SARASOTA COUNTY v. VENICE HMA, LLC, D/B/A VENICE REGIONAL MEDICAL CENTER AND SARASOTA DOCTORS HOSPITAL, INC.

District Court of Appeal of Florida·Decided September 29, 2021·No. 19-3745·Published

Opinion

DISTRICT COURT OF APPEAL OF FLORIDA SECOND DISTRICT

SARASOTA COUNTY PUBLIC HOSPITAL DISTRICT and SARASOTA COUNTY,

Petitioners,

v.

VENICE HMA, LLC, D/B/A VENICE REGIONAL MEDICAL CENTER,

SARASOTA DOCTORS HOSPITAL, INC., and ENGLEWOOD COMMUNITY

HOSPITAL,

Respondents.

No. 2D19-3745

September 29, 2021

BY ORDER OF THE COURT:

Petitioners' motion for rehearing is granted to the extent that the prior opinion dated June 16, 2021, is withdrawn, and the attached opinion is issued in its place. The only alteration is the deletion of part of a sentence on page 4. Respondents' response to Petitioners' motion, which indicated no objection to this alteration, is noted. No further motions for rehearing will be entertained.

I HEREBY CERTIFY THE FOREGOING IS A TRUE COPY OF THE ORIGINAL COURT ORDER.

MARY ELIZABETH KUENZEL, CLERK

DISTRICT COURT OF APPEAL OF FLORIDA SECOND DISTRICT

SARASOTA COUNTY PUBLIC HOSPITAL DISTRICT AND SARASOTA COUNTY,

Petitioners,

v.

VENICE HMA, LLC, D/B/A VENICE REGIONAL MEDICAL CENTER,

SARASOTA DOCTORS HOSPITAL, INC., AND ENGLEWOOD COMMUNITY

HOSPITAL,

Respondents.

No. 2D19-3745

September 29, 2021

Petition for Writ of Prohibition to the Circuit Court for Sarasota County; Maria Ruhl, Judge.

Raymond T. Elligett, Jr., and Amy S. Farrior of Buell and Elligett, P.A., Tampa; and Frederick J. Elbrecht of Office of the County Attorney, Sarasota, for Petitioner, Sarasota County.

David A. Wallace of Bentley Law Firm, P.A., Sarasota, for Petitioner, Sarasota County Public Hospital District.

Geoffrey D. Smith, Susan C. Smith, Timothy B. Elliott, and Corinne T. Porcher of Smith and Associates, Melbourne, for Respondent, Venice, HMA, LLC d/b/a Venice Regional Medical Center.

Stephen A. Ecenia, J. Stephen Menton, Gabriel F. V. Warren, and Jennifer F. Hinson of Rutledge Ecenia, P.A., Tallahassee, for Respondents, Sarasota Doctors Hospital, Inc., and Englewood Community Hospital, Inc.

LUCAS, Judge.

After years of litigation between the plaintiffs below, Venice HMA, Sarasota Doctors Hospital (Doctors Hospital), and Englewood Community Hospital, Inc. (Englewood) (collectively, the "Hospitals"), and the defendant below, Sarasota County (County), over whether the County is statutorily obligated to reimburse the Hospitals for the costs of providing indigent care, the County sought summary judgment on its sovereign immunity defense. The circuit court denied the County's motion for summary judgment. The County then filed a petition for a writ of prohibition before this court, arguing that the circuit court's denial of its motion constitutes an unwarranted exercise of subject matter jurisdiction in violation of the County's immunity. We have considered the County's arguments carefully, but we must deny its petition.

I.

The essential dispute before us is straightforward: who is responsible to pay for indigent health care at the Hospitals since 2008? Resolving that question, though, requires consideration of various state statutes, county ordinances, and the course of conduct between these parties.

