Brentwood Health Management v. Mississippi State Department of Health
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IN THE COURT OF APPEALS OF THE STATE OF MISSISSIPPI
NO. 2008-SA-00169-COA
BRENTWOOD HEALTH MANAGEMENT OF
MISSISSIPPI, LLC D/B/A CHILDREN’S
HOSPITAL OF VICKSBURG
APPELLANT
v.
MISSISSIPPI STATE DEPARTMENT OF
HEALTH
DATE OF JUDGMENT:
TRIAL JUDGE:
COURT FROM WHICH APPEALED:
ATTORNEYS FOR APPELLANT:
ATTORNEYS FOR APPELLEE:
NATURE OF THE CASE:
TRIAL COURT DISPOSITION:
DISPOSITION:
MOTION FOR REHEARING FILED:
MANDATE ISSUED:
APPELLEE
01/17/2008
HON. DENISE OWENS
HINDS COUNTY CHANCERY COURT
THOMAS L. KIRKLAND
ANDY LOWRY
ALLISON CARTER SIMPSON
SONDRA SIMPSON MCLEMORE
DONALD E. EICHER
CIVIL - STATE BOARDS AND AGENCIES
AFFIRMED DECISION OF STATE
DEPARTMENT OF HEALTH TO REVOKE
CERTIFICATES OF NEED
AFFIRMED - 05/19/2009
BEFORE KING, C.J., ROBERTS AND CARLTON, JJ.
ROBERTS, J., FOR THE COURT:
¶1.
This appeal focuses on the Mississippi State Department of Health’s (MSDH) decision
to revoke two “Certificates of Need” (CONs) formerly granted to Brentwood Health
Management of Mississippi, LLC. To paraphrase, the MSDH revoked the CONs at issue
based on its conclusion that Brentwood had failed to substantially undertake development
of the project contemplated by the two CONs. Brentwood appealed to the Hinds County
Chancery Court, and the chancellor affirmed the MSDH’s decision. Brentwood appeals and
raises four issues. Finding no error, we affirm.
FACTS AND PROCEDURAL HISTORY
¶2.
There are two CONs at issue, both of which were held by Brentwood.1 One CON was
originally awarded in 1996. It allowed Brentwood to establish twenty beds for the treatment
of child and adolescent psychiatric conditions. Miss. Code Ann. § 41-7-191(4)(a)(iii) (Rev.
2005). The other CON was originally awarded in 1997. It allowed Brentwood to establish
sixty beds for psychiatric residential treatment. Miss. Code Ann. § 41-7-191(3)(b) (Rev.
2005). Although the CONs date back to 1996 and 1997, our present purposes require that
we focus on events that transpired after the MSDH granted Brentwood’s request to amend
both CONs on September 5, 2001.
¶3.
As of the 2001 amendments, the beds contemplated by the CONs were to be placed
in a proposed 40,000 square foot facility to be built at a specific site west of the Vicksburg
Medical Center in Warren County, Mississippi. Additionally, the allowed expenditure cost
was increased to approximately $4,000,000. Brentwood had one year from that date to
complete the facility and to get the eighty beds into operation. If Brentwood failed to
complete the project or request a six-month extension by that time, Brentwood’s CONs
1
The CONs were first awarded to the Children’s Hospital of Vicksburg, LLC.
(Children’s Hospital). Children’s Hospital later agreed to transfer ownership of the CONs
to Brentwood. That transfer became effective upon the MSDH’s September 5, 2001,
approval of the amendment and transfer of the CONs. In 2004, Psychiatric Solutions, Inc.,
(PSI) acquired Brentwood. For clarity’s sake, we collectively refer to Brentwood as the
owner of the CONs throughout this opinion.
2
would expire.
¶4.
