Commonwealth of Pennsylvania v. Americore Holdings, LLC

CourtDistrict Court, E.D. Kentucky
DecidedFebruary 10, 2021
Docket6:20-cv-00029
StatusUnknown

This text of Commonwealth of Pennsylvania v. Americore Holdings, LLC (Commonwealth of Pennsylvania v. Americore Holdings, LLC) is published on Counsel Stack Legal Research, covering District Court, E.D. Kentucky primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Commonwealth of Pennsylvania v. Americore Holdings, LLC, (E.D. Ky. 2021).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF KENTUCKY SOUTHERN DIVISION LONDON

IN RE: AMERICORE HOLDINGS, ) LLC, et al. ) ) COMMONWEALTH OF ) No. 6:20-CV-29-REW PENNSYLVANIA, ) ) OPINION & ORDER Appellant, ) ) v. ) ) AMERICORE HOLDINGS, LLC, et al., ) ) Appellees. )

*** *** *** *** The Commonwealth of Pennsylvania (Commonwealth) appeals the Bankruptcy Court’s denial of its “motion for a determination that the automatic stay does not apply or, in the alternative, for relief from the automatic stay.” DE 1 at 1; In re Americore, et al., No. 19-61608- GRS, at E.C.F. No. 84 (Motion) & 143 (Order).1 The matter is fully briefed. DE 6, 23, & 24. The Court finds that the automatic stay properly applies and that Judge Schaaf did not abuse his discretion in denying relief from the stay. I. Factual Background and Procedural History

Ellwood City Hospital (ECH, to include related entities) is located in Lawrence County, Pennsylvania, and operated as a non-profit, community-based hospital from 1910 to 2017. DE 7- 2 ¶¶ 10 & 14. On March 6, 2017, ECH entered into an asset purchase agreement (APA) with Americore Health, LLC (Americore) and Ellwood Medical Center, LLC (EMC). DE 7-3, at 40.

1 Hereinafter, citations to the bankruptcy proceedings underlying this appeal will be designated simply by E.C.F. No. Under the APA, Americore and EMC acquired ECH’s real estate, equipment, and receivables, and took over the operation of the former hospital. The transfer encompassed all or substantially all of ECH’s assets. The APA required Americore and EMC to operate ECH as a licensed hospital and emergency room continuously for ten years. Id. at 19. ECH’s non-profit status and charitable history required court approval of the deal. On

September 22, 2017, the parties obtained judicial approval of the proposed APA by the Court of Common Pleas of Lawrence County, Orphans’ Court Division. DE 7-5. Following the implementation of the APA, the Pennsylvania Department of Health (DOH) cited ECH more than 40 times for non-compliance with statutory and regulatory obligations. DE 7-13, at 4. On November 27, 2019, the DOH performed an on-site investigation of ECH and then banned the facility from admitting patients and suspended its emergency department services. Id. at 8. The DOH provided five reasons for taking action: (1) “[t]he facility was not able to offer basic diagnostic services[,]” (2) “[t]he facility was suspending services due to low or no staff to offer the service[,]” (3) “[f]ailure to pay employees[,]” (4) “[t]he facility was not able to provide surgical

services[,]” and (5) “[t]he facility failed to take appropriate steps regarding the transfer of patients, including failure to transfer in a safe manner.” Id. Nonetheless, ECH remained licensed. Id. at 9. The hospital ceased operations on December 10, 2019. DE 7-10 ¶ 22. On December 23, 2019, the Commonwealth filed a petition to enforce the APA and for monetary damages in the Orphans’ Court, alleging that Americore and its affiliates had violated the APA, the Orphans’ Court’s earlier approving order, and various statutory and regulatory provisions requiring the timely payment of wages, unemployment contributions, and pension contributions. DE 7-3, at 2–15. On December 31, 2019, Americore filed a petition for relief under Chapter 11 of the Bankruptcy Code in the United States Bankruptcy Court for the Eastern District of Kentucky. E.C.F. No. 1. On January 14, 2020, the Commonwealth filed an emergency motion for determination that the putative automatic stay of § 362 does not apply or, in the alternative, for relief from the automatic stay. DE 7-2. The Bankruptcy Court held a hearing on the motion on January 17, 2020. E.C.F. No. 119. The transcript of that hearing is in the record. See DE 23-1. On January 24, 2020, the Bankruptcy Court issued an Order denying the Commonwealth’s motion.

