Saint Francis Memorial Hospital v. State Dept. of Public Health ( 2020 )


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  •         IN THE SUPREME COURT OF
    CALIFORNIA
    SAINT FRANCIS MEMORIAL HOSPITAL,
    Plaintiff and Appellant,
    v.
    STATE DEPARTMENT OF PUBLIC HEALTH, Defendant and
    Respondent.
    S249132
    First Appellate District, Division One
    A150545
    San Mateo County Superior Court
    CIV537118
    June 29, 2020
    Justice Cuéllar authored the opinion of the Court, in which
    Chief Justice Cantil-Sakauye and Justices Chin, Corrigan, Liu,
    Kruger, and Groban concurred.
    SAINT FRANCIS MEMORIAL HOSPITAL v. STATE
    DEPARTMENT OF PUBLIC HEALTH
    S249132
    Opinion of the Court by Cuéllar, J.
    California law permits — but also sets certain limits on —
    judicial review of adjudicatory decisions made by agencies
    responsible for implementing public policies on health, natural
    resources, employment, and other issues. One example is
    Government Code section 11523,1 which lets parties seek
    judicial review of an agency’s adjudicatory decision by filing a
    petition for a writ of administrative mandate “within 30 days
    after the last day on which reconsideration can be ordered.” Yet
    lurking in the backdrop for most limitations periods is equitable
    tolling: a judicially created doctrine allowing courts to toll the
    statute of limitations when justice so requires.
    What we must resolve in this case is whether equitable
    tolling can ever lessen the otherwise strict time limit on the
    availability of writs of administrative mandate under section
    11523, and if so, whether the doctrine applies in this case. The
    answer to the first question is yes. Section 11523 allows for
    equitable tolling because nothing in the statute’s language,
    structure, or legislative history demonstrates a legislatively
    enacted expectation to prohibit equitable tolling — which
    1
    All statutory references are to the Government Code
    unless otherwise noted.
    SAINT FRANCIS MEMORIAL HOSPITAL v. STATE DEPARTMENT OF
    PUBLIC HEALTH
    Opinion of the Court by Cuéllar, J.
    otherwise tends to function as a crucial backdrop to statutes of
    limitations.
    Close scrutiny of that backdrop also reveals that the first
    two elements of tolling are satisfied in this case: timely notice
    and lack of prejudice. Equitable tolling nonetheless also
    depends on a third element — the reasonable and good faith
    conduct of the party invoking it — and we cannot from this
    record glean, nor has the Court of Appeal thoroughly addressed,
    whether Saint Francis satisfies that element. So we vacate the
    judgment and remand for the Court of Appeal to determine
    whether the third element of equitable tolling is satisfied.
    I.
    When the State Department of Public Health (the
    Department) learned that doctors at Saint Francis Memorial
    Hospital left a surgical sponge in a patient during a 2010
    surgery, it imposed a $50,000 fine on the hospital. The
    Department alleged that Saint Francis had “failed to develop
    and implement a [sponge] count procedure” and lacked a policy
    to properly train its staff, as required by California Code of
    Regulations, title 22, section 70223, subdivision (b)(2).
    Saint Francis appealed. After a hearing, an administrative
    law judge (ALJ) issued a proposed decision in Saint Francis’s
    favor. The ALJ reasoned that the regulations were not
    “intended to impose a penalty for any adverse occurrence during
    the provision of surgical services” — they only required Saint
    Francis to “develop[] and implement[] surgical safety [policies].”
    Because those policies existed at the time of the incident, Saint
    Francis wasn’t liable for violating the regulations.
    2
    SAINT FRANCIS MEMORIAL HOSPITAL v. STATE DEPARTMENT OF
    PUBLIC HEALTH
    Opinion of the Court by Cuéllar, J.
    On administrative review, however, the Department
    reversed the ALJ’s proposed decision and upheld the penalty
    against Saint Francis.2 It reasoned that “the term ‘implement’
    informs licensees that they must not only develop and maintain
    a policy, [but] must actually use the policy.” Saint Francis had
    failed to put its sponge-count policy into practice — “[h]ad [it]
    done so, the sponge count would have revealed that a four-inch
    by eight-inch surgical sponge was still inside the patient” — so
    the hospital had violated the regulations. The Department
    served Saint Francis with its decision — which was “effective
    immediately” — on December 16, 2015.3
    Two weeks later, on December 30, 2015, Saint Francis filed
    a request for reconsideration under section 11521. This section
    typically allows an agency to order reconsideration of its
    2
    After an ALJ issues a proposed decision, there is “a second
    level of decisionmaking in which the [Department] decides
    whether to adopt the ALJ’s proposed decision.” (Department of
    Alcoholic Beverage Control v. Alcoholic Beverage Control
    Appeals Bd. (2006) 
    40 Cal. 4th 1
    , 5.) If it chooses not to adopt
    the proposed decision in its entirety, the Department may:
    reduce or mitigate the penalty but otherwise adopt the decision
    (§ 11517, subd. (c)(2)(B)), make technical or minor changes to
    the decision (§ 11517, subd. (c)(2)(C)), reject the proposed
    decision and refer the matter back to the ALJ (§ 11517, subd.
    (c)(2)(D)), or reject the proposed decision “and decide the case
    upon the record, including the transcript, or upon an agreed
    statement of the parties, with or without taking additional
    evidence” (§ 11517, subd. (c)(2)(E)).
    3
    Although the Department issued its final decision on
    December 15, 2015, the Department conceded in its briefs and
    at oral argument that the relevant date for the purposes of the
    statute of limitations is December 16, 2015 — the date the
    Department served Saint Francis with its final decision.
