Texas Health Facilities Commission v. Presbyterian Hospital North

690 S.W.2d 564, 28 Tex. Sup. Ct. J. 431, 1985 Tex. LEXIS 859
CourtTexas Supreme Court
DecidedMay 29, 1985
DocketC-2805
StatusPublished
Cited by11 cases

This text of 690 S.W.2d 564 (Texas Health Facilities Commission v. Presbyterian Hospital North) is published on Counsel Stack Legal Research, covering Texas Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Texas Health Facilities Commission v. Presbyterian Hospital North, 690 S.W.2d 564, 28 Tex. Sup. Ct. J. 431, 1985 Tex. LEXIS 859 (Tex. 1985).

Opinion

GONZALEZ, Justice.

At issue in this appeal is an order of the Texas Health Facilities Commission. The Commission denied a certificate of need to respondents, Presbyterian Hospital North and Presbyterian Medical Center of Dallas. The Commission’s action was upheld by the district court. The court of appeals reversed and remanded the cause to the district court with instructions to remand to the Commission for further proceedings. 664 S.W.2d 391. We affirm the judgment of the court of appeals only insofar as it remands the cause to the district court with *565 instructions to remand it to the Commission.

Presbyterian Hospital and five other applicants filed applications with the Commission seeking authority to build and operate hospitals in an area encompassing parts of Dallas, Denton and Collin Counties. The Commission consolidated the applications and, after a contested hearing, denied Presbyterian Hospital’s application and granted certificates of need to each of the other applicants.

The Commission is directed by statute to file written findings of fact and conclusions of law when it issues an order that is adverse to an applicant. In addition, if the agency’s fact findings merely reiterate statutory language, then they “must be accompanied by a concise and explicit statement of the underlying facts supporting the findings.” Texas Administrative Procedure and Texas Register Act (APTRA), Tex.Rev.Civ.Stat.Ann. art. 6252-13a, § 16(b). The issue presented for our determination concerns the correct form and content of underlying fact findings made by the Commission in support of its order.

By its order, the Commission expressly adopted as findings of fact the contents of a report submitted by its hearing officer. This report recites in statement form the evidence adduced at the hearing. Presbyterian Hospital challenges the adequacy of the Commission’s fact findings on the basis that they constitute no more than recitals of the testimony adduced at the hearing. Indeed, many of these purported “findings of fact” were submitted not as the views of the Commission, but as the words of witnesses who testified at the hearing. In reversing the holdings of both the Commission and the trial court, the court of appeals held that Presbyterian Hospital’s position was consistent with its holding in Charter Medical-Dallas, Inc. v. Texas Health Facilities Commission, 656 S.W.2d 928 (Tex.App.—Austin 1983). After the court of appeals issued its opinion in the present case, its judgment in Charter Medical was reversed by this court. Texas Health Facilities Commission v. Charter Medical-Dallas, Inc., 665 S.W.2d 446 (Tex.1984). We granted Commission’s application for writ of error because: (1) the court of appeals expressly relied on its own Charter Medical opinion in deciding the present case; and (2) the court of appeals misstated the standard of review applicable to this case.

The requirements for acceptable form and content of underlying findings of fact were set out by this court in Charter Medical:

Proper underlying (basic) findings of fact should ... be clear, specific, non-conclu-sory, and supportive of the ultimate statutory finding. Mere recitals of testimony or references to or summations of the evidence are improper. Such findings should be stated as the agency’s findings. The findings should relate to material basic facts and should relate to the ultimate statutory findings that they accompany. In general, the findings of fact required by APTRA § 16(b) should be sufficient to serve the overall purposes evident in the legislative requirement that they be made.

(Emphasis added.) 665 S.W.2d 446, 452.

This court applied the aforementioned guidelines to the facts of Charter Medical and determined that many of the findings were fatally defective because “they were no more than recitals of evidence.” The Commission’s original ruling was nonetheless upheld because sufficient competent fact findings remained to support the Commission’s conclusions even after the defective findings were rejected.

In Charter Medical we explained in detail what findings of fact and conclusions of law the Commission must make in granting or denying a certificate of need. Charter Medical 665 S.W.2d at 499-50. In the present case, the Commission determined that Presbyterian Hospital’s proposed health facility failed to meet three of six criteria established by the Commission pursuant to its statute (Health Planning and Development Act, Tex.Rev.Civ.Stat.Ann. art. 4418h, §§ 1.01-6.04), and applied to this case. Accordingly, the Commission *566 made negative ultimate findings with regard to Presbyterian Hospital under the three criteria.

Specifically, in denying Presbyterian Hospital a certificate of need, the Commission found as ultimate facts (1) that the proposed project was not necessary to meet the health care requirements of the medical service area; (2) that the medical service area for the proposed project did not contain sufficient current and future population to require the project; and (3) that the proposed project was not less costly, more effective or more appropriate than other facilities or services which were available or which had been approved to be developed. The Commission then set out 178 underlying findings of fact in support of these three negative ultimate findings. Nearly half of these underlying fact findings are, like those rejected in Charter Medical, defective because they are mere recitals of evidence. Discarding these defective fact findings, we are still confronted with the question of whether the remaining underlying fact findings support the- Commission’s ultimate statutory findings.

The first 91 fact findings (underlying the first negative ultimate finding of fact) set out statistical information relevant to all the applicants. Of these fact findings, 12 are recitals of evidence. The remaining valid fact findings do not support the Commission’s ultimate finding that Presbyterian Hospital’s project was not necessary to meet the health care requirements of the medical service area. Other valid findings of fact underlying the first negative ultimate finding are as follows:

(92) Presbyterian Hospital North (hereinafter referred to as “PHN”) seeks a Certificate of Need to construct a 96-bed, 98,775 square foot acute care medical/surgical general hospital.
(134) The area Mr. Ashworth defined as PHN’s primary service area is generally North Dallas County, Southeast Denton, and Southwest Collin County which includes portions of the cities of Dallas, Plano, Addison, Carrollton, Farmers Branch, and Hebron.
(135) Dr. Warner did not prepare the service area Mr.

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690 S.W.2d 564, 28 Tex. Sup. Ct. J. 431, 1985 Tex. LEXIS 859, Counsel Stack Legal Research, https://law.counselstack.com/opinion/texas-health-facilities-commission-v-presbyterian-hospital-north-tex-1985.