On February 24, 2005, approximately two years and five months after the September
2002 deadline, the MSDH informed Brentwood that a progress report was due on or before
March 11, 2005. Brentwood fulfilled the MSDH’s request. Brentwood estimated that the
project was 2% complete at that time. Brentwood also reported that it had spent $200,000
on the project and that it was investigating potential construction locations. Brentwood did
not report any progress on completing the facility at the location contemplated by the 2001
amendments to the CONs. Finally, Brentwood said that PSI was preparing a pro forma
financial statement and a business plan. Brentwood also filed a request for a six-month
extension to complete the project.
¶5.
On August 8, 2005, the MSDH acknowledged receipt of Brentwood’s progress report
and Brentwood’s request for an extension. The MSDH notified Brentwood that Brentwood’s
request for an extension was denied because it was untimely. The MSDH informed
Brentwood that it had to demonstrate substantial progress toward the project by September
2005.
¶6.
In January 2006, the MSDH requested another progress report. Brentwood had not
responded as of August 2006, so the MSDH repeated its request. On September 12, 2006,
the MSDH received Brentwood’s second progress report. Yet again, Brentwood did not
report any progress regarding the facility contemplated in the 2001 amendments. Instead,
Brentwood said that PSI was still trying to find an appropriate location for the project and
that it was still determining whether construction of the project was feasible. Brentwood
estimated that the project was 3% complete at that time, as compared to its 2005 progress
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report in which Brentwood estimated that the project was 2% complete. In other words, after
eighteen months, Brentwood estimated that it was 1% closer to completing the project.
¶7.
By way of a letter dated December 18, 2006, Samuel H. Dawkins, the Director of the
Office of Health Policy and Planning, put Brentwood on notice that the MSDH intended to
revoke Brentwood’s two CONs.2 Dawkins also notified Brentwood that it had a right to a
hearing regarding whether the MSDH should revoke the CONs. Brentwood exercised its
right to a hearing.
¶8.
On May 10, 2007, a MSDH hearing officer conducted the revocation hearing. The
MSDH called Dawkins as its first and only witness. Brentwood called four witnesses: (1)
Michael Carney, Brentwood’s chief executive officer; (2) Philip Cook, the president of PSI’s
Mid-America Division; (3) Darren Rozas, an architect; and (4) Philip Merideth, M.D.,
Brentwood’s chief medical officer. Suffice it to say, Carney and Cook generally testified that
Brentwood preferred to move the project from Warren County to existing facilities in Rankin
County, Mississippi, and Lauderdale County, Mississippi. Rozas testified that Brentwood
hired him to analyze the feasibility of locating property for the facility and building on that
unimproved property, as well as renovating an existing facility at another alternative site.
None of Rozas’s efforts were focused on building the proposed facility at the location
established in the 2001 amendments.
¶9.
On July 31, 2007, the hearing officer rendered her findings of fact and conclusions of
law. Broadly speaking, the hearing officer reported that the issues at the hearing were: (1)
2
According to Dawkins, his responsibilities included direct oversight over the
MSDH’s CON program.
4
whether the MSDH had the authority to revoke a CON established by the direction of the
Legislature; (2) whether the CON had expired; and (3) whether Brentwood had substantially
undertaken completion of the project. The hearing officer found that “the [MSDH] did not
abuse its discretion when making [its] determination that [Brentwood] had not substantially
undertaken construction or other preparation for the project, and had not made a good faith
effort toward the project.” Accordingly, the hearing officer recommended that the State
Health Officer “concur with the [MSDH]’s withdrawal and revocation of the CONs.”
¶10.
The hearing officer mentioned that, based on an unrelated request, the Mississippi
Attorney General’s Office had recently issued an advisory opinion regarding the time a CON
holder has to complete a project contemplated by a CON and the MSDH’s authority to
revoke a CON. It bears mentioning that the attorney general’s office did not issue its
advisory opinion until after the hearing. Stated differently, the attorney general’s opinion
was not available before or at the time of the hearing.
¶11.
