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Hi-Desert Medical Center v. Douglas
239 Cal. App. 4th 717
| Cal. Ct. App. | 2015
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Background

  • SB 1103 (2004-2005) imposed a reimbursement cap on noncontract Medi-Cal hospitals, including the petitioners.
  • Dignity Health, Hi-Desert, Modoc, and Mee challenged SB 1103 in separate actions and administrative proceedings over several years.
  • Mission Hospital Regional Medical Center v. Douglas (
  • The Court of Appeal (Third District) issued rulings in Mission I and Mission II affecting the petitioners’ monetary relief claims.
  • Administrative law judges dismissed the petitioners’ administrative appeals after Mission II, and the petitioners sought writs of mandate in superior and appellate courts.
  • The trial court and appellate decision held that the petitioners’ monetary-relief claims were barred by res judicata (or forfeiture for Modoc) due to prior Mission litigation and lack of opposition to a key motion.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether the administrative actions are barred by res judicata Dignity Health/Hi-Desert/Mee: relief barred by prior final Mission judgments. Department: prior Mission decisions preclude relitigation of the same claim. Yes; barred by res judicata.
Whether Modoc forfeited its rights by not opposing the ALJ's dismissal Modoc challenges jurisdiction to dismiss; faults in procedure. Modoc abandoned its administrative action by not opposing the dismissal. Yes; forfeiture; dismissal proper.
Whether Dignity Health's methodological challenge is barred by res judicata Dignity Health seeks retroactive relief under SB 1103 based on 2003 costs. Relief barred merging into Mission I/II; improper collateral attack remains barred. Yes; barred by res judicata.
Whether equity/public-interest considerations override res judicata Equitable/public-interest weigh against applying res judicata to deny monetary relief. Overriding public interest favors finality and judicial resource conservation. No; res judicata applies; equity does not compel override.

Key Cases Cited

  • Boeken v. Philip Morris USA, Inc., 48 Cal.4th 788 (Cal. 2009) (primary rights theory; same injury supports res judicata)
  • Mycogen Corp. v. Monsanto Co., 28 Cal.4th 888 (Cal. 2002) (definition of cause of action and primary right)
  • Mata v. City of Los Angeles, 20 Cal.App.4th 141 (Cal. App. 1993) (mandamus procedural limits; res judicata considerations)
  • Mission Hospital Regional Medical Center v. Douglas (Mission I), 168 Cal.App.4th 460 (Cal. App. 2008) (SB 1103 challenge; prospective relief only; notice/operational defects)
  • Daugherty v. Board of Trustees, 111 Cal.App.2d 519 (Cal. App. 1952) (agency not acting beyond jurisdiction; historical context)
  • Warner v. North Orange County Community College Dist., 99 Cal.App.3d 617 (Cal. App. 1979) (damages in mandamus context; exhaustion considerations)
  • Wenzler v. Municipal Court, 235 Cal.App.3d 128 (Cal. App. 1965) (damages and mandamus; monetary relief contexts)
Read the full case

Case Details

Case Name: Hi-Desert Medical Center v. Douglas
Court Name: California Court of Appeal
Date Published: Aug 18, 2015
Citation: 239 Cal. App. 4th 717
Docket Number: B253268; B255441; B256894; B257021
Court Abbreviation: Cal. Ct. App.