St. Francis Extended Health Care v. Department of Social & Health Services

801 P.2d 212, 115 Wash. 2d 690, 1990 Wash. LEXIS 167
CourtWashington Supreme Court
DecidedDecember 6, 1990
Docket56717-4
StatusPublished
Cited by55 cases

This text of 801 P.2d 212 (St. Francis Extended Health Care v. Department of Social & Health Services) is published on Counsel Stack Legal Research, covering Washington Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
St. Francis Extended Health Care v. Department of Social & Health Services, 801 P.2d 212, 115 Wash. 2d 690, 1990 Wash. LEXIS 167 (Wash. 1990).

Opinion

Andersen, J.

Facts of Case

At issue in this case is the proper methodology for determining the financing allowance portion of the return on investment reimbursement for a nursing home operator's land lease under the Nursing Home Auditing and Cost Reimbursement Act of 1980 (RCW 74.46). Although this issue is a narrow and technical one, during the course of oral argument before this court the Assistant Attorney *692 General estimated that statewide it involves $1.3 million of state funds a year.

The appellant, Department of Social and Health Services (DSHS), is the administrative agency for the State of Washington which administers the Medicaid program under RCW 74.46. The respondent, St. Francis Extended Health Care (hereinafter St. Francis) is a husband-wife partnership which operates a nursing facility located in Bellingham, Washington.

The administrative law judge made findings of fact which were adopted by the administrative review judge. They are not here disputed, therefore, are deemed verities on this appeal. 1

St. Francis contracted with DSHS to provide nursing home care to recipients of federally aided medical assistance under the Medicaid program. Pursuant to that contract, St. Francis is reimbursed in accordance with the reimbursement system set forth in the Nursing Homes Auditing and Cost Reimbursement Act of 1980 (RCW 74.46) and the Washington Administrative Code (WAC) 388-96.

In 1984, St. Francis leased 4.5 acres of land from the Sisters of St. Joseph of Newark, now known as the Sisters of St. Joseph of Peace (hereinafter referred to as the lessors) on which to build its nursing home. The leased land is a portion of a larger 55-acre parcel which was developed by the lessors as a "health care campus", and which also includes a major hospital, retirement home and a number of clinics.

The lessors had purchased the undeveloped 55-acre parcel in 1960 for approximately $117,000. The amount the lessors expended in preparing and improving the site is unknown except to the extent it is available from public records. Before entering the land lease with St. Francis, the lessors had the 4.5 acres appraised by a qualified appraiser. *693 That parcel was appraised at $1,176,000 as of April 7, 1984. DSHS, through the Department of General Administration, engaged another appraiser, a Mr. Randall, who testified that the property's value was $588,000 as of April 1, 1985. The administrative law judge found Mr. Randall to be credible and concluded that his testimony represented the best evidence of the April 1985 fair market value of an improved site for a comparably sized nursing home in the Bellingham area not necessarily located adjacent to a hospital.

The lessors leased the 4.5 acres to St. Francis for 50 years at $75,000 per annum ($6,250 per month) with payments commencing May 15, 1984. The certified public accountant for St. Francis testified that the capitalized cost of the lease was $710,451 based upon financial accounting standards and 10.5 percent assumed interest.

The administrative law judge found that while St. Francis pays property taxes for the leased parcel ($28,000 per annum), these are reimbursed through its administration and operation (A&O) costs. St. Francis also pays a pro rata allocation of local improvement district (LID) assessments in the total amount of $60,000. The judge of the Superior Court, who reviewed this case in an appellate capacity, noted that both parties agreed at oral argument that the $60,000 is borne by St. Francis; the parties on appeal agree that this $60,000 is properly reimbursed as a part of St. Francis' return on investment allowance.

After leasing the 4.5 acres, St. Francis built a nursing home and commenced operating it on April 10, 1985. The parties herein have stipulated that the lease was an arm's-length transaction; there is no contention that the lessors and St. Francis are related organizations.

