Southeast Georgia Health System, Inc. v. Frank W. Berry, in His Official Capacity as Commissioner

Court of Appeals
of the State of Georgia

                                                 April 21, 2021

The Court of Appeals hereby passes the following order:


      Southeast Georgia Health System, Inc. seeks discretionary review of the
superior court’s order dismissing its mandamus petition. Southeast Georgia contends,
however, that it is entitled to appeal the ruling directly. For the reasons that follow,
we agree.
      The application materials show that Southeast Georgia operates two hospitals
in Brunswick, Georgia. Southeast Georgia alleges that one of its rivals, Premier
Surgery Center, has a certificate of need (CON) authorizing two operating rooms
(ORs), but that Premier is improperly operating a third OR. Southeast Georgia
requested that the Department of Community Health investigate its allegation and
issue a cease and desist order. By letter dated March 13, 2020, the Department
informed Southeast Georgia that it was declining to investigate the allegation.
Southeast Georgia requested an administrative appeal, but the Department denied the
      Southeast Georgia then filed a mandamus petition in superior court seeking to
compel Frank W. Berry, the Commissioner of the Department, to investigate whether
Premier was improperly operating a third OR. The Commissioner moved to dismiss
the petition, arguing that Southeast Georgia was not entitled to mandamus relief. The
trial court granted the motion, and Southeast Georgia filed this application for
discretionary appeal.
      OCGA § 5-6-35 (a) (1) requires an application to appeal “from decisions of the
superior courts reviewing decisions of the State Board of Workers’ Compensation,
the State Board of Education, auditors, state and local administrative agencies, and
lower courts by certiorari or de novo proceedings.” The issue here is whether the
Commissioner’s decision not to investigate constituted a “decision” within the
meaning of OCGA § 5-6-35 (a) (1).
       Agency determinations may be considered executive, legislative, or
adjudicative; drawing the distinction between the three is not always an easy task. See
State v. Intl. Keystone Knights of the Ku Klux Klan, 

299 Ga. 392

, 400-401 (4) (a) (788
SE2d 455)       (2016). A discretionary application is required only for those
determinations considered adjudicative. See id.; Schumacher v. City of Roswell, 

Ga. 635

, 637 (1) (803 SE2d 66) (2017). An adjudicative decision involves judgment
on the merits after consideration of the facts and, if appropriate, the law. See Keystone

Knights, 299 Ga. at 402

(4) (a). Executive actions, on the other hand, include “the
day-to-day management of agency personnel and resources, the dissemination of
information to the public, the undertaking of law enforcement and compliance
investigations, and prosecutorial determinations to initiate or decline to bring
enforcement proceedings.”

Id. at 400-401 (4)

       Here, the Department’s decision not to investigate an alleged CON violation
is properly characterized as an executive action. Accordingly, OCGA § 5-6-35 (a) (1)
is not implicated. See, e. g., Mid Georgia Environmental Mgmt. Group, v. Meriwether

277 Ga. 670

, 672 (1) (594 SE2d 344) (2004) (no discretionary application
required to appeal denial of mandamus petition involving Board’s refusal to issue a
verification letter).
       We will grant a timely application for discretionary appeal if the lower court’s
order is subject to direct appeal. See OCGA § 5-6-35 (j). Accordingly, this
application is hereby GRANTED, and Southeast Georgia shall have ten days from the
date of this order to file a notice of appeal with the superior court. The clerk of the
superior court is DIRECTED to include a copy of this order in the record transmitted
to the Court of Appeals.
                                      Court of Appeals of the State of Georgia
                                             Clerk’s Office, Atlanta,____________________
                                             I certify that the above is a true extract from
                                      the minutes of the Court of Appeals of Georgia.
                                              Witness my signature and the seal of said court
                                      hereto affixed the day and year last above written.

                                                                                     , Clerk.

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