Marlboro Park Hospital and Chesterfield General Hospital (Hospitals) appeal the circuit court’s decision affirming the
FACTS/PROCEDURAL HISTORY
DOSC filed its application for a certificate of need with DHEC in 1998, seeking to construct an ambulatory surgery center in Bennettsville. The Hospitals opposed the application.
DHEC conducted a Staff Review Hearing on the application during which both parties presented information supporting their respective positions. In particular, the Hospitals argued that the proposed outpatient surgery center would adversely impact the Hospitals and need for the center was insufficient. DHEC recommended approval of the application for the certificate of need.
The Hospitals requested a contested case hearing before the ALJ. The ALJ conducted a hearing over a seven-day period, during which both sides presented evidence and testimony from eighteen witnesses. After making findings of fact, the ALJ concluded the application did not meet the legal criteria for approval of the certificate of need. The ALJ’s decision was based in part on the lack of need of a facility and in part on the negative impact the facility would have on the Hospitals.
The Hospitals appealed to the circuit court, which affirmed the DHEC Board’s decision. The Hospitals subsequently filed a motion for reconsideration, which the circuit court denied. This appeal follows.
LAW/ANALYSIS
I. The Board’s Standard of Review
The Hospitals argue the Board improperly found facts according to its own view of the evidence utilizing a de novo standard. We agree.
The ALJ presides over all hearings of contested DHEC permitting cases.
See
S.C.Code Ann. § 1 — 23—600(B) (Supp.2002). In such cases, the ALJ serves as the finder of fact.
Brown v. S.C. Dep’t of Health & Envtl. Control,
II. ALJ’s Consideration of New Evidence
The Hospitals further assign error to the DHEC Board’s determination, with which the circuit court concurred,
The DHEC Board held that the ALJ erred in considering evidence not presented during the Staff Review Hearing, all of which undisputedly related to core issues addressed during that hearing. 2 Relying on S.C.Code Ann. § 44-7~210(E), the Board stated that “parties are not allowed to submit new or additional facts for consideration at the contested case hearing which were not part of the administrative record at the time of the [DHEC Staff Review Hearing.]” 3 We find the DHEC Board’s interpretation of Section 44-7-210(E) erroneous.
“The cardinal rule of statutory construction is to ascertain and effectuate the legislative intent whenever possible.
Strother v. Lexington County Recreation Commn.,
Here, S.C.Code Ann. § 44-7-210(E) states “[t]he issues considered at the contested case hearing are limited to those presented or considered during the staff review and decision process.” (emphasis added). However, the DHEC Board expansively interpreted the statute to preclude the ALJ in contested hearings from receiving any evidence not presented to DHEC during a Staff Review Hearing. We reject this interpretation, finding it conflicts with the plain language of the statute and the ordinary meaning of the word “issues” as used in this context.
Additionally, the interpretation advanced by the DHEC Board and circuit court is inconsistent with applicable case law providing a
da novo
review for ALJ hearings conducted in a posture similar to that in the case at bar.
See Brown,
Based on our interpretation of the unambiguous language in S.C.Code Ann. § 44-7-210(E) (Supp.2000) and case law providing the ALJ a
de novo
review in contested hearings arising from a DHEC’s Staff Review Hearing, we conclude that the DHEC Board erred in expanding the term “issues” to include “evidence.” In light of the DHEC Board’s error, we conse
III. Substantial Evidence
The Hospitals contend there was substantial evidence to support the ALJ’s finding that the certificate of need should be denied. In particular, they maintain substantial evidence was presented to show the proposed facility would adversely impact the two existing facilities and the need for a new facility was insufficient. Consequently, based upon the credible evidence as determined by the ALJ, the application would not comply with the State Health Plan, thus requiring a denial of the permit by DHEC. We agree.
Under S.C.Code Ann. § 44-7-210(0 (2002), DHEC must deny a Certificate of Need if an application does not comply with the State Health Plan. Under the applicable State Health Plan, approval of an ambulatory surgical facility requires that six certain criteria must be met. These criteria include proof of a documented need for the facility and a discussion on the impact on existing facilities. The State Health Plan also ranked nine criteria to be considered while reviewing DOSC’s application. The nine criteria in order of importance to DHEC are need, community need documentation, distribution (accessibility), acceptability, efficiency, adverse effect on other facilities, record of the Applicant, ability to complete the project, and financial feasibility. 4
As previously discussed, review of the ALJ’s factual determinations is measured by the substantial evidence standard. Substantial evidence is not merely a scintilla of evidence, nor is it evidence viewed blindly from one side.
Leventis v. S.C. Dep’t of Health & Envtl. Control,
The ALJ found the Hospitals adequately demonstrated that the proposed facility would have a significant adverse impact on the two Hospitals and that there was not sufficient need demonstrated to justify the new facility. Given evidence presented at the ALJ hearing regarding the lack of full utilization of the Hospitals’ current facilities, the probability that the new facility will not be able to recapture enough patients to meet its projections, and the result that patients would be taken from the Hospitals, we find substantial evidence existed in the record before the ALJ to support the ALJ’s decision denying the certificate of need. We do recognize the evidence to the contrary. But, as noted, the appropriate standard of review precludes a de novo review on appeal. Where, as here, reasonable minds could reach the same decision as the ALJ, that decision is supported by substantial evidence.
CONCLUSION
For the forgoing reasons, the decision of the circuit court is reversed, and the matter is remanded to the circuit court to reinstate the decision of the ALJ.
REVERSED AND REMANDED.
Notes
. We are well aware that the DHEC Board's brazen attitude and utter disregard for the proper standard of review created the procedural chaos that followed. The parties, in their respective filings with the Board, conceded that the substantial evidence standard governed the review of the ALJ’s factual determinations. In defiance of the parties’ concession and applicable law, the DHEC Board made its own findings
. Two core issues addressed in DHEC’s Staff Review Hearing addressed (1) whether there was sufficient need for the proposed facility, and (2) the extent to which, if any, the proposed facility would have an adverse impact on the Hospitals. The ALJ considered evidence related to these issues, including the following evidence not presented during the preceding Staff Review Hearing: (1) expert testimony regarding need and adverse impact of the center because the experts were hired subsequent to the hearing; (2) the Hospitals’ Joint Annual Reports; (3) 1997 outmigration data compiled by the Budget and Control Board; and (4) information on the impact of the federal 1997 Balanced Budget Act's reduction in payments to health care providers. This evidence dealt squarely with the issues before the ALJ.
. The circuit court did not specifically address this issue in oral arguments, its subsequent written order, or in response to the Hospitals' motion for reconsideration.
. The Stale Health Plan also adds: "[DHEC] will continue to evaluate applications for ambulatory surgery centers on their individual merit. However, it is the determination of [DHEC] that the benefits of improved accessibility will not outweigh the adverse affects caused by the duplication of existing services or equipment."
