NME Hospitals, Inc. v. Department of Health

492 So. 2d 379
CourtDistrict Court of Appeal of Florida
DecidedJune 24, 1986
DocketBC-311, BC-323
StatusPublished
Cited by11 cases

This text of 492 So. 2d 379 (NME Hospitals, Inc. v. Department of Health) is published on Counsel Stack Legal Research, covering District Court of Appeal of Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
NME Hospitals, Inc. v. Department of Health, 492 So. 2d 379 (Fla. Ct. App. 1986).

Opinion

492 So.2d 379 (1985)

NME HOSPITALS, INC., D/B/a Delray Community Hospital and Nme Hospitals, Inc., D/B/a West Boca Raton Medical Center, Appellants,
v.
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES and Humana of Florida, Inc., D/B/a Women's Hospital of Boca Raton, Appellees.
BETHESDA MEMORIAL HOSPITAL, Boca Raton Community Hospital and St. Mary's Hospital, Appellants,
v.
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES, and Humana of Florida, Inc., D/B/a Women's Hospital of Boca Raton, Appellees.

Nos. BC-311, BC-323.

District Court of Appeal of Florida, First District.

Opinion August 20, 1985.
Opinion on Motion for Rehearing June 24, 1986.
Rehearing Denied July 23, 1986.

C. Gary Williams & Michael Glazer of Ausley, McMullen, McGehee, Carothers & Proctor, Tallahassee, for appellants in No. BC-311.

Kenneth F. Hoffman & Martha J. Edenfield of Oertel & Hoffman, Tallahassee, for appellants in No. BC-323.

Jay Adams, Deputy Gen. Counsel, Dept. of Health and Rehabilitative Services, Tallahassee, for appellees in No. BC-311.

John H. French, Jr. & James C. Hauser of Messer, Rhodes & Vickers, Tallahassee, for appellees in No. BC-323.

ERVIN, Judge.

Appellants in these consolidated cases appeal from a final order of the Department of Health and Rehabilitative Services (HRS), denying their petitions for section 120.57(1) hearings. We affirm.

*380 In November 1982, appellee Humana applied to HRS for a certificate of need (CON) to build a 120-bed women's hospital in Palm Beach County. In the January 21, 1983 issue of the Florida Administrative Weekly, HRS published notice that Humana's application was complete and informed affected persons of their right to timely request a hearing on the application. Fla. Admin. Code Rule 10-5.10. HRS denied Humana's application and published notice of the denial in the March 11, 1983 issue of the Florida Administrative Weekly.[1] Humana next sought a section 120.57(1) hearing to challenge the denial. HRS did not give notice to any affected persons of Humana's request for a hearing or of the fact that a hearing was scheduled or held. On June 20-23, 1983, a final administrative hearing was held regarding the denial of Humana's application. A joint pre-hearing stipulation had identified only one disputed issue: need. No hospital or other person petitioned to intervene before the June 1983 hearing.

After the hearing, but before the hearing officer issued a recommended order, HRS and Humana entered into a stipulation and agreement whereby HRS agreed to issue Humana a CON to construct a 120-bed women's hospital in Palm Beach County. The stipulation and agreement, entered pursuant to Section 120.57(3), Florida Statutes, states that the "extensive factual record" from the June 1983 hearing "in part, provides the predicate for this Stipulation", and continues that "[n]o person or entity which may be substantially affected by the approval of the proposed facility sought to intervene in the proceeding prior to hearing despite the clear point of entry afforded by Section 381.494(8)(e), Florida Statutes, and Rule 10-5.10(8)". The stipulation and agreement also states:

DHRS agrees that the Final Order resulting from this Stipulation constitutes final agency action which is not subject to review pursuant to Section 120.57, Florida Statutes. DHRS finds that the clear point of entry for persons whose interests may be affected by the issuance or denial of Humana's application occurred prior to the administrative hearing in this cause per Section 381.494(8)(c), Florida Statutes, and Rule 10-5.10(7), Florida Administrative Code.

Based on the stipulation and agreement and a joint motion requesting remand of the case to HRS for appropriate action, the hearing officer closed his file and returned the case to HRS. On August 16, 1984, HRS entered a final order adopting the stipulation and agreement and approving the issuance of the CON to Humana. Later on that same day, the appellants in case number BC-323 now before this court filed a "Petition for Formal Administrative Hearing" concerning the approval of Humana's CON. On the next day, August 17, 1984, the appellants in case number BC-311 filed a similar petition. All of the appellants are existing hospitals in Palm Beach County.

