Acute Care Holdings, LLC v. Houston County, Tennessee

CourtCourt of Appeals of Tennessee
DecidedJune 3, 2019
DocketM2018-01534-COA-R3-CV
StatusPublished

This text of Acute Care Holdings, LLC v. Houston County, Tennessee (Acute Care Holdings, LLC v. Houston County, Tennessee) is published on Counsel Stack Legal Research, covering Court of Appeals of Tennessee primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Acute Care Holdings, LLC v. Houston County, Tennessee, (Tenn. Ct. App. 2019).

Opinion

06/03/2019 IN THE COURT OF APPEALS OF TENNESSEE AT NASHVILLE March 7, 2019 Session

ACUTE CARE HOLDINGS, LLC V. HOUSTON COUNTY, TENNESSEE

Appeal from the Chancery Court for Houston County No. 2014-CV-434 David D. Wolfe, Chancellor

No. M2018-01534-COA-R3-CV

This appeal arises from an action filed by a healthcare management company against a county for breach of contract and unjust enrichment. The dispute centered on a financially distressed hospital, which the county wanted to purchase and lease to the healthcare company to manage. Thus, the county, the hospital, and the healthcare management company entered into a Letter of Intent to accomplish this goal. The Letter of Intent provided that the healthcare management company would loan funds to the owner of the hospital to keep the hospital operating while the county negotiated the asset purchase agreement. If the purchase of the hospital closed by the agreed-upon deadline, the county agreed to repay the healthcare management company for the amount loaned; however, if the purchase of the hospital did not close by the deadline, the county was not obligated to repay the loans to the hospital. After the asset purchase agreement did not close by the deadline set in the Letter of Intent, the county purchased the hospital and awarded the contract to manage the hospital to a company owned by the county’s attorneys and refused to pay the healthcare management company the more than $1.2 million it loaned the hospital. Thereafter, the healthcare management company filed this action against the county for breach of contract and unjust enrichment. In its answer, the county denied breaching the contract because of the failure of the condition precedent, that the purchase of the hospital close by the agreed-upon deadline. Thereafter, the county filed a motion for summary judgment on the same ground and also moved to summarily dismiss the unjust enrichment claim because the Letter of Intent, which was an enforceable contract, precluded the claim. The healthcare management company responded by presenting evidence indicating that the county failed to act in good faith to close on the purchase of the hospital by the deadline in order to avoid its obligations to the healthcare management company. It also contended that its claim of unjust enrichment should not be dismissed unless the court determined that the Letter of Intent was an enforceable contract. The trial court summarily dismissed both claims on the finding the evidence was not sufficient to create a genuine dispute of material fact as to either claim. Having determined that the evidence was sufficient, we reverse and remand this case to the trial court for further proceedings. Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Chancery Court Reversed and Remanded

FRANK G. CLEMENT JR., P.J., M.S., delivered the opinion of the Court, in which ANDY D. BENNETT and RICHARD H. DINKINS, JJ., joined.

Robert E. Boston, Tera Rica Murdock, and Taylor J. Askew, Nashville, Tennessee, for the appellant, Acute Care Holdings, LLC.

Samuel P. Funk and Michael R. O’Neill, Nashville, Tennessee, for the appellee, Houston County, Tennessee.

OPINION

By the fall of 2001, the only hospital in Houston County, Patient’s Choice Medical Center (“PCMC”), was in financial distress and in danger of closing its doors. Although the hospital had just recently obtained certification as a “Critical Access Medical Center,”1 which would likely provide for a better financial future, but not in the immediate future, PCMC lacked the capital or revenue to continue operating long enough to benefit from the new certification. Because PCMC was Houston County’s third largest employer and a critical provider of medical services to the community, in order to prevent the closure of the hospital, Houston County sought to purchase the hospital from PCMC and then lease it to a hospital management company.

Around the same time, Acute Care Holdings, LLC (“Acute Care”), which operated a nursing facility in Houston County, also considered buying PCMC but determined that it was not feasible to do so. Nevertheless, its inquiry into the matter ultimately resulted in the execution of a Letter of Intent among Houston County, Acute Care, and PCMC pursuant to which Houston County would endeavor to negotiate an asset purchase agreement with PCMC to purchase the hospital and its assets and then lease the hospital to Acute Care, which would manage the hospital.

The Letter of Intent, which was executed on February 29, 2012, established the conditions by which Acute Care agreed to loan funds to PCMC to sustain the hospital’s operations while Houston County and PCMC negotiated an asset purchase agreement. In pertinent part, the Letter of Intent provided:

1 The certification would allow the hospital to receive cost-based reimbursement from Medicare, rather than being bound by fixed-reimbursement rates.

-2- As of March 1, 2012, [Acute Care] . . . and [PCMC] shall enter into an interim management agreement for the [PCMC] facility . . . wherein [Acute Care] agrees to assume operational authority and control of the Facility under [PCMC’s] provider number and license, to the extent permitted by law, and to provide funding for certain improvements and operational expenses, to be reimbursed at a later date by [Houston County] to [Acute Care] if and when the Closing occurs. [PCMC] shall execute one or more promissory notes . . . for all expenses paid by [Acute Care] for operation of the Facility in excess of the Facility’s revenue during the interim management period, evidencing [PCMC’s] obligation to repay such expenses in the event the closing does not occur.

(Emphasis added).

The Letter of Intent further provided that once Houston County purchased the hospital, Houston County would lease the assets to Acute Care to operate and manage, stating:

Lease. As of the Closing, [Houston County] and [Acute Care] shall enter into a lease of the Assets (“Lease”) containing the following terms:

a. Term: 5 years, with six, five year renewal options, with lessee right to terminate early with notice in the event of a regulatory change materially and adversely affecting the operations of the facility. b. Rent: building rental shall be based on fair market value. c. Purchase option: [Acute Care] shall have the option to purchase the leased property at the end of the initial lease term and each renewal term thereafter for fair market value. d. Capital Expenditures: [Houston County] shall be responsible for payment of the expenses set forth on Exhibit “C” attached hereto. e. Charitable care: [Houston County] acknowledges and agrees that the provision of charitable care to the Erin community is a desired and valuable service, and therefore agrees to reimburse [Acute Care] on a monthly basis for such charitable care and bad debt.

The Letter of Intent also provided a due diligence period whereby Acute Care would inspect PCMC’s assets. The Letter of Intent also clarified the parties’ obligations to one another when the Letter of Intent was canceled or expired:

[Acute Care] shall have 30 days from the date of this Letter of Intent (“Due Diligence Period”) to fully inspect the Assets and, at its discretion, proceed with, or cancel the transaction. If canceled, no party shall have any further obligations to the others, except for the repayment of any promissory

-3- note(s) signed by [PCMC] in favor of [Acute Care] for funds expended by [Acute Care] for payment of improvements and operating expenses during the interim management period. Unless [Acute Care], in its sole discretion, gives [PCMC] notice that it waives its rights to cancel the transaction, the transaction shall be deemed canceled at the end of the Inspection Period.

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Bluebook (online)
Acute Care Holdings, LLC v. Houston County, Tennessee, Counsel Stack Legal Research, https://law.counselstack.com/opinion/acute-care-holdings-llc-v-houston-county-tennessee-tennctapp-2019.