Corporacion De Servicios Medicos Hospitalarios De Fajardo v. Izquierdo Mora (In Re Corporacion De Servicios Medicos Hospitalarios De Fajardo)

60 B.R. 920
CourtDistrict Court, D. Puerto Rico
DecidedApril 15, 1986
DocketBankruptcy No. 85-553(B), Adv. No. 85-229, Civ. Nos. 85-2029 (JAF), 86-0363 (JAF) and 86-0364 (JAF), Misc. No. 86-0030 (JAF)
StatusPublished
Cited by17 cases

This text of 60 B.R. 920 (Corporacion De Servicios Medicos Hospitalarios De Fajardo v. Izquierdo Mora (In Re Corporacion De Servicios Medicos Hospitalarios De Fajardo)) is published on Counsel Stack Legal Research, covering District Court, D. Puerto Rico primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Corporacion De Servicios Medicos Hospitalarios De Fajardo v. Izquierdo Mora (In Re Corporacion De Servicios Medicos Hospitalarios De Fajardo), 60 B.R. 920 (prd 1986).

Opinion

OPINION AND ORDER

FUSTE, District Judge.

The Department of Health of the Commonwealth of Puerto Rico (the Department), as an arm of the local Executive Branch of Government 1 is authorized by law to enter into commercial transactions with private medical entrepreneurs. The law authorizes the Department and the “Administración de Facilidades y Servicios de Salud” (AFASS) to contract out the management, use, and operation of government-owned hospitals to private entities. 24 L.P.R.A. Secs. 331-332a; 337-337m.

Pursuant to the mentioned statutory authority, on December 1, 1982 the Department stepped down from its sovereign position and, jointly with AFASS, negotiated such a contract for the management and operation of the Fajardo Subregional Hospital, located in Fajardo, Puerto Rico. 2 The exclusive right to operate said hospital was *923 awarded by contract to "Corporación de Servicios Médicos Hospitalarios de Fajardo, Inc.” (Corporación), a private corporation organized and existing under and by virtue of the laws of the Commonwealth of Puer-to Rico.

The contract specifically provided that one of its goals was to assure the availability of efficient health services for the Fajar-do subregion population and to establish a positive image for the hospital and the services rendered therein by retaining highly-qualified professional personnel.

The contract further provided that the corporation was to organize, administer, and operate the hospital as per contract guidelines, all pursuant to procedures to be submitted to the Department by Corpora-ción. This included dealing with personnel problems, systems for medical records, per diems, nursing services, maintenance, sanitation, staffing patterns, invoicing and collection of moneys, and other financial aspects of the hospital’s operation.

Under the terms of the contract, the Department agreed to pay Corporación a fixed annual fee of approximately $6,300,000 due on July and January of each year. This annual fee was renegotiated at a later date. It went up as high as $7,000,000 in the year 1983. The December 1, 1982 contract between the Department and AFASS and Corporación had a duration of ten years, the expiration date being fiscal year 1992-1993.

During the period under which Corpora-ción became the operator and manager of the hospital, said institution received a three-year accreditation by The Joint Commission on Accreditation of Hospitals, as well as an accreditation by the U.S. Department of Health and Human Services. The accreditation of the Joint Commission accrued in November, 1984. The federal accreditation was awarded after the hospital was inspected in October, 1985. The hospital was found in compliance with all Medicare requirements as conditions for participation in said federal program. 3

At some point in time in 1984, and pursuant to contract terms and conditions, the Department decided to conduct an audit of the Fajardo Subregional Hospital. The certified public accountant firm of Coopers & Lybrand was commissioned to conduct the audit. This could not be accomplished due to inadequate financial data kept by Corpo-ración.

A change in political administration took place in Puerto Rico as a result of the November, 1984 general elections. During February and March, 1985, the Department, through the newly-appointed Secretary of Health, Dr. Luis Izquierdo Mora, commissioned a different firm of certified public accountants to audit the subregional hospital, that is to say, to carry out the job originally assigned to Coopers. On this occasion, in addition to the intervention of the auditing firm of Arthur Andersen & Co., the Department appointed an advisory team of professionals to concurrently report on the contract and its performance. This group was composed of lawyers, physicians, economists, and employees of the Department.

Based on the findings of Arthur Andersen & Co. and the recommendations of the “ad hoc” committee appointed by the Department, litigation was commenced by the Department and AFASS against Corpora-ción by the filing of a civil action before the Superior Court of Puerto Rico, San Juan Part, on April 22, 1985. Although the caption of the local filing identifies the suit as being one for declaratory judgment and injunctive relief, the allegations as such did not request declaratory relief. The complaint sought the termination of the contract for noncompliance of terms and conditions on the part of Corporación. Injunc-tive relief seeking the return of the proper *924 ty to the hands of the Department was also requested.

On May 10, 1985, Corporación filed a petition for reorganization under the provisions of Chapter 11 of the Federal Bankruptcy Code, 11 U.S.C. Secs. 1101-1174. 4 As expected, the bankruptcy court became aware of the existence of local proceedings. Notice of such proceedings was first given informally to the bankruptcy court. This was followed by an informative motion which, quoted in its pertinent part, reads as follows:

Informative Motion
Comes now the Secretary of Health of the Commonwealth of Puerto Rico through counsel and informs:
Pursuant to instructions from this Honorable Court, we have inquired in the Superior Court of Puerto Rico, pursuant to a motion filed on June 10, 1985, and have been advised by that Court that the Hon. Judge Polo is available to understand in the matter (sic) regarding the controversy filed before it by the Department of Health against the debtor during the week of June 17 through June 21, 1985.
Respectfully submitted, on this 11th. day of June, 1985.

On the basis of the informative motion and without having the benefit of a copy of the local complaint or being aware of the extent of the remedy there requested, the bankruptcy court entered, on June 12, 1985, an order of abstention regarding the local proceeding. The bankruptcy court stated: 5

We are advised that the Secretary of Health alleges in his Request for Declaratory Judgment that he is entitled to the relief requested under the contract between the parties and in accordance with the laws of the Commonwealth, and we understand that the matter does not involve the application of the Federal Bankruptcy Code (11 USC) nor is same a “core proceeding” within the meaning of that term as used in 28 USC 157(b)(2). The policy of the Federal Bankruptcy Code, as expressed in 28 USC 1334(c)(2), is that in circumstances such as these, the federal court should abstain from hearing the proceeding. Such abstention is not a waiver of the exclusive jurisdiction over the property *925 of the debtor estate under 28 USC 1334(d) nor the granting of relief from the automatic stay of 11 USC 362(a) except as expressly indicated by this order.

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Bluebook (online)
60 B.R. 920, Counsel Stack Legal Research, https://law.counselstack.com/opinion/corporacion-de-servicios-medicos-hospitalarios-de-fajardo-v-izquierdo-mora-prd-1986.