Crosby Memorial Hosp v. Abdallah

Court of Appeals for the Fifth Circuit·Decided August 14, 2002·No. 01-60329·Unpublished

Opinion

IN THE UNITED STATES COURT OF APPEALS FOR THE FIFTH CIRCUIT

No. 01-60329

CROSBY MEMORIAL HOSPITAL,

Plaintiff-Appellee,

versus

HALA MOHAMMED ABDALLAH, MD, Defendant-Appellant.

Appeal from the United States District Court for the Southern District of Mississippi (97-CV-635)

August 13, 2002

Before KING, Chief Judge, and GARWOOD and HIGGINBOTHAM, Circuit Judges.

PER CURIAM:* Dr. Hala Mohammed Abdallah (“Abdallah”) appeals the district court's grant of summary judgment to Crosby Memorial Hospital

*

Pursuant to 5TH CIR. R.47.5 t he Court has determined that this opinion should not be published and is not precedent except under the limited circumstances set forth in 5TH CIR. R. 47.5.4.

(“Crosby”) on its breach of contract complaint and against her on her counterclaims for breach of contract, fraud in the inducement, breach of the duty of good faith and fair dealing, and tortious interference with contract and prospective business relations. Because Abdallah produced enough evidence to survive summary judgment on the issue of Crosby's promises to help her get a green card, we reverse the grant of summary judgment on her counterclaim for fraudulent inducement. Because this fraud may also serve as a defense to breach of contract, we reverse the summary judgment granted on Crosby's breach of contract action. We affirm the summary judgment, however, as to all other arguments raised by Abdallah. Finally, we reject Abdallah's appeal of the district court's order striking the legal conclusions in the affidavit of her expert witness.

Background

Dr. Hala Mohammed Abdallah, a citizen of Jordan, came to the United States in 1987. After she completed a residency in pediatrics, she was contacted by Glenn Lowery, an administrator with Crosby Memorial Hospital in Picayune, Mississippi who was attempting to recruit a pediatrician to that relatively rural area. When Abdallah met Lowery, he explained that Picayune was in a designated health care professional shortage area, which suggested that practicing medicine there would allow Abdallah to receive a waiver of the two-year foreign residency requirement otherwise

applicable to graduate medical students in the United States under a J-1 visa. Lowery added that he would help Abdallah obtain her green card and told her he had similarly helped other physicians in the past.

On July 28, 1994, Abdallah and Crosby Memorial Hospital entered into a contract titled a “Net Income Guarantee Agreement.” Under the terms of the contract, Crosby would guarantee Abdallah a salary of $140,000 a year for two years by loaning her a subsidy equal to the difference between that amount and her “net practice income.” “Net practice income” was defined in the contract as gross collections minus reasonable professional expenses; “reasonable professional expenses” was defined with reference to the IRS guidelines and a non-exclusive list of permissible expenses. The definition of “reasonable professional expenses” then specified that notwithstanding the above rule, any money expended as purchase price, rental or lease on depreciable property would be disallowed as a “reasonable expense” to the extent it exceeded $10,000 annually. The contract then specified that this loan of income assistance would be forgiven if Abdallah continued to practice full-time for an additional two years. If she didn't, she would have to repay the subsidy over twelve months. Moreover, Abdallah would have only three months to repay under certain enumerated circumstances, one of which was if her “medical staff privileges at hospital [were] terminated in accordance with the hospital's

medical staff bylaws.” In contrast, Abdallah could only terminate the contract if Crosby violated its duties to pay subsidy.

In addition to this income subsidy loan, the contract provided that the hospital would “reasonably” assist Abdallah in setting up her office, hiring personnel, setting up accounting records, and marketing her practice, though the contract reiterated that the “primary” responsibility for the practice remained on Abdallah. Another section of the contract specified that Abdallah was to be considered an “independent contractor” with her own unfettered judgment concerning the care of her patients. Similarly, the contract notes that Abdallah was not obligated to admit her patients to Crosby. Finally, the contract explicitly states that it is the entire agreement between Abdallah and the hospital, and that it supersedes any other oral or written agreements.

After signing the agreement, Abdallah and her family moved to Picayune where they purchased a home, rented a temporary office, and built an office facility for her clinic. When she began practicing full-time in Picayune, Abdallah's practice operated at a net practice loss, requiring substantial subsidy payments. She alleges the hospital did not assist her as required by the contract even though she submitted the required monthly accounting reports. In light of her difficulties, Abdallah bristled that the hospital continued to attempt to recruit doctors to the area. Abdallah also discovered that although there was only one other pediatrician in

town, she faced competition from family practitioners who did some pediatrics. Moreover, Abdallah's pursuit of a green card also failed. During 1995, Lowery wrote letters and contacted government officials in an apparent attempt to assist Abdallah with her application for permanent resident status. These attempts were unavailing because Abdallah could only receive a waiver of the foreign residency requirement if she were directly employed by a hospital under a three-year contract, and Crosby declined to alter the Net Income Guarantee Agreement.

In June 1996, Crosby hired the Horne CPA Group to examine Abdallah's records and expenses under the Net Income Guarantee Agreement. The CPA examined the clinic's records and practices and reported that the hospital had overpaid Abdallah by $63,795.73 due to “understated cash receipts and overstated operating expenses.” The CPA acknowledged his report could not meet generally accepted auditing standards and advised a total reconstruction of Abdallah's accounting records and receivables. Upon receiving this report, Lowery wrote a letter to Abdallah detailing Crosby's concerns and asking for her cooperation in achieving the recommended audit. Crosby then suspended the remaining two-and-a-half months of income subsidy payments until this accounting was completed.

An independent audit by Abdallah's financial expert, Northshore Financial Services, ultimately determined that Abdallah had been underpaid by $47,510.13. In arriving at this number, the

analyst deducted all business expenses allowed by the IRS without applying the $10,000 cap on expenditures on depreciable assets contained in the contract. Abdallah demanded the withheld subsidies and a per-hour salary for the time she had spent on call at the hospital, but Lowery refused to pay the subsidies or release her from the on-call requirements in the contract. On March 6, 1997, Abdallah wrote the Chief of Staff at Crosby announcing her resignation from staff privileges at Crosby. Because a termination of staff privileges was one of the enumerated circumstances in Article V permitting Crosby to terminate the contract, Crosby did just that and demanded full repayment of the subsidy.

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