Petitioner: HAINES CITY HMA, LLC, D/B/A HEART OF FLORIDA REGIONAL MEDICAL CENTER
Respondent: AGENCY FOR HEALTH CARE ADMINISTRATION
Judges: R. BRUCE MCKIBBEN
Agency: Agency for Health Care Administration
Locations: Tallahassee, Florida
Filed: Jan. 14, 2013
Status: Closed
Recommended Order on Tuesday, October 29, 2013.
Latest Update: Dec. 17, 2013
Summary: This proceeding concerns Heart of Florida’s Certificate of Need (CON) Application No. 10163 in which it seeks to add up to 14 Comprehensive Medical Rehabilitation (CMR) beds to its existing acute care hospital in Polk County (District 6), and Highlands Regional’s CON Application No. 10165 seeking to add up to seven CMR beds to its existing acute care hospital located in Highlands County (District 6). The CON Applications submitted by Heart of Florida and Highlands Regional were comparatively rev
Summary: This proceeding concerns Heart of Florida’s Certificate of Need (CON) Application No. 10163 in which it seeks to add up to 14 Comprehensive Medical Rehabilitation (CMR) beds to its existing acute care hospital in Polk County (District 6), and Highlands Regional’s CON Application No. 10165 seeking to add up to seven CMR beds to its existing acute care hospital located in Highlands County (District 6). The CON Applications submitted by Heart of Florida and Highlands Regional were comparatively reviewed with the following co-batched applications to establish new inpatient CMR units in District 6: HealthSouth Rehabilitation Hospital of Polk County, LLC (CON #10162), and Lakeland Regional Medical Center, Inc. (CON #10164). On December 7, 2012, the Agency for Health Care Administration (“AHCA”) preliminarily approved CON Application No. 10164, submitted by Lakeland Regional Medical Center, Inc., and denied all other co-batched applications. Each of the denied applicants filed a Petition for Formal Administrative Hearing to contest the denial of its application. The matters were consolidated into a single proceeding at DOAH. However, the files on Lakeland Regional and HealthSouth Rehabilitation were closed as of April 8, 2013, when the present Petitioners withdrew their opposition to approval of CON 10164 and HealthSouth voluntarily dismissed its petition for formal hearing. The issues remaining in this matter are whether the CON applications filed by Heart of Florida and Highlands Regional in Agency for Health Care Administration (AHCA or the Agency) District 6, satisfy, on balance, the applicable statutory and rule review criteria sufficiently to warrant approval and, if so, whether either or both of the applications should be approved.Neither Petitioner proved by a preponderance of evidence the existence of circumstances warranting approval of their CON applications.
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13000166AFO
STATE OF FLORIDA
AGENCY FOR HEALTH CARE ADMINISTRATION
HAINES CITY HMA, LLC d/b/a HEART OF FLORIDA REGIONAL MEDICAL CENTER,
Petitioner, CASE NO. 13-0166CON AHCA NO. 2013000323
V.
STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,
Respondent.
I SEBRING HOSPITAL MANAGEMENT ASSOCIATES, LLC d/b/a HIGHLANDS REGIONAL MEDICAL CENTER,
Petitioner,
V.
CASE NO. 13-0167CON AHCA NO. 2013000326
RENDITION NO.: AHCA-\' - II \ -FOF-OLC
STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,
Respondent.
I
FINAL ORDER
This case was referred to the Division of Administrative Hearings (DOAH) where the assigned Administrative Law Judge (ALJ), R. Bruce McKibben, conducted a formal administrative hearing. At issue in this proceeding is whether the Certificate of Need ("CON") applications filed by Petitioners to add Comprehensive Medical Rehabilitation ("CMR") beds to their existing acute care hospitals in Polk County, Agency for Health Care Administration ("Agency" or "AHCA") District 6, satisfy, on balance, the applicable statutory and rule review criteria, and, if so, whether either or both of the applications should be approved. The
Filed December 17, 2013 10:39 AM Division of Administrative Hearings
Recommended Order dated October 29, 2013 is attached to this final order and incorporated herein by reference.
