Sana Healthcare Carrollton, LLC D/B/A Carrollton Regional Medical Center v. Metrocrest Hospital Authority

CourtTexas Court of Appeals, 2nd District (Fort Worth)
DecidedMarch 12, 2026
Docket02-25-00183-CV
StatusPublished

This text of Sana Healthcare Carrollton, LLC D/B/A Carrollton Regional Medical Center v. Metrocrest Hospital Authority (Sana Healthcare Carrollton, LLC D/B/A Carrollton Regional Medical Center v. Metrocrest Hospital Authority) is published on Counsel Stack Legal Research, covering Texas Court of Appeals, 2nd District (Fort Worth) primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sana Healthcare Carrollton, LLC D/B/A Carrollton Regional Medical Center v. Metrocrest Hospital Authority, (Tex. Ct. App. 2026).

Opinion

In the Court of Appeals Second Appellate District of Texas at Fort Worth ___________________________ No. 02-25-00183-CV ___________________________

SANA HEALTHCARE CARROLLTON, LLC D/B/A CARROLLTON REGIONAL MEDICAL CENTER, Appellant

V.

METROCREST HOSPITAL AUTHORITY, Appellee

On Appeal from the 431st District Court Denton County, Texas Trial Court No. 24-0056-431

Before Kerr, Womack, and Walker, JJ. Memorandum Opinion by Justice Womack MEMORANDUM OPINION

I. INTRODUCTION

This contract dispute boils down to a single question: Did either of the two

communications sent by Appellant Sana Healthcare Carrollton, LLC (d/b/a

Carrollton Regional Medical Center) constitute a valid exercise of its contractual

option to purchase Appellee Metrocrest Hospital Authority’s property? Sana claims

the answer is yes; Metrocrest claims it is no. The trial court agreed with Metrocrest,

so it granted Metrocrest’s traditional motion for summary judgment and dismissed

Sana’s breach of contract claim. In Sana’s dispositive appellate issue, it argues that

this summary judgment ruling was erroneous and that it was premised on a

misinterpretation of the parties’ contract.

That contract—a lease (the Lease)—contained two purchase option provisions:

one in the body of the Lease (the Lease Provision) and another in an incorporated

exhibit (the Exhibit Provision). According to Sana, the trial court read the two

Provisions as “two paths” for exercising the purchase option when, in fact, the

Provisions “are consistent” with one another and should have been “[r]ead in

harmony” to form a single “integrated” option that Sana’s communications satisfied.

But the Lease and Exhibit Provisions are far from “consistent”; they have

different start dates, different expiration dates, and different scopes. And short of a

Frankenstein-like melding of the two, there is no rational interpretation that would

render Sana’s actions a valid exercise of its purchase option. For this reason—in

2 addition to Sana’s failure to challenge all of the grounds for the summary judgment

ruling—we affirm.1

II. BACKGROUND

Metrocrest owned the Carrollton Regional Medical Center, an Imaging Center,

and a set of parking areas—three properties that, collectively, the parties and Lease

referred to as “the Hospital.” And Metrocrest also owned several related medical

office buildings (MOBs) on the same plat of land.2 In 2019,3 it leased some of this

property to Sana and gave Sana a purchase option.

1 In addition to Sana’s breach of contract claim, it pleaded claims for money had and received and unjust enrichment. Metrocrest, in turn, counterclaimed for a declaratory judgment and to quiet title. The trial court dismissed all of these claims after a series of partial summary judgment motions, but the parties do not challenge those rulings on appeal. Indeed, the argument portion of Sana’s brief makes no mention of its claims for money had and received or unjust enrichment, and Metrocrest did not file a notice of appeal at all. We affirm these unchallenged portions of the judgment. See Jacobs v. Satterwhite, 65 S.W.3d 653, 655 (Tex. 2001) (holding court of appeals erred by reversing unchallenged portion of judgment); Bass v. Bogle, No. 03-23-00319-CV, 2024 WL 3446921, at *7 (Tex. App.—Austin July 18, 2024, no pet.) (mem. op.) (highlighting and affirming unchallenged portions of judgment).

