Borgess Medical Center v. Sylvia Mathews Burwell

BROWN, Circuit Judge:

Appellants are two hospitals challenging the denial of reimbursements for the off-site training expenses of their medical residents for several cost reporting periods between 2000 and 2004 by the Secretary of the Department of Health and Human Services (“Secretary”). They argue the Secretary erroneously held they failed to comply with the Secretary’s reimbursement regulations requiring that they incur all or substantially all of the costs of their offsite residency training programs and that they have a written agreement detailing the financing of their offsite programs.…