Day Kimball Healthcare, Inc. v. Dept. of Public Health
CourtConnecticut Appellate Court
Date FiledNovember 10, 2026
DocketAC48313
JudgeMoll; Suarez; Seeley
StatusPublished
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Full Opinion
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Day Kimball Healthcare, Inc. v. Dept. of Public Health
DAY KIMBALL HEALTHCARE, INC. v.
DEPARTMENT OF PUBLIC
HEALTH ET AL.
(AC 48313)
Moll, Suarez and Seeley, Js.
Syllabus
The plaintiff, which owned and operated an acute care hospital, appealed from
the Superior Court’s judgment dismissing its administrative appeal from
the decision of the named defendant, the Department of Public Health. The
department previously had approved the application of the defendant H Co.
for a certificate of need, pursuant to statute ((Rev. to 2019) § 19a-639 (a)),
to establish an ambulatory surgery center in the plaintiff’s primary service
area. Prior to the public hearing on H Co.’s application, the plaintiff was
granted intervenor status. The plaintiff claimed that the court improperly
dismissed its appeal for lack of subject matter jurisdiction on the basis of its
determination that the plaintiff failed to demonstrate statutory or classical
aggrievement as required to maintain its appeal. Held:
The plaintiff’s claim that the Superior Court improperly dismissed its
administrative appeal for lack of subject matter jurisdiction on the basis of
its determination that the financial and competitive interests asserted by
the plaintiff were not within the zone of interests protected by § 19a-639
(a) was unavailing, as the plaintiff provided no Connecticut authority in
support of its contentions that the statutes governing certificates of need
afforded the plaintiff a protected property interest, and the plaintiff’s asser-
tion that, as a licensed health care provider, it was required to comply with
current requirements under the certificate of need statutes did not provide
the plaintiff with standing to challenge the approval of a certificate of need
for a market competitor.
The trial court properly dismissed the plaintiff’s administrative appeal for
lack of subject matter jurisdiction, as the plaintiff did not demonstrate that
it was classically aggrieved by the department’s decision approving H Co.’s
application for a certificate of need, the plaintiff having failed to demonstrate
the existence of a specific, personal and legal interest in the granting of a
certificate of need to a market competitor, and, even if it is assumed that the
plaintiff had such interest, if failed to demonstrate that any such interest
was specially and injuriously affected by that action.
Argued April 9—officially released November 10, 2026
Procedural History
Appeal by the plaintiff from the decision of the named
defendant approving the application of the defendant
HHC Plainfield Surgery Center, LLC, for a certificate of
need to open an ambulatory surgery center, brought to
Day Kimball Healthcare, Inc. v. Dept. of Public Health
the Superior Court in the judicial district of Windham
and transferred to the judicial district of New Britain,
where the court, Cordani, J., denied the defendants’
motions to dismiss; thereafter, the court, Budzik, J.,
granted the defendants’ motions to dismiss and rendered
judgment of dismissal, from which the plaintiff appealed
to this court. Affirmed.
Patrick J. Monahan II, with whom were Michael
McPerson and, on the brief, Sandra L. Smith, for the
appellant (plaintiff).
Melanie A. Dillon, assistant attorney general, with
whom, on the brief, was William Tong, attorney general,
for the appellees (named defendant et al.).
Jesse A. Langer, with whom, on the brief, was Jeffrey
D. Bausch, for the appellee (defendant HHC Plainfield
Surgery Center, LLC).
Opinion
SEELEY, J. The plaintiff, Day Kimball Healthcare,
Inc., which owns and operates Day Kimball Hospital, an
independent, acute care hospital that is licensed by the
defendant Department of Public Health (department),
appeals from the judgment of the Superior Court dis-
missing its administrative appeal from the decision of
the department approving, pursuant to General Stat-
utes (Rev. to 2019) § 19a-639 (a),1 a certificate of need
application of the defendant HHC Plainfield Surgery
Center, LLC (HHC), to open an ambulatory surgery cen-
ter in Plainfield. On appeal, the plaintiff claims that the
court improperly dismissed its administrative appeal
for lack of subject matter jurisdiction on the basis of its
determination that the plaintiff failed to demonstrate
aggrievement as required to maintain its administrative
1
General Statutes (Rev. to 2019) § 19a-639 (a) provides: “In any
deliberations involving a certificate of need application filed pursuant
to section 19a-638, the [Health Systems Planning Unit] shall take into
Day Kimball Healthcare, Inc. v. Dept. of Public Health
appeal. We disagree and affirm the judgment of the
Superior Court.