In an administrative hearing, St. Francis challenged DSHS' computation of its return on investment allowance. Both parties argued to the administrative law judge that St. Francis was entitled to a "financing allowance" which is a portion of its return on investment allowance based upon its lease expenditures. They disagreed, however, regarding *694 the methodology to be employed in determining the capitalized cost of the land. The administrative law judge found that St. Francis' adjusted net invested funds in land were $588,000. Both parties administratively appealed this decision and the administrative review judge reversed the administrative law judge and determined that the correct value of land upon which St. Francis' return on investment should be based was $69,572.73.

Pursuant to former RCW 34.04.130, St. Francis appealed the review judge's decision to the Superior Court. The Superior Court, in turn, reversed the administrative review judge and found that the capitalized cost of land to St. Francis was $770,451. The court then ordered DSHS to include that amount in the net invested funds for calculation of St. Francis' return on investment financing allowance.

DSHS appealed the Superior Court's decision to the Court of Appeals and that court certified the case to us. One issue is determinative.

Issue

In determining the "return on investment" portion of the Medicaid reimbursement for a nursing home built on leased land, should the "capitalized cost of land", referred to in RCW 74.46.530(1)(b) as part of the "financing allowance", be computed based upon the lessor's historical cost or should it be computed based upon the nursing home operator's capitalized cost of the lease?

Decision

Conclusion. We conclude that for purposes of computing a nursing home operator's financing allowance, the capitalized cost of land is to be determined by looking to the lessor's historical cost of the property, which includes the acquisition costs and the costs of preparing the asset for use.

At the outset, we observe that since the administrative review judge's decision was an administrative adjudication, *695 the scope of our review is governed by former RCW 34.04.130(6), 2 which provided as follows:

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

Related

Sheila M. Larose v. Dli
Court of Appeals of Washington, 2020
Ronald v. Ma'ae, V State Of Wa Dept Of Labor And Industries
438 P.3d 148 (Court of Appeals of Washington, 2019)
Southwick, Inc. v. Wash. State
426 P.3d 693 (Washington Supreme Court, 2018)
Wash. State Hosp. Ass'n v. Dep't of Health
Washington Supreme Court, 2015
Washington State Hospital Ass'n v. Department of Health
353 P.3d 1285 (Washington Supreme Court, 2015)
South Kitsap School District v. Zimmerman
324 P.3d 813 (Court of Appeals of Washington, 2014)
Stewart v. Department of Social & Health Services
162 Wash. App. 266 (Court of Appeals of Washington, 2011)
State v. Valencia
169 Wash. 2d 782 (Washington Supreme Court, 2010)
Ames v. MQAC
208 P.3d 549 (Washington Supreme Court, 2009)
Ames v. Department of Health
208 P.3d 549 (Washington Supreme Court, 2009)
State v. Valencia
198 P.3d 1065 (Court of Appeals of Washington, 2009)
Kabbae v. Department of Social & Health Services
144 Wash. App. 432 (Court of Appeals of Washington, 2008)
Kabbae v. DEPART. OF SOCIAL AND HEALTH SER.
192 P.3d 903 (Court of Appeals of Washington, 2008)
Kelly v. State
181 P.3d 871 (Court of Appeals of Washington, 2008)
ROBISON CONST. v. Dept. of Labor & Indus.
149 P.3d 424 (Court of Appeals of Washington, 2006)
Robison Construction, Inc. v. Department of Labor & Industries
136 Wash. App. 369 (Court of Appeals of Washington, 2006)
Bogomolov v. LAKE VILLAS CONDOMINIUM ASS'N
127 P.3d 762 (Court of Appeals of Washington, 2006)
Bogomolov v. Lake Villas Condominium Ass'n of Apartment Owners
131 Wash. App. 353 (Court of Appeals of Washington, 2006)

Cite This Page — Counsel Stack

Bluebook (online)
801 P.2d 212, 115 Wash. 2d 690, 1990 Wash. LEXIS 167, Counsel Stack Legal Research, https://law.counselstack.com/opinion/st-francis-extended-health-care-v-department-of-social-health-services-wash-1990.