Doctors Making Housecalls-Internal Med., P.A. v. Onsite Care

2019 NCBC 5
CourtNorth Carolina Business Court
DecidedJanuary 16, 2019
Docket18-CVS-2095
StatusPublished

This text of 2019 NCBC 5 (Doctors Making Housecalls-Internal Med., P.A. v. Onsite Care) is published on Counsel Stack Legal Research, covering North Carolina Business Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Doctors Making Housecalls-Internal Med., P.A. v. Onsite Care, 2019 NCBC 5 (N.C. Super. Ct. 2019).

Opinion

Doctors Making Housecalls-Internal Med., P.A. v. Onsite Care, PLLC, 2019 NCBC 5.

STATE OF NORTH CAROLINA IN THE GENERAL COURT OF JUSTICE SUPERIOR COURT DIVISION DURHAM COUNTY 18 CVS 2095

DOCTORS MAKING HOUSECALLS-INTERNAL MEDICINE, P.A.,

Plaintiff, ORDER AND OPINION ON v. PLAINTIFF’S MOTION TO DISMISS COUNTERCLAIMS ONSITE CARE, PLLC,

Defendant.

THIS MATTER comes before the Court on Plaintiff Doctors Making

Housecalls-Internal Medicine, P.A.’s Motion to Dismiss Counterclaims (“Motion”,

ECF No. 16).

THE COURT, having considered the Motion, the briefs filed in support of and

in opposition to the Motion, the arguments of counsel at the hearing, and other

appropriate matters of record, CONCLUDES that the Motion should be GRANTED,

in part, and DENIED, in part, in the manner and for the reasons set forth below.

Brooks, Pierce, McLendon, Humphrey & Leonard LLP, by Craig D. Schauer, Jeffrey E. Oleynik, Justin N. Outling, and Shana L. Fulton, for Plaintiff Doctors Making Housecalls-Internal Medicine, P.A.

Ellis & Winters LLP, by Kelly Margolis Dagger, Jonathan Berkelhammer, and Jeremy Falcone, for Defendant Onsite Care, PLLC.

McGuire, Judge.

I. FACTS AND PROCEDURAL BACKGROUND

1. The Court does not make findings of fact on motions to dismiss under

Rule 12(b)(6) of the North Carolina Rules of Civil Procedure (hereinafter, the North Carolina Rules of Civil Procedure will be referred to as “Rule(s)”). In this case, the

Court only recites those facts included in the Counterclaims portion of Defendant’s

Answer and Counterclaims that are relevant to the Court’s determination of the

Motion. All facts herein are drawn from the allegations in Defendant’s

counterclaims (“CC”). (Answ. and Countercl., ECF No. 4 at CC, pp. 13–32.)

2. Plaintiff Doctors Making Housecalls-Internal Medicine, P.A.

(“Plaintiff”) is a North Carolina professional limited liability company with its

principal place of business in Durham.

3. Defendant Onsite Care, PLLC (“Defendant”) is a North Carolina

professional limited liability company with its principal place of business in

Mecklenburg County.

4. Plaintiff and Defendant are competitors in the market for providing

on-premises care to residents of adult care homes. An adult care home is statutorily

defined in North Carolina as:

[a]n assisted living residence in which the housing management provides 24-hour scheduled and unscheduled personal care services to two or more residents, either directly or for scheduled needs, through formal written agreement with licensed home care or hospice agencies. Some licensed adult care homes provide supervision to persons with cognitive impairments whose decisions, if made independently, may jeopardize the safety or well-being of themselves or others and therefore require supervision.

N.C. Gen. Stat. § 131D-2.1(3) (hereinafter the North Carolina General Statutes are

referred to as “G.S.”). The type of adult care homes to which Plaintiff and

Defendant provide services are known in the industry as assisted living facilities (“ALF”). (ECF No. 4 at CC, ¶¶ 3, 10, 11.)

5. ALFs do not provide medical and nursing services to their residents.

Instead, ALF residents typically receive medical care from outside providers like

Plaintiff or Defendant. (Id. at ¶ 12.) The relationship between the ALFs, the

residents, and the outside providers is regulated by the State of North Carolina.