The following factual and procedural history, as dem-
onstrated by the record and set forth by the court in its
memorandum of decision, is relevant to this appeal. “On
consideration and make written findings concerning each of the follow-
ing guidelines and principles:
“(1) Whether the proposed project is consistent with any applicable
policies and standards adopted in regulations by the Office of Health
Strategy;
“(2) The relationship of the proposed project to the state-wide health
care facilities and services plan;
“(3) Whether there is a clear public need for the health care facility
or services proposed by the applicant;
“(4) Whether the applicant has satisfactorily demonstrated how the
proposal will impact the financial strength of the health care system in
the state or that the proposal is financially feasible for the applicant;
“(5) Whether the applicant has satisfactorily demonstrated how the
proposal will improve quality, accessibility and cost effectiveness of
health care delivery in the region, including, but not limited to, provi-
sion of or any change in the access to services for Medicaid recipients
and indigent persons;
“(6) The applicant’s past and proposed provision of health care services
to relevant patient populations and payer mix, including, but not lim-
ited to, access to services by Medicaid recipients and indigent persons;
“(7) Whether the applicant has satisfactorily identified the population
to be served by the proposed project and satisfactorily demonstrated
that the identified population has a need for the proposed services;
“(8) The utilization of existing health care facilities and health care
services in the service area of the applicant;
“(9) Whether the applicant has satisfactorily demonstrated that the
proposed project shall not result in an unnecessary duplication of exist-
ing or approved health care services or facilities;
“(10) Whether an applicant, who has failed to provide or reduced access
to services by Medicaid recipients or indigent persons, has demonstrated
good cause for doing so, which shall not be demonstrated solely on the
basis of differences in reimbursement rates between Medicaid and other
health care payers;
“(11) Whether the applicant has satisfactorily demonstrated that the
proposal will not negatively impact the diversity of health care provid-
ers and patient choice in the geographic region; and
“(12) Whether the applicant has satisfactorily demonstrated that
any consolidation resulting from the proposal will not adversely affect
health care costs or accessibility to care.”
Our references in this opinion to § 19a-639 (a) are to the 2019 revision
of the statute unless otherwise indicated.
Day Kimball Healthcare, Inc. v. Dept. of Public Health
July 22, 2019, HHC filed an application for a [certificate
of need] with the Health Systems Planning Unit . . . of
[the defendant Office of Health Strategy]2 to open a new
[ambulatory surgery center] at 584 Norwich Road in
Plainfield . . . . HHC is an affiliate of Hartford Health-
Care Corporation. . . . Opening an [ambulatory surgery
center] requires a [certificate of need] from the [Health
Systems Planning Unit]. See General Statutes § 19a-638
(a) (6). By law, the ‘Commissioner of Health Strategy
shall oversee the Health Systems Planning Unit and
shall exercise independent decision-making authority
over all certificate of need decisions.’ General Statutes
[Rev. to 2019] § 19a-612d.
“HHC’s proposed [ambulatory surgery center] will have
two operating rooms and two additional rooms for future
use. . . . The [ambulatory surgery center] will initially
focus on orthopedics, pain management, urology, and
gastroenterology. . . . The [ambulatory surgery center’s]
primary service area is intended to be all the towns within
a twenty mile radius of Plainfield. . . .
“[The plaintiff] is a not-for-profit corporation with its
principal office at 320 Pomfret Street in Putnam . . . .
[The plaintiff] owns and operates Day Kimball Hospi-
tal. . . . Day Kimball Hospital provides the full range
of health care services typical of a general acute care
hospital, including outpatient surgery.” (Citations omit-
ted; footnote added; footnote omitted.) “Day Kimball
Hospital serves many of the general health care needs of
the residents of northeastern Connecticut, including at
General Statutes § 19a-638 (a) sets forth the circumstances under
which the issuance of a certificate of need is required, and subsection
(b) sets forth those in which a certificate of need is not required. Under
subsection (a) (6), a certificate of need must be obtained for “[t]he
establishment of an outpatient surgical facility . . . .” General Statutes
§ 19a-638 (a) (6).
2
The Health Systems Planning Unit “administer[s] the certificate of
need application process for health care facilities” and operates as a unit
within the department. High Watch Recovery Center, Inc. v. Dept. of
Public Health, 352 Conn. 697, 700 n.2, 339 A.3d 619 (2025); see also
General Statutes (Rev. to 2019) § 19a-612d.
