Whether the Agency for Health Care Administration should approve or deny Certificate of Need Application No. 7973, Holy Cross Hospital’s application for conversion and delicensure of 34 acute care beds in order to establish a 24-bed hospital-based skilled nursing unit? Whether the Agency for Health Care Administration should approve or deny Certificate of Need Application No. 7976, Northwest’s application to establish a 13 bed hospital-based skilled nursing unit through the conversion of 13 acute care beds and the concurrent delicensure of an additional five acute care beds?Special circumstances in Broward County call for award of skilled nursing beds to two hospitals.

Whether the application of Columbia Hospital Corporation of South Broward d/b/a Westside Regional Medical Center or that of Cleveland Clinic Florida Hospital d/b/a Cleveland Clinic Hospital should be approved to meet the fixed numeric need for one additional adult open heart surgery program in Broward County, Florida.No need for additional adult open heart surgery in Broward County based on statute and rules despite numeric need.

On August 6, 1993, the Agency for Health Care Administration (AHCA or Agency) published a Notice of Adult Open Heart Surgery Program Fixed Need Pool in the Florida Administrative Weekly, Vol. 19, No. 31. The Agency projected need for one additional adult open heart surgery (OHS) program in District X for the January 1996 planning horizon. District X consists entirely of Broward County, Florida. Five hospitals in Broward County, including Petitioner Columbia Hospital Corporation of South Broward d/b/a Westside Regional Medical Center (Westside), timely filed Letters of Intent and submitted Certificate of Need (CON) applications seeking to establish an adult OHS program at their respective facilities. The Agency assigned CON Action No. 7455 to Westside's CON application. On January 21, 1994, AHCA published in the Florida Administrative Weekly, Vol. 20, No. 3, notice of its intent to preliminarily deny all CON applications for an adult OHS program in District X. Four of the five applicants timely filed petitions to challenge AHCA's decision, including Cleveland Clinic Florida Hospital d/b/a Cleveland Clinic Hospital (Cleveland Clinic) (DOAH Case No. 94- 1019), Westside (DOAH Case No. 94-1020), North Broward Hospital District d/b/a North Broward Medical Center (NBMC) (DOAH Case No. 94-1022), and Plantation General Hospital, L.P. (DOAH Case No. 94-1023).Petitioner did not prove that there was a need for another open heart surgery program in District X. Petitioner's proposal did not meet statutory and rule criteria.

Whether certificate of need application number 7184 for the establishment of adult open heart surgery services at Baptist Hospital, Pensacola, Florida, filed in March 1993, meets statutory and rule criteria for approval.Size of hospital, its cardiology department, cardiologists and patient preferences are institution-specific concerns not normal bases for open heart certificate of need.

The issue for resolution is which of two competing certificate of need applications should be approved for nursing home beds in District 5, subdistrict 2, Pinellas County, Florida.Beverly's proposal for 120 bed nursing home provided greater access and better specialized services than CLCS conversion from shelter to community Nursing Home beds.

Which of two competing applications for nursing home beds better meets the statutory and rule criteria to satisfy the numeric need for 79 additional beds in Agency for Health Care Administration District 7, Subdistrict 1, Brevard County.AHCA interprets rule to require board resolution only with letter of intent; superior design to separate subacute and alzheimers' care favored over part Hospital-owned application.

Whether there is a need for one or two additional inpatient adult cardiac catheterization programs in Department of Health and Rehabilitative Services District IX. Whether the application for certificate of need number 6626 filed by Good Samaritan Hospital, Inc. for an inpatient adult cardiac catheterization program in District IX should be approved.Adult inpatient cardiac catheter- computation of fixed need pool.

Whether a proposed development of regional impact (DRI), known as "Countryside Retirement Resort" is consistent with the statutory criteria set forth in Section 380.06(14), Florida Statutes (1989), and is entitled to a development order. Whether the application for development approval and request for rezoning was properly denied by the DeSoto County Board of Commissioners.Development of Regional Impact should be denied because it encourages urban sprawl; inconsistent with surrounding land uses; heavy traffic impact; inconsistent with state plan

Whether Petitioners (collectively referred to as "Humana") are entitled to exemptions from the Certificate of Need ("CON") Law, to establish certain services at their facilities, pursuant to Subsection 381.713(1)(b), Florida Statutes (1989), (a provision which was repealed by Chapter 91-282, Laws of Florida). Whether Intervenors have standing to contest the exemption requests of Humana.HMO exemption for inpatient institutional, but not tertiary services; HMO control via voting agreement.

The issue is whether certificate of need No. 4370 should be issued to the Visiting Nurse Association of Broward County to operate a hospice program, which will include five inpatient beds.Projection found in appl for Cert. of Need reasonable & acceptable. Cert of Need granted to operate a Hospice program which includes 5 inpatient bed.