American Computech, Inc., Dba West Coast Medical Specialties, a Corporation v. National Medical Care, Inc. Bio-Medical Applications Management Company, Bio-Medical Applications of North City, Inc. Dba Bio-Medical Artificial Kidney Center, a Delaware Corporation, American Computech, Inc., Dba West Coast Medical Specialties, a Corporation v. National Medical Care, Inc., a Delaware Corporation, and J. Michael Channick, M.D. Richard Villalobos, M.D. Steven M. Steinberg, M.D. Balboa Internal Medicine Medical Group, Inc., a California Corporation, American Computech, Inc., Dba West Coast Medical Specialties, a Corporation v. National Medical Care, Inc. Bio-Medical Applications Management Company, Inc. Bio-Medical Applications of North City, Inc., a Delaware Corporation, Dba Bio-Medical Artificial Kidney Center J. Michael Channick, M.D., Richard Villalobos, M.D. Steven M. Steinberg, M.D. Balboa Internal Medicine Medical Group, Inc.

959 F.2d 239, 1992 U.S. App. LEXIS 11456
CourtCourt of Appeals for the Ninth Circuit
DecidedApril 3, 1992
Docket89-55289
StatusUnpublished

This text of 959 F.2d 239 (American Computech, Inc., Dba West Coast Medical Specialties, a Corporation v. National Medical Care, Inc. Bio-Medical Applications Management Company, Bio-Medical Applications of North City, Inc. Dba Bio-Medical Artificial Kidney Center, a Delaware Corporation, American Computech, Inc., Dba West Coast Medical Specialties, a Corporation v. National Medical Care, Inc., a Delaware Corporation, and J. Michael Channick, M.D. Richard Villalobos, M.D. Steven M. Steinberg, M.D. Balboa Internal Medicine Medical Group, Inc., a California Corporation, American Computech, Inc., Dba West Coast Medical Specialties, a Corporation v. National Medical Care, Inc. Bio-Medical Applications Management Company, Inc. Bio-Medical Applications of North City, Inc., a Delaware Corporation, Dba Bio-Medical Artificial Kidney Center J. Michael Channick, M.D., Richard Villalobos, M.D. Steven M. Steinberg, M.D. Balboa Internal Medicine Medical Group, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Ninth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
American Computech, Inc., Dba West Coast Medical Specialties, a Corporation v. National Medical Care, Inc. Bio-Medical Applications Management Company, Bio-Medical Applications of North City, Inc. Dba Bio-Medical Artificial Kidney Center, a Delaware Corporation, American Computech, Inc., Dba West Coast Medical Specialties, a Corporation v. National Medical Care, Inc., a Delaware Corporation, and J. Michael Channick, M.D. Richard Villalobos, M.D. Steven M. Steinberg, M.D. Balboa Internal Medicine Medical Group, Inc., a California Corporation, American Computech, Inc., Dba West Coast Medical Specialties, a Corporation v. National Medical Care, Inc. Bio-Medical Applications Management Company, Inc. Bio-Medical Applications of North City, Inc., a Delaware Corporation, Dba Bio-Medical Artificial Kidney Center J. Michael Channick, M.D., Richard Villalobos, M.D. Steven M. Steinberg, M.D. Balboa Internal Medicine Medical Group, Inc., 959 F.2d 239, 1992 U.S. App. LEXIS 11456 (9th Cir. 1992).

Opinion

959 F.2d 239

NOTICE: Ninth Circuit Rule 36-3 provides that dispositions other than opinions or orders designated for publication are not precedential and should not be cited except when relevant under the doctrines of law of the case, res judicata, or collateral estoppel.
AMERICAN COMPUTECH, INC., dba West Coast Medical
Specialties, a corporation, Plaintiff-Appellee,
v.
NATIONAL MEDICAL CARE, INC.; Bio-Medical Applications
Management Company, Bio-Medical Applications of North City,
Inc. dba Bio-Medical Artificial Kidney Center, a Delaware
Corporation, Defendants-Appellants.
AMERICAN COMPUTECH, INC., dba West Coast Medical
Specialties, a corporation, Plaintiff-Appellee,
v.
NATIONAL MEDICAL CARE, INC., a Delaware corporation, et al.,
Defendants,
and
J. Michael Channick, M.D.; Richard Villalobos, M.D.;
Steven M. Steinberg, M.D.; Balboa Internal
Medicine Medical Group, Inc., a
California corporation,
Defendants-Appellants.
AMERICAN COMPUTECH, INC., dba West Coast Medical
Specialties, a corporation, Plaintiff-Appellant,
v.
NATIONAL MEDICAL CARE, INC.; Bio-Medical Applications
Management Company, Inc.; Bio-Medical Applications of North
City, Inc., a Delaware Corporation, dba Bio-Medical
Artificial Kidney Center; J. Michael Channick, M.D.,
Richard Villalobos, M.D.; Steven M. Steinberg, M.D.;
Balboa Internal Medicine Medical Group, Inc., Defendants-Appellees.

Nos. 89-55289, 89-55290 and 89-55293.