Day Kimball Healthcare, Inc. v. Dept. of Public Health
least some of the towns within the primary service area
proposed for the [ambulatory surgery center].”
“On January 27, 2020, [the plaintiff] submitted a
request for [a] hearing on HHC’s [certificate of need]
application. . . . On March 13, 2020, [the plaintiff] was
granted intervenor status.3 . . . From August 12 through
28, 2020, [the Office of Health Strategy] held a virtual
public hearing on the application.”4 (Citations omitted;
footnote in original.) At the virtual public hearing, “Paul
Beaudoin, chief financial officer and interim chief execu-
tive officer of [the plaintiff], testified as follows: ‘Clearly,
the proposed [ambulatory surgery center] service area
overlaps with [the plaintiff’s] service area. More than 50
percent of our outpatient surgery volume is generated by
the towns in the proposed [ambulatory surgery center]
service area. Further, two of the three physician letters
of support included in the application are from orthope-
dic surgeons with privileges at Day Kimball [Hospital],
leading us to reasonably conclude that our medical staff
physicians are targets for prospective investor posi-
tions in the proposed [ambulatory surgery center]. . . .
The unfortunate reality is that once licensed, absent
any extraordinary government mandated restriction,
an [ambulatory surgery center] can offer any surgical
specialty, regardless of what the [certificate of need]
application presently says the applicant intends to offer.
“ ‘Another reality is that compliance minded physician
investors who take heed of federal safe harbor regulations
have a regulatory incentive to move substantial patient
volume from [hospital outpatient department surgery]
to the [ambulatory surgery center]. There is also a built-
in economic incentive for physician investors to steer
3
“Intervenor status, by itself, does not establish aggrievement. See
New England Rehabilitation Hospital of Hartford, Inc. v. Commis-
sion on Hospitals & Health Care, 226 Conn. 105, 132, 627 A.2d 1257
(1993) . . . .”
4
“As the basis for its claimed aggrievement, [the plaintiff] contend[ed]
that granting a [certificate of need] to HHC for an [ambulatory surgery
center] [would] harm [the plaintiff’s] financial health and its ability to
compete for patient business.”
Day Kimball Healthcare, Inc. v. Dept. of Public Health
higher paying commercial patients to the [ambulatory
surgery center] and direct Medicaid patients to [hospital
outpatient department surgery]. Outpatient surgery
contributes positively to [Day Kimball Hospital’s] bottom
line. We are an independent hospital, without the inher-
ent financial flexibility and support that the hospitals of
the large and sprawling health systems in Connecticut
enjoy. As an independent community hospital, our board
of directors insists on maintaining our commitment
to access—every member of our community has equal
access to all services that we provide regardless of ability
to pay. Day Kimball [Hospital] is the sole hospital in the
so-called “quiet corner” of Connecticut. We rely upon our
service lines that produce a positive contribution margin
to underwrite our Medicaid intensive services such as
obstetrics, behavioral health, and the emergency depart-
ment. Our Medicaid burden for these services [is] 38.3
percent for the emergency department, 48.1 percent for
inpatient behavioral health, and 55.7 percent for obstet-
rics. In [fiscal year] 2018, as noted in the most recent
annual report [of the Office of Health Services] on the
financial status of Connecticut’s short-term acute care
hospitals, Medicaid reimbursed [the plaintiff] sixty-seven
cents for every dollar of cost. Granting this proposal will
have a direct negative impact on [the plaintiff’s] ability
to provide services to Medicaid recipients. It should be
noted that every town in our service area is a designated
health services professional shortage area for behavioral
health. . . . Day Kimball [Hospital] is the sole Connecticut
hospital and/or Connecticut hospital affiliated provider
of behavioral health in our service area. A loss of profit-
able outpatient surgical cases will impede our ability to
continue to provide our services at the current level.’ ”
“By a settlement agreement and order dated Janu-
ary 25, 2021, [the department, via the Office of Health
Strategy] approved HHC’s application for a [certificate
of need] to open an [ambulatory surgery center].” The
plaintiff subsequently filed an administrative appeal
with the Superior Court pursuant to General Statutes
Day Kimball Healthcare, Inc. v. Dept. of Public Health
(Rev. to 2019) § 19a-6415 and General Statutes § 4-183
(a).6 In its administrative appeal, the plaintiff alleged
that HHC “failed to satisfy its burden with respect to
all or some of the principles and guidelines set forth
in [§] 19a-639 (a) (1) [through] (12)”; see footnote 1 of
this opinion; and that it was prejudiced and aggrieved
by the department’s final decision approving HHC’s
application for a certificate of need. Specifically, the
plaintiff alleged that its substantial rights as a licensed
acute care hospital were prejudiced by the final decision
approving HHC’s application for a certificate of need
because, inter alia, that decision and the findings and
conclusions therein violated constitutional or statu-
tory provisions, were in excess of statutory authority
and were made upon unlawful procedure, in that HHC
did not satisfy its burden under § 19-639 (a) (1) through
(12), thereby rendering its application legally deficient.