Sana later asserted that it did not know the MOBs were on the same plat until 2

2023 when it attempted to secure financing for its purchase of the Hospital. 3 The Lease was signed on November 19, 2019, but its recitals stated that it was “dated as of October 20, 2019, and effective as of February 29, 2020.” Nevertheless, the body of the Lease also defined “Effective Date” as “January 1, 2020.”

3 A. The Lease

The Lease contained two purchase option provisions: the Lease Provision and

the Exhibit Provision.

The Lease Provision stated that Sana would have “the right to purchase the

Hospital and the four medical office buildings on campus (the ‘MOBs’) at any time

during the first three years of the Lease Term.” The “Lease Term” was expressly

defined as “five (5) years beginning January 1, 2020 and ending December 31, 2025.”

The total purchase price was set at $31 million—“$16,000,000.00[] for the Hospital

and . . . $15,000,000.00[] for the MOBs”—and “[t]he [p]urchase [o]ption on the

MOBs [could] only be exercised if the Hospital [wa]s also or ha[d] previously been

purchased.”

In addition, the Lease Provision expressly referenced a “Purchase Option

Agreement”—i.e., the Exhibit Provision—which the Lease stated was “executed

together with th[e] Lease[,] . . . [wa]s attached [t]hereto as [an exhibit],” and was

“incorporated [t]herein for all purposes.”

But while the Lease Provision referenced the Exhibit Provision, the Exhibit

Provision did not reference the Lease Provision. The Exhibit Provision duplicated

many of the Lease Provision’s terms. It redeclared abbreviations and acronyms—

4 from “Sana Healthcare Carrollton, LLC (the ‘SANA’)” to “right of first offer[4]

(‘ROFO’)”—and it reiterated substantive terms that the Lease Provision had already

set forth, such as

• the initial Option Fee’s5 being $1,000,000;

• the “Option Fee[’s] [being] credited towards the Purchase Price” if closing occurred by a certain date;

• the total purchase price’s being $31,000,000, “defined as . . . Hospital Purchase Price: . . . $16,000,000 . . . and MOB Purchase Price: . . . $15,000,000”; and

• Sana’s being “required to deliver to [Metrocrest] a minimum of three (3) months[’] prior written notice of its intent to exercise the [p]urchase [o]ption.” But the Exhibit Provision flatly contradicted other aspects of the Lease

Provision:

• The Lease Provision identified the beginning of the Lease Term—January 1, 2020—as the start date for Sana’s exercising its purchase option. The Exhibit Provision, meanwhile, stated that it was “effective on February 29, 2020,” but defined an “Option Period” beginning on “execution” of the Exhibit Provision—November 20, 2019.6

The Lease Provision gave Sana a “right of first offer” to “purchase the 4

Hospital and MOBs” if Metrocrest decided to sell them “[a]fter expiration of the [p]urchase [o]ption and continuing through the end of the Lease Term.”

The Lease Provision labeled this $1,000,000 payment as the “Purchase Option 5

Payment.”

Like the Lease, the Exhibit Provision contained internal inconsistencies 6

regarding its date. See supra note 3. The Exhibit Provision stated that it “[wa]s entered into on November 19, 2019, and effective on February 29, 2020,” but later, it defined “the 20th day of November, 2019 [as] (the ‘Effective Date’).” [Capitalization altered.]

5 • The Lease Provision stated that it would expire at the end of “the first three years of the Lease Term,” i.e., on December 31, 2022. But the Exhibit Provision stated that the option period “expire[d] on December 31, 2023”—a full year later.

• The Lease Provision contemplated Sana’s being able to purchase “the Hospital”—which, again, included the Carrollton Regional Medical Center, Imaging Center, and associated parking areas—separately from the MOBs. The Exhibit Provision, in contrast, did not contemplate a piecemeal purchase.

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Bluebook (online)
Sana Healthcare Carrollton, LLC D/B/A Carrollton Regional Medical Center v. Metrocrest Hospital Authority, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sana-healthcare-carrollton-llc-dba-carrollton-regional-medical-center-v-txctapp2-2026.