At the next monthly CON meeting, interim state health officer F.E. Thompson, Jr.,
M.D., MPH, followed the hearing officer’s recommendation and entered a final order
revoking Brentwood’s CONs. Specifically, Dr. Thompson stated, “I have reviewed the
record prepared on [the CONs] and have determined that . . . Brentwood . . . [has not]
substantially undertaken construction or other preparation to complete the . . . project, and
[has] not made a good faith effort toward the project.”
¶12.
Brentwood appealed to the Hinds County Chancery Court. On December 14, 2007,
the chancellor held oral arguments. Approximately one month later, the chancellor entered
an order and opinion. According to the chancellor, the issues were: (1) whether the MSDH
5
had the authority to revoke the CONs; (2) whether the MSDH acted arbitrarily and
capriciously when it revoked the CONs; and (3) whether the hearing officer utilized an
improperly deferential standard of review. Ultimately, the chancellor found that the MSDH
had the authority to revoke the CONs and that its decision was neither arbitrary nor
capricious. Additionally, the chancellor held that the MSDH’s “actions were based upon a
reasonable interpretation of the subject statutes and the evidence contained in the record.”
Aggrieved, Brentwood appeals.
STANDARD OF REVIEW
¶13.
As with appeals regarding CON applications, we conduct a de novo review of the
chancellor’s decision, but we are “constrained by the same familiar standard of review under
which [the chancellor] operated.”
Miss. State Dep’t of Health v. Baptist Mem’l
Hosp.-DeSoto, Inc., 984 So. 2d 967, 974 (¶12) (Miss. 2008). That standard of review has
been described as “quite limited.” St. Dominic-Jackson Mem’l Hosp. v. Miss. State Dep’t
of Health, 728 So. 2d 81, 83 (¶9) (Miss. 1998). The limits in this instance are set forth by
statute, which specifically provides that the MSDH’s decision:
shall not be vacated or set aside, either in whole or in part, except for errors of
law, unless the court finds that the order . . . is not supported by substantial
evidence, is contrary to the manifest weight of the evidence, is in excess of the
statutory authority or jurisdiction of the . . . [MSDH] . . . , or violates any
vested constitutional rights of any part involved in the appeal.
Miss. Code Ann. § 41-7-201(2)(f) (Rev. 2005).
¶14.
“This is nothing more than a statutory restatement of familiar limitations upon the
scope of judicial review of administrative agency decisions.” St. Dominic, 728 So. 2d at 83
(¶9). In other words, “[t]he decision of the hearing officer and [the] State Health Officer is
6
afforded great deference upon judicial review by this Court, even though we review the
decision of the chancellor.” Id. However, when issues involve questions of law, we conduct
a de novo review. Oktibbeha County Hosp. v. Miss. State Dep't of Health, 956 So. 2d 207,
208-09 (¶5) (Miss. 2007).
ANALYSIS
I.
¶15.
THE MSDH’S AUTHORITY TO REVOKE
Brentwood argues that the MSDH did not have the authority to revoke the CONs at
issue. Brentwood’s reasoning stems from the fact that the CONs at issue were not issued
after an application, but they were instead directed by the Mississippi Legislature.3
According to Brentwood, because the Legislature authorized the CONs, the CONs are
beyond the MSDH’s authority to revoke.
¶16.
As authority for its position, Brentwood cites the Mississippi Supreme Court’s
decision in Oktibbeha County Hospital, 956 So. 2d at 209-11 (¶¶7-18). We interpret those
two pages of the Oktibbeha County Hospital case as a distinction of the CON application
process regarding discretionary-issued and mandatory-issued legislative CONs. Id. at 209
(¶9). In other words, the supreme court discussed the concept that in the event that the
Legislature requires the MSDH to issue a CON by using language that includes the word
“shall” rather than “may,” the Legislature directs the MSDH to waive the CON application
process. Id. at (¶10). However, nothing in the Oktibbeha County Hospital decision pertains
3
To be precise, Mississippi Code Annotated section 41-7-191(4)(a)(iii) and 41-7191(3)(b) both use discretionary “may issue” language as opposed to mandatory “shall
issue” language.
