Dr. Lalitha Madhav Janaki v. Christus Spohn Hospital - Corpus Christi and Christus Spohn Hospital Corpus Christi - Shoreline

CourtCourt of Appeals of Texas
DecidedApril 8, 2021
Docket13-20-00126-CV
StatusPublished

This text of Dr. Lalitha Madhav Janaki v. Christus Spohn Hospital - Corpus Christi and Christus Spohn Hospital Corpus Christi - Shoreline (Dr. Lalitha Madhav Janaki v. Christus Spohn Hospital - Corpus Christi and Christus Spohn Hospital Corpus Christi - Shoreline) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Dr. Lalitha Madhav Janaki v. Christus Spohn Hospital - Corpus Christi and Christus Spohn Hospital Corpus Christi - Shoreline, (Tex. Ct. App. 2021).

Opinion

NUMBER 13-20-00125-CV

COURT OF APPEALS

THIRTEENTH DISTRICT OF TEXAS

CORPUS CHRISTI – EDINBURG

DR. LALITHA MADHAV JANAKI, Appellant,

v.

C.H. WILKINSON PHYSICIAN NETWORK D/B/A CHRISTUS PHYSICIAN GROUP, Appellee.

On appeal from the 319th District Court of Nueces County, Texas. NUMBER 13-20-00126-CV

CHRISTUS SPOHN HOSPITAL – CORPUS CHRISTI AND CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI – SHORELINE, Appellees.

On appeal from the 319th District Court of Nueces County, Texas.

2 NUMBER 13-20-00127-CV

CHRISTUS SPOHN CANCER CENTER – CALALLEN AND CHRISTUS SPOHN CANCER CENTER – SHORELINE, Appellees.

On appeal from the 319th District Court of Nueces County, Texas.

OPINION Before Chief Justice Contreras and Justices Hinojosa and Silva Opinion by Justice Silva

3 Appellant Dr. Lalitha Madhav Janaki brought suit against appellees C.H. Wilkinson

d/b/a Christus Physician Group (CPG); Christus Spohn Hospital – Corpus Christi,

Christus Spohn Hospital Corpus Christi – Shoreline (collectively, the Hospitals); and

Christus Spohn Cancer Center – Calallen, and Christus Spohn Cancer Center – Shoreline

(collectively, the Cancer Centers) for retaliation against Dr. Janaki for reporting potential

Medicare fraud. Appellees each filed a motion for summary judgment, asserting that the

statutory relief sought by Dr. Janaki was inapplicable to each party as a matter of law.

The trial court granted each appellee’s motion for summary judgment. By three issues,

one applicable to each set of appellees, Dr. Janaki asserts the trial court erred by granting

the motions for summary judgment because appellees should be treated as a “single

integrated enterprise,” thus allowing the statutory relief pleaded. We affirm.

I. BACKGROUND

Dr. Janaki, a radiation oncologist, was employed by CPG as a physician providing

cancer treatment to patients at the Hospitals and Cancer Centers. Dr. Janaki’s

employment contract with CPG began on June 27, 2014, and, throughout her

employment, she maintained privileges1 with the Hospitals and Cancer Centers. In

December 2016, Dr. Janaki began raising concerns with CPG and the Hospitals regarding

the Hospitals’ use of Medicare physician billing numbers and services for physicians who

no longer provided services at the Hospitals. 2 On August 18, 2017, Dr. Janaki was called

1 Privileges, as used in a medical setting, refers to a physician’s ability to admit patients to a particular hospital or facility and use their resources to treat admitted patients. See 42 U.S.C. § 11151(3); see also Tenet Health Ltd. v. Zamora, 13 S.W.3d 464, 470–72 (Tex. App.—Corpus Christi–Edinburg 2000, pet. dism’d w.o.j.).

2 In order to provide services under Medicare, physicians must apply for and receive a unique identifier which is used to bill for services covered by Medicare. See U.S. DEP’T OF HEALTH & HUMAN SERVS.,

4 into a meeting with a representative from CPG and a human resource official from the

Hospitals. At the meeting, CPG informed Dr. Janaki that it was terminating her

employment because of her behavior and quality of patient care.

On August 30, 2017, Dr. Janaki’s then-counsel received a letter from CPG’s

regional counsel stating that “[t]he hospital informed CPG that it no longer wanted Dr.

Janaki to provide services under the CPG contract.” Dr. Janaki subsequently filed a

petition against appellees, alleging they retaliated against her in violation of Texas Health

and Safety Code § 161.134, which prohibits retaliation against an employee of a hospital,

mental health facility, or treatment facility for reporting violations of law. See TEX. HEALTH

& SAFETY CODE ANN. § 161.134.

Each appellee filed a traditional motion for summary judgment. CPG sought

summary judgment on the basis that § 161.134 only protects against retaliation by

“hospitals, mental health facilities, and treatment facilities” none of which described CPG.

Id. § 161.134(a). The Cancer Centers and Hospitals sought summary judgment on the

basis that § 161.134 only provides relief for employees of hospitals and treatment facilities

and that Dr. Janaki was not an employee of any of their facilities or businesses. See id.

