Western Medical Enterprises, Inc. v. Albers

166 Cal. App. 3d 383, 212 Cal. Rptr. 434, 1985 Cal. App. LEXIS 1841
CourtCalifornia Court of Appeal
DecidedMarch 29, 1985
DocketA018176
StatusPublished
Cited by14 cases

This text of 166 Cal. App. 3d 383 (Western Medical Enterprises, Inc. v. Albers) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Western Medical Enterprises, Inc. v. Albers, 166 Cal. App. 3d 383, 212 Cal. Rptr. 434, 1985 Cal. App. LEXIS 1841 (Cal. Ct. App. 1985).

Opinion

Opinion

WHITE, P. J.

Defendant and appellant Mathilde Albers, individually and as executrix of the estate of Henry Albers, has appealed from the judgment of the Superior Court of Alameda County in favor of plaintiff and respondent Western Medical Enterprises, Inc. The controversy in the trial court involved the construction of a lease entered into between respondent as lessee and appellant and others as lessors. The lease provided that respondent would operate a convalescent hospital on the leased premises for a 20-year term. At issue is the interpretation of the provision in the lease which requires respondent to pay as rent to lessors, a percentage of its gross sales. The trial court determined that certain Medi-Cal payments should not be construed as gross sales. We agree and affirm the judgment.

On January 31, 1974, respondent entered into a lease with appellant and others. Pursuant to the lease respondent agreed to lease the Driftwood Convalescent Hospital, Santa Rosa, California, for a 20-year term. An amendment to the lease, executed the same day, provided that respondent would pay a fixed minimum monthly rental until December 31, 1978, and after that date in addition to the minimum monthly rental respondent would pay 12V2 percent of “gross sales.”

Throughout the lease, Medi-Cal supported patients have constituted a majority of the patients at the facility. At the time the lease was negotiated and executed, all Medi-Cal payments to convalescent facilities were unrestricted *386 funds which could be allocated by each facility as it saw fit. Payments under the former Medi-Cal structure provided a margin for profit and overhead.

Statutory Provisions

In March 1976, Assembly Bill No. 3619 was introduced in the California Legislature requiring long-term health care facilities (such as the Driftwood Convalescent Hospital) to adopt approved training programs for nursing assistants working in the facility, required those assistants to be certified or enrolled in certain programs, and required the state Department of Health to provide rate adjustments to such facilities under the Medi-Cal program for additional costs incurred pursuant to the program with respect to MediCal patients. The rate adjustments were to commence no later than July 1, 1977; and after July 1, 1978, no nurse assistant could be employed by such a facility without first being certified as having completed a training program or háving enrolled in a training program. The bill became codified in Business and Professions Code section 2881.1 and Health and Safety Code sections 1439.1 through 1439.8. (Stats. 1976, ch. 1202, § 2, p. 5479.) Former Health and Safety Code section 1439.1 provided in pertinent part: “The Legislature finds that the quality of patient care in long-term health facilities is dependent upon the competence of the personnel who staff its facilities. The Legislature further finds that direct patient care in long-term health care facilities is currently rendered largely by persons without adequate training.” (Stats. 1976, ch. 1202, § 2, p. 5479.) Health and Safety Code sections 1439.1 through 1439.8 were repealed in 1978. (Stats. 1978, ch. 351, §§ 2-9, p. 741.)

Later in March 1976, another Assembly Bill, No. 4242, was introduced and later enacted, but was to remain in effect only until January 1, 1978. (Stats. 1976, ch. 1207, § 3, p. 5497.) This bill required the director of health to establish a reimbursement rate for intermediate and skilled nursing facilities (including the Driftwood Convalescent Hospital) sufficient to provide an average wage increase of a specified amount for all nonadministrative employees of such facilities. In enacting this bill the Legislature declared that the high rate of turnover of direct patient care staff diminishes the quality of care and the turnover is substantially attributable to the low wages paid said staff. The legislation was codified in former Welfare and Institutions Code sections 14090 to 14094.

In April 1977, Assembly Bill No. 1426 was introduced which, in effect, took up where Assembly Bill No. 4242 left off and required the director of health to establish a reimbursement rate, effective March 1, 1978, which was sufficient to provide wage and benefit increase for nonadministrative employees of $2.28 per patient-day for skilled nursing facilities and $1.84 *387 per patient-day for intermediate care facilities. (Stats. 1978, ch. 19, pp. 79-82.) In enacting this bill the Legislature declared: “It is the intent of the Legislature that Medi-Cal reimbursement rates for skilled nursing facilities and intermediate care facilities, to the extent feasible, be set at levels sufficient to allow such employees to be paid at wages which are sufficient to reduce turnover among such employees, in order to improve the level and quality of patient care.” (Stats. 1978, ch. 19, § 2, subd. (a), p. 80.) Part of Assembly Bill No. 1426 was codified as Health and Safety Code section 1268.5.

The provisions of Assembly Bill No. 1426 required each facility to certify that it was using the additional funds for their designated purpose. The Legislation also required the director of health to inspect relevant payroll and personnel records to insure that the wage increases provided for had been implemented. (Stats. 1978, ch. 19, § 2, subd. (e), p. 81.) In the event that a facility was found not to be complying, it was liable to the state for the amounts reimbursed, plus a penalty equal to 10 percent of the funds not so distributed. (Stats. 1978, ch. 19, § 2, subd. (f), p. 81.)

Lease Provisions

The lease provisions pertaining to “gross sales” provide: “(D) Provided further that in addition to the minimum net monthly rentals herein agreed to be paid by Lessee and provided for in this paragraph 32, and commencing on the 1st day of January, 1979, Lessee shall and will pay to Lessor at the times and in the manner hereinafter specified an additional rental in an amount equal to 12%% of the amount of Lessee’s gross income and sales (as gross income and sales are hereinafter defined) made during each month of the term hereof in, upon or from the demised premises, less the amount of the minimum monthly rental paid by Lessee during said month.

“(i) The term ‘gross sales’ as used herein shall (subject to the exceptions and authorized deductions as herein set forth) mean the gross amount of income received by Lessee from all services rendered by Lessee and/or sales made by Lessee on the premises, including charges for nursing care rendered, pharmaceuticals or drugs furnished or supplied to patients, therapy rendered and performed, and all other income of any nature received by Lessee from services rendered or goods, wares, merchandise, pharmaceuticals or supplies dispensed or supplied in, on or from the demised premises and including the gross amount received by Lessee from any and all other sources of income derived from business conducted upon the demised premises.

“(ii) There is excepted from Lessee’s gross sales, as herein defined, the amount of any sales tax receipts received by Lessee which in turn must be *388 accounted for and paid by Lessee to any governmental agency.

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Bluebook (online)
166 Cal. App. 3d 383, 212 Cal. Rptr. 434, 1985 Cal. App. LEXIS 1841, Counsel Stack Legal Research, https://law.counselstack.com/opinion/western-medical-enterprises-inc-v-albers-calctapp-1985.