Ernest Health v. Labor Commission , 369 P.3d 462 ( 2016 )


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    2016 UT App 48
    THE UTAH COURT OF APPEALS
    ERNEST HEALTH, INC. AND
    NORTH RIVER INSURANCE COMPANY,
    Petitioners,
    v.
    LABOR COMMISSION AND MARTIE BREIVIK,
    Respondents.
    Memorandum Decision
    No. 20141138-CA
    Filed March 10, 2016
    Original Proceeding in this Court
    Nancy C. Hummel, Attorney for Petitioners
    Gary E. Atkin and Marsha S. Atkin, Attorneys for
    Respondent Martie Breivik
    Jaceson R. Maughan, Attorney for Respondent
    Labor Commission
    JUDGE STEPHEN L. ROTH authored this Memorandum Decision, in
    which JUDGES MICHELE M. CHRISTIANSEN and KATE A. TOOMEY
    concurred.
    ROTH, Judge:
    ¶1     On October 22, 2009, Martie Breivik, who was employed
    at the time as a medical secretary at Utah Valley Specialty
    Hospital, fell while walking in to work and hit her right hand on
    the cement ground, causing her to “hyper extend[] her right
    small finger [and] right ring finger.” There is no dispute that her
    fall was an industrial accident covered by Utah’s Workers’
    Compensation Act. The following month, an MRI revealed
    ligament damage to her hand but no fractures. In December
    2009, Breivik was diagnosed with complex regional pain
    syndrome, anxiety, and depression, all of which originated from
    Ernest Health v. Labor Commission
    the fall. Breivik continued to work for Utah Valley Specialty
    Hospital in a light-duty capacity until October 31, 2011, when
    she was terminated “because she did not have a full work
    release.” In August 2013, Breivik applied for permanent-total-
    disability compensation. See generally Utah Code Ann. § 34A-2-
    413 (LexisNexis Supp. 2015). 1 On May 28, 2014, an
    administrative law judge (the ALJ) made a preliminary
    determination that Breivik was permanently and totally disabled
    as a result of her industrial accident. See Utah Admin. Code
    R612-200-5(C) (stating that permanent total disability claims
    arising under section 34A-2-413 of the Utah Code “require[] a
    two-step adjudicative process”: first, a “preliminary
    determination whether the applicant is permanently and totally
    disabled” and, second, a determination “whether the applicant
    can be reemployed or rehabilitated”); see also Thomas v. Color
    Country Mgmt., 
    2004 UT 12
    , ¶ 21, 
    84 P.3d 1201
     (“Section 34A–2–
    413(6) . . . requires that a finding be issued in two parts—an
    initial finding and a final finding. The initial finding of
    permanent total disability triggers a review period in which the
    employer or its insurance carrier may submit a reemployment
    plan.”). 2 The Labor Commission (the Commission) upheld the
    ALJ’s decision.
    1. Because the statutory provisions in effect at the relevant times
    do not differ materially from the statutory provisions now in
    effect, we cite the current edition of the Utah Code Annotated for
    convenience.
    2. The Utah Supreme Court has held that
    [a]lthough a Commission finding pursuant to Utah
    Code section 34A-2-413 of permanent total
    disability is ‘not final’ under that statute until
    certain second-step proceedings take place, such a
    finding does constitute a ‘final agency action’
    within the meaning of [the Utah Administrative
    (continued…)
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    Ernest Health v. Labor Commission
    ¶2      Ernest Health, Inc. 3 and North River Insurance Company
    (collectively, Ernest Health) seek judicial review of the
    Commission’s decision affirming the ALJ’s order awarding
    permanent-total-disability-compensation benefits to Breivik.
    Ernest Health argues: first, that the Commission erred by not
    remanding the case and directing the ALJ to reopen the
    evidentiary record and consider newly obtained video
    surveillance and the supplemental medical report that
    accompanied it; second, that the Commission erred by not
    remanding the case and directing the ALJ to make a referral to a
    medical panel; and third, that the ALJ’s order provides an
    insufficient basis for Ernest Health to develop a re-employment
    plan. We do not disturb the Commission’s ruling.