    3
    SAINT FRANCIS MEMORIAL HOSPITAL v. STATE DEPARTMENT OF
    PUBLIC HEALTH
    Opinion of the Court by Cuéllar, J.
    decision within “30 days after the delivery or mailing of a
    decision to a respondent.” (§ 11521, subd. (a).) According to
    Saint Francis, the Department had mistakenly placed the
    burden of proof on the hospital, and by failing to consider
    evidence introduced by Saint Francis at the administrative
    hearing. The Department sought to rebut these arguments on
    the merits in its response, which it filed on January 8, 2016.
    On January 14, 2016, Saint Francis’s legal counsel wrote
    to counsel for the Department. Counsel for Saint Francis sought
    to confirm his understanding that the Department had until
    “next Tuesday [January 19] to decide the request [for
    reconsideration].” Saint Francis explained that, if the request
    for reconsideration was denied, it “intend[ed] to petition for a
    writ of mandate with the Superior Court.” On January 19, 2016
    — which, as the parties later learned, was after the deadline by
    which Saint Francis should have filed its petition for a writ of
    administrative mandate — counsel for the Department
    responded: “I believe you are correct.” The Department’s
    counsel didn’t mention that section 11523’s 30-day statute of
    limitations for filing a petition for a writ of administrative
    mandate had begun running on the effective date of the
    Department’s decision, December 16, 2015, and expired on
    January 15, 2016. Instead, counsel for the Department offered
    to put Saint Francis in touch with the lawyer who would be
    representing the Department in the superior court proceedings.
    The Department also denied Saint Francis’s request for
    reconsideration on January 14, 2016. It explained that because
    the Department’s decision was “effective immediately,” Saint
    Francis couldn’t seek reconsideration of the Department’s
    decision. The Department was thus “unable to consider [Saint
    4
    SAINT FRANCIS MEMORIAL HOSPITAL v. STATE DEPARTMENT OF
    PUBLIC HEALTH
    Opinion of the Court by Cuéllar, J.
    Francis’s] Request for Reconsideration[,] which is deemed
    denied.”
    On January 26, 2016 — just 11 days after the Department
    denied Saint Francis’s request for reconsideration, but 41 days
    after being served with the Department’s final decision — Saint
    Francis filed a petition for a writ of administrative mandate in
    superior court. (See § 11521.) The Department demurred on
    the ground that the petition was untimely under section 11523,
    which requires that a writ petition “be filed within 30 days after
    the last day on which reconsideration can be ordered.” After
    allowing Saint Francis to amend its petition, the court sustained
    the Department’s demurrer. It reasoned that Saint Francis’s
    petition was time-barred, and “that Saint Francis’s ‘mistake []
    as to [the] law . . . [was] not a sufficient basis to excuse [a] late
    filing.’ ” (Saint Francis Memorial Hospital v. State Dept. of
    Public Health (2018) 
    24 Cal. App. 5th 617
    , 621 (Saint Francis).)
    The Court of Appeal affirmed. In so doing, it acknowledged
    that “Saint Francis’s mistake about the availability of
    reconsideration was made in good faith” and “that Saint Francis
    notified the Department of its intent to file a writ petition.”
    (Saint 
    Francis, supra
    , 24 Cal.App.5th at p. 624.) The court
    nonetheless held that because “Saint Francis’s request for
    reconsideration did not constitute the timely pursuit of an
    available remedy[,] . . . [¶] . . . these circumstances are
    insufficient to toll the running of [section 11523’s] 30-day
    [limitations] period.” (Ibid.) We granted review to decide
    whether equitable tolling may apply to petitions filed under
    section 11523 and, if so, whether the Court of Appeal erred in
    concluding that tolling did not apply to this case.
    5
    SAINT FRANCIS MEMORIAL HOSPITAL v. STATE DEPARTMENT OF
    PUBLIC HEALTH
    Opinion of the Court by Cuéllar, J.
    II.
    We first consider whether equitable tolling may apply to
    section 11523. The Department argues it cannot because
    equitable tolling is inconsistent with the statute’s “text,
    structure, and legislative history.”
    Equitable tolling is a “judicially created, nonstatutory
    doctrine” that “ ‘suspend[s] or extend[s] a statute of limitations
    as necessary to ensure fundamental practicality and fairness.’ ”
    (McDonald v. Antelope Valley Community College Dist. (2008)
    
    45 Cal. 4th 88
    , 99 (McDonald).)             The doctrine applies
    “occasionally and in special situations” to “soften the harsh
    impact of technical rules which might otherwise prevent a good
    faith litigant from having a day in court.” (Addison v. State
    (1978) 
    21 Cal. 3d 313
    , 316 (Addison).) Courts draw authority to
    toll a filing deadline from their inherent equitable powers — not
    from what the Legislature has declared in any particular
    statute. (See Elkins v. Derby (1974) 
    12 Cal. 3d 410
    , 420, fn. 9
    (Elkins).) For that reason, we presume that statutory deadlines
    are subject to equitable tolling. (See Irwin v. Department of
    Veterans Affairs (1990) 
    498 U.S. 89
    , 95–96 (Irwin).)
    But that presumption can be overcome. Equitable tolling,
    we’ve also observed, “is not immune” from the operation of
    statutes. 
    (McDonald, supra
    , 45 Cal.4th at p. 105.) A court may
    conclude that explicit statutory language or a manifest policy
    underlying a statute simply cannot be reconciled with
    permitting equitable tolling, “even in the absence of an explicit
    prohibition.” (Ibid.) We adopted that conclusion in Lantzy v.
    Centex Homes, where we held that the Legislature had sought
    to preclude Code of Civil Procedure section 337.15’s statute of
    6
    SAINT FRANCIS MEMORIAL HOSPITAL v. STATE DEPARTMENT OF
    PUBLIC HEALTH
    Opinion of the Court by Cuéllar, J.
    limitations from being tolled. (Lantzy v. Centex Homes (2003)
    
    31 Cal. 4th 363
    (Lantzy).)
