ELECTRONICALLY FILED 2/3/2011 4:23 PM CV-2010-001587.00 CIRCUIT COURT OF MONTGOMERY COUNTY, FLORENCE CAUTHEN, CLERK IN THE CIRCUIT COURT OF MONTGOMERY COUNTY STATE OF ALABAMA

BROOKWOOD HEALTH SERVICES, INC. d/b/a BROOKWOOD MEDICAL CENTER and ST. VINCENT'S HEALTH SYSTEM;

Appellants/Petitioners,

v.

CASE NUMBER: CV-2010-001587.00 AFFINITY HOSPITAL, LLC d/b/a TRINITY MEDICAL CENTER OF BIRMINGHAM and ALABAMA STATE HEALTH PLANNING AND DEVELOPMENT AGENCY, an agency of the State of Alabama,

Appellees/Respondents.

MOTION TO QUASH

Pursuant to Alabama Rule of Civil Procedure 26 and Ala. Code § 41-22-20,

Appellee/Respondent Affinity Hospital, LLC d/b/a Trinity Medical Centers of Birmingham

(“Trinity”) respectfully moves this Court for an order quashing the discovery requests served by

Appellant/Petitioner Brookwood Health Services, Inc. d/b/a Brookwood Medical Center

(“Brookwood”).1 In support of this Motion, Trinity shows the Court as follows:

I. INTRODUCTION

This action asks the Court to review the State Health Planning and Development

Agency’s (“SHPDA”) final order granting Trinity’s request to relocate its hospital from

Montclair Road to Highway 280. Under the Alabama Administrative Procedures Act, the

Court’s review of that decision is limited to the administrative record generated during the agency proceedings and the decision must be affirmed if it is supported by any evidence in the

1 In bringing this motion, Trinity expressly reserves all objections to Brookwood’s discovery requests.

1137335.1 administrative record. Nevertheless, with the filing of its Petition for Judicial Review,

Brookwood served written discovery requests, deposition notices, and notices of intent to serve

third-parties with subpoenas (collectively, the “discovery requests”). The discovery requests

seek information relating to: (1) representations made in Trinity’s CON application; (2) Trinity’s

decision to forego its CON to relocate to Irondale in favor of applying for a CON to relocate to

Highway 280; and (3) negotiations between Trinity and the owner of the site on Highway 280.

All of these issues were litigated in the SHPDA proceedings and Alabama law does not allow

Brookwood to relitigate them in this forum. Accordingly, the Court must quash Brookwood’s discovery request. Otherwise, it would be exceeding the authority vested in it by the Alabama

Administrative Procedures Act.

II. STATEMENT OF RELEVANT FACTS

1. On December 1, 2008, Trinity filed an application for a Certificate of Need

(“CON”) to move its hospital from its current location on Montclair Road to the former

HealthSouth building on Highway 280 in Birmingham. A true and correct copy of Trinity’s cover letter to its CON application is attached hereto as Exhibit A.

2. Thereafter, Brookwood and St. Vincent’s Health System filed Notice[s] of

Intervention and Request[s] for a Contested Case Hearing. True and correct copies of those filings are attached hereto collectively as Exhibit B.

3. On April 20, 2009, while this matter was pending before the State Health

Planning and Development Agency (“SHPDA”), Brookwood served proposed Joint

Consolidated Discovery Requests on Trinity. True and correct copies of the Joint Consolidated

Discovery Requests are attached hereto as Exhibit C. Brookwood also served seven proposed subpoenas. True and correct copies of those subpoenas are attached hereto as Exhibit D.

1137335 2 4. On April 30, 2009, Trinity filed a Motion to Limit Discovery. A true and correct copy of the Motion to Limit Discovery is attached hereto as Exhibit E. In the Motion to Limit

Discovery, Trinity noted that the Certificate of Need Review Board’s (the “CON Board”) rules state that “substantial information is contained in applications for Certificates of Need” therefore discovery requests “are not favored, and it is recommended that the discretion to authorize such discovery be exercised against permitting such discovery, or that any such discovery be limited to the most rare and unusual circumstances.” Id. at pp. 2-4 (quoting CON Board Rule 410-1-8-

.02(6) and citing Ex Parte Wilbanks Health Care Servs., Inc., 986 So. 2d 422, 427 (Ala. 2007)

(holding that an agency must “vigorously comply” with its own administrative regulations).