    I. Motion to Reopen the Evidentiary Record
    ¶3      Ernest Health asserts that “[s]ection 63-46b-8(1)(a) of the
    Utah Administrative Procedures Act requires that ALJs obtain
    full disclosure of relevant facts” and argues that the Commission
    should have granted its motion to reopen the evidentiary record
    and admit additional evidence. Specifically, Ernest Health
    argues that the Commission erred by not remanding the case to
    (…continued)
    Procedures Act] for purposes of appellate judicial
    review.
    Ameritemps, Inc. v. Utah Labor Comm’n, 
    2007 UT 8
    , ¶ 13, 
    152 P.3d 298
    ; see also Ameritemps, Inc. v. Labor Comm’n, 
    2005 UT App 491
    ,
    ¶¶ 11–16, 
    128 P.3d 31
     (articulating the difference between a
    “final order” for enforcement purposes and a “final agency
    action” for purposes of appellate judicial review), aff’d, 
    2007 UT 8
    , 
    152 P.3d 298
    ; 
    id.
     ¶¶ 17–19, 25 (concluding that the Labor
    Commission’s finding of permanent total disability constitutes a
    final agency action subject to appellate judicial review).
    3. Utah Valley Specialty Hospital is owned by Ernest Health, Inc.
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    Ernest Health v. Labor Commission
    the ALJ to consider newly obtained video surveillance of Breivik
    in conjunction with the accompanying supplemental medical
    report from Ernest Health’s independent medical examiner.
    ¶4     Approximately four months after the evidentiary hearing
    on Breivik’s permanent disability petition (and approximately
    three months after the ALJ’s order), Ernest Health moved the
    Commission to reopen the evidentiary record, stating that “[i]n
    anticipation of the hearing on the reemployment plan” it had
    “conducted surveillance of [Breivik] on various dates [during
    July and August of 2014].” 4 Ernest Health requested that the
    evidentiary record be reopened so it could “present evidence” of
    the video surveillance of Breivik, taken months after the
    conclusion of the hearing, along with the supplemental medical
    report. According to Ernest Health, because Breivik’s testimony
    about her limitations “served as a substantial basis for the ALJ’s
    order” and “[t]he video provides direct and concise evidence
    that [Breivik] was not truthful in her testimony,” the ALJ’s order
    was based on “[a] flawed foundation.” Ernest Health now
    argues that “[w]ithout a review of the relevant and outcome
    determinative surveillance video, [it is] substantially prejudiced
    [because] the agency action is based upon a determination of fact
    that is not supported by substantial evidence when viewed in
    light of the whole record[] before the court.”
    ¶5      In its order affirming the ALJ’s decision, the Commission
    stated,
    4. The evidentiary hearing was held on April 30, 2014, and the
    ALJ’s findings of fact, conclusions of law, and order were issued
    approximately one month later on May 28, 2014. On September
    4, 2014, Ernest Health submitted an “Amended Motion to
    Review or In the Alternative, Motion to Reopen Evidentiary
    Record Based on Newly Obtained Evidence.”
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    Ernest Health v. Labor Commission
    As a preliminary matter, the [Commission] rejects
    Ernest [Health’s] attempt to submit additional
    evidence, including surveillance video of Ms.
    Breivik, which was not presented before [the ALJ].
    The [Commission] does not agree with Ernest
    [Health] that the proffered new evidence warrants
    re-opening of the evidentiary record. Ernest
    [Health] has not provided sufficient explanation as
    to why it waited until after the close of the record
    to   obtain     the   proffered    evidence.     The
    [Commission] therefore did not consider such
    evidence.
    Ernest Health filed a Motion for Reconsideration, and the
    Commission again re-affirmed that “the late-submitted evidence
    was properly excluded [by the ALJ] . . . and cannot be the basis
    for referral to an impartial medical panel.”