7
to whether the MSDH may revoke a CON authorized by the Legislature.
¶17.
Language in the statutes that established the CONs indicates that the Legislature did
not intend for the CONs to exist in perpetuity. Instead, the CONs at issue had a specific
legislatively-enacted expiration date.4 Pursuant to Mississippi Code Annotated section 41-7191(4)(a)(iii):
If by January 1, 2002, there has been no significant commencement of
construction of the beds authorized under this subparagraph . . ., or no
significant action taken to convert existing beds to the beds authorized under
this subparagraph, then the [CON] that was previously issued under this
subparagraph shall expire.
(Emphasis added). The Legislature clearly gave Brentwood a deadline, and it fell to the
MSDH to determine whether Brentwood had “significan[ly] commence[d] construction of
the beds” or whether Brentwood had taken “significant action . . . to convert existing beds
to the beds authorized” by the CON. As for the second CON, pursuant to Mississippi Code
Annotated section 41-7-191(3)(b),“[t]he [MSDH], on or before July 1, 2002, shall transfer
the [CON] authorized under the authority of this paragraph (b), or reissue the [CON] if it has
expired, to River Region Health System.” (Emphasis added). Again, the Legislature gave
Brentwood a deadline that depended on a determination by the MSDH.
4
We recognize that the record currently before us contains a set of findings of fact
and conclusions of law in which, incident to the summary judgment proceedings initiated
by Brentwood that are not directly related to the matter currently before us, the Hinds
County Chancery Court found that the transfer provision was unconstitutional because the
Mississippi Legislature “usurped” the MSDH’s executive administrative authority over the
CON program when it added the transfer language. That decision is not an issue on appeal
before this Court, and we do not disturb it. We merely mention these provisions to
demonstrate the fact that the Legislature did not intend to limit the MSDH’s authority to
revoke the CONs by making the CONs exist indefinitely until further legislative action.
8
¶18.
Most significantly, pursuant to Mississippi Code Annotated section 41-7-195(4) (Rev.
2005):
If commencement of construction or other preparation is not substantially
undertaken during a valid certificate of need period or the [MSDH] determines
the applicant is not making a good faith effort to obligate such approved
expenditure, the [MSDH] shall have the right to withdraw, revoke or rescind
the [CON].
(Emphasis added). Nothing in section 41-7-195(4) indicates that the Mississippi Legislature
intended to limit the MSDH’s CON revocation power to only those CONs that are not
authorized by statute. Accordingly, we find no merit to Brentwood’s claim that the MSDH
exceeded its authority when it revoked the CONs.
II.
¶19.
DEFERENCE BY THE HEARING OFFICER
Under a heading titled “standard of proof” of the hearing officer’s findings of fact and
conclusions of law, the hearing officer stated:
Due to the [MSDH’s] issuance of its notice of intent and its finding,
[Brentwood] has the burden to show the [MSDH]’s finding is “arbitrary and
capricious” and without “substantial evidence” or in the alternative,
demonstrate substantial compliance with substantial progress on the project.
Generally, the [MSDH] is afforded “great deference” and has a presumption
in favor of its decision. Therefore, the evidence presented by [Brentwood]
would have to show that evidence relied upon by the [MSDH] in this matter
is not based on reason or judgment and [that it is] contrary to the applicable
criteria.
The hearing officer then proceeded to analyze the evidence presented during the hearing
under a heading titled “analysis of the evidence.” Under a heading titled “summary and
conclusion,” the hearing officer stated as follows:
After considering all the testimony and evidence at the hearing regarding the
[MSDH]’s intent to withdraw/revoke [the CONs], I find the [MSDH] did not
abuse its discretion when making it’s [sic] determination that [Brentwood] had
9
not substantially undertaken construction or other preparation for the project,
and had not made a good faith effort toward the project. Therefore, I
respectfully recommend [that] the State Health Officer . . . concur with the
[MSDH]’s withdrawal and revocation of the CONs.