The final order on appeal before us, dismissing the petitions filed by both groups of appellants, states that the issue is whether the August 16, 1984 order is preliminary free-form agency action subject to administrative review, or final agency action subject only to judicial review. The order concludes that (1) appellants, as proper but not necessary or indispensable parties, had a point of entry into the administrative process by way of intervention prior to the final hearing; (2) the stipulation and final order did not precede or take the place of a formal administrative, evidentiary hearing, but rather were the result of that hearing; and (3) the final order constitutes *381 final agency action, and is not subject to further administrative review.

There is no dispute that appellants, as hospitals in the same HRS service district as Humana's planned facility, are substantially affected by the decision to grant a CON to Humana. See Fla. Admin. Code Rule 10-5.02(20). Contrast, Community Psychiatric Centers, Inc. v. Department of Health and Rehabilitative Services, 474 So.2d 870 (Fla. 1st DCA 1985) (applicant who filed application for CON could not seek comparative review of its application with that of applicant who had filed for CON four batching cycles earlier, because later applicant could not be considered substantially affected within meaning of the rule). Substantially affected persons have a right to seek relief under the Administrative Procedure Act from a HRS decision granting or denying a CON. The only question before us is whether appellants timely exercised such right and, if not, then whether that right may be considered to have been waived. Before one may properly exercise a right, such person must be afforded notice, or a point of entry into the administrative proceeding. See § 381.494(8)(e), Fla. Stat. (Supp. 1982);[2] Fla. Admin. Code Rule 10-5.10(8).[3] We must first decide whether HRS provided appellants with the required "clear point of entry, within a specified time period after some recognizable event in investigatory or other free-form proceedings, to formal or informal proceedings under Section 120.57." Capeletti Brothers, Inc. v. State, Department of Transportation, 362 So.2d 346, 348 (Fla. 1st DCA 1978). HRS argues that appellants had a clear point of entry upon notice of the initial denial of Humana's CON application and before the June 1983 administrative hearing. HRS concludes that because appellants neither petitioned for a 120.57(1) hearing, nor sought to intervene, pursuant to Rule 28-5.207, in the formal administrative review requested by Humana, appellants have waived their right to administrative review.

We agree with HRS for two basic reasons: First, no statute or administrative rule, during the applicable time frame here involved, required HRS to publish notice of a party's request for an administrative hearing concerning a CON decision.[4] Second, *382 as a practical matter, we do not consider the notice of preliminary denial "so remote from the agency action as to be ineffectual as a vehicle for affording" appellants "a prompt opportunity to challenge disputed issues of material fact in a 120.57 hearing."

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

Related

Morris v. Morris
5 So. 3d 476 (Court of Appeals of Mississippi, 2008)
Humhosco, Inc. v. DEPT. OF HEALTH & REHAB. SERVICES
561 So. 2d 388 (District Court of Appeal of Florida, 1990)
New v. Department of Banking & Finance, Division of Accounting & Auditing
554 So. 2d 1203 (District Court of Appeal of Florida, 1989)
Inverness Convalescent Center v. DHRS
541 So. 2d 677 (District Court of Appeal of Florida, 1989)
Home Health Care v. Department of Health & Rehabilitative Services
33 Fla. Supp. 2d 169 (State of Florida Division of Administrative Hearings, 1988)
Beverly Enterprises-Florida, Inc. v. Department of Health & Rehabilitative Services
527 So. 2d 218 (District Court of Appeal of Florida, 1988)
Rudloe v. DEPT. OF ENVIRONMENTAL REG.
517 So. 2d 731 (District Court of Appeal of Florida, 1987)
Bayonet Point Reg. Med. Ctr. v. Dhrs
516 So. 2d 995 (District Court of Appeal of Florida, 1987)
Gulf Coast Home Health Serv. v. Dhrs
515 So. 2d 1009 (District Court of Appeal of Florida, 1987)
Inverness Convalescent Center v. Department of Health & Rehabilitative Services
512 So. 2d 1011 (District Court of Appeal of Florida, 1987)
INVERNESS CONVAL. CENTER v. Dept. of HRS
512 So. 2d 1011 (District Court of Appeal of Florida, 1987)

Cite This Page — Counsel Stack

Bluebook (online)
492 So. 2d 379, Counsel Stack Legal Research, https://law.counselstack.com/opinion/nme-hospitals-inc-v-department-of-health-fladistctapp-1986.