    Contrary to the Department’s assertions, we find no
    indication that the Legislature’s purpose encompassed
    prohibiting section 11523’s statute of limitations from being
    tolled. Our analysis begins with the statute’s language and
    structure. A petition for a writ of mandate “shall be filed within
    30 days after the last day on which reconsideration can be
    ordered.” (§ 11523.) Although the statute — like all statutes of
    limitations — sets forth a deadline by which writ petitions must
    be filed, its language and structure is no different from that of
    other statutes of limitations that are subject to equitable tolling.
    (See, e.g., 
    McDonald, supra
    , 45 Cal.4th at p. 106 [tolling
    available under statute stating: “ ‘No [] complaint may be filed
    after the expiration of one year from the date upon which the
    alleged unlawful practice or refusal to cooperate occurred’ ”];
    Tarkington v. California Unemployment Ins. Appeals Bd. (2009)
    
    172 Cal. App. 4th 1494
    , 1502, fn. 6 [tolling available under
    statute that required parties “ ‘to seek judicial review from an
    appeals board decision . . . not later than six months after the
    date of the decision of the appeals board’ ”].) So the fact that
    section 11523 sets a deadline for filing a petition for a writ of
    administrative mandate does not, by itself, demonstrate that
    the Legislature sought to prohibit tolling.
    Nor does the length of section 11523’s statute of limitations
    demonstrate a legislative purpose to forbid the availability of
    equitable tolling. A 10-year statute of limitations, we’ve
    reasoned, is “so ‘exceptionally long’ ” that it “indicates the
    Legislature’s effort to provide, within the strict statutory period
    itself, a reasonable time to” file suit. 
    (Lantzy, supra
    , 
    31 Cal. 4th 7
     SAINT FRANCIS MEMORIAL HOSPITAL v. STATE DEPARTMENT OF
    PUBLIC HEALTH
    Opinion of the Court by Cuéllar, J.
    at p. 379.) But section 11523’s 30-day limitations period is
    relatively brief, so it carries with it no such inference.
    The Department nonetheless identifies two features of the
    statute purportedly revealing that the Legislature sought to
    preclude tolling. The Department first contends that section
    11523’s 30-day deadline is significant because “[o]rdinary
    mandamus writs do not have a specific filing deadline.” So the
    Legislature’s adoption of a statute of limitations, it argues, was
    a departure from the usual state of affairs that we should
    interpret as indicative of a legislatively enacted expectation that
    tolling be prohibited. The Department also relies on the fact
    that section 11523 already tolls the statute of limitations in one
    situation: when a petitioner requests the administrative record
    within 10 days of the deadline for requesting reconsideration.
    (§ 11523.) That the Legislature explicitly included this one
    situation under which tolling is permitted demonstrates, the
    Department contends, why section 11523 prohibits tolling under
    any other circumstance. (See California Redevelopment Assn. v.
    Matosantos (2011) 
    53 Cal. 4th 231
    , 261 [describing the legal
    maxim inclusio unius est exclusio alterius (the inclusion of one
    is the exclusion of another)].)
    When we interpret a legislative provision and make sense
    of its purpose in the larger statutory scheme, however, our task
    “ ‘is to discern the sense of the statute, and therefore its words,
    in the legal and broader culture. ’ ” (Hodges v. Superior Court
    (1999) 
    21 Cal. 4th 109
    , 114, italics omitted.)            Even the
    Department acknowledges that equitable tolling “is part of the
    established backdrop of American law” — a backdrop we
    presume the Legislature understands when drafting limitations
    periods. (Lozano v. Montoya Alvarez (2014) 
    572 U.S. 1
    , 11.)
    8
    SAINT FRANCIS MEMORIAL HOSPITAL v. STATE DEPARTMENT OF
    PUBLIC HEALTH
    Opinion of the Court by Cuéllar, J.
    That background principle isn’t made explicit in statutes of
    limitations — whose purpose, after all, are to set firm deadlines
    by which parties must file suit. (See Chase Securities Corp. v.
    Donaldson (1945) 
    325 U.S. 304
    , 314 [statutes of limitations “do[]
    not discriminate between the just and the unjust claim, or the
    voidable and unavoidable delay”].) So the Legislature’s adoption
    of the statute of limitations in section 11523 may very well have
    reflected a goal that petitions for a writ of administrative
    mandate be filed within 30 days — but it does not, by itself, give
    rise to the inference that the Legislature sought to foreclose
    equitable tolling. Our courts have emphasized how equitable
    tolling can advance “important [public] policy considerations,”
    effectively offering the kind of narrowly drawn flexibility for
    unusual situations that allows the Legislature to preserve strict
    default rules. (Collier v. City of Pasadena (1983) 
    142 Cal. App. 3d 917
    , 926; accord 
    McDonald, supra
    , 45 Cal.4th at p. 100.) A
    requirement that parties seek judicial review within 30 days
    under section 11523 doesn’t prohibit courts’ exercise of their
    equitable powers to toll that limitations period when justice so
    requires.
    Nor is the judiciary powerless to toll the statute of
    limitations in situations besides the one mentioned in section
    11523. A plaintiff’s timely request for the administrative record
    extends the statute of limitations by “30 days after its delivery
    to him or her.” (§ 11523.) Such an exception is sensible: It
    would be unreasonable, after all, to require plaintiffs to file writ
    petitions before they receive the record on which their petitions
    will be based. But section 11523 does not “contain exclusivity
    language [] that courts have interpreted as confining tolling to
    specific listed bases.” 
    (McDonald, supra
    , 45 Cal.4th at p. 107
    9
    SAINT FRANCIS MEMORIAL HOSPITAL v. STATE DEPARTMENT OF
    PUBLIC HEALTH
    Opinion of the Court by Cuéllar, J.