¶20.
Brentwood claims the hearing officer improperly applied a deferential standard of
review to the MSDH’s notice of its intent to revoke the CONs. Brentwood correctly claims
that the hearing officer was obligated to make original recommended findings of fact and
conclusions of law. According to Brentwood, the hearing officer was reversibly deferential
to the notice of intent to revoke the CONs, which was not a factual determination at all.
¶21.
In the “analysis of the evidence” portion of the hearing officer’s recommended
findings of fact and conclusions of law, the hearing officer once stated that Brentwood
presented several arguments as a “rebuttal to the [MSDH]’s finding of lack of substantial
progress on the project.” At another point, the hearing officer stated that Brentwood’s
arguments that there had been substantial progress on the CONs “[would] be analyzed in
their totality against the finding of the MSDH that there has been a lack of progress on the
project.”
¶22.
However, while Brentwood correctly argues that the hearing officer was obligated to
make original conclusions instead of deferring to a finding by the MSDH that did not yet
exist, the substance of the hearing officer’s analysis indicates that, despite the inclusion of
deferential language, the hearing officer fulfilled her obligation to weigh the evidence. The
hearing officer weighed Brentwood’s argument that by lobbying the Mississippi Legislature
to amend the statutory sections at issue, Brentwood had been making progress toward
completion of the project. The hearing officer stated that:
10
this does not show any progress on the project, but rather supports the
[MSDH]’s position that there is no progress on the project. Further, these
efforts suggest that [Brentwood] was not interested in pursuit of the project as
amended [on] September 5, 2001. It appears that [Brentwood] took a risk in
not taking steps to construct the project, but rather put all its efforts behind
lobbying the Mississippi Legislature for authority to move the beds. This risk
taken by [Brentwood] and its decision to not proceed with the project [have]
to be construed against it and not the [MSDH].
The hearing officer then addressed Brentwood’s evidence that it had been studying the
feasibility of the project, drafting pro forma financial statements, “and other business
analysis.” The hearing officer noted that, when the CONs were amended in 2001, “proformas and other business analysis had been done on the project.” The hearing officer then
concluded, without deferring to the MSDH, that evidence of further analysis of the project
in the form of new pro forma financial statements and other business analysis does not
demonstrate progress, especially because Brentwood presented no justifiable reason for any
further analysis.
¶23.
Next, the hearing officer addressed Brentwood’s argument that it had made progress
on the project by continuing to search for possible locations for a facility. The hearing
officer stated that:
it should be noted that in the application for the amendment of the CONs, there
is an identified location for the proposed facility. There was no reasonable
basis or explanation on behalf of [Brentwood] of why it was necessary to
relocate the facility. Further, [Brentwood] presented two options, new
construction on a tract that it paid an option to purchase on [sic] in May of
2007 and recent acknowledgment of an intent to lease the space of the Marion
Hill building, but both were in its initial stages of “due diligence.” Further,
[Brentwood] could not present details on either project. The fact that
[Brentwood] is not focused on one solution for the completion of the CONs,
[sic] tends to support the [MSDH]’s assertion that lack of progress existed and
still exists. Moreover, the finder of fact has to account that actions
[Brentwood] presented into evidence on about [sic] the actions it took after the
11
[MSDH]’s notice of inten[t] to withdraw/revoke, [sic] supports the [MSDH]’s
assertion and position that [Brentwood] had been in default of not making
substantial progress on the CONs.
The hearing officer distinguished the MSDH’s notice of intent from the MSDH as the factfinder. Additionally, it is clear that the hearing officer acted as a finder of fact when she
found that: Brentwood’s assertions were not reasonable; Brentwood was not focused on a
means to complete the project; and Brentwood’s actions support a conclusion that Brentwood
failed to make “substantial progress on the CONs.”
