Sunrise Country Manor v. Nebraska Department of Social Services

523 N.W.2d 499, 246 Neb. 726, 1994 Neb. LEXIS 211
CourtNebraska Supreme Court
DecidedOctober 28, 1994
DocketS-93-118
StatusPublished
Cited by27 cases

This text of 523 N.W.2d 499 (Sunrise Country Manor v. Nebraska Department of Social Services) is published on Counsel Stack Legal Research, covering Nebraska Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sunrise Country Manor v. Nebraska Department of Social Services, 523 N.W.2d 499, 246 Neb. 726, 1994 Neb. LEXIS 211 (Neb. 1994).

Opinion

Fahrnbruch, J.

The Nebraska Department of Social Services (Department) appeals a decision of the district court reversing an order of the Department’s director which disallowed an interest expense claimed by Sunrise Country Manor (Sunrise), a nursing home facility.

We reverse the order of the district court for Lancaster County and remand the cause with direction to reinstate the director’s order.

STANDARD OF REVIEW

The Department, as an administrative agency of the State of Nebraska, has appealed pursuant to the Administrative Procedure Act (APA), Neb. Rev. Stat. § 84-901 et seq. (Reissue *728 1987 & Cum. Supp. 1992).

When a petition instituting review pursuant to the APA is filed in the district court, the review by the district court is de novo on the record. § 84-917(5)(a); Crawford v. Department of Motor Vehicles, ante p. 319, 518 N.W.2d 148 (1994).

The judgment rendered or final order made by the district court in an APA appeal may be reversed, vacated, or modified by the Supreme Court or the Court of Appeals for errors appearing on the record. § 84-918(3); James v. Harvey, ante p. 329, 518 N.W.2d 150 (1994); Crawford v. Department of Motor Vehicles, supra. When reviewing a judgment for errors appearing on the record in an APA appeal, the inquiry is whether the decision conforms to the law, is supported by competent evidence, and is neither arbitrary, capricious, nor unreasonable. Crawford v. Department of Motor Vehicles, supra.

FACTS

Review of this case is hampered because many of the parties’ citations to the record in their briefs are insufficient to verify the facts as stated, and to that extent the briefs do not comply with our rules. See Neb. Ct. R. of Prac. 9D(l)f (rev. 1992) (stating that “every recitation of fact . . . shall be annotated to the record . . . .”). Furthermore, the parties presented little or no testimony at the hearing as to many of the exhibits entered into evidence, even though a' number of those exhibits were accounting and auditing records which were at least somewhat technical in nature. As best we can determine from the record before us, the facts of this case are as follows:

Sunrise, formerly known as Milford Rest Home, is a 72-bed nursing home facility located in Milford. The facility serves many older and “heavier care” patients, including a very high “mix” of medicaid patients, and has entered into a “Medical Assistance Long Term Care Provider Agreement” with the Department.

As a provider of medicare long-term care services, Sunrise is entitled to apply for reimbursement of certain expenses. See 471 Neb. Admin. Code, ch. 12, §011. To receive such reimbursement, Sunrise is required to submit its costs by filing a *729 periodic report to the Department. See 471 Neb. Admin. Code, ch. 12, § 011.09. It is certain changes in the reimbursement regulations which have given rise to this case.

Until June or July 1983, Meriel M. Stauffer was president of Sunrise and owned 90 percent of the stock. Her son, Lemar Tim Stauffer, also known as Tim Stauffer, owned the remaining 10 percent of the stock. Previous to 1983, Sunrise had been reimbursed by medicaid for return on equity to Meriel Stauffer. However, the January 1, 1984, revision of the regulations eliminated return on equity paid to stockholders or partners as a reimbursable cost. See 471 Neb. Admin. Code, ch. 12, § 011.05 (rev. Jan. 1,1984).

In June or July 1983, Tim Stauffer purchased the nursing home facility from his mother. At the same time, Milford Rest Home and Meriel Stauffer, personally, borrowed $100,000 from Farmers and Merchants Bank (Bank), as evidenced by a demand note in that amount dated June 10,1983. The purpose of the loan was stated on the face of the note to be “[p]ayment of Milford REst [sic] Home, Inc.[,] indebtedness to Meriel M. Stauffer.” The note was signed by Meriel Stauffer in her personal capacity, and on behalf of Milford Rest Home by Meriel Stauffer as president and Tim Stauffer as secretary-treasurer.

The note was secured by a deed of trust on certain real estate, executed by Meriel Stauffer in her personal capacity, and by a $35,000 certificate of deposit. A loan guarantee agreement in favor of the Bank is also in the record. That document contains the typewritten names of Meriel Stauffer, Tim Stauffer, and one Connie Lou Stauffer. However, there are no signatures on the document.

After a routine audit of Sunrise’s claimed expenses for the reporting period ending June 30, 1987, the Department disallowed Sunrise reimbursement for interest on the loan from the Bank. The auditor made the following note in his workpapers:

[Tim Stauffer] informed this auditor that the $100,000 was basically invested capital due his mother that had been retained in the business. Since the intent in establishing the note payable to Meriel was to record the invested funds *730 due her, the interest cost from the Farmers and Merchants Bank is disallowed. Per FÍIM 15 218.1, interest cost paid by the facility to a stockholder is not an allowable cost. Since the Farmers and Merchants Bank loan merely replaces the original note, the interest cost is not allowed.

An auditor for the Department testified at the hearing that because the adjustment was material, i.e., it had more than a $1,000 medicaid impact, the Department opened up and audited the reports for 1984-86. Through a series of field audits for the periods ending June 30, 1984, through June 30, 1987, and desk audits for the periods ending June 30, 1988, through June 30,1990, the Department ultimately made adjustments to Sunrise’s long-term care cost reports for the years 1984-90. Sunrise’s interest expense on the loan from the Bank was denied for each of those years, and the Department also made other adjustments which are not before the court at this time.

Sunrise appealed the adjustment of interest expense, as well as other adjustments, and after a hearing, the director of the Department affirmed the adjustments. Sunrise appealed to the district court, which held that some of the director’s adjustments were proper, but reversed the director’s decision regarding the interest expense.

The Department timely appealed to the Nebraska Court of Appeals, contesting the part of the district court’s order permitting reimbursement for the interest expense. Sunrise filed no cross-appeal. The case was removed from the Court of Appeals to this court pursuant to our authority to regulate the caseloads of the appellate courts of this state.

ASSIGNMENTS OF ERROR

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Bluebook (online)
523 N.W.2d 499, 246 Neb. 726, 1994 Neb. LEXIS 211, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sunrise-country-manor-v-nebraska-department-of-social-services-neb-1994.