    ¶6     Rule 602-2-1 of the Utah Administrative Code sets forth
    the pleading and discovery procedures for an adjudication of
    workers’ compensation benefits before the Commission. See
    Utah Admin. Code R602-2-1. It provides that “the evidentiary
    record shall be deemed closed at the conclusion of the hearing
    and no additional evidence will be accepted without leave of the
    [the ALJ hearing the case].” 
    Id.
     R602-2-1(I)(8). We “will not
    disturb the agency’s interpretation or application of one of the
    agency’s rules unless its determination exceeds the bounds of
    reasonableness and rationality.” Brown & Root Indus. Serv. v.
    Industrial Comm’n of Utah, 
    947 P.2d 671
    , 677 (Utah 1997) (citation
    omitted). In addition, the Commission is afforded broad
    discretion in determining how best to conduct its inquiry into
    each case: “The commission may make its investigation in such
    manner as in its judgment is best calculated to ascertain the
    substantial rights of the parties and to carry out justly the spirit
    of the chapter.” Utah Code Ann. § 34A-2-802(1) (LexisNexis
    2011). In particular, “whether further findings are made is a
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    Ernest Health v. Labor Commission
    matter of discretion with the Commission.” Jones v. Ogden Auto
    Body, 
    646 P.2d 703
    , 705 (Utah 1982) (per curiam).
    ¶7     We are not persuaded that the Commission’s decision to
    exclude Ernest Health’s late-submitted evidence exceeded the
    bounds of the Commission’s discretion. The Commission
    concluded that Ernest Health had not provided a “sufficient
    explanation” of why it could not have obtained similar evidence
    prior to the hearing and, indeed, did not demonstrate that it had
    even made any attempt to do so. Instead, Ernest Health simply
    stated to the Commission that the surveillance on Breivik was
    conducted “[i]n anticipation of the hearing on the reemployment
    plan,” without further elucidation. And on review Ernest Health
    has not provided any more of an explanation than it did to the
    Commission for its delay in obtaining the surveillance video,
    stating only that it “obtained the video in order to prepare for
    the second step proceeding.” Neither the statement made to the
    Commission nor the statement made in its briefing make any
    attempt to explain why Ernest Health was unable to obtain the
    surveillance video during the period prior to the evidentiary
    hearing before the ALJ. As a consequence, before this court,
    Ernest Health has simply reinforced the Commission’s
    conclusion that it “has not provided sufficient explanation as to
    why it waited until after the close of the record to obtain the
    proffered evidence.”
    ¶8     Furthermore, the Commission’s broad discretion to
    “make its investigation in such manner as in its judgment is best
    calculated to ascertain the substantial rights of the parties,” Utah
    Code Ann. § 34A-2-802(1), seems to encompass both a
    determination whether new evidence is significant enough to
    require further factual inquiry into the claimant’s condition and,
    as particularly pertinent here, whether “the proffered
    evidence . . . was unreasonably late . . . to warrant reopening the
    evidentiary proceedings,” Timpanogos Hosp. v. Labor Comm’n,
    
    2011 UT App 106
    , ¶ 5, 
    251 P.3d 855
     (internal quotation marks
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    Ernest Health v. Labor Commission
    omitted); see also Carradine v. Labor Comm’n, 
    2011 UT App 212
    ,
    ¶ 2, 
    258 P.3d 636
     (concluding that the Commission did not abuse
    its discretion by refusing to reopen a hearing based on an
    “untimely proffer of evidence”); Timpanogos Hosp., 
    2011 UT App 106
    , ¶ 5 (“We are not convinced that the Commission abused its
    discretion when it determined that the proffered evidence . . .