¶24.
Next, the hearing officer stated, “[i]n weighing all the evidence presented, the
evidence and testimony suggests [sic] that in fact a regression of the project has occurred.”
The hearing officer based this clear finding of fact on the following:
at the time that the amendment of the CONs was approved, the project had an
identifiable location, plan, and capital expenditure cost. As of the hearing[,]
it is clear that the project does not have [an] identifiable location, plan[,] and
capital expenditure cost. At a hearing of this nature, it would be expected that
problems and special issues would be presented by [Brentwood] about why the
project is not complete, not issues as to lobbying, feasibility, and site location
as presented by [Brentwood] in this case. It appears that [Brentwood]
presented good reasons that it should continue its efforts in lobbying the
Mississippi Legislature for authority for beds at its other facilities, but it is also
clear that this should be done without the distraction of additional investigation
of its options in regards to the CONs it holds that are restricted to a facility that
must be located in Warren County, Mississippi.
Again, the hearing officer obviously acted as a fact-finder and did not defer to any finding
by the MSDH. The hearing officer noted that she weighed all the evidence presented and
that “in fact a regression of the project has occurred.” To find that the hearing officer
conducted a deferential review purely on the basis that the hearing officer used such language
as a preliminary matter to conducting what is obviously not a deferential review of the
12
evidence would be to favor form over substance.
¶25.
The hearing officer’s misstatement appears to have been exacerbated by the nature of
the MSDH’s administrative revocation process. When Dawkins put Brentwood on notice
that the MSDH intended to revoke the CONs, the MSDH, through Dawkins, essentially
notified Brentwood of its opinion that it was appropriate to revoke the CONs and intended
to do so without further proceedings unless Brentwood exercised its right to have a
revocation hearing. In a sense, the MSDH’s intent to revoke the CONs was a quasi-finding,
but it was not one that was entitled to a deferential review. Consequently, the hearing officer
should not have included such language in her findings of fact and conclusions of law, but
a careful review indicates that the hearing officer acted according to her mandate to make
recommended findings of fact and conclusions of law to the State Health Officer. To be
imminently clear, this opinion is not to be construed as a conclusion that the improper
inclusion of such language is never reversible error. Instead, we merely find that, under the
precise circumstances of this case, the hearing officer’s improper use of such language, in
and of itself, does not rise to the level of reversible error when viewed in light of her actual
findings. Accordingly, we find no merit to this issue.
III.
¶26.
RELIANCE ON AN OPINION BY THE ATTORNEY GENERAL
On May 8, 2007, Representative Bryant W. Clark wrote a letter to the Mississippi
Attorney General requesting an advisory opinion. Representative Clark listed four specific
issues regarding the scope of his request:
1)
Does a CON automatically expire or elapse without further action on
part of its holder to obtain an extension prior to the expiration or
elapse?
13
2)
After an issued CON has expired, can a holder later file for an
extension of the time thereof?
3)
Because a CON is expired, must the [MSDH] cite the expiration and
take action under Section 41-7-195(4) to withdraw, revoke, or rescind
the certificate?
4)
Does the [MSDH] have the authority under the CON law to grant an
extension to a holder of a CON after such has expired or elapsed
according to a specified time period?
On June 15, 2007, the attorney general’s office issued an advisory opinion. It should be
noted that the attorney general’s office issued its advisory opinion after the revocation
hearing, but before the hearing officer rendered her findings of fact and conclusions of law.
¶27.
When the hearing officer rendered her findings of fact and conclusions of law, she
discussed the first three questions addressed in the attorney general’s opinion. The hearing
officer summarized the attorney general’s opinion regarding those three questions, and then
she stated as follows:
Based on the official opinion, it has been advised that a CON is only valid for
[the] time stated thereon, and the [MSDH] has the discretion whether or not to
grant an extension and whether or not to withdraw, revoke or rescind the CON.