United States Court of Appeals, Ninth Circuit.

Argued and Submitted Feb. 5, 1992.
Decided April 3, 1992.

Before TANG, KOZINSKI and TROTT, Circuit Judges.

MEMORANDUM*

* After a jury trial, American Computech, Inc., d/b/a West Coast Medical Specialties ("West Coast"), was awarded actual and punitive damages against National Medical Care, Inc. ("NMC"), Balboa Internal Medicine Medical Group ("Balboa"), and Balboa's individual doctors for violation of federal antitrust laws, interference with West Coast's prospective economic advantage, and unfair competition. NMC, a dialysis service provider, contracted with the doctors to act as medical directors for its dialysis facilities in exchange for a percentage of the net profits generated by NMC's dialysis facilities. Dennis Fox, a cross-defendant and former NMC employee, was found to have breached the covenant of good faith and fair dealing he owed NMC and was assessed both actual and punitive damages. NMC, Balboa, and the doctors appeal alleging: (1) the judgment is not supported by substantial evidence; (2) the special verdict form utilized by the jury was deficient; (3) the award of punitive damages was inappropriate; (4) the trial was tainted by prejudicial and irrelevant evidence; and (5) the award of attorneys' fees was grossly excessive and amounted to double recovery. West Coast cross-appealed the district court's ruling that it could not accept both punitive damages and attorneys' fees. Fox cross-appealed arguing the verdict against him was not supported by substantial evidence. We affirm in part, reverse in part, and remand.

II

1. SUFFICIENCY OF EVIDENCE

We review the jury verdict to determine if it is supported by "substantial evidence," that is, such relevant evidence as reasonable minds might accept as adequate to support a conclusion. Oltz v. St. Peter's Community Hospital, 861 F.2d 1440, 1450 (9th Cir.1988). The credibility of the witnesses and the weight of the evidence are issues for the jury and are generally not subject to appellate review. Transgo, Inc. v. Ajac Transmission Parts Corp., 768 F.2d 1001, 1024 (9th Cir.1985), cert. denied, 474 U.S. 1059 (1986).

A. Relevant Market

NMC argues West Coast failed to prove a relevant geographic market. Market analysis is essential to West Coast's conspiracy claim under Sherman Act Section 1 and its monopolization claim under Sherman Act Section 2. See Thurman Indus., Inc. v. Pay 'n Pak Stores, Inc., 875 F.2d 1369, 1373 (9th Cir.1989). A market is defined through both its product and geographic components. Oltz, 861 F.2d at 1446. Defining the relevant market is a factual inquiry ordinarily left to the jury. Id.

"The geographic market extends to the area of effective competition ... where buyers can turn for alternate sources of supply."1 Id. (quotations omitted). "[F]ailure to pinpoint precisely the relevant market through detailed market analysis is not uniformly fatal to a claim under Sherman Act § 1." Id. at 1448.

West Coast proposed the relevant geographic market to be central San Diego, the south bay area, and the Clairemont-Kearny Mesa area. NMC argued the relevant market was the San Diego/Imperial county area.

West Coast presented sufficient facts for the jury to find the relevant market. Based on West Coast's Exhibit 688, the evidence demonstrated that the persons living within the vicinity of a particular hospital received treatment in that region instead of travelling to a more distant location.2 Roland testified that Balboa intended to become influential in the geographic area it was serving--the south bay, downtown San Diego, and the Clairemont-Kearny Mesa areas. West Coast demonstrated that the area in which it was seeking business was this same area. West Coast also utilized a map of the San Diego region and plotted each of the hospitals and facilities where NMC and the doctors did business.

Because market definition is a question of fact, West Coast presented sufficient evidence to support a finding that the relevant geographic market was the central, south bay, and Clairemont-Kearny Mesa areas of San Diego. Contrary to NMC's argument, the district court did not err in refusing to grant a directed verdict on this issue.

B. Sherman Act--Section 1

West Coast alleged a conspiracy between NMC and the doctors. To establish a violation of section 1 of the Sherman Act, West Coast must demonstrate: "(1) an agreement or conspiracy among two or more persons or distinct business entities; (2) by which the persons or entities intend to harm or restrain competition; and (3) which actually restrains competition."3 Morgan, Strand, Wheeler & Biggs v. Radiology, Ltd., 924 F.2d 1484, 1488 (9th Cir.1991) (quotation and footnote omitted). "After these elements are established, the factfinder must weigh the procompetitive and anticompetitive effects of the challenged restraint and thoroughly examine all of the surrounding circumstances to determine whether the restraint is unreasonable." Thurman Indus., 875 F.2d at 1373. An explicit agreement between the parties has been shown and is not a challenged element.4

(a) Intent to Harm or Restrain Competition

NMC argues that West Coast failed to establish the requisite intent because West Coast failed to prove threats or coercion in the awarding of dialysis contracts.

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959 F.2d 239, 1992 U.S. App. LEXIS 11456, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-computech-inc-dba-west-coast-medical-specialties-a-corporation-ca9-1992.