    was unreasonably late . . . to warrant reopening the evidentiary
    proceedings.” (internal quotation marks omitted)). 5
    ¶9    Here, Ernest Health has failed to persuade us that the
    Commission abused its discretion by finding the surveillance
    video and accompanying supplemental medical report to be
    untimely. Instead, Ernest Health merely argues that the
    5. With regard to the substance of the video, Ernest Health seems
    to be contending that Breivik’s condition was not as grave as she
    claimed at the hearing. Ernest Health alleges that the
    surveillance video shows that Breivik “can clearly use her right
    hand, use her left hand, drive, walk without a cane, drive with
    children in the car, throw a rock with her right hand, [and] hold
    cups in her right hand.” Breivik, however, argues that the video
    is equivocal at best. She points out, for example, that at the
    hearing before the ALJ, she testified that she can drive, shop at
    the grocery store, and complete laundry, but only “one shirt at a
    time.” Breivik also points out that the record shows that her
    disabilities affect her less during the warmer months and that
    the video was taken in the summer. Given the foregoing, Breivik
    denies that the content of the video actually calls her impairment
    into question because “[h]er problem with engaging in gainful
    employment . . . was not an inability to do anything at all but,
    rather, the inability to engage in the necessary actions on a
    regular and consistent enough basis to be able to maintain
    gainful employment.” (Emphasis added.) Because we affirm the
    Commission’s decision on other grounds, we do not reach the
    merits of the dispute over the interpretation of the video.
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    Ernest Health v. Labor Commission
    proffered new evidence itself justifies reopening the evidentiary
    record. But this is insufficient to demonstrate that the
    Commission abused its discretion when it determined to “not
    consider such evidence.”
    II. Referral to a Medical Panel
    ¶10 Ernest Health next argues that the Commission erred by
    not remanding the case to the ALJ for referral to a medical panel,
    because “the medical records show a conflict of opinion”
    between Breivik’s treating physician, Dr. Chung, and Ernest
    Health’s independent medical examiner, Dr. Colledge. The
    decision to refer medical aspects of a disability compensation
    case to a medical panel is generally a matter of discretion. See
    Utah Code Ann. § 34A-2-601(1)(a) (LexisNexis Supp. 2015).
    “[R]eferral to a medical panel is mandatory only where there is a
    medical controversy as evidenced through conflicting medical
    reports.” Brown & Root Indus. Serv. v. Industrial Comm’n of Utah,
    
    947 P.2d 671
    , 677 (Utah 1997) (citation omitted); see also Utah
    Admin. Code R602-2-2(A) (“A panel will be utilized by the [ALJ]
    where one or more significant medical issues may be involved.
    Generally a significant medical issue must be shown by
    conflicting medical reports.”). “Whether there are conflicting
    medical reports is a question of fact.” Brown & Root, 947 P.2d at
    677. “We must uphold the Commission’s factual findings if such
    findings are supported by substantial evidence based upon the
    record as a whole.” Id. “An administrative law decision meets
    the substantial evidence test when a reasonable mind might
    accept as adequate the evidence supporting the decision.”
    Martinez v. Media-Paymaster Plus/Church of Jesus Christ of Latter-
    day Saints, 
    2007 UT 42
    , ¶ 35, 
    164 P.3d 384
     (citation and internal
    quotation marks omitted); see also Hurley v. Board of Review of the
    Indus. Comm'n, 
    767 P.2d 524
    , 526–27 (Utah 1988) (“An agency’s
    findings of fact, however, are accorded substantial deference and
    will not be overturned if based on substantial evidence, even if
    another conclusion from the evidence is permissible.”).
    20141138-CA                     8                   
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    Ernest Health v. Labor Commission
    ¶11 Here, the Commission considered Ernest Health’s
    argument that “the medical aspects of Ms. Breivik’s claim must
    be referred to an impartial medical panel according to
    Commission rules” because “there are significant medical issues
    regarding . . . Ms. Breivik’s claim for permanent total disability
    compensation.” In its ruling affirming the ALJ’s order, the
    Commission adopted the ALJ’s extensive findings of fact. Those
    factual findings included a summary of the medical evidence
    related to the industrial accident and a detailed discussion of the
    medical problems the ALJ determined were a result of Breivik’s
    October 2009 fall. The Commission found that “the opinions of
    Dr. Chung and Dr. Colledge do not necessarily conflict with each
    other” and concluded that “referral to a medical panel is [not]
    required.” Based on the ALJ’s fact findings, the Commission
    went on to explain,
    Dr. Chung concluded as of June 2013 that Ms.