Additionally, the [MSDH] determines whether the holder has “substantially
undertaken” construction or other preparation under Mississippi Code
[Annotated] [s]ection 41-7-195(4). Since it is clearly established that the
CON[s] in question ceased to be valid after September 5, 2002[,] and the
[MSDH] has not granted any extension of the CON[s], then the inquiry in this
case has to be limited to whether under the facts and circumstances has the
[MSDH] abused its discretion in finding that the CON holder has not
“substantially undertaken” construction or other preparation during the period
of the CON[s]. Considering the fact that the CON holder produced no
evidence that any action was undertaken on the project during the valid period
of the CON[s] . . ., then a directed verdict in favor of the [MSDH] would have
been appropriate; however, as analyzed below, even if [the] actions after the
valid period are reviewed and considered, such fails to suggest that the
[MSDH] has abused its discretion in finding insufficient progress on the CON
project and that the CON[s] should be withdrawn, revoked or rescinded.
14
¶28.
Brentwood claims the hearing officer committed reversible error when she relied on
an opinion from the attorney general because that opinion was issued after the revocation
hearing. Brentwood argues that the hearing officer failed to follow Chapter 5, Section
101.01 of the MSDH’s CON Manual, which holds that the State Health Officer “shall
consider only the record in making his decision; he shall not consider any evidence or
material which is not included therein.” 5 Additionally, Brentwood properly notes that an
opinion from the Mississippi Attorney General is “merely a persuasive authority” and is not
binding upon this Court or any other court. See State ex rel. Holmes v. Griffin, 667 So. 2d
1319, 1326 (Miss. 1995).
¶29.
Although all four issues could be considered pertinent to the matter presently before
us, the fact remains that the State Health Officer’s decision was not based on the legal
mechanisms that accompany expiration or lapse of the CONs.
It is undisputed that
Brentwood was out of time to request an extension of the CONs. Instead, the State Health
Officer’s decision was based on the conclusion that Brentwood had not substantially
undertaken to complete the two CONs at issue and that there had been no good faith effort
to complete the projects contemplated by the CONs. Accordingly, Brentwood experienced
no prejudice based on the attorney general’s opinion, and we find no merit to this issue.
IV.
¶30.
ARBITRARY AND CAPRICIOUS REVOCATION
In its final issue, Brentwood claims the hearing officer’s decision was arbitrary and
5
This provision of the CON manual is based on Mississippi Code Annotated section
41-7-197(2) (Rev. 2005), which sets forth that the State Health Officer “shall consider only
the record in making his decision, and shall not consider any evidence or material which is
not included therein.”
15
capricious. We disagree. The CONs were amended on September 5, 2001. At that time, the
facility that would house the beds contemplated by the CONs was to be built for a specific
capital expenditure amount on a specific tract of land in Warren County. Approximately
three and one half years later, Brentwood estimated that the project was 2% complete.
Brentwood reported that it had spent $200,000 on the project and that it was investigating
potential construction locations – despite the fact that the location was already specified by
the 2001 amendments to the CONs. Brentwood presented absolutely no evidence that it had
done anything to advance the project as contemplated by the 2001 amendments.
¶31.
In September 2006, Brentwood again stated that it was trying to find an appropriate
location for the facility and that it was determining whether the project was feasible.
Brentwood estimated that the project was 3% complete at that time. Eighteen months after
its 2% estimation, Brentwood was only 1% closer to completion.
¶32.
Mississippi Code Annotated section 41-7-195 (Rev. 2005) sets forth as follows:
(1) A [CON] shall be valid only for the defined scope, physical location and
person named in the application. A [CON] shall not be transferable or
assignable nor shall a project or capital expenditure project be transferred from
one person to another, except with the approval of the [MSDH]. A [CON]
shall be valid for the period of time specified therein.
