Noonan v. SHHS

CourtCourt of Appeals for the First Circuit
DecidedAugust 13, 1997
Docket97-1014
StatusPublished

This text of Noonan v. SHHS (Noonan v. SHHS) is published on Counsel Stack Legal Research, covering Court of Appeals for the First Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Noonan v. SHHS, (1st Cir. 1997).

Opinion

USCA1 Opinion


UNITED STATES COURT OF APPEALS
FOR THE FIRST CIRCUIT

No. 97-1014
IN RE LUDLOW HOSPITAL SOCIETY, INC.,

Debtor

DAVID J. NOONAN, TRUSTEE,

Plaintiff, Appellant,

v.

SECRETARY OF HEALTH AND HUMAN SERVICES,

Defendant, Appellee.

APPEAL FROM THE UNITED STATES DISTRICT COURT

FOR THE DISTRICT OF MASSACHUSETTS

[Hon. Frank H. Freedman, Senior U.S. District Judge]

Before

Torruella, Chief Judge,

Cyr, Senior Circuit Judge,

and Boudin, Circuit Judge.

Claudia J. Reed, with whom David J. Noonan and Cohen,
Rosenthal P.C. were on brief for appellant.
Jeffrey Clair, Attorney, Appellate Staff Civil Division,
Department of Justice, with whom Frank W. Hunger, Assistant
Attorney General, Donald K. Stern, United States Attorney, and
William Kanter, Attorney, Appellate Staff Civil Division,
Department of Justice, were on brief for appellee.

August 13, 1997

CYR, Senior Circuit Judge. David J. Noonan, chapter 7

trustee ("the Trustee") for Ludlow Hospital Society, Inc. ("the

Hospital"), appeals a district court judgment vacating two

bankruptcy court orders entered pursuant to Bankruptcy Code S 105,

11 U.S.C. S 105(a). The challenged orders purportedly extended the

one-year regulatory deadline imposed by the Secretary, United

States Department of Health and Human Services ("HHS"), for

hospitals formerly participating in the Medicare program to sell

their capital assets and claim supplemental reimbursement from HHS

for certain capital-asset depreciation credits. As we conclude

that the bankruptcy court exceeded its equitable powers under

Bankruptcy Code S 105, we affirm the district court judgment.

I

BACKGROUND

Until it closed on February 17, 1995, the Hospital had

participated in the Medicare program, receiving annual HHS reim-

bursements for inpatient operating costs, as well as capital-asset

depreciation credits, relating to its provision of services to

Medicare recipients. Participating hospitals which retain

ownership of the capital assets used to provide services to their

Medicare recipients are entitled to periodic reimbursement for

estimated actual depreciation on those assets, as determined under

accepted accounting practices. See 42 U.S.C. S 1395x(v)(1)(O)(ii)

(Medicare statute authorizing HHS Secretary to implement regula-

2

tions detailing asset-depreciation methodologies).

Upon its closure, the Hospital's participation in the

Medicare program terminated as well. HHS administrative regula-

tions allow a one-year post-termination period within which

hospitals that previously participated in the Medicare program must

sell their Medicare-related capital assets as a precondition to

recapturing any pretermitted capital-asset depreciation credits

from HHS. See 42 C.F.R. S 413.134(f)(3). Thus, a hospital which

has closed would be eligible for further depreciation reimburse-

ments from HHS on a Medicare-related capital asset which was sold

within one year after its closure for less than its depreciated

basis.

At the time, HHS regulations allowed hospitals forty-five

days after their withdrawal from the Medicare program to submit a

The HHS depreciation methodology is similar to that utilized
for federal tax purposes. For example, a CAT scanner worth
$1,000,000, with an estimated useful life of 25 years, might
receive an HHS depreciation reimbursement of $40,000 per year over
a 25-year period. See generally 42 C.F.R. S 413.134(a)-(d).

On the same day, the Hospital filed a voluntary chapter 7
petition.

Under our hypothetical, see supra note 1, if a hospital held
the Medicare-related capital asset for ten years, its depreciated
basis would be $600,000, since HHS already would have reimbursed
the hospital $40,000 per annum for estimated depreciation during
the ten-year period, for a total of $400,000. The "depreciated
basis" would be $600,000 its $1 million original cost, less
$400,000 in estimated depreciation. Were the asset to sell for
only $500,000, therefore, S 413.134(f)(3) would permit the hospital
to apply for the $100,000 shortfall between the depreciated basis
($600,000) and the actual sale price ($500,000).

3

final report outlining all reimbursable Medicare costs incurred

prior to their withdrawal. See id. S 413.24(f) (1994). An

administrative extension could be obtained from HHS on a showing

that hospital operations had been "significantly affected due to

extraordinary circumstances over which the [hospital] ha[d] no

control, such as flood or fire." Id. S 413.24(f)(2)(ii) (1994).

The HHS regulations likewise allow hospitals a three-year period

within which to reopen and amend a final cost report which was

timely filed. See id. S 405.1885. Without opposition from the

government, the Trustee obtained two extensions of the forty-five-

day filing deadline from the bankruptcy court and the Hospital's

final cost report was submitted to HHS within the extended

deadline.

The Trustee proceeded to attempt to sell the Hospital's

capital assets, anticipating that the sale price might not equal

their depreciated basis, see supra notes 1 & 3, and that the

chapter 7 estate might therefore claim supplemental Medicare reim-

bursements under the aforementioned HHS capital-asset-depreciation-

adjustment provision. See id. S 413.134(f)(3). It soon became

apparent, however, that the capital assets could not be sold by

February 17, 1996, the first anniversary of the Hospital's closure

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