    Breivik was not employable due to her pain
    condition and unstable emotional state. While Dr.
    Colledge at one point found that Ms. Breivik could
    work in a sedentary position if motivated, he later
    changed his assessment and described that he
    would not anticipate Ms. Breivik being able to
    work with her dominant right hand. When
    comparing such opinions from Dr. Chung and Dr.
    Colledge, the [Commission] concludes that referral
    to a medical panel is not required under rule R602-
    2-2(A).
    On review, Ernest Health has not engaged with the
    Commission’s reasoning and has therefore failed to carry its
    burden to demonstrate that the Commission’s decision was not
    based upon substantial evidence. Likewise, Ernest Health has
    not persuaded us that it was unreasonable for the Commission
    to determine that there was no actual conflict between Dr.
    Chung’s opinion and Dr. Colledge’s opinion. Instead, it merely
    20141138-CA                     9                
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    Ernest Health v. Labor Commission
    re-argues the evidence in favor of its position that Breivik is
    employable with accommodations and leaves it to us to consider
    whether the Commission’s contrary conclusion is the result of
    medical reports that actually conflict. Cf. Timpanogos Hosp., 
    2011 UT App 106
    , ¶¶ 3–4 (recognizing that although the reports
    submitted by various doctors may have been “somewhat
    incomplete,” “limited,” demonstrated “varying degrees of
    conviction,” or failed to “challeng[e] the existence of the
    condition head on,” the Commission did not abuse its discretion
    because there was “no actual conflict”).
    ¶12 In fact, Ernest Health’s entire argument that there is a
    conflict between the medical opinions is as follows:
    In the present case, Dr. Chung initially
    indicated on January 5, 2012, that [Breivik] was
    capable of working [as] long as she was not forced
    to use her right hand constantly and as long as she
    was allowed to frequently [rest] her right hand. On
    March 15, 2012, Dr. Chung indicated that if
    [Breivik] could find an employer that would
    accommodate her need to avoid constant repetitive
    use of her right hand that she would be able to
    work but that . . . she would have problems finding
    an employer that would be willing to
    accommodate her. On June 13, 2013, Dr. Chung
    indicated that [Breivik] could work if she could
    find an employer that would accommodate her
    need to avoid constant repetitive use of her right
    hand.
    Dr. Colledge examined [Breivik] on
    February 5, 2014 with contradictory findings. Dr.
    Colledge found [Breivik’s] effort inconsistent and
    questionable and contacted Dr. Chung. Dr.
    Colledge indicated that [Breivik] has very minimal
    pathology along with her significant subjective
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    Ernest Health v. Labor Commission
    symptom complaints and that if she were so
    motivated she could perform at a sedentary
    capacity. Dr. Colledge issued an addendum and
    indicated again that [Breivik’s] complaints were
    very disproportionate to her initial cause of injury.
    Dr. Colledge indicated that many individuals with
    right hand/upper extremity amputations perform
    at high levels in spite of their loss. He indicated the
    difference between disability and impairment is
    motivation.
    In this case, the medical records show a
    conflict of opinion between Dr. Chung and Dr.
    Colledge regarding [Breivik’s] impairment and
    functional and mental capacity. This discrepancy is
    further borne out by the addendum report of Dr.