(Id. at ¶¶ 14–19; see 10A N.C.A.C. 13F .0201 et seq.) However, the resident, or the

person responsible for them, must be permitted to choose the residents’ health care

provider. (ECF No. 4 at CC, ¶ 16; 10A N.C.A.C. 13F .0902(d)(1) (“The resident or

the resident’s responsible person shall be allowed to choose a physician or physician

service to attend the resident.”); 10A N.C.A.C. 13F .0902(d)(2) (“When the resident

cannot remain under the care of the chosen physician or physician service, the

facility shall assure that arrangements are made with the resident or responsible

person for choosing and securing another physician or physician service within 45

days[.]”).)

6. Plaintiff and Defendant both market their services directly to ALFs.

(ECF No. 4 at CC, ¶ 22.) Though the resident is entitled to make the decision on

whom to retain as their provider, “being a facility’s ‘preferred provider’ plays a

significant role in the provider a resident chooses.” (Id.)

7. The State of North Carolina is the geographic market in which

Plaintiff and Defendant compete. (Id. at ¶¶ 23–25.) Plaintiff is the largest provider

of medical services to ALFs in North Carolina. (Id. at ¶ 4.) Plaintiff provides care

to residents in over 250 of the 593 ALFs in the North Carolina market, or approximately 42% of the ALFs. (Id. at ¶¶ 26–27.) Defendant alleges that the

ALFs to which Plaintiff provides care “are disproportionately larger facilities with

greater numbers of residents[,]” resulting in Plaintiff providing services to at least,

but likely more than, 42% of the total market share. (Id. at ¶ 27.)

A. The Wellington Park Lawsuit and Complaint to the NC Board of Nursing

8. From late 2016 until in or about January 2018, Plaintiff had a

preferred provider relationship with Wellington Park, an ALF in Kenansville, North

Carolina. (Id. at ¶¶ 47–51.) In December 2017, Defendant “began discussions with

Wellington Park to become the preferred provider at the facility.” (Id. at ¶ 51.) By

January 20, 2018, forty-seven of the sixty-five residents of Wellington Park had

executed written consent forms to transfer their medical care from Plaintiff to

Defendant. (Id. at ¶ 56.) Wellington Park informed Plaintiff that its residents

would transfer care to Defendant. (Id. at ¶ 54.)

9. In response, Plaintiff through its attorneys “sent threatening

communications to Wellington Park.” (Id. at ¶ 55.) Wellington Park provided

Plaintiff with documentation reflecting the residents’ choice to transfer their care.

(Id. at ¶ 57.) Nevertheless, on January 31, 2018, Plaintiff filed a lawsuit against

Defendant and Wellington Park alleging tortious interference with contract,

tortious interference with prospective contracts, civil conspiracy, and unfair and

deceptive trade practices in violation of the North Carolina Unfair or Deceptive

Trade Practices Act, G.S. § 75-1.1 (“UDTPA”), and seeking preliminary injunctive

relief (“Wellington Park Lawsuit”). (Id. at ¶ 57; Wellington Park Compl., ECF No. 4 at Ex. E.) In the Wellington Park Lawsuit, Plaintiff alleged that the residents

“lacked capacity to transfer their care.” (ECF No. 4 at CC, ¶ 58.)

10. On February 2, 2018, the Honorable Judge Allen Baddour entered a

Temporary Restraining Order (“TRO”) granting Plaintiff a “limited portion of the

relief it requested.” (Id. at ¶ 59; TRO, ECF No. 17.1 at Attach. 3.) The TRO

permitted Defendant to continue to provide care to those Wellington Park residents

to whom Defendant had already provided care as of February 2, 2018. (ECF No. 4

at CC, ¶ 59; ECF No. 17.1 at Attach. 3, p. 2.) For every resident who had not yet

been seen by Defendant as of February 2, 2018, “the Court required that a capacity

determination be made and documented by a medical professional.” (ECF No. 4 at

CC, ¶ 59.) The TRO stated that it would be effective until 5:00 p.m. on February 12,

2018, and required Plaintiff to post a bond in the amount of $1,000.00. (ECF No.

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