BCE Emergis Corp. v. Community Health Solutions of America, Inc.

148 F. App'x 204
CourtCourt of Appeals for the Fifth Circuit
DecidedAugust 9, 2005
Docket04-50367
StatusUnpublished
Cited by3 cases

This text of 148 F. App'x 204 (BCE Emergis Corp. v. Community Health Solutions of America, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
BCE Emergis Corp. v. Community Health Solutions of America, Inc., 148 F. App'x 204 (5th Cir. 2005).

Opinion

EDITH H. JONES, Circuit Judge: *

Plaintiff-Appellant BCE Emergis Corporation (“BCE”) appeals the jury verdict exonerating Defendant-Appellees Community Health Solutions of America (“CHS”), numerous individuals (collectively, “CHS,” “Appellees”), and Clarendon National Insurance Company (“Clarendon”) from its claims for, inter alia, breach of contract, breach of fiduciary duty, and misappropriation of trade secrets. BCE challenges the district court’s denial of BCE’s motion for judgment as a matter of law, its motion for new trial, the content of the verdict forms and jury instructions, and various evidentiary rulings. Having reviewed the record, and finding no significant error in this carefully tried case, we affirm.

I. BACKGROUND

BCE developed and maintains a nationwide network of healthcare providers, through which it offers access to discounted healthcare services. NHS, located in Louisville, Kentucky, is a wholly-owned subsidiary of BCE, which offers utilization *207 review and case management services. NHS was incorporated in 1984 and became BCE’s subsidiary in February 2000. NHS’s four primary products include medical review, management, disease management, and a 24-hour nurse/triage help line. NHS employees four hundred people, eighty percent of whom are nurses. NHS uses numerous written policies and procedures, as well as a management software program called CareReview, in operating its business. NHS is accredited by the Utilization Review Accreditation Commission (“URAC”), and frequently shares its policies and procedures with other healthcare service providers. On contracts for government-sponsored insurance programs, such policies and procedures must satisfy certain requirements.

Appellee Clarendon National Insurance Co. (“Clarendon”) hired NHS to provide medical management services for contracts Clarendon had with the states of Texas and Florida. In Texas, Services were performed in Texas for the Texas Children’s Health Insurance Program (“CHIP”), and in Florida for the Florida Healthy Kids Program (“Healthy Kids”). The CHIP contract was for an initial three-year term starting in May 2000, with two automatic one-year terms of renewal. The Healthy Kids contract was negotiated and acted upon, but never memorialized. The NHS executive staff based in Louisville and responsible for these subcontracts included Appellees Barbara Freeman (“Freeman”), President and Chief Medical Officer from the 1990’s to July 2002; Richard Dank-worth (“Dankworth”), Executive Vice President until June 2002; and Scott Barnes (“Barnes”), Vice President for Information Systems until March 2002. Barnes was responsible for the development and upkeep of the CareReview program. CHS was incorporated in February 2002 by its two principals, Appellees Michael Masters (“Masters”) and Gary Simmons.

A. BCE’s Case to the Jury

The Parties continue to disagree as to what the evidence showed. Thus, we present the arguments of each side sequentially. Masters developed the concept of an “exclusive provider organization” (“EPO”) model for the delivery of rural healthcare services. Under an EPO, one company would provide services in Texas and Florida; however, operating the EPO would require the operational capability of NHS, and CHS lacked this capacity at the relevant time. Thus, BCE alleged Appellees accomplished this goal by pilfering NHS’s proprietary information and employees. In spring 2001, Masters developed an EPO proposal for Clarendon, which he also secretly sent to Freeman and Dankworth for advice even though the proposal did not concern business with NHS. Then several “offline” discussions took place between Masters and both Freeman and Dank-worth to determine whether each was interested in business opportunities with CHS. By late 2001, Masters had enticed Dankworth with employment opportunities at his startup; Dankworth expressed interest for himself and on behalf of his fiancée Patty Callen (“Callen”), 1 the NHS manager who oversaw the nursing staff that directly served CHIP.

Further, in early 2002 Masters and Simmons met secretly with Dankworth and Barnes at a Louisville hotel to continue employment discussions. Barnes brought along four of his computer department subordinates. In February 2002, Dank-worth wrote to Masters and Simmons, outlining proposed terms of employment for himself and Callen, including an ownership *208 interest in the new company. Simmons emailed Barnes’s proposed offer letters for his four subordinates, requesting Barnes to review them. Barnes and his subordinates left NHS for CHS in March 2002.

On March 19, 2002, Masters proposed to Clarendon’s Senior Vice President Dominic Hagger that CHS become Clarendon’s EPO for rural healthcare services. Although this occurred months before either Dankworth or Freeman quit NHS, both were identified as CHS executives in the organizational chart accompanying the proposal, and their resumes appeared on CHS letterhead. The proposal described a medical management system that did not exist at CHS in March 2002 and included both CHIP and Healthy Kids.

Later, Hagger signed a separate proposal submitted by CHS for Florida Medicaid work, which, BCE claims, repeated the same misrepresentations about Freeman, Dankworth, and CHS’s medical management capabilities. BCE also contends this proposal appended confidential medical policies and procedures that Dankworth purloined from NHS and falsely claimed belonged to CHS. According to BCE, Dankworth, the negotiator of the Texas CHIP contract with Clarendon, was familiar with BCE’s confidentiality restrictions. BCE claims Dankworth asked a subordinate NHS employee, Patty Russell, to put the policies and procedures on a computer disk. Dankworth allegedly took the disk home and asked Callen to reformat the policies and procedures, such that references to NHS became references to CHS. Dankworth then sent the reformatted policies to the then-CHS president, who passed them along to a CHS employee, who confirmed they were the policies included with the Florida Medicaid proposal. 1 BCE alleges that the Hagger’s and Dankworth’s testimony shows these policies could only have come from the NHS policies used in the CHIP contract.

B. Appellees’ Case to the Jury

Appellees presented evidence that after BCE’s acquisition of NHS, BCE instituted multiple dramatic changes in corporate practice at NHS. BCE transferred significant decisionmaking power out of Louisville, instituted rigid cost-cutting, and increased the bureaucracy of the workplace, as well as the workload. NHS required more approval to authorize expenditures by NHS personnel. Appellees testified that these changes ultimately affected client services. In particular, as NHS moved departments around, the IT department and all the computer hardware was moved from its base in Louisville to BCE’s offices in Maryland and Canada. This proved a controversial issue, as many IT employees feared for their jobs. Barnes, in fact, approached NHS Vice President Christie Spencer and advised her that some of his subordinates were going to quit because of the deteriorating conditions.

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148 F. App'x 204, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bce-emergis-corp-v-community-health-solutions-of-america-inc-ca5-2005.