    Colledge dated August 24, 2014.[ 6]
    ¶13 In this argument, Ernest Health relies on three reports
    from Dr. Chung to assert that Breivik is employable: first, a
    January 5, 2012 report that states that “[Breivik] is capable of
    working as long as she is not forced to use her right hand
    constantly and is allowed to frequently rest her right hand”;
    second, a report from March 15, 2012, that states that “if [Breivik]
    can find an employer that would accommodate her need to
    6. Dr. Colledge’s August 24, 2014 supplemental report was based
    on Ernest Health’s post-hearing video surveillance of Breivik.
    Because we have declined to disturb the Commission’s denial of
    Ernest Health’s motion to reopen the evidentiary record to
    receive the video and the supplemental report, we decline to
    consider Dr. Colledge’s supplemental report in our analysis of
    whether there was a conflict of opinion between Dr. Chung and
    Dr. Colledge that required the Commission to refer the matter to
    a medical panel.
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    Ernest Health v. Labor Commission
    avoid constant repetitive use of her right hand that she would be
    able to work”; and finally a report from June 13, 2013, which
    Ernest Health characterizes as stating that “[Breivik] could work if
    she could find an employer that would accommodate her need
    to avoid constant repetitive use of her right hand.” 7 (Emphases
    added.) And with regard to Dr. Colledge, Ernest Health asserts
    that his assessment of Breivik “indicate[s] that [Breivik] has very
    minimal pathology along with her significant subjective
    symptom complaints” and that “if she were . . . motivated” she
    would be employable “at a sedentary capacity.” Ernest Health
    seems to argue that Dr. Colledge also considered Breivik’s ability
    to work with only one hand when it referenced Dr. Colledge’s
    statement that “many individuals with right hand/upper
    extremity amputations perform at high levels in spite of their
    loss.”
    ¶14 But based on the argument Ernest Health has presented
    on judicial review, the significance of any conflict that it
    perceives between Dr. Chung’s opinion and Dr. Colledge’s
    opinion is obscure at best. In fact, although Ernest Health
    emphasizes an apparent disagreement between the two doctors
    7. The June 13, 2013 report states the opposite. In that report Dr.
    Chung ultimately opines,
    I again discussed with [Breivik] that I no longer
    believe she is employable. Her pain has gotten to
    the point where she can’t concentrate. Her
    emotions due to her chronic pain have gotten
    extremely labile. I am completely supportive of her
    decision to apply for long term disability. I don’t
    want her applying for more jobs and going to
    interviews only to fail getting the jobs. At this point
    I believe those interviews which have only been
    leading to failure for the past four years [are]
    counterproductive.
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    regarding whether Breivik’s symptoms are entirely consistent
    with her injury, Ernest Health’s characterization of the opinions
    of both Dr. Chung and Dr. Colledge appears to a significant
    degree to find them in agreement: with accommodations, Breivik
    is employable. And while Dr. Chung ultimately opined that
    Breivik had become unemployable and the Commission
    recognized this in its decision to uphold the award of permanent
    total disability, Ernest Health’s cryptic analysis does not include
    that information or analyze how any divergence in the medical
    views of the two doctors actually contradicts the Commission’s
    finding that “the opinions of Dr. Chung and Dr. Colledge do not
    necessarily conflict with each other.”
    ¶15 Further, our own review of Dr. Chung’s and Dr.
    Colledge’s medical reports corroborates the Commission’s
    factual determination that there was no significant conflict of
    medical opinion between the reports. If an agency’s findings of
    fact are supported by substantial evidence, we will decline to
    disturb those findings “even if another conclusion from the
    evidence is permissible.” Hurley v. Board of Review of the Indus.