    [citing “ ‘ “in no event” shall the prescriptive period be tolled
    except under those circumstances specified in the statute’ ” and
    no tolling “ ‘for any reason except as provided’ therein” as
    examples of such language].) The single exception to section
    11523’s 30-day limitations period bears little relation to the
    purpose of equitable tolling: to excuse noncompliance with the
    statute of limitations in exceptional circumstances in which a
    party didn’t act within the limitations period because of an
    obstacle not acknowledged in the statute. We decline to infer
    from that single exception that it was within the ambit of the
    Legislature’s purpose to bar tolling in any other circumstance.
    (See Young v. United States (2002) 
    535 U.S. 43
    , 49 [The
    Legislature is presumed to draft limitations periods in light of
    the “hornbook law that limitations periods are ‘customarily
    subject to “equitable tolling” ’ ”].)
    Similarly unavailing to the Department’s position is the
    legislative history of section 11523. In contrast to what we
    discerned from the legislative history of Code of Civil Procedure
    section 337.15, it does not “reflect[] a clear intent” that equitable
    tolling ought not be available under section 11523. 
    (McDonald, supra
    , 45 Cal.4th at p. 105.) Code of Civil Procedure section
    337.15, as we explained in Lantzy, was enacted in “response to
    [a] considerable expansion of California’s common law of
    construction liability.” 
    (Lantzy, supra
    , 31 Cal.4th at p. 374.) In
    the decades preceding the statute’s enactment, “members of the
    building industry [] faced exposure to liability for all defects in
    their past projects so long as these defects remained
    undiscovered and undiscoverable by reasonable inspection.” (Id.
    at p. 375.) The absence of a strict limitations period “produc[ed]
    a risk for which insurance was available only at prohibitive cost
    10
    SAINT FRANCIS MEMORIAL HOSPITAL v. STATE DEPARTMENT OF
    PUBLIC HEALTH
    Opinion of the Court by Cuéllar, J.
    . . . thus threatening the industry’s economic health.” (Id. at p.
    376.)
    It was against this backdrop that the Legislature enacted
    the 10-year limitations period in Code of Civil Procedure section
    337.15. The Legislature appears to have “carefully considered
    how to provide a fair time to discover construction defects, and
    to sue upon such defects if necessary, while still protecting a
    vital industry from the damaging consequences of indefinite
    liability exposure.” 
    (Lantzy, supra
    , 31 Cal.4th at p. 377.) It
    ultimately “specified in section 337.15 that whatever limitations
    periods might otherwise apply, ‘no action’ for injury to property
    arising from latent construction defects ‘may be brought’ more
    than 10 years after substantial completion of the project.” (Ibid.,
    italics omitted.) The statute’s 10-year limitations period,
    therefore, was intended “to be firm and final.” (Ibid.)
    Nothing in the legislative history of section 11523 supports
    a similar conclusion. Indeed, the limited history that exists
    could reasonably be read to support the availability of equitable
    tolling. The Legislature amended section 11523 in 1971 to allow
    plaintiffs who requested the administrative record 30 days,
    instead of five days, to file a petition for a writ of administrative
    mandate after receiving the record. (Stats. 1971, ch. 984, § 1, p.
    1896.) The analysis prepared by the Department of General
    Services advised the Governor that although the amendment
    “may on occasion cause subsequent judicial review proceedings
    to commence somewhat later than would be the case under
    existing law[,] . . . such delays would not be likely to measurably
    affect departmental interests, either favorably or adversely.”
    (Dept. of Gen. Services, Enrolled Bill Rep. on Assem. Bill No.
    2067 (1971-1972 Reg. Sess.) Sept. 29, 1971, p. 1.) If the
    11
    SAINT FRANCIS MEMORIAL HOSPITAL v. STATE DEPARTMENT OF
    PUBLIC HEALTH
    Opinion of the Court by Cuéllar, J.
    executive branch wasn’t persuaded that extending the deadline
    from five to 30 days would tend to make a difference in these
    cases, it seems harder still to conclude that it was within the
    ambit of the Legislature’s purpose for the 30-day deadline to
    function as an austere, unforgiving limitation period,
    notwithstanding any equitable considerations buttressing the
    case for tolling.
    The Department doesn’t point us to contrary evidence. Its
    argument rests instead on the fact that the Legislature “has not
    extended the 30-day deadline to file a writ petition” or “added
    any additional statutory tolling provisions” since the statute’s
    enactment in 1945. From this inaction, the Department would
    have us infer that the 30-day deadline is an inflexible one,
    immune from extension on equitable grounds. Yet because
    legislatures acquiesce for scores of reasons, such acquiescence
    supports only limited inferences when we interpret statutes.
    (See Harris v. Capital Growth Investors XIV (1991) 
    52 Cal. 3d 1142
    , 1156.) The lack of amendments may instead “ ‘ “indicate
    many [other] things[:] . . . the sheer pressure of other and more
    important business, political considerations, or a tendency to
    trust to the courts to correct their own errors . . . .” ’ ” (People v.
    Whitmer (2014) 
    59 Cal. 4th 733
    , 741.) So we decline to attribute
    to the Legislature a purpose for which little or no evidence
    exists.
    We cull little if any evidence from section 11523’s text,
    context, and legislative history that the Legislature took a
    scalpel to equitable tolling under section 11523. Because we
    presume that statutes of limitations are ordinarily subject to
    equitable tolling, the paucity of evidence that the Legislature
    12
    SAINT FRANCIS MEMORIAL HOSPITAL v. STATE DEPARTMENT OF
    PUBLIC HEALTH
    Opinion of the Court by Cuéllar, J.
    ruled it out compels the conclusion that the 30-day statute of
    limitations may be tolled.
    But “may” here means possibility, and not just permission:
    That equitable tolling is available under section 11523 doesn’t
    mean it will apply in every — or even most — cases. As we’ve
    explained, equitable tolling is a narrow remedy that applies to
    toll statutes of limitations only “occasionally and in special
    situations.” 