The plaintiff further alleged that it had been granted
intervenor status, which included the right to “be copied
on all pleadings, correspondence and filings submitted
from this point forward by [HHC] until the issuance of a
final decision” and that, as an intervenor, it was granted
express rights to fundamental fairness and due process
of law, which were violated when the department, via
the Office of Health Strategy, “issued its final decision
5
General Statutes (Rev. to 2019) § 19a-641 provides in relevant part:
“Any health care facility or institution and any state health care facil-
ity or institution aggrieved by any final decision of said unit under
the provisions of sections 19a-630 to 19a-639e, inclusive, may appeal
from such decision in accordance with the provisions of section 4-183,
except venue shall be in the judicial district in which it is located. . . .”
Our references in this opinion to § 19a-641 are to the 2019 revision
of the statute.
Pursuant to General Statutes § 19a-630 (10), a “ ‘[h]ealth care facility’
means (A) hospitals licensed by the Department of Public Health under
chapter 368v . . . . ‘Health care facility’ includes any parent company,
subsidiary, affiliate or joint venture, or any combination thereof, of
any such facility.”
6
General Statutes § 4-183 (a) provides: “A person who has exhausted
all administrative remedies available within the agency and who is
aggrieved by a final decision may appeal to the Superior Court as pro-
vided in this section. The filing of a petition for reconsideration is not
a prerequisite to the filing of such an appeal.”
Day Kimball Healthcare, Inc. v. Dept. of Public Health
after ex parte communications [with HHC] in complete
disregard of the rights granted to [the plaintiff as an]
intervenor . . . [and] denied [the plaintiff] notice or [an]
opportunity to be heard or to otherwise provide input
in the apparent ex parte process that led to a final deci-
sion.” (Emphasis omitted; internal quotation marks
omitted.) According to the allegations, the plaintiff
had presented “substantial evidence demonstrating
material deficiencies in the application and the many
reasons why [HHC] had failed to meet its burden,” but
its evidence was “wholly disregarded . . . .” The plain-
tiff alleged further that the department failed to give
proper weight to its evidence demonstrating that “the
application, if granted, would negatively impact health
care delivery in northeastern Connecticut,” and, in par-
ticular, the plaintiff, because (1) “more than 50 percent
of [the plaintiff’s] outpatient surgery volume, which
contributes positively to [the plaintiff’s] bottom line, is
generated by the towns in the applicant’s proposed . . .
service area,” (2) the plaintiff “relies on outpatient
surgery volume to underwrite its Medicaid intensive
services such as obstetrics, behavioral health and the
emergency department,” (3) “the proposed [ambulatory
surgery center] would have a direct negative impact on
[the plaintiff’s] ability to provide services to Medicaid
recipients,” and (4) “a 30 to 40 percent reduction in [the
plaintiff’s] outpatient surgery and endoscopy cases as
a result of the proposed [ambulatory surgery center]
would result in a 2.5 to 3.5 million dollar reduction in
[the plaintiff’s] operating results . . . .”
Thereafter, HHC filed a motion to dismiss the plain-
tiff’s administrative appeal, alleging that the plaintiff
lacked statutory and classical aggrievement to maintain
its appeal. The department and the Office of Health
Strategy filed a motion to dismiss on similar grounds.
The court, Cordani, J., denied both motions, finding
that the plaintiff sufficiently had alleged aggrievement.
