption or obtain a new approval for the expansion from the Department of Health based upon a showing of public need for the expansion. (Health & Saf. Code, §§ 437.10, 438-438.13.) On November 8, 1976, the hospital filed, with the Department of Health a timely application for exemption from the certificate of need requirements pursuant to the “grandfather” provision of Health and Safety Code section 437.11. The application sought exemption for the remodeling and expansion of the physical plant, the relocation of existing equipment, and the acquisition of new radiology equipment to be installed in the expanded facility. The three Picker Corporation X-ray generators, the Kodak film processor, and the full-body scanner were identified in the application as articles of new equipment included in the expansion project.

The application included a certified cost estimate for the expansion project of $929,323.05. The amount actually incurred or committed prior to September 9, 1976, was listed as $923,263.04. Not included in the cost estimate was the full-body scanner.

The Department of Health “severed” the full-body scanner from the application. A certificate of exemption excluding the full-body scanner was granted on January 4, 1977. The Department of Health set a hearing pursuant to Health and Safety Code section 437.11, subdivision (a), to determine if the full-body scanner qualified for a certificate of exemption.

The hearing was conducted by a hearing officer. Evidence taken by the hearing officer supports either of two conflicting factual inferences. The *422 omission of the full-body scanner from the hospital’s cost estimate and a very amorphous scheme to acquire it as recorded in hospital corporate and committee records support the ultimate fact that the hospital did not establish the requirement for exemption because the scanner was not included in a project commenced prior to September 9, 1976. (Health & Saf. Code, § 437.11.) Testimony of hospital personnel, if accepted as credible, supports the opposite conclusion.

The hearing officer prepared a proposed decision which included findings of fact and conclusions of law. The findings of fact did not include a finding that the scanner was a separate project. They merely stated, “The project was for the acquisition of an EMI Full Body Scanner.” Treating the scanner acquisition as the project at hand, the hearing officer found: (1) the scanner could be considered for an exemption because it was not formerly subject to review; (2) no commitment of financial obligation was incurred prior to September 9, 1976; and (3) the scanner project was not commenced prior to September 9, 1976, as defined in title 22, California Administrative Code, section 90603, subdivision (e)(3)(A). The hearing officer’s conclusions of law determined that the scanner did not qualify for an exemption as a separate project. He ordered the application denied. The hearing officer’s proposed decision was adopted by the Department of Health.

The hospital filed a petition for writ of administrative mandate. The superior court, after considering the administrative record, concluded that under either the independent judgment or substantial evidence standards of review the department’s “implied” finding that the scanner was not a part of the hospital’s expansion project prior to September 9, 1976, was not supported by the record. The superior court issued a peremptory writ of mandate ordering the department to issue a certificate of exemption for the full-body scanner.

Contentions

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Saad v. City of Berkeley
24 Cal. App. 4th 1206 (California Court of Appeal, 1994)
Robinson v. State Personnel Board
97 Cal. App. 3d 994 (California Court of Appeal, 1979)
Suter v. San Angelo Foundry & MacHine Company
406 A.2d 140 (Supreme Court of New Jersey, 1979)
Irene Pherson v. The Goodyear Tire & Rubber Company
590 F.2d 756 (Ninth Circuit, 1979)

Cite This Page — Counsel Stack

Bluebook (online)
86 Cal. App. 3d 417, 149 Cal. Rptr. 98, 1978 Cal. App. LEXIS 2089, Counsel Stack Legal Research, https://law.counselstack.com/opinion/los-alamitos-general-hospital-inc-v-lackner-calctapp-1978.