    (Addison, supra
    , 21 Cal.3d at p. 316; see also
    
    Lantzy, supra
    , 31 Cal.4th at p. 370 [equitable tolling should be
    applied only “in carefully considered situations”].) So the
    conclusion that the Legislature hasn’t prohibited a statute of
    limitations from being tolled ought not transform equitable
    tolling into “a cure-all for an entirely common state of affairs.”
    (Wallace v. Kato (2007) 
    549 U.S. 384
    , 396 (Wallace).) Courts
    must instead carefully examine the facts of each case to
    determine whether “justice and fairness” demand that the
    limitations period be tolled. (Lambert v. Commonwealth Land
    Title Ins. Co. (1991) 
    53 Cal. 3d 1072
    , 1081.)
    III.
    Having concluded that equitable tolling can apply under
    section 11523, we consider whether it does apply in this case.
    We begin by outlining the elements of the doctrine, along with
    the history from which they emerged.
    Our equitable tolling doctrine evolved from three lines of
    California cases, each relieving plaintiffs of the duty to abide by
    the statute of limitations. (See 
    Addison, supra
    , 21 Cal.3d at p.
    317.) Courts found a basis to offer some flexibility from the
    statute of limitations when a plaintiff was already involved in
    one lawsuit, and filed a subsequent case that could lessen the
    13
    SAINT FRANCIS MEMORIAL HOSPITAL v. STATE DEPARTMENT OF
    PUBLIC HEALTH
    Opinion of the Court by Cuéllar, J.
    damage or harm that would otherwise have to be remedied
    through a separate case. (Id. at pp. 317–318.) So too did courts
    toll statutes of limitations in situations where a plaintiff was
    required to pursue, and did indeed pursue, an administrative
    remedy before filing a civil action. (Id. at p. 318.) In a third line
    of cases, courts tolled the statute of limitations “ ‘to serve the
    ends of justice where technical forfeitures would unjustifiably
    prevent a trial on the merits.’ ” (Id. at p. 319.)
    It was from all three of these strands of caselaw that
    equitable tolling emerged. The doctrine allows our courts, “in
    carefully considered situations,” 
    (Lantzy, supra
    , 31 Cal.4th at p.
    370) to exercise their inherent equitable powers to “soften the
    harsh impact of technical rules” 
    (Addison, supra
    , 21 Cal.3d at p.
    316) by tolling statutes of limitations. As we explained in
    Addison, equitable tolling today applies when three “elements”
    are present: “[(1)] timely notice, and [(2)] lack of prejudice, to
    the defendant, and [(3)] reasonable and good faith conduct on
    the part of the plaintiff.” 
    (Addison, supra
    , 21 Cal.3d at p. 319.)
    These requirements are designed to “balanc[e] the injustice to
    the plaintiff occasioned by the bar of his claim against the effect
    upon the important public interest or policy expressed by the
    [operative] limitations statute.” (Id. at p. 321.)
    A.
    Perhaps in an effort to somewhat tame the potentially
    capacious extent of the doctrine’s flexibility, some lower courts
    have interpreted equitable tolling to contain a rigid
    requirement: pursuit of an alternative available administrative
    or legal remedy. Leaning on our decision in McDonald, the
    Court of Appeal explained that “equitable tolling applies ‘ “
    14
    SAINT FRANCIS MEMORIAL HOSPITAL v. STATE DEPARTMENT OF
    PUBLIC HEALTH
    Opinion of the Court by Cuéllar, J.
    ‘[w]hen an injured person has several legal remedies and,
    reasonably and in good faith, pursues one.’ ” ’ ” (Saint 
    Francis, supra
    , 24 Cal.App.5th at p. 623; see also Hansen v. Board of
    Registered Nursing (2012) 
    208 Cal. App. 4th 664
    , 672 [equitable
    tolling available when “a party with multiple available remedies
    pursues one in a timely manner”].) Because “Saint Francis’s
    request for reconsideration did not constitute the timely pursuit
    of an available remedy since reconsideration was unavailable,”
    the court concluded that section 11523’s statute of limitations
    shouldn’t be tolled. (Saint 
    Francis, supra
    , 24 Cal.App.5th at p.
    624.)
    But as the Department itself acknowledges, our past cases
    stop short of categorically conditioning tolling on a plaintiff’s
    pursuit of a viable remedy. (J.M. v. Huntington Beach Union
    High School Dist. (2017) 
    2 Cal. 5th 648
    , 658 (J.M.).) The doctrine
    is sufficiently supple “to ‘ensure fundamental practicality and
    fairness.’ ” (Ibid.) And even in cases where a party seeking
    tolling pursued an alternative remedy, we’ve concluded that
    pursuit of a remedy “embarked upon in good faith, [yet] found to
    be defective for some reason,” doesn’t foreclose a statute of
    limitations from being tolled. 
    (McDonald, supra
    , 45 Cal.4th at
    p. 100.) We applied equitable tolling in Addison, for example, to
    extend the statute of limitations where the plaintiffs first sought
    relief in federal court, which dismissed their suit for lack of
    jurisdiction, before filing their action in state court after the
    statute of limitations had expired. 
    (Addison, supra
    , 21 Cal.3d
    at p. 319.) Although the plaintiffs’ first action was futile because
    of the federal court’s lack of jurisdiction, we reasoned that it
    “notified [defendants] of the action” and gave them “the
    15
    SAINT FRANCIS MEMORIAL HOSPITAL v. STATE DEPARTMENT OF
    PUBLIC HEALTH
    Opinion of the Court by Cuéllar, J.
    opportunity to begin gathering their evidence and preparing
    their defense.” (Ibid.)
    The Court of Appeal correctly described one scenario under
    which equitable tolling may apply: if a plaintiff pursues one of
    several available legal remedies, causing it to miss the statute
    of limitations for other remedies it later wishes to pursue. Yet
    such facts are far from the only circumstances under which the
    doctrine may apply. To determine whether equitable tolling
    may extend a statute of limitations, courts must analyze
    whether a plaintiff has established the doctrine’s three
    elements: timely notice to the defendant, lack of prejudice to the
    defendant, and reasonable and good faith conduct by the
    plaintiff. 