RULINGS ON EXCEPTIONS
The parties did not file any exceptions to the Recommended Order.
FINDINGS OF FACT
The Agency hereby 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.
ORDER
Based upon the foregoing, both Haines City HMA, LLC d/b/a Heart of Florida Regional Medical Center's CON application no. 10163 and Sebring Hospital Management Associates, LLC d/b/a Highlands Regional Medical Center's CON application no. 10165 are hereby denied. The parties shall govern themselves accordingly.
DONE and ORDERED this / day o 3,in Tallahassee, Florida.
DEK, SECRETARY
EALTH CARE ADMINISTRATION
NOTICE OF RIGHT TO JUDICIAL REVIEW
A PARTY WHO IS ADVERSELY AFFECTED BY THIS FINAL ORDER IS ENTITLED TO A JUDICIAL REVIEW WHICH SHALL BE INSTITUTED BY FILING ONE COPY OF A NOTICE OF APPEAL WITH THE AGENCY CLERK OF AHCA, AND A SECOND COPY ALONG WITH THE FILING FEE AS 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 RENDITION OF THE ORDER TO BE REVIEWED.
2
CERTIFICATE OF SERVICE
I HEREBY CERTIFY that a true and correct copy of the foregoing Fi der has been fumish e method indicated to the persons named below on this / day of
,2013.
RICHARD J. S u , Agen e
Agency for Health Care Administration 2727 Mahan Drive, MS #3
Tallahassee, Florida 32308-5403
(850) 4IZ-3630
COPIES FURNISHED TO:
Honorable R. Bruce McKibben Administrative Law Judge
Division of Administrative Hearings (via electronic filing)
Geoffrey D. Smith, Esquire Susan C. Smith, Esquire Smith and Associates
2834 Remington Green Circle, Suite 201
Tallahassee, Florida 32308
Lorraine M. Novak, Esquire Assistant General Counsel (via email)
Molly McKinstry
Health Quality Assurance (via email)
Jan Mills
Facilities Intake Unit (via email)
3
Docket for Case No: 13-000166CON
Issue Date |
Proceedings |
Dec. 17, 2013 |
Agency Final Order filed.
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Dec. 17, 2013 |
Agency Final Order filed.
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Oct. 29, 2013 |
Recommended Order cover letter identifying the hearing record referred to the Agency.
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Oct. 29, 2013 |
Recommended Order (hearing held August 19, 2013). CASE CLOSED.
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Oct. 18, 2013 |
Heart of Florida and Highlands' Notice of Filing Proposed Recommended Order filed.
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Oct. 16, 2013 |
Agency Proposed Recommended Order filed.
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Sep. 17, 2013 |
Order Partially Granting Motion for Extension of Time.
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Sep. 17, 2013 |
Agreed Joint Motion to Extend Date for Filing Proposed Recommended Orders filed.
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Sep. 16, 2013 |
Transcript (Volumes I-IV; not available for viewing) filed. |
Aug. 19, 2013 |
CASE STATUS: Hearing Held. |
Aug. 16, 2013 |
The Agency for Health Care Administration's (Proposed) Exhibit List filed.
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Aug. 16, 2013 |
Petitioners' Notice of Filing Witness and (Proposed) Exhibit Lists filed.
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Aug. 13, 2013 |
Amended Notice of Hearing (hearing set for August 19, 20, 22, and 23, 2013; 9:00 a.m.; Tallahassee, FL; amended as to dates of hearing).
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Aug. 13, 2013 |
Agreed Joint Motion to Cancel One Day of Scheduled Final Hearing filed.
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Aug. 08, 2013 |
Heart of Florida's Third Amended Final Witness List filed.