In response, Dr. Janaki alleged that CPG, the Hospitals, and the Cancer Centers

operated as “a single, integrated enterprise” as set out by the Fifth Circuit in discrimination

cases under Title VII of the Civil Rights Act of 1964. See Trevino v. Celanese Corp., 701

Medicare Enrollment Application CMS 8551 (effective Dec. 1, 2018), https://www.cms.gov/Medicare/CMS- Forms/CMS-Forms/Downloads/cms855i.pdf (last visited March 1, 2021).

A hospital or other provider may submit a claim for services provided by a physician under a contractual arrangement between the physician or physician group and the hospital. See CTR. FOR MEDICARE & MEDICAID SERVS., Medicare Claims Processing Manual, § 30.2.7 (2020), https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c01.pdf (last visited March 1, 2021).

5 F.2d 397, 403–04 (5th Cir. 1983) (noting that “superficially distinct entities may be

exposed to liability upon a finding that they represent a single, integrated enterprise”).

After a hearing, the trial court asked each side to provide the court with

supplemental briefing. Following the submission of each party’s supplemental briefing,

the trial court granted each appellee’s motion for summary judgment and entered a take-

nothing judgment in favor of appellees. This appeal followed.

II. STANDARD OF REVIEW

We review the trial court’s summary judgment de novo. Provident Life & Accident

Ins. v. Knott, 128 S.W.3d 211, 215 (Tex. 2003). “When reviewing a summary judgment,

we take as true all evidence favorable to the nonmovant, and we indulge every reasonable

inference and resolve any doubts in the nonmovant's favor.” Id. When the trial court’s

order does not specify the grounds for its summary judgment, “we must affirm the

summary judgment if any of the theories presented to the trial court and preserved for

appellate review are meritorious.” Id. at 216. “[T]he party moving for summary judgment

bears the burden to show that no genuine issue of material fact exists and that it is entitled

to judgment as a matter of law.” Id. (citing TEX. R. CIV. P. 166a). “A fact is ‘material’ only

if it affects the outcome of the suit under the governing law.” W. Trinity Props., Ltd. v.

Manhattan Mortg. Corp., 92 S.W.3d 866, 869 (Tex. App.—Texarkana 2002, no pet.); see

also Garrigues v. Hardie, No. 13-18-00418-CV, 2020 WL 4812636, *8 (Tex. App.—

Corpus Christi–Edinburg Aug. 13, 2020, no pet.) (mem. op.). “A movant who conclusively

negates at least one essential element of a cause of action is entitled to summary

judgment on that claim.” IHS Cedars Treatment Ctr. of DeSoto, Tex., Inc. v. Mason, 143

S.W.3d 794, 798 (Tex. 2004).

6 III. APPLICABLE LAW

A. Retaliation

Texas is an at-will employment state. Ritchie v.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

TGS-NOPEC GEOPHYSICAL CO. v. Combs
340 S.W.3d 432 (Texas Supreme Court, 2011)
United States Ex Rel. Smart v. Christus Health
626 F. Supp. 2d 647 (S.D. Texas, 2009)
Fitzgerald v. Advanced Spine Fixation Systems, Inc.
996 S.W.2d 864 (Texas Supreme Court, 1999)
Sabine Pilot Service, Inc. v. Hauck
687 S.W.2d 733 (Texas Supreme Court, 1985)
Continental Coffee Products Co. v. Cazarez
937 S.W.2d 444 (Texas Supreme Court, 1997)
Quantum Chemical Corp. v. Toennies
47 S.W.3d 473 (Texas Supreme Court, 2001)
West Trinity Properties, Ltd. v. Chase Manhattan Mortgage Corp.
92 S.W.3d 866 (Court of Appeals of Texas, 2002)
Town Hall Estates-Whitney, Inc. v. Winters
220 S.W.3d 71 (Court of Appeals of Texas, 2007)
Fields v. Teamsters Local Union No. 988
23 S.W.3d 517 (Court of Appeals of Texas, 2000)
Provident Life & Accident Insurance Co. v. Knott
128 S.W.3d 211 (Texas Supreme Court, 2003)
Tenet Health Ltd. v. Zamora
13 S.W.3d 464 (Court of Appeals of Texas, 2000)
Barron v. Cook Children's Health Care System
218 S.W.3d 806 (Court of Appeals of Texas, 2007)
Odriozola v. Superior Cosmetic Distributors, Inc.
531 F. Supp. 1070 (D. Puerto Rico, 1982)
NME Hospitals, Inc. v. Rennels
994 S.W.2d 142 (Texas Supreme Court, 1999)
San Antonio Water System v. Debra Nicholas
461 S.W.3d 131 (Texas Supreme Court, 2015)
Prairie View A&M University v. Diljit K. Chatha
381 S.W.3d 500 (Texas Supreme Court, 2012)

Cite This Page — Counsel Stack

Bluebook (online)
Dr. Lalitha Madhav Janaki v. Christus Spohn Hospital - Corpus Christi and Christus Spohn Hospital Corpus Christi - Shoreline, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dr-lalitha-madhav-janaki-v-christus-spohn-hospital-corpus-christi-and-texapp-2021.