    (Addison, supra
    , 21 Cal.3d at p. 319.)
    The Department asserts that Saint Francis cannot avail
    itself of equitable tolling because of the reason for its delayed
    filing: its mistake in calculating the deadline. Relying on Court
    of Appeal decisions such as Kupka v. Board of Administration
    (1981) 
    122 Cal. App. 3d 791
    , 794, the Department contends the
    fact that Saint Francis “simply made a mistake in ascertaining
    its filing deadline” prevents us from tolling the statute of
    limitations. Kupka nonetheless differs in meaningful respects
    from the case before us, and the Department’s argument
    oversimplifies the lesson Kupka offers. That case did not involve
    an equitable tolling claim. What the Court of Appeal held in
    Kupka was that a party’s mistake, neglect, or personal hardship
    could not, without more, excuse a late-filed petition under Code
    of Civil Procedure section 473. 
    (Kupka, supra
    , 122 Cal.App.3d
    at pp. 794–795.)
    16
    SAINT FRANCIS MEMORIAL HOSPITAL v. STATE DEPARTMENT OF
    PUBLIC HEALTH
    Opinion of the Court by Cuéllar, J.
    We agree that mistake or neglect alone doesn’t excuse a
    late-filed petition. (See 
    Irwin, supra
    , 498 U.S. at p. 96.) But
    neither is that fact, when relevant, dispositive of a party’s
    equitable tolling claim; we must consider it as part of the
    analysis of whether a plaintiff has established equitable tolling’s
    elements. (See 
    Addison, supra
    , 21 Cal.3d at p. 319.) This allows
    courts to balance “the injustice to the plaintiff occasioned by the
    bar of his claim against the effect upon the important public
    interest or policy expressed by the [operative] limitations
    statute.” (Id. at p. 321.) So Saint Francis’s mistake in
    calculating the filing deadline under section 11523 isn’t
    necessarily fatal to its equitable tolling claim. We must instead
    determine whether the hospital satisfies the three elements of
    equitable tolling.
    B.
    We begin with timely notice. The Department contends
    that Saint Francis fails to satisfy the first element because its
    request for reconsideration was “unauthorized” under the
    statutory scheme. In the Department’s view, a plaintiff’s
    pursuit of an alternative remedy that turns out to be flawed
    cannot provide notice of the party’s claims to the defendant.
    But that assertion rests on an overly rigid conception of
    equitable tolling’s first prong. We have never concluded that
    pursuit of an alternative remedy is necessary for a plaintiff to
    provide timely notice of its claims to the defendant. When
    considering whether a plaintiff provided timely notice, courts
    focus on whether the party’s actions caused the defendant to be
    “fully notified within the [statute of limitations] of plaintiffs’
    17
    SAINT FRANCIS MEMORIAL HOSPITAL v. STATE DEPARTMENT OF
    PUBLIC HEALTH
    Opinion of the Court by Cuéllar, J.
    claims and their intent to litigate.” 
    (Addison, supra
    , 21 Cal.3d
    at p. 321.)
    Saint Francis’s actions did just that. On December 30,
    2015 — well before section 11523’s statute of limitations was set
    to expire — Saint Francis filed a request for reconsideration.
    Although this request was later “found to be defective for some
    reason” 
    (McDonald, supra
    , 45 Cal.4th at p. 100) — because the
    Department’s “effective immediately” decision rendered
    reconsideration unavailable to Saint Francis — it provided the
    Department with timely notice that Saint Francis was seeking
    to appeal the Department’s penalty against the hospital.
    That Saint Francis provided the Department with timely
    notice is underscored by what happened next. On January 14,
    2016, one day before section 11523’s statute of limitations was
    set to expire, Saint Francis notified the Department’s counsel of
    its intent to file a petition for a writ of administrative mandate
    if the request for reconsideration was unsuccessful. The
    Department’s counsel — apparently unaware that Saint
    Francis’s petition was already four days overdue —
    acknowledged the forthcoming petition on January 19, 2016.
    The most plausible interpretation of these facts is that Saint
    Francis’s request for reconsideration, together with its
    communications with the Department’s counsel, notified the
    Department of its intent to seek review of the Department’s
    penalty against the hospital. Because equitable tolling is
    designed to apply when a plaintiff has “ ‘satisfied the notification
    purpose of a limitations statute’ ” 
    (McDonald, supra
    , 45 Cal.4th
    at p. 102), ignoring this inference would undermine the
    doctrine’s underlying rationale and purpose.
    18
    SAINT FRANCIS MEMORIAL HOSPITAL v. STATE DEPARTMENT OF
    PUBLIC HEALTH
    Opinion of the Court by Cuéllar, J.
    The first element of equitable tolling — that a plaintiff
    must provide timely notice of its claims to the defendant — has
    remained the same since the doctrine’s inception. 
    (Addison, supra
    , 45 Cal.4th at p. 319.) That element ought to be
    interpreted literally: When confronted with equitable tolling
    claims, courts must examine each case on its facts to determine
    whether the defendant received timely notice of the plaintiff’s
    intent to file suit.       Because Saint Francis’s request for
    reconsideration, together with the e-mail notifying the
    Department’s counsel of its intent to file a petition for a writ of
    administrative mandate, provided the Department with timely
    notice of the hospital’s claim, we conclude that Saint Francis has
    satisfied the first element of equitable tolling.
    C.
    The Department next argues that Saint Francis’s equitable
    tolling claim fails because the hospital cannot satisfy the second
    element: lack of prejudice to the defendant. (See 
    McDonald, supra
    , 45 Cal.4th at p. 102.) We disagree.
