Craig v. Not for Profit Hospital Corporation

CourtDistrict Court, District of Columbia
DecidedSeptember 9, 2022
DocketCivil Action No. 2018-0347
StatusPublished

This text of Craig v. Not for Profit Hospital Corporation (Craig v. Not for Profit Hospital Corporation) is published on Counsel Stack Legal Research, covering District Court, District of Columbia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Craig v. Not for Profit Hospital Corporation, (D.D.C. 2022).

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA

JULIAN CRAIG,

Plaintiff,

v. Civil Action No. 18-347 (FYP)

NOT FOR PROFIT HOSPITAL CORPORATION, et al.,

Defendants.

MEMORANDUM OPINION

In 2015, Dr. Julian Craig became the Chief Medical Officer of the Not-for-Profit Hospital

Corporation (“the Hospital”), a District of Columbia government hospital that is commonly

known as the United Medical Center. The year after he assumed his role, the Hospital hired a

management company, Veritas of Washington, LLC (“Veritas”), to run its operations. With

Veritas at the helm, Craig’s hours were slashed by a third, and his compensation was likewise

reduced. Craig developed concerns that the Hospital was trying to improve its financial situation

by pressuring its employees to improperly increase patient admissions so that it could submit

claims for reimbursement from Medicare and Medicaid. Craig filed an official complaint with

the Hospital. He also reported Veritas’s mismanagement and malfeasance to the D.C. Council,

which led to his public testimony about the Hospital’s problems. Two weeks after his testimony,

the Hospital terminated his employment.

Craig sued the Hospital, Veritas, and officers of Veritas, bringing claims of retaliation

under the federal False Claims Act and its D.C. equivalent, see 31 U.S.C. § 3730(h), D.C. Code

§ 2-381.04; whistleblower discrimination under the D.C. Whistleblower Protection Act, see D.C. Code § 2-223.02; wrongful discharge; breach of contract; violation of the D.C. Wage Payment

and Collection Law, see D.C. Code § 32-1302; tortious interference with his employment

contract; and defamation. He seeks a declaratory judgment, as well as compensatory, liquidated,

and punitive damages. Now before the Court are motions to dismiss filed by (1) the Hospital, (2)

Veritas and two of its officers, and (3) Luis Hernandez, Veritas’s Chief Restructuring Officer.

The defendants collectively challenge each cause of action in the Complaint, except for the

defamation claim. For the following reasons, the Court will dismiss Craig’s wrongful discharge

claim, Count IV. The Court will otherwise deny the Motions.

BACKGROUND

Craig is a physician working in Washington, D.C. See ECF No. 3 (Amended Complaint),

¶ 2. On June 3, 2015, he accepted the position of Chief Medical Officer (“CMO”) at the

Hospital. See id., ¶ 17. That same day, Craig signed an offer letter, which specified that he

would work 32 hours per week, would earn an annual salary of $320,000, and would receive

benefits. See id. Later, Craig entered a written employment contract with the Hospital. See id.,

¶ 18. In addition to reiterating the hours and salary promised in the offer letter, the contract

stated that it would last for one year, with the option of being renewed year by year, for up to

five years. See id. Further, the contract provided that it could be modified “only by a written

instrument signed by both Parties.” See id. The contract was executed by Craig and the

Hospital, and it was ratified by the Hospital’s Board of Directors. See id.

On April 15, 2016, almost a year into Craig’s tenure, Veritas “assumed control” of the

Hospital’s operations. See id., ¶¶ 2, 21–22. The Hospital’s Board engaged Veritas because the

D.C. Department of Health Care determined “that a management company needed to assume

2 control of [Hospital] operations after significant financial losses in 2015.” See id., ¶ 21. Luis

Hernandez was the Veritas employee who served as the Hospital’s Chief Restructuring Officer,

“overs[eeing] the operations of all of the departments,” as well as supervising its then-CEO

Andrew Davis. See id., ¶ 22. Chrystie Boucree, the President of Veritas, and Corbett Price, the

Executive Chairman, were the “final decision-makers for all important matters” related to the

Hospital’s operations. See id., ¶ 23; see also id., ¶¶ 13–14, 22, 24.

Shortly after taking control, Veritas decided that the Hospital did not need a full-time

CMO. See id., ¶ 25. Then-CEO Davis therefore informed Craig that his hours would be reduced

to 20 per week and his annual salary reduced to $100,000. See id. Boucree and Price allegedly

“made the decision to reduce Dr. Craig’s pay.” See id., ¶ 26. On April 29, 2016, Davis sent a

letter with the new terms to Craig. See id., ¶ 27. Craig did not agree in writing to modify his

employment contract. See id., ¶ 28. He continued to work the minimum of 32 hours required by

his original contract while the Hospital “paid him less than his contract required.” See id.

On July 22, 2016, Craig and the Hospital’s Chief Operating Officer, Charletta

Washington, signed an agreement to renew his employment contract under terms that maintained

Craig’s 32-hour work week and $320,000 annual salary. See id., ¶ 33. In July or August of

2016, however, Washington told Craig that Hernandez, now CEO, would not restore Craig’s

compensation, even though Hernandez knew that Craig was continuing to work 32 hours per

week. See id., ¶¶ 31, 35.

Beginning in the fall of 2016 and continuing through 2017, Craig developed concerns

that “the Hospital was engaged in some practices that compromised patient care and safety, and

other practices that he reasonably believed violated federal and District of Columbia law.” See

3 id., ¶ 41. Specifically, Craig learned that Hernandez and Veritas were directing Hospital

employees to bolster the Hospital’s financials by increasing patient admissions. See id. Craig

“saw a number of examples of patients admitted to [the Hospital] for issues that did not meet

admissions criteria, or for whom there lacked appropriate documentation to support an admission

decision.” See id. Further, on February 23, 2017, the Hospital’s Chief Financial Officer met

with Craig and the Hospital’s Directors of Quality and Medical Records and shared a 2016 letter

from KEPRO, a Medicare beneficiary. See id., ¶ 43. The letter detailed KEPRO’s findings that

none of the charts it reviewed for patients with short stays at the Hospital met admission criteria,

indicating that the Hospital should not have billed Medicare for those patients’ stays. See id.

Around the same time, Craig learned that the Chief Financial Officer had conducted an internal

audit of patient admission records and determined that the Hospital would likely have to return

$5 million to Medicare and Medicaid for improperly billed patient stays. See id., ¶ 49.

On February 24, 2017, Craig submitted an official complaint to the Hospital’s Director of

Human Resources, Eric Johnson. See id., ¶ 45. The complaint explained that Hernandez’s

actions to increase patient admissions put the Hospital “at serious federal regulatory and

financial risk.” See id. The complaint further stated that Veritas’s actions had put the Hospital’s

staff’s careers and medical licenses in jeopardy. See id.

Within two days, Craig met with Johnson and the Hospital’s attorneys to discuss his

complaint. See id., ¶ 46. Craig “reported that he had learned from physicians that Mr.

Hernandez had pressured [Hospital] employees to increase hospital admissions, without regard to

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