Douglas Medical Center, LLC v. Mercy Medical Center

125 P.3d 1281, 203 Or. App. 619, 2006 Ore. App. LEXIS 10
CourtCourt of Appeals of Oregon
DecidedJanuary 11, 2006
Docket99CV2265CC, A118908
StatusPublished
Cited by9 cases

This text of 125 P.3d 1281 (Douglas Medical Center, LLC v. Mercy Medical Center) is published on Counsel Stack Legal Research, covering Court of Appeals of Oregon primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Douglas Medical Center, LLC v. Mercy Medical Center, 125 P.3d 1281, 203 Or. App. 619, 2006 Ore. App. LEXIS 10 (Or. Ct. App. 2006).

Opinion

*622 HASELTON, P. J.

Plaintiffs Douglas Medical Center, LLC, and Triad Holdings III, Inc., appeal, challenging the trial court’s allowance of a directed verdict in favor of defendant Mercy Medical Center (Mercy) on their claims for intentional interference with economic relations and. for misappropriation of trade secrets under the Oregon Uniform Trade Secrets Act, ORS 646.461 to 646.475. Defendants other than Mercy appeal from a supplemental judgment denying their requests for attorney fees. We reject without discussion plaintiffs’ arguments concerning their trade-secret-related claims; we also reject without discussion the non-Mercy defendants’ arguments concerning their alleged entitlement to attorney fees and, accordingly, affirm the supplemental judgment. We write only to address the propriety of the directed verdict against plaintiffs on their claim for intentional interference with economic relations. For the reasons that follow, we conclude that the trial court did not err in that regard and, consequently, affirm.

This case arises from circumstances recurring and familiar in modern America: A community historically supported two hospitals. With regionalization and consolidation of medical care, only one can survive. Who is to survive — and how? Plaintiffs contend principally that Mercy, in seeking to survive, employed “improper means” or acted for an “improper purpose” to eliminate plaintiffs’ hospital, Douglas County Medical Center (DCMC), as a competitor and that a jury could find that Mercy’s conduct substantially contributed to DCMC’s demise in February 2000.

More particularly, plaintiffs’ intentional interference claim is predicated on the relationships between and among four primary actors — the two antagonists (DCMC and Mercy), the Roseburg Surgicenter, Inc. (RSCI), and SureCare Health Plans (SureCare). In recounting the material facts, we state those facts, consistently with our standard in reviewing the allowance of a directed verdict, in the light most favorable to the nonmoving party, here, plaintiffs. See Hudjohn v. S&G Machinery Co., 200 Or App 340, 342, 114 P3d 1141 (2005).

*623 In this case, even more than most, the adage is apt: “You can’t tell the players without a scorecard.” The relationships between and among various “players” in the Douglas County healthcare community were close, overlapping, and often tangled — and, indeed, that dynamic permeates plaintiffs’ intentional interference allegations. Accordingly, it is not merely useful, but imperative, to clearly identify the four primary actors at the outset:

DCMC. DCMC (or its predecessors) operated an acute care hospital in Roseburg from the 1950s until February 2000.
Mercy. Mercy also operated an acute care hospital in Roseburg for many years, and that hospital continued to be in business as of the time of the trial in 2002.
RSCI. RSCI was a corporation engaged in the operation of the Roseburg Surgicenter, an outpatient surgery facility. Most of RSCI’s shareholders were Roseburg physicians who performed outpatient surgeries at the Roseburg Surgicenter facility. Beginning in 1991, a partnership consisting of RSCI, as 75 percent general partner, and DCMC’s principals, as 25 percent limited partners, operated the Roseburg Surgicenter.
SureCare. SureCare was a health insurance provider that was owned by the Douglas County Individual Practice Association, a group of local physicians. SureCare provided benefits to Douglas County members of the Oregon Health Plan (OHP) and, in that capacity, solicited bids and entered into contracts with healthcare providers for the provision of such services. In addition, SureCare provided health insurance benefits to private parties, including Mercy — that is, SureCare was the healthcare insurance provider for Mercy’s employees.

For many years, DCMC and Mercy were “very strong competitors.” However, because Roseburg was not sufficiently large, neither was operating at full capacity, and meaningful expansion of one could come only to the other’s detriment. By the mid-1990s, Mercy had increased its market share in the inpatient care market to approximately 80 percent, and DCMC’s share had correspondingly declined.

At the same time, both DCMC and Mercy had identified the increased participation in outpatient surgical *624 care — and, particularly, a closer relationship with RSCI and its physician shareholders — as “pivotal” to DCMC’s competitive success, and even survival. Mercy determined that, if it could persuade the Roseburg Surgicenter doctors to associate with it, and not with DCMC, it would be able to force DCMC “to close its facility’ and “vacate the community.” For its part, RSCI was also concerned that it needed to have closer business relationships with one or both of the hospitals in order to ensure that it would be able to provide outpatient surgery services to managed care patients.

In 1997, Mercy proposed that RSCI, in cooperation with DCMC, join with Mercy to operate a new surgery center to be located on Mercys campus. RSCI did not accept that proposal. 1 In 1998, DCMC announced that it intended to undertake a substantial renovation and expansion of its existing complex, including development of a new medical office complex. DCMC viewed the Surgicenter doctors’ use of DCMC facilities, including the expanded facilities, as being critical to its continued survival in the community. Mercy, in response, continued to pursue its efforts to relocate the Surgicenter physicians’ practices to the Mercy campus.

DCMC’s and Mercy’s conflict was not limited to courting the Surgicenter and the physician shareholders of RSCI. At the same time, in early 1998, DCMC and Mercy were competing to provide medical services to OHP members in Douglas County. Before 1998, SureCare had contracted with a number of care providers, including both Mercy and DCMC, to provide medical services to OHP members. However, in 1998, SureCare sought to enter into an exclusive contract with a single provider for hospital services for OHP patients.

In soliciting bids, SureCare communicated to both DCMC and Mercy that it had only $28 per member per month (PMPM) to spend on those medical services. 2 In *625 response to that solicitation, DCMC submitted a bid of $48 PMPM — that is, $20 in excess of the figure identified in SureCare’s solicitation. Conversely, Mercy submitted a bid of $28 PMPM, although it knew that the cost of the services to be provided would almost certainly exceed that amount. In addition, Mercy agreed not to pursue a claim against Sure-Care for additional payment for services rendered to OHP patients in 1997, in the amount of $400,000. SureCare awarded the exclusive OHP contract to Mercy, effective April 1,1998. Around the same time, Mercy made a $250,000 payment to SureCare.

Our analysis of the principal issue on appeal, viz.,

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Bluebook (online)
125 P.3d 1281, 203 Or. App. 619, 2006 Ore. App. LEXIS 10, Counsel Stack Legal Research, https://law.counselstack.com/opinion/douglas-medical-center-llc-v-mercy-medical-center-orctapp-2006.