    The Department has suffered prejudice, it contends,
    because Saint Francis’s late filing circumvented its “rel[iance]
    on legislative rules establishing the finality of its adjudicative
    decisions in order to execute its statutory charge of safeguarding
    the public health.” That argument ignores the core focus of our
    prejudice analysis: whether application of equitable tolling
    would prevent the defendant from defending a claim on the
    merits. (See 
    Addison, supra
    , 21 Cal.3d at p. 318.) Given that
    the Department defended its assessment of the fine against
    Saint Francis throughout the administrative proceedings, we
    don’t see how tolling section 11523’s statute of limitations would
    19
    SAINT FRANCIS MEMORIAL HOSPITAL v. STATE DEPARTMENT OF
    PUBLIC HEALTH
    Opinion of the Court by Cuéllar, J.
    undermine the Department’s ability to defend the propriety of
    that same penalty in superior court.
    Consider the implications of embracing the Department’s
    argument regarding prejudice: We’d be all but compelled to find
    prejudice in just about every equitable tolling case. Virtually all
    parties, after all, tend to rely on statutes of limitations in the
    course of litigation.      And the Department presents no
    explanation of why it, in particular, suffers greater prejudice
    because of its public charge. The Department’s contention also
    fails to recognize that the finality of adjudicative decisions is
    already undermined by section 11523, which expressly allows
    those decisions to be appealed — appeals which can, and
    typically do, postpone the finality of the Department’s decisions
    for years. For these reasons, we conclude that tolling the statute
    of limitations wouldn’t prejudice the Department.
    D.
    The third element of equitable tolling requires reasonable
    and good faith conduct by the plaintiff. The Department
    contends Saint Francis cannot satisfy this element because its
    late filing was due solely to its mistake in calculating the statute
    of limitations under section 11523.
    Our equitable tolling cases have offered little insight on
    what constitutes reasonable and good faith conduct. Without
    discussing the third element specifically, we suggested in
    Addison that the plaintiffs’ actions were reasonable and carried
    out in good faith because they “promptly asserted [their cause of
    action] in the proper state court” after the federal court
    dismissed it for lack of jurisdiction. 
    (Addison, supra
    , 21 Cal.3d
    at p. 319.) More recently, we concluded that a party didn’t act
    20
    SAINT FRANCIS MEMORIAL HOSPITAL v. STATE DEPARTMENT OF
    PUBLIC HEALTH
    Opinion of the Court by Cuéllar, J.
    reasonably, and thus was not entitled to equitable tolling, when
    he “pursue[d] a court action when the claims filing requirements
    [had] not been satisfied.” 
    (J.M., supra
    , 2 Cal.5th at p. 657.)
    As these examples illustrate, our caselaw has sometimes
    suggested that “reasonable” and “good faith” have much the
    same meaning in the context of equitable tolling, but other times
    construed the terms as creating separate and distinct
    requirements. We are not the first to grapple with what each of
    these terms require. (See, e.g., Kansas City Power & Light Co.
    v. Ford Motor Credit Co. (8th Cir. 1993) 
    995 F.2d 1422
    , 1430
    [good faith is an “amorphous concept, capable of many forms yet
    requiring none”]; Prosser & Keeton, Torts (5th ed. 1984) § 32, p.
    175 [“The conduct of the reasonable person will vary with the
    situation with which he is confronted”].) Yet what makes the
    most sense in light of our precedent, equitable tolling’s
    underlying purpose, and its narrow scope in our system, is to
    construe the third element to encompass two distinct
    requirements:      A plaintiff’s conduct must be objectively
    reasonable and subjectively in good faith.
    When it comes to reasonableness, the “ultimate test” is
    “objective.” (People v. Humphrey (1996) 
    13 Cal. 4th 1073
    , 1083.)
    An analysis of reasonableness focuses not on a party’s intentions
    or the motives behind a party’s actions, but instead on whether
    that party’s actions were fair, proper, and sensible in light of the
    circumstances. We use this objective analysis to assess
    ineffective assistance of counsel claims under the Sixth
    Amendment (see People v. Mai (2013) 
    57 Cal. 4th 986
    , 1009
    [“defendant must demonstrate . . . counsel’s performance was
    deficient, in that it fell below an objective standard of
    reasonableness under prevailing professional norms”]), for
    21
    SAINT FRANCIS MEMORIAL HOSPITAL v. STATE DEPARTMENT OF
    PUBLIC HEALTH
    Opinion of the Court by Cuéllar, J.
    example, and in the context of insurance law to determine which
    party must pay an insured’s site investigation costs (see Aerojet–
    General Corp. v. Transport Indemnity Co. (1997) 
    17 Cal. 4th 38
    ,
    62 [“Whether the insured’s site investigation expenses are
    defense costs that the insurer must incur in fulfilling its duty to
    defend must be determined objectively”]). A party seeking
    equitable tolling must satisfy a similar standard: It must
    demonstrate that its late filing was objectively reasonable under
    the circumstances.
    Good faith pivots instead on a party’s intentions. It is a
    test “ordinarily used to describe that state of mind denoting
    honesty of purpose, freedom from intention to defraud, and,
    generally speaking, [] being faithful to one’s duty or obligation.”
    (People v. Nunn (1956) 
    46 Cal. 2d 460
    , 468.) To determine
    whether a defendant is entitled to attorney fees, for example,
    courts employ a subjective analysis and ask whether the
    plaintiff brought an action in good faith. (Code Civ. Proc.,
    § 1038, subd. (a).) The third element of equitable tolling
    likewise requires courts to determine whether a party’s late
    filing was subjectively in good faith — whether it was the result
    of an honest mistake or was instead motivated by a dishonest
    purpose.
    Construing equitable tolling’s third element to contain an
    objective and subjective requirement fits the doctrine’s
    underlying rationales. Equitable tolling applies only “in
    carefully considered situations to prevent the unjust technical
    forfeiture of causes of action.” 