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Aug. 07, 2013 |
Petitioners' Notice of Taking Telephone Deposition (of S. Riaz) filed.
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Aug. 06, 2013 |
The Agency for Health Care Administration's Cross Notice of Taking Deposition Duces Tecum (of Dr. Chaudri and Dr. Midence) filed.
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Aug. 06, 2013 |
The Agency for Health Care Administration's Notice of Taking Deposition (of B. Hess, C. Weed, and R. Palussek) filed.
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Aug. 06, 2013 |
The Agency for Health Care Administration's Cross Notice of Taking Deposition Duces Tecum (of N. Hill and C. Lamoreaux) filed.
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Aug. 06, 2013 |
Agency for Health Care Administration's Notice of Taking Deposition (of D. Breeding and A. Barnhart) filed.
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Aug. 06, 2013 |
Agency for Health Care Administration's Notice of Taking Deposition (of P. Thomson) filed.
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Aug. 06, 2013 |
The Agency for Health Care Administration's Cross Notice of Taking Deposition Duces Tecum (of Dr. Kahn, Dr. Messieh, Dr. Riaz, and Dr. Lopez-Menendez) filed.
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Aug. 06, 2013 |
Petitioners' Notice of Taking Depositions (of T. Chaudhri and R. Midence) filed.
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Aug. 06, 2013 |
Petitioners' Notice of Taking Depositions (of A. Kahn, S. Messieh, S. Riaz, and N. Hill) filed.
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Aug. 02, 2013 |
Agency for Health Care Administration's Notice of Reuttal Deposition Duces Tecum filed.
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Aug. 01, 2013 |
Joint Stipulation filed.
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Jul. 26, 2013 |
Petitioners' Notice of Taking Depositions (of A. Kahn, N. Hill, C. Lamoreaux, S. Messiah, G. Stewart, S. Riaz, and A. Lopez-Mendez) filed.
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Jul. 18, 2013 |
Heart of Florida's Second Amended Final Witness List filed.
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Jul. 10, 2013 |
Order Granting Continuance and Re-scheduling Hearing (hearing set for August 19 through 23, 2013; 9:00 a.m.; Tallahassee, FL).
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Jul. 10, 2013 |
Agreed Motion to Move Final Hearing filed.
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Jun. 21, 2013 |
The Agency for Health Care Administration's Responses to Heart of Florida Medical Center's First Request for Admissions (filed in Case No. 13-000167CON).
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Jun. 21, 2013 |
The Agency for Health Care Administration's Responses to Highlands Regional Medical Center's First Request for Admissions filed.
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Jun. 04, 2013 |
Heart of Florida Regional Medical Center and Highlands Regional Medical Center's Designation of Electronic Mail Address filed.
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May 22, 2013 |
Highlands Regional Medical Center's Request for Admissions to Agency for Health Care Administration filed.
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May 22, 2013 |
Heart of Florida Medical Center's Request for Admissions to Agency for Health Care Administration filed.
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May 21, 2013 |
Heart of Florida Regional Medical Center's Second Amended Notice of Taking Depositions Duces Tecum (of J. Gregg) filed.
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Apr. 29, 2013 |
Agency for Health Care Administration's Notice of Taking Depositions Duces Tecum (of P. Greenberg) filed.
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Apr. 29, 2013 |
Order Granting Continuance and Re-scheduling Hearing (hearing set for August 12 through 16, 2013; 9:00 a.m.; Tallahassee, FL).
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Apr. 29, 2013 |
Agency for Health Care Administration's Notice of Taking Depositions Duces Tecum (of P. Greenberg) filed.
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Apr. 23, 2013 |
Heart of Florida Regional Medical Center's Amended Notice of Taking Depositions Duces Tecum (of J. Gregg) filed.
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Apr. 19, 2013 |
Joint Unopposed Motion for Continuance filed.