The parties subsequently filed briefs in support of their
respective positions concerning the plaintiff’s appeal,
and the court, Budzik, J., heard argument on August 13,
Day Kimball Healthcare, Inc. v. Dept. of Public Health
2024. In its brief, the plaintiff repeated its allegations
that “the [certificate of need] application, if granted,
would negatively impact the health care delivery system
in northeastern Connecticut, specifically Day Kimball
[Hospital], because more than 50 percent of Day [Kimball
Hospital’s] outpatient surgery volume, which contributes
positively to [the plaintiff’s] bottom line, is generated
by the towns in the applicant’s proposed [ambulatory
surgery center] service area. . . . Day Kimball [Hospital]
relies on its outpatient surgery volume to underwrite its
Medicaid intensive services such as obstetrics, behavioral
health, and the emergency department . . . . [A] 30 to 40
percent reduction in Day Kimball [Hospital’s] outpatient
surgery and endoscopy cases as a result of the proposed
Plainfield [ambulatory surgery center] would result in
a 2.5 to 3.5 million dollar reduction in [the plaintiff’s]
operating results . . . .”
In their briefs, the defendants argued that the court
lacked subject matter jurisdiction over the plaintiff’s
appeal because the plaintiff was not aggrieved by the final
decision approving HHC’s application for a certificate
of need.7 In a memorandum of decision filed December
10, 2024, Judge Budzik dismissed the plaintiff’s admin-
istrative appeal for lack of subject matter jurisdiction,
concluding that the plaintiff could not prove statutory
aggrievement because the financial and competitive
interests asserted by the plaintiff in its appeal were not
within the zone of interests protected by § 19a-639 (a).
The court also concluded that, “[t]o the extent [that the
plaintiff] argue[d] that it ha[d] proven classical aggrieve-
ment . . . the financial and competitive harms alleged by
[the plaintiff] . . . do not prove classical aggrievement.”
7
In their trial briefs, the defendants also asserted that, under the law of
the case doctrine, Judge Budzik was not bound by Judge Cordani’s prior
decisions denying the motions to dismiss and, thus, was not precluded
from concluding that the plaintiff was not aggrieved. Although, on
appeal, the plaintiff contends that Judge Cordani’s decision and legal
analysis regarding the issue of aggrievement were correct, it recognizes
that Judge Budzik “was not bound as a matter of law to adopt Judge
Cordani’s legal analysis on aggrievement . . . .”
Day Kimball Healthcare, Inc. v. Dept. of Public Health
(Citation omitted.) From the judgment rendered thereon,
the plaintiff appealed.
Before we address the plaintiff’s claims on appeal, we
set forth the legal principles that govern this admin-
istrative appeal, as recently set forth by our Supreme
Court in High Watch Recovery Center, Inc. v. Dept. of
Public Health, 352 Conn. 697, 703–704, 339 A.3d 619
(2025) (High Watch): “ ‘It is fundamental that appellate
jurisdiction in administrative appeals is created only
by statute and can be acquired and exercised only in the
manner prescribed by statute. . . . An appeal from an
administrative decision of the department is governed by
. . . the Uniform Administrative Procedure Act; General
Statutes [§ 4-166 et seq.].’ . . . United Cable Television
Services Corp. v. Dept. of Public Utility Control, 235
Conn. 334, 341, 663 A.2d 1011 (1995). ‘Pleading and
proof of aggrievement are prerequisites to a trial court’s
jurisdiction over the subject matter of an administrative
appeal. . . . It is [therefore] fundamental that, in order
to have standing to bring an administrative appeal, a
person must be aggrieved.’ . . . Id., 342. ‘Two broad yet
distinct categories of aggrievement exist, classical and
statutory. . . . Classical aggrievement requires a two
part showing. First, a party must demonstrate a spe-
cific, personal and legal interest in the subject matter
of the decision, as opposed to a general interest that all
members of the community share. . . . Second, the party
must also show that the agency’s decision has specially
and injuriously affected that specific personal or legal
interest. . . . Aggrievement does not demand certainty,
only the possibility of an adverse effect on a legally pro-
tected interest. . . . Statutory aggrievement exists by
legislative fiat, not by judicial analysis of the particular
facts of the case. In other words, in cases of statutory
aggrievement, particular legislation grants standing to
those who claim injury to an interest protected by that
legislation.’ . . . Lewis v. Planning & Zoning Commission,
275 Conn. 383, 391, 880 A.2d 865 (2005).”
Day Kimball Healthcare, Inc. v. Dept. of Public Health
I
We first address the plaintiff’s claims concerning the
court’s determination that it did not demonstrate statu-
tory aggrievement.