    (Lantzy, supra
    , 31 Cal.4th at p.
    370.) It does not, as courts have explained, “extend to . . . garden
    variety claim[s] of excusable neglect.” (
    Irwin, supra
    , 498 U.S. at
    p. 96.) Yet if we were to apply equitable tolling to situations
    22
    SAINT FRANCIS MEMORIAL HOSPITAL v. STATE DEPARTMENT OF
    PUBLIC HEALTH
    Opinion of the Court by Cuéllar, J.
    when a party demonstrates only reasonable conduct or good
    faith –– but not both –– we would risk shaping the doctrine into
    one that becomes a norm instead of an exception. Limiting the
    doctrine’s applicability to only those cases in which a party
    demonstrates objective reasonableness and subjective good faith
    precludes the doctrine from being “a cure-all for an entirely
    common state of affairs,” while ensuring that it provides a
    narrow form of relief in “unusual circumstances” when justice so
    requires. 
    (Wallace, supra
    , 549 U.S. at p. 396.)
    The Court of Appeal didn’t address whether Saint Francis’s
    actions were reasonable and in good faith. At oral argument,
    the parties argued for the first time that certain facts bore on
    the question of whether Saint Francis satisfies the third
    element. But the record before us leaves some opacity about
    whether Saint Francis’s conduct was reasonable and in good
    faith. As we’ve often done in such situations, we remand the
    case for the Court of Appeal to determine whether Saint Francis
    satisfies the third element, and thus is entitled to equitable
    tolling. (See Montrose Chemical Corp. of California v. Superior
    Court (2020) 
    9 Cal. 5th 215
    , 238; San Diegans for Open
    Government v. Public Facilities Financing Authority of City of
    San Diego (2019) 
    8 Cal. 5th 733
    , 746–747 [contentions raised for
    the first time at oral argument "should be answered first by the
    Court of Appeal"].)
    IV.
    Statutes of limitations serve important purposes: They
    motivate plaintiffs to act diligently and protect defendants from
    having to defend against stale claims. But equitable tolling
    plays a vital role in our judicial system, too: It allows courts to
    23
    SAINT FRANCIS MEMORIAL HOSPITAL v. STATE DEPARTMENT OF
    PUBLIC HEALTH
    Opinion of the Court by Cuéllar, J.
    exercise their inherent equitable powers to excuse parties’
    failure to comply with technical deadlines when justice so
    requires. To appropriately balance these two competing ends,
    we recognize the Legislature’s ability to forbid equitable tolling
    in certain statutes, and we require plaintiffs to establish timely
    notice, lack of prejudice to the defendant, and reasonable and
    good faith conduct by the plaintiffs before they are entitled
    equitable tolling. For the doctrine to fulfill its purpose, however,
    we continue to presume that tolling is available in the absence
    of evidence to the contrary, and allow courts to determine on a
    case-by-case basis whether tolling is warranted under the facts
    presented, with careful consideration of the policies underlying
    the doctrine. (See generally 
    Elkins, supra
    , 12 Cal.3d at pp. 417–
    420.)
    As to whether equitable tolling may apply when agency
    adjudicatory decisions are at issue, the text and context of
    section 11523 persuade us: The Legislature did not prohibit the
    statute’s 30-day limitations period from being tolled. And the
    facts of this case demonstrate that Saint Francis satisfied the
    doctrine’s first and second elements. Although the hospital’s
    belated filing arose from a mistake about the filing deadline
    under section 11523 — a mistake that appears to have been
    shared by the Department — it provided timely notice to the
    Department of its intent to file a petition for a writ of
    administrative mandate.          And nothing in the record
    demonstrates that the Department was prejudiced by Saint
    Francis’s late filing. Because the Court of Appeal didn’t address
    equitable tolling’s third element, we vacate the judgment and
    24
    SAINT FRANCIS MEMORIAL HOSPITAL v. STATE DEPARTMENT OF
    PUBLIC HEALTH
    Opinion of the Court by Cuéllar, J.
    remand the case to the Court of Appeal for further proceedings
    consistent with this opinion.
    CUÉLLAR, J.
    We Concur:
    CANTIL-SAKAUYE, C. J.
    CHIN, J.
    CORRIGAN, J.
    LIU, J.
    KRUGER, J.
    GROBAN, J.
    25
    See next page for addresses and telephone numbers for counsel who argued in Supreme Court.
    Name of Opinion Saint Francis Memorial Hospital v. State Department of Public Health
    __________________________________________________________________________________
    Unpublished Opinion
    Original Appeal
    Original Proceeding
    Review Granted XX 
    24 Cal. App. 5th 617
    Rehearing Granted
    __________________________________________________________________________________
    Opinion No. S249132
    Date Filed: June 29, 2020
    __________________________________________________________________________________
    Court: Superior
    County: San Mateo
    Judge: George A. Miram
    __________________________________________________________________________________
    Counsel:
    Sheuerman, Martini, Tabari, Zenere & Garvin and Cyrus A. Tabari for Plaintiff and Appellant.
    Xavier Becerra, Attorney General, Edward C. DuMont, State Solicitor General, Janill L. Richards,
    Principal Deputy State Solicitor General, Gonzalo C. Martinez, Deputy State Solicitor General, Julie
    Weng-Gutierrez, Assistant Attorney General, Samuel T. Harbourt, Susan M. Carson, Gregory D. Brown
    and Nimrod P. Elias, Deputy Attorneys General, for Defendant and Respondent.
    Counsel who argued in Supreme Court (not intended for publication with opinion):
    Cyrus Tabari
    Scheuerman, Martini, Tabari, Zenere & Garvin
    1033 Willow Street
    San Jose, CA 95125
    (408) 288-9700
    Samuel T. Harbourt
    Deputy Attorney General
    455 Golden Gate Ave., Suite 11000
    San Francisco, CA 94102-7004
    (415) 510-3919