WPC 4# UN %A 04Gb{ 0^ 6BjJ mw@4 ! 0J0 0Tz 0^ 0h, 0r 0| 0 0 1u 0d AQq  0D 0@ 0D  D/P B B D3U>B)*DCS AMU*F v~SvHP LaserJet 4SiHPPCL5MS,,,,,,0nLh'"  Z 6Times New Roman Regular( U$  - -(c(2[$ U!   XXX `   0  ƣ$NATIONAL HEALTHCARE V. SPARTA MEDICAL - CONCURRING OPINION   '  0 .   U *e+D,-D./D01D2Ӏ<_#ellT3|x<2 0Indent123  2" 0Indent20 23  2, 0Indent30 0 23  26 0Indent40 0 0 23  2@ 0Indent50 0 0 0 23  2J 0Indent60 0 0 0 0 23  2T 0Indent70 0 0 0 0 0 23  2^ 0Indent80 0 0 0 0 0 0 23   ?AGMSYaioIndent0I.A.1.a.(1)(a)i)a)P 8Mac DefaultMac Default ` X!"#$&C<< CLevel 1Level 2Level 3Level 4Level 5(3$ !  ("$    ($$   1  ((' dxd dP Pd'''''dxd<  9p`(&Times New Roman% Line 7 d----7Border 1dd!#.C << G<  9p`(Arial < !  #d#,,   ""  00   YYY FILED0XMay29,1998CecilW.CrowsonAppellateCourtClerk  PtPtHH(FG(HH(d'`Styl{WP}01  HH  2$HH  Geneva  <Px443!#4$*$$*$ KK  Geneva  Geneva .,6 Geneva   ion-F Geneva  ion-F Geneva ! . ,,       X \RA'\7dd7  ,  ћ @ INTHECOURTOFAPPEALSOFTENNESSEE̜!R/1.A1-j|)`  `@Rߛ@ ATNASHVILLE ,NATIONALHEALTHCARE,L.P., )      ) Plaintiff/Appellant,  )      ) DavidsonChanceryVS.      ) No.97469I      )SPARTAMEDICALINVESTORS ) AppealNo.LIMITEDPARTNERSHIPand ) 01A019712CH00718THETENNESSEEHEALTH  )FACILITIESCOMMISSION,  )      ) Defendants/Appellees.  ), @ CONCURRINGOPINION , Iconcurwiththeresultsofthecourtsopinion. TheTennesseeHealthFacilitiesCommissionemploysaprocedurallyuniquethreestepprocedure.ThefirststepconsistsoftheCommissionspreliminarydecisiononanapplicationforaCON.SeeTenn.CodeAnn.6811108(1996).IfoneoftheaffectedpartiesconteststheCommissionspreliminarydecision,thesecondstepconsistsofacontestedcasehearinginaccordancewithTenn.CodeAnn.6811109(1996).Administrativelawjudgesusuallypresideatthesehearingsandthenissueaninitialdecision.ThethirdstepistheCommissionsconsiderationoftheadministrativelawjudgesinitialdecisionanditsissuanceofafinaldecision. TheTennesseeHealthPlanningandResourceDevelopmentActof1987,Tenn.CodeAnn.6811101,125(1996&Supp.1997),containsnoprovisionexplicitlypreventingtheCommissionfromgrantingafinalCONontermsandconditionsthataredifferentfromthetermsandconditionsoftheCONpreliminarilygrantedunderTenn.CodeAnn.6111108.WhenapetitionforacontestedcasehearinginaccordancewithTenn.CodeAnn.6811109isfiled,thehearingmustrelatetotheoriginalapplicationforacertificateofneedfiledwiththeCommission.TherecordcontainsnoconvincingevidencethattheconsiderationofthevariouspermutationsofSpartaMedicalInvestors,L.P.sapplicationforaCONunderminedNationalHealthCare,L.P.sabilitytopresentproofopposingtheapprovalofasecondnursinghomeinSparta. Followingmyownindependentreviewoftheadministrativerecord,IfindthatthereissubstantialandmaterialevidencesupportingtheCommissionsapprovalofa100bednonskillednursinghomewithtwentyskilledbedsandincludingan_Alzheimers_Ԁunitanditsconclusionthatthisfacilitywaseconomicallyfeasibletobuildandoperate.           _______________________________      WILLIAMC.KOCH,JR.,JUDGE