Kendall Healthcare Group, Ltd. D/B/A Kendall Regional Medical Center and East Florida DMC-Inc. v. the Public Health Trust of Miami-Dade County, Florida, D/B/A Jackson Hospital West and Agency for Health Care Administration
CourtDistrict Court of Appeal of Florida
Date FiledMay 8, 2020
Docket1D18-1975
StatusPublished
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Full Opinion
FIRST DISTRICT COURT OF APPEAL
STATE OF FLORIDA
_____________________________
No. 1D18-1975
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KENDALL HEALTHCARE GROUP,
LTD., d/b/a KENDALL REGIONAL
MEDICAL CENTER and EAST
FLORIDA DMC-INC.,
Appellants/Cross-Appellees,
v.
THE PUBLIC HEALTH TRUST OF
MIAMI-DADE COUNTY, FLORIDA,
d/b/a JACKSON HOSPITAL WEST
and AGENCY FOR HEALTH CARE
ADMINISTRATION,
Appellees/Cross-Appellants.
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On appeal from a Final Order of the Division of Administrative
Hearings.
Justin M. Senior, Secretary.
May 8, 2020
M.K. THOMAS, J.
Kendall Regional Medical Center and East Florida DMC
(collectively referred to as Appellants) have appealed the Florida
Agency for Healthcare Administration’s (AHCA) entry of a final
administrative order denying East Florida DMC’s application for
a certificate of need (CON) for a new acute care, general hospital
in AHCA District 11. Appellants subsequently moved this Court
for an award of attorneys’ fees and costs for the proceedings below
and on appeal pursuant to Florida Rule of Appellate Procedure
9.400. Jackson Hospital West and AHCA (collectively referred to
as Appellees) moved for dismissal of all claims associated with this
appeal, reasoning that recent changes in Florida law rendered all
issues moot. We agree that no issues raised by the parties survive
a mootness analysis; therefore, we grant Appellees’ request for a
dismissal of all claims associated with this appeal.
For their part, Appellants do not dispute the contention that
the body of their claims for relief from AHCA’s denial have been
rendered moot. As Appellants acknowledge, effective on July 1,
2019, Chapter 2019-136 of the Laws of Florida eliminated the CON
process for general hospitals. See § 408.036(1), Fla. Stat.
(codification of Chapter 2019-136, removing new general hospitals
from those projects subject to AHCA review for need). Because the
requirement that Appellants obtain a CON in this instance has
been removed altogether, the question of whether AHCA
improperly denied East Florida DMC’s CON application under the
previous legal scheme is, logically, a moot issue. That said,
Appellants’ argue that one of their claims—that AHCA rejected
findings of fact in the recommended order—survives a mootness
analysis because agreement by this Court on the merits of the
claim would support collateral legal consequences by virtue of
Appellants’ claim to attorneys’ fees. Appellees counter that the
provisions of the Final Order cited as rejecting findings of fact did
no such thing; instead, Appellees argue that AHCA’s order simply
rejected the determination that there was a “need” for the hospital
according to law. We agree with Appellees.
Mootness of an argument on appeal will generally destroy
appellate jurisdiction; however, jurisdiction to decide the merits of
a claim will be preserved “if collateral legal consequences that
affect the rights of a party flow from the issue to be determined.”
Godwin v. State, 593 So. 2d 211, 212 (Fla. 1992). A mere possibility
that one might receive fees if successful is insufficient to be deemed
a “consequence” flowing from a claim. See Lund v. Dep’t of Health,
708 So. 2d 645, 647 (Fla. 1st DCA 1998). One of Appellant’s
arguments for fees, however, is based on more than mere
speculation that they would have prevailed and will be addressed
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in this opinion. See Soud v. Kendale Inc., 788 So. 2d 1051, 1053
(Fla. 1st DCA 1998) (“In the case before us, the award of fees
against the Council is not as speculative and is more than a lost
opportunity to potentially recover fees.”)
Appellants argument for attorneys’ fees based on AHCA’s
rejection of factual findings is grounded in section 120.595(5),
Florida Statues. Under the subsection, this Court:
. . . in its discretion may award reasonable attorney’s fees
and reasonable costs to the prevailing party if the court
finds that the appeal was frivolous, meritless, or an abuse
of the appellate process, or that the agency action which
precipitated the appeal was a gross abuse of the agency's
discretion. Upon review of agency action that precipitates
an appeal, if the court finds that the agency improperly
rejected or modified findings of fact in a recommended
order, the court shall award reasonable attorney’s fees
and reasonable costs to a prevailing appellant for the
administrative proceeding and the appellate proceeding.
§ 120.595(5), Fla. Stat. (emphasis added).
