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SELECT SPECIALTY HOSPITAL-MARION, INC. vs AGENCY FOR HEALTH CARE ADMINISTRATION, 03-002483CON (2003)

Court: Division of Administrative Hearings, Florida Number: 03-002483CON Visitors: 30
Petitioner: SELECT SPECIALTY HOSPITAL-MARION, INC.
Respondent: AGENCY FOR HEALTH CARE ADMINISTRATION
Judges: T. KENT WETHERELL, II
Agency: Agency for Health Care Administration
Locations: Tallahassee, Florida
Filed: Jul. 09, 2003
Status: Closed
Recommended Order on Wednesday, July 14, 2004.

Latest Update: Sep. 28, 2004
Summary: The issue is whether the Agency should approve the Certificate of Need applications filed by Select-Marion and/or Kindred, each of which proposes to establish a new long-term care hospital in Marion County.Respondent should approve Kindred`s Certificate of Need (CON) application for a 31-bed, Long-Term Care Hospital (LTCH) and deny Select`s CON application for a 60-bed LTCH because only 49 beds were needed and Kindred`s proposal was more conservative.
7-14-04 STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION SELECT SPECIALTY HOSPITAL- MARION, INC., Petitioner, Vs. STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, Respondent. KINDRED HOSPITALS EAST, LLC, Petitioner, vs. AGENCY FOR HEALTH CARE ADMINISTRATION AND SELECT SPECIALTY HOSPITAL-MARION, INC., Respondents. FINAL ORDER LERK 2h SEP 15 Dp. 5) CASE NO. SRaRICONT CON 9647 FRAES 2003004422 CASE NO. 03-2810CON CON 9648 FRAES 2003005119 This cause was referred to the Division of Administrative Hearings and assigned to an Administrative Law Judge (ALJ) for a formal administrative hearing and the entry of a Recommended Order. The Recommended Order of July 14, 2004, is attached to this Final Order and incorporated herein by reference. RULING ON EXCEPTIONS No exceptions were filed. FINDINGS OF FACT The Agency adopts the findings of fact set forth in the Recommended Order. CONCLUSIONS OF LAW The Agency adopts the conclusions of law set forth in the Recommended Order. IT IS THEREFORE ADJUDGED THAT: The CON application of Kindred Hospitals East, LLC (CON 9648) is approved. The CON application of Select Specialty Hospital-Marion, Inc. (CON 9647) is denied. DONE and ORDERED in DOAH Case Nos. 03-2483CON and 03-2810CON this i day of Sehunba/ , 2004, in Tallahassee, Florida. STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION aw ALAN LEVINE, SECRETARY NOTICE OF RIGHT TO JUDICIAL REVIEW A PARTY WHO IS ADVERSELY AFFECTED BY THIS FINAL ORDER IS ENTITLED TO JUDICIAL REVIEW, WHICH SHALL BE INSTITUTED BY FILING THE ORIGINAL NOTICE OF APPEAL WITH THE AGENCY CLERK OF AHCA, AND A COPY ALONG WITH THE FILING FEE PRESCRIBED BY LAW WITH THE DISTRICT COURT OF APPEAL IN THE APPELLATE DISTRICT WHERE THE AGENCY MAINTAINS ITS HEADQUARTERS OR WHERE A PARTY RESIDES. REVIEW PROCEEDINGS SHALL BE CONDUCTED IN ACCORDANCE WITH THE FLORIDA APPELLATE RULES. THE NOTICE OF APPEAL MUST BE FILED WITHIN 30 DAYS OF THE RENDITION OF THE ORDER TO BE REVIEWED. CERTIFICATE OF SERVICE 1 HEREBY CERTIFY that a true and correct copy of the foregoing Final Order has been furnished by U.S. or interoffice mail to the persons named below on this 15 day of Untadlze, 2008 (‘haere eK \909 Agency Clerk State of Florida, Agency for Health Care Administration 2727 Mahan Drive, MS 3 Tallahassee, Florida 32308 (850) 922-5873 COPIES FURNISHED TO: T. Kent Wetherell, II Administrative Law Judge Division of Administrative Hearing 1230 Apalachee Parkway The DeSoto Building Tallahassee, Florida 32399-3060 Kenneth Gieseking, Esquire State of Florida, Agency for Health Care Administration 2727 Mahan Drive, Suite 3431 Fort Knox Building III, MS 3 Tallahassee, Florida 32308 Mark A. Emmanuele, Esq. Panza, Maurer & Maynard, P.A. Bank of America Building, Third Floor 3600 North Federal Highway Fort Lauderdale, Florida 33308-6225 Patricia A. Renovitch, Esq. Oertel, Hoffman, Fernandez & Cole, P.A. 301 South Bronough Street, Fifth Floor Post Office Box 1110 Tallahassee, Florida 32302-1110 John Hoover Medicaid Finance and Accounting 2727 Mahan Drive, MS 14 Tallahassee, Florida 32308 Liz Dudek Deputy Secretary Agency for Health Care Administration 2727 Mahan Drive, MS # 12 Tallahassee, Florida 32308

Docket for Case No: 03-002483CON
Issue Date Proceedings
Sep. 28, 2004 Select Specialty Hospital-Marion, Inc. Waiver of Right to Appeal (filed via facsimile).