5. On July 17, 2009, Brookwood filed a Motion to Compel discovery responses from

Trinity. A true and correct copy of the Motion to Compel is attached hereto as Exhibits F.

6. The administrative law judge (“ALJ”) issued an Order dated August 4, 2009, addressing the Motion to Compel. A true and correct copy of the ALJ’s Order dated August 4,

2009, is attached hereto as Exhibit G. In that Order, the ALJ directed the parties to “confer as to all remaining discovery issues.” Id. at p. 1, ¶ 3. The ALJ further stated that “in the absence of resolution of all conflicts, the parties should submit, in writing to the [ALJ], specific issues on a question-by-question basis and requests for production on a request-by-request basis.” Id. The

ALJ further explained that he would “rule on each issue, question and request for production as may be necessary.” Id.

7. On August 26, 2009, Brookwood filed a second Motion to Compel. A true and correct copy of the second Motion to Compel is attached hereto as Exhibit H. In the second

Motion to Compel, Brookwood only took issue with Trinity’s response to a single request for production in which Brookwood asked Trinity to produce documents between itself and other

1137335 3 healthcare providers by which the other healthcare provider would agree to withhold objection to

Trinity’s relocation. Id. at p. 1, ¶ 1.

8. On September 16, 2009, after holding an in camera inspection of the documents

requested by Brookwood, the ALJ denied Brookwood’s second Motion to Compel. A true and

correct copy of the ALJ’s Order dated September 16, 2009, is attached hereto as Exhibit I.

9. Thereafter, from September 28, 2009, through November 4, 2009, the parties

presented their arguments and evidence to the ALJ. After hearing all of the evidence and

arguments of the parties, the ALJ issued a recommendation that the CON Board grant Trinity’s

request for a certificate of need (“CON”) to relocate its hospital to the location on Highway 280.

A true and correct copy of the ALJ’s recommendation is attached hereto as Exhibit J. On

September 15, 2010, the CON Board adopted the ALJ’s findings and granted Trinity’s CON application. The CON Board issued SHPDA’s Final Order on September 30, 2010. A true and correct copy of the Final Order is attached hereto as Exhibit K.

10. On October 15, 2010, Brookwood filed a Request for Reconsideration of the final order. A true and correct copy of Brookwood’s Request for Reconsideration is attached hereto as Exhibit L.

11. On October 17, 2010, Trinity produced sixteen more documents, in addition to the

7,000 pages of documents it had already produced, to Brookwood, St. Vincent’s, and the CON

Review Board. The majority of the documents had been withheld from the original production because they were protected by the attorney-client privilege. However, in a separate lawsuit in which Trinity was represented by separate counsel, the documents were produced, thus arguably waiving the privilege. See Email from Carey B. McRae, a true and correct copy of which is attached hereto as Exhibit M.

1137335 4 12. On October 18, 2010, Trinity filed an Opposition to Brookwood’s Motion for

Reconsideration and pointed out that the newly produced documents did not provide any basis for SHPDA to reconsider its Final Order. A true and correct copy of Trinity’s Opposition to the

Motion for Reconsideration is attached hereto as Exhibit N.

13. On October 19, 2010, Brookwood filed a reply brief and argued that the contested case hearing should be re-opened based upon Trinity’s production of documents. A true and correct copy of Brookwood’s Reply Brief is attached hereto as Exhibit O.

14. On October 20, 2010, the parties appeared before the CON Board and argued their respective positions relating to Brookwood’s Motion for Reconsideration. See Exhibit Q at

¶ 83. On November 4, 2010, The CON Board issued an Order denying Brookwood’s Request for Reconsideration. A true and correct copy of the Order denying Brookwood’s Motion for

Reconsideration is attached hereto as Exhibit P.

15. On December 16, 2010, Brookwood filed this action for judicial review of

SHPDA’s final decision granting Trinity’s CON application. A stamped “filed” copy of the

Petition for Judicial Review is attached hereto as Exhibit Q. Brookwood’s Petition for Judicial review states that SHPDA’s final decision should be overturned because it was: (1) in violation of constitutional or statutory provisions; (2) in excess of the statutory authority of the agency; (3) in violation of an agency rule; (4) made upon unlawful procedure; (5) affected by other error of law; (6) clearly erroneous based upon the evidence contained in the whole record; and (7) unreasonable, arbitrary, capricious, or characterized by an abuse of discretion. Id. at ¶ 85.

