Edgewater Medical Center v. Rogan (In Re Edgewater Medical Center)

332 B.R. 166, 2005 Bankr. LEXIS 618, 44 Bankr. Ct. Dec. (CRR) 163, 2005 WL 2552318
CourtUnited States Bankruptcy Court, N.D. Illinois
DecidedApril 6, 2005
Docket18-35623
StatusPublished
Cited by10 cases

This text of 332 B.R. 166 (Edgewater Medical Center v. Rogan (In Re Edgewater Medical Center)) is published on Counsel Stack Legal Research, covering United States Bankruptcy Court, N.D. Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Edgewater Medical Center v. Rogan (In Re Edgewater Medical Center), 332 B.R. 166, 2005 Bankr. LEXIS 618, 44 Bankr. Ct. Dec. (CRR) 163, 2005 WL 2552318 (Ill. 2005).

Opinion

Memorandum Opinion

BRUCE W. BLACK, Bankruptcy Judge.

The plaintiff in this adversary proceeding, Edgewater Medical Center (“EMC”), moves for summary judgement on three counts (breach of fiduciary duty, breach of contract, and indemnification) of its twelve count complaint against the defendants Braddock Management, L.P.(“Braddock”), Bainbridge Management, L.P. (“Bain-bridge L.P.”) (Braddock and Bainbridge L.P. collectively, “the management compa *170 nies”), and Bainbridge Management, Inc. (“Bainbridge Inc.”).

Jurisdiction

This court has jurisdiction over the parties and the subject matter of this adversary proceeding pursuant to 28 U.S.C. §§ 157 and 1334. Venue is proper pursuant to 28 U.S.C. § 1409(a).

Parties

EMC, an Illinois not-for-profit corporation, operated a hospital located on the north side of Chicago. On February 25, 2002, EMC, by its custodian, filed for relief under chapter 11 of the United States Bankruptcy Code. Braddock was a California limited liability partnership that had management contracts with EMC beginning about August 1994 and continuing until about March 2000. Bainbridge L.P. was an Illinois limited liability partnership that had management contracts with Edgewater from about March 2000 until approximately May 2001. Bainbridge Inc., an Illinois corporation, has been the sole general partner of Bainbridge L.P. and has been sole general partner of Braddock since about October 1998. As such, Bain-bridge Inc. had full, exclusive, and complete discretion in the management and control of the business and affairs of both Braddock and Bainbridge L.P.

Facts

On January 15, 2003, at the direction of Bainbridge Inc., defendants Braddock and Bainbridge L.P. entered into plea agreements in which they agreed to plead guilty to felony charges that they had used EMC to operate a scheme to defraud Medicare. Medicare is a health care benefit program, as defined in 18 U.S.C. § 24. Medicare ordinarily authorizes payment for physician and hospital services only if those services are “medically necessary” to treat disease, disability, infirmity, or impairment. Medicare does not pay for services and treatment if a patient does not meet those criteria indicating medical need for services and treatment. Federal statute prohibits anyone from paying or receiving monies or otherwise providing or accepting a thing of value in exchange for patient referrals, when such payments are made knowingly and willingly. 42 U.S.C. § 1320a-7b. U.S. District Court Judge Susan B. Conlon accepted the resulting guilty pleas, and these two defendants stand convicted of the felony offense of health care fraud under 18 U.S.C. § 1347. The plaintiff relies primarily upon the plea agreements between the management companies and the United States Attorney for the facts supporting its motion for summary judgment, along with several exhibits consisting mostly of business records and various court documents. The facts contained therein are not in dispute and are summarized below.

Beginning in August 1994, Braddock entered into its first of three successive management agreements with EMC. In March 2000, Bainbridge L.P. succeeded Braddock in connection with the EMC management contracts. Thereafter, Bainbridge L.P. had much the same rights and responsibilities under the management contracts as had Braddock. The contracts provided that the management companies would act as the sole and exclusive manager of the day-to-day . operations of EMC and that the management companies would supervise and manage all billings, collections, cost reporting, and other financial matters related to the operation of the hospital. The management companies agreed to perform their obligations as a fiduciary to EMC, agreed to perform all their obligations in accordance with all applicable laws, agreed to use best efforts and due diligence to comply with all applicable reg *171 ulatory entities, and agreed to maintain good standing with all licensing and accrediting bodies. The management contracts included indemnification clauses requiring Braddock and Bainbridge L.P. to indemnify EMC for any losses as a result of false statement or breach of representation in the management agreements. In exchange for these promises, EMC agreed to pay management fees, both fixed fees and supplemental fees tied to EMC revenues. Additionally, the management companies’ duties included negotiation and preparation of contracts, including physician agreements and those contracts necessary to obtain and maintain status as an approved Medicare Program provider.

Beginning prior to 1995 and continuing until at least the end of 2000, Roger Eh-men was an employee of Braddock and thereafter Bainbridge L.P. and was an agent of the management companies in connection with his activities at EMC. As such, Ehmen was one of the key administrators at EMC. Ehmen was known by various titles, including, by the end of his tenure, “Senior Vice President for Edge-water Hospital.” Ehmen had significant responsibilities, which included recruiting doctors for EMC’s staff, signing physicians’ contracts, and maintaining and increasing the number of patients admitted to the hospital.

Roger Ehmen’s employment agreement, entered into by Braddock and Ehmen as of January 1, 1997, made Ehmen responsible to Braddock, at that time the operating management company. Ehmen agreed to perform services on behalf of Braddock pursuant to the agreement Braddock had with EMC; to report to the president of Braddock; and to devote his entire time, attention, and energies to the business of Braddock. Ehmen served at the sole direction of Braddock, and the employment agreement provided that should Braddock terminate Ehmen’s employment, Ehmen would then be required to resign any position he held with both EMC and Braddock.

From 1995 until the end of 2000, Ehmen and others devised and ran a scheme intended to defraud Medicare. The scheme operated by using the hospital to make illegal payments to certain physicians in exchange for patient referrals to the hospital. The illegal payments were concealed by the creation of contracts and other mechanisms designed to create the false impression that the payments were for legitimate services.

The management companies admitted guilt at the direction of their sole general partner, Bainbridge Inc. Bainbridge Inc. consented to a waiver of indictment and to the entry of Braddock and Bainbridge L.P.’s guilty pleas. James Streicker, on behalf Bainbridge Inc., signed both plea agreements.

In those pleas, the parties agreed that Ehmen, acting as the agent of the management companies, caused EMC to make payments to certain physicians in exchange for patient referrals. Braddock and Bainbridge L.P.

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

Related

Busey Bank v. Cosman
N.D. Illinois, 2020
Nicholson v. Shapiro & Associates, LLC
2017 IL App (1st) 162551 (Appellate Court of Illinois, 2017)
McRaith v. BDO Seidman, LLP
909 N.E.2d 310 (Appellate Court of Illinois, 2009)
DEXIA CREDIT LOCAL v. Rogan
604 F. Supp. 2d 1180 (N.D. Illinois, 2009)

Cite This Page — Counsel Stack

Bluebook (online)
332 B.R. 166, 2005 Bankr. LEXIS 618, 44 Bankr. Ct. Dec. (CRR) 163, 2005 WL 2552318, Counsel Stack Legal Research, https://law.counselstack.com/opinion/edgewater-medical-center-v-rogan-in-re-edgewater-medical-center-ilnb-2005.