Sep. 17, 2004 Final Order filed.
Jul. 16, 2004 Notice of Appearance and Substitution of Counsel (filed by K. Gieseking, Esquire).
Jul. 14, 2004 Recommended Order (hearing held April 20, 2004). CASE CLOSED.
Jul. 14, 2004 Recommended Order cover letter identifying the hearing record referred to the Agency.
Jul. 09, 2004 Notice of Withdrawal filed by R. Saliba.
Jul. 08, 2004 Petitioner, Select Specialty Hospital-Marion, Inc.`s Reply to Kindred Hospitals East, LLC`s Response in Opposition to Request for Judicial Notice (filed via facsimile).
Jun. 25, 2004 Response in Opposition to Select-Marion`s Amended Request for Judicial Notice of Rule Proposed May 18, 2004 by CMS (filed by Petitioner via facsimile).
Jun. 21, 2004 Amended Request for Judicial Notice filed by Petitioner.
Jun. 18, 2004 Amended Request for Judicial Notice (filed by Petitioner via facsimile).
Jun. 16, 2004 Order Denying Request for Judicial Notice.
Jun. 15, 2004 Request for Judicial Notice (filed by Petitioner via facsimile).
Jun. 15, 2004 Proposed Recommended Order of Select Specialty Hospital-Marion, Inc. (filed via facsimile).
Jun. 14, 2004 Joint Proposed Recommended Order Submitted by Kindred Hospitals East, LLC and the Agency for Health Care Administration filed.
Jun. 02, 2004 Order Granting Extension of Time (parties` proposed recommended orders shall be filed no later than June 14, 2004).
Jun. 01, 2004 Unopposed Motion for Enlargement of Time to Submit Proposed Recommended Orders (filed by Petitioner via facsimile).
May 20, 2004 Notice of Correction to Final Hearing Transcript filed by M. Farnsworth.
May 17, 2004 Transcript (Volumes I, II, III, IV, and V) filed.
Apr. 20, 2004 CASE STATUS: Hearing Held.
Apr. 15, 2004 Amended Notice of Hearing (hearing set for April 20, 2004; 9:00 a.m.; Tallahassee, FL; amended as to commencement date of hearing).
Apr. 14, 2004 Letter to Judge Wetherell from D. Platz regarding resetting the final hearing (filed via facsimile).
Apr. 13, 2004 Joint Prehearing Statement filed by P. Renovitch.
Apr. 02, 2004 Third Amended Notice of Taking Telephonic Deposition Duces Tecum (P. Greenberg) filed.
Mar. 23, 2004 Notice of Deposition Duces Tecum (2), (K. Rivera and J. Gregg) filed via facsimile.
Mar. 17, 2004 Select Specialty Hospital-Marion, Inc.`s Notice of Conflict (filed via facsimile).
Mar. 17, 2004 Order Granting Continuance and Re-scheduling Hearing (hearing set for April 19 through 23, 2004; 9:00 a.m.; Tallahassee, FL).
Mar. 15, 2004 Supplemental Order of Pre-hearing Instructions.
Mar. 15, 2004 Notice of Change of Agency Position (filed by Respondent via facsimile).
Mar. 11, 2004 Kindred`s and AHCA`s Motion to Continue and Reschedule Final Hearing filed.
Mar. 11, 2004 Notice of Telephonic Scheduling Conference filed by M. Bryant.
Jan. 30, 2004 Notice of Taking Telephonic Deposition Duces Tecum (S. Muldoon) filed.
Jan. 16, 2004 Amended Notice of Hearing (hearing set for March 29 through April 2, 2004; 9:00 a.m.; Tallahassee, FL, amended as to dates of hearing).
Jan. 15, 2004 Kindred`s Consented Motion to Reschedule Final Hearing filed.