If Appellants are correct that AHCA’s final order rejects
factual findings and that said rejections were improper, they would
be automatically entitled to an award of attorneys’ fees by virtue
of section 120.595(5)’s directive that appellate courts “shall” award
attorneys’ fees where an agency has improperly rejected factual
findings of the recommended order. See Dep’t of Health v. Shands
Jacksonville Med. Ctr., Inc., 259 So. 3d 247, 250-51 (Fla. 1st DCA
2018) (addressing a moot appeal where the Florida Statutes would
have directed that courts “shall” assess attorneys’ fees if the
claimant was successful on the merits and finding that the party’s
potential “right” to attorneys’ fees was a collateral legal
consequence allowing this Court to address the merits of the claim
in spite of its mootness); Soud, 788 So. 2d at 1053 (distinguishing
a claim for attorneys’ fees in a moot appeal based on language
directing that courts “shall” award fees from more “speculative”
claims for fees depending on a court exercising its discretion to
award fees). Thus, Appellees’ claim regarding the putative factual
rejections raises a collateral legal consequence that would allow
this Court to rule on the merits of the claim, despite its mootness.
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Appellants’ claim is based on three alterations of the
recommended order that, Appellants assert, reject the
recommended order’s factual conclusions regarding population
statistics and geographic barriers to hospital access in the area.
We agree with Appellees that, when read in context, the
alterations complained of did not reject the specific factual findings
of the recommended order, but rejected only its conclusion that
there was a “need” according to statute and prior precedent. The
factual findings were not disturbed, only the conclusion that the
facts supported the need as claimed in East Florida DMC’s CON
application.
We note that when divorced from context, it appears at first
glance that Appellant’s argument has merit. When taken out of
context, the modifications could be interpreted as removing the
factual findings of the administrative law judge, however, once
placed in the context of the preceding and the reasoning offered in
the Final Order—which cites to said prior precedent interpreting
factual findings in the context of the ultimate needs analysis—it is
clear that the Final Order is rejecting the conclusion offered by the
recommended order that the evidence in question improved access
enough to constitute a statutory “need.” See Flagship Manor, LLC
v. Fla. Hous. Fin. Corp., 199 So. 3d 1090, 1094 (Fla. 1st DCA 2016)
(holding “an agency generally must follow its own precedents.”).
The Final Order does not reject the specific factual conclusions
that there were some geographic barriers to access, that the
population of Doral was dense, or that Kendall Regional Medical
Center needed to decompress. The modifications do not reweigh
the evidence or judge witnesses’ credibility. Instead, they conclude
that Appellant did not demonstrate need as a statutory matter
because it did not show that the cited factors impacted access to an
unreasonable level. This is the determination at the heart of the
needs analysis, and it is one that involves prior agency precedent
on point with this issue. Thus, the modifications were not factual
issues in the sense of a section 120.595(5) analysis.
Because we find that AHCA rejected legal conclusions instead
of facts, Appellants’ entitlement to attorneys’ fees is not automatic,
even if correct on the merits. Instead, any award would depend on
this Court choosing to exercise its discretion as provided in section
120.595(5). See § 120.595(5), Fla. Stat. (“[The Court,] in its
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discretion may award reasonable attorney’s fees and reasonable
costs to the prevailing party if the court finds . . . that the agency
action which precipitated the appeal was a gross abuse of the
agency’s discretion.”). Appellants may be correct that AHCA
improperly concluded that a need had not been demonstrated
under the prior statutory scheme. However, for the purposes of this
appeal addressing only attorneys’ fees, that issue is not relevant.
We find Appellants’ claim to attorneys’ fees is speculative and does
not provide a sufficient basis to exercise a discretionary award of
attorneys’ fees under section 120.595(5). Because the claim is
speculative, it cannot carry the appeal through the mootness issue.
Accordingly, all claims and cross-claims associated with this
appeal are DISMISSED as moot, and the motion for attorneys’ fees
is DENIED.
WOLF and B.L. THOMAS, JJ., concur.
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Not final until disposition of any timely and
authorized motion under Fla. R. App. P. 9.330 or
9.331.
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Stephen A. Ecenia, David M. Maloney, Tana D. Storey, and Craig
D. Miller of Rutledge Ecenia, P.A., Tallahassee, for
Appellants/Cross-Appellees.
Christopher C. Kokoruda and Eugene Shy, Jr., Assistant State
Attorneys, Miami; Thomas F. Panza, Paul C. Buckley, Elizabeth
L. Pedersen, and Angelina M. Gonzalez of Panza, Maurer &
Maynard, P.A., Fort Lauderdale, for Appellees/Cross-Appellants.
Tracy Cooper George of the Agency for Health Care
Administration, Tallahassee, for Appellee.
Michael J. Glazer, E. Dylan Rivers, Stephen C. Emmanuel, and
Alexandra E. Akre of Ausley McMullen, Tallahassee, for
Appellees.
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