    Comm’n, 
    767 P.2d 524
    , 526–27 (Utah 1988). Ernest Health has not
    satisfied the burden of showing that there is no substantial
    evidence to support the Commission’s decision that the medical
    reports were not in conflict. Therefore it has not persuaded us
    that the Commission erred in deciding not to refer the matter to
    a medical panel. 8
    8. While it is true that Ernest Health described some conflicts
    between the reports of Dr. Chung and Dr. Colledge in the
    statement of facts section of its brief, including differing opinions
    on whether Breivik is employable, Ernest Health has done
    nothing in the argument section of its brief to demonstrate how
    the facts it describes in its statement of facts undermine the
    Commission’s finding that the medical opinions “do not
    necessarily conflict with each other” such that there is no
    (continued…)
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    III. Re-employment Plan
    ¶16 Finally, Ernest Health argues that the ALJ’s order
    “requir[ing] [Ernest Health] to submit a re-employment plan” is
    insufficient because the ALJ’s order failed to “specify [Breivik’s]
    work abilities” or “identify specific restrictions” and that as a
    result, Ernest Health was impeded in its “ability to submit an
    appropriate re-employment plan.” Ernest Health contends that
    “[w]ithout specific work restrictions, [it is] substantially
    prejudiced as the ALJ failed to resolve one of the key issues
    requiring resolution.” Ernest Health claims that “[t]he ALJ’s
    conclusions are inadequate for [its] vocational expert to prepare
    a reemployment plan that will allow [Breivik] to return to
    gainful employment.”
    ¶17 “Our rules clearly state that a petitioner’s brief must
    ‘contain the contentions and reasons of the [petitioner] with
    respect to the issues presented . . . with citations to the
    authorities, statutes, and parts of the record relied on.’” A & B
    Mech. Contractors v. Labor Comm’n, 
    2013 UT App 230
    , ¶ 21, 
    311 P.3d 528
     (alteration and omission in original) (quoting Utah R.
    App. P. 24(a)(9)). “To satisfy rule 24(a)(9), the argument ‘must
    provide meaningful legal analysis.’” Wilson v. IHC Hosps., Inc.,
    
    2012 UT 43
    , ¶ 121, 
    289 P.3d 369
     (quoting West Jordan City v.
    (…continued)
    substantial evidence to support it. Simply put, Ernest Health
    does not support its argument with specific facts, and we decline
    to take up that task for it here. See State v. Thomas, 
    961 P.2d 299
    ,
    305 (Utah 1998) (“Implicitly, rule 24(a)(9) [of the Utah Rules of
    Appellate Procedure] requires not just bald citation to authority
    but development of that authority and reasoned analysis based on
    that authority.” (emphasis added)); see also Utah R. App. P.
    24(a)(9).
    20141138-CA                     14                
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    Ernest Health v. Labor Commission
    Goodman, 
    2006 UT 27
    , ¶ 29, 
    135 P.3d 874
    ). Ernest Health has not
    met its burden here.
    ¶18 The ALJ made specific findings that Breivik “experiences
    severe pain in several of her extremities” including “the right
    shoulder, left hand, hips, thighs, knees and feet”; that she “has
    difficulty gripping, lifting and writing”; that she “can’t use the
    last 3 digits of her right hand” or “the pointer finger and thumb
    on her left hand”; that she “suffers from anxiety and depression”
    and that she “has difficulty with her memory and concentration”
    as well as “emotional . . . problems” as a result of the industrial
    accident. Ernest Health does not refer to or even acknowledge
    these findings, much less point out how they fall short of what is
    required by law under the circumstances of this case. Indeed,
    Ernest Health has not directed us to any statute, rule, or case law
    that addresses the level of specificity the law requires in the
    context of a re-employment plan order. Further, Ernest Health
    has not explained in any detail what additional findings would
    be necessary as a practical or legal matter for it to prepare a re-
    employment plan. In fact, Ernest Health fails to explain what a
    re-employment plan is or where it fits within the statutory or
    regulatory scheme applicable to the kind of disability at issue
    here. Accordingly, Ernest Health has failed to develop its
    argument or provide any meaningful legal analysis. As a
    consequence, we are not persuaded that any claimed
    shortcomings in the ALJ’s findings substantially impeded Ernest
    Health’s ability to submit a re-employment plan.
    ¶19 For the reasons stated above, we decline to disturb the
    Commission’s order.
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