At the outset, we set forth the legal principles gov-
erning statutory aggrievement. “Regarding statutory
aggrievement, [our Supreme Court] has long held that
a party’s legal interest must fall within the ‘zone of
interests’ of the statute at issue for that ‘interest [to be]
protected by that legislation.’ . . . Id. ‘It has been [noted]
that the zone of interests test bears a family resemblance
to the scope of the risk doctrine in the law of torts. . . . In
tort law, it is not enough that the defendant’s violation of
the law caused injury to a plaintiff. The defendant must
also owe that plaintiff a duty. Similarly, with respect to
the law of [statutory] standing, it is not enough that a
party is injured by an act or omission of another party.
The defendant must also have violated some duty owed
to the plaintiff.’ . . . McWeeny v. Hartford, 287 Conn. 56,
65, 946 A.2d 862 (2008); see, e.g., United Cable Televi-
sion Services Corp. v. Dept. of Public Utility Control,
supra, 235 Conn. 344–45 (‘in considering whether a
plaintiff’s interest has been injuriously affected by the
granting of a certificate of public convenience and neces-
sity, we have looked to whether the injury he complains
of (his aggrievement, or the adverse effect upon him)
falls within the zone of interests sought to be protected
by the statutory provision whose violation forms the
legal basis for [the] complaint’ . . .). [Appellate courts]
exercise plenary review over [a] plaintiff’s claim that it
is . . . statutorily . . . aggrieved because subject matter
jurisdiction is a question of law. See, e.g., Wheelabrator
Lisbon, Inc. v. Dept. of Public Utility Control, 283 Conn.
672, 685, 931 A.2d 159 (2007).” (Emphasis in original.)
High Watch Recovery Center, Inc. v. Dept. of Public
Health, supra, 352 Conn. 704–705.
“It is [also] well established that, ‘[a]s a general rule,
allegations that a governmental action will result in com-
petition harmful to the complainant’s business would not
Day Kimball Healthcare, Inc. v. Dept. of Public Health
be sufficient to qualify the complainant as an aggrieved
person.’ . . . West Farms Mall, LLC v. West Hartford,
279 Conn. 1, 26 n.14, 901 A.2d 649 (2006). This is true
as a matter of administrative law as well as common
law. See, e.g., State Medical Society v. Connecticut
Board of Examiners in Podiatry, 203 Conn. 295, 302,
524 A.2d 636 (1987) (‘[i]t is a principle of common law
that [o]ne who causes loss of business or occupation to
another merely by engaging in a business or occupation
in good faith is not liable to the other for the loss so
caused, though he knows that the loss will result’ . . .).
However . . . the legislature has, at times, conferred
standing on market competitors by statute, creating a
limited exception to this general common-law rule. See
Light Rigging Co. v. Dept. of Public Utility Control, 219
Conn. 168, 176–77, 592 A.2d 386 (1991).” (Emphasis
added.) High Watch Recovery Center, Inc. v. Dept. of
Public Health, supra, 352 Conn. 705–706.
Next, we recount the basis for the trial court’s determi-
nation that the plaintiff failed to demonstrate statutory
aggrievement, as set forth in its comprehensive and well
reasoned memorandum of decision filed on December 10,
2024. Specifically, the court stated: “[T]he court con-
cludes from the record . . . that [the plaintiff] is asserting
financial and competitive interests to support its claim
of aggrievement. Both [the plaintiff’s] pleadings and the
testimony of . . . Beaudion before the [Office of Health
Strategy] make it clear that [the plaintiff] is primarily
concerned that granting a [certificate of need] to a com-
peting [ambulatory surgery center] will allow HHC to
siphon off surgical patients from [the plaintiff]. Because
[the plaintiff] uses the fees earned from surgical patients
to offset other unprofitable areas of care and to balance
[the plaintiff’s] finances more generally, [the plaintiff] is
concerned that the operation of the [ambulatory surgery
center by HHC] will harm [the plaintiff’s] long-term
financial health. Thus, [the plaintiff] is plainly seeking to
vindicate its own financial and competitive interests. . . .
Day Kimball Healthcare, Inc. v. Dept. of Public Health
“[I]n evaluating similar claims of competitive harm,
our . . . Supreme Court has made clear that there is only
a ‘limited exception’ to the general rule that harm to
competitive interests does not establish aggrievement
and that this limited exception applies only where the
legislature explicitly provides for the protection of
competitors in the text of the statute itself. See United
Cable [Television Services Corp. v. Dept. of Public Utility
Control], supra, 235 Conn. 356; [see also] New England
Cable [Television Assn., Inc. v. Dept. of Public Utility
Control, 247 Conn. 95, 108, 717 A.2d 1276 (1998)].