In 2003 the Florida Legislature repealed numerous special and local acts enacted between 1949 and 2000 and recodified them as a single Special Act that recreated and provided for the governing of the Sarasota County Public Hospital District (District). See ch. 2003-359, § 2, Laws of Fla. Under the Special Act, the District, an "independent special district" contiguous with Sarasota County, is governed by a Hospital Board (Board). Charter § 1.1 Every month, the Board is authorized to certify to the Sarasota Board of County Commissioners (BOCC) a list of medically indigent persons treated by Board-managed (i.e., public) hospitals during the previous month, together with the itemized charges for those persons' care.

1 Section 3 of chapter 2003-359, Laws of Florida, is the actual re-formation of the older laws. Within section 3, the legislature used an internal numbering system for the Charter, beginning with section 1. References to Charter § #(#) refer to the Charter section number, within section 3 of the session law.

Charter § 8(9). Within forty-five days the BOCC "shall" remit to the Board the amount requested. Id. The statute authorizes the Board to impose up to two mils of an ad valorem tax throughout the county. Charter § 8(8).

The statute includes private hospitals within its ambit as well.

Thus, upon appropriate certification,

[t]he said Board of County Commissioners shall in like manner reimburse any other hospital in Sarasota County, approved by the State Board of Health, for hospital services rendered to medically indigent persons as herein defined, upon like certification by such hospital and at such rates as shall not exceed those prescribed for such patients by hospitals owned and operated by said Hospital Board.

Charter § 8(9).

Some three years before the Special Act's 2003 recodification,

the BOCC had adopted as a county ordinance the special and local acts described above.2 See Code of Ordinances of Sarasota County, ch. 4, art. II, § 4-24(i), -31, adopted Sept. 13, 2000. The county

2 In its filings before us, the County suggests that its ordinance adopting the Special Act was "merely" a ministerial act that had no real legal significance. We reject that dismissive view of what this local legislative act was—an almost verbatim adoption of the Special Act by Sarasota County.

ordinance and the Special Act are virtually identical in content, including the sequence of their presentation.

In 2011, the Hospitals filed complaints against Sarasota County and the District seeking declaratory relief pursuant to chapter 86, Florida Statutes. The Hospitals alleged that the County had been collecting ad valorem taxes as imposed by the Board but had been refusing to pay their submitted requests for reimbursements under the Special Act, which the Hospitals had begun issuing in late 2008 or early 2009, according to the respective complaints.3 They sought a declaration to determine their rights under the Special Act, to declare that the County is obligated to reimburse them for indigent hospital services, to

3 Specifically, Doctors Hospital and Englewood alleged that beginning in December 2008 and continuing each subsequent month, they submitted invoices to the County for hospitalization charges incurred in treating medically indigent persons under the Special Act. Doctors Hospital claims that it had submitted invoices for more than $41 million from December 2008 to date, and Englewood alleged that it submitted invoices for more than $18 million. Venice HMA alleged that beginning in February 2009 and in each subsequent month it submitted invoices to the County for hospitalization charges incurred in treating medically indigent persons under the Special Act. Its invoices from 2009 to December 2010 total $32 million. The sum of the Hospitals’ invoices, we are informed, now exceeds half a billion dollars.

declare that the County is obligated to reimburse the Hospitals for their prior invoices, and to grant any other relief the circuit court deemed appropriate. The County raised various affirmative defenses, including sovereign immunity, and several counterclaims, including a challenge to the constitutionality of the Special Act.

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SARASOTA COUNTY v. VENICE HMA, LLC, D/B/A VENICE REGIONAL MEDICAL CENTER AND SARASOTA DOCTORS HOSPITAL, INC., (Fla. Ct. App. 2021).

SARASOTA COUNTY v. VENICE HMA, LLC, D/B/A VENICE REGIONAL MEDICAL CENTER AND SARASOTA DOCTORS HOSPITAL, INC. (SARASOTA COUNTY v. VENICE HMA, LLC, D/B/A VENICE REGIONAL MEDICAL CENTER AND SARASOTA DOCTORS HOSPITAL, INC.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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