Abraham v. Lancaster Community Hospital

217 Cal. App. 3d 796, 266 Cal. Rptr. 360, 1990 Cal. App. LEXIS 77
CourtCalifornia Court of Appeal
DecidedJanuary 30, 1990
DocketB038456
StatusPublished
Cited by26 cases

This text of 217 Cal. App. 3d 796 (Abraham v. Lancaster Community Hospital) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Abraham v. Lancaster Community Hospital, 217 Cal. App. 3d 796, 266 Cal. Rptr. 360, 1990 Cal. App. LEXIS 77 (Cal. Ct. App. 1990).

Opinions

Opinion

WOODS (Fred), J.

I.

Introduction

Appellant, Mathew Abraham, hereafter Abraham, appeals from an order of dismissal following the sustaining of respondents’ demurrer without leave to amend. Abraham’s action in the superior court emanates from allegations made about him by the respondents in a lawsuit in the United States District Court. We conclude that the allegations complained of are protect[801]*801ed by the absolute privilege found in Civil Code section 47, subdivision 2 and affirm the judgment of dismissal.

II.

Procedural and Factual Synopsis

A. The Underlying Federal Action

1. Original Complaint in Federal Court.

On February 3, 1987, Lancaster Community Hospital, hereafter LCH, filed a complaint in the United States District Court for the Central District of California. Damages, as well as declaratory and injunctive relief were sought based upon causes of action on the following legal theories: antitrust violations, interference with contractual relationships, and interference with prospective economic advantage.1 The named defendants in the initial complaint of the underlying federal action were Antelope Valley Hospital Medical Center, hereafter Antelope; Maxicare Health Plan; Blue Cross of California; and Sierra Primary Care Associates, hereafter Sierra.

2. Proposed First Amended Complaint in Federal Court.

LCH subsequently moved for leave to amend its complaint in the United States District Court in November of 1987. LCH’s proposed first amended complaint in the federal action sought damages and injunctive relief arising from alleged violations of California and United States antitrust laws, the Racketeer Influenced and Corrupt Organizations Act (RICO), and the common law. Named defendants included Abraham; the Antelope Valley Hospital District, hereafter AVHD; Antelope Valley Medical Group, Inc., hereafter Medical Group; John H. Lynn; Antelope Valley Health Ventures; Antelope Valley Dialysis Center; and Blue Cross of California. Maxicare Health Plan (hereafter Maxicare) and Sierra Primary Care Associates, another respondent in this appeal, were mentioned in the body of the proposed first amended complaint as coconspirators.

[802]*8023. Relevant Allegations Against Abraham in the Proposed First Amended Complaint.

It is alleged that Abraham’s responsibilities as assistant administrator of Antelope include oversight of the hospital’s contracting with alternate delivery systems and third party payors. “Abraham is also responsible for overseeing [Antelope’s] relationships with defendants [Medical Group] and Antelope Valley Dialysis Center, and for overseeing the activities of defendant Antelope Valley Health Ventures.”

Antelope is alleged to be the only hospital in a certain area providing perinatal services, but is one of four hospitals, including LCH, providing inpatient medical/surgical services.

It is alleged that “Abraham and [Antelope] have exploited [Antelope’s] market power and monopoly power over perinatal services to coerce private payors to purchase inpatient medical/surgical services from [Antelope] and to inflict competitive injury upon [LCH].”

According to LCH’s proposed first amended complaint, during the year 1985, Abraham, Antelope, and AVHD caused the Medical Group to be organized and to affiliate with Antelope and no other hospital.2 Various defendants, including Abraham, agreed Antelope should not contract with Maxicare unless Maxicare entered into a business relationship with the Medical Group. Through these and other devices, defendants forced Maxi-care into an agreement whereby at least 51 percent of Maxicare’s medical/surgical patients would be admitted to Antelope or Maxicare’s contract with Antelope would “automatically terminate.” Maxicare in turn notified Sierra that Sierra was to refer Maxicare enrollees to Antelope whenever possible; Sierra did so. The overall effect was to dissuade medical/surgical patients from patronizing LCH.

Similarly, Abraham, AVHD and Antelope were alleged to have exerted pressure on Blue Cross to divert its enrollees from LCH to Antelope; as a result, Blue Cross terminated its agreement with LCH and entered into an exclusive contract with Antelope. The defendants are further alleged to have insisted other private payors wishing to use Antelope’s perinatal [803]*803services must “guarantee that all or most of their medical/surgical patients be directed to [Antelope] as well.”

The proposed LCH complaint alleged Antelope has thus been able to pressure others to use its medical/surgical services over those of LCH even though Antelope’s charges for perinatal service “are now and have been substantially above levels charged for such services in markets where competition exists.” When questioned about recent increased charges, Mr. Abraham allegedly responded “that the rate is ‘not negotiable’ and that ‘if you don’t like the rates, take your babies by helicopter somewhere else.’ ” Other alleged statements by Abraham further demonstrate Antelope’s “predatory, anticompetitive and monopolistic intent”: “‘You have to deal with me to practice [medicine] here’ “ T will bring Maxicare to their knees just like I brought Kaiser [Kaiser Permanente—another health maintenance organization] to their knees’ “ T control health care in the [Antelope] Valley’ and “ ‘If you don’t want to use Antelope Valley’s [perinatal services], drop a few babies along the freeway—like Kaiser—and see what that does to your reputation.’ ”3

The proposed LCH complaint alleged further that Antelope has attempted to acquire LCH and Palmdale Community Hospital, “the only hospitals in the relevant geographic market which pose substantial competition to [Antelope] in the market for inpatient medical/surgical services for private pay patients.” The complaint alleged AVHD and Abraham used a pattern of fraudulent schemes, including misappropriation of public funds, violations of federal and state antikickback statutes, and violations of state law prohibiting the making of false entries in the records of a corporation, as a part of establishing relationships with organized medical groups.

The proposed LCH complaint also alleged the above acts and practices have injured competition and that LCH has been placed at a substantial competitive disadvantage. The prayer requested (1) defendants be adjudged to have violated the relevant statutes and to have committed the alleged torts; (2) treble damages be assessed for violations of the Sherman Act, the Cartwright Act, and RICO; (3) AVHD be enjoined from owning or operating any health care facilities or financing organization except Antelope for a period of 10 years; (4) the Medical Group be required to repay to AVHD all public monies and the value of all goods and services unlawfully granted or transferred by AVHD and Antelope; (5) the Medical Group be required to be dissolved; and (6) “AVHD terminate the employment of [Abraham] and all other AVHD employees who participated in the unlawful conduct

[804]*804B. Exchange of Letters by Counsel Pertaining to the Proposed First Amended Complaint in Federal Court

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Cite This Page — Counsel Stack

Bluebook (online)
217 Cal. App. 3d 796, 266 Cal. Rptr. 360, 1990 Cal. App. LEXIS 77, Counsel Stack Legal Research, https://law.counselstack.com/opinion/abraham-v-lancaster-community-hospital-calctapp-1990.