Here, the court concludes that [the plaintiff] cannot
clear that hurdle.” In reaching that conclusion, the court
first distinguished Light Rigging Co. v. Dept. of Public
Utility Control, supra, 219 Conn. 176, which involved
a statute governing the licensing of motor carriers that
“explicitly required the [Department of Public Utility
Control] to consider how the granting of a new license to
a competitor would impact already existing licensees.”
(Emphasis added.) The court also examined the legisla-
tive history of § 19a-639 (a) and found that it did “not
support the idea that the statute was intended to protect
the interests of competitors.”
Moreover, the court, after noting that only subdivi-
sions (8) and (9) of § 19a-639 (a) refer to “existing” health
care facilities such as Day Kimball Hospital, concluded
that, “to the extent that [the plaintiff] assert[ed] that it
ha[d] standing or [could] otherwise assert aggrievement
under . . . § 19a-639 (a) (1) through (7) or (10) through
(12) . . . [the plaintiff] ha[d] no specific personal and legal
interest in the interests protected by those statutory
[subdivisions] because those [subdivisions] relate to the
overall Connecticut health care system and/or the fitness
of HHC to open an [ambulatory surgery center]. . . . [The
plaintiff] may not appoint itself as, in effect, the repre-
sentative of the public health system in northeastern Con-
necticut. . . . Additionally, the court conclude[d] that [the
reference in § 19a-639 (a) (11)] to ‘[w]hether the applicant
has satisfactorily demonstrated that the proposal will not
negatively impact the diversity of health care providers
Day Kimball Healthcare, Inc. v. Dept. of Public Health
and patient choice in the geographic region’ reflect[ed]
the legislature’s concern regarding vertical integration
of health care providers, not a desire to protect business
competitors.” (Citations omitted.) Consequently, the
court concluded that, considering the text of § 19a-639
(a), its relationship to other directly related statutes,
as well as its legislative history, “§ 19a-639 (a), includ-
ing [subdivisions] (8) and (9), is intended to protect the
interests of the health care consuming public at large,
not potential competitors to those seeking a [certificate
of need].”
With this background in mind, we turn to the plain-
tiff’s statutory aggrievement claims on appeal.
A
The plaintiff first claims that the court improperly
dismissed its administrative appeal for lack of subject
matter jurisdiction on the basis of its determination that
the financial and competitive interests asserted by the
plaintiff were not within the zone of interests protected
by § 19a-639 (a). The plaintiff contends that the “court’s
decision is based on the faulty premise that the relevant
statutory guidelines are completely divorced from the
competitive implications of an applicant’s application for
a [certificate of need] on an existing provider,” and that
the “[Health Systems Planning Unit] cannot lawfully
analyze the economic issues in the health care market-
place as required by . . . § 19a-639 (a) without recognizing
and considering inevitable and concurrent competitive
effects on existing providers who have already been
approved by Connecticut licensure and [the] [certificate
of need] process.” In support of its claim, the plaintiff
relies on Light Rigging Co. and asserts that “[t]here is
no distinction between analyzing ‘existing motor trans-
portation facilities and the effect upon them’ [as was
done pursuant to the statute] in Light Rigging [Co.],
and the required analysis [under subdivision] (11) [of
§ 19a-639 (a) concerning] existing [providers] in the
region to determine whether they will suffer a negative
impact.” According to the plaintiff, this factor “plainly
Day Kimball Healthcare, Inc. v. Dept. of Public Health
gives [it] standing as one of the very providers to be
impacted under the language of [subdivision] (11) of . . .
§ 19a-639 (a).”