(2) A [CON] shall be issued for a period of twelve (12) months, or such other
lesser period as specified by the [MSDH].
(3) The [MSDH] may define by regulation, not to exceed six (6) months, the
time for which a [CON] may be extended.
(4) If commencement of construction or other preparation is not substantially
undertaken during a valid [CON] period or the [MSDH] determines the
applicant is not making a good faith effort to obligate such approved
expenditure, the [MSDH] shall have the right to withdraw, revoke or rescind
the [CON].
16
(Emphasis added).
The Legislature has defined “commencement of construction” in
Mississippi Code Annotated section 41-7-173(e) (Rev. 2005) as follows:
“Commencement of construction” means that all of the following have been
completed with respect to a proposal or project proposing construction,
renovating, remodeling or alteration:
(i) A legally binding written contract has been consummated by
the proponent and a lawfully licensed contractor to construct
and/or complete the intent of the proposal within a specified
period of time in accordance with final architectural plans which
have been approved by the licensing authority of the [MSDH];
(ii) Any and all permits and/or approvals deemed lawfully
necessary by all authorities with responsibility for such have
been secured; and
(iii) Actual bona fide undertaking of the subject proposal has
commenced, and a progress payment of at least one percent
(1%) of the total cost price of the contract has been paid to the
contractor by the proponent, and the requirements of this
paragraph (e) have been certified to in writing by the [MDSH].
Force account expenditures, such as deposits, securities, bonds, et cetera, may,
in the discretion of the [MSDH], be excluded from any or all of the provisions
of defined commencement of construction.
¶33.
It is clear that the MSDH’s decision was not arbitrary or capricious when it concluded
that Brentwood did not do anything that qualifies as “commencement of construction” or “a
good faith effort to obligate [the] approved expenditure.” The Legislature clearly mandated
that “[a] [CON] shall be valid only for the defined . . . physical location . . . named in the
[CON] application.”
Miss. Code Ann. § 41-7-195(1) (emphasis added).
Under the
circumstances, it is irrelevant that Brentwood attempted to move the CONs. In its second
progress report, Brentwood stated that it had spent $200,000 on the project. However, the
evidence indicated that $70,000 of that amount went toward lobbying the Legislature during
17
the 2006 and 2007 legislative sessions. Brentwood wanted the Legislature to amend the
relevant CONs to move the beds out of Warren County.
¶34.
After the MSDH issued its notice of intent to revoke the CONs, Brentwood took
certain measures to find an appropriate location for a facility, but none of those efforts were
focused on constructing the proposed facility at the defined location contemplated by the
amended CONs. Instead, Brentwood hired an architect, negotiated a potential lease of an
existing facility, and acquired an option to purchase property that was different from the
contemplated facility site. To be entirely clear, Brentwood obviously had the right to make
a business decision that favored relocating the beds to existing facilities in Rankin County
and Lauderdale County, but that decision carried the risk that the MSDH could find it
appropriate to revoke the CONs. Additionally, it seems reasonable that Brentwood would
make a business decision to avoid spending capital on completing the project after it received
the MSDH’s notice of intent to revoke the CONs, but the events that occurred before the
MSDH issued its notice of revocation clearly indicate that Brentwood focused its efforts on
moving the project, rather than completion of the project contemplated by the CONs. It
follows that we cannot find that the MSDH abused its discretion or that its decision was
arbitrary and capricious. Accordingly, we find no merit to this issue.
¶35. THE JUDGMENT OF THE HINDS COUNTY CHANCERY COURT IS
AFFIRMED. ALL COSTS OF THIS APPEAL ARE ASSESSED TO THE
APPELLANT.
KING, C.J., LEE AND MYERS, P.JJ., GRIFFIS, ISHEE, CARLTON AND
MAXWELL, JJ., CONCUR. BARNES, J., CONCURS IN PART AND IN THE
RESULT. IRVING, J., NOT PARTICIPATING.
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