Notably, Brookwood’s Petition for Judicial Review does not allege any fraud or other misconduct on the part of anyone involved in the administration of SHPDA. See id.

1137335 5 16. On December 16, 2010, Brookwood served Consolidated Discovery Requests

upon Trinity which included Interrogatories, Requests for Production, and Requests for

Admission. A true and correct copy of the Consolidated Discovery Requests are attached hereto as Exhibit R. The Consolidated Discovery Requests seek information regarding issues surrounding Trinity’s submission of its application for a Certificate of Need (“CON”) to relocate its hospital to Highway 280, but not one of the requests contained therein seeks any information that would shed light on whether any person engaged in the administration of the SHPDA engaged in fraud or other misconduct. See id.

17. On December 16, 2010, Brookwood also served notices to take the depositions of three employees of Community Health Systems Professional Services Corporation. A true and correct copy of the Notice to Take Deposition is attached hereto as Exhibit S. The deposition notices served by Brookwood contain no explanation as to how the testimony sought therein would shed light on whether any person engaged in the administration of the SHPDA engaged in fraud or other misconduct. See id.

18. On December 16, 2010, Brookwood served a Notice of Intent to serve eight non- party subpoenas. A true and correct copy of the Notice of Intent is attached hereto as Exhibit T.

The subpoenas attached to the Notice of Intent seek information relating to Trinity and its

affiliates’ activities relating to its attempt to relocate Trinity Hospital to Highway 280. See id.

However, none of the information sought in the subpoenas would shed light on whether any person engaged in the administration of the SHPDA engaged in fraud or other misconduct. See id.

III. ARGUMENT AND CITATION TO AUTHORITY

The discovery requests, deposition notices, and subpoenas served by Brookwood in this

action for judicial review must be quashed because they constitute nothing more than an

1137335 6 improper attempt to circumvent Ala. Code § 41-22-20’s prohibition on the admission of new

testimony during the appeal of an agency decision.

Ala. Code § 41-22-20 (the “statute” or “Alabama statute”) provides the mechanism by

which a person aggrieved by the decision of an administrative agency may seek judicial review

of that decision. The statute outlines the procedure by which the appeal of such a decision may be made and sets forth various other requirements such as the filing deadline, proper venue for the appeal, and the standard of review. The statute provides that some decisions, such as tax

assessments or rulings from the Department of Revenue, are judicially reviewed by a trial de

novo. See, e.g., Ala. Code § 41-22-20(j). Other decisions, such as the matter before the Court in

this case, are “confined to the record and the additions thereteo as may be made under [Ala.

Code § 41-22-20(i)].” Id.

The statute provides that “the review of contested cases shall be confined to the record

and the additions thereto as may be made under subsection (i) of this section.” The statute

clearly states that “a reviewing court shall not itself hear or accept any further evidence with

respect to those issues of fact whose determination was entrusted by law to the agency in that

contested case proceeding; provided, however, that evidence may be introduced in the

reviewing court as to fraud or misconduct of some person engaged in the administration of

the agency or procedural irregularities before the agency not shown in the record….” Ala.

Code § 41-22-20(i). Otherwise, additional evidence may not be considered unless the matter is

remanded to the administrative agency for further proceedings. Id.

Subsection (i) of the statute adopted language from Iowa Code § 17A.19(7) (the “Iowa

statute”) and the Revised Model State Administrative Procedure Act § 15(e) (1961) (the “Model

Act”). See Comments to Ala. Code § 41-22-20. The Iowa statute prohibits a reviewing court

1137335 7 from hearing any additional evidence on issues of fact that were entrusted by law to the agency

that presided over the contested case. See Iowa Code § 17A.19(7). The Model Act provides that

a reviewing court may hear evidence regarding alleged irregularities in procedure before the

agency to the extent that such irregularities are not shown in the record. See Revised Model

State Administrative Procedure Act § 15(f) (1961). Thus, the drafters of the Alabama statute

adopted the Model Act’s stance on a reviewing court’s consideration of additional evidence and

then added a provision allowing additional evidence to be introduced relating to “fraud or

misconduct of some person engaged in the administration of the administrative agency.”