The plaintiff further maintains that “[e]conomic
analysis is pervasive in the state’s [certificate of need]
statutory framework,” as evidenced by, for example,
subdivision (2) of § 19a-639 (a), which mandates the
Health Systems Planning Unit “to consider and make
written findings concerning ‘[t]he relationship of the
proposed project to the state-wide health care facilities
and services plan,’ and [subdivision] (12) . . . [which]
requires consideration of ‘[w]hether the applicant has sat-
isfactorily demonstrated that any consolidation result-
ing from the proposal will not adversely affect health
care costs or accessibility to care.’ ” For the reasons that
follow, we conclude that our Supreme Court’s recent
decision in High Watch Recovery Center, Inc. v. Dept.
of Public Health, supra, 352 Conn. 697, is dispositive of
the plaintiff’s claim.8
We first provide an overview of High Watch. The sole
issue on appeal before our Supreme Court in High Watch
8
We note that, on April 15, 2025, the plaintiff’s appellate counsel
filed a motion with this court seeking an extension of time in which to
file its appellate brief. In its motion, the plaintiff explained that it had
been contacted by counsel for the department and the Office of Health
Strategy and informed that counsel for those defendants intended to
file a motion to transfer this appeal to our Supreme Court so that it
could be heard with High Watch, which involved a similar issue. The
plaintiff’s counsel sought the extension to be able to confer with the
plaintiff regarding the impending motion to transfer the appeal. This
court granted an extension to April 25, 2025, for the plaintiff to file
its brief. On April 24, 2025, the department and the Office of Health
Strategy filed a motion seeking the transfer of this appeal to our Supreme
Court, and the plaintiff filed its appellate brief that same day, without
seeking an extension of time to file its brief until after the release of the
decision in High Watch. After our Supreme Court denied the motion
to transfer, the department, the Office of Health Strategy, and HHC
sought and were granted extensions to file their briefs after the release
of the decision in High Watch. On August 5, 2025, our Supreme Court
issued its decision in High Watch; see High Watch Recovery Center,
Inc. v. Dept. of Public Health, supra, 352 Conn. 697; and, on October
14, 2025, the department, the Office of Health Strategy, and HHC filed
their appellate briefs in which they similarly asserted that the High
Day Kimball Healthcare, Inc. v. Dept. of Public Health
was “whether the plaintiff, High Watch Recovery Cen-
ter, Inc. [(High Watch Recovery), a nonprofit substance
abuse treatment facility, was] aggrieved by, and there-
fore ha[d] standing to contest, on appeal to the Superior
Court, the administrative decision of the [department]
. . . approving, pursuant to General Statutes (Rev. to
2017) § 19a-639 (a), the certificate of need application
of the plaintiff’s competitor, the defendant, Birch Hill
Recovery Center, LLC (Birch Hill).”9 (Footnote omitted.)
Id., 699. In High Watch, the Superior Court, Budzik,
J., had determined that High Watch Recovery was not
aggrieved by the department’s decision to approve Birch
Hill’s application for a certificate of need. Id., 702–703.
On appeal, High Watch Recovery asserted “that, as
an existing addiction services facility, it ha[d] standing
to contest the department’s decision approving Birch
Hill’s application to establish a competing substance
abuse treatment facility.” Id., 703; see also In re Ava W.,
336 Conn. 545, 554, 248 A.3d 675 (2020) (“[a]ggrieve-
ment, in essence, is appellate standing” (internal quota-
tion marks omitted)). Although High Watch Recovery
acknowledged the general rule that “allegations that a
governmental action will result in competition harmful
to the complainant’s business would not be sufficient to
qualify the complainant as an aggrieved person”; (inter-
nal quotation marks omitted) High Watch Recovery
Center, Inc. v. Dept. of Public Health, supra, 352 Conn.
Watch decision is dispositive of the plaintiff’s appeal. Thereafter,
the plaintiff filed a motion for permission to file a supplemental brief
addressing the decision in High Watch and its impact on the present
case. The department, the Office of Health Strategy, and HHC filed
objections to the plaintiff’s motion, asserting that the plaintiff could
address the High Watch decision in its appellate reply brief. This court
denied the plaintiff’s motion for supplemental briefing on November 3,
2025, after which the plaintiff filed its reply brief in which it addressed
the applicability of the High Watch decision.
9
We note that the 2017 revision of § 19a-639 (a), which was at issue
in High Watch, does not differ in any meaningful way from the 2019
revision of § 19a-639 (a) at issue in the present case. See Public Acts
2018, No. 18-91, § 26 (making minor changes to subsection (a), includ-
ing replacing “Department of Public Health” with “Office of Health
Strategy”).
Day Kimball Healthcare, Inc. v. Dept. of Public Health
705; it contended that the legislature established a statu-
tory exception to that rule in General Statutes (Rev. to
2017) § 19a-639 (a), which, it asserted, “ ‘creates a zone of
interests that includes existing certifi[ed] health service
providers, [given t