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Apr. 05, 2013 |
Joint Motion to Sever amd Remand Lakeland Regional Medical Center, Inc.'s CON No. 10164 (filed in Case No. 13-000169CON).
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Apr. 05, 2013 |
Sebring Hospital Management Associates, LLC's Notice of Partial Voluntary Dismissal filed.
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Apr. 05, 2013 |
Haines City HMA, LLC's Notice of Partial Voluntary Dismissal filed.
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Mar. 29, 2013 |
Lakeland Regional Medical Center, Inc.'s Supplemental Final Witness List (filed in Case No. 13-000169CON).
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Mar. 29, 2013 |
Notice of Taking Deposition Duces Tecum (Brian Hess, CEO; Vicki Derenzs, CFO; Robert Palussek; Cheryl Weed; filed in Case No. 13-000169CON).
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Mar. 29, 2013 |
Notice of Taking Deposition Duces Tecum (Rowan Badenhorst; Denise Grimsley; Samuel S. Messieh, M.D.; Tahir Chaudhri, M.D.; and Mary Kay Burns, B.S.N., M.B.A.; filed in Case No. 13-000169CON).
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Mar. 29, 2013 |
Notice of Taking Deposition Duces Tecum (Donnie Breeding CEO; Tonja Mosley, FCO; Jan Thornton, CNE; Belinda Rieger; Geoffrey Stewart, M.D.; filed in Case No. 13-000169CON).
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Mar. 29, 2013 |
Notice of Taking Deposition Duces Tecum (Mark Sartoris; Shadid Riaz, M.D.; Aftab Khan, M.D.; Nathan Hill; Chad Lamoreaux, M.D.; Samuel Messieh, M.D.; filed in Case No. 13-000169CON).
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Mar. 29, 2013 |
Notice of Taking Deposition Duces Tecum (Pattie Thompson, Heather Lanzilotta, Ken Sauer, Paul Senft, and John Wood; filed in Case No. 13-000169CON).
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Mar. 29, 2013 |
Notice of Taking Deposition Duces Tecum (David Schell and Carlos Marcet; filed in Case No. 13-000169CON).
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Mar. 29, 2013 |
Notice of Taking Deposition Duces Tecum (Jim Harris; filed in Case No. 13-000169CON).
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Mar. 29, 2013 |
Notice of Taking Deposition Duces Tecum (Bill Wells and Kelly Curry; filed in Case No. 13-000169CON).
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Mar. 29, 2013 |
Notice of Taking Deposition Duces Tecum (Bonnie Coman, R.N.; filed in Case No. 13-000169CON).
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Mar. 29, 2013 |
Notice of Taking Deposition Duces Tecum (Kelly Johnson; filed in Case No. 13-000169CON).
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Mar. 29, 2013 |
Notice of Taking Deposition Duces Tecum (Richard Blood, M.D.; filed in Case No. 13-000169CON).
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Mar. 28, 2013 |
Heart of Florida Regional Medical Center's Second Interrogatories to Lakeland Regional Medical Center, Inc filed.
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Mar. 28, 2013 |
Highlands Regional Medical Center's Second Interrogatories to Lakeland Regional Medical Center, Inc filed.
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Mar. 25, 2013 |
Lakeland Regional Medical Center, Inc's Final Witness List (filed in Case No. 13-000169CON).
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Mar. 25, 2013 |
Healthsouth Rehabilitation Hospital of Polk County, LLC's Notice of Voluntary Dismissal (filed in Case No. 13-000168CON).
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Mar. 25, 2013 |
Heart of Florida Regional Medical Center's Final Witness List filed.
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Mar. 25, 2013 |
Highlands Regional Medical Center Final Witness List filed.
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Mar. 21, 2013 |
Highlands Regional Medical Center's Second Request for Admissions to Healthsouth Rehabilitation Hospital of Polk County, LLC filed.
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Mar. 21, 2013 |
Heart of Florida Regional Medical Center's Notice of Taking Deposition Duces Tecum (of J. Gregg) filed.