Compare Ala. Code § 41-22-20(i) with Revised Model State Administrative Procedure Act §

15(e) (1961).

The exceptions to the Alabama statute exist to ensure that an appellate court’s review of

an agency decision is not based upon: (1) a record that is tainted by agency impropriety; or (2) a

record that does not accurately reflect the proceedings that took place before the agency. See,

e.g., Forman v. Motor Vehicle Admin., 630 A.2d 753 (Md. 1993) (interpreting the subsection (e)

of the Model Act); Abel v. Department of Personnel, 445 N.W.2d 385 (Iowa App. 1989) (same).

The Alabama statute is also very similar to the Federal Administrative Procedures Act

(the Federal Act”), in that both allow a reviewing court to overturn an agency decision only if the

decision is found to be: (1) arbitrary, capricious, or an abuse of discretion; (2) contrary to

constitutional or statutory provisions; (3) in excess of the statutory authority of the agency; (4)

made upon unlawful procedure; (5) not in accordance with the law; or (6) unsupported by the

administrative record. Compare Ala. Code § 41-22-20 with 5 U.S.C. § 706. Both statutes also

generally limit judicial review of an agency’s decision to the administrative record. See Ala.

Code § 41-22-20(i); 5 U.S.C. § 706 (providing that the judicial review of an agency decision

1137335 8 shall be made based upon “the whole record or those parts of it cited by a party”). Unlike the

Alabama statute, the Federal Act does not contain a statutory exception to its mandate that

judicial review of an agency decision be based entirely upon the administrative record. See 5

U.S.C. § 706. However, courts interpreting the Federal Act have carved out a judicial exception in limited circumstances in which the party seeking discovery is able to make a strong showing that the agency acted improperly in connection with the issuance of its decision. See Corning

Sav. & Loan Assoc. v. Federal Home Loan Bank Bd., 736 F.2d 479 (8th Cir. 1984) (noting that

“inquiry into the mental processes of administrative decisionmakers is usually to be avoided” therefore “there must be a strong showing of bad faith or improper behavior before such inquiry may be made”) (citing Citizens to Preserve Overton Park v. Volpe, 401 U.S. 402, 28 L. Ed. 2d

136, 91 S. Ct. 814 (1971)).

The Court must quash Brookwood’s attempt to conduct discovery at the appellate review stage of this proceeding because Brookwood’s discovery requests do not fall into either of the

Alabama statute’s two narrow exceptions allowing additional discovery to be conducted at the judicial review phase of a proceeding.

1. Brookwood has not alleged that anyone involved in the administration of SHPDA engaged in fraud or other misconduct.

The first narrow exception to the Alabama statute’s prohibition against discovery at the

judicial review stage provides that “evidence may be introduced in the reviewing court as to

fraud or misconduct of some person engaged in the administration of the agency.” Ala. Code §

41-22-20(i). Brookwood cannot satisfy this exception because it did not allege fraud or misconduct during the proceedings before SHPDA or in its petition for judicial review.2

2 In fact, Brookwood would be estopped from arguing that SHPDA’s decision was tainted by fraud of misconduct of someone engaged in the administration of SHPDA because Brookwood did not raise that issue before the agency. See Nursing Home of Dothan, Inc. v. Alabama State Health Planning and Development, 542 So. 2d

1137335 9 Moreover, the information sought in Brookwood’s discovery requests does not seek to prove that

anyone engaged in such activity. To the contrary, the discovery requests, deposition notices, and

subpoenas issued by Brookwood in this judicial review proceeding seek information relating to:

(1) representations made in Trinity’s CON application; (2) Trinity’s decision to forego its CON

to relocate to Irondale in favor of applying for a CON to relocate to Highway 280; (3)

negotiations between Trinity and the owner of the site on Highway 280. See, e.g., Exhibits R

through T. The responses to such requests would shed no light whatsoever on whether anyone

engaged in the administration of SHPDA engaged in any fraud or other misconduct and they

must, therefore, be quashed.

2. Brookwood has not alleged that there were any procedural irregularities before SHPDA that are not shown in the record.