DE 1-2. Judge Schaaf rejected application of the § 362(b)(4) stay exception for a governmental unit’s enforcement of “police and regulatory power” and also denied relief from the stay. Id. The Commonwealth timely filed its Notice of Appeal on February 3, 2020. E.C.F. 161; DE 1. After several agreed delays, the briefing closed in November 2020. A few important notes about the situation on the ground, at the time of the Orphans’ Court approval: First, the hospital was in the death throes. It had hemorrhaged cash for years ($4+ million annually “for a number of years”) and had already lost $3.5 million by mid-2017. See DE 7-3 at 19–20 (Judge Acker Order, FF ¶ 6). The proof showed, and the Pennsylvania court found, that the hospital faced a true Hobson’s choice—enter the Americore deal or liquidate immediately and

entirely. See id. ¶ 8. Thus, while the Orphans’ Court vetted and fortified the arrangement (by, e.g., bolstering the escrow agreement and the local advisory board oversight provisions), the scaffolding was rickety and the foundation shallow in terms of assuring future operation of the hospital under the APA. The Court recognized that Americore was taking the assets free and clear of lien or encumbrance under a deal with few teeth in terms of warranted future performance. As Judge Hacker found, the APA “does not call for any lien or encumbrance or mortgage on any of the properties conditioned on Americore’s performance of its obligations under the contract.” Id. ¶ 13. Though the APA “contains provisions that contractually obligate Americore Health, LLC and Ellwood Medical Center, LLC to continue operations of a licensed hospital with a licensed emergency room 24/7 365 days per year for a ten year period[,]” the agreement “transfers substantially all of the assets of the Ellwood City Hospital, without lien or encumbrance, immediately upon the consummation of the [APA] and before Americore Health, LLC and Ellwood Medical Center, LLC have performed their ten year obligation to keep the hospital emergency room open.” DE 7-3 at 27 (Judge Acker Order, CL ¶ 8). Thus, the transfer of assets,

and the Orphans’ Court’s approval of same, did not, it seems, hinge on future compliance. The escrow agreement associated with the APA protected retirees, and the advisory board construction created process in terms of operational changes. DE 7-3, at 25 & 29–30. The Commonwealth stridently argues about the deal delivering healthcare, but Pennsylvania was at the table and did not object to the final formulation of the APA. The APA captures the resolution between the private entities involved, with the Court and Commonwealth fulfilling their advisory components regarding the underlying charitable nature of the transferring entity. The deal represents a pragmatic choice in light of real-world dynamics, in a situation where the hospital had no better moves. Importantly, the parties do not point to a divestiture component in the APA or

Judge Acker’s order. Indeed, the language strongly indicates no such remedy. As for the Commonwealth’s December 2019 suit, the Court has reviewed the pleading in full. The gravamen surely is one about money and financial obligations—the Petition asserts claims for wages, retirement contributions, and unemployment compensation contributions. DE 7- 3. Even the APA breach count, the only count not tied wholly to a wage, benefit, or tax matter, cites Americore’s breach as resulting in mass layoffs and unpaid wages. Id. ¶ 56. Thus, the Petition hardly focuses on the deprivation of healthcare in the area. The Commonwealth now casually waives away the direct financial aspects of the state court suit and characterizes the suit’s focus now on its goal of vindicating the APA, its protection of healthcare services in Lawrence County, and the charitable lineage of the underlying assets. II. Analysis

A. Jurisdiction and Standard of Review

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Bluebook (online)
Commonwealth of Pennsylvania v. Americore Holdings, LLC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/commonwealth-of-pennsylvania-v-americore-holdings-llc-kyed-2021.