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Mar. 13, 2013 |
Healthsouth Rehabilitation Hospital of Polk County, LLC's Notice of Deposition Duces Tecum of Jeff Gregg (filed in Case No. 13-000168CON).
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Mar. 08, 2013 |
Heart of Florida Regional Medical Center's First Request for Admissions to HealthSouth Rehabilitation Hospital of Polk County, LLC filed.
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Mar. 08, 2013 |
Heart of Florida Regional Medical Center's First Request for Admssions to Lakeland Regional Medical Center filed.
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Mar. 08, 2013 |
Highlands Regional Medical Center's First Request for Admissions to Lakeland Regional Medical Center filed.
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Mar. 08, 2013 |
Highlands Regional Medical Center's First Request for Admission to HealthSouth Rehabilitation Hospital of Polk County, LLC filed.
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Mar. 08, 2013 |
Highlands Regional Medical Center and Preliminary Witness List filed.
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Mar. 08, 2013 |
Heart of Florida Regional Medical Center's Preliminary Witness List filed.
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Mar. 08, 2013 |
Lakeland Regional Medical Center, Inc.'s Preliminary Witness List (filed in Case No. 13-000169CON).
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Mar. 08, 2013 |
Notice of Appearance (of S. Frazier; filed in Case No. 13-000169CON).
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Mar. 08, 2013 |
Notice of Appearance (Jonathan L. Rue, John H. Parker, Jr., and Seann M. Frazier, filed in Case No. 13-000169CON).
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Mar. 08, 2013 |
Healthsouth Rehabilitation Hospital of Polk County, LLC's Preliminary Witness List (filed in Case No. 13-000168CON).
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Mar. 08, 2013 |
Notice of Appearance (of S. Frazier; filed in Case No. 13-000169CON).
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Mar. 08, 2013 |
The Agency for Health Care Administration's Preliminary and Final Witness List filed.
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Mar. 06, 2013 |
Notice of Service of Heart of Florida Regional Medical Center's First Set of Interrogatories to HealthSouth Rehabilitation Hospital of Polk County, LLC filed.
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Mar. 06, 2013 |
Notice of Service of Heart of Florida Regional Medical Center's First Set of Interrogatories to Lakeland Regional Medical Center filed.
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Mar. 06, 2013 |
Notice of Service of Highlands Regional Medical Center's First Set of Interrogatories to HealthSouth Rehabilitation Hospital of Polk County, LLC filed.
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Mar. 06, 2013 |
Notice of Service of Highlands Regional Medical Center's First Set of Interrogatories to Lakeland Regional Medical Center filed.
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Mar. 06, 2013 |
Haines City HMA, LLC d/b/a Heart of Florida Regional Medical Center's First Request for Production of Documents to HealthSouth Rehabilitation Hospital of Polk County, LLC filed.
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Mar. 06, 2013 |
Highlands Regional Medical Center's First Request for Production to HealthSouth Rehabilitation Hospital of Polk County, LLC filed.
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Mar. 06, 2013 |
Highlands Regional Medical Center's First Request for Production of Documents to HealthSouth Rehabilitation Hospital of Polk County, LLC filed.
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Mar. 04, 2013 |
Order of Pre-hearing Instructions.
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Mar. 04, 2013 |
CASE STATUS: Status Conference Held. |
Mar. 01, 2013 |
Heart of Florida Regional Medical Center's First Request for Production of Documents to Lakeland Regional Medical Center, Inc filed.
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Mar. 01, 2013 |
Highlands Regional Medical Center's First Request for Production of Documents to Lakeland Regional Medical Center, Inc filed.
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Feb. 28, 2013 |
Notice of Filing Joint Proposed Order of Pre-hearing Instructions filed.