Jan. 12, 2004 Notice of Hearing (hearing set for April 19 through 23, 2004; 9:00 a.m.; Tallahassee, FL).
Jan. 09, 2004 Notice of Appearance as Co-Counsel (filed by D. Riselli, Esquire, via facsimile).
Jan. 08, 2004 Joint Notice of Disclosure Regarding dates of Availability for Final Hearing (filed by D. Platz via facsimile).
Jan. 08, 2004 Order Granting Continuance (parties to advise status by January 16, 2004).
Jan. 07, 2004 Emergency Motion to Continue (filed by Respondent via facsimile).
Jan. 06, 2004 Joint Motion to Enlarge Time within which to file Pre-hearing Stipulation (filed by M. Emanuele via facsimile).
Dec. 17, 2003 Notice of Taking Telephonic Deposition Duces Tecum (2), (Person with the Most Knowledge Regarding Kindred`s response to Patti Greenberg`s Criticisms of Kindred`s Application as it Relates to Financial Feasibility and J. Grant) filed via facsimile.
Dec. 17, 2003 Kindred and AHCA Witness and Exhibit Lists (filed via facsimile).
Dec. 16, 2003 Petitioner, Select Specialty Hospital-Marion, Inc.`s Witness List (filed via facsimile).
Dec. 16, 2003 Petitioner, Select Specialty Hospital-Marion, Inc.`s Exhibit List (filed via facsimile).
Dec. 10, 2003 Amended Order. (Kindred`s request to present expert testimony in response to the expert testimony of P. Greenberg on the issue of financial feasibility is granted).
Dec. 10, 2003 Letter to Judge Hixson from P. Renovitch regarding Order dated December 9, 2003 filed.
Dec. 09, 2003 Order. (Kindred Hospitals East, LLC`s request that the parties exchange thier final witness and exhibit lists by December 15, 2003, is granted.)
Dec. 08, 2003 Petitioner, Select Specialty Hospital-Marion, Inc.`s Reply to Kindred Hospitals East, LLC,`s Response in Opposition to Select Specialty Hospital-Marion, Inc.`s Motion to Permit Expert Opinion Testimony Regarding Financial Feasibility (filed via facsimile).
Dec. 04, 2003 Notice of Unavailability and Objection to Motion to Permit Expert Opinion Testimony Regarding Financial Feasibility (filed by Respondent via facsimile).
Dec. 03, 2003 Amended Notice of Telephonic Hearing (filed by P. Renovitch via facsimile).
Dec. 02, 2003 Notice of Telephonic Hearing (filed by P. Renovitch via facsimile).
Dec. 01, 2003 Kindred`s Response in Opposition to the Motion of Select Specialty Hospital-Marion, Inc., to Permit Expert Opinion Testimony Regarding Financial Feasibility and Request for Oral Argument filed.
Nov. 24, 2003 Motion to Permit Expert Opinion Testimony Regarding Financial Feasibility (filed by Petitioner via facsimile).
Nov. 12, 2003 Order. (the parties shall file their prehearing stipulation by January 5, 2004).
Nov. 10, 2003 Second Amended Notice of Taking Telephonic Deposition Duces Tecum (P. Greenberg) filed via facsimile.
Nov. 07, 2003 Consented Motion for Extension of Time within which to file Pre-hearing Stipulation filed by P. Renovitch.
Nov. 06, 2003 Petitioner`s Notice of Unavailability (filed by M. Emanuele via facsimile).
Nov. 03, 2003 Order Granting Continuance and Re-scheduling Hearing (hearing set for January 12 through 16, 2004; 9:00 a.m.; Tallahassee, FL).
Oct. 29, 2003 Kindred`s Response in Opposition to Select Specialty Hospital-Marion, Inc. Motion for Continuance of Scheduled November 17-21, 2003 Formal Hearing and Request for Oral Argument filed.
Oct. 29, 2003 Petitioner Select-Marion`s Motion for Continuance (filed via facsimile).
Oct. 28, 2003 Notice of Taking Telephonic Deposition Duces Tecum (9), ( B. Lankford, J. Cowgill, P. Clark, C. Cregan, B. Wurdock, J. Caron, J. Novak, T. Hunkins, and S. Muldoon) filed via facsimile.
Oct. 28, 2003 Amended Notice of Taking Telephonic Deposition Duces Tecum (M. Medlin) filed via facsimile).
Oct. 23, 2003 Notice of Taking Telephonic Deposition Duces Tecum (M. Medlin) filed.
Oct. 22, 2003 Notice of Taking Telephonic Deposition Duces Tecum (4), (C. Foster, P. Greenburg, G. Sassman, and S. Baird) filed.