The second narrow exception to the Alabama statute’s prohibition against discovery at

the judicial review stage provides that “evidence may be introduced in the reviewing court as

to… procedural irregularities before the agency not shown in the record.” Brookwood cannot

satisfy this exception because it has not alleged that there were any procedural irregularities that

are not reflected in the administrative record. In fact, the only arguable procedural irregularity referenced anywhere in Brookwood’s Petition for Judicial Review is that Trinity produced an additional sixteen documents during the pendency of Brookwood’s motion for reconsideration.

See Exhibit Q at ¶¶ 79-84. Trinity expressly denies that its production of additional documents

constitutes a procedural irregularity. However, to the extent that such production could be

construed as such, such irregularity was sufficiently documented during the record. See Exhibits

O and Q at ¶¶ 79-84. In fact, Brookwood admits in its Petition for Judicial Review that SHPDA

935, 939 (Ala. 1988)(citing Green v. Taylor, 437 So. 2d 1259 (Ala. 1983)(holding that “[i]t is well settled that [reviewing courts] do not consider issues raised for the first time on appeal”)).

1137335 10 considered its argument that the contested case should be reopened based upon Trinity’s

additional production of documents. See Exhibit Q at ¶¶ 82-84. Brookwood further admits that

SHPDA ultimately determined that Brookwood’s argument lacked merit. Id. This Court is bound by SHPDA’s ruling on that issue so long as there is evidence in the record to support the

decision. Johnson v. Mobile County Personnel Board, 459 So. 2d 923 (Ala. Civ. App. 1984)

(holding that the “scope of review [in an action for judicial review] is limited to determining whether there is any evidence in the record to support the Board's decision”); Board. Roberson v.

Personnel Board, 390 So. 2d 658 (Ala. Civ. App. 1980) (holding that it is not within the

reviewing court’s prerogative to weigh the value of evidence or substitute its own judgment for

that of the agency). Accordingly, Brookwood is not entitled to conduct discovery under the

Alabama statute’s exception allowing the introduction of additional evidence relating to

procedural irregularities not found in the record.

IV. CONCLUSION

In sum, Brookwood’s discovery requests are nothing more than an improper attempt to

circumvent the Alabama Administrative Act’s prohibition on discovery in the judicial review

phase of a proceeding. Moreover, this Court would be acting beyond the power vested in it by

the Alabama Administrative Procedures Act if it allowed Brookwood to move forward with its discovery request. Accordingly, Trinity respectfully requests that the Court quash the discovery requests served by Brookwood in this action.

[Signature on follow page]

1137335 11 Respectfully submitted this 3rd day of February, 2011.

/s/ Carey B. McRae One of the Attorneys for Respondent Affinity Hospital, LLC d/b/a Trinity Medical Center

OF COUNSEL:

Bobby Segall ([email protected]) COPELAND, FRANCO, SCREWS & GILL, P.A. 444 South Perry Street Montgomery, Alabama 36104 Direct Telephone: (334) 420-2956 Direct Facsimile: (334) 834-3172

David R. Boyd ([email protected]) Robin G. Laurie ([email protected]) Dorman Walker ([email protected]) BALCH & BINGHAM LLP Post Office Box 78 Montgomery, Alabama 36101-0078 Direct Telephone: (334) 269-3138 Direct Facsimile: (866) 736-3854

Carey B. McRae ([email protected]) Jennifer H. Clark ([email protected]) BALCH & BINGHAM LLP Post Office Box 306 Birmingham, Alabama 35201-0306 Telephone: (205) 251-8100 Facsimile: (205) 226-8798

1137335 12 CERTIFICATE OF SERVICE

I certify that on February 3rd, 2011, I electronically filed the foregoing with the Clerk of the Court using the AlaCourt system which will send notification of such filing to the following and/or that a copy of the foregoing has been served by United States Mail, properly addressed and postage prepaid to the following:

David Hunt Daniel E. McBrayer JOHNSTON BARTON PROCTOR & ROSE LLP Colonial Brookwood Center 569 , Suite 901 Birmingham, AL 35209

James E. Williams C. Mark Bain MELTON ESPY & WILLIAMS, PC 255 Dexter Avenue Montgomery, AL 36104

Mark Wilkerson Dana Billingsley WILKERSON & BRYAN Post Office Box 830 Montgomery, AL 36101

/s/ Carey B. McRae Of Counsel

1137335 13