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Feb. 26, 2013 |
Healthsouth Rehabilitation Hospital of Polk County, LLC's First Request for Production of Documents to Sebring Hospital Management Associates, LLC d/b/a Highlands Regional Medical Center (filed in Case No. 13-000168CON).
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Feb. 26, 2013 |
Notice of Service of Healthsouth Rehabilitation Hospital of Polk County, LLC's First Set of Interrogatories to Sebring Hospital Management Associates, LLC d/b/a Highlands Regional Medical Center (filed in Case No. 13-000168CON).
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Feb. 26, 2013 |
Healthsouth Rehabilitation Hospital of Polk County, LLC's First Request for Production of Documents to Haines City HMA, LLC d/b/a Heart of Florida Regional Medical Center (filed in Case No. 13-000168CON).
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Feb. 26, 2013 |
Notice of Service of Healthsouth Rehabilitation Hospital of Polk County, LLC's First Set of Interrogatories to Haines City HMA, LLC d/b/a Heart of Florida Medical Center (filed in Case No. 13-000168CON).
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Feb. 25, 2013 |
Healthsouth Rehabilitation Hospital of Polk County, LLC's First Request for Production of Documents to Lakeland Regional Medical Center, Inc (filed in Case No. 13-000168CON).
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Feb. 25, 2013 |
Healthsouth Rehabilitation Hospital of Polk County, LLC's First Request for Production of Documents to Lakeland Regional Medical Center, Inc (filed in Case No. 13-000168CON).
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Feb. 25, 2013 |
Notice of Service of Healthsouth Rehabilitation Hospital of Polk County, LLC's First Interrogatories to Lakeland Regional Medical Center, Inc (filed in Case No. 13-000168CON).
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Feb. 25, 2013 |
Lakeland Regional Medical Center, Inc.'s First Request for Production of Documents to Highlands Regional Medical Center (filed in Case No. 13-000169CON).
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Feb. 25, 2013 |
Lakeland Regional Medical Center, Inc.'s Notice of Service of First Set of Interrogatories and First Request for Production of Documents to Highlands Regional Medical Center (filed in Case No. 13-000169CON).
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Feb. 25, 2013 |
Lakeland Regional Medical Center, Inc.'s First Request for Production of Documents to Heart of Florida Regional Medical Center (filed in Case No. 13-000169CON).
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Feb. 25, 2013 |
Lakeland Regional Medical Center, Inc.'s Notice of Service of First Set of Interrogatories and First Request for Production of Documents to Heart of Florida Regional Medical Center (filed in Case No. 13-000169CON).
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Feb. 25, 2013 |
Lakeland Regional Medical Center, Inc.'s First Request for Production of Documents to HealthSouth Rehabilitation Hospital of Polk County, Florida (filed in Case No. 13-000169CON).
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Feb. 25, 2013 |
Lakeland Regional Medical Center, Inc.'s Notice of Service of First Set of Interrogatories and First Request for Production of Documents to HealthSouth Rehabilitation Hospital of Polk County, Florida (filed in Case No. 13-000169CON).
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Jan. 28, 2013 |
Notice of Hearing (hearing set for May 13 through 17, 20 through 24 and 29 through 31, 2013; 9:00 a.m.; Tallahassee, FL).
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Jan. 25, 2013 |
Joint Response to Initial Order (filed in Case No. 13-000169CON).
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Jan. 23, 2013 |
Order of Consolidation (DOAH Case Nos. 13-0166CON, 13-0167CON, 13-0168CON, and 13-0169CON).
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Jan. 22, 2013 |
Motion to Consolidate filed.
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Jan. 18, 2013 |
Notice of Transfer.
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Jan. 17, 2013 |
Initial Order.
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Jan. 14, 2013 |
Agency action letter filed.
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Jan. 14, 2013 |
Haines City HMA, LLC's Petition for Formal Administrative Hearing filed.
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Jan. 14, 2013 |
Notice (of Agency referral) filed.
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Orders for Case No: 13-000166CON