Oct. 22, 2003 Notice of Conflict (filed by Respondent via facsimile).
Oct. 07, 2003 Select Specialty Hospital - Marion, Inc.`s Answers to First Set of Interrogatories Propounded by Kindred Hospitals East, LLC (filed via facsimile).
Oct. 07, 2003 Select Specialty Hospital - Marion, Inc.`s Responses to Kindred`s First Request for Production of Documents (filed via facsimile).
Oct. 07, 2003 Select Specialty Hospital - Marion, Inc.`s Notice of Service of Answers to First Set of Interrogatories Propounded by Kindred Hospitals East, LLC (filed via facsimile).
Oct. 01, 2003 Order Granting Enlargement of Time. (Select Specialty Hospital - Marion, Inc., shall have up to and including October 7, 2003, by which to serve responses to discovery requests)
Sep. 30, 2003 Amended Order of Pre-hearing Instructions.
Sep. 29, 2003 Notice of Telephonic Hearing (filed M. Bryant via facsimile).
Sep. 26, 2003 Kindred`s Response in Objection to Select Specialty Hospital-Marion, Inc. Motion for Enlargement of Time to Respond to Discovery and Request for Oral Argument filed.
Sep. 26, 2003 Select-Marion Motion for Enlargement of Time to Respond to Discovery (filed via facsimile).
Sep. 24, 2003 Kindred`s Notice of Service of Responses and Objections to First Set of Interrogatories From Select Speciality Hospital-Marion, Inc. filed.
Sep. 24, 2003 Kindred`s Responses and Objections to the First Request for Production of Document From Select Speciality Hospital-Marion, Inc. filed.
Sep. 17, 2003 Notice of Appearance (filed by M. Emanuele, Esquire, via facsimile).
Aug. 29, 2003 Notice of Service of Interrogatories filed by P. Renovitch.
Aug. 29, 2003 Kindred`s First Request for Production of Documents to Select Speciality Hospital-Marion, Inc. filed.
Aug. 26, 2003 Order. (Select Specialty Hospital - Marion, Inc. petition to intervene is denied)
Aug. 25, 2003 Select Specialty Hospital - Marion, Inc.`s First Request for Production of Documents to Kindred Hospitals East, LLC (filed via facsimile).
Aug. 25, 2003 Select Specialty Hospital - Marion, Inc.`s Notice of Service of First Set of Interrogatories to Kindred Hospitals East, LLC (filed via facsimile).
Aug. 14, 2003 Order of Pre-hearing Instructions.
Aug. 14, 2003 Notice of Hearing (hearing set for November 17 through 21, 2003; 9:00 a.m.; Tallahassee, FL).
Aug. 13, 2003 Motion for Consolidation Related Cases (of case no(s): 03-2810CON, 03-2483CON) filed by Petitioner.
Aug. 13, 2003 Order of Consolidation issued. (consolidated cases are: 03-002483CON, 03-002810CON)
Aug. 11, 2003 Response to Initial Order and Motion to Join Kindred`s Motion to Consolidated Related Cases (cases requested to be consolidated 03-2483, 03-2810) (filed by D. Platz via facsimile).
Aug. 05, 2003 Order Granting Third Extension (to respond to Initial Order; response due 8/11/2003).
Aug. 04, 2003 Third Motion to Extend Time to File Response to Initial Order (filed via facsimile).
Jul. 30, 2003 Order Granting Second Extension. (the parties shall have up to and including August 4, 2003, to file their response to the initial order)
Jul. 28, 2003 Motion to Extend Time to File Response to Initial Order (filed by Petitioner via facsimile).
Jul. 18, 2003 Order Granting Extension (parties have up to and including July 25, 2003, to file their responses to the Initial Order).
Jul. 16, 2003 Motion to Extend Time to File Response to Initial Order (filed by Petitioner via facsimile).
Jul. 10, 2003 Initial Order.
Jul. 09, 2003 Select Specialty Hospital - Marion, Inc., Petition for Administrative Hearing filed.
Jul. 09, 2003 Notice (of Agency referral) filed.

Orders for Case No: 03-002483CON
Issue Date Document Summary
Sep. 14, 2004 Agency Final Order
Aug. 04, 2004 Recommended Order Respondent should approve Kindred`s Certificate of Need (CON) application for a 31-bed, Long-Term Care Hospital (LTCH) and deny Select`s CON application for a 60-bed LTCH because only 49 beds were needed and Kindred`s proposal was more conservative.
Source